19/100
#2,181 nationally
Ascension Seton Northwest
11113 Research Boulevard, Austin, TX 78759 · (512) 324-6000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Ascension Seton Northwest billed $8.73 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
- 8.7x
- volume-weighted across all its priced work
- Procedures priced
- 28
- inpatient and outpatient combined
- Rank in TX
- #131
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 29% of U.S. hospitals.
Better than 12% of U.S. hospitals.
Better than 15% of U.S. hospitals.
Better than 11% 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 |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
123 | $194,711 | $11,570 | +212% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
115 | $45,692 | $4,554 | +66% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
113 | $34,762 | $3,068 | +68% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
92 | $27,788 | $2,409 | +43% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
79 | $88,015 | $16,471 | +35% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
65 | $47,151 | $8,108 | +6% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
59 | $61,438 | $5,079 | +75% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
54 | $30,453 | $1,740 | +136% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
41 | $67,781 | $12,737 | +45% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
33 | $103,960 | $8,838 | +74% |
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 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$86,331 | $5,788 | +229% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$194,711 | $11,570 | +212% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$29,513 | $1,415 | +163% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$30,453 | $1,740 | +136% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$82,057 | $6,297 | +106% |
|
Level 6 Gynecologic Procedures
APC 5416 · Hospital outpatient visit |
$83,266 | $6,651 | +104% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$155,929 | $16,369 | +88% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$32,966 | $2,752 | +82% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$31,186 | $9,115 | about average |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
$47,151 | $8,108 | +6% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$59,307 | $14,117 | +8% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$56,101 | $14,831 | +16% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
$97,344 | $17,233 | +17% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$67,493 | $14,399 | +19% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$104,712 | $19,209 | +30% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$88,015 | $16,471 | +35% |
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.