Round Rock Medical Center: charges and Medicare payments

Round Rock Medical Center reported 2,182 Medicare inpatient stays across 83 DRGs in 2024. Across them it charged 11.31 times what it was paid — among the higher ratios in Texas, number 22 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: 191 stays at an average charge of $122,114, 35% above the national average. It also billed 1,430 outpatient services, charging 19.06 times what Medicare paid.

1Medicare inpatient stays 2,182
2Charge ÷ paid, inpatient 11.31×
3Rank in TX (highest ratio = 1) 22 of 190
4CMS price-transparency actions 0

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

Inpatient stays

For the 83 DRGs that can be compared with the national average, Round Rock Medical Center charged more than the national average in 81 (98%). 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	191	$122,114	+35%	$13,834
274 Percutaneous and Other Intracardiac Procedures without MCC	115	$347,725	+122%	$23,764
291 Heart Failure and Shock with MCC	115	$82,668	+47%	$9,551
481 Hip and Femur Procedures except Major Joint with CC	61	$194,378	+93%	$14,844
193 Simple Pneumonia and Pleurisy with MCC	59	$82,721	+38%	$11,684
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	51	$128,485	+29%	$13,838
177 Respiratory Infections and Inflammations with MCC	50	$90,250	+28%	$11,313
266 Endovascular Cardiac Valve Replacement and Supplement...	47	$685,332	+141%	$47,024
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	44	$66,468	+10%	$9,651
280 Acute Myocardial Infarction, Discharged Alive with MCC	43	$122,897	+62%	$12,055
322 Percutaneous Cardiovascular Procedures with Intraluminal...	42	$193,349	+69%	$14,309
853 Infectious and Parasitic Diseases with O.R. Procedures with...	42	$300,314	+31%	$34,591
189 Pulmonary Edema and Respiratory Failure	40	$68,015	+18%	$9,494
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	39	$245,134	+140%	$14,825
698 Other Kidney and Urinary Tract Diagnoses with MCC	37	$117,447	+60%	$11,503
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	36	$70,329	+26%	$7,644
330 Major Small and Large Bowel Procedures with CC	32	$205,615	+73%	$18,133
552 Medical Back Problems without MCC	32	$83,668	+71%	$7,690
689 Kidney and Urinary Tract Infections with MCC	32	$72,959	+42%	$8,759
286 Circulatory Disorders except AMI, with Cardiac...	31	$174,739	+56%	$16,348
683 Renal Failure with CC	30	$61,781	+52%	$8,185
309 Cardiac Arrhythmia and Conduction Disorders with CC	29	$50,689	+40%	$6,007
690 Kidney and Urinary Tract Infections without MCC	29	$58,129	+54%	$6,269
682 Renal Failure with MCC	28	$89,578	+36%	$10,350
287 Circulatory Disorders except AMI, with Cardiac...	27	$100,077	+57%	$8,178
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	26	$73,480	+50%	$8,124
312 Syncope and Collapse	25	$65,681	+44%	$6,789
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	23	$50,455	+36%	$6,094
699 Other Kidney and Urinary Tract Diagnoses with CC	23	$54,224	+14%	$7,506
482 Hip and Femur Procedures except Major Joint without CC/MCC	22	$152,648	+96%	$11,533
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	21	$39,630	+38%	$4,954
321 Percutaneous Cardiovascular Procedures with Intraluminal...	21	$268,130	+64%	$25,049
480 Hip and Femur Procedures except Major Joint with MCC	21	$282,240	+103%	$20,204
305 Hypertension without MCC	20	$47,773	+19%	$6,428
377 Gastrointestinal Hemorrhage with MCC	20	$123,165	+44%	$16,250
378 Gastrointestinal Hemorrhage with CC	20	$66,010	+36%	$7,850
884 Organic Disturbances and Intellectual Disability	20	$63,966	+3%	$11,373
208 Respiratory System Diagnosis with Ventilator Support <=96...	19	$197,600	+46%	$18,788
308 Cardiac Arrhythmia and Conduction Disorders with MCC	19	$74,888	+32%	$9,564
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	19	$60,468	+51%	$6,627
083 Traumatic Stupor and Coma >1 Hour with CC	18	$118,632	+62%	$9,973
184 Major Chest Trauma with CC	18	$73,727	+33%	$8,619
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	18	$639,147	+60%	$51,700
236 Coronary Bypass without Cardiac Catheterization without MCC	18	$459,720	+118%	$40,958
329 Major Small and Large Bowel Procedures with MCC	18	$294,759	+37%	$31,111
281 Acute Myocardial Infarction, Discharged Alive with CC	17	$101,495	+101%	$7,293
082 Traumatic Stupor and Coma >1 Hour with MCC	16	$246,241	+114%	$17,067
086 Traumatic Stupor and Coma <1 Hour with CC	16	$123,131	+80%	$9,654
036 Carotid Artery Stent Procedures without CC/MCC	15	$223,072	+152%	$12,923
092 Other Disorders of Nervous System with CC	15	$80,703	+57%	$8,272
331 Major Small and Large Bowel Procedures without CC/MCC	15	$145,844	+70%	$11,887
517 Other Musculoskeletal System and Connective Tissue O.R....	15	$126,769	+62%	$10,870
163 Major Chest Procedures with MCC	14	$688,874	+227%	$39,187
220 Cardiac Valve and Other Major Cardiothoracic Procedures...	14	$734,336	+166%	$37,065
470 Major Hip and Knee Joint Replacement or Reattachment of...	14	$344,847	+270%	$14,416
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	14	$69,364	+63%	$6,934
811 Red Blood Cell Disorders with MCC	14	$78,812	+16%	$10,231
854 Infectious and Parasitic Diseases with O.R. Procedures with...	14	$165,571	+68%	$14,490
056 Degenerative Nervous System Disorders with MCC	13	$98,986	+3%	$14,447
091 Other Disorders of Nervous System with MCC	13	$68,597	-17%	$12,157

