The Hospital at Westlake Medical Center
5656 Bee Caves Road, Suite M-302, Austin, TX 78746 · 88 Priced Procedures · 68% Patient Recommendation
Typical commercial prices here are 7% below the fair benchmark (0.93×) after accounting for local nurse/doctor wages and patient complexity.
2-Star CMS clinical quality rating paired with 0.93× fair market pricing.
Aligned Regional Benchmark Peer
The Hospital at Westlake Medical Center prices shoppable and inpatient services (1.0× to 1.1× Medicare, divergence 1.10×) in alignment with regional hospital peers (0.93× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 7% below peer Fair BaseRate (0.93×)
- Self-pay cash beats commercial insurance on 59% of shoppable procedures (99/100 Cash Honesty)
- 2-Star CMS clinical rating with 68% patient recommendation (54/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.93× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Captive ER (1.4×) & laboratory (1.6×) services average 1.10× higher multiples than routine shoppable care (1.0×)
- Even at low-cost facilities (0.93× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Unnegotiated chargemaster list prices average 8.2× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at The Hospital at Westlake Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 88 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $11,772 | 0.9× |
| Total knee replacement CPT Code: 27447 | $11,772 | 0.9× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $5,161 | 0.8× |
| Breast lump removal CPT Code: 19120 | $3,410 | 0.9× |
| Inguinal hernia repair CPT Code: 49505 | $3,095 | 0.9× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $2,895 | 0.9× |
| Bunion correction surgery CPT Code: 28296 | $2,895 | 0.8× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,254 | 1.2× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,056 | 0.8× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $818 | 0.8× |
| Upper endoscopy with biopsy CPT Code: 43239 | $811 | 0.8× |
| Injection procedure for pain management HCPCS Code: G0260 | $772 | 0.9× |
| Hospital observation (per hour) HCPCS Code: G0378 | $656 | unverified |
| Blood transfusion CPT Code: 36430 | $521 | 1.0× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $530 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $493 | 0.8× |
| MRI, knee or other leg joint CPT Code: 73721 | $331 | 0.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $344 | 0.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $344 | 0.7× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $219 | 0.7× |
| MRI, lower back (no contrast) CPT Code: 72148 | $219 | 0.6× |
| MRI, brain (no contrast) CPT Code: 70551 | $219 | 0.6× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $191 | 1.0× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $180 | 0.7× |
| CT scan, head (with contrast) CPT Code: 70460 | $164 | 0.7× |
Audit a Bill or Quote at The Hospital at Westlake Medical Center (Zero PHI Required)
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.
Self-Pay Cash Rate ($12,250) Beats Your Bill
The Hospital at Westlake Medical Center's published 45 CFR § 180 self-pay cash rate is $12,250 (vs. $11,772 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)
Your bill ($70,958) is $57,545 above the denoised Fair BaseRate ($13,413) and 5.4× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify The Hospital at Westlake Medical Center 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.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at The Hospital at Westlake Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2024-11-25·administrative_or_closure
Closure Notice
Recorded - 2024-07-10·cap_corrective_action
CAP Request
Recorded - 2024-04-26·cap_corrective_action
CAP Request
Recorded - 2023-07-11·cap_corrective_action
CAP Request
Recorded - 2023-03-16·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (124 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for The Hospital at Westlake Medical Center.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.