CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Ascension Seton Northwest

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,084
about 1.2× the $14,044 Medicare rate · typically $11,697–$20,009
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,237
Below the fair price — a good deal
about $4,847 under the fair price · 0.9× Medicare
Medicare pays $14,044 Fair price $17,084 This hospital $12,237

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $8,277 Priciest $12,237

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $17,084 (about 1.2× the $14,044 Medicare rate). Ascension Seton Northwest charges insurers about $12,237 — below the fair price — a good deal. Located in Austin, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $11,474 - $13,993 82%
Blue Cross Blue Shieldmajor $6,318 - $8,368 45%
Aetnamajor $12,237 87%
Cignamajor $6,863 49%
Humanamajor $4,701 - $12,237 33%
Ambetter (Centene) $22,027 157%
Devoted Health $12,237 87%
Oscar Health $9,379 67%
WellCare $12,237 87%
WellMed $11,992 85%
+ 14 smaller / regional plans $4,937 - $21,415
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 11113 Research Boulevard, Austin, TX 78759
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals