CMS Price Transparency Data

X-ray, shoulder

Facility: Northwest Hills Surgical Hospital

Billing Code: 73030 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$95
about 1.1× the $89 Medicare rate · typically $45–$148
modeled estimate · not a bill or quote
What this hospital charges insurers
$44
Below the fair price — a good deal
about $51 under the fair price · 0.5× Medicare
Medicare pays $89 Fair price $95 This hospital $44 Cash price $52 Hospital's list price $145

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 $20 Priciest $44

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

A fair price for a X-ray, shoulder is about $95 (about 1.1× the $89 Medicare rate). Northwest Hills Surgical Hospital charges insurers about $44, or about $52 in cash — 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 $27 - $28 30%
Blue Cross Blue Shieldmajor $27 - $323 30%
Aetnamajor $118 - $241 133%
Cignamajor $194 218%
Humanamajor $44 49%
Ambetter (Centene) $27 - $35 30%
+ 9 smaller / regional plans $27 - $251
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 6818 Austin Ctr Blvd Suite 100, Austin, TX 78731
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals