6/100
#2,492 nationally
St David's Medical Center
919 E 32Nd St, Austin, TX 78705 · (512) 476-7111
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, St David's Medical Center billed $12.91 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
- 12.9x
- volume-weighted across all its priced work
- Procedures priced
- 178
- inpatient and outpatient combined
- Rank in TX
- #178
- 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 5% of U.S. hospitals.
Better than 4% of U.S. hospitals.
Better than 10% 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 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
851 | $420,748 | $20,743 | +217% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
717 | $191,676 | $11,473 | +207% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
608 | $59,191 | $2,843 | +135% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
413 | $69,988 | $9,803 | +61% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
390 | $126,661 | $15,060 | +94% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
349 | $414,612 | $26,419 | +233% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
336 | $31,267 | $2,393 | +61% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
261 | $32,045 | $2,780 | +68% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
179 | $77,394 | $5,011 | +120% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
178 | $90,857 | $6,240 | +128% |
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 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$321,833 | $16,369 | +288% |
|
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications
MS-DRG 269 · Inpatient stay |
$575,760 | $37,004 | +248% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$387,463 | $27,253 | +244% |
|
Cardiac Defibrillator Implant without Major Complications
MS-DRG 277 · Inpatient stay |
$705,140 | $37,006 | +239% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
$414,612 | $26,419 | +233% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$491,572 | $28,324 | +231% |
|
Level 1 Icd and Similar Procedures
APC 5231 · Hospital outpatient visit |
$307,850 | $20,695 | +226% |
|
Permanent Cardiac Pacemaker Implant with Complications
MS-DRG 243 · Inpatient stay |
$303,023 | $16,235 | +223% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Rehabilitation with Complications/mcc
MS-DRG 945 · Inpatient stay |
$56,149 | $10,291 | -27% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$48,227 | $9,503 | about average |
|
Complications of Treatment with Complications
MS-DRG 920 · Inpatient stay |
$45,443 | $7,917 | about average |
|
Interstitial Lung Disease with Major Complications
MS-DRG 196 · Inpatient stay |
$82,820 | $13,617 | +3% |
|
Headaches without Major Complications
MS-DRG 103 · Inpatient stay |
$47,740 | $7,069 | +4% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
$43,937 | $6,994 | +6% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
$68,972 | $13,792 | +7% |
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
$72,373 | $11,506 | +8% |
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.