HCA Healthcare · Round Rock, TX
3 of 5
CMS star rating
207
Beds
12,908
Inpatient discharges a year
$397.5M
Net patient revenue a year
35
In-network payers
St. David S Round Rock Medical Center is a 207-bed proprietary hospital in Round Rock, TX, affiliated with HCA Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 520 disclosed rate categories.
The 24 services St. David S Round Rock Medical Center 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
MS-DRG 807
$6,077 - $7,776
from 3 insurers · median $7,753
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
MS-DRG 788
$8,616 - $10,812
from 3 insurers · median $8,933
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
CPT 74177
$563 - $1,969
from 3 insurers · median $1,149
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,269 - $4,371
from 3 insurers · median $4,310
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$18,153 - $67,958
from 3 insurers · median $37,069
14 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 45380
$1,642 - $4,638
from 3 insurers · median $4,310
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,131 - $4,638
from 3 insurers · median $4,310
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$6,289 - $14,177
from 3 insurers · median $9,329
55 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$76,925 - $131,254
from 4 insurers · median $87,883
Hospital reports cardiac thoracic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$6,077 - $7,776
from 3 insurers · median $7,753
CMS lists this service as CPT 59610, 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
Digestive procedures
CPT 49650
$6,674 - $12,550
from 3 insurers · median $7,553
55 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 70450
$167 - $579
from 3 insurers · median $371
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$6,674 - $14,177
from 3 insurers · median $13,629
14 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74176
$352 - $1,487
from 3 insurers · median $625
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$444 - $1,113
from 2 insurers · median $779
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$4,371 - $9,635
from 3 insurers · median $6,467
22 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Mammography
CPT 77067
$148 - $521
from 3 insurers · median $180
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$3,245 - $7,475
from 3 insurers · median $4,371
Typical for a hospital with this service line
MRI imaging
CPT 70553
$563 - $2,237
from 3 insurers · median $1,153
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$290 - $4,371
from 3 insurers · median $2,059
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$273 - $987
from 3 insurers · median $580
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$111 - $196
from 4 insurers · median $143
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$828 - $2,105
from 4 insurers · median $1,883
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$352 - $1,537
from 3 insurers · median $911
Common here, based on CMS Medicare volume
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 379% | 10 | 9 |
| Insurer B* | 24 | 174% | 9 | 9 |
| Insurer C* | 23 | 166% | 10 | 8 |
| Insurer D* | 3 | 129% | 1 | 1 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 5 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 St. David S Round Rock Medical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$397.5M net patient revenue
Ownership and leadership
Owned by Frisco Holding II
The employer identification numbers (EINs) health plans and networks list for St. David S Round Rock Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 74-2781812(multi-state) St Davids South Austin Medical Center | 63Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 58 more | 1720033947 St. Davids Healthcare Partnership L.P. LLP1679528889 St. David's Healthcare Partnership L.P. LLP1649223645 St Davids Healthcare Partnership LP LLPand 21 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.
2400 Round Rock Avenue, Round Rock, TX 78681
(512) 341-1000
How St. David S Round Rock Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 8 measures
0 better, 8 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 6 measures
1 better, 5 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Mixed on 8 measures
1 better, 6 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
72%
Higher than 51% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.1
Higher than 81% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
133 min
Lower than 62% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
78%
Higher than 80% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | No different on 8 measures | |
| Safety | Better on 1 of 6 measures | |
| Readmissions | Mixed on 8 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 72% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.1 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 133 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 78% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts St. David S Round Rock Medical Center's inpatient payments for its readmissions, quality and cost results.
-0.17% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.55% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for St. David S Round Rock Medical Center, beside the US median and the average of TX hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 48 cases | 3.2 | 4.1 | 4.144 | Better than 88% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 3,327 cases | 3.9 | 3.9 | 3.887 | Better than 49% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 177 cases | 12.9 | 11.8 | 11.91 | Worse than 82% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 · 123 cases | 3.7 | 2.3 | 2.71 | Worse than 93% of US hospitals | |
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 75 cases | 8.9 | 8.5 | 8.703 | Worse than 60% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 339 cases | 11.3 | 11 | 10.52 | Worse than 55% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 413 cases | 15.5 | 15.2 | 14.69 | Worse than 54% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 310 cases | 10 | 11.6 | 12.01 | Better than 80% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 4,306 cases | 0.34 | 0.51 | 0.52 | No Different Than the National Rate | Better than 75% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 88 cases | 179 | 173 | 166 | No Different Than the National Rate | Worse than 60% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 5,526 cases | 0.19 | 0.2 | 0.2079 | No Different Than the National Rate | Better than 66% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 5,449 cases | 0.28 | 0.27 | 0.2646 | No Different Than the National Rate | Worse than 68% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 1,825 cases | 1.53 | 2.29 | 2.31 | No Different Than the National Rate | Better than 99% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 690 cases | 1.32 | 1.63 | 1.619 | No Different Than the National Rate | Better than 92% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 696 cases | 17.68 | 8.88 | 10.06 | Worse Than the National Rate | Worse than 98% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 1,860 cases | 2.44 | 3.4 | 3.337 | No Different Than the National Rate | Better than 96% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 698 cases | 6.28 | 5.105 | 5.234 | No Different Than the National Rate | Worse than 85% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 297 cases | 1.67 | 1.72 | 1.771 | No Different Than the National Rate | Better than 70% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 881 cases | 1.07 | 1.02 | 1.035 | No Different Than the National Rate | Worse than 72% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 225 cases | -14.2 | 4.2 | 11.3 | Better than 81% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 400 cases | -18.4 | 1.25 | -1.323 | Better than 76% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 427 cases | 5.5 | 3.85 | 2.422 | Worse than 52% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 51 cases | 12.6 | 12.9 | 13.1 | No Different Than the National Rate | Better than 69% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.89 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.287 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 300 cases | 1.2 | 1 | 1.017 | No Different than expected | Worse than 89% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 292 cases | 13.5 | 14.4 | 14.48 | Better than 86% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 · 145 cases | 10.7 | 10.9 | 11.35 | Better than 55% of US hospitals | |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 124 cases | 20.6 | 19.8 | 19.85 | Worse than 79% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 535 cases | 19.6 | 21.3 | 21.26 | Better than 92% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 52 cases | 5.5 | 5.8 | 5.89 | Better than 65% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 597 cases | 18.7 | 17.2 | 17.32 | Worse than 90% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.015 | 0.172 | 0.2089 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.458 | 1.504 | 1.706 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 4,846 | 1,370 | 5,045 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 3.383 | 0.9835 | 5.124 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.481 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.296 | 0.484 | 0.524 | No Different than National Benchmark | Better than 66% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1526 | Better than the National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.787 | 1.392 | 1.474 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 5,501 | 1,799 | 4,197 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 3.808 | 1.377 | 5.155 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.82 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.3671 | Better than the National Benchmark | The best result, shared by 24% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2931 | Better than the National Benchmark | ||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.57 | 2.135 | 2.124 | Better than the National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 199 | 61 | 131 | Better than the National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 5.252 | 1.591 | 3.62 | Better than the National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.647 | Better than the National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0 | 0.7155 | 0.6967 | Better than the National Benchmark | The best result, shared by 19% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3341 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.281 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 29 | 38 | 121 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.226 | 0.328 | 1.047 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 0.9659 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.973 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.096 | 0.193 | 0.2282 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.884 | 1.855 | 2.053 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 62,743 | 14,451 | 42,649 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 3.508 | 0.567 | 2.717 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 1.635 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.57 | 0.597 | 0.6545 | No Different than National Benchmark | Better than 53% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.001 | 0.127 | 0.1195 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.141 | 0.747 | 0.935 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 59,070 | 13,646 | 38,870 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 34.9 | 5.683 | 20.56 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 1 | 2 | 4.894 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.029 | 0.279 | 0.2623 | Better than the National Benchmark | Better than 80% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 902 cases | 79 | 73 | 75.97 | Better than 72% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 902 cases | 5 | 8 | 7.771 | Better than 73% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 902 cases | 16 | 18 | 16.26 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 902 cases | 91 | 87 | 87.82 | Better than 81% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 902 cases | 4 | 4 | 3.712 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 902 cases | 76 | 80 | 79.96 | Worse than 72% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 902 cases | 90 | 91 | 90.97 | Worse than 66% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 902 cases | 5 | 4 | 4.535 | Worse than 61% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 902 cases | 3 | 3 | 3.275 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 902 cases | 19 | 16 | 15.51 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 902 cases | 73 | 79 | 79.72 | Worse than 87% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 902 cases | 88 | 91 | 90.24 | Worse than 83% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 902 cases | 8 | 5 | 5.687 | Worse than 84% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 902 cases | 2 | 3 | 2.956 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 902 cases | 19 | 16 | 14.59 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 902 cases | 54 | 61 | 62.66 | Worse than 87% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 902 cases | 72 | 77 | 76.88 | Worse than 84% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 902 cases | 26 | 19 | 19.26 | Worse than 88% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 902 cases | 2 | 3 | 2.672 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 902 cases | 20 | 19 | 18.08 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 902 cases | 86 | 86 | 84.56 | Worse than 45% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 902 cases | 14 | 13 | 13.98 | Worse than 53% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 902 cases | 3 | 3 | 3.07 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 902 cases | 86 | 87 | 86.02 | Worse than 53% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 902 cases | 16 | 14 | 16.2 | Worse than 60% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 902 cases | 84 | 86 | 83.8 | Worse than 60% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 902 cases | 66 | 74 | 74.6 | Worse than 92% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 902 cases | 10 | 7 | 7.327 | Worse than 84% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 902 cases | 24 | 19 | 18.08 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 902 cases | 72 | 77 | 77.72 | Worse than 82% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 902 cases | 9 | 6 | 6.395 | Worse than 86% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 902 cases | 19 | 17 | 15.88 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 902 cases | 80 | 85 | 85.15 | Worse than 85% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 902 cases | 5 | 3 | 4.015 | Worse than 73% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 902 cases | 15 | 11 | 10.84 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 902 cases | 9 | 8 | 8.293 | Worse than 59% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 902 cases | 20 | 20 | 18.19 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 902 cases | 71 | 72 | 73.52 | Worse than 51% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 902 cases | 87 | 88 | 88.12 | Worse than 58% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 902 cases | 3 | 3 | 3.319 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 902 cases | 66 | 74 | 74.97 | Worse than 92% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 902 cases | 14 | 9 | 9.68 | Worse than 87% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 902 cases | 20 | 16 | 15.35 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 902 cases | 71 | 75 | 75.27 | Worse than 74% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 902 cases | 7 | 5 | 6.154 | Worse than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 902 cases | 22 | 20 | 18.58 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 902 cases | 72 | 77 | 76.85 | Worse than 76% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 902 cases | 6 | 4 | 5 | Worse than 71% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 902 cases | 22 | 19 | 18.15 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 902 cases | 84 | 86 | 85.92 | Worse than 65% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 902 cases | 3 | 3 | 3.094 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 902 cases | 13 | 11 | 10.98 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 902 cases | 52 | 59 | 65.6 | Worse than 74% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 902 cases | 11 | 9 | 7.774 | Worse than 60% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 902 cases | 37 | 31 | 26.63 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 902 cases | 79 | 82 | 84.26 | Worse than 66% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 902 cases | 3 | 3 | 3.821 | Worse than 44% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 902 cases | 7 | 5 | 6.017 | Worse than 67% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 902 cases | 72 | 71 | 72.87 | Better than 51% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 902 cases | 87 | 87 | 87.21 | Worse than 49% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 902 cases | 21 | 23 | 21.12 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 902 cases | 4 | 4 | 3.694 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 902 cases | 42 | 47 | 49.46 | Worse than 76% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 902 cases | 37 | 30 | 29.64 | Worse than 83% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 902 cases | 21 | 22 | 20.89 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 902 cases | 3 | 3 | 3.266 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 902 cases | 12 | 12 | 12.55 | Better than 48% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 902 cases | 88 | 88 | 87.45 | Better than 48% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | high | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 6.38 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.192 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2381 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 3,188 cases | 41 | 79 | 72.24 | Worse than 92% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 455 cases | 135 | 154 | 151 | Better than 66% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 432 cases | 133 | 148 | 146 | Better than 62% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 331 | |||
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 14 cases | 332 | 293 | 279 | Worse than 65% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 51,828 cases | 1 | 1 | 1.372 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 69.2 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 66 cases | 97 | 97 | 90.54 | Better than 46% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 99.5 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 41.08 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 3,663 cases | 16 | 15 | 13.94 | Worse than 57% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 134 cases | 78 | 65 | 66.54 | Better than 80% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 34 cases | 68 | 73 | 71.35 | Worse than 61% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 20 cases | 100 | 88 | 89.11 | The best result, shared by 11% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 134 cases | 90 | 82 | 82.14 | Better than 81% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 89 cases | 96 | 94 | 92.38 | Better than 60% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 93.64 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 71.67 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 178 cases | 96 | 94 | 92.48 | Better than 63% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 6,565 cases | 95 | 90 | 78.56 | Better than 69% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 1,390 cases | 100 | 97 | 93.78 | The best result, shared by 14% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 0.7 | 5 | 7.719 | Better than 95% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 7.3 | 6.6 | 6.859 | Worse than 59% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.05 | 0.99 | 1.034 | Worse than 79% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 8 | 20 | 25.32 | Worse than 77% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 2 | 5 | 6.413 | Worse than 77% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 6.145 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 1.611 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 28 | 34 | 39.47 | Worse than 62% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 7 | 8.75 | 10.13 | Worse than 62% of US hospitals | |
| VBP safety domain scoreFY 2026 | 48.33 | 40 | 48.35 | Better than 63% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 12.08 | 10 | 12.26 | Better than 62% of US hospitals | |
| VBP total performance scoreFY 2026 | 21.08 | 29.5 | 29.94 | Worse than 80% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 66 | 55 | 54 | 26.67 | 8 | 8 |
