CMS Price Transparency Data

X-ray, hand

Facility: North Austin Medical Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73130
  • Insurance Median: $175
  • Cash Discount Price: $687
  • vs. Medicare Baseline: 1.97x Medicare
The contracted insurance negotiated median rate for a X-ray, hand at North Austin Medical Center is $175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $687. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.97x the Medicare baseline. Located in 12221 Mopac Expressway North, Austin, TX.
Cash / Self-Pay
$687

Average discount available for prompt cash payment at this facility.

Insurance Median
$175

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: $687 (773%)
Insurance Median: $175 (197%)
Cash: $687 (773% of Medicare)
Ins. Median: $175 (197% 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 - $175 7%
Amerigroup $23 26%
Moda $29 - $242 33%
United $31 - $463 35%
Covenant Management Systems $36 - $296 40%
Healthcare Highways $36 - $309 40%
Blue Cross Blue Shield $37 - $304 42%
St David’S Hospice $37 42%
Imo Med - Select Network $38 - $309 43%
Nomi Health $40 - $381 45%
Molina Healthcare $41 46%
Moda Health $45 - $381 51%
Evry Health $46 - $379 52%
Texas Healthcare Foundation Heb $46 - $381 52%
Aetna $47 - $268 53%
Humana $47 53%
Sendero $47 53%
Texas Workforce Commission $49 - $401 55%
Curative Administrators $50 - $412 56%
Harbor Health Team $50 - $412 56%
Averde Health $56 - $463 63%
UnitedHealthcare $56 - $463 63%
Comanche County $62 - $514 70%
National Choicecare $62 - $514 70%
Healthsmart Preferred Care $69 - $823 78%
Independent Medical Systems $69 - $566 78%
Physicians Cooperative Of Texas $69 - $566 78%
Prime Health $75 - $617 84%
First Health $78 - $731 88%
Coastal Comp Health Networks $81 - $669 91%
National Health Care $81 - $669 91%
Texas Municipal League $88 - $720 99%
Medcorp Southwest $94 - $772 106%
Rockport Healthcare Group $100 - $926 112%
Cigna $107 - $136 120%
Bce Emergis Corporation $112 - $926 126%
Beech Street $112 - $926 126%
Medical Control Network Solutions $112 - $926 126%
Multiplan $112 - $926 126%

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