Ascension Seton Medical Center Austin Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Ascension Seton Medical Center Austin, Austin, TX in 2024, from traditional Medicare claims. Back to the Ascension Seton Medical Center Austin profile, with quality ratings, finances and negotiated rates.
2,015
Medicare inpatient discharges
In 75 published DRGs
2.61
Case mix index
IPPS FY 2027
34%
Surgical stays
63%
Stays with complications
In DRGs with a CC or MCC
2,351
Medicare outpatient services
In 39 service groups
Inpatient stays by major diagnostic category
Circulatory system607 discharges in 22 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 105 | $82,054 | $10,823 | $11,323 | 1.28 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 74 | $354,295 | $35,814 | $48,893 | 4.88 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 62 | $191,948 | $23,046 | $26,489 | 3.24 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 55 | $112,362 | $12,962 | $15,506 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 36 | $44,404 | $6,265 | $6,128 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 27 | $156,638 | $17,192 | $21,616 | 2.16 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 26 | $415,608 | $40,263 | $57,354 | 5.24 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 24 | $491,762 | $45,836 | $67,863 | 6.25 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 19 | $39,198 | $4,367 | $5,409 | 0.55 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 17 | $218,665 | $17,415 | $30,176 | 2.28 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 16 | $604,173 | $66,855 | $83,376 | 7.71 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 16 | $205,470 | $12,149 | $28,355 | 1.82 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 15 | $317,171 | $31,620 | $43,770 | 4.04 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 15 | $53,339 | $7,315 | $7,361 | 0.91 |
| Hypertension without MCCMS-DRG 305, medical | 15 | $38,810 | $6,141 | $5,356 | 0.75 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 14 | $95,662 | $7,403 | $13,201 | 1.08 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 13 | $255,376 | $24,483 | $35,242 | 3.46 |
| Syncope and collapseMS-DRG 312, medical | 13 | $33,459 | $7,291 | $4,617 | 0.86 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 12 | $351,757 | $44,565 | $48,543 | 5.88 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 11 | $207,619 | $14,558 | $28,651 | 1.83 |
| Heart failure and shock with CCMS-DRG 292, medical | 11 | $58,643 | $7,508 | $8,093 | 0.86 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 11 | $136,620 | $15,319 | $18,854 | 2.09 |
Infectious and parasitic diseases307 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 230 | $129,158 | $14,962 | $17,824 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 41 | $65,917 | $7,914 | $9,097 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 36 | $320,653 | $37,633 | $44,250 | 5.00 |
Musculoskeletal system and connective tissue283 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 77 | $207,284 | $13,846 | $28,605 | 1.88 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 42 | $965,012 | $89,065 | $133,172 | 6.12 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 32 | $284,854 | $22,885 | $39,310 | 2.96 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 19 | $120,314 | $15,626 | $16,603 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 19 | $47,223 | $8,202 | $6,517 | 0.97 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 18 | $219,745 | $24,752 | $30,325 | 3.49 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 18 | $189,708 | $19,196 | $26,180 | 2.48 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 16 | $316,158 | $25,433 | $43,630 | 3.66 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 15 | $248,317 | $18,835 | $34,268 | 2.67 |
| Spinal fusion except cervical with spinal curvature, malignancy, infection or extensiveMS-DRG 457, surgical | 14 | $754,931 | $73,050 | $104,181 | 6.08 |
| Combined anterior and posterior spinal fusion with MCCMS-DRG 453, surgical | 13 | $1,155,286 | $120,058 | $159,429 | 8.86 |
Respiratory system221 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 66 | $76,888 | $9,996 | $10,611 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 52 | $96,321 | $12,559 | $13,292 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 33 | $73,560 | $10,691 | $10,151 | 1.23 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 20 | $79,552 | $10,250 | $10,978 | 1.40 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 15 | $47,377 | $6,584 | $6,538 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 12 | $74,484 | $7,554 | $10,279 | 0.99 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 12 | $201,308 | $18,541 | $27,780 | 2.70 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 11 | $61,885 | $7,712 | $8,540 | 0.96 |
Digestive system202 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 37 | $152,335 | $17,506 | $21,022 | 2.37 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 27 | $66,061 | $8,396 | $9,116 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 24 | $49,421 | $6,249 | $6,820 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 21 | $51,155 | $6,357 | $7,059 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 20 | $122,123 | $11,254 | $16,853 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 19 | $252,146 | $35,686 | $34,796 | 4.52 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 16 | $113,053 | $11,856 | $15,601 | 1.62 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 14 | $158,015 | $13,996 | $21,806 | 1.79 |
| Digestive malignancy with MCCMS-DRG 374, medical | 13 | $110,985 | $16,371 | $15,316 | 2.10 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 11 | $39,938 | $4,637 | $5,511 | 0.56 |
