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Acute Care Hospital

Ascension Seton Cedar Park

Also listed as: Ascension Seton Cedar Park Hospital

Cedar Park, Texas · Williamson County · Emergency services listed

Ascension Seton Cedar Park is an acute care hospital at 1401 Medical Parkway, Cedar Park, TX 78613. Phone: (512) 528-7000. It has an emergency department. Medicare overall rating: 3 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Ascension Seton Cedar Park is an acute care hospital in Cedar Park, Texas. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 23 services, specialties and programs. Medicare lists 337 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(512) 528‑7000 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
337Doctors and clinicians
23Services listed

Quick answers

Does Ascension Seton Cedar Park have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Ascension Seton Cedar Park. In a medical emergency, call 911.
Where is Ascension Seton Cedar Park?
1401 Medical Parkway, Cedar Park, TX 78613, in Williamson County, Texas.
What is the phone number of Ascension Seton Cedar Park?
(512) 528-7000, as listed by Medicare (CMS).
What is the Medicare star rating of Ascension Seton Cedar Park?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Ascension Seton Cedar Park for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Ascension Seton Cedar Park under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.7917; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4]

Procedures[4]

  • Minimally invasive robotic surgery

Programs and centers[4]

  • Stroke center
  • Birthing center (Maternal Level II, NICU Level II)
  • STEMI Receiving Program
  • Advanced neonatal care

Emergency care (hospital website)[4][5]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel IV
Stroke designationPrimary Stroke Center

Visiting and practical information

Interpreters and languagesLanguage assistance pages offered in Spanish, Arabic, Polish, Haitian Creole, Vietnamese and more[4]
Patient portalPatient Portal

Recognition[4]

  • Level IV Trauma Designation
  • Primary Stroke Center
  • Get With The Guidelines-Stroke Gold Plus with Honor Roll (2024)
  • CMS 4-Star Rating
  • Joint Commission Accreditation
  • Leapfrog Safety Grade B
  • Comprehensive Center for Bariatric Surgery (ACS MBSAQIP)
  • Healogics Wound Care President's Circle Award 2024

Doctors and clinicians (337)

337 doctors and other clinicians list Ascension Seton Cedar Park as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (337)

