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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,047 | $207,284 | 12.2× | $11,547 |
| Shoulder replacement | $20,523 | $189,708 | 9.2× | $16,369 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $12,559 | 0.7× | $9,063–$21,979 | 10 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Sendero Idealcare | $21,979 | 1.3× | 1 |
| Occunet | $17,583 | 1.0× | 1 |
| Tx Independence Hp | $13,187 | 0.8× | 1 |
| Addr Cancer Together | $12,559 | 0.7× | 1 |
| Covid Hrsa | $12,559 | 0.7× | 1 |
| Cshcn Cidc | $12,559 | 0.7× | 1 |
| Smarthealth | $12,559 | 0.7× | 1 |
| UnitedHealthcare | $12,559 | 0.7× | 1 |
| Sendero Chap | $12,434 | 0.7× | 1 |
| Whole Foods | $9,063 | 0.5× | 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.
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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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).
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.
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.
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.
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.