Other musculoskeletal system and connective tissue operating room procedures without complications in Texas
What 14 hospitals in Texas charged and were paid for a Medicare hospital stay for other musculoskeletal system and connective tissue operating room procedures without complications (DRG 517), from 2024 Medicare claims.
Average charge
$110,166
Hospital list price billed
Average payment
$12,239
Medicare + patient + other payers
Medicare paid
$9,492
Average per stay
State rank
#2 of 15
1 = lowest average payment
Hospitals in Texas billed an average of $110,166 for other musculoskeletal system and connective tissue operating room procedures without complications, about 9.0 times the average total payment of $12,239. That payment is 13% below the U.S. average of $14,140.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $12,239Billed $110,166
About 11¢ was paid for every $1 hospitals in Texas billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Texas:
Texas hospitals: other musculoskeletal system and connective tissue operating room procedures without complications
Every Texas hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Medical Center of PlanoPlano | 21 | $162,449 | $12,882 | $8,920 |
| Methodist Stone Oak HospitalSan Antonio | 21 | $84,014 | $10,134 | $8,580 |
| Baptist Medical CenterSan Antonio | 20 | $166,820 | $11,965 | $9,512 |
| Methodist HospitalSan Antonio | 15 | $110,357 | $12,149 | $9,199 |
| Round Rock Medical CenterRound Rock | 15 | $126,769 | $10,870 | $9,238 |
| Texas Health Presbyterian Hospital PlanoPlano | 14 | $48,450 | $15,185 | $8,644 |
| Memorial Hermann Texas Medical CenterHouston | 13 | $117,827 | $19,295 | $13,551 |
| Hendrick Health SystemAbilene | 13 | $116,755 | $11,531 | $9,880 |
| East Texas Medical CenterTyler | 12 | $73,645 | $11,911 | $9,361 |
| Methodist Hospital,TheHouston | 12 | $82,418 | $13,331 | $11,020 |
| Longview Regional Medical CenterLongview | 12 | $170,888 | $10,110 | $8,326 |
| CHRISTUS St Michael Health SystemTexarkana | 12 | $53,048 | $10,812 | $9,427 |
| Medical City Dallas HospitalDallas | 11 | $119,481 | $12,151 | $10,402 |
| Methodist Hospital for SurgeryAddison | 11 | $52,948 | $9,396 | $7,764 |
Lowest and highest payments in Texas
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Methodist Hospital for SurgeryAddison, TX | $9,396 |
|---|---|
| Longview Regional Medical CenterLongview, TX | $10,110 |
| Methodist Stone Oak HospitalSan Antonio, TX | $10,134 |
| CHRISTUS St Michael Health SystemTexarkana, TX | $10,812 |
| Round Rock Medical CenterRound Rock, TX | $10,870 |
Highest
| Memorial Hermann Texas Medical CenterHouston, TX | $19,295 |
|---|---|
| Texas Health Presbyterian Hospital PlanoPlano, TX | $15,185 |
| Methodist Hospital,TheHouston, TX | $13,331 |
| Medical Center of PlanoPlano, TX | $12,882 |
| Medical City Dallas HospitalDallas, TX | $12,151 |
Other musculoskeletal system and connective tissue operating room procedures without complications in other states
Questions
How much does other musculoskeletal system and connective tissue operating room procedures without complications cost in Texas?
In 2024 Medicare data, a hospital stay for other musculoskeletal system and connective tissue operating room procedures without complications (DRG 517) at 14 hospitals in Texas was billed at $110,166 on average, while the average total payment was $12,239, of which Medicare paid $9,492. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Texas, average charges were 9.0 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.