North Austin Medical Center
NORTH AUSTIN MEDICAL CENTER in Austin, TX charges 9.7x the Medicare reimbursement rate on average across 64 analyzed procedures at this for-profit facility.
Austin, TX 78758 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
F
Very high
Avg markup vs Medicare
9.71x
Charge / Medicare rate
Max markup
19.95x
Worst procedure
Procedures analyzed
64
With pricing data
Outlier procedures
9.4%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $303,732 | $151,866 | — | 20x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $168,779 | $84,390 | — | 17.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $183,589 | $91,795 | — | 17x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $249,606 | $124,803 | — | 16x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $559,605 | $279,802 | — | 15.8x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $232,147 | $116,073 | — | 13.4x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $225,591 | $112,795 | — | 13.2x |
| DIGESTIVE MALIGNANCY WITH MCC | 374 | $147,217 | $73,608 | — | 12.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $84,966 | $42,483 | — | 12.4x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $377,708 | $188,854 | — | 12.3x |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | 657 | $130,908 | $65,454 | — | 11.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $177,717 | $88,858 | — | 11.6x |
| UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | 742 | $137,962 | $68,981 | — | 11.6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $183,381 | $91,691 | — | 11.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $542,350 | $271,175 | — | 11.5x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $72,370 | $36,185 | — | 10.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $59,802 | $29,901 | — | 10.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $66,370 | $33,185 | — | 10.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $49,585 | $24,792 | — | 10.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $252,953 | $126,476 | — | 10.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $67,327 | $33,664 | — | 10.5x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $70,806 | $35,403 | — | 10.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $54,162 | $27,081 | — | 10.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $60,447 | $30,223 | — | 10x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $64,826 | $32,413 | — | 9.9x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $53,210 | $26,605 | — | 9.8x |
| HYPERTENSION WITHOUT MCC | 305 | $47,936 | $23,968 | — | 9.7x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $55,529 | $27,764 | — | 9.2x |
| SYNCOPE AND COLLAPSE | 312 | $55,806 | $27,903 | — | 9.1x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $50,024 | $25,012 | — | 9.1x |
| SEIZURES WITH MCC | 100 | $105,653 | $52,827 | — | 9x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $85,441 | $42,720 | — | 9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $74,798 | $37,399 | — | 8.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $76,172 | $38,086 | — | 8.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $44,115 | $22,057 | — | 8.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $101,133 | $50,566 | — | 8.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $70,134 | $35,067 | — | 8.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $45,433 | $22,717 | — | 8.5x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $44,996 | $22,498 | — | 8.5x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $87,777 | $43,888 | — | 8.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $40,468 | $20,234 | — | 8.3x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $108,487 | $54,244 | — | 8.2x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $89,888 | $44,944 | — | 8.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $103,058 | $51,529 | — | 8.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $240,860 | $120,430 | — | 8.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $70,717 | $35,359 | — | 8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $50,275 | $25,137 | — | 8x |
| RENAL FAILURE WITH MCC | 682 | $79,050 | $39,525 | — | 7.9x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $89,421 | $44,710 | — | 7.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $82,510 | $41,255 | — | 7.9x |
Showing 50 of 64 procedures
How NORTH AUSTIN MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use