And 313 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Cedar Park

Hospitals in Williamson County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state license list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Ascension Seton Cedar Park reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics) 2 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital2 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff1 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment2 of 5 stars
Care Coordination2 of 5 stars
Symptoms After Stay2 of 5 stars
Rated the hospital 9 or 10 out of 1060%National average: 72%
Would definitely recommend the hospital59%National average: 71%
Nurses “always” communicated well72%National average: 80%
Doctors “always” communicated well75%National average: 80%
“Always” got help as soon as they wanted46%National average: 64%
Staff “always” explained medicines before giving them55%National average: 62%
Were given information about recovery at home79%National average: 86%
Room and bathroom “always” clean67%National average: 73%
Completed surveys394Response rate: 13%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Clostridioides difficile (C. diff) intestinal infections0.651No different from the national benchmark
Not reported to MedicareCentral line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients10.9%
Deaths within 30 days: heart failure patients9.3%
Deaths within 30 days: pneumonia patients18.7%
Deaths within 30 days: COPD patients9.2%
Deaths within 30 days: stroke patients14.1%
Serious complications (patient safety indicator PSI-90)0.83No different from the national rate
Complications after hip or knee replacement3.9%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)16.2%
Readmitted within 30 days: heart attack14.2%
Readmitted within 30 days: heart failure21.5%
Readmitted within 30 days: pneumonia19.4%
Readmitted within 30 days: COPD19.6%
Readmitted within 30 days: hip or knee replacement4.8%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)138 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)62%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Ascension Seton Cedar Park, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-0.7917Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack1.1124More readmissions than expected
Heart failure1.0617More readmissions than expected
Pneumonia1.0925More readmissions than expected
COPD (chronic lung disease)1.0134More readmissions than expected
Hip or knee replacement1.0164More readmissions than expected
No result publishedCoronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score31.25 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)26.00 out of 100
Person and community engagement (patient survey)15.00 out of 100
Safety (infections and sepsis care)74.00 out of 100
Efficiency and cost reduction (Medicare spending)10.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio0.96Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in TexasBest hospitals in Texas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 85 common services exactly as Ascension Seton Cedar Park lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Show the prices of 85 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: LEVEL 3 NP $628.58 $226.29 $75.13 – $132.49
New patient office visit (about 30–44 minutes): rates for 7 insurance plans
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $132.49
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $290.55
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $263.43
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $263.43
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $321.54
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $75.13
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $77.21
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW LOW 30 MIN Not listed in the file Not listed in the file $75.13 – $321.54
New patient office visit (about 30–44 minutes): rates for 7 insurance plans
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $132.49
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $290.55
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $263.43
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $263.43
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $321.54
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $75.13
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $77.21
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: LEVEL 4 NP $809.94 $291.58 $127.40 – $224.32
New patient office visit (about 45–59 minutes): rates for 7 insurance plans
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $224.32
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $491.93
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $446.01
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $446.01
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $544.40
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $127.40
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $130.52
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW MOD 45 MIN Not listed in the file Not listed in the file $127.40 – $544.40
New patient office visit (about 45–59 minutes): rates for 7 insurance plans
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $224.32
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $491.93
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $446.01
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $446.01
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $544.40
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $127.40
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $130.52
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: LEVEL 5 NP $1,064.88 $383.36 $166.28 – $292.73
New patient office visit (about 60–74 minutes): rates for 7 insurance plans
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $292.73
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $641.96
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $582.05
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $582.05
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $710.44
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $166.28
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $170.44
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW HI 60 MIN Not listed in the file Not listed in the file $166.28 – $710.44
New patient office visit (about 60–74 minutes): rates for 7 insurance plans
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $292.73
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $641.96
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $582.05
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $582.05
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $710.44
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $166.28
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $170.44
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: LEVEL 3 EP $552.74 $198.99 $50.49 – $88.75
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $88.75
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $194.63
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $176.46
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $176.46
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $215.39
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $50.49
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $51.87
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OB TRIAGE LVL 3 EP $1,886.71 $679.22 $50.49 – $88.75
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $88.75
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $50.49
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $51.87
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OFFICE O/P EST LOW 20 MIN Not listed in the file Not listed in the file $50.49 – $215.39
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $88.75
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $194.63
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $176.46
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $176.46
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $215.39
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $50.49
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $51.87
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: LEVEL 4 EP $719.25 $258.93 $77.89 – $136.82
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $136.82
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $300.04
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $272.03
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $272.03
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $332.04
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $77.89
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $79.48
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OB TRIAGE LVL 4 EP $2,830.06 $1,018.82 $77.89 – $136.82
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $136.82
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $77.89
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $79.48
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OFFICE O/P EST MOD 30 MIN Not listed in the file Not listed in the file $77.89 – $332.04
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $136.82
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $300.04
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $272.03
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $272.03
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $332.04
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $77.89
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $79.48
