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

St David's South Austin Medical Center in Austin, TX currently has 125 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, St David's South Austin Medical Center's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns St David's South Austin Medical Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 344 Beds · urban Updated: 2026-09-01

St David's South Austin Medical Center

901 West Ben White Blvd, Austin, TX 78704 · 125 Priced Procedures · 68% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.15×vs. Fair Market Price

Typical commercial prices here are +15% above the fair benchmark (1.15×) even after accounting for local nurse/doctor wages and patient complexity.

69/100 · Caution

69/100Self-Pay Cash Beats Insurance 3% of the Time

File Completeness85

Price Logic92

Peer Alignment60

Clean Billing88

Real Cash Discount6

Premium Quality Tier

3-Star CMS clinical quality rating paired with 1.15× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

St David's South Austin Medical Center prices shoppable and inpatient services (1.5× to 1.1× Medicare, divergence 0.73×) in alignment with regional hospital peers (1.15× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#135 of 307 in TX · 43rd State Percentile#1,873 of 3,385 in U.S. · 55th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.91× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 3% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (65/100 safety score) with 68% patient recommendation
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 (1.15× 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 13.9× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.5× Medicare

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

Back-Door Captive & ER0.73× Divergence

1.1× Medicare

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

Quantile Tail Spread+32% Upper Tail

Q25 0.91× · Q50 1.03× · Q75 1.36×

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

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.6× MedicareGood

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

0.5× MedicareGood

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

3% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 65/100Fair

Procedure Prices at St David's South Austin 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.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$27,954	$30,775	0.9×
Trauma team activation HCPCS Code: `G0390`	$25,079	$25,079	$1,453	17.3×
Total hip replacement CPT Code: `27130`	—	$18,339	$13,413	1.4×
Total knee replacement CPT Code: `27447`	—	$18,339	$13,523	1.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$17,643	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$17,598	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$16,277	$17,936	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$8,970	$6,109	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,452	$8,223	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$6,050	$3,372	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	$5,722	$2,680	2.1×
C-section delivery (full package) CPT Code: `59510`	—	$5,722	$2,975	1.9×
Inguinal hernia repair CPT Code: `49505`	—	$5,396	$3,629	1.5×
Bunion correction surgery CPT Code: `28296`	—	$5,187	$3,446	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$4,928	$2,540	1.9×
Breast lump removal CPT Code: `19120`	—	$4,822	$3,875	1.2×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,996	$987	3.0×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,996	$1,256	2.4×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,996	$981	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$9,509	$2,485	$1,021	2.4×
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,045	$855	2.4×
Blood transfusion CPT Code: `36430`	$3,726	$1,736	$498	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$7,991	$649	$583	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$611	$611	$201	unverified
Rabies immune globulin HCPCS Code: `90375`	$4,188	$463	$322	1.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$8,116	$488	$511	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$15,623	$390	$448	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$815	$303	$110	2.8×
MRI, lower back (no contrast) CPT Code: `72148`	$7,458	$300	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$7,204	$303	$343	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$8,598	$308	$369	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$815	$313	$123	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$735	$215	$64	3.4×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,543	$231	$151	1.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$7,890	$238	$258	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$3,848	$238	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$13,920	$235	$303	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$582	$203	$87	2.3×
CT scan, head (with contrast) CPT Code: `70460`	$6,548	$201	$242	0.8×
X-ray, pelvis CPT Code: `72170`	$720	$162	$110	1.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$2,067	$161	$126	1.3×
Ultrasound, pelvis CPT Code: `76856`	$1,303	$161	$130	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,358	$161	$132	1.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$2,258	$161	$134	1.2×
CT scan, head (no contrast) CPT Code: `70450`	$5,437	$149	$160	0.9×
CT scan, pelvis CPT Code: `72192`	$5,691	$149	$163	0.9×
CT scan, sinuses CPT Code: `70486`	$5,995	$149	$166	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$6,157	$149	$167	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$7,668	$149	$168	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$7,501	$149	$169	0.9×
X-ray, lower back CPT Code: `72110`	$1,718	$162	$112	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$117	$117	$86	1.4×
X-ray, chest (single view) CPT Code: `71045`	$833	$115	$92	1.3×
X-ray, shoulder CPT Code: `73030`	$1,220	$115	$92	1.3×
X-ray, foot CPT Code: `73630`	$1,156	$115	$92	1.3×
X-ray, chest (two views) CPT Code: `71046`	$1,045	$115	$93	1.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$1,093	$115	$93	1.2×
X-ray, hand CPT Code: `73130`	$1,063	$115	$93	1.2×
X-ray, hip CPT Code: `73502`	$1,579	$115	$93	1.2×
X-ray, ankle CPT Code: `73610`	$1,164	$115	$93	1.2×
Psychological testing evaluation CPT Code: `96136`	—	$110	$128	0.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$729	$124	$148	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$520	$103	$123	0.8×
Psychological testing by technician CPT Code: `96138`	—	$110	$395	0.3×
Speech therapy (language evaluation) CPT Code: `92507`	$392	$83	$86	1.0×
Neurobehavioral status check CPT Code: `96116`	—	$83	$231	0.4×
Typhoid vaccine HCPCS Code: `90675`	$3,597	$520	$347	1.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$359	$203	1.8×
Pneumococcal vaccine HCPCS Code: `90732`	$865	$220	$140	1.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$954	$159	$111	1.4×
Drug screening test HCPCS Code: `G0480`	$255	$121	$116	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$57	$25	2.3×
Colorectal cancer screening HCPCS Code: `G0010`	$81	$81	$49	1.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$382	$61	$39	1.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$702	$65	$56	1.2×
Care planning with family CPT Code: `90887`	—	$66	$107	0.6×
Review of medical records for care CPT Code: `90889`	—	$64	$114	0.6×
Family therapy session CPT Code: `90847`	—	$75	$173	0.4×
Flu vaccine (high dose) HCPCS Code: `90656`	$98	$38	$25	1.5×
Hepatitis B vaccine HCPCS Code: `90744`	$168	$55	$37	1.5×
Flu vaccine injection HCPCS Code: `G0008`	$50	$50	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$50	$50	$49	1.0×
Prosthetic fitting and training CPT Code: `97761`	$155	$44	$45	1.0×
Orthotic fitting and training CPT Code: `97760`	$167	$48	$51	0.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$614	$21	$20	1.1×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$28	$27	1.0×
Blood test, liver function panel CPT Code: `80076`	$1,443	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$425	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$716	$7	$7	1.0×
Blood test, vitamin D CPT Code: `82306`	$223	$31	$31	1.0×
Blood test, calcium CPT Code: `82310`	$585	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$513	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$481	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$538	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$663	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$599	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$323	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$614	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$342	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$1,492	$18	$18	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$211	$13	$14	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$215	$35	$38	0.9×
Physical therapy (gait training) CPT Code: `97116`	$133	$30	$33	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$167	$36	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$170	$34	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$123	$33	$38	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$145	$30	$35	0.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$507	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$237	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$456	$5	$5	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$620	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$742	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$964	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$846	$9	$9	1.0×
Speech therapy (group session) CPT Code: `92508`	—	$26	$27	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	$161	$28	$34	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$64	$15	$35	0.4×
Blood antibody screen CPT Code: `86850`	$660	$10	$46	0.2×
Group therapy session CPT Code: `90853`	—	$19	$100	0.2×
Blood test, basic metabolic panel CPT Code: `80048`	$1,108	$10	$9	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$1,531	$11	$11	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$1,160	$14	$14	unverified
Blood test, vitamin B12 CPT Code: `82607`	$288	$16	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$640	$14	$14	unverified