| VBP clinical outcomes weighted domain score | 16.5 | 13.75 | 13.5 | 6.667 | 2 | 2 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 0 | 0 | 10 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 0 | 0 | 2.5 | 0 |
| VBP person and community engagement domain score | 39 | Not Available | Not Available | 11 | 11 | 28 |
| VBP person and community engagement weighted domain score | 9.75 | Not Available | Not Available | 2.75 | 2.75 | 7 |
| VBP safety domain score | 24 | Not Available | Not Available | 48 | 54 | 48.33 |
| VBP safety weighted domain score | 6 | Not Available | Not Available | 12 | 13.5 | 12.08 |
| VBP total performance score | 32.25 | Not Available | Not Available | 21.42 | 20.75 | 21.08 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 208 cases | 0.9056 | 0.9995 | 1.013 | Better than 93% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 · 121 cases | 1.052 | 1 | 1.01 | Worse than 71% of US hospitals | |
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9784 | 0.9969 | 0.999 | Better than 68% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 383 cases | 0.9856 | 0.9983 | 1 | Better than 60% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.006 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 388 cases | 0.9687 | 0.9955 | 1.003 | Better than 69% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9569 | 0.9385 | 0.9409 | 0.9506 | 0.9421 | 0.9056 |
| READM-30-CABG-HRRP | 1.022 | 1.048 | 0.9817 | 1.068 | 1.043 | 1.052 |
| READM-30-COPD-HRRP | 1.05 | 0.9965 | 1.007 | 1.01 | 0.9964 | 0.9784 |
| READM-30-HF-HRRP | 0.8832 | 0.9127 | 0.9503 | 0.9616 | 0.9947 | 0.9856 |
| READM-30-HIP-KNEE-HRRP | 1.012 | 0.9599 | 0.9147 | 0.9318 | N/A | N/A |
| READM-30-PN-HRRP | 1.055 | 1.015 | 0.9884 | 0.9274 | 0.9461 | 0.9687 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.187 | 0.489 | 0.4327 | Better than 80% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.161 | 0.346 | 0.2562 | Better than 78% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.47 | 0.559 | 0.5596 | Better than 59% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 1.082 | 0.6405 | 0.6118 | Worse than 81% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.1 | 0.9628 | 0.9684 | Worse than 81% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.239 | 0.7945 | 0.7483 | Better than 85% of US hospitals | |
| Total HAC scoreFY 2026 | -0.2478 | -0.0453 | -0.1734 | Better than 64% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | 0.0029 | -0.0812 | 0 | -0.6139 | -0.5678 | -0.2478 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2023)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
209
Medicare-certified beds
307
Registered nurses (full-time equivalent)
1983
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What St. David S Round Rock Medical Center reported to Medicare in its latest cost report, covering Mar 1, 2025 to Feb 28, 2026.
12,908
Inpatient discharges
Medicare 25%, Medicaid 4%
61,233
Inpatient days
86% of available bed days used
943
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 841663). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges St. David S Round Rock Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 15,338 | 1,335 | 44,560 | 61,233 |
| Discharges | 3,230 | 465 | 9,213 | 12,908 |
| Average length of stay | 4.7 days | 2.9 days | 4.8 days | 4.7 days |
| Average daily census | 42.0 | 3.7 | 122.1 | 167.8 |
18,438
Medicare Advantage days
3,270 discharges
3,234
Medicaid managed care days
962 discharges
1,830
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 161 | 52,306 | 13,962 | 89% |
| Intensive care unit | 22 | 6,354 | 1,376 | 79% |
| Other special care | 12 | 1,194 | 27% | |
| Nursery | 1,379 | |||
| Subprovider - irf | 12 | 4,162 | 2,100 | 95% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841663, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What St. David S Round Rock Medical Center treats Medicare patients for most often, in 2024. 2,182 Medicare discharges in 83 published DRGs; 35% surgical; 68% in DRGs with complications (CC or MCC).
| 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 | 191 | $122,114 | $11,872 | $10,624 | 1.98 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 115 | $347,725 | $20,545 | $30,252 | 3.24 |
| Heart failure and shock with MCCMS-DRG 291, medical | 115 | $82,668 | $8,282 | $7,192 | 1.28 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 61 | $194,378 | $13,533 | $16,911 | 2.07 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 59 | $82,721 | $8,021 | $7,197 | 1.33 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 51 | $128,485 | $12,279 | $11,178 | 2.00 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 50 | $90,250 | $9,575 | $7,852 | 1.70 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 47 | $685,332 | $40,881 | $59,624 | 6.25 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 44 | $66,468 | $8,107 | $5,783 | 1.32 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 43 | $122,897 | $9,857 | $10,692 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 42 | $193,349 | $11,131 | $16,821 | 1.82 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 42 | $300,314 | $30,874 | $26,127 | 5.00 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 40 | $68,015 | $7,587 | $5,917 | 1.23 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 39 | $245,134 | $13,487 | $21,327 | 2.11 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 37 | $117,447 | $10,268 | $10,218 | 1.65 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 36 | $70,329 | $6,195 | $6,119 | 1.02 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 32 | $205,615 | $13,861 | $17,888 | 2.37 |
| Medical back problems without MCCMS-DRG 552, medical | 32 | $83,668 | $5,695 | $7,279 | 0.97 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 32 | $72,959 | $7,105 | $6,347 | 1.17 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 31 | $174,739 | $13,205 | $15,202 | 2.16 |
See all 83 Medicare inpatient DRGs at St. David S Round Rock Medical Center
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.
The comprehensive outpatient service groups (APCs) St. David S Round Rock Medical Center billed Medicare for most in 2024: 1,430 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Endovascular ProceduresAPC 5191 | 222 | 221 | $59,025 | $2,049 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 150 | 150 | $41,898 | $1,892 | $2,090 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 137 | 133 | $329,381 | $18,933 | $21,117 |
| Level 3 Vascular ProceduresAPC 5183 | 119 | 114 | $41,592 | $2,215 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 102 | 92 | $141,483 | $8,037 | $8,874 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 95 | 92 | $24,717 | $1,123 | $1,220 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 68 | 68 | $148,842 | $7,756 | $8,569 |
| Level 4 Endovascular ProceduresAPC 5194 | 62 | 53 | $193,139 | $13,547 | $14,606 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 55 | 55 | $79,908 | $4,044 | $4,358 |
| Level 4 Vascular ProceduresAPC 5184 | 50 | 47 | $78,217 | $3,700 | $3,946 |
See all 24 Medicare outpatient services at St. David S Round Rock Medical Center
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.
ZIP codes with the most Medicare inpatient stays at St. David S Round Rock Medical Center in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 4,249 in 2020 to 6,071 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 78681 | 630 | 10% | 3,545 | $114M | 45% | 45% |
| 78641 | 554 | 9% | 2,746 | $107.5M | 25% | 19% |
| 78613 | 495 | 8% | 2,548 | $88.7M | 24% | 18% |
| 78633 | 447 | 7% | 1,787 | $127.3M | 13% | 10% |
| 78664 | 433 | 7% | 2,238 | $76.5M | 28% | 31% |
| 78660 | 410 | 7% | 2,339 | $77.5M | 17% | 20% |
| 78628 | 280 | 5% | 1,197 | $74.6M | 13% | 12% |
| 78665 | 275 | 5% | 1,195 | $45.2M | 17% | 18% |
| 78717 | 181 | 3% | 888 | $34.8M | 46% | 41% |
| 78642 | 178 | 3% | 855 | $37.3M | 22% | 23% |
| 78634 | 168 | 3% | 784 | $31.4M | 18% | 14% |
| 78729 | 159 | 3% | 1,016 | $31.2M | 24% | 19% |
| 78645 | 150 | 2% | 749 | $36.1M | 21% | 16% |
| 78626 | 146 | 2% | 612 | $32.1M | 11% | 10% |
| 78750 | 125 | 2% | 643 | $22.2M | 19% | 20% |
| 78728 | 101 | 2% | 565 | $21M | 17% | 16% |
| 78759 | 93 | 2% | 485 | $16.7M | 7% | 8% |
| 76574 | 84 | 1% | 512 | $15.5M | 8% | 9% |
| 78753 | 72 | 1% | 408 | $15.3M | 6% | 4% |
| 78758 | 64 | 1% | 351 | $10.5M | 6% | 6% |
| 76537 | 51 | 1% | 243 | $11.2M | 15% | 12% |
| 78726 | 48 | 1% | 310 | $9.9M | 27% | 16% |
| 78727 | 48 | 1% | 289 | $9.5M | 8% | 5% |
| 76567 | 42 | 1% | 158 | $6.8M | 7% | 4% |
| 78653 | 42 | 1% | 213 | $6.4M | 5% | 7% |
Source: CMS Hospital Service Area file. Shares are of the 6,071 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units St. David S Round Rock Medical Center reported at its latest Medicare certification survey (2023). Counts are people, not full-time equivalents.
9
Operating rooms
1
Endoscopy rooms
4
Cardiac catheterization rooms
12
Rehabilitation unit beds
9
Off-site locations
3
Off-site emergency departments
307
Registered nurses
15
Licensed practical nurses
9
Pharmacists
15
Respiratory therapists
17
Physical therapists
10
Occupational therapists
3
Speech pathologists and audiologists
8
Radiology technicians
2
Nuclear medicine technicians
7
Laboratory technicians
13
Medical technologists
2
Dietitians
4
Social workers
302
Other personnel
Source: CMS Provider of Services file.
670 clinicians who bill Medicare list St. David S Round Rock Medical Center as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Darren Kocs, MD
Hematology & Oncology Physician
NPI 1972541357
See commercial rates for Darren Kocs, MDBrian Shimkus, MD
Medical Oncology Physician
NPI 1730164591
See commercial rates for Brian Shimkus, MDBeth Hellerstedt, M.D.
Hematology & Oncology Physician
NPI 1215975487
See commercial rates for Beth Hellerstedt, M.D.Shubhada Shrikhande, MD
Hematology & Oncology Physician
NPI 1982661674
See commercial rates for Shubhada Shrikhande, MDMichelle Ashworth, M.D.
Hematology & Oncology Physician
NPI 1477874477
See commercial rates for Michelle Ashworth, M.D.Nihar Patel, M.D.
Hematology & Oncology Physician
NPI 1528228921
See commercial rates for Nihar Patel, M.D.Sylvia Jaramillo, MD
Medical Oncology Physician
NPI 1407089642
See commercial rates for Sylvia Jaramillo, MDAllison Gorrebeeck, MD
Hematology & Oncology Physician
NPI 1467548628
See commercial rates for Allison Gorrebeeck, MDAndrew Shaw, M.D.
Hematology & Oncology Physician
NPI 1558686915
See commercial rates for Andrew Shaw, M.D.John Willis, MD
Family Medicine Physician
NPI 1730269721
See commercial rates for John Willis, MDMurray Snook, MD
Family Medicine Physician
NPI 1326125097
See commercial rates for Murray Snook, MDAthira Unnikrishnan, MD
Hematology & Oncology Physician
NPI 1467744391
See commercial rates for Athira Unnikrishnan, MDAshleigh Porter
Hematology & Oncology Physician
NPI 1326435371
See commercial rates for Ashleigh PorterRajeev Shah, MD
Neuroradiology Physician
NPI 1851351704
See commercial rates for Rajeev Shah, MDSeyed Abedi, M.D.,PH.D.