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: OFF/OP CNSLTJ NEW/EST LOW 30 Not listed in the file Not listed in the file $94.91 – $403.84
Office consultation with a specialist (moderate): rates for 7 insurance plans
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $166.40
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $364.91
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $330.85
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $330.85
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $403.84
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $94.91
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $96.73
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: OFF/OP CNSLTJ NEW/EST MOD 40 Not listed in the file Not listed in the file $152.54 – $649.10
Office consultation with a specialist (moderate to high): rates for 7 insurance plans
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $267.46
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $586.54
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $531.79
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $531.79
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $649.10
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $152.54
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $155.46
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: PREV VISIT NEW AGE 18-39 Not listed in the file Not listed in the file $97.03 – $412.80
Preventive checkup, new patient, age 18–39: rates for 7 insurance plans
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $170.09
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $373.01
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $338.20
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $338.20
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $412.80
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $97.03
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $99.28
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: PREV VISIT NEW AGE 40-64 Not listed in the file Not listed in the file $118.07 – $502.52
Preventive checkup, new patient, age 40–64: rates for 7 insurance plans
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $207.06
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $454.09
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $411.71
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $411.71
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $502.52
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $118.07
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $120.73
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: INTERMEDIATE ED VIST $1,668.95 $600.82 $14.47 – $1,668.95
Emergency room visit (moderate): 10 of 28 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $1,009
  • AETNA HMO — 4486_AETNA HMO 20250801: $1,301
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $1,009
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $1,041
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $359.58
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $51.36
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $51.36
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $1,295
  • BCBS STAR KIDS — 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $51.36
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $1,668.95
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ED-INTERMED ED VIST $1,668.95 $600.82 $14.47 – $1,668.95
Emergency room visit (moderate): 10 of 28 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $1,009
  • AETNA HMO — 4486_AETNA HMO 20250801: $1,301
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $1,009
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $1,041
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $359.58
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $51.36
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $51.36
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $1,295
  • BCBS STAR KIDS — 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $51.36
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $1,668.95
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: INTERMEDIATE ED VIST $1,668.95 $600.82 $14.47 – $1,668.95
Emergency room visit (moderate): rates for 10 insurance plans
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $51.36
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $20.38
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $20.38
  • SUPERIOR AMBETTER — 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901: $77.47
  • SUPERIOR AMBETTER — 3880_SUPERIOR AMBETTER (CHI,DCN) OUTPATIENT 20240901: $77.47
  • SUPERIOR STAR — 3509_CHIRP SUPERIOR STAR (CHI,DCN) INPATIENT 20240901: $79.37
  • SUPERIOR STAR PLUS — 4375_CHIRP SUPERIOR STAR PLUS (CHI,DCN) INPATIENT 20240901: $79.37
  • UHC STAR — 3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901: $20.38
  • UHC STAR KIDS — 4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901: $20.38
  • UHC STAR PLUS — 3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901: $20.38
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: EXTENDED ED VISIT $3,547.64 $1,277.15 $200 – $3,547.64
Emergency room visit (moderately high): 10 of 33 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $1,325
  • AETNA HMO — 4486_AETNA HMO 20250801: $1,710
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $1,325
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $1,368
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $566.38
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $512.63
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $512.63
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $3,040
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $2,760
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $2,760
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ED-EXTENDED ED VISIT $3,547.64 $1,277.15 $200 – $3,547.64
Emergency room visit (moderately high): 10 of 33 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $1,325
  • AETNA HMO — 4486_AETNA HMO 20250801: $1,710
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $1,325
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $1,368
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $566.38
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $512.63
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $512.63
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $3,040
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $2,760
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $2,760
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: EXTENDED ED VISIT $3,547.64 $1,277.15 $200 – $3,547.64
Emergency room visit (moderately high): rates for 10 insurance plans
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $512.63
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $512.63
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $512.63
  • SUPERIOR AMBETTER — 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901: $347.57
  • SUPERIOR AMBETTER — 3880_SUPERIOR AMBETTER (CHI,DCN) OUTPATIENT 20240901: $347.57
  • SUPERIOR STAR — 3509_CHIRP SUPERIOR STAR (CHI,DCN) INPATIENT 20240901: $200
  • SUPERIOR STAR PLUS — 4375_CHIRP SUPERIOR STAR PLUS (CHI,DCN) INPATIENT 20240901: $200
  • UHC STAR — 3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901: $512.63
  • UHC STAR KIDS — 4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901: $512.63
  • UHC STAR PLUS — 3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901: $512.63
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: COMPREHENSIVE ED VST $5,683.42 $2,046.03 $200 – $5,683.42
Emergency room visit (high): 10 of 32 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $2,648
  • AETNA HMO — 4486_AETNA HMO 20250801: $3,416
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $2,648
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $2,733
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $812.26
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $821.25
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $821.25
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $5,200
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $4,760
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $4,760
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: POST AR TRA EM LV 5F $5,683.42 $2,046.03 $200 – $5,683.42
Emergency room visit (high): 10 of 32 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $2,648
  • AETNA HMO — 4486_AETNA HMO 20250801: $3,416
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $2,648
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $2,733
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $812.26
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $821.25
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $821.25
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $5,200
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $4,760
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $4,760
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ED-COMPREHEN ED VST $5,683.42 $2,046.03 $200 – $5,683.42
Emergency room visit (high): 10 of 32 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $2,648
  • AETNA HMO — 4486_AETNA HMO 20250801: $3,416
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $2,648
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $2,733
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $812.26
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $821.25
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $821.25
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $5,200
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $4,760
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $4,760

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABO CA TOTA $447.35 $161.05 $7.04 – $201.31
Basic metabolic panel (blood test): 10 of 34 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $62.89
  • AETNA HMO — 4486_AETNA HMO 20250801: $46.11
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $62.89
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $36.89
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $16.07
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $7.11
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $7.11
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $36.04
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $32.66
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $32.66
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABO CA TOTA $447.35 $161.05 $7.04 – $201.31
Basic metabolic panel (blood test): 10 of 22 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $24.45
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $24.45
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $7.11
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $7.11
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $8.77
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $19.67
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $7.11
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $8.77
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $7.11
  • SUPERIOR AMBETTER — 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901: $7.04
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: METABOLIC PANEL TOTAL CA Not listed in the file Not listed in the file $7.04 – $201.31
Basic metabolic panel (blood test): 10 of 35 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $62.89
  • AETNA HMO — 4486_AETNA HMO 20250801: $46.11
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $22.37
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $62.89
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $36.89
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $16.07
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $7.11
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $7.11
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $36.04
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $32.66
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METAB PANEL $559.06 $201.26 $8.87 – $251.58
Comprehensive metabolic panel (blood test): 10 of 34 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $78.53
  • AETNA HMO — 4486_AETNA HMO 20250801: $57.55
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $78.53
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $46.04
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $20.06
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $8.87
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $8.87
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $44.99
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $40.76
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $40.76
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMP METAB PANEL $559.06 $201.26 $8.87 – $251.58
Comprehensive metabolic panel (blood test): 10 of 22 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $30.53
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $30.53
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $8.87
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $8.87
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $10.95
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $24.57
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $8.87
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $10.95
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $8.87
  • SUPERIOR AMBETTER — 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901: $12.07
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHEN METABOLIC PANEL Not listed in the file Not listed in the file $8.87 – $251.58
Comprehensive metabolic panel (blood test): 10 of 35 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $78.53
  • AETNA HMO — 4486_AETNA HMO 20250801: $57.55
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $27.93
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $78.53
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $46.04
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $20.06
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $8.87
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $8.87
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $44.99
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $40.76
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $78.89 – $405.84
Obstetric blood test panel: 10 of 16 insurance plan rates
  • AETNA HMO — 4486_AETNA HMO 20250801: $260.56
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $126.34
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $208.45
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $90.84
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $203.67
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $184.55
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $184.55
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $225.19
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $211.13
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $249.24
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $78.89 – $405.84
Obstetric blood test panel: rates for 3 insurance plans
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $138.08
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $138.08
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $111.19
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL $708.58 $255.09 $11.25 – $318.86
Cholesterol panel (lipid panel): 10 of 36 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $99.57
  • AETNA HMO — 4486_AETNA HMO 20250801: $72.98
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $35.38
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $99.57
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $58.38
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $25.44
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $11.25
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $11.25
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $57.04
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $51.69
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL $708.58 $255.09 $11.25 – $318.86
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $38.67
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $38.67
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $11.25
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $11.25
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $13.89
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $31.14
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $11.25
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $13.89
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $11.25
  • SUPERIOR AMBETTER — 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901: $15.30
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL $459.19 $165.31 $7.29 – $206.64
Kidney function panel: 10 of 35 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $64.58
  • AETNA HMO — 4486_AETNA HMO 20250801: $47.31
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $22.94
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $64.58
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $37.84
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $16.49
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $7.29
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $7.29
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $36.98
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $33.50
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL $459.19 $165.31 $7.29 – $206.64
Kidney function panel: 10 of 22 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $25.08
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $25.08
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $7.29
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $7.29
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $9
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $20.19
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $7.29
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $9
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $7.29
  • SUPERIOR AMBETTER — 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901: $9.93
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PAN $432.02 $155.53 $6.86 – $194.41
Liver function panel: 10 of 34 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $60.71
  • AETNA HMO — 4486_AETNA HMO 20250801: $44.53
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $60.71
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $35.62
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $15.52
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $6.86
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $6.86
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $34.80
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $31.54
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $31.54
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PAN $432.02 $155.53 $6.86 – $194.41
Liver function panel: 10 of 22 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $23.60
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $23.60
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $6.86
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $6.86
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $8.48
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $19
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $6.86
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $8.48
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $6.86
