Texas / St David's Medical Center
CMS certification 450431 · Austin, TX · 2 entries in CMS's price-transparency list
St David's Medical Center: charges and Medicare payments
St David's Medical Center reported 5,009 Medicare inpatient stays across 140 DRGs in 2024. Across them it charged 10.58 times what it was paid — among the higher ratios in Texas, number 30 of 190 hospitals with at least 100 stays (state median 5.35×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 413 stays at an average charge of $69,988, 24% above the national average. It also billed 4,987 outpatient services, charging 20.27 times what Medicare paid.
- 1Medicare inpatient stays 5,009
- 2Charge ÷ paid, inpatient 10.58×
- 3Rank in TX (highest ratio = 1) 30 of 190
- 4CMS price-transparency actions 2
Inpatient stays
For the 140 DRGs that can be compared with the national average, St David's Medical Center charged more than the national average in 126 (90%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 413 | $69,988 | +24% | $9,803 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 390 | $126,661 | +40% | $15,060 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 349 | $414,612 | +164% | $26,419 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 160 | $154,825 | +38% | $16,882 |
| 193 Simple Pneumonia and Pleurisy with MCC | 121 | $78,026 | +31% | $10,005 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 119 | $496,132 | +74% | $45,195 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 83 | $89,294 | +18% | $11,538 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 79 | $116,854 | +17% | $13,634 |
| 177 Respiratory Infections and Inflammations with MCC | 74 | $88,320 | +25% | $13,691 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 73 | $54,855 | +37% | $6,371 |
| 273 Percutaneous and Other Intracardiac Procedures with MCC | 67 | $439,297 | +105% | $28,578 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 67 | $104,297 | +63% | $8,847 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 65 | $63,020 | +28% | $8,020 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 62 | $455,927 | +63% | $51,041 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 57 | $409,216 | +85% | $35,621 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 56 | $40,628 | +12% | $6,255 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 55 | $66,568 | +10% | $9,866 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 54 | $46,257 | +61% | $4,878 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 52 | $375,836 | +64% | $39,419 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 49 | $686,000 | +72% | $68,023 |
| 378 Gastrointestinal Hemorrhage with CC | 49 | $57,699 | +19% | $7,726 |
| 682 Renal Failure with MCC | 49 | $73,982 | +12% | $11,234 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 45 | $54,715 | -2% | $7,802 |
| 189 Pulmonary Edema and Respiratory Failure | 44 | $76,688 | +33% | $10,018 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 43 | $352,901 | +67% | $32,006 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 43 | $213,239 | +86% | $14,531 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 43 | $205,599 | +121% | $17,416 |
| 690 Kidney and Urinary Tract Infections without MCC | 42 | $47,885 | +27% | $6,914 |
| 317 Concomitant Left Atrial Appendage Closure and Cardiac... | 41 | $787,767 | +118% | $48,613 |
| 689 Kidney and Urinary Tract Infections with MCC | 41 | $61,635 | +20% | $8,919 |
| 552 Medical Back Problems without MCC | 40 | $55,456 | +14% | $7,447 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 39 | $90,897 | +24% | $11,782 |
| 683 Renal Failure with CC | 38 | $53,540 | +32% | $7,200 |
| 312 Syncope and Collapse | 37 | $43,447 | -5% | $6,714 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 37 | $43,389 | +17% | $6,346 |
| 036 Carotid Artery Stent Procedures without CC/MCC | 35 | $210,411 | +138% | $15,895 |
| 305 Hypertension without MCC | 35 | $42,973 | +7% | $6,033 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 35 | $85,844 | +52% | $9,166 |
| 603 Cellulitis without MCC | 35 | $47,937 | +29% | $6,857 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 34 | $299,030 | +83% | $24,548 |
| 811 Red Blood Cell Disorders with MCC | 34 | $74,534 | +9% | $10,807 |
| 884 Organic Disturbances and Intellectual Disability | 32 | $57,469 | -8% | $11,846 |
| 393 Other Digestive System Diagnoses with MCC | 31 | $68,972 | -10% | $13,792 |
| 330 Major Small and Large Bowel Procedures with CC | 30 | $218,090 | +83% | $17,416 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 30 | $263,369 | +113% | $26,179 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 28 | $535,122 | +94% | $41,036 |
| 377 Gastrointestinal Hemorrhage with MCC | 28 | $136,782 | +60% | $12,615 |
| 467 Revision of Hip or Knee Replacement with CC | 28 | $309,909 | +96% | $24,100 |
| 314 Other Circulatory System Diagnoses with MCC | 27 | $155,916 | +64% | $15,218 |
| 329 Major Small and Large Bowel Procedures with MCC | 27 | $272,783 | +27% | $45,728 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 26 | $85,969 | +41% | $9,789 |
| 472 Cervical Spinal Fusion with CC | 26 | $204,086 | +43% | $23,475 |
| 389 Gastrointestinal Obstruction with CC | 25 | $42,784 | +10% | $7,672 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 25 | $50,595 | +7% | $7,664 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 25 | $617,548 | +91% | $54,749 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 24 | $277,920 | +20% | $29,166 |
| 092 Other Disorders of Nervous System with CC | 24 | $49,547 | -4% | $7,932 |
| 233 Coronary Bypass with Cardiac Catheterization or Open... | 24 | $547,691 | +42% | $58,628 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 24 | $366,694 | +128% | $34,458 |
| 394 Other Digestive System Diagnoses with CC | 24 | $56,232 | +19% | $7,945 |
Showing the 60 most frequent of 140 DRGs.
Outpatient services
Against the Texas average
For Heart Failure and Shock with MCC (DRG 291), St David's Medical Center charged $69,988 on average, 3% more than the Texas average of $67,944, and was paid $9,803 against a state average of $11,820. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St David's Medical Center charged $126,661 on average, 14% more than the Texas average of $111,133, and was paid $15,060 against a state average of $16,694. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), St David's Medical Center charged $414,612 on average, 75% more than the Texas average of $237,571, and was paid $26,419 against a state average of $25,777. For Circulatory Disorders except AMI, with Cardiac Catheterization with MCC (DRG 286), St David's Medical Center charged $154,825 on average, 15% more than the Texas average of $134,681, and was paid $16,882 against a state average of $20,128. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $420,748 was 90% above the state average of $221,522. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $191,676 was 94% above the state average of $98,771. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $59,191 was 63% above the state average of $36,220. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $31,267 was 12% above the state average of $27,955.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St David's Medical Center in Austin, TX, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-02-14 (CMS case 2015)
- Met Requirements — 2025-04-29 (CMS case 4193)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.