Texas / Ascension Seton Northwest
CMS certification 450867 · Austin, TX
Ascension Seton Northwest: charges and Medicare payments
Ascension Seton Northwest reported 299 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 5.1 times what it was paid — mid-range in Texas, number 103 of 190 hospitals with at least 100 stays (state median 5.35×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 79 stays at an average charge of $88,015, 3% below the national average. It also billed 779 outpatient services, charging 14.01 times what Medicare paid.
- 1Medicare inpatient stays 299
- 2Charge ÷ paid, inpatient 5.1×
- 3Rank in TX (highest ratio = 1) 103 of 190
- 4CMS price-transparency actions 0
Inpatient stays
For the 12 DRGs that can be compared with the national average, Ascension Seton Northwest charged more than the national average in 6 (50%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 79 | $88,015 | -3% | $16,471 |
| 193 Simple Pneumonia and Pleurisy with MCC | 41 | $67,781 | +13% | $12,737 |
| 177 Respiratory Infections and Inflammations with MCC | 26 | $59,307 | -16% | $14,117 |
| 291 Heart Failure and Shock with MCC | 24 | $69,241 | +23% | $12,615 |
| 690 Kidney and Urinary Tract Infections without MCC | 22 | $44,070 | +17% | $9,494 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $52,233 | +30% | $10,165 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $97,344 | -1% | $17,233 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $70,594 | +44% | $11,033 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $56,101 | -7% | $14,831 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $31,186 | -16% | $9,115 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 13 | $67,493 | -8% | $14,399 |
| 189 Pulmonary Edema and Respiratory Failure | 12 | $66,938 | +16% | $12,210 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 123 | $194,711 | $11,570 |
| Level 5 Urology and Related Services | 115 | $45,692 | $4,554 |
| Level 4 Urology and Related Services | 113 | $34,762 | $3,068 |
| Comprehensive Observation Services | 92 | $27,788 | $2,409 |
| Level 6 Urology and Related Services | 65 | $47,151 | $8,108 |
| Level 1 Laparoscopy and Related Services | 59 | $61,438 | $5,079 |
| Level 3 Urology and Related Services | 54 | $30,453 | $1,740 |
| Level 2 Laparoscopy and Related Services | 33 | $103,960 | $8,838 |
| Level 4 Neurostimulator and Related Procedures | 33 | $104,712 | $19,209 |
| Level 4 Gynecologic Procedures | 16 | $32,966 | $2,752 |
| Level 4 Musculoskeletal Procedures | 15 | $82,057 | $6,297 |
| Level 2 Musculoskeletal Procedures | 13 | $29,513 | $1,415 |
| Level 6 Musculoskeletal Procedures | 13 | $155,929 | $16,369 |
| Level 2 Neurostimulator and Related Procedures | 13 | $86,331 | $5,788 |
| Level 5 Gynecologic Procedures | 11 | $52,777 | $4,378 |
| Level 6 Gynecologic Procedures | 11 | $83,266 | $6,651 |
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ascension Seton Northwest charged $88,015 on average, 21% less than the Texas average of $111,133, and was paid $16,471 against a state average of $16,694. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Ascension Seton Northwest charged $67,781 on average, 8% less than the Texas average of $73,756, and was paid $12,737 against a state average of $11,597. For Respiratory Infections and Inflammations with MCC (DRG 177), Ascension Seton Northwest charged $59,307 on average, 27% less than the Texas average of $81,715, and was paid $14,117 against a state average of $13,815. For Heart Failure and Shock with MCC (DRG 291), Ascension Seton Northwest charged $69,241 on average, 2% more than the Texas average of $67,944, and was paid $12,615 against a state average of $11,820. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $194,711 was 97% above the state average of $98,771. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $45,692 was 18% above the state average of $38,562. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $34,762 was 12% above the state average of $31,008. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $27,788 was 1% below the state average of $27,955.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.