  • SUPERIOR AMBETTER — 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901: $9.33
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL Not listed in the file Not listed in the file $6.86 – $194.41
Liver function panel: 10 of 35 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $60.71
  • AETNA HMO — 4486_AETNA HMO 20250801: $44.53
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $21.60
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $60.71
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $35.62
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $15.52
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $6.86
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $6.86
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $34.80
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $31.54
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA, AUTO W-SCOPE $167.83 $60.42 $2.66 – $75.52
Urine test (automated, with microscope): 10 of 34 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $23.54
  • AETNA HMO — 4486_AETNA HMO 20250801: $17.28
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $23.54
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $13.82
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $6.02
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $2.66
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $2.66
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $13.50
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $12.24
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $12.24
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: UA, AUTO W-SCOPE $167.83 $60.42 $2.66 – $75.52
Urine test (automated, with microscope): 10 of 22 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $9.16
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $9.16
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $2.66
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $2.66
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $3.29
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $7.37
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $2.66
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $3.29
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $2.66
  • SUPERIOR AMBETTER — 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901: $3.62
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS AUTO W/SCOPE Not listed in the file Not listed in the file $2.66 – $75.52
Urine test (automated, with microscope): 10 of 35 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $23.54
  • AETNA HMO — 4486_AETNA HMO 20250801: $17.28
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $8.38
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $23.54
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $13.82
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $6.02
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $2.66
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $2.66
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $13.50
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $12.24
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS NONAUTO W/O SCOPE Not listed in the file Not listed in the file $2.92 – $19.02
Urine test (manual, without microscope): 10 of 35 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $19.02
  • AETNA HMO — 4486_AETNA HMO 20250801: $18.97
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $6.75
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $19.02
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $15.17
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $6.61
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $2.92
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $2.92
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $14.82
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $13.43
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: URINALYSIS NONAUTO W/O SCOPE Not listed in the file Not listed in the file $2.92 – $19.02
Urine test (manual, without microscope): 10 of 22 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $7.38
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $7.38
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $2.92
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $2.92
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $2.92
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $7.28
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $2.92
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $2.92
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $2.92
  • SUPERIOR AMBETTER — 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901: $2.92
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA, AUTO, W-O SCOPE $118.81 $42.77 $1.89 – $53.46
Urine test (automated, without microscope): 10 of 34 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $16.68
  • AETNA HMO — 4486_AETNA HMO 20250801: $12.26
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $16.68
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $9.81
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $4.28
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $1.89
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $1.89
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $9.59
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $8.69
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $8.69
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: UA, AUTO, W-O SCOPE $118.81 $42.77 $1.89 – $53.46
Urine test (automated, without microscope): 10 of 22 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $6.48
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $6.48
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $1.89
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $1.89
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $2.33
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $5.22
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $1.89
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $2.33
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $1.89
  • SUPERIOR AMBETTER — 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901: $2.57
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS AUTO W/O SCOPE Not listed in the file Not listed in the file $1.89 – $53.46
Urine test (automated, without microscope): 10 of 35 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $16.68
  • AETNA HMO — 4486_AETNA HMO 20250801: $12.26
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $5.93
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $16.68
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $9.81
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $4.28
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $1.89
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $1.89
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $9.59
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $8.69
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA, TOTAL $972.15 $349.97 $15.45 – $437.47
PSA (prostate specific antigen) blood test: 10 of 34 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $136.74
  • AETNA HMO — 4486_AETNA HMO 20250801: $100.23
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $136.74
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $80.18
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $34.94
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $15.45
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $15.45
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $78.34
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $70.99
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $70.99
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA, TOTAL $972.15 $349.97 $15.45 – $437.47
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $53.15
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $53.15
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $15.45
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $15.45
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $19.08
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $42.79
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $15.45
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $19.08
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $15.45
  • SUPERIOR AMBETTER — 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901: $21.03
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: ASSAY OF PSA TOTAL Not listed in the file Not listed in the file $15.45 – $437.47
PSA (prostate specific antigen) blood test: 10 of 35 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $136.74
  • AETNA HMO — 4486_AETNA HMO 20250801: $100.23
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $48.63
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $136.74
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $80.18
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $34.94
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $15.45
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $15.45
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $78.34
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $70.99
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: THYROID STIM TSH $888.23 $319.76 $7.58 – $399.70
Thyroid stimulating hormone (TSH) test: 10 of 34 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $124.97
  • AETNA HMO — 4486_AETNA HMO 20250801: $91.56
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $124.97
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $73.25
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $31.92
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $14.11
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $14.11
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $71.57
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $64.85
