Texas / Methodist Hospital for Surgery
CMS certification 670073 · Addison, TX · 3 entries in CMS's price-transparency list
Methodist Hospital for Surgery: charges and Medicare payments
Methodist Hospital for Surgery reported 165 Medicare inpatient stays across 8 DRGs in 2024. Across them it charged 2.64 times what it was paid — among the lower ratios in Texas, number 179 of 190 hospitals with at least 100 stays (state median 5.35×, national 4.15×). Its most frequent stay was DRG 460, Spinal Fusion except Cervical without MCC: 47 stays at an average charge of $90,946, 47% below the national average. It also billed 404 outpatient services, charging 4.56 times what Medicare paid.
- 1Medicare inpatient stays 165
- 2Charge ÷ paid, inpatient 2.64×
- 3Rank in TX (highest ratio = 1) 179 of 190
- 4CMS price-transparency actions 3
Inpatient stays
For the 8 DRGs that can be compared with the national average, Methodist Hospital for Surgery charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 460 Spinal Fusion except Cervical without MCC | 47 | $90,946 | -47% | $29,819 |
| 472 Cervical Spinal Fusion with CC | 26 | $76,143 | -47% | $30,732 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 23 | $94,358 | -54% | $40,584 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 20 | $115,249 | -59% | $38,127 |
| 402 Single Level Combined Anterior and Posterior Spinal Fusion... | 14 | $102,385 | -46% | $50,427 |
| 473 Cervical Spinal Fusion without CC/MCC | 13 | $76,395 | -34% | $30,098 |
| 427 Multiple Level Combined Anterior and Posterior Spinal Fusion... | 11 | $123,932 | -64% | $57,027 |
| 517 Other Musculoskeletal System and Connective Tissue O.R.... | 11 | $52,948 | -32% | $9,396 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 232 | $42,124 | $11,741 |
| Level 4 Musculoskeletal Procedures | 89 | $40,213 | $6,323 |
| Level 6 Musculoskeletal Procedures | 31 | $51,416 | $16,256 |
| Level 3 Musculoskeletal Procedures | 27 | $21,862 | $2,827 |
| Level 5 ENT Procedures | 13 | $17,984 | $5,270 |
| Level 4 Neurostimulator and Related Procedures | 12 | $43,075 | $19,639 |
Against the Texas average
For Spinal Fusion except Cervical without MCC (DRG 460), Methodist Hospital for Surgery charged $90,946 on average, 57% less than the Texas average of $213,248, and was paid $29,819 against a state average of $30,622. For Cervical Spinal Fusion with CC (DRG 472), Methodist Hospital for Surgery charged $76,143 on average, 57% less than the Texas average of $178,665, and was paid $30,732 against a state average of $25,128. For Combined Anterior and Posterior Spinal Fusion without CC/MCC (DRG 455), Methodist Hospital for Surgery charged $94,358 on average, 65% less than the Texas average of $268,184, and was paid $40,584 against a state average of $39,409. For Combined Anterior and Posterior Spinal Fusion with CC (DRG 454), Methodist Hospital for Surgery charged $115,249 on average, 74% less than the Texas average of $446,825, and was paid $38,127 against a state average of $54,675. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $42,124 was 57% below the state average of $98,771. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $40,213 was 32% below the state average of $58,833. For Level 6 Musculoskeletal Procedures (outpatient APC 5116), its average charge of $51,416 was 60% below the state average of $129,107. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $21,862 was 28% below the state average of $30,502.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Methodist Hospital for Surgery in Addison, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-05-18 (CMS case 155)
- CAP Request — 2021-10-27 (CMS case 155)
- Closure Notice — 2022-03-02 (CMS case 155)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.