Kidney and urinary tract119 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 25 | $78,851 | $9,469 | $10,881 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 25 | $53,682 | $6,769 | $7,408 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 22 | $92,239 | $11,571 | $12,729 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 21 | $67,425 | $7,244 | $9,305 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 14 | $115,178 | $15,124 | $15,895 | 1.65 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 12 | $72,744 | $7,452 | $10,039 | 1.05 |
Nervous system112 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 30 | $59,554 | $7,337 | $8,218 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 27 | $108,417 | $14,474 | $14,962 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 25 | $59,726 | $7,532 | $8,242 | 0.91 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 17 | $46,822 | $5,757 | $6,461 | 0.69 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 13 | $52,863 | $9,958 | $7,295 | 1.36 |
Endocrine, nutritional and metabolic62 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 28 | $90,717 | $11,005 | $12,519 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 20 | $54,474 | $6,498 | $7,517 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 14 | $57,437 | $6,838 | $7,926 | 0.90 |
Liver, gallbladder and pancreas26 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 15 | $124,504 | $10,162 | $17,182 | 1.63 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 11 | $119,394 | $15,666 | $16,476 | 1.92 |
Skin, subcutaneous tissue and breast24 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 24 | $35,967 | $6,357 | $4,964 | 0.88 |
Transplants, ECMO and tracheostomy (pre-MDC)15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and necMS-DRG 003, surgical | 15 | $1,249,090 | $158,675 | $172,374 | 21.32 |
Blood and immune system14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 14 | $76,661 | $7,607 | $10,579 | 0.90 |
Factors influencing health status12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 12 | $46,779 | $6,475 | $6,456 | 0.80 |
Other11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 11 | $526,044 | $50,465 | $72,594 | 4.74 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
Outpatient services
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 5 Musculoskeletal ProceduresAPC 5115 | 257 | 248 | $178,010 | $9,918 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 212 | 204 | $32,688 | $1,901 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 184 | 181 | $38,999 | $2,060 | $2,208 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 150 | 148 | $67,125 | $4,030 | $4,358 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 122 | 121 | $181,672 | $19,218 | $21,117 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 114 | 114 | $94,838 | $7,196 | $8,164 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 104 | 99 | $12,036 | $1,124 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 98 | 96 | $71,447 | $5,017 | $5,339 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 88 | 86 | $226,437 | $14,737 | $15,763 |
| Level 2 Intraocular ProceduresAPC 5492 | 86 | 82 | $41,721 | $2,822 | $3,116 |
| Level 4 Airway EndoscopyAPC 5154 | 77 | 72 | $49,526 | $2,626 | $2,833 |
| Level 5 ENT ProceduresAPC 5165 | 68 | 67 | $56,810 | $4,106 | $4,436 |
| Level 3 Vascular ProceduresAPC 5183 | 68 | 56 | $30,043 | $2,200 | $2,405 |
| Level 5 Airway EndoscopyAPC 5155 | 52 | 51 | $70,417 | $4,707 | $5,183 |
| Level 5 Urology and Related ServicesAPC 5375 | 40 | 40 | $50,259 | $3,629 | $3,918 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 39 | 38 | $49,642 | $4,573 | $4,982 |
| Level 4 Urology and Related ServicesAPC 5374 | 39 | 37 | $41,861 | $2,445 | $2,629 |
| Level 3 Endovascular ProceduresAPC 5193 | 37 | 34 | $149,922 | $8,044 | $8,874 |
| Level 3 Urology and Related ServicesAPC 5373 | 37 | 33 | $27,186 | $1,423 | $1,516 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 36 | 34 | $25,229 | $1,638 | $1,780 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 34 | 33 | $27,392 | $2,597 | $2,930 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 34 | 34 | $177,176 | $7,761 | $8,569 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 33 | 33 | $99,395 | $5,948 | $6,514 |
| Level 2 Upper GI ProceduresAPC 5302 | 33 | 30 | $23,657 | $1,188 | $1,445 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 31 | 31 | $36,471 | $2,426 | $2,636 |
| Level 5 Gynecologic ProceduresAPC 5415 | 27 | 27 | $45,879 | $3,485 | $3,792 |
| Level 3 Intraocular ProceduresAPC 5493 | 27 | 24 | $48,432 | $3,573 | $4,004 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 26 | 25 | $229,755 | $25,621 | $26,719 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 24 | 23 | $25,070 | $1,811 | $2,141 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 23 | 22 | $157,925 | $17,577 | $18,465 |
| Level 2 Vascular ProceduresAPC 5182 | 22 | 21 | $14,329 | $1,123 | $1,204 |
| Level 4 Extraocular, Repair, and Plastic Eye ProceduresAPC 5504 | 21 | 19 | $31,347 | $2,582 | $2,969 |
| Level 3 Airway EndoscopyAPC 5153 | 20 | 18 | $55,870 | $1,181 | $1,264 |
| Level 4 Gynecologic ProceduresAPC 5414 | 18 | 18 | $37,553 | $2,192 | $2,389 |
| Level 4 ENT ProceduresAPC 5164 | 15 | 15 | $33,289 | $2,245 | $2,217 |
| Level 1 Intraocular ProceduresAPC 5491 | 15 | 14 | $43,190 | $1,634 | $1,752 |
| Level 6 Gynecologic ProceduresAPC 5416 | 14 | 14 | $73,737 | $5,299 | $5,836 |
| Cochlear Implant ProcedureAPC 5166 | 13 | 13 | $217,302 | $27,797 | $29,489 |
| Level 4 Vascular ProceduresAPC 5184 | 13 | $32,461 | $2,372 | $3,946 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.