CMS Price Transparency Data

X-ray, chest (two views)

Facility: North Austin Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $81
  • Cash Discount Price: $125
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at North Austin Medical Center is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $125. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.91x the Medicare baseline. Located in 12221 Mopac Expressway North, Austin, TX.
Cash / Self-Pay
$125

Average discount available for prompt cash payment at this facility.

Insurance Median
$81

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $125 (141%)
Insurance Median: $81 (91%)
Cash: $125 (141% of Medicare)
Ins. Median: $81 (91% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Superior Health Plan $6 - $132 7%
Amerigroup $16 - $108 18%
Moda $26 - $182 29%
United $28 - $349 31%
Covenant Management Systems $32 - $223 36%
Healthcare Highways $32 - $232 36%
Blue Cross Blue Shield $33 - $244 37%
Imo Med - Select Network $33 - $232 37%
St David’S Hospice $34 38%
Nomi Health $36 - $287 40%
Molina Healthcare $37 42%
Moda Health $40 - $287 45%
Evry Health $41 - $285 46%
Texas Healthcare Foundation Heb $41 - $287 46%
Humana $42 47%
Sendero $42 47%
Aetna $43 - $220 48%
Texas Workforce Commission $43 - $302 48%
Curative Administrators $44 - $310 49%
Harbor Health Team $44 - $310 49%
Averde Health $50 - $349 56%
UnitedHealthcare $50 - $349 56%
Comanche County $56 - $388 63%
National Choicecare $56 - $388 63%
Healthsmart Preferred Care $61 - $620 69%
Independent Medical Systems $61 - $426 69%
Physicians Cooperative Of Texas $61 - $426 69%
Prime Health $67 - $465 75%
First Health $69 - $550 78%
Coastal Comp Health Networks $72 - $504 81%
National Health Care $72 - $504 81%
Texas Municipal League $78 - $542 88%
Medcorp Southwest $83 - $581 93%
Rockport Healthcare Group $89 - $698 100%
Bce Emergis Corporation $100 - $698 112%
Beech Street $100 - $698 112%
Medical Control Network Solutions $100 - $698 112%
Multiplan $100 - $698 112%
Cigna $107 - $136 120%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12221 Mopac Expressway North, Austin, TX 78758
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals