Scott & White Hospital-Round Rock: charges and Medicare payments

Scott & White Hospital-Round Rock reported 2,570 Medicare inpatient stays across 78 DRGs in 2024. Across them it charged 4.39 times what it was paid — among the lower ratios in Texas, number 131 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: 282 stays at an average charge of $54,261, 40% below the national average. It also billed 4,199 outpatient services, charging 6.98 times what Medicare paid.

1Medicare inpatient stays 2,570
2Charge ÷ paid, inpatient 4.39×
3Rank in TX (highest ratio = 1) 131 of 190
4CMS price-transparency actions 0

Average charge per stay at Scott & White Hospital-Round Rock, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 78 DRGs that can be compared with the national average, Scott & White Hospital-Round Rock charged more than the national average in 1 (1%). 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	282	$54,261	-40%	$14,771
189 Pulmonary Edema and Respiratory Failure	145	$54,166	-6%	$9,733
291 Heart Failure and Shock with MCC	124	$46,262	-18%	$9,642
266 Endovascular Cardiac Valve Replacement and Supplement...	104	$203,171	-29%	$46,377
274 Percutaneous and Other Intracardiac Procedures without MCC	68	$124,022	-21%	$24,809
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	55	$36,838	-25%	$8,171
322 Percutaneous Cardiovascular Procedures with Intraluminal...	53	$104,327	-9%	$13,932
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	53	$28,224	-30%	$5,993
193 Simple Pneumonia and Pleurisy with MCC	50	$47,687	-20%	$10,020
853 Infectious and Parasitic Diseases with O.R. Procedures with...	49	$119,832	-48%	$34,313
378 Gastrointestinal Hemorrhage with CC	48	$36,430	-25%	$7,571
280 Acute Myocardial Infarction, Discharged Alive with MCC	47	$73,583	-3%	$12,069
177 Respiratory Infections and Inflammations with MCC	45	$49,641	-30%	$12,235
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	45	$42,262	-30%	$11,219
683 Renal Failure with CC	42	$28,624	-30%	$6,819
689 Kidney and Urinary Tract Infections with MCC	42	$43,026	-16%	$8,802
267 Endovascular Cardiac Valve Replacement and Supplement...	41	$188,225	-15%	$35,706
460 Spinal Fusion except Cervical without MCC	41	$90,573	-47%	$28,944
309 Cardiac Arrhythmia and Conduction Disorders with CC	40	$32,410	-10%	$5,685
690 Kidney and Urinary Tract Infections without MCC	38	$28,791	-24%	$6,114
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	36	$30,577	-17%	$5,984
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	35	$47,016	-16%	$7,206
071 Other Cerebrovascular Disorders with CC	34	$34,899	-31%	$8,046
682 Renal Failure with MCC	33	$41,050	-38%	$10,752
287 Circulatory Disorders except AMI, with Cardiac...	32	$57,417	-10%	$8,271
281 Acute Myocardial Infarction, Discharged Alive with CC	31	$50,121	-1%	$7,069
321 Percutaneous Cardiovascular Procedures with Intraluminal...	31	$144,902	-11%	$21,271
481 Hip and Femur Procedures except Major Joint with CC	31	$60,030	-40%	$15,095
312 Syncope and Collapse	30	$42,057	-8%	$6,572
377 Gastrointestinal Hemorrhage with MCC	30	$66,578	-22%	$13,992
190 Chronic Obstructive Pulmonary Disease with MCC	28	$59,590	+18%	$9,167
308 Cardiac Arrhythmia and Conduction Disorders with MCC	28	$48,144	-15%	$9,247
454 Combined Anterior and Posterior Spinal Fusion with CC	27	$125,318	-55%	$51,106
286 Circulatory Disorders except AMI, with Cardiac...	25	$75,101	-33%	$17,242
698 Other Kidney and Urinary Tract Diagnoses with MCC	24	$58,587	-20%	$11,872
811 Red Blood Cell Disorders with MCC	24	$45,031	-34%	$10,848
470 Major Hip and Knee Joint Replacement or Reattachment of...	23	$67,894	-27%	$13,989
069 Transient Ischemia without Thrombolytic	22	$33,886	-33%	$5,936
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	22	$55,691	-15%	$10,714
457 Spinal Fusion except Cervical with Spinal Curvature,...	22	$140,681	-51%	$49,666
394 Other Digestive System Diagnoses with CC	21	$33,463	-29%	$7,112
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	21	$116,993	-42%	$35,443
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	21	$67,288	-34%	$15,538
101 Seizures without MCC	20	$35,756	-27%	$7,181
194 Simple Pneumonia and Pleurisy with CC	20	$30,507	-21%	$6,254
243 Permanent Cardiac Pacemaker Implant with CC	20	$88,200	-21%	$17,084
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	20	$25,482	-11%	$4,046
480 Hip and Femur Procedures except Major Joint with MCC	20	$89,050	-36%	$20,196
389 Gastrointestinal Obstruction with CC	19	$21,787	-44%	$6,275
472 Cervical Spinal Fusion with CC	19	$68,388	-52%	$25,997
812 Red Blood Cell Disorders without MCC	19	$34,257	-23%	$6,918
273 Percutaneous and Other Intracardiac Procedures with MCC	18	$115,790	-46%	$28,048
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	18	$46,035	-25%	$9,266
418 Laparoscopic Cholecystectomy without C.D.E. with CC	18	$65,592	-30%	$12,559
070 Other Cerebrovascular Disorders with MCC	17	$60,744	-20%	$13,249
603 Cellulitis without MCC	17	$24,006	-36%	$6,282
473 Cervical Spinal Fusion without CC/MCC	16	$62,769	-45%	$17,849
329 Major Small and Large Bowel Procedures with MCC	15	$98,638	-54%	$31,326
393 Other Digestive System Diagnoses with MCC	15	$42,951	-44%	$12,177
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	15	$46,312	-31%	$10,228