Showing the 60 most frequent of 83 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Endovascular Procedures	222	$59,025	$2,863
Comprehensive Observation Services	150	$41,898	$2,384
Level 3 Electrophysiologic Procedures	137	$329,381	$20,573
Level 3 Vascular Procedures	119	$41,592	$2,787
Level 3 Endovascular Procedures	102	$141,483	$9,676
Level 2 Excision/ Biopsy/ Incision and Drainage	95	$24,717	$1,415
Level 3 Pacemaker and Similar Procedures	68	$148,842	$9,393
Level 4 Endovascular Procedures	62	$193,139	$15,155
Level 1 Laparoscopy and Related Services	55	$79,908	$5,079
Level 4 Vascular Procedures	50	$78,217	$4,687
Level 3 Excision/ Biopsy/ Incision and Drainage	49	$41,011	$2,460
Level 5 Musculoskeletal Procedures	47	$248,803	$11,147
Level 5 Urology and Related Services	41	$60,871	$4,480
Level 4 Musculoskeletal Procedures	37	$96,226	$6,161
Level 2 Endovascular Procedures	29	$80,693	$5,031
Level 2 Vascular Procedures	28	$15,643	$1,410
Level 2 ICD and Similar Procedures	25	$484,664	$27,792
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	22	$57,232	$3,045
Level 2 Musculoskeletal Procedures	20	$20,377	$1,415
Level 2 Pacemaker and Similar Procedures	18	$111,323	$7,478
Level 2 Upper GI Procedures	15	$22,205	$1,675
Level 2 Laparoscopy and Related Services	14	$164,652	$9,056
Level 3 Urology and Related Services	14	$25,937	$1,793
Level 3 Musculoskeletal Procedures	11	$56,877	$2,849

Against the Texas average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Round Rock Medical Center charged $122,114 on average, 10% more than the Texas average of $111,133, and was paid $13,834 against a state average of $16,694. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Round Rock Medical Center charged $347,725 on average, 46% more than the Texas average of $237,571, and was paid $23,764 against a state average of $25,777. For Heart Failure and Shock with MCC (DRG 291), Round Rock Medical Center charged $82,668 on average, 22% more than the Texas average of $67,944, and was paid $9,551 against a state average of $11,820. For Hip and Femur Procedures except Major Joint with CC (DRG 481), Round Rock Medical Center charged $194,378 on average, 51% more than the Texas average of $129,043, and was paid $14,844 against a state average of $17,871. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $59,025 was 63% above the state average of $36,220. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $41,898 was 50% above the state average of $27,955. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $329,381 was 49% above the state average of $221,522. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $41,592 was 47% above the state average of $28,214.

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.