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Short Term Acute Care HospitalProprietary

Legent Orthopedic And Spine Hospital

San Antonio, TX

5330 N. Loop 1604 W, San Antonio, TX 78249(717) 620-2424

Not rated by CMS

CMS star rating

25

Beds

477

Inpatient discharges a year

$61.7M

Net patient revenue a year

27

In-network payers

About this hospital

Legent Orthopedic And Spine Hospital is a 25-bed proprietary hospital in San Antonio, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 271 disclosed rate categories.

CCN
670112
NPI
1568848059
Teaching
No Medicare-funded residents
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)

Prices for common services

The 24 services Legent Orthopedic And Spine Hospital 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 · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$19,100 - $31,387

from 4 insurers · median $22,633

Aetna$19,100
Insurer A*$21,031
Insurer B*$24,235
Insurer C*$31,387
Medicare $9,482Nearby hospitals $26,01013% below nearby hospitals

140 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$35,000 - $56,490

from 4 insurers · median $45,146

Aetna$35,000
Insurer A*$41,426
Insurer B*$48,866
Insurer C*$56,490
Medicare $23,730Nearby hospitals $52,00613% below nearby hospitals

39 Medicare discharges for this DRG in CMS hospital data

Orthopedics and pain

Lower-back disc decompression, one interspace

CPT 63030

$8,076 - $12,571

from 3 insurers · median $11,191

Blue Cross$8,076
Insurer A*$11,191
Insurer B*$12,571
Medicare $6,817Nearby hospitals $8,68729% above nearby hospitals

161 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$489 - $604

from 4 insurers · median $544

Blue Cross$489
Insurer A*$538
Insurer B*$550
Insurer C*$604
Medicare $328Nearby hospitals $82234% below nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Legent Orthopedic And Spine Hospital

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
169%
1010
Insurer B*24
151%
95
Insurer C*23
117%
912
Insurer D*18
106%
116

How we chose these services: 4 appear in this hospital's own Medicare claims, 11 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 Orthopedic And Spine Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanBanner HealthCenteneEMI HealthHealth Alliance

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Legent Orthopedic And Spine Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
47-4612520South Texas Specialty Hospital50Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 45 more1568848059 Cumberland Surgical Hospital Of San Antonio LLC1568801116 Victory Medical Center Landmark LP

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

5330 N. Loop 1604 W, San Antonio, TX 78249

(717) 620-2424

Get directions

Frequently asked questions

About Legent Orthopedic And Spine Hospital's rates and hospital price transparency.

How much does an MRI cost at Legent Orthopedic And Spine Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Legent Orthopedic And Spine Hospital range from $462 to $636 across 4 insurers. Aetna's rate is $462. The median at nearby comparable hospitals is $792. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Legent Orthopedic And Spine Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Legent Orthopedic And Spine Hospital range from $489 to $604 across 4 insurers. Blue Cross Blue Shield's rate is $489. The median at nearby comparable hospitals is $822. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Legent Orthopedic And Spine Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Legent Orthopedic And Spine Hospital range from $1,426 to $2,017 across 4 insurers. UnitedHealthcare's rate is $2,017. The median at nearby comparable hospitals is $2,421. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Legent Orthopedic And Spine Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Legent Orthopedic And Spine Hospital range from $73 to $267 across 4 insurers. Aetna's rate is $77. The median at nearby comparable hospitals is $145. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Legent Orthopedic And Spine Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Legent Orthopedic And Spine Hospital range from $19,100 to $31,387 across 4 insurers. Aetna's rate is $19,100. The median at nearby comparable hospitals is $26,010. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Legent Orthopedic And Spine Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Legent Orthopedic And Spine Hospital for fiscal year 2027.

Does Medicare penalize Legent Orthopedic And Spine Hospital for readmissions?

No. Legent Orthopedic And Spine Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Legent Orthopedic And Spine Hospital?

In 2024, the most common were combined anterior and posterior spinal fusion without cc/mcc (16 discharges), revision of hip or knee replacement without cc/mcc (16 discharges), spinal fusion except cervical without mcc (14 discharges).

What is Legent Orthopedic And Spine Hospital's case mix index?

Legent Orthopedic And Spine Hospital's Medicare case mix index is 3.57 for fiscal year 2027, higher than 99% of hospitals paid under the inpatient prospective payment system.

How many patients does Legent Orthopedic And Spine Hospital admit?

Legent Orthopedic And Spine Hospital reported 477 inpatient discharges and 725 inpatient days from Sep 1, 2024 to May 19, 2025.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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.

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CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
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