PayerPrice
Data Platform
Who We Serve
Use Cases
More

Data Search

ProceduresSpecialtiesHospitalsPayers

Company

About UsContact

Resources

BlogResource Hub
Check Local Rates
Short Term Acute Care HospitalProprietary

The Hospital At Westlake Medical Center

Austin, TX

5656 BEE CAVES ROAD, Austin, TX 78746(512) 327-0000

Not rated by CMS

CMS star rating

23

Beds

676

Inpatient discharges a year

$46M

Net patient revenue a year

32

In-network payers

About this hospital

The Hospital At Westlake Medical Center is a 23-bed proprietary hospital in Austin, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 282 disclosed rate categories.

CCN
670006
NPI
1043328198
Website
westlakemedical.com
Teaching
No Medicare-funded residents
County
Travis County
Metro area
Austin-Round Rock-San Marcos, TX MSA
Medicare contractor
Jurisdiction H, Novitas Solutions (04011)
In Medicare since
2005
Last CMS survey
2025

Prices for common services

The 24 services The Hospital At Westlake 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.

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$41,087 - $72,770

from 2 insurers · median $56,929

Blue Cross$72,770
Insurer A*$41,087
Medicare $58,852Nearby hospitals $25,238126% above nearby hospitals

42 Medicare discharges for this DRG in CMS hospital data

Medicine & Surgery · Inpatient

Cervical spinal fusion without CC or MCC

MS-DRG 473

$14,921 - $28,559

from 4 insurers · median $18,794

Blue Cross$14,921
Insurer A*$17,038
Insurer B*$20,549
Insurer C*$28,559
Medicare $25,021Nearby hospitals $30,01737% below nearby hospitals

14 Medicare discharges for this DRG in CMS hospital data

Orthopedics and pain

Lower-back disc decompression, one interspace

CPT 63030

$2,669 - $9,164

from 4 insurers · median $6,718

UnitedHealthcare$6,018
Insurer A*$2,669
Insurer B*$7,418
Insurer C*$9,164
Medicare $6,823Nearby hospitals $9,58230% below nearby hospitals

71 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$357 - $688

from 4 insurers · median $662

Aetna$357
Insurer A*$648
Insurer B*$675
Insurer C*$688
Medicare $328Nearby hospitals $1,79663% below nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at The Hospital At Westlake 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*22
215%
712
Insurer B*21
124%
317
Insurer C*23
95%
221
Insurer D*23
72%
221

How we chose these services: 5 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 5 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 The Hospital At Westlake 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)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthBaylor Scott & White Health PlanCentene

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for The Hospital At Westlake 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
82-0578078Westlake Surgical LP47Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 42 more1043328198 Westlake Surgical L.P.

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

5656 BEE CAVES ROAD, Austin, TX 78746

(512) 327-0000

Get directions

Frequently asked questions

About The Hospital At Westlake Medical Center's rates and hospital price transparency.

How much does an MRI cost at The Hospital At Westlake Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at The Hospital At Westlake Medical Center range from $145 to $792 across 4 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $1,739. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at The Hospital At Westlake Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at The Hospital At Westlake Medical Center range from $357 to $688 across 4 insurers. Aetna's rate is $357. The median at nearby comparable hospitals is $1,796. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at The Hospital At Westlake Medical Center?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at The Hospital At Westlake Medical Center range from $1,125 to $2,631 across 4 insurers. Cigna's rate is $1,511. The median at nearby comparable hospitals is $2,917. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at The Hospital At Westlake Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at The Hospital At Westlake Medical Center range from $100 to $174 across 2 insurers. Aetna's rate is $100. The median at nearby comparable hospitals is $288. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at The Hospital At Westlake Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at The Hospital At Westlake Medical Center range from $16,969 to $29,068 across 4 insurers. Blue Cross Blue Shield's rate is $29,068. The median at nearby comparable hospitals is $24,240. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is The Hospital At Westlake Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at The Hospital At Westlake Medical Center for fiscal year 2027.

Does Medicare penalize The Hospital At Westlake Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts The Hospital At Westlake Medical Center's base inpatient payments by an estimated 0.36% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at The Hospital At Westlake Medical Center?

In 2024, the most common were major joint or limb reattachment procedures of upper extremities (67 discharges), cervical spinal fusion without cc/mcc (27 discharges), combined anterior and posterior spinal fusion without cc/mcc (23 discharges).

What is The Hospital At Westlake Medical Center's case mix index?

The Hospital At Westlake Medical Center's Medicare case mix index is 3.54 for fiscal year 2027, higher than 99% of hospitals paid under the inpatient prospective payment system.

How many patients does The Hospital At Westlake Medical Center admit?

The Hospital At Westlake Medical Center reported 676 inpatient discharges and 1,338 inpatient days from Jan 1, 2025 to Dec 31, 2025.

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.

Compliance MRF

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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster