CMS Price Transparency Data

X-ray, lower back

Facility: North Austin Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $103
  • Cash Discount Price: $156
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at North Austin Medical Center is $103. 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 $106.81, this hospital’s rate is 0.96x 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
$103

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $156 (146%)
Insurance Median: $103 (96%)
Cash: $156 (146% of Medicare)
Ins. Median: $103 (96% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 - $224 7%
Moda $34 - $310 32%
United $36 - $593 34%
Amerigroup $39 37%
Covenant Management Systems $42 - $379 39%
Healthcare Highways $42 - $395 39%
Blue Cross Blue Shield $43 - $389 40%
Imo Med - Select Network $44 - $395 41%
Nomi Health $46 - $487 43%
Moda Health $52 - $487 49%
St David’S Hospice $52 49%
Evry Health $53 - $485 50%
Texas Healthcare Foundation Heb $54 - $487 51%
Molina Healthcare $57 53%
Texas Workforce Commission $57 - $514 53%
Curative Administrators $58 - $527 54%
Harbor Health Team $58 - $527 54%
Averde Health $65 - $593 61%
Humana $65 61%
Sendero $65 61%
UnitedHealthcare $65 - $593 61%
Aetna $66 - $370 62%
Comanche County $72 - $658 67%
National Choicecare $72 - $658 67%
Healthsmart Preferred Care $80 - $1,054 75%
Independent Medical Systems $80 - $724 75%
Physicians Cooperative Of Texas $80 - $724 75%
Prime Health $87 - $790 81%
First Health $91 - $935 85%
Coastal Comp Health Networks $94 - $856 88%
National Health Care $94 - $856 88%
Texas Municipal League $102 - $922 95%
Medcorp Southwest $109 - $988 102%
Rockport Healthcare Group $116 - $1,185 109%
Bce Emergis Corporation $130 - $1,185 122%
Beech Street $130 - $1,185 122%
Medical Control Network Solutions $130 - $1,185 122%
Multiplan $130 - $1,185 122%
Cigna $150 - $192 140%

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