Medicine & Surgery
Arthroscopic knee meniscectomy
CPT 29881
$4,500 - $4,959
from 3 insurers · median $4,900
30 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Plano, TX
7
Beds
211
Inpatient discharges a year
$37.9M
Net patient revenue a year
Legent Hospital For Special Surgery is a 7-bed hospital in Plano, TX.
The 24 services Legent Hospital For Special Surgery most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Medicine & Surgery
CPT 29881
$4,500 - $4,959
from 3 insurers · median $4,900
30 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
CT imaging
CPT 74177
$529 - $1,000
from 3 insurers · median $571
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,814 - $6,000
from 3 insurers · median $2,109
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,814 - $4,650
from 3 insurers · median $2,109
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$5,500 - $16,112
from 3 insurers · median $14,302
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,336 - $4,650
from 3 insurers · median $1,375
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29880
$4,500 - $5,749
from 3 insurers · median $4,959
30 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Orthopedics and pain
CPT 20610
$465 - $6,000
from 2 insurers · median $3,233
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$6,000 - $9,163
from 3 insurers · median $8,217
Typical for a hospital with this service line
Orthopedics and pain
CPT 29848
$2,426 - $6,000
from 3 insurers · median $2,437
44 Medicare claims in Level 2 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 49650
$5,665 - $9,184
from 3 insurers · median $9,163
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$240 - $828
from 2 insurers · median $534
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$3,498 - $5,425
from 3 insurers · median $3,842
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$3,840 - $10,186
from 3 insurers · median $8,973
Typical for a hospital with this service line
CT imaging
CPT 74176
$327 - $1,000
from 3 insurers · median $362
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$118 - $158
from 3 insurers · median $155
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$73 - $133
from 3 insurers · median $109
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$30 - $132
from 3 insurers · median $132
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$6,000 - $9,163
from 3 insurers · median $8,217
Typical for a hospital with this service line
Gynecology
CPT 58558
$4,907 - $6,000
from 3 insurers · median $5,246
Typical for a hospital with this service line
Gynecology
CPT 58662
$5,330 - $9,163
from 3 insurers · median $9,087
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$5,330 - $16,112
from 3 insurers · median $15,985
Typical for a hospital with this service line
MRI imaging
CPT 70553
$247 - $579
from 3 insurers · median $529
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$266 - $299
from 3 insurers · median $284
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 148% | 0 | 0 |
| Insurer B* | 23 | 148% | 0 | 0 |
| Insurer C* | 23 | 135% | 0 | 0 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 9 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Legent Hospital For Special Surgery, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Quality
No Medicare readmissions penalty
See quality ratingsDoctors and services
Accredited by The Joint Commission
Finances
$37.9M net patient revenue
Ownership and leadership
Owned by Star Medical Center LLC
Plano, TX 75075
(972) 265-1050
How Medicare adjusts Legent Hospital For Special Surgery's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
0.00% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
The Joint Commission (since 2023)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
7
Medicare-certified beds
33
Registered nurses (full-time equivalent)
2023
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Legent Hospital For Special Surgery reported to Medicare in its latest cost report, covering Sep 1, 2024 to Aug 31, 2025.
211
Inpatient discharges
Medicare 14%, Medicaid n/a
352
Inpatient days
14% of available bed days used
51
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 829148). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Legent Hospital For Special Surgery reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 46 | 0 | 306 | 352 |
| Discharges | 30 | 0 | 181 | 211 |
| Average length of stay | 1.5 days | 1.7 days | 1.7 days | |
| Average daily census | 0.1 | 0.0 | 0.8 | 1.0 |
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 7 | 352 | 46 | 14% |
Source: CMS cost report (HCRIS, Form 2552-10), report 829148, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
The comprehensive outpatient service groups (APCs) Legent Hospital For Special Surgery billed Medicare for most in 2024: 168 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 2 Musculoskeletal ProceduresAPC 5112 | 44 | 42 | $20,753 | $1,152 | $1,196 |
| Level 5 ENT ProceduresAPC 5165 | 33 | 32 | $63,357 | $4,199 | $4,436 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 30 | 29 | $29,366 | $2,321 | $2,373 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 21 | 21 | $329,630 | $26,231 | $26,719 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 16 | 15 | $114,630 | $10,196 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 13 | 13 | $84,179 | $5,130 | $5,339 |
| Cochlear Implant ProcedureAPC 5166 | 11 | 11 | $357,082 | $25,869 | $29,489 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
Staff by profession and the rooms and units Legent Hospital For Special Surgery reported at its latest Medicare certification survey (2023). Counts are people, not full-time equivalents.
