LEGENT ORTHOPEDIC + SPINE
SAN ANTONIO, TX 78249 · Acute Care Hospitals
7 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
7
With CMS pricing data
Avg Charge-to-Medicare Ratio
9.8x
Chargemaster ÷ Medicare
CMS Quality Rating
Not rated
No CMS star rating available
Hospital Type
Acute Care Hospitals
Proprietary
Above 90th Percentile
14%
Compared to TX hospitals
Understanding Your Costs
When you receive a bill from LEGENT ORTHOPEDIC + SPINE, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, LEGENT ORTHOPEDIC + SPINE lists chargemaster rates that average 9.8x the corresponding Medicare reimbursement amount across 7 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in TX has a chargemaster-to-Medicare ratio of 6.0x, with ratios across the state ranging from 0.3x to 16.9x. At 9.8x, this facility’s average ratio is above the state median. 237 hospitals in TX report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at LEGENT ORTHOPEDIC + SPINE is CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC (DRG 024). The listed chargemaster rate is $309,430, while Medicare reimburses $21,751 for the same procedure — a ratio of 14.2x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
1 of 7 procedures (14%) at this facility have listed rates above the 90th percentile compared to other TX hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
LEGENT ORTHOPEDIC + SPINE is a proprietary acute care hospitals facility. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC | 024 | $309,430 | $21,751 | 14.2x | 1th | Compare your bill |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $115,948 | $9,096 | 12.8x | 1th | Compare your bill |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $146,683 | $14,405 | 10.2x | 1th | Compare your bill |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $177,509 | $19,836 | 8.9x | 1th | Compare your bill |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $197,846 | $24,980 | 7.9x | 1th | Compare your bill |
| CERVICAL SPINAL FUSION WITH CC | 472 | $133,264 | $16,845 | 7.9x | 1th | Compare your bill |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $221,578 | $32,131 | 6.9x | 1th | Compare your bill |
Showing 7 of 7 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across TX hospitals
237 hospitals in TX report pricing data to CMS. This facility's average ratio of 9.8x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About LEGENT ORTHOPEDIC + SPINE
How much does LEGENT ORTHOPEDIC + SPINE charge compared to Medicare?
According to CMS IPPS data, LEGENT ORTHOPEDIC + SPINE's listed chargemaster rates average 9.8x the Medicare reimbursement amount across 7 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at LEGENT ORTHOPEDIC + SPINE?
The procedure with the highest chargemaster-to-Medicare ratio at LEGENT ORTHOPEDIC + SPINE is CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC (DRG 024), with a listed charge of $309,430 compared to Medicare reimbursement of $21,751 — a ratio of 14.2x. Source: CMS IPPS Provider Summary.
Is LEGENT ORTHOPEDIC + SPINE expensive compared to other TX hospitals?
LEGENT ORTHOPEDIC + SPINE's average chargemaster-to-Medicare ratio is 9.8x. Ratios vary significantly across TX hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for LEGENT ORTHOPEDIC + SPINE come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from LEGENT ORTHOPEDIC + SPINE is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does LEGENT ORTHOPEDIC + SPINE in SAN ANTONIO, TX accept Medicare?
LEGENT ORTHOPEDIC + SPINE is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact LEGENT ORTHOPEDIC + SPINE directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.