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $64.85
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: THYROID STIM TSH $888.23 $319.76 $7.58 – $399.70
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $48.54
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $48.54
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $7.58
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $7.58
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $17.43
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $39.09
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $7.58
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $17.43
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $7.58
  • SUPERIOR AMBETTER — 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901: $19.21
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: ASSAY THYROID STIM HORMONE Not listed in the file Not listed in the file $7.58 – $399.70
Thyroid stimulating hormone (TSH) test: 10 of 35 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $124.97
  • AETNA HMO — 4486_AETNA HMO 20250801: $91.56
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $44.42
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $124.97
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $73.25
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $31.92
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $14.11
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $14.11
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $71.57
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $64.85
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC W-PLT AUTO COMPD $411.32 $148.08 $1.99 – $185.09
Complete blood count (CBC) with differential: 10 of 34 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $57.82
  • AETNA HMO — 4486_AETNA HMO 20250801: $42.35
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $57.82
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $33.88
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $14.76
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $6.53
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $6.53
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $33.10
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $29.99
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $29.99
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC W-PLT AUTO COMPD $411.32 $148.08 $1.99 – $185.09
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $22.44
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $22.44
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $1.99
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $1.99
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $8.06
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $18.06
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $1.99
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $8.06
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $1.99
  • SUPERIOR AMBETTER — 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901: $8.89
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: COMPLETE CBC W/AUTO DIFF WBC Not listed in the file Not listed in the file $1.99 – $185.09
Complete blood count (CBC) with differential: 10 of 35 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $57.82
  • AETNA HMO — 4486_AETNA HMO 20250801: $42.35
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $20.53
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $57.82
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $33.88
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $14.76
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $6.53
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $6.53
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $33.10
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $29.99
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC W-PLT $342.14 $123.17 $1.99 – $153.96
Complete blood count (CBC), automated: 10 of 34 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $48.12
  • AETNA HMO — 4486_AETNA HMO 20250801: $35.26
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $48.12
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $28.21
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $12.29
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $5.43
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $5.43
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $27.56
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $24.97
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $24.97
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC W-PLT $342.14 $123.17 $1.99 – $153.96
Complete blood count (CBC), automated: 10 of 22 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $18.68
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $18.68
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $1.99
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $1.99
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $6.70
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $15.04
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $1.99
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $6.70
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $1.99
  • SUPERIOR AMBETTER — 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901: $7.40
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: COMPLETE CBC AUTOMATED Not listed in the file Not listed in the file $1.99 – $153.96
Complete blood count (CBC), automated: 10 of 35 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $48.12
  • AETNA HMO — 4486_AETNA HMO 20250801: $35.26
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $17.10
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $48.12
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $28.21
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $12.29
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $5.43
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $5.43
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $27.56
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $24.97
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME $208.03 $74.89 $3.60 – $93.61
Blood clotting time test (prothrombin time, PT): 10 of 35 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $29.27
  • AETNA HMO — 4486_AETNA HMO 20250801: $23.38
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $10.39
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $29.27
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $18.70
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $8.15
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $3.60
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $3.60
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $18.28
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $16.56
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME $208.03 $74.89 $3.60 – $93.61
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $11.35
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $11.35
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $15.10
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $15.10
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $4.07
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $9.14
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $15.10
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $4.07
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $15.10
  • SUPERIOR AMBETTER — 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901: $4.49
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: THROMBOPLAST TIMEPTT $317.36 $114.25 $5.05 – $142.81
Blood clotting test (partial thromboplastin time, PTT): 10 of 34 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $44.64
  • AETNA HMO — 4486_AETNA HMO 20250801: $32.75
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $44.64
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $26.20
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $11.42
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $5.05
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $5.05
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $25.60
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $23.20
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $23.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: THROMBOPLAST TIMEPTT $317.36 $114.25 $5.05 – $142.81
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $17.34
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $17.34
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $5.75
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $5.75
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $6.23
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $13.97
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $5.75
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $6.23
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $5.75
  • SUPERIOR AMBETTER — 3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901: $6.86
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: THROMBOPLASTIN TIME PARTIAL Not listed in the file Not listed in the file $5.05 – $142.81
Blood clotting test (partial thromboplastin time, PTT): 10 of 35 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $44.64
  • AETNA HMO — 4486_AETNA HMO 20250801: $32.75
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $15.87
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $44.64
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $26.20
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $11.42
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $5.05
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $5.05
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $25.60
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $23.20

