13/100
#2,325 nationally
Legent Orthopedic + Spine
5330 North Loop 1604 West, San Antonio, TX 78249 · (717) 620-2424
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Legent Orthopedic + Spine billed $8.72 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 8.7x
- volume-weighted across all its priced work
- Procedures priced
- 12
- inpatient and outpatient combined
- Rank in TX
- #151
- lower markup ranks higher
- CMS quality stars
- Not rated
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 10% of U.S. hospitals.
Better than 24% of U.S. hospitals.
Better than 9% of U.S. hospitals.
Better than 5% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
730 | $91,404 | $11,312 | +46% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
161 | $63,467 | $6,177 | +59% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
79 | $156,632 | $16,137 | +89% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
51 | $261,103 | $26,867 | +132% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
24 | $35,676 | $2,805 | +75% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
20 | $31,370 | $1,675 | +176% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
18 | $94,547 | $5,934 | +261% |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
16 | $144,646 | $18,090 | +33% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
16 | $283,330 | $31,950 | +60% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
16 | $15,713 | $1,325 | +40% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$94,547 | $5,934 | +261% |
|
Level 1 Neurostimulator and Related Procedures
APC 5461 · Hospital outpatient visit |
$64,445 | $2,952 | +183% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$31,370 | $1,675 | +176% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$261,103 | $26,867 | +132% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$156,632 | $16,137 | +89% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$35,676 | $2,805 | +75% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$283,330 | $31,950 | +60% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$63,467 | $6,177 | +59% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
$145,362 | $22,232 | about average |
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
$144,646 | $18,090 | +33% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$15,713 | $1,325 | +40% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$91,404 | $11,312 | +46% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$63,467 | $6,177 | +59% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$283,330 | $31,950 | +60% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$35,676 | $2,805 | +75% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$156,632 | $16,137 | +89% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.