Showing top 25 high-impact procedures of 125 total

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

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

CMS CCN: 450713

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $27,954

1. Amount on Your Bill or Quote ($) Pre-filled with St David's South Austin 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 South Austin 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 +$36,315 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($67,090) is $36,315 above the denoised Fair BaseRate ($30,775) and 2.9× the $23,504 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 South Austin 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 Composite65/100

Would Recommend68%

Rated 9 or 10 (HCAHPS)65%

Median ER Wait149 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.9%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

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 South Austin Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-02·administrative_or_closure
Met Requirements
Recorded
2023-11-02·administrative_or_closure
Closure Notice
Recorded
2023-07-13·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (539 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

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

Price Index: 1.23× regional baseline

Quality: 59/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Molina

-51.7%

Independent Health

-45.5%

Amerigroup

-39.9%

Occunet

+167.5%

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 69/100 · Caution CMS CCN 450713 EIN 742781812

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 450713) ↗ Verify IRS Form 990 (EIN 742781812) ↗ CMS HCRIS Cost Reports ↗

Published MRF File74-2781812_ST.-DAVID'S-SOUTH-AUSTIN-MEDICAL-CENTER_standardcharges.json

Publication / Vintage2026-09-01 · 1015.65 MB

Validated Rate Rows15,460 (CMS v3.0.0)

File Integrity Digestaf48e78f7463ffb750db…

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.

Submit MRF Update Correction Policy

St David's South Austin Medical Center

Aligned Regional Benchmark Peer

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at St David's South Austin Medical Center

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

Above Standard 400% FPL Financial-Assistance Ceiling

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

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

Clinical Quality, Patient Experience & Infection Benchmarks

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

CMS Price Transparency Administrative Enforcement Log

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

Notable Payer Contract Outliers (SVD Matrix Anomalies)

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