Hematology & Oncology Physician
NPI 1033567409
See commercial rates for Seyed Abedi, M.D.,PH.D.Nabeel Farhataziz, M.D.
Diagnostic Radiology Physician
NPI 1609884089
See commercial rates for Nabeel Farhataziz, M.D.Elizabeth Peckham, D.O.
Neurology Physician
NPI 1154533743
See commercial rates for Elizabeth Peckham, D.O.Michael Herman, M.D.
Radiation Oncology Physician
NPI 1134419955
See commercial rates for Michael Herman, M.D.Kevin Cwach, M.D.
Urology Physician
NPI 1386037638
See commercial rates for Kevin Cwach, M.D.Saman Hassibi, M.D.
Diagnostic Radiology Physician
NPI 1972564094
See commercial rates for Saman Hassibi, M.D.Stephen Barman, MD
Hematology & Oncology Physician
NPI 1104185750
See commercial rates for Stephen Barman, MDRoss Frederick
Diagnostic Radiology Physician
NPI 1992232268
See commercial rates for Ross FrederickKellan Schallert, M.D.
Diagnostic Radiology Physician
NPI 1902240914
See commercial rates for Kellan Schallert, M.D.Frank Chia, M.D.
Diagnostic Radiology Physician
NPI 1760468193
See commercial rates for Frank Chia, M.D.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income St. David S Round Rock Medical Center reported to Medicare for Mar 1, 2025 to Feb 28, 2026. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $4B | 1006.0% |
| Inpatient | $2.5B | 624.9% |
| Outpatient | $1.5B | 381.2% |
| Contractual allowances and discounts | -$3.6B | -906.0% |
| Net patient revenue | $397.5M | 100.0% |
| Operating expenses | -$291.6M | -73.4% |
| Operating income from patient care | $105.9M | 26.6% |
| Other income | $1.2M | 0.3% |
| Net income | $107.1M | 26.9% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $940M | 23.5% |
| Medicaid (including managed care) | $108.9M | 2.7% |
| Other payers and self-pay | $3B | 73.8% |
| Total charges | $4B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841663, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from St. David S Round Rock Medical Center's latest cost report.
26.6%
Operating margin
Operating income from patient care / net patient revenue
26.9%
Total margin
Net income / net patient revenue plus other income
31.7%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
35% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$42.19
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
44.4%
Return on assets
Net income for a year / total assets
12.0%
Return on equity
Net income for a year / fund balance
-0.76
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
3.65
Current ratio
Current assets / current liabilities
3.22
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
61 days
Days in patient receivables
Net patient receivables / daily net patient revenue
27 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.65
Asset turnover
Total revenue for a year / total assets
9.0 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 841663, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What St. David S Round Rock Medical Center owned and owed at the end of its reporting period (Feb 2026), across all fund types: $241.3M in total assets and a $890M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $1,030 | 0.0% |
| Patient receivables, net | $66M | 27.4% |
| Inventory | $7.6M | 3.1% |
| Total current assets | $74.8M | 31.0% |
| Property and equipment, net of depreciation | $123.6M | 51.2% |
| Investments and other assets | $42.9M | 17.8% |
| Total assets | $241.3M | 100.0% |
| Current liabilities | $20.5M | 8.5% |
| Long-term debt | -$674.7M | -279.6% |
| Total liabilities | -$648.7M | -268.8% |
| Fund balance (net assets) | $890M | 368.8% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841663, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care St. David S Round Rock Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$21.7M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$13M
Bad debt
Patient bills written off as uncollectible, at charges
$7.3M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$15,138
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$63,371
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$30.1M
Total unreimbursed and uncompensated care
10.3% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 841663, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
St. David S Round Rock Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Feb 2021 | Feb 2022 | Feb 2023 | Feb 2024 | Feb 2025 | Feb 2026 |
|---|---|---|---|---|---|---|
| Net patient revenue | $234.7M | $277.6M | $296.7M | $340.1M | $370M | $397.5M |
| Operating expenses | $180.6M | $207.2M | $220.3M | $246.6M | $288.2M | $291.6M |
| Operating margin | 23.1% | 25.4% | 25.7% | 27.5% | 22.1% | 26.6% |
| Net income | $54.8M | $71.1M | $82M | $94.5M | $83M | $107.1M |
| Total assets | $135.2M | $139.6M | $166.1M | $203.2M | $206.7M | $241.3M |
| Discharges | 9,566 | 10,531 | 11,223 | 11,935 | 13,256 | 12,908 |
| Inpatient days | 44,913 | 52,595 | 54,111 | 56,801 | 63,201 | 61,233 |
| Medicare Advantage days | 8,042 | 11,063 | 13,047 | 14,898 | 17,663 | 18,438 |
| Beds | 157 | 171 | 173 | 179 | 207 | 207 |
| Employees (FTE) | 789 | 804 | 791 | 836 | 918 | 943 |
Source: CMS cost report (HCRIS, Form 2552-10), report 841663, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center St. David S Round Rock Medical Center reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Impl. dev. charged to patients | $39M | $634.1M | 0.06 | ||
| Medical supplies charged to patient | $148,622 | $29.8M | $441.9M | 0.07 | |
| Operating room | $6.2M | $25.6M | $384.6M | 0.07 | 38,073 |
| Emergency | $8M | $18M | $276.2M | 0.07 | 24,914 |
| Cardiac catheterization | $4.6M | $12.8M | $333.8M | 0.04 | 14,941 |
| Drugs charged to patients | $2.6M | $11.3M | $319.4M | 0.04 | 4,654 |
| Laboratory | $2.7M | $8.8M | $349.3M | 0.03 | 5,268 |
| Physical therapy | $4.7M | $8.6M | $60M | 0.14 | 7,976 |
| Radiology-diagnostic | $1.8M | $5.3M | $90.1M | 0.06 | 4,169 |
| Delivery room & labor room | $2M | $5.1M | $22.8M | 0.23 | 11,603 |
| Respiratory therapy | $2.2M | $4.5M | $117.7M | 0.04 | 3,390 |
| Outpatient cardiac imaging clinics | $993,404 | $3.9M | $61.2M | 0.06 | 9,686 |
| Blood storing processing & trans. | $3.7M | $11.7M | 0.32 | 329 | |
| Ct scan | $1M | $3M | $310M | 0.01 | 2,334 |
| Recovery room | $980,212 | $2.7M | $37.7M | 0.07 | 5,390 |
| Mammography | $2.2M | $4.1M | 0.54 | 5,022 | |
| Observation beds (non-distinct part | $1.9M | $4.5M | 0.42 | ||
| Renal dialysis | $777,582 | $1.5M | $3.8M | 0.40 | 355 |
| Mri | $513,640 | $1.2M | $48.6M | 0.02 | 1,269 |
| Ultra sound | $608,167 | $1.1M | $27.2M | 0.04 | 707 |
| Anesthesiology | $219,829 | $924,616 | $80.6M | 0.01 | 474 |
| Cardiac rehabilitation | $388,166 | $895,113 | $4.8M | 0.19 | 2,132 |
| Endoscopy | $228,339 | $721,003 | $8M | 0.09 | 691 |
| Electrocardiology | $319,921 | $696,934 | $15.8M | 0.04 | 1,442 |
| Radioisotope | $167,059 | $522,653 | $9.4M | 0.06 | 617 |
| Electroencephalography | $358,679 | $1.9M | 0.19 | ||
| Ambulance services | $187,421 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $21.3M | $56M | $232.1M | 0.24 | 87,496 |
| Intensive care unit | $4.9M | $11.9M | $86.2M | 0.14 | 15,045 |
| Subprovider - irf | $2M | $4.4M | $10.5M | 0.42 | 6,526 |
| Neonatal intensive care unit | $1.2M | $2.4M | $10M | 0.24 | 4,830 |
| Nursery | $212,473 | $797,542 | $5.2M | 0.15 | 1,671 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $8.2M | $38.7M | 183,144 | $44.77 | 19,645 |
| Employee benefits department | $97,475 | $14M | 1,824 | $53.37 | 2,534 |
| Cap rel costs-bldg & fixt | $12.3M | 374,655 | |||
| Cap rel costs-mvble equip | $9.6M | ||||
| Operation of plant | $1.3M | $8.2M | 31,503 | $41.71 | 79,518 |
| Housekeeping | $1.6M | $4.3M | 63,864 | $24.80 | 1,405 |
| Dietary | $1.1M | $2.9M | 53,299 | $19.94 | 7,509 |
| Nursing administration | $1.8M | $2.4M | 30,901 | $56.69 | 1,023 |
| Medical records & library | $1.5M | 878 | |||
| Laundry & linen service | $87,094 | $1.2M | 3,495 | $24.88 | 1,039 |
Source: CMS cost report (HCRIS, Form 2552-10), report 841663, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays St. David S Round Rock Medical Center for an inpatient stay.
2.24
Case mix index
Higher than 89% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
20.6%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
3,272
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.86 | 1.86 | 2.01 | 2.06 | 2.19 | 2.31 | 2.24 |
| Wage index | 0.934 | 0.930 | 0.928 | 0.898 | 0.949 | 0.972 | 0.991 |
| Readmissions adjustment | -1.21% | -0.51% | -0.29% | -0.01% | -0.18% | -0.13% | -0.17% |
| Value-based purchasing adjustment | -0.20% | +0.07% | +0.07% | -0.95% | +0.03% | -0.14% | -0.55% |
| Medicare inpatient stays | 3,392 | 3,392 | 3,000 | 3,043 | 2,951 | 3,107 | 3,272 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations St. David S Round Rock Medical Center reports to Medicare as owners or with operational control.
