CMS Price Transparency Data

X-ray, hip

Facility: North Austin Medical Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $101
  • Cash Discount Price: $156
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at North Austin Medical Center is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $156. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.14x the Medicare baseline. Located in 12221 Mopac Expressway North, Austin, TX.
Cash / Self-Pay
$156

Average discount available for prompt cash payment at this facility.

Insurance Median
$101

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: $156 (175%)
Insurance Median: $101 (114%)
Cash: $156 (175% of Medicare)
Ins. Median: $101 (114% 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 $7 - $120 8%
Amerigroup $20 - $99 22%
Moda $34 - $166 38%
United $36 - $317 40%
Covenant Management Systems $42 - $203 47%
Healthcare Highways $42 - $212 47%
Blue Cross Blue Shield $43 - $244 48%
Imo Med - Select Network $44 - $212 49%
Nomi Health $46 - $261 52%
St David’S Hospice $48 54%
Moda Health $52 - $261 58%
Evry Health $53 - $259 60%
Molina Healthcare $53 60%
Texas Healthcare Foundation Heb $54 - $261 61%
Texas Workforce Commission $57 - $275 64%
Curative Administrators $58 - $282 65%
Harbor Health Team $58 - $282 65%
Aetna $60 - $344 67%
Humana $60 67%
Sendero $60 67%
Averde Health $65 - $317 73%
UnitedHealthcare $65 - $317 73%
Comanche County $72 - $352 81%
National Choicecare $72 - $352 81%
Healthsmart Preferred Care $80 - $564 90%
Independent Medical Systems $80 - $388 90%
Physicians Cooperative Of Texas $80 - $388 90%
Prime Health $87 - $423 98%
First Health $91 - $501 102%
Coastal Comp Health Networks $94 - $458 106%
National Health Care $94 - $458 106%
Texas Municipal League $102 - $494 115%
Cigna $107 - $136 120%
Medcorp Southwest $109 - $529 123%
Rockport Healthcare Group $116 - $634 130%
Bce Emergis Corporation $130 - $634 146%
Beech Street $130 - $634 146%
Medical Control Network Solutions $130 - $634 146%
Multiplan $130 - $634 146%

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