North Austin Medical Center: charges and Medicare payments

North Austin Medical Center reported 1,950 Medicare inpatient stays across 71 DRGs in 2024. Across them it charged 7.67 times what it was paid — among the higher ratios in Texas, number 61 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: 284 stays at an average charge of $119,050, 32% above the national average. It also billed 2,129 outpatient services, charging 19.07 times what Medicare paid.

1Medicare inpatient stays 1,950
2Charge ÷ paid, inpatient 7.67×
3Rank in TX (highest ratio = 1) 61 of 190
4CMS price-transparency actions 0

Average charge per stay at North Austin Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 71 DRGs that can be compared with the national average, North Austin Medical Center charged more than the national average in 62 (87%). 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	284	$119,050	+32%	$15,344
291 Heart Failure and Shock with MCC	96	$66,557	+18%	$10,404
193 Simple Pneumonia and Pleurisy with MCC	72	$71,927	+20%	$11,024
682 Renal Failure with MCC	53	$69,986	+6%	$11,849
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	52	$52,731	+8%	$9,148
189 Pulmonary Edema and Respiratory Failure	51	$75,980	+32%	$10,240
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	51	$61,868	+54%	$7,171
177 Respiratory Infections and Inflammations with MCC	45	$76,678	+9%	$13,133
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	45	$63,988	+6%	$11,032
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	40	$84,441	-15%	$15,124
853 Infectious and Parasitic Diseases with O.R. Procedures with...	39	$346,697	+51%	$33,778
698 Other Kidney and Urinary Tract Diagnoses with MCC	38	$105,984	+44%	$16,623
699 Other Kidney and Urinary Tract Diagnoses with CC	38	$56,793	+20%	$8,836
690 Kidney and Urinary Tract Infections without MCC	35	$50,425	+33%	$7,887
280 Acute Myocardial Infarction, Discharged Alive with MCC	33	$99,518	+31%	$13,242
603 Cellulitis without MCC	32	$48,857	+31%	$7,824
377 Gastrointestinal Hemorrhage with MCC	31	$125,590	+47%	$14,586
638 Diabetes with CC	29	$50,444	+21%	$8,764
683 Renal Failure with CC	28	$48,805	+20%	$7,968
689 Kidney and Urinary Tract Infections with MCC	28	$56,876	+11%	$9,942
394 Other Digestive System Diagnoses with CC	27	$70,757	+50%	$8,440
811 Red Blood Cell Disorders with MCC	27	$122,974	+80%	$11,719
884 Organic Disturbances and Intellectual Disability	27	$64,026	+3%	$12,912
309 Cardiac Arrhythmia and Conduction Disorders with CC	26	$47,477	+31%	$6,874
329 Major Small and Large Bowel Procedures with MCC	26	$261,069	+21%	$30,858
378 Gastrointestinal Hemorrhage with CC	26	$76,898	+58%	$8,474
308 Cardiac Arrhythmia and Conduction Disorders with MCC	25	$74,743	+32%	$9,761
870 Septicemia or Severe Sepsis with MV >96 Hours	24	$443,820	+37%	$54,507
312 Syncope and Collapse	22	$52,316	+15%	$7,622
389 Gastrointestinal Obstruction with CC	22	$56,708	+46%	$8,005
330 Major Small and Large Bowel Procedures with CC	21	$186,243	+56%	$19,993
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	21	$83,139	+36%	$10,800
432 Cirrhosis and Alcoholic Hepatitis with MCC	21	$116,068	+21%	$15,354
305 Hypertension without MCC	19	$61,655	+54%	$7,130
393 Other Digestive System Diagnoses with MCC	19	$89,961	+17%	$12,969
101 Seizures without MCC	18	$33,658	-31%	$8,687
069 Transient Ischemia without Thrombolytic	17	$57,036	+13%	$7,058
470 Major Hip and Knee Joint Replacement or Reattachment of...	17	$200,255	+115%	$14,521
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	17	$38,669	-9%	$7,872
637 Diabetes with MCC	17	$51,644	-22%	$11,473
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	17	$43,954	+19%	$7,745
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	16	$58,330	+5%	$8,977
091 Other Disorders of Nervous System with MCC	15	$75,182	-9%	$13,244
441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...	15	$80,134	-7%	$15,039
467 Revision of Hip or Knee Replacement with CC	15	$204,877	+30%	$23,153
100 Seizures with MCC	14	$95,205	+1%	$15,390
304 Hypertension with MCC	14	$56,516	-1%	$9,566
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	14	$192,543	+88%	$16,423
743 Uterine and Adnexa Procedures for Non-Malignancy without...	14	$134,773	+93%	$9,521
812 Red Blood Cell Disorders without MCC	14	$69,676	+57%	$8,041
242 Permanent Cardiac Pacemaker Implant with MCC	13	$248,207	+55%	$25,437
314 Other Circulatory System Diagnoses with MCC	13	$129,436	+36%	$15,684
388 Gastrointestinal Obstruction with MCC	13	$146,800	+115%	$12,361
299 Peripheral Vascular Disorders with MCC	12	$92,004	+22%	$13,807
386 Inflammatory Bowel Disease with CC	12	$48,920	+1%	$9,058
418 Laparoscopic Cholecystectomy without C.D.E. with CC	12	$142,651	+53%	$13,963
481 Hip and Femur Procedures except Major Joint with CC	12	$188,610	+87%	$18,172
552 Medical Back Problems without MCC	12	$42,673	-13%	$8,218
617 Amputation of Lower Limb for Endocrine, Nutritional and...	12	$131,664	+52%	$14,617
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	11	$87,398	+34%	$11,334

Showing the 60 most frequent of 71 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 5 Musculoskeletal Procedures	344	$178,599	$11,483
Comprehensive Observation Services	187	$33,249	$2,409
Level 2 Upper GI Procedures	125	$29,287	$1,626
Level 2 Excision/ Biopsy/ Incision and Drainage	122	$18,743	$1,427
Level 5 Urology and Related Services	111	$69,813	$4,456
Level 1 Endovascular Procedures	109	$59,478	$2,854
Level 6 Urology and Related Services	109	$119,705	$7,931
Level 1 Laparoscopy and Related Services	103	$88,106	$5,039
Level 2 Laparoscopy and Related Services	96	$133,495	$8,855
Level 4 Urology and Related Services	86	$35,153	$3,068
Level 5 Neurostimulator and Related Procedures	73	$433,320	$26,902
Level 4 Musculoskeletal Procedures	62	$109,391	$6,216
Level 1 Nerve Procedures	59	$21,532	$1,699
Level 3 Excision/ Biopsy/ Incision and Drainage	57	$36,188	$2,501
Level 5 ENT Procedures	48	$75,855	$5,154
Level 3 Vascular Procedures	48	$39,753	$2,806
Level 3 Endovascular Procedures	44	$163,830	$9,499
Level 3 Urology and Related Services	40	$29,887	$1,793
Level 4 Airway Endoscopy	36	$70,284	$3,250
Level 3 Musculoskeletal Procedures	27	$63,517	$2,849
Level 6 Musculoskeletal Procedures	27	$288,401	$15,823
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	25	$62,746	$2,956
Level 5 Airway Endoscopy	24	$108,140	$5,824
Level 2 Breast/Lymphatic Surgery and Related Procedures	19	$93,943	$5,740
Level 3 Lower GI Procedures	19	$48,848	$2,470

Against the Texas average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), North Austin Medical Center charged $119,050 on average, 7% more than the Texas average of $111,133, and was paid $15,344 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), North Austin Medical Center charged $66,557 on average, 2% less than the Texas average of $67,944, and was paid $10,404 against a state average of $11,820. For Simple Pneumonia and Pleurisy with MCC (DRG 193), North Austin Medical Center charged $71,927 on average, 2% less than the Texas average of $73,756, and was paid $11,024 against a state average of $11,597. For Renal Failure with MCC (DRG 682), North Austin Medical Center charged $69,986 on average, 10% less than the Texas average of $77,512, and was paid $11,849 against a state average of $12,864. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $178,599 was 81% above the state average of $98,771. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $33,249 was 19% above the state average of $27,955. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $29,287 was 80% above the state average of $16,236. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $18,743 was 33% above the state average of $14,089.

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.