ASCENSION SETON MEDICAL CENTER AUSTIN
AUSTIN, TX 78705 · Acute Care Hospitals
78 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
78
With CMS pricing data
Avg Charge-to-Medicare Ratio
9.5x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
29%
Compared to TX hospitals
Understanding Your Costs
When you receive a bill from ASCENSION SETON MEDICAL CENTER AUSTIN, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, ASCENSION SETON MEDICAL CENTER AUSTIN lists chargemaster rates that average 9.5x the corresponding Medicare reimbursement amount across 78 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 9.5x, 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 ASCENSION SETON MEDICAL CENTER AUSTIN is RED BLOOD CELL DISORDERS WITHOUT MCC (DRG 812). The listed chargemaster rate is $98,026, while Medicare reimburses $6,505 for the same procedure — a ratio of 15.1x (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.
23 of 78 procedures (29%) 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).
ASCENSION SETON MEDICAL CENTER AUSTIN is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 4/5 stars. 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 | |
|---|---|---|---|---|---|---|
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $98,026 | $6,505 | 15.1x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $199,239 | $13,264 | 15.0x | 1th | Compare your bill |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $193,487 | $13,299 | 14.6x | 1th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $199,653 | $14,082 | 14.2x | 1th | Compare your bill |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $465,344 | $34,369 | 13.5x | 1th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $229,127 | $17,007 | 13.5x | 1th | Compare your bill |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $225,411 | $17,238 | 13.1x | 1th | Compare your bill |
| CERVICAL SPINAL FUSION WITH CC | 472 | $256,083 | $20,934 | 12.2x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $222,906 | $18,718 | 11.9x | 1th | Compare your bill |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $257,096 | $21,941 | 11.7x | 1th | Compare your bill |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $177,228 | $15,486 | 11.4x | 1th | Compare your bill |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $942,268 | $82,433 | 11.4x | 1th | Compare your bill |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $83,226 | $7,361 | 11.3x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $109,223 | $9,779 | 11.2x | 1th | Compare your bill |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $110,861 | $9,977 | 11.1x | 1th | Compare your bill |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $132,594 | $12,040 | 11.0x | 1th | Compare your bill |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $421,926 | $38,618 | 10.9x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $484,127 | $44,805 | 10.8x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $116,229 | $10,788 | 10.8x | 1th | Compare your bill |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $257,059 | $23,959 | 10.7x | 1th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $74,001 | $6,989 | 10.6x | 1th | Compare your bill |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $137,661 | $12,993 | 10.6x | 1th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $99,026 | $9,523 | 10.4x | 1th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $74,012 | $7,178 | 10.3x | 1th | Compare your bill |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $126,434 | $12,327 | 10.3x | 1th | Compare your bill |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $417,713 | $40,780 | 10.2x | 1th | Compare your bill |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $130,373 | $12,871 | 10.1x | 1th | Compare your bill |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $110,944 | $10,975 | 10.1x | 1th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $57,376 | $5,678 | 10.1x | 1th | Compare your bill |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 219 | $596,768 | $61,232 | 9.8x | 1th | Compare your bill |
| TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOU | 004 | $1,075,000 | $110,738 | 9.7x | 1th | Compare your bill |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | 453 | $1,606,886 | $169,649 | 9.5x | 1th | Compare your bill |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $107,591 | $11,400 | 9.4x | 1th | Compare your bill |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $187,258 | $20,125 | 9.3x | 1th | Compare your bill |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $81,077 | $8,787 | 9.2x | 1th | Compare your bill |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $91,434 | $9,935 | 9.2x | 1th | Compare your bill |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $67,395 | $7,337 | 9.2x | 1th | Compare your bill |
| SEIZURES WITH MCC | 100 | $134,950 | $14,680 | 9.2x | 1th | Compare your bill |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $428,701 | $46,649 | 9.2x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $135,393 | $14,997 | 9.0x | 1th | Compare your bill |
| ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | 003 | $1,451,300 | $161,771 | 9.0x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $63,598 | $7,115 | 8.9x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $132,572 | $14,851 | 8.9x | 1th | Compare your bill |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $361,636 | $40,857 | 8.8x | 1th | Compare your bill |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $321,914 | $36,510 | 8.8x | 1th | Compare your bill |
| CELLULITIS WITHOUT MCC | 603 | $57,285 | $6,507 | 8.8x | 1th | Compare your bill |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $196,813 | $22,575 | 8.7x | 1th | Compare your bill |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $76,547 | $8,973 | 8.5x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $64,121 | $7,607 | 8.4x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $43,486 | $5,222 | 8.3x | 1th | Compare your bill |
Showing 50 of 78 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 9.5x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
Compare Your Bill
Upload your bill and our system compares every line item against CMS reimbursement data. Free, takes 60 seconds.
Upload your billRequest an Itemized Bill
Federal law entitles you to a detailed breakdown of every charge. If you haven't received one, knowing what to ask for is the first step.
Learn howCheck for Common Errors
Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.
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 ASCENSION SETON MEDICAL CENTER AUSTIN
How much does ASCENSION SETON MEDICAL CENTER AUSTIN charge compared to Medicare?
According to CMS IPPS data, ASCENSION SETON MEDICAL CENTER AUSTIN's listed chargemaster rates average 9.5x the Medicare reimbursement amount across 78 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 ASCENSION SETON MEDICAL CENTER AUSTIN?
The procedure with the highest chargemaster-to-Medicare ratio at ASCENSION SETON MEDICAL CENTER AUSTIN is RED BLOOD CELL DISORDERS WITHOUT MCC (DRG 812), with a listed charge of $98,026 compared to Medicare reimbursement of $6,505 — a ratio of 15.1x. Source: CMS IPPS Provider Summary.
Is ASCENSION SETON MEDICAL CENTER AUSTIN expensive compared to other TX hospitals?
ASCENSION SETON MEDICAL CENTER AUSTIN's average chargemaster-to-Medicare ratio is 9.5x. 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 ASCENSION SETON MEDICAL CENTER AUSTIN 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 ASCENSION SETON MEDICAL CENTER AUSTIN 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 ASCENSION SETON MEDICAL CENTER AUSTIN in AUSTIN, TX accept Medicare?
ASCENSION SETON MEDICAL CENTER AUSTIN is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact ASCENSION SETON MEDICAL CENTER AUSTIN directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.