11/100
#2,358 nationally
Ascension Seton Hays
6001 Kyle Pkwy, Kyle, TX 78640 · (512) 324-5000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Ascension Seton Hays billed $9.47 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 9.5x
- volume-weighted across all its priced work
- Procedures priced
- 67
- inpatient and outpatient combined
- Rank in TX
- #155
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 10% of U.S. hospitals.
Better than 7% of U.S. hospitals.
Better than 16% of U.S. hospitals.
Better than 15% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
275 | $35,088 | $2,402 | +81% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
199 | $107,910 | $14,321 | +65% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
107 | $40,852 | $2,815 | +62% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
78 | $194,537 | $11,442 | +211% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
66 | $77,500 | $10,839 | +79% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
63 | $92,178 | $10,699 | +98% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
51 | $42,478 | $8,213 | +43% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
50 | $192,991 | $9,676 | +185% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
40 | $63,648 | $5,079 | +81% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
37 | $114,130 | $13,004 | +86% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$164,419 | $9,393 | +219% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$194,537 | $11,442 | +211% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$192,991 | $9,676 | +185% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
$388,393 | $21,711 | +170% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$90,991 | $5,031 | +163% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
$259,281 | $14,180 | +155% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$192,423 | $15,386 | +132% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$103,531 | $10,273 | +119% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$27,806 | $4,837 | -23% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$12,054 | $1,675 | about average |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
$119,436 | $18,576 | +5% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$34,888 | $7,318 | +10% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
$47,034 | $10,991 | +15% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$20,694 | $2,501 | +17% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
$43,977 | $10,230 | +20% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$92,416 | $14,099 | +21% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.