Showing the 60 most frequent of 78 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Urology and Related Services	522	$4,558	$597
Level 2 Excision/ Biopsy/ Incision and Drainage	335	$7,749	$1,408
Comprehensive Observation Services	290	$23,870	$2,393
Level 1 Endovascular Procedures	254	$28,359	$2,848
Level 4 Musculoskeletal Procedures	222	$31,020	$6,184
Level 5 Musculoskeletal Procedures	213	$50,756	$11,049
Level 2 Upper GI Procedures	172	$9,647	$1,667
Level 3 Urology and Related Services	166	$9,048	$1,793
Level 1 Nerve Procedures	160	$7,468	$1,699
Level 3 Vascular Procedures	130	$16,771	$2,806
Level 3 Excision/ Biopsy/ Incision and Drainage	124	$17,393	$2,485
Level 3 Endovascular Procedures	122	$71,686	$9,610
Level 2 Musculoskeletal Procedures	121	$8,892	$1,390
Level 1 Laparoscopy and Related Services	117	$32,476	$4,975
Level 3 Musculoskeletal Procedures	108	$13,861	$2,807
Level 4 Urology and Related Services	102	$16,029	$2,973
Level 5 Urology and Related Services	100	$24,259	$4,554
Level 3 Airway Endoscopy	91	$7,190	$1,494
Level 6 Musculoskeletal Procedures	83	$82,615	$16,369
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	83	$20,034	$3,016
Level 2 Laparoscopy and Related Services	70	$51,426	$8,738
Level 2 Vascular Procedures	48	$7,264	$1,410
Level 3 Electrophysiologic Procedures	46	$136,274	$20,434
Level 3 ENT Procedures	43	$4,885	$1,342
Level 3 Pacemaker and Similar Procedures	40	$45,247	$9,199

Against the Texas average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Scott & White Hospital-Round Rock charged $54,261 on average, 51% less than the Texas average of $111,133, and was paid $14,771 against a state average of $16,694. For Pulmonary Edema and Respiratory Failure (DRG 189), Scott & White Hospital-Round Rock charged $54,166 on average, 18% less than the Texas average of $65,957, and was paid $9,733 against a state average of $11,822. For Heart Failure and Shock with MCC (DRG 291), Scott & White Hospital-Round Rock charged $46,262 on average, 32% less than the Texas average of $67,944, and was paid $9,642 against a state average of $11,820. For Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC (DRG 266), Scott & White Hospital-Round Rock charged $203,171 on average, 45% less than the Texas average of $372,420, and was paid $46,377 against a state average of $49,901. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $4,558 was 24% above the state average of $3,679. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,749 was 45% below the state average of $14,089. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,870 was 15% below the state average of $27,955. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $28,359 was 22% below the state average of $36,220.

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.