How many shoppable procedure prices are published for St David's Medical Center?

St David's Medical Center in Austin, TX currently has 129 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do St David's Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, St David's Medical Center's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is St David's Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns St David's Medical Center an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 525 Beds · urban Updated: 2026-09-01

St David's Medical Center

919 E 32Nd St, Austin, TX 78705 · 129 Priced Procedures · 75% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.44×vs. Fair Market Price

Typical commercial prices here are +44% above the fair benchmark (1.44×) even after accounting for local nurse/doctor wages and patient complexity.

73/100 · Corroborated

73/100Self-Pay Cash Beats Insurance 2% of the Time

File Completeness90

Price Logic91

Peer Alignment66

Clean Billing96

Real Cash Discount6

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.44× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

St David's Medical Center prices routine shoppable procedures near 2.3× Medicare (p50 1.26×) while skewing captive emergency, lab, and upper-quartile codes to 4.5× Medicare (p75 2.20×, +75% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#222 of 307 in TX · 71st State Percentile#2,541 of 3,385 in U.S. · 75th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.00× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 2% of shoppable procedures (25/100 Cash Honesty)
4-Star CMS clinical rating with 75% patient recommendation (73/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.44× 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.
Captive ER (1.1×) & laboratory (1.0×) services average 1.96× higher multiples than routine shoppable care (2.3×)
Upper-quartile procedures (Q75 2.20×) jump +75% above the median procedure ratio (Q50 1.26×)
Unnegotiated chargemaster list prices average 14.4× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.3× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.96× Divergence

4.5× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+75% Upper Tail

Q25 1.00× · Q50 1.26× · Q75 2.20×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.3× MedicareFair

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.1× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.0× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.9× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

2% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 73/100Fair

Procedure Prices at St David's Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 129 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	—	$23,800	$13,413	1.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$16,506	$19,432	0.8×
C-section delivery (full package) CPT Code: `59510`	—	$13,590	$2,975	4.6×
Vaginal delivery (full package) CPT Code: `59400`	—	$12,911	$2,680	4.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$8,970	$6,109	1.5×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$6,162	$3,372	1.8×
Inguinal hernia repair CPT Code: `49505`	—	$5,938	$3,629	1.6×
Bunion correction surgery CPT Code: `28296`	—	$5,849	$3,446	1.7×
Cataract surgery with lens implant CPT Code: `66984`	—	$5,614	$2,540	unverified
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$5,202	$257	unverified
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$5,202	$269	unverified
Behavioral health day treatment HCPCS Code: `H0010`	—	$5,202	$343	unverified
Behavioral health residential care HCPCS Code: `H0011`	—	$5,202	$364	unverified
Breast lump removal CPT Code: `19120`	—	$5,014	$3,875	1.3×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$4,962	$8,223	0.6×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$4,962	$19,087	unverified
Trauma team activation HCPCS Code: `G0390`	—	$4,269	$1,453	unverified
Colonoscopy with biopsy CPT Code: `45380`	—	$3,203	$1,256	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$3,120	$981	3.2×
Upper endoscopy with biopsy CPT Code: `43239`	—	$3,120	$987	3.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$7,667	$2,597	$1,021	unverified
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$2,465	$30,775	0.1×
Injection procedure for pain management HCPCS Code: `G0260`	$3,219	$2,078	$855	2.4×
Blood transfusion CPT Code: `36430`	$2,869	$1,672	$498	3.4×
Rabies immune globulin HCPCS Code: `90375`	$6,791	$1,610	$322	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$4,190	$1,546	$110	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,955	$1,424	$583	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$2,356	$858	$123	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$6,941	$828	$511	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$1,990	$616	$151	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$1,932	$615	$87	unverified
MRI, knee or other leg joint CPT Code: `73721`	$4,903	$518	$369	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$1,229	$437	$64	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,570	$421	$272	unverified
MRI, brain (no contrast) CPT Code: `70551`	$4,903	$352	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$5,439	$352	$338	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$7,076	$354	$448	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,361	$374	$126	unverified
Neurobehavioral status check CPT Code: `96116`	$786	$269	$231	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$967	$269	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,599	$291	$134	unverified
X-ray, hand CPT Code: `73130`	$1,511	$231	$93	2.5×
X-ray, foot CPT Code: `73630`	$1,060	$224	$92	2.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$581	$199	$201	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$202	$17,936	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$3,506	$218	$167	unverified
CT scan, pelvis CPT Code: `72192`	$2,468	$214	$163	unverified
X-ray, shoulder CPT Code: `73030`	$1,616	$216	$92	unverified
X-ray, ankle CPT Code: `73610`	$1,580	$239	$93	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$7,076	$235	$303	unverified
X-ray, pelvis CPT Code: `72170`	$876	$163	$110	1.5×
Family therapy session CPT Code: `90847`	$480	$164	$173	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$2,844	$168	$242	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$3,552	$193	$258	unverified
X-ray, lower back CPT Code: `72110`	$1,677	$167	$112	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$661	$180	$123	unverified
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$161	$33	unverified
X-ray, chest (single view) CPT Code: `71045`	$881	$124	$92	1.3×
X-ray, chest (two views) CPT Code: `71046`	$1,105	$124	$93	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$1,271	$124	$93	1.3×
X-ray, hip CPT Code: `73502`	$1,161	$124	$93	1.3×
Speech therapy (language evaluation) CPT Code: `92507`	$412	$114	$86	1.3×
Psychological testing evaluation CPT Code: `96136`	—	$110	$128	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$487	$127	$148	0.9×
Psychological testing by technician CPT Code: `96138`	—	$110	$395	0.3×
CT scan, head (no contrast) CPT Code: `70450`	$2,374	$119	$160	unverified
CT scan, sinuses CPT Code: `70486`	$2,374	$131	$166	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$2,966	$140	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,966	$140	$168	unverified
Ultrasound, pelvis CPT Code: `76856`	$1,410	$106	$130	unverified
Speech therapy (group session) CPT Code: `92508`	$433	$100	$27	unverified
Typhoid vaccine HCPCS Code: `90675`	$2,739	$520	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$2,085	$380	$203	unverified
Culture, bacterial CPT Code: `87070`	$810	$199	$9	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$853	$220	$140	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$1,233	$193	$111	unverified
Drug screening test HCPCS Code: `G0480`	$816	$213	$116	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$466	$123	$4	unverified
Blood test, amylase CPT Code: `82150`	$418	$93	$7	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$721	$101	$56	unverified
Blood test, potassium CPT Code: `84132`	$444	$73	$5	unverified
Physical therapy (gait training) CPT Code: `97116`	$160	$43	$33	1.3×
Orthotic fitting and training CPT Code: `97760`	$207	$58	$51	1.1×
Care planning with family CPT Code: `90887`	—	$66	$107	0.6×
Prosthetic fitting and training CPT Code: `97761`	$260	$74	$45	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$40	$25	1.6×
Review of medical records for care CPT Code: `90889`	—	$64	$114	0.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	$86	$37	$35	1.1×
Behavioral health living support HCPCS Code: `H2019`	—	$35	$34	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$1,106	$41	$14	unverified
Blood test, magnesium CPT Code: `83735`	$384	$61	$7	unverified
Blood test, sodium CPT Code: `84295`	$333	$57	$5	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$340	$81	$37	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$507	$24	$5	4.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$306	$15	$4	3.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$975	$11	$11	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$421	$3	$3	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$70	$26	$48	0.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$124	$46	$86	0.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$70	$25	$49	0.5×
Colorectal cancer screening HCPCS Code: `G0010`	$70	$25	$49	0.5×
Flu vaccine (high dose) HCPCS Code: `90656`	$114	$38	$25	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$165	$61	$39	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$194	$44	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$280	$54	$38	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$254	$50	$34	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$194	$45	$40	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$201	$44	$38	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$201	$37	$38	unverified
Blood test, hemoglobin CPT Code: `85018`	$215	$11	$3	3.7×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$582	$6	$6	1.0×
Blood antibody screen CPT Code: `86850`	$447	$11	$46	0.2×
Blood test, basic metabolic panel CPT Code: `80048`	$1,163	$10	$9	unverified
Blood test, liver function panel CPT Code: `80076`	$1,447	$9	$9	unverified
Blood test, vitamin D CPT Code: `82306`	$836	$31	$31	unverified
Blood test, calcium CPT Code: `82310`	$319	$16	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$289	$14	$5	unverified
Blood test, vitamin B12 CPT Code: `82607`	$533	$18	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$280	$14	$14	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$440	$10	$10	unverified
Blood test, lipase CPT Code: `83690`	$706	$9	$7	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$428	$19	$19	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$1,061	$18	$18	unverified
Hepatitis C antibody test CPT Code: `86803`	$1,123	$15	$15	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$428	$21	$20	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$204	$42	$14	unverified
Culture, blood CPT Code: `87040`	$319	$11	$11	unverified

Showing top 25 high-impact procedures of 129 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at St David's Medical Center (Zero PHI Required)

CMS CCN: 450431

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $23,800

1. Amount on Your Bill or Quote ($) Pre-filled with St David's Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

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.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask St David's Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$43,707 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($57,120) is $43,707 above the denoised Fair BaseRate ($13,413) and 4.4× the $13,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 742781812

Public IRS & CMS ownership records classify St David's 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.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite73/100

Would Recommend75%

Rated 9 or 10 (HCAHPS)73%

Median ER Wait161 min

Left ER Before Seen1%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate2.7%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at St David's Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-04-29·administrative_or_closure
Met Requirements
Recorded
2024-02-14·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (1,688 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for St David's Medical Center.

Price Index: 1.14× regional baseline

Quality: 78/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Molina

-48.7%

Median Household Income$97,169U.S. Census ACS

Local Uninsured Share12.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 73/100 · Corroborated CMS CCN 450431 EIN 742781812

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 450431) ↗ Verify IRS Form 990 (EIN 742781812) ↗ CMS HCRIS Cost Reports ↗

Published MRF File74-2781812_HEART-HOSP-OF-AUSTIN_standardcharges.json

Publication / Vintage2026-09-01 · 718.52 MB

Validated Rate Rows13,316 (CMS v3.0.0)

File Integrity Digest6f59299d8f11081c69d5…

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.

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