Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc in Texas
MS-DRG 515: Other musculoskeletal system and connective tissue o.r. procedures with mcc
$213,177typical hospital bill
$21,627typical amount paid
$19,512–$27,474range paid across 6 hospitals
Texas hospitals billed Medicare a typical $213,177 for this stay in 2024, about 9.9 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 | |
|---|---|---|---|---|---|
| Methodist Hospital Stone Oak | San Antonio | 11 | $212,813 | $19,512 | |
| Medical City Plano | Plano | 11 | $321,104 | $19,668 | |
| Longview Regional Medical Center | Longview | 11 | $261,083 | $20,840 | |
| Texas Health Harris Methodist Fort Worth | Fort Worth | 11 | $99,750 | $22,415 | |
| Methodist Hospital | San Antonio | 14 | $203,678 | $23,063 | |
| Houston Methodist Hospital | Houston | 25 | $213,541 | $27,474 |
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.