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THE GUIDESAPR 2026

The Cost Guides

A practical library for the uninsured & underinsured: pay less, decode the bill, or skip the procedure entirely.

INDEX BELOW
· · ·

Contents

AN INDEX
I
6 ENTRIES

Before You Book

Should you even get the procedure?

DECISIONNo. 01 · 9 MIN

Before You Book a Knee Replacement

80% of knee-pain cases resolve without surgery. Here’s how to know if you’re in that 80.

SAVES$17kRead
DECISIONNo. 02 · 12 MIN

Chronic Back Pain: Before You Fuse

Spinal fusion resolves pain in ~50% of patients. In randomized trials, structured rehab matches it, at a fraction of the cost.

SAVES$22kRead
DECISIONNo. 03 · 11 MIN

Type 2 Diabetes Is Reversible

Half of recently-diagnosed T2D can reach remission. Here’s the 12-week protocol.

SAVES$4.2k/yrRead
DECISIONNo. 04 · 10 MIN

Do I Actually Need a Stent?

Stable-angina stents don’t extend life. When it’s useful, when it’s theater.

SAVES$28kRead
EXPLAINERNo. 20 · 11 MIN

The Longevity Tests These Experts Actually Order

Nine of the most-followed longevity voices push dozens of tests. Only a handful have real evidence, and most are cheap cash buys in Austin. The honest, graded list.

SAVES$100s-$1,000sRead
DECISIONNo. 26 · 6 MIN

Before You Book Cataract Surgery in Austin

The cost anatomy of Austin's most-searched surgery: why per-eye prices span 142%, and what to ask before you book.

SAVES$4,280/eyeRead
II
5 ENTRIES

Price Decoders

What each line item actually pays for.

III
9 ENTRIES

How to Pay the Least

Step-by-step playbooks from calling to paying.

PLAYBOOKNo. 09 · 5 MIN

The Phone Call That Saves $1,200

A 12-minute script to get cash-pay pricing that no one tells you about.

SAVES$1.2k avgRead
PLAYBOOKNo. 10 · 8 MIN

Why Ambulatory Surgery Centers Beat Hospitals

Same surgeons, fewer complications, often half the price. Here’s why.

SAVES$14kRead
PLAYBOOKNo. 11 · 6 MIN

Bundled Pricing, and How to Ask for It

One price for the whole procedure — surgeon, facility, anesthesia, post-op. A 3-step script.

SAVES$3.5k avgRead
PLAYBOOKNo. 12 · 9 MIN

Direct Primary Care: $79/mo, Real Math

Unlimited visits, no copays. When it saves money and when it doesn’t.

SAVES$800/yrRead
PLAYBOOKNo. 21 · 8 MIN

OTC Hearing Aids: The $4,000 Question

Since the FDA's 2022 rule, adults with perceived mild-to-moderate loss can skip the clinic bundle. Who that works for, who it doesn't, and the test to get first.

SAVES$2k+Read
PLAYBOOKNo. 22 · 7 MIN

The $60 Blood Pressure Cuff Doing $600 of Work

Guidelines now want home readings, not just the number from one nervous office visit. The validated-device shortlist, the protocol, and when a watch ECG earns its keep.

SAVES$100s/yrRead
EXPLAINERNo. 23 · 8 MIN

OTC Glucose Monitors, Minus the Hype

CGMs went over-the-counter in 2024 for adults not on insulin. What two weeks of data actually tells you, what it costs, and when a $15 lab beats a $90 subscription.

SAVES$500+/yrRead
PLAYBOOKNo. 28 · 10 MIN

Austin Hospital Charity Care: The Application Nobody Hands You

The tax code makes every nonprofit hospital publish a financial assistance policy. Austin's four systems set their top tier between 200% and 300% of the poverty level — and each one has a different deadline.

BILLINGRead
DECISIONNo. 31 · 11 MIN

Ways to Pay a Medical Bill, Cheapest Money First

The best medical financing usually isn't a medical financing product. The order to work through — and the one mechanism you have to understand before you sign anything.

BILLINGRead
IV
5 ENTRIES

Where to Go, in Austin

Neighborhood shortlists + routing rules.

PLAYBOOKNo. 13 · 6 MIN

Where to Get Imaging in Austin, Cheapest First

Verified cash prices for standalone imaging, cheapest first, and why hospital outpatient is the gamble.

SAVES$1.7kRead
PLAYBOOKNo. 14 · 10 MIN

Austin Dental, from $20 Cleanings Up

Hygiene-school cleanings, cash-pay networks, and when to fly to Mexico.

SAVES$2k+Read
DECISIONNo. 15 · 7 MIN

Therapy in Austin: $90 to $280

Sliding scale, cash pay, grad-student clinics. A decision tree.

SAVES$190/sessionRead
PLAYBOOKNo. 25 · 4 MIN

The $40 Sports Physical in Austin

Texas UIL requires a signed physical before kids play school sports — here's where Austin families get it done fast, from $40.

SAVESUp to $235Read
PLAYBOOKNo. 29 · 7 MIN

Austin's Sliding-Scale Clinics: Who Qualifies, What You Pay

Federal law makes community health centers price by your income, not by a menu. The three Austin FQHCs, the free clinic, the county program — and the 2026 cutoffs each one is indexed to.

AUSTINRead
V
2 ENTRIES

Insurance & Coverage

When cash beats insurance — and when it doesn’t.

VI
5 ENTRIES

After the Procedure

Bills, appeals, and what to double-check.

PLAYBOOKNo. 18 · 9 MIN

How to Appeal a Surprise Bill

Four letters. One law (No Surprises Act). Two weeks. Works more often than not.

SAVES$3k avgRead
DECODERNo. 19 · 4 MIN

Read Your EOB in 90 Seconds

The "Explanation of Benefits" is designed to confuse. Six fields actually matter.

BILLINGRead
PLAYBOOKNo. 27 · 11 MIN

Your Good Faith Estimate, and the $400 Dispute Rule

Federal law owes self-pay patients a written price before they're treated. When the bill beats that estimate by $400, a free federal process decides what you actually owe — for a $25 fee.

BILLINGRead
PLAYBOOKNo. 32 · 9 MIN

Free Scripts for Negotiating a Medical Bill

Contingency negotiators take a cut of whatever they save you. The moves they make aren't secret — here they are as templates, by bill type, in the order that matters.

SAVESThe negotiator's feeRead
EXPLAINERNo. 30 · 9 MIN

What Texas Billing Law Actually Gives You

The state balance-billing ban reaches about 16% of Texans. Two other Texas rights — the itemized bill and the five-day facility estimate — reach everyone, including cash patients.

BILLINGRead
COLOPHON

About this library.

Every guide is written by a practicing clinician or billing specialist, reviewed by a second set of eyes, and revised quarterly against actual cash-pay prices in the Austin Metro. Footnotes cite primary sources. No sponsored placements.

AUTHORS
  • MarketCare Research Team
    Cash-pay pricing & policy
STANDARDS
  • · Cited from primary sources
  • · Revised quarterly
  • · Affiliate-free guide text · partner picks live on Resources, disclosed