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Ascension Seton Medical Center Austin

ASCENSION SETON MEDICAL CENTER AUSTIN charges 9.5x the Medicare reimbursement rate across 78 analyzed procedures, with 30% showing significant price variations compared to other Austin healthcare providers.

Austin, TX 78705 · Acute Care Hospitals · CMS Rating: 4/5

By David Park , Healthcare Cost Researcher · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.

78 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 6.6x3.8x15.1x
9.5x
Medicare markup ratio
TX lowestAscension Seton Medica...TX highest
9.5x
Avg markup ratio
9.1x
Median markup
78
Procedures
30%
Outlier procedures
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Pricing grade

F

Very high

Avg markup vs Medicare

9.46x

Charge / Medicare rate

Max markup

15.07x

Worst procedure

Procedures analyzed

78

With pricing data

Outlier procedures

29.5%

Above 90th percentile

Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.

ProcedureCodeGross chargeCash priceMedicareMarkup
RED BLOOD CELL DISORDERS WITHOUT MCC812$98,026$49,01315.1x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$199,239$99,61915x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$193,487$96,74414.6x
PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC244$199,653$99,82714.2x
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$465,344$232,67213.5x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$229,127$114,56413.5x
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES483$225,411$112,70613.1x
CERVICAL SPINAL FUSION WITH CC472$256,083$128,04112.2x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$222,906$111,45311.9x
RED BLOOD CELL DISORDERS WITH MCC811$257,096$128,54811.7x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$177,228$88,61411.4x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC454$942,268$471,13411.4x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$83,226$41,61311.3x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$109,223$54,61211.2x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$110,861$55,43011.1x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$132,594$66,29711x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$421,926$210,96310.9x
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$484,127$242,06410.8x
GASTROINTESTINAL OBSTRUCTION WITH MCC388$116,229$58,11510.8x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$257,059$128,52910.7x
RESPIRATORY NEOPLASMS WITH MCC180$137,661$68,83010.6x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC661$74,001$37,00110.6x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$99,026$49,51310.4x
GASTROINTESTINAL HEMORRHAGE WITH CC378$74,012$37,00610.3x
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC314$126,434$63,21710.3x
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION220$417,713$208,85610.2x
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC435$130,373$65,18610.1x
HEART FAILURE AND SHOCK WITH MCC291$110,944$55,47210.1x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$57,376$28,68810.1x
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION219$596,768$298,3849.8x
TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOU004$1,075,000$537,5009.7x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC453$1,606,886$803,4439.5x
POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC917$107,591$53,7959.4x
REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC468$187,258$93,6299.3x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC178$81,077$40,5389.2x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$91,434$45,7179.2x
SEIZURES WITH MCC100$134,950$67,4759.2x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$67,395$33,6979.2x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC266$428,701$214,3519.2x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$135,393$67,6969x
ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC003$1,451,300$725,6509x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$63,598$31,7998.9x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$132,572$66,2868.9x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC235$361,636$180,8188.9x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$321,914$160,9578.8x
CELLULITIS WITHOUT MCC603$57,285$28,6428.8x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$196,813$98,4078.7x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$76,547$38,2738.5x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$64,121$32,0618.4x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$43,486$21,7438.3x

Showing 50 of 78 procedures

How ASCENSION SETON MEDICAL CENTER AUSTIN compares to nearby hospitals

Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.

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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

Related pricing data

Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.

Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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