Ascension Seton Northwest
ASCENSION SETON NORTHWEST in Austin, Texas charges 5.9x the Medicare reimbursement rate across 20 analyzed procedures, based on our analysis of this nonprofit hospital's pricing data.
Austin, TX 78759 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
D
High
Avg markup vs Medicare
5.92x
Charge / Medicare rate
Max markup
14.56x
Worst procedure
Procedures analyzed
20
With pricing data
Outlier procedures
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.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $208,631 | $104,316 | — | 14.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $75,269 | $37,634 | — | 6.9x |
| RENAL FAILURE WITH MCC | 682 | $84,877 | $42,438 | — | 6.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $58,530 | $29,265 | — | 6.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $49,397 | $24,698 | — | 6.3x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $68,087 | $34,044 | — | 6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $66,051 | $33,026 | — | 6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $63,031 | $31,515 | — | 5.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $43,645 | $21,822 | — | 5.6x |
| DIABETES WITH CC | 638 | $47,420 | $23,710 | — | 5.5x |
| CELLULITIS WITHOUT MCC | 603 | $46,885 | $23,443 | — | 5.4x |
| RENAL FAILURE WITH CC | 683 | $40,630 | $20,315 | — | 5.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $39,966 | $19,983 | — | 5.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $46,742 | $23,371 | — | 5.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $56,514 | $28,257 | — | 5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $75,205 | $37,602 | — | 5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $37,864 | $18,932 | — | 4.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $64,152 | $32,076 | — | 4.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $41,292 | $20,646 | — | 4.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $50,342 | $25,171 | — | 3.9x |
How ASCENSION SETON NORTHWEST 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.
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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