Round Rock Medical Center
2400 Round Rock Ave, Round Rock, TX 78681 · 125 Priced Procedures · 70% Patient Recommendation
Typical commercial prices here are +14% above the fair benchmark (1.14×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.14× fair market pricing.
Aligned Regional Benchmark Peer
Round Rock Medical Center prices shoppable and inpatient services (1.5× to 1.0× Medicare, divergence 0.67×) in alignment with regional hospital peers (1.14× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.88× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 2% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (68/100 safety score) with 70% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.14× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Commercial insurance median sits at 1.03× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.36×) jump +32% above the median procedure ratio (Q50 1.03×)
- Unnegotiated chargemaster list prices average 15.5× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Round Rock Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 125 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Trauma team activation HCPCS Code: G0390 | $31,193 | 21.5× |
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $25,744 | 0.8× |
| Total hip replacement CPT Code: 27130 | $18,339 | 1.4× |
| Total knee replacement CPT Code: 27447 | $18,339 | 1.4× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $16,064 | 0.8× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $15,962 | 0.8× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $14,786 | 0.8× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $8,970 | unverified |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $7,324 | 0.9× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $6,050 | unverified |
| Vaginal delivery (full package) CPT Code: 59400 | $5,722 | 2.1× |
| C-section delivery (full package) CPT Code: 59510 | $5,722 | 1.9× |
| Inguinal hernia repair CPT Code: 49505 | $5,410 | 1.5× |
| Bunion correction surgery CPT Code: 28296 | $5,192 | unverified |
| Cataract surgery with lens implant CPT Code: 66984 | $4,939 | 1.9× |
| Breast lump removal CPT Code: 19120 | $4,822 | 1.2× |
| Colonoscopy with biopsy CPT Code: 45380 | $3,112 | 2.5× |
| Upper endoscopy with biopsy CPT Code: 43239 | $2,996 | 3.0× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,996 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,485 | 2.4× |
| Injection procedure for pain management HCPCS Code: G0260 | $2,070 | 2.4× |
| Blood transfusion CPT Code: 36430 | $1,736 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $649 | 1.1× |
| Rabies immune globulin HCPCS Code: 90375 | $463 | 1.4× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $488 | 1.0× |
Audit a Bill or Quote at Round Rock Medical Center (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Round Rock Medical Center's published 45 CFR § 180 self-pay cash rate is $31,193 (vs. $31,193 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $1,453 Fair BaseRate ($1,362 Medicare)
Your bill ($31,193) is $29,740 above the denoised Fair BaseRate ($1,453) and 22.9× the $1,362 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Round Rock Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (830 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Round Rock Medical Center.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.