Texas Institute for Surgery at Presbyterian Hospit: charges and Medicare payments

Texas Institute for Surgery at Presbyterian Hospit reported 72 Medicare inpatient stays across 2 DRGs in 2024. Across them it charged 3.11 times what it was paid. Its most frequent stay was DRG 470, Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC: 40 stays at an average charge of $53,871, 42% below the national average. It also billed 837 outpatient services, charging 5.25 times what Medicare paid.

1Medicare inpatient stays 72
2Charge ÷ paid, inpatient 3.11×
3Rank in TX (highest ratio = 1) –
4CMS price-transparency actions 0

Average charge per stay at Texas Institute for Surgery at Presbyterian Hospit, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 2 DRGs that can be compared with the national average, Texas Institute for Surgery at Presbyterian Hospit 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
470 Major Hip and Knee Joint Replacement or Reattachment of...	40	$53,871	-42%	$14,152
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	32	$152,247	-25%	$52,949

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 4 Musculoskeletal Procedures	214	$29,632	$6,343
Level 5 Musculoskeletal Procedures	179	$52,530	$11,828
Level 3 Musculoskeletal Procedures	144	$13,848	$2,881
Level 6 Musculoskeletal Procedures	65	$72,234	$16,044
Level 2 Musculoskeletal Procedures	47	$9,554	$1,446
Level 3 Extraocular, Repair, and Plastic Eye Procedures	43	$12,500	$2,064
Level 5 Airway Endoscopy	39	$31,552	$6,159
Level 5 Neurostimulator and Related Procedures	22	$71,612	$26,671
Level 4 Extraocular, Repair, and Plastic Eye Procedures	21	$15,584	$3,479
Level 5 ENT Procedures	19	$26,000	$5,270
Level 3 Excision/ Biopsy/ Incision and Drainage	17	$11,862	$2,557
Level 4 ENT Procedures	16	$14,575	$2,753
Level 4 Urology and Related Services	11	$13,902	$2,910

Against the Texas average

For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Texas Institute for Surgery at Presbyterian Hospit charged $53,871 on average, 54% less than the Texas average of $116,220, and was paid $14,152 against a state average of $15,157. For Combined Anterior and Posterior Spinal Fusion without CC/MCC (DRG 455), Texas Institute for Surgery at Presbyterian Hospit charged $152,247 on average, 43% less than the Texas average of $268,184, and was paid $52,949 against a state average of $39,409. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $29,632 was 50% below the state average of $58,833. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $52,530 was 47% below the state average of $98,771. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $13,848 was 55% below the state average of $30,502. For Level 6 Musculoskeletal Procedures (outpatient APC 5116), its average charge of $72,234 was 44% below the state average of $129,107.

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.