Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc in Texas
MS-DRG 494: Lower extremity and humerus procedures except hip, foot and femur without cc/mcc
$110,288typical hospital bill
$15,782typical amount paid
$12,723–$17,027range paid across 6 hospitals
Texas hospitals billed Medicare a typical $110,288 for this stay in 2024, about 7.0 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 | |
|---|---|---|---|---|---|
| Methodist Hospital Stone Oak | San Antonio | 11 | $96,764 | $12,723 | |
| Medical City Plano | Plano | 11 | $163,541 | $14,043 | |
| Medical City Denton | Denton | 16 | $276,015 | $15,685 | |
| Methodist Hospital | San Antonio | 18 | $123,813 | $15,879 | |
| Texas Health Harris Methodist Fort Worth | Fort Worth | 17 | $60,870 | $16,717 | |
| Memorial Hermann Hospital System | Houston | 13 | $88,113 | $17,027 |
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.