Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc in Texas

MS-DRG 492: Lower extremity and humerus procedures except hip, foot and femur with mcc

$166,440typical hospital bill

$28,292typical amount paid

$22,491–$60,545range paid across 7 hospitals

Texas hospitals billed Medicare a typical $166,440 for this stay in 2024, about 5.9 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
Medical City Plano	Plano	16	$276,467	$22,491
Texas Health Harris Methodist Fort Worth	Fort Worth	18	$145,319	$25,174
Methodist Hospital	San Antonio	11	$265,563	$26,002
Memorial Hermann Hospital System	Houston	13	$152,006	$28,292
University Medical Center	Lubbock	17	$154,456	$30,458
Memorial Hermann - Texas Medical Center	Houston	15	$166,440	$32,997
University Health System	San Antonio	12	$166,754	$60,545

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.