4
Operating rooms
33
Registered nurses
1
Licensed practical nurses
1
Pharmacists
1
Radiology technicians
1
Medical technologists
39
Other personnel
Source: CMS Provider of Services file.
53 clinicians who bill Medicare list Legent Hospital For Special Surgery as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Mohammed Shaikh, M.D.
Pain Medicine (Anesthesiology) Physician
NPI 1952696635
See commercial rates for Mohammed Shaikh, M.D.Shamim Badiyan, M.D.
Pain Medicine (Anesthesiology) Physician
NPI 1871791590
See commercial rates for Shamim Badiyan, M.D.Gonzalo Gonzales Jr., D.O.
Pain Medicine Physician
NPI 1568623890
See commercial rates for Gonzalo Gonzales Jr., D.O.Michael Howard, M.D.
Orthopaedic Hand Surgery Physician
NPI 1568586550
See commercial rates for Michael Howard, M.D.Justin Thompson, M.D.
Pain Medicine (Physical Medicine & Rehabilitation) Physician
NPI 1275851719
See commercial rates for Justin Thompson, M.D.Steve Hong, MD
Interventional Pain Medicine Physician
NPI 1093152639
See commercial rates for Steve Hong, MDMohammed Alhezayen, MD
Internal Medicine Physician
NPI 1780635599
See commercial rates for Mohammed Alhezayen, MDLudwig Orozco, M.D.
Neurological Surgery Physician
NPI 1598934903
See commercial rates for Ludwig Orozco, M.D.John Knight, M.D.
Orthopaedic Hand Surgery Physician
NPI 1063458321
See commercial rates for John Knight, M.D.Brian Peters, MD
Otolaryngology Physician
NPI 1124076062
See commercial rates for Brian Peters, MDKyle Stuart, MD
Orthopaedic Surgery Physician
NPI 1215131800
See commercial rates for Kyle Stuart, MDCheryl Ervin, CRNA
Certified Registered Nurse Anesthetist
NPI 1740237015
See commercial rates for Cheryl Ervin, CRNABrian Rodgers, MD
Otology & Neurotology Physician
NPI 1154645679
See commercial rates for Brian Rodgers, MDShay Mayya, MD
Internal Medicine Physician
NPI 1366499220
See commercial rates for Shay Mayya, MDYoav Hahn, MD
Otolaryngology Physician
NPI 1922082247
See commercial rates for Yoav Hahn, MDVikas Patel, MD
Adult Reconstructive Orthopaedic Surgery Physician
NPI 1679983712
See commercial rates for Vikas Patel, MDJoshua Page, MD
Otology & Neurotology Physician
NPI 1588050082
See commercial rates for Joshua Page, MDChristopher Britt, MD
Otolaryngology/Facial Plastic Surgery Physician
NPI 1144518473
See commercial rates for Christopher Britt, MDMalik Saeed, MD
Internal Medicine Physician
NPI 1891762753
See commercial rates for Malik Saeed, MDCabe Owens, M.D., PH.D.
Clinical Neurophysiology Physician
NPI 1366738866
See commercial rates for Cabe Owens, M.D., PH.D.Nicholas Scalzitti, M.D.
Otolaryngology Physician
NPI 1689965790
See commercial rates for Nicholas Scalzitti, M.D.Vudhi Slabisak, MD
Orthopaedic Surgery of the Spine Physician
NPI 1639109358
See commercial rates for Vudhi Slabisak, MDPaul Salinas, M.D.
Neurological Surgery Physician
NPI 1528262110
See commercial rates for Paul Salinas, M.D.Frantz Guignard, MD
Anesthesiology Physician
NPI 1467740761
See commercial rates for Frantz Guignard, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Legent Hospital For Special Surgery reported to Medicare for Sep 1, 2024 to Aug 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $278.7M | 734.6% |
| Inpatient | $20.2M | 53.2% |
| Outpatient | $258.5M | 681.5% |
| Contractual allowances and discounts | -$240.7M | -634.6% |
| Net patient revenue | $37.9M | 100.0% |
| Operating expenses | -$51M | -134.3% |
| Operating income from patient care | -$13M | -34.3% |
| Other income | $4M | 10.5% |
| Net income | -$9.1M | -23.9% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $62.9M | 21.9% |
| Other payers and self-pay | $223.8M | 78.1% |
| Total charges | $286.7M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 829148, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Legent Hospital For Special Surgery's latest cost report.
-34.3%
Operating margin
Operating income from patient care / net patient revenue
-21.6%
Total margin
Net income / net patient revenue plus other income
-14.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
12% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$51.34
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-26.8%
Return on assets
Net income for a year / total assets
0.35
Current ratio
Current assets / current liabilities
0.64
Quick ratio
Cash, temporary investments and net receivables / current liabilities
7 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
99 days
Days in patient receivables
Net patient receivables / daily net patient revenue
126 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.24
Asset turnover
Total revenue for a year / total assets
30.2 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 829148, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Legent Hospital For Special Surgery owned and owed at the end of its reporting period (Aug 2025), across all fund types: $33.7M in total assets and a -$25.9M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $942,859 | 2.8% |
| Patient receivables, net | $10.3M | 30.4% |
| Inventory | $418,250 | 1.2% |
| Total current assets | $6.1M | 18.1% |
| Property and equipment, net of depreciation | $649,787 | 1.9% |
| Investments and other assets | $27M | 80.0% |
| Total assets | $33.7M | 100.0% |
| Current liabilities | $17.4M | 51.7% |
| Total liabilities | $59.6M | 176.7% |
| Fund balance (net assets) | -$25.9M | -76.7% |
Source: CMS cost report (HCRIS, Form 2552-10), report 829148, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Legent Hospital For Special Surgery provided without full payment, as reported on Worksheet S-10 of its cost report.
$3.6M
Bad debt
Patient bills written off as uncollectible, at charges
$350,298
Total unreimbursed and uncompensated care
0.7% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 829148, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Legent Hospital For Special Surgery's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Aug 2024 | Aug 2025 |
|---|---|---|
| Net patient revenue | $22.9M | $37.9M |
| Operating expenses | $25.5M | $51M |
| Operating margin | -11.5% | -34.3% |
| Net income | -$491,437 | -$9.1M |
| Total assets | $48.2M | $33.7M |
| Discharges | 162 | 211 |
| Inpatient days | 272 | 352 |
| Beds | 7 | 7 |
| Employees (FTE) | 87 | 51 |
Source: CMS cost report (HCRIS, Form 2552-10), report 829148, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Legent Hospital For Special Surgery reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Impl. dev. charged to patients | $13.7M | $45.8M | 0.30 | ||
| Operating room | $3.7M | $193.4M | 0.02 | 2,453 | |
| Medical supplies charged to patient | $3.4M | $12.3M | 0.27 | ||
| Recovery room | $1.8M | $13.3M | 0.14 | 917 | |
| Drugs charged to patients | $1.1M | $2.5M | 0.44 | ||
| Observation beds (non-distinct part | $770,048 | $245,091 | 3.14 | ||
| Physical therapy | $452,962 | $634,405 | 0.71 | 900 | |
| Laboratory | $263,474 | $791,471 | 0.33 | ||
| Anesthesiology | $155,510 | $16.7M | 0.01 | ||
| Radiology-diagnostic | $137,161 | $159,575 | 0.86 | 250 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $3.4M | $879,775 | 3.87 | 2,324 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $5.3M | $5.2M | 20,566 | $57.47 | 7,775 |
| Cap rel costs-bldg & fixt | $2.4M | 23,844 | |||
| Cap rel costs-mvble equip | $870,432 | ||||
| Employee benefits department | $706,702 | ||||
| Maintenance & repairs | $643,185 | 3,687 | $51.12 | 1,800 | |
| Pharmacy | $411,060 | 7,674 | $53.57 | 150 | |
| Central services & supply | $326,115 | 8,424 | $38.71 | 1,000 | |
| Operation of plant | $221,406 | 3,700 | |||
| Housekeeping | $196,173 | 125 | |||
| Laundry & linen service | $142,334 | 100 | |||
| Dietary | $92,139 | 2,242 | $21.52 | 1,300 | |
| Medical records & library | $62,719 | 2,032 | $23.00 | 150 |
Source: CMS cost report (HCRIS, Form 2552-10), report 829148, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Legent Hospital For Special Surgery for an inpatient stay.
