CMS Price Transparency Data

X-ray, shoulder

Facility: North Austin Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $113
  • Cash Discount Price: $587
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at North Austin Medical Center is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $587. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.27x the Medicare baseline. Located in 12221 Mopac Expressway North, Austin, TX.
Cash / Self-Pay
$587

Average discount available for prompt cash payment at this facility.

Insurance Median
$113

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: $587 (660%)
Insurance Median: $113 (127%)
Cash: $587 (660% of Medicare)
Ins. Median: $113 (127% 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 - $357 7%
Amerigroup $24 27%
Moda $28 - $493 31%
United $30 - $945 34%
Covenant Management Systems $34 - $605 38%
Blue Cross Blue Shield $35 - $619 39%
Healthcare Highways $35 - $630 39%
St David’S Hospice $35 39%
Imo Med - Select Network $36 - $630 40%
Nomi Health $38 - $777 43%
Molina Healthcare $39 44%
Moda Health $43 - $777 48%
Aetna $44 - $242 49%
Evry Health $44 - $772 49%
Humana $44 49%
Sendero $44 49%
Texas Healthcare Foundation Heb $44 - $777 49%
Texas Workforce Commission $46 - $819 52%
Curative Administrators $48 - $840 54%
Harbor Health Team $48 - $840 54%
Averde Health $54 - $945 61%
UnitedHealthcare $54 - $945 61%
Comanche County $60 - $1,050 67%
National Choicecare $60 - $1,050 67%
Healthsmart Preferred Care $65 - $1,679 73%
Independent Medical Systems $65 - $1,154 73%
Physicians Cooperative Of Texas $65 - $1,154 73%
Prime Health $71 - $1,259 80%
First Health $74 - $1,490 83%
Coastal Comp Health Networks $77 - $1,364 87%
National Health Care $77 - $1,364 87%
Texas Municipal League $83 - $1,469 93%
Medcorp Southwest $89 - $1,574 100%
Rockport Healthcare Group $95 - $1,889 107%
Bce Emergis Corporation $107 - $1,889 120%
Beech Street $107 - $1,889 120%
Cigna $107 - $136 120%
Medical Control Network Solutions $107 - $1,889 120%
Multiplan $107 - $1,889 120%

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