Ungraded
#2,422 nationally
Ascension Seton Southwest
7900 Fm 1826, Austin, TX 78737 · (512) 324-9000
Not enough published pricing to grade
For every $1 of care Medicare actually paid for here, Ascension Seton Southwest billed $14.25 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
- 14.2x
- volume-weighted across all its priced work
- Procedures priced
- 7
- inpatient and outpatient combined
- Rank in TX
- #166
- lower markup ranks higher
- CMS quality stars
- Not rated
- shown for context, not in the grade
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 |
76 | $198,666 | $11,439 | +218% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
27 | $33,648 | $2,849 | +65% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
25 | $64,284 | $5,079 | +83% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
20 | $85,050 | $6,297 | +113% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
16 | $193,201 | $16,369 | +133% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
12 | $61,761 | $13,144 | +57% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
11 | $24,129 | $2,235 | +24% |
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 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$198,666 | $11,439 | +218% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$193,201 | $16,369 | +133% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$85,050 | $6,297 | +113% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$64,284 | $5,079 | +83% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$33,648 | $2,849 | +65% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$61,761 | $13,144 | +57% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$24,129 | $2,235 | +24% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$24,129 | $2,235 | +24% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$61,761 | $13,144 | +57% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$33,648 | $2,849 | +65% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$64,284 | $5,079 | +83% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$85,050 | $6,297 | +113% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$193,201 | $16,369 | +133% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$198,666 | $11,439 | +218% |
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.