Legent Orthopedic + Spine
5330 North Loop 1604 West, San Antonio, TX 78249 · 82 Priced Procedures · 84% Patient Recommendation
Typical commercial prices here are 22% below the fair benchmark (0.78×) after accounting for local nurse/doctor wages and patient complexity.
5-Star CMS clinical quality rating paired with 0.78× fair market pricing.
Uniform Value Leader · Low-Cost Across Departments
Legent Orthopedic + Spine maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.92× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.94× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 22% below peer Fair BaseRate (0.78×)
- Self-pay cash beats commercial insurance on 13% of shoppable procedures (99/100 Cash Honesty)
- 5-Star CMS clinical rating with 84% patient recommendation (81/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.78× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Commercial insurance median sits at 0.92× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (0.78× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Unnegotiated chargemaster list prices average 11.5× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Legent Orthopedic + Spine
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 82 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $12,639 | 0.9× |
| Total knee replacement CPT Code: 27447 | $12,639 | 0.9× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $5,952 | 1.0× |
| Inguinal hernia repair CPT Code: 49505 | $3,525 | 1.0× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,221 | 1.0× |
| Bunion correction surgery CPT Code: 28296 | $3,221 | 0.9× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,272 | 0.9× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,178 | 0.9× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,047 | 1.1× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,035 | 1.0× |
| Injection procedure for pain management HCPCS Code: G0260 | $817 | 1.0× |
| Blood transfusion CPT Code: 36430 | $434 | 0.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $343 | 0.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $343 | 0.7× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $235 | 0.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $235 | 0.8× |
| MRI, lower back (no contrast) CPT Code: 72148 | $235 | 0.7× |
| MRI, brain (no contrast) CPT Code: 70551 | $235 | 0.7× |
| MRI, knee or other leg joint CPT Code: 73721 | $235 | 0.6× |
| X-ray, pelvis CPT Code: 72170 | $103 | 0.9× |
| X-ray, chest (single view) CPT Code: 71045 | $86 | 0.9× |
| X-ray, shoulder CPT Code: 73030 | $86 | 0.9× |
| X-ray, foot CPT Code: 73630 | $86 | 0.9× |
| X-ray, chest (two views) CPT Code: 71046 | $86 | 0.9× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $86 | 0.9× |
Audit a Bill or Quote at Legent Orthopedic + Spine (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Self-Pay Cash Rate ($22,570) Beats Your Bill
Legent Orthopedic + Spine's published 45 CFR § 180 self-pay cash rate is $22,570 (vs. $12,639 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)
Your bill ($41,005) is $27,592 above the denoised Fair BaseRate ($13,413) and 3.1× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Legent Orthopedic + Spine as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (124 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Legent Orthopedic + Spine.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.