Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc in Texas
MS-DRG 462: Bilateral or multiple major joint procedures of lower extremity without mcc
$83,572typical hospital bill
$20,113typical amount paid
$18,949–$21,277range paid across 2 hospitals
Texas hospitals billed Medicare a typical $83,572 for this stay in 2024, about 4.2 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Texas Health Harris Methodist Hospital Southlake | Southlake | 30 | $103,672 | $18,949 | |
| North Central Surgical Center Llp | Dallas | 15 | $63,472 | $21,277 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.