How many shoppable procedure prices are published for Northwest Hills Surgical Hospital?

Northwest Hills Surgical Hospital in Austin, TX currently has 104 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Northwest Hills Surgical Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Northwest Hills Surgical Hospital's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 8 Beds · urban Updated: 01/01/2026

Northwest Hills Surgical Hospital

6818 Austin Ctr Blvd Suite 100, Austin, TX 78731 · 104 Priced Procedures · 78% Patient Recommendation

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.88×vs. Fair Market Price

Typical commercial prices here are 12% below the fair benchmark (0.88×) after accounting for local nurse/doctor wages and patient complexity.

75/100 · Corroborated

75/100Self-Pay Cash Beats Insurance 49% of the Time

File Completeness45

Price Logic86

Peer Alignment68

Clean Billing81

Real Cash Discount100

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintLow Shoppable & Low Captive

Uniform Value Leader

Northwest Hills Surgical Hospital maintains disciplined commercial pricing across both elective shoppable care (1.1× Medicare) and captive emergency/ancillary departments (1.3× Medicare). Patients and health plans benefit from predictable, below-benchmark rates (0.88× Fair BaseRate) without hidden ancillary cross-subsidization.

#22 of 307 in TX · 6th State Percentile#562 of 3,385 in U.S. · 16th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 12% below peer Fair BaseRate (0.88×)
Self-pay cash beats commercial insurance on 49% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 78% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 4.0× markup over Medicare rates
Captive ER (4.2×) & laboratory (1.5×) services average 1.18× higher multiples than routine shoppable care (1.1×)
Upper-quartile procedures (Q75 1.44×) jump +67% above the median procedure ratio (Q50 0.86×)
Unnegotiated chargemaster list prices average 3.6× Medicare (26¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.18× Divergence

1.3× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+67% Upper Tail

Q25 0.63× · Q50 0.86× · Q75 1.44×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

4.0× MedicareElevated

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

4.2× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

1.5× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.3× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

49% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Northwest Hills Surgical Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 104 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$11,474	$19,432	0.6×
Total hip replacement CPT Code: `27130`	$17,717	$11,425	$13,413	0.9×
Total knee replacement CPT Code: `27447`	$13,460	$11,425	$13,523	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,063	$8,223	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$9,063	$17,936	0.5×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$9,063	$19,087	0.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$5,574	$4,640	$6,109	0.8×
C-section delivery (full package) CPT Code: `59510`	—	$2,318	$2,975	0.8×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,091	$2,680	0.8×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,703	$1,021	1.7×
Inguinal hernia repair CPT Code: `49505`	$3,342	$1,152	$3,629	0.3×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,127	$1,088	$3,372	0.3×
Bunion correction surgery CPT Code: `28296`	$3,420	$1,088	$3,446	0.3×
Breast lump removal CPT Code: `19120`	$3,682	$964	$3,875	0.2×
Cataract surgery with lens implant CPT Code: `66984`	$2,251	$850	$2,540	0.3×
Breathing treatment (nebulizer) CPT Code: `94640`	—	$625	$201	unverified
Blood transfusion CPT Code: `36430`	$592	$592	$498	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$562	$583	1.0×
Colonoscopy with biopsy CPT Code: `45380`	$902	$429	$1,256	0.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$442	$148	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	—	$358	$511	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	—	$365	$123	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$318	$448	0.7×
Upper endoscopy with biopsy CPT Code: `43239`	$876	$335	$987	0.3×
Colonoscopy (diagnostic) CPT Code: `45378`	$883	$329	$981	0.3×
New patient office visit (30-44 min) CPT Code: `99203`	—	$263	$110	2.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$272	$123	2.2×
Rabies immune globulin HCPCS Code: `90375`	—	$285	$322	0.9×
MRI, brain (no contrast) CPT Code: `70551`	—	$219	$343	0.6×
MRI, lower back (no contrast) CPT Code: `72148`	—	$213	$338	0.6×
MRI, knee or other leg joint CPT Code: `73721`	—	$225	$369	0.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$176	$87	2.0×
CT scan, head (with and without contrast) CPT Code: `70470`	—	$181	$258	0.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$186	$272	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$190	$303	0.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$72	$187	$64	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	—	$137	$151	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	—	$116	$134	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$267	$141	$168	0.8×
CT scan, head (with contrast) CPT Code: `70460`	—	$154	$242	0.6×
Ultrasound, thyroid and neck CPT Code: `76536`	—	$111	$132	0.8×
Ultrasound, pelvis CPT Code: `76856`	—	$96	$130	0.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$89	$126	0.7×
CT scan, pelvis CPT Code: `72192`	—	$114	$163	0.7×
CT scan, head (no contrast) CPT Code: `70450`	—	$110	$160	0.7×
CT scan, sinuses CPT Code: `70486`	—	$114	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	—	$114	$167	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$114	$169	0.7×
Occupational therapy (self-care training) CPT Code: `97535`	—	$123	$38	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	—	$121	$38	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$546	$203	2.7×
Typhoid vaccine HCPCS Code: `90675`	—	$330	$347	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$242	$111	2.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$131	$136	$56	2.4×
Pneumococcal vaccine HCPCS Code: `90732`	—	$133	$140	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$95	$39	2.4×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$138	$67	$25	2.7×
X-ray, chest (two views) CPT Code: `71046`	$117	$70	$93	0.8×
Psychological testing evaluation CPT Code: `96136`	—	$78	$128	0.6×
X-ray, lower back CPT Code: `72110`	$61	$67	$112	0.6×
Psychological testing by technician CPT Code: `96138`	—	$78	$395	0.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$47	$50	$93	0.5×
X-ray, ankle CPT Code: `73610`	$63	$50	$93	0.5×
X-ray, hand CPT Code: `73130`	$63	$49	$93	0.5×
X-ray, hip CPT Code: `73502`	$63	$47	$93	0.5×
X-ray, foot CPT Code: `73630`	$52	$46	$92	0.5×
X-ray, shoulder CPT Code: `73030`	$52	$44	$92	0.5×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$4	$5	$3	1.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$15	$16	$11	1.5×
Blood test, basic metabolic panel CPT Code: `80048`	$12	$13	$9	1.4×
Blood antibody screen CPT Code: `86850`	—	$37	$46	0.8×
Blood test, vitamin D CPT Code: `82306`	$38	$42	$31	unverified
Blood test, sodium CPT Code: `84295`	$7	$8	$5	1.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$5	$6	$4	1.5×
Culture, bacterial CPT Code: `87070`	$12	$13	$9	1.4×
Blood test, amylase CPT Code: `82150`	$9	$10	$7	1.4×
Blood test, lipase CPT Code: `83690`	$9	$10	$7	1.4×
Blood test, potassium CPT Code: `84132`	$6	$7	$5	1.4×
Blood test, hemoglobin CPT Code: `85018`	$3	$4	$3	1.3×
Blood test, creatinine (kidney) CPT Code: `82565`	$6	$6	$5	1.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$5	$6	$5	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$6	$7	$6	1.2×
Blood test, magnesium CPT Code: `83735`	$6	$8	$7	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	$14	$14	1.0×
Blood test, calcium CPT Code: `82310`	—	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	—	$14	$14	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$9	$10	$10	1.0×
Hepatitis C antibody test CPT Code: `86803`	—	$15	$15	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$13	$14	$16	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	—	$30	$37	0.8×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$13	$25	0.5×
X-ray, pelvis CPT Code: `72170`	$63	$34	$110	0.3×
X-ray, chest (single view) CPT Code: `71045`	$41	$26	$92	0.3×
Blood test, liver function panel CPT Code: `80076`	$11	$13	$9	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$26	$28	$19	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$23	$26	$18	unverified
Physical therapy (gait training) CPT Code: `97116`	$34	$34	$33	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$34	$34	$34	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$34	$34	$40	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$6	$7	$4	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$14	$13	$8	unverified
Culture, blood CPT Code: `87040`	$36	$17	$11	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$34	$34	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$34	$34	$38	unverified

Showing top 25 high-impact procedures of 104 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Northwest Hills Surgical Hospital (Zero PHI Required)

CMS CCN: 450808

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $11,474

1. Amount on Your Bill or Quote ($) Pre-filled with Northwest Hills Surgical Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Northwest Hills Surgical Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$8,106 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($27,538) is $8,106 above the denoised Fair BaseRate ($19,432) and 2.0× the $14,044 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 582028767

Public IRS & CMS ownership records classify Northwest Hills Surgical Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

Safety Composite69/100

Would Recommend78%

Rated 9 or 10 (HCAHPS)82%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Northwest Hills Surgical Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2026-05-11·warning_notice
Warning Notice
Recorded
2025-04-09·administrative_or_closure
Closure Notice
Recorded
2025-01-08·cap_corrective_action
CAP Request
Recorded
2024-09-30·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (82 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Northwest Hills Surgical Hospital.

Price Index: 0.47× regional baseline

Quality: 56/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Superior Star Kids

-58.7%

Superior Star Foster

-58.5%

Superior Star

-55.2%

Superior Star Plus

-55.0%

Superior Chip/Chip Perinate

-55.0%

Aetna

+128.6%

Median Household Income$97,169U.S. Census ACS

Local Uninsured Share12.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 75/100 · Corroborated CMS CCN 450808 EIN 582028767

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (582028767_Northwest_Hills_Surgical_Hospital_standardcharges.csv) Verify on CMS Medicare.gov (CCN 450808) ↗ Verify IRS Form 990 (EIN 582028767) ↗ CMS HCRIS Cost Reports ↗

Published MRF File582028767_Northwest_Hills_Surgical_Hospital_standardcharges.csv

Publication / Vintage01/01/2026 · 827.73 MB

Validated Rate Rows3,659 (CMS v3.0.0)

File Integrity DigestVerified · CCN 450808

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy