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Ascension Seton Medical Center Austin: what a joint replacement costs

Austin, TX 78705 · CMS Certification Number 450056. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,747
Medical Park Tower Surgery Center LLC, same ZIP
Outpatient here
$11,547
Medicare allowed amount, 257 cases, APC 5115
Inpatient here
$17,047
Avg total payment (incl. patient share), 77 Medicare stays, MS-DRG 470

Medicare prices at Ascension Seton Medical Center Austin

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,047$207,28412.2×$11,547
Shoulder replacement$20,523$189,7089.2×$16,369

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$12,5590.7×$9,063–$21,97910
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Sendero Idealcare$21,9791.3×1
Occunet$17,5831.0×1
Tx Independence Hp$13,1870.8×1
Addr Cancer Together$12,5590.7×1
Covid Hrsa$12,5590.7×1
Cshcn Cidc$12,5590.7×1
Smarthealth$12,5590.7×1
UnitedHealthcare$12,5590.7×1
Sendero Chap$12,4340.7×1
Whole Foods$9,0630.5×1

From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 521 beds

Texas has no certificate-of-need law.

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Questions

How much does Medicare pay Ascension Seton Medical Center Austin for a knee or hip replacement?

In 2024 the average total payment to Ascension Seton Medical Center Austin for an inpatient hip or knee replacement stay was $17,047 (MS-DRG 470, 77 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,547 per outpatient case (APC 5115, 257 cases).

What is Ascension Seton Medical Center Austin's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $207,284, 12.2× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Ascension Seton Medical Center Austin?

Yes for Medicare facility payments. Medical Park Tower Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $8,747 by Medicare for a knee replacement (CPT 27447), $8,300 less than an inpatient stay at Ascension Seton Medical Center Austin. Not every patient is a surgery-center candidate.

How does Ascension Seton Medical Center Austin compare with other Texas hospitals?

Ascension Seton Medical Center Austin's average total payment per Medicare stay is higher than 81% of the 77 Texas hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Ascension Seton Medical Center Austin for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $12,559 across 10 insurers, ranging from $9,063 to $21,979.