Texas / Legent Orthopedic + Spine
CMS certification 670112 · San Antonio, TX
Legent Orthopedic + Spine: charges and Medicare payments
Legent Orthopedic + Spine reported 46 Medicare inpatient stays across 3 DRGs in 2024. Across them it charged 7.99 times what it was paid. Its most frequent stay was DRG 455, Combined Anterior and Posterior Spinal Fusion without CC/MCC: 16 stays at an average charge of $283,330, 40% above the national average. It also billed 1,112 outpatient services, charging 10.18 times what Medicare paid.
- 1Medicare inpatient stays 46
- 2Charge ÷ paid, inpatient 7.99×
- 3Rank in TX (highest ratio = 1) –
- 4CMS price-transparency actions 0
Inpatient stays
For the 3 DRGs that can be compared with the national average, Legent Orthopedic + Spine charged more than the national average in 2 (67%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 16 | $283,330 | +40% | $31,950 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 16 | $144,646 | +17% | $18,090 |
| 460 Spinal Fusion except Cervical without MCC | 14 | $145,362 | -15% | $22,232 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 730 | $91,404 | $11,312 |
| Level 4 Musculoskeletal Procedures | 161 | $63,467 | $6,177 |
| Level 6 Musculoskeletal Procedures | 79 | $156,632 | $16,137 |
| Level 5 Neurostimulator and Related Procedures | 51 | $261,103 | $26,867 |
| Level 3 Musculoskeletal Procedures | 24 | $35,676 | $2,805 |
| Level 1 Nerve Procedures | 20 | $31,370 | $1,675 |
| Level 2 Neurostimulator and Related Procedures | 18 | $94,547 | $5,934 |
| Level 2 Musculoskeletal Procedures | 16 | $15,713 | $1,325 |
| Level 1 Neurostimulator and Related Procedures | 13 | $64,445 | $2,952 |
Against the Texas average
For Combined Anterior and Posterior Spinal Fusion without CC/MCC (DRG 455), Legent Orthopedic + Spine charged $283,330 on average, 6% more than the Texas average of $268,184, and was paid $31,950 against a state average of $39,409. For Revision of Hip or Knee Replacement without CC/MCC (DRG 468), Legent Orthopedic + Spine charged $144,646 on average, 26% less than the Texas average of $195,381, and was paid $18,090 against a state average of $24,009. For Spinal Fusion except Cervical without MCC (DRG 460), Legent Orthopedic + Spine charged $145,362 on average, 32% less than the Texas average of $213,248, and was paid $22,232 against a state average of $30,622. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $91,404 was 7% below the state average of $98,771. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $63,467 was 8% above the state average of $58,833. For Level 6 Musculoskeletal Procedures (outpatient APC 5116), its average charge of $156,632 was 21% above the state average of $129,107. For Level 5 Neurostimulator and Related Procedures (outpatient APC 5465), its average charge of $261,103 was 26% above the state average of $207,360.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.