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Short Term Acute Care HospitalProprietary

North Austin Medical Center

HCA Healthcare · Austin, TX

12221 North Mopac Expressway, Austin, TX 78758(512) 901-1000

3 of 5

CMS star rating

489

Beds

33,205

Inpatient discharges a year

$761.1M

Net patient revenue a year

35

In-network payers

About this hospital

North Austin Medical Center is a 489-bed proprietary hospital in Austin, TX, affiliated with HCA Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 514 disclosed rate categories.

  • Disproportionate share hospital
  • Helipad
CCN
450809
NPI
1629021845
Health system
HCA Healthcare
Teaching
Teaching hospital
County
Travis County
Metro area
Austin-Round Rock-San Marcos, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
1995
Last CMS survey
2025

Prices for common services

The 24 services North Austin Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$6,077 - $7,776

from 3 insurers · median $7,753

Aetna$6,077
Insurer A*$7,753
Insurer B*$7,776

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$8,616 - $10,812

from 3 insurers · median $8,933

Aetna$8,933
Insurer A*$8,616
Insurer B*$10,812

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$6,674 - $14,177

from 3 insurers · median $13,629

Blue Cross$13,629
Insurer A*$6,674
Insurer B*$14,177
Medicare $10,019Nearby hospitals $7,87973% above nearby hospitals

96 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$563 - $1,969

from 3 insurers · median $1,149

Blue Cross$1,149
Insurer A*$563
Insurer B*$1,969
Medicare $329Nearby hospitals $1,45121% below nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at North Austin Medical Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
379%
614
Insurer B*23
170%
164
Insurer C*24
144%
119
Insurer D*4
129%
13

How we chose these services: 7 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for North Austin Medical Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    3 of 5 stars

    • 163 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.77%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 42 services, including trauma & transplant care
    • 735 affiliated clinicians
    See doctors and services
  • Finances

    $761.1M net patient revenue

    • Operating margin on patient care 30.5%
    • $68.2M unreimbursed and uncompensated care
    • $234.8M net income
    See finances
  • Ownership and leadership

    Owned by Frisco Holding II

    • Private (for profit)
    • Jeremy W Barclay, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for North Austin Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
74-2781812(multi-state) St Davids South Austin Medical Center58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 53 more1720033947 St. Davids Healthcare Partnership L.P. LLP1679528889 St. David's Healthcare Partnership L.P. LLP1649223645 St Davids Healthcare Partnership LP LLPand 21 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

12221 North Mopac Expressway, Austin, TX 78758

(512) 901-1000

Get directions

Frequently asked questions

About North Austin Medical Center's rates and hospital price transparency.

How much does an MRI cost at North Austin Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at North Austin Medical Center range from $563 to $2,237 across 3 insurers. Blue Cross Blue Shield's rate is $1,153. The median at nearby comparable hospitals is $1,619. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at North Austin Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at North Austin Medical Center range from $563 to $1,969 across 3 insurers. Blue Cross Blue Shield's rate is $1,149. The median at nearby comparable hospitals is $1,451. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at North Austin Medical Center?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at North Austin Medical Center range from $1,642 to $4,638 across 3 insurers. UnitedHealthcare's rate is $4,310. The median at nearby comparable hospitals is $1,979. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at North Austin Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at North Austin Medical Center range from $6,077 to $7,776 across 3 insurers. Aetna's rate is $6,077. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at North Austin Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at North Austin Medical Center range from $148 to $521 across 3 insurers. UnitedHealthcare's rate is $148. The median at nearby comparable hospitals is $132. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at North Austin Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at North Austin Medical Center range from $12,329 to $32,197 across 4 insurers. Aetna's rate is $12,329. The median at nearby comparable hospitals is $22,570. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is North Austin Medical Center's CMS star rating?

North Austin Medical Center has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is North Austin Medical Center a teaching hospital?

Yes. CMS counts 0.02 Medicare-funded residents per bed at North Austin Medical Center for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize North Austin Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts North Austin Medical Center's base inpatient payments by an estimated 0.77% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at North Austin Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (284 discharges), heart failure and shock with mcc (96 discharges), simple pneumonia and pleurisy with mcc (72 discharges).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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