9/100
#2,418 nationally
North Austin Medical Center
12221 Mopac Expressway North, Austin, TX 78758 · (512) 901-1000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, North Austin Medical Center billed $10.54 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 10.5x
- volume-weighted across all its priced work
- Procedures priced
- 105
- inpatient and outpatient combined
- Rank in TX
- #164
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 12% of U.S. hospitals.
Better than 5% of U.S. hospitals.
Better than 10% of U.S. hospitals.
Better than 7% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
344 | $178,599 | $11,483 | +186% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
284 | $119,050 | $15,344 | +82% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
187 | $33,249 | $2,409 | +71% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
125 | $29,287 | $1,626 | +149% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
122 | $18,743 | $1,427 | +86% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
111 | $69,813 | $4,456 | +154% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
109 | $59,478 | $2,854 | +136% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
109 | $119,705 | $7,931 | +169% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
103 | $88,106 | $5,039 | +151% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
96 | $66,557 | $10,404 | +53% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$378,266 | $19,209 | +369% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$433,320 | $26,902 | +284% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$288,401 | $15,823 | +247% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
$100,710 | $5,016 | +236% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$36,531 | $1,494 | +220% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$63,517 | $2,849 | +212% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$70,284 | $3,250 | +210% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$48,848 | $2,470 | +195% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
$33,658 | $8,687 | -17% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$51,644 | $11,473 | -8% |
|
Peripheral Vascular Disorders with Complications
MS-DRG 300 · Inpatient stay |
$40,573 | $8,627 | -5% |
|
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without
MS-DRG 563 · Inpatient stay |
$38,669 | $7,872 | +5% |
|
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major
MS-DRG 441 · Inpatient stay |
$80,134 | $15,039 | +5% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
$75,182 | $13,244 | +6% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
$42,673 | $8,218 | +9% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$84,441 | $15,124 | +11% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.