CMS Price Transparency Data
New patient office visit (30-44 min)
Facility: North Austin Medical Center
Billing Code: 99203 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$195
about 1.7× the $118 Medicare rate · typically $86–$274
modeled estimate · not a bill or quote
Medicare pays $118 Fair price $195 Cash price $315 Hospital's list price $315
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 | $65 - $922 | 55% |
| Blue Cross Blue Shieldmajor | $78 - $605 | 66% |
| Aetnamajor | $94 - $1,146 | 80% |
| Cignamajor | $658 - $840 | 560% |
| Amerigroup | $47 | 40% |
| Health Net | $171 - $1,332 | 145% |
| Healthcare Highways | $77 - $615 | 65% |
| Moda Health | $62 - $758 | 53% |
| Oscar Health | $394 - $439 | 335% |
| + 22 smaller / regional plans | $50 - $1,845 |
Government programs also on file: Medicaid.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at North Austin Medical Center
Compare: New patient office visit (30-44 min) at other TX hospitals
- Throckmorton County Memorial Hospital · Throckmorton $54
- Northwest Texas Hospital · Amarillo $56
- PAM Specialty Hospital of Texarkana North · Texarkana $59
- Ochiltree General Hospital · Perryton $61
- PAM Specialty Hospital of San Antonio Medical Center · San Antonio $65
- Refugio County Memorial Hospital · Refugio $69
- Parkland Health & Hospital System · Dallas $72
- Riceland Medical Center · Winnie $72
Insurance negotiated median for the same procedure, sorted lowest first.