Frisco Holding II
5% or greater indirect ownership interest, 16.3%, since 2026
Hercules Holding II
5% or greater direct ownership interest, 14.4%, since 2006
Col-namc Holdings Inc
5% or greater direct ownership interest, since 2007
Col-namc Holdings Inc
General partnership interest, since 2007
Columbia-sdh Holdings Inc
5% or greater direct ownership interest, since 2007
Columbia-sdh Holdings Inc
General partnership interest, since 2007
Galen Holdco LLC
5% or greater direct ownership interest, since 2007
Galtex LLC
5% or greater direct ownership interest, since 2007
HCA Health Services Of Texas Inc
5% or greater direct ownership interest, since 2007
HCA Healthcare Inc
5% or greater direct ownership interest, since 2011
HCA Inc
5% or greater direct ownership interest, since 2007
HCA Squared LLC
5% or greater direct ownership interest, since 2011
Healthserv Acquisition LLC
5% or greater direct ownership interest, since 2007
Healthtrust Inc - The Hospital Company
5% or greater direct ownership interest, since 2007
Hospital Corp LLC
5% or greater direct ownership interest, since 2007
Medical City Dallas Hospital Inc
5% or greater direct ownership interest, since 2007
Notco, LLC
5% or greater direct ownership interest, since 2007
Round Rock Hospital Inc
5% or greater direct ownership interest, since 2007
Round Rock Hospital Inc
Operational/managerial control, since 2007
Round Rock Hospital Inc
General partnership interest, since 2007
St. David's Foundation
General partnership interest, since 2007
St. David's Foundation
5% or greater direct ownership interest, since 2007
Sources: CMS Hospital All Owners.
The officers and board members on St. David S Round Rock Medical Center's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 3 of 5 are shown.
Round rock med ctr rehab unit
CCN 45T718, certified 2012, Medicare prospective payment
Source: Worksheet S-2 Part I of St. David S Round Rock Medical Center's latest Medicare cost report (HCRIS).
About St. David S Round Rock Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at St. David S Round Rock Medical Center range from $563 to $2,237 across 3 insurers. Blue Cross Blue Shield's rate is $1,153. The median at nearby comparable hospitals is $1,584. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St. David S Round Rock Medical Center range from $563 to $1,969 across 3 insurers. Blue Cross Blue Shield's rate is $1,149. The median at nearby comparable hospitals is $1,451. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at St. David S Round Rock Medical Center range from $1,642 to $4,638 across 3 insurers. UnitedHealthcare's rate is $4,310. The median at nearby comparable hospitals is $2,111. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at St. David S Round Rock Medical Center range from $6,077 to $7,776 across 3 insurers. Aetna's rate is $6,077. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at St. David S Round Rock Medical Center range from $148 to $521 across 3 insurers. Blue Cross Blue Shield's rate is $180. The median at nearby comparable hospitals is $771. What a patient pays depends on their plan's deductible, coinsurance and network status.
St. David S Round Rock Medical Center 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.
CMS reports no Medicare-funded interns or residents at St. David S Round Rock Medical Center for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts St. David S Round Rock Medical Center's base inpatient payments by an estimated 0.17% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (191 discharges), percutaneous and other intracardiac procedures without mcc (115 discharges), heart failure and shock with mcc (115 discharges).
St. David S Round Rock Medical Center's Medicare case mix index is 2.24 for fiscal year 2027, higher than 89% of hospitals paid under the inpatient prospective payment system.
St. David S Round Rock Medical Center reported 12,908 inpatient discharges and 61,233 inpatient days from Mar 1, 2025 to Feb 28, 2026.
St. David S Round Rock Medical Center reported 943 full-time-equivalent employees on payroll from Mar 1, 2025 to Feb 28, 2026.
St. David S Round Rock Medical Center reported $397.5M in net patient revenue on $4B of gross charges for Mar 1, 2025 to Feb 28, 2026, an operating margin of 26.6%, and net income of $107.1M.
St. David S Round Rock Medical Center reported $30.1M of unreimbursed and uncompensated care for Mar 1, 2025 to Feb 28, 2026, including $21.7M of charity care at cost.
St. David S Round Rock Medical Center's Medicare enrollment lists James Newman as CEO since 2024.
Insurers' price transparency files list St. David S Round Rock Medical Center under employer identification number 74-2781812 ((multi-state) St Davids South Austin Medical Center). 63 health plans and networks list 74-2781812 for it.
670 clinicians who bill Medicare list St. David S Round Rock Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (58), diagnostic radiology physician (52), anesthesiology physician (51).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for St. David S Round Rock Medical Center, effective 2023.
In its Medicare enrollment, St. David S Round Rock Medical Center reports Frisco Holding II as 5% or greater indirect ownership interest (16.3%).
CMS lists 38 services at St. David S Round Rock Medical Center, including Acute Renal Dialysis, Anesthesia, Audiology, Cardiac Catheterization Lab, Cardiac Thoracic Surgery, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation).
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at St. David S Round Rock Medical Center came from ZIP codes 78681 (630), 78641 (554), 78613 (495).
St. David S Round Rock Medical Center has 207 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 209 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
St. David S Round Rock Medical Center is located at 2400 Round Rock Avenue, Round Rock, TX 78681. Its main phone number is (512) 341-1000.
St. David S Round Rock Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 450718.
The National Provider Identifier (NPI) on file for St. David S Round Rock Medical Center is 1649223645.
St. David S Round Rock Medical Center is affiliated with HCA Healthcare.
St. David S Round Rock Medical Center lists 35 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
520 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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.
What a review covers