3.50
Case mix index
Higher than 99% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
0.0%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
34
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2026 | FY 2027 |
|---|---|---|
| Case mix index | 3.22 | 3.50 |
| Wage index | 0.972 | 0.991 |
| Readmissions adjustment | 0.00% | 0.00% |
| Value-based purchasing adjustment | 0.00% | 0.00% |
| Medicare inpatient stays | 20 | 34 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Legent Hospital For Special Surgery reports to Medicare as owners or with operational control. 6 individuals also hold ownership interests; they are not listed here.
Star Medical Center LLC
5% or greater direct ownership interest, 72%, since 2018
General Atlantic Oo Collections LP
5% or greater indirect ownership interest, 71.8%, since 2025
General Atlantic Partners Aiv Oo LP
5% or greater indirect ownership interest, 66.6%, since 2025
General Atlantic Aiv Oo Blocker LLC
5% or greater indirect ownership interest, 38.5%, since 2025
General Atlantic Partners Aiv-1 B, LP
5% or greater indirect ownership interest, 38.5%, since 2025
General Atlantic Partners Aiv-1 A, LP
5% or greater indirect ownership interest, 23.3%, since 2025
Mj Fowler 678 Trust
5% or greater indirect ownership interest, 11.5%, since 2025
Ga Aiv-1 B Interholdco Oo LP
5% or greater indirect ownership interest, since 2025
Ga Aiv-1b LP Interholdco LP
5% or greater indirect ownership interest, since 2025
Hss Oo Holdco, Inc
5% or greater indirect ownership interest, since 2025
New York Society For The Relief Of Ruptured & Crippled Maintaining
5% or greater indirect ownership interest, since 2025
Prism One Buyer, LLC
5% or greater indirect ownership interest, since 2025
Prism One Intermediate Co I LLC
5% or greater indirect ownership interest, since 2025
Prism One Intermediate Co II LLC
5% or greater indirect ownership interest, since 2025
Prism One LLC
5% or greater indirect ownership interest, since 2025
Prism One Management Holdings, LLC
5% or greater indirect ownership interest, since 2025
Psn Group LLC
5% or greater indirect ownership interest, since 2025
Psn Invesco LLC
5% or greater indirect ownership interest, since 2022
Sources: CMS Hospital All Owners.
The officers and board members on Legent Hospital For Special Surgery's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 4 of 5 are shown.
About Legent Hospital For Special Surgery's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Legent Hospital For Special Surgery range from $247 to $579 across 3 insurers. UnitedHealthcare's rate is $529. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Legent Hospital For Special Surgery range from $529 to $1,000 across 3 insurers. Blue Cross Blue Shield's rate is $571. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Legent Hospital For Special Surgery range from $1,814 to $6,000 across 3 insurers. UnitedHealthcare's rate is $1,814. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Legent Hospital For Special Surgery range from $73 to $133 across 3 insurers. Aetna's rate is $109. What a patient pays depends on their plan's deductible, coinsurance and network status.
CMS reports no Medicare-funded interns or residents at Legent Hospital For Special Surgery for fiscal year 2027.
No. Legent Hospital For Special Surgery has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
Legent Hospital For Special Surgery's Medicare case mix index is 3.50 for fiscal year 2027, higher than 99% of hospitals paid under the inpatient prospective payment system.
Legent Hospital For Special Surgery reported 211 inpatient discharges and 352 inpatient days from Sep 1, 2024 to Aug 31, 2025.
Legent Hospital For Special Surgery reported 51 full-time-equivalent employees on payroll from Sep 1, 2024 to Aug 31, 2025.
Legent Hospital For Special Surgery reported $37.9M in net patient revenue on $278.7M of gross charges for Sep 1, 2024 to Aug 31, 2025, an operating margin of -34.3%, and net income of -$9.1M.
Legent Hospital For Special Surgery reported $350,298 of unreimbursed and uncompensated care for Sep 1, 2024 to Aug 31, 2025.
Legent Hospital For Special Surgery's Medicare enrollment lists Jordan C Fowler as President/ceo since 2018.
53 clinicians who bill Medicare list Legent Hospital For Special Surgery as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are anesthesiology physician (16), certified registered nurse anesthetist (5), otolaryngology physician (4).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Legent Hospital For Special Surgery, effective 2023.
In its Medicare enrollment, Legent Hospital For Special Surgery reports Star Medical Center LLC as 5% or greater direct ownership interest (72%).
Legent Hospital For Special Surgery has 7 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report.
Legent Hospital For Special Surgery is located at Plano, TX 75075. Its main phone number is (972) 265-1050.
Legent Hospital For Special Surgery's CMS Certification Number (CCN), also called its Medicare provider number, is 670322.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers