Texas / St David's South Austin Medical Center
CMS certification 450713 · Austin, TX · 3 entries in CMS's price-transparency list
St David's South Austin Medical Center: charges and Medicare payments
St David's South Austin Medical Center reported 3,600 Medicare inpatient stays across 116 DRGs in 2024. Across them it charged 10.25 times what it was paid — among the higher ratios in Texas, number 35 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: 372 stays at an average charge of $123,268, 37% above the national average. It also billed 2,330 outpatient services, charging 20.12 times what Medicare paid.
- 1Medicare inpatient stays 3,600
- 2Charge ÷ paid, inpatient 10.25×
- 3Rank in TX (highest ratio = 1) 35 of 190
- 4CMS price-transparency actions 3
Inpatient stays
For the 116 DRGs that can be compared with the national average, St David's South Austin Medical Center charged more than the national average in 115 (99%). 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 | 372 | $123,268 | +37% | $15,002 |
| 291 Heart Failure and Shock with MCC | 184 | $83,432 | +48% | $10,330 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 102 | $456,419 | +191% | $25,788 |
| 481 Hip and Femur Procedures except Major Joint with CC | 100 | $208,889 | +107% | $16,737 |
| 193 Simple Pneumonia and Pleurisy with MCC | 82 | $89,953 | +51% | $10,870 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 74 | $67,598 | +38% | $8,936 |
| 682 Renal Failure with MCC | 68 | $92,401 | +40% | $11,822 |
| 683 Renal Failure with CC | 68 | $57,823 | +42% | $8,247 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 67 | $52,458 | +31% | $7,128 |
| 177 Respiratory Infections and Inflammations with MCC | 63 | $133,346 | +89% | $13,556 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 60 | $71,892 | +19% | $10,634 |
| 377 Gastrointestinal Hemorrhage with MCC | 58 | $119,426 | +40% | $14,190 |
| 189 Pulmonary Edema and Respiratory Failure | 57 | $82,016 | +42% | $9,958 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 57 | $201,982 | +97% | $15,894 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 57 | $397,509 | +74% | $46,459 |
| 552 Medical Back Problems without MCC | 56 | $84,125 | +72% | $7,925 |
| 690 Kidney and Urinary Tract Infections without MCC | 51 | $53,433 | +41% | $7,111 |
| 312 Syncope and Collapse | 50 | $60,534 | +33% | $7,409 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 50 | $91,756 | +25% | $12,421 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 49 | $196,980 | +75% | $16,890 |
| 378 Gastrointestinal Hemorrhage with CC | 48 | $75,259 | +55% | $8,381 |
| 330 Major Small and Large Bowel Procedures with CC | 42 | $210,691 | +77% | $18,236 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 40 | $53,040 | +47% | $6,736 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 39 | $48,535 | +31% | $6,902 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 37 | $130,724 | +31% | $14,771 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 37 | $115,911 | +53% | $12,378 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 35 | $84,632 | +52% | $8,600 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 35 | $100,552 | +47% | $10,494 |
| 689 Kidney and Urinary Tract Infections with MCC | 34 | $76,755 | +50% | $9,695 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 32 | $218,188 | +83% | $17,167 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 30 | $120,193 | +64% | $10,835 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 29 | $757,547 | +166% | $46,682 |
| 884 Organic Disturbances and Intellectual Disability | 29 | $56,215 | -10% | $11,817 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 28 | $251,603 | +85% | $36,590 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 28 | $190,235 | +66% | $18,471 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 27 | $89,727 | +40% | $9,684 |
| 811 Red Blood Cell Disorders with MCC | 27 | $74,768 | +10% | $11,880 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 25 | $694,889 | +214% | $36,193 |
| 389 Gastrointestinal Obstruction with CC | 25 | $97,261 | +150% | $8,621 |
| 305 Hypertension without MCC | 24 | $55,297 | +38% | $6,964 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 24 | $228,017 | +39% | $23,787 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 24 | $128,956 | +35% | $14,821 |
| 603 Cellulitis without MCC | 24 | $50,811 | +36% | $8,310 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 23 | $44,865 | +56% | $5,548 |
| 329 Major Small and Large Bowel Procedures with MCC | 23 | $365,739 | +70% | $28,969 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 23 | $62,134 | +46% | $8,156 |
| 812 Red Blood Cell Disorders without MCC | 23 | $66,002 | +49% | $7,908 |
| 637 Diabetes with MCC | 22 | $82,968 | +25% | $11,336 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 21 | $298,061 | +86% | $23,616 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 21 | $321,998 | +132% | $21,685 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 21 | $166,440 | +114% | $12,369 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 21 | $54,478 | +15% | $8,910 |
| 184 Major Chest Trauma with CC | 20 | $96,260 | +74% | $9,095 |
| 270 Other Major Cardiovascular Procedures with MCC | 20 | $630,524 | +143% | $46,381 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 20 | $63,878 | +13% | $9,877 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 20 | $168,308 | +176% | $12,811 |
| 638 Diabetes with CC | 20 | $45,242 | +9% | $7,711 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 20 | $117,951 | +58% | $12,793 |
| 809 Major Hematological and Immunological Diagnoses except... | 19 | $101,652 | +62% | $11,277 |
| 945 Rehabilitation with CC/MCC | 19 | $79,823 | +44% | $11,919 |
Showing the 60 most frequent of 116 DRGs.
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St David's South Austin Medical Center charged $123,268 on average, 11% more than the Texas average of $111,133, and was paid $15,002 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), St David's South Austin Medical Center charged $83,432 on average, 23% more than the Texas average of $67,944, and was paid $10,330 against a state average of $11,820. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), St David's South Austin Medical Center charged $456,419 on average, 92% more than the Texas average of $237,571, and was paid $25,788 against a state average of $25,777. For Hip and Femur Procedures except Major Joint with CC (DRG 481), St David's South Austin Medical Center charged $208,889 on average, 62% more than the Texas average of $129,043, and was paid $16,737 against a state average of $17,871. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $40,078 was 43% above the state average of $27,955. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $399,162 was 80% above the state average of $221,522. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $27,630 was 11% above the state average of $24,865. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $46,252 was 28% above the state average of $36,220.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St David's South Austin 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:
- Warning Notice — 2023-07-13 (CMS case 219)
- Closure Notice — 2023-11-02 (CMS case 219)
- Met Requirements — 2025-05-02 (CMS case 4222)
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.