6/100
#2,490 nationally
Round Rock Medical Center
2400 Round Rock Ave, Round Rock, TX 78681 · (512) 341-1000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Round Rock Medical Center billed $12.42 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
- 12.4x
- volume-weighted across all its priced work
- Procedures priced
- 107
- inpatient and outpatient combined
- Rank in TX
- #177
- 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 4% of U.S. hospitals.
Better than 5% of U.S. hospitals.
Better than 8% of U.S. hospitals.
Better than 9% 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 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
222 | $59,025 | $2,863 | +134% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
191 | $122,114 | $13,834 | +87% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
150 | $41,898 | $2,384 | +116% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
137 | $329,381 | $20,573 | +148% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
119 | $41,592 | $2,787 | +118% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
115 | $347,725 | $23,764 | +179% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
115 | $82,668 | $9,551 | +90% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
102 | $141,483 | $9,676 | +109% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
95 | $24,717 | $1,415 | +145% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
68 | $148,842 | $9,393 | +189% |
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 |
|---|---|---|---|
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$344,847 | $14,416 | +331% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$248,803 | $11,147 | +298% |
|
Major Chest Procedures with Major Complications
MS-DRG 163 · Inpatient stay |
$688,874 | $39,187 | +290% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
$434,865 | $24,865 | +235% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$484,664 | $27,792 | +226% |
|
Carotid Artery Stent Procedures without Complications/mcc
MS-DRG 036 · Inpatient stay |
$223,072 | $12,923 | +217% |
|
Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization
MS-DRG 220 · Inpatient stay |
$734,336 | $37,065 | +215% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$111,323 | $7,478 | +194% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Other Circulatory System Operating Room Procedures
MS-DRG 264 · Inpatient stay |
$108,725 | $22,900 | -20% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
$68,597 | $12,157 | -4% |
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
$98,986 | $14,447 | +15% |
|
Other Respiratory System Diagnoses with Major Complications
MS-DRG 205 · Inpatient stay |
$89,425 | $13,014 | +17% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
$185,007 | $26,845 | +20% |
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay |
$53,510 | $7,827 | +25% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$63,966 | $11,373 | +28% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$66,468 | $9,651 | +37% |
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.