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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Seton Medical Center Hays

Ascension Health · Kyle, TX

6001 Kyle Parkway, Kyle, TX 78640(512) 324-5000

3 of 5

CMS star rating

154

Beds

8,829

Inpatient discharges a year

$277.8M

Net patient revenue a year

31

In-network payers

About this hospital

Seton Medical Center Hays is a 154-bed voluntary non-profit - private hospital in Kyle, TX, affiliated with Ascension Health. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 394 disclosed rate categories.

  • Disproportionate share hospital
  • Helipad
CCN
670056
NPI
1619115383
Health system
Ascension Health
Teaching
No Medicare-funded residents
County
Hays County
Metro area
Austin-Round Rock-San Marcos, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
2009
Last CMS survey
2025

Prices for common services

The 24 services Seton Medical Center Hays most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$6,403 - $7,211

from 3 insurers · median $6,711

Aetna$7,211
Insurer A*$6,403
Insurer B*$6,711

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$9,314 - $11,413

from 3 insurers · median $9,987

Aetna$11,413
Insurer A*$9,314
Insurer B*$9,987

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$1,197 - $2,693

from 3 insurers · median $1,451

Aetna$2,693
Insurer A*$1,197
Insurer B*$1,451
Medicare $327Nearby hospitals $1,19422% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Major cardiothoracic procedure with cardiac catheterization and MCC

MS-DRG 216

$67,139 - $84,283

from 2 insurers · median $75,711

UnitedHealthcare$84,283
Insurer A*$67,139
Medicare $90,833Nearby hospitals $102,81626% below nearby hospitals

Hospital reports cardiac thoracic surgery services to CMS

How the insurers pay at Seton Medical Center Hays

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*21
518%
108
Insurer B*20
309%
66
Insurer C*6
276%
23
Insurer D*21
222%
410

How we chose these services: 2 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 7 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Seton Medical Center Hays, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    3 of 5 stars

    • 163 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.23%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 34 services, including trauma care
    • 550 affiliated clinicians
    See doctors and services
  • Finances

    $277.8M net patient revenue

    • Operating margin on patient care 10.0%
    • $44.8M unreimbursed and uncompensated care
    • $30.8M net income
    See finances
  • Ownership and leadership

    Owned by Ascension Seton

    • Private (not for profit)
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Seton Medical Center Hays in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
74-1109643(multi-state) Seton Northwest Hospital51Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 46 more1447355771 Ascension Seton1093810327 Ascension Seton1538264866 Ascension Setonand 63 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

6001 Kyle Parkway, Kyle, TX 78640

(512) 324-5000

Get directions

Frequently asked questions

About Seton Medical Center Hays's rates and hospital price transparency.

How much does an MRI cost at Seton Medical Center Hays?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Seton Medical Center Hays range from $792 to $2,766 across 3 insurers. Blue Cross Blue Shield's rate is $1,584. The median at nearby comparable hospitals is $1,462. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Seton Medical Center Hays?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Seton Medical Center Hays range from $1,197 to $2,693 across 3 insurers. Aetna's rate is $2,693. The median at nearby comparable hospitals is $1,194. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Seton Medical Center Hays?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Seton Medical Center Hays range from $994 to $2,698 across 3 insurers. Blue Cross Blue Shield's rate is $994. The median at nearby comparable hospitals is $3,548. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Seton Medical Center Hays?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Seton Medical Center Hays range from $6,403 to $7,211 across 3 insurers. Aetna's rate is $7,211. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Seton Medical Center Hays?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Seton Medical Center Hays range from $327 to $1,191 across 3 insurers. Cigna's rate is $327. The median at nearby comparable hospitals is $275. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Seton Medical Center Hays?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Seton Medical Center Hays range from $12,313 to $13,238 across 2 insurers. UnitedHealthcare's rate is $12,313. The median at nearby comparable hospitals is $27,114. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Seton Medical Center Hays's CMS star rating?

Seton Medical Center Hays has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Seton Medical Center Hays a teaching hospital?

CMS reports no Medicare-funded interns or residents at Seton Medical Center Hays for fiscal year 2027.

Does Medicare penalize Seton Medical Center Hays for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Seton Medical Center Hays's base inpatient payments by an estimated 0.23% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Seton Medical Center Hays?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (199 discharges), heart failure and shock with mcc (66 discharges), simple pneumonia and pleurisy with mcc (63 discharges).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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