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT-HEAD WO $5,115.43 $1,841.55 $75.99 – $2,301.94
CT scan of the head or brain, without contrast: 10 of 28 insurance plan rates
  • AETNA HMO — 4486_AETNA HMO 20250801: $706.77
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $1,345
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $118.80
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $106.88
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $106.88
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $452.80
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $411.33
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $411.33
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $501
  • BCBS STAR KIDS — 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $106.88
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT-HEAD WO $5,115.43 $1,841.55 $75.99 – $2,301.94
CT scan of the head or brain, without contrast: 10 of 26 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $507.38
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $747.81
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $507.38
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $109.60
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $109.60
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $109.60
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $109.60
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $109.60
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $109.60
  • DELL STAR — 4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201: $109.60
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD/BRAIN W/O DYE Not listed in the file Not listed in the file $75.99 – $2,301.94
CT scan of the head or brain, without contrast: 10 of 30 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $747.81
  • AETNA HMO — 4486_AETNA HMO 20250801: $706.77
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $747.81
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $1,345
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $118.80
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $106.88
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $106.88
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $452.80
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $411.33
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $411.33
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MR-BRAIN WWO $9,451.13 $3,402.41 $274.01 – $4,253.01
MRI of the brain, before and after contrast: 10 of 28 insurance plan rates
  • AETNA HMO — 4486_AETNA HMO 20250801: $2,377.89
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $2,140.10
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $1,969
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $404.76
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $332.80
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $332.80
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $1,542.67
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $1,401.39
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $1,401.39
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $1,706.87
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MR-BRAIN WWO $9,451.13 $3,402.41 $274.01 – $4,253.01
MRI of the brain, before and after contrast: 10 of 26 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $3,084.62
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $2,558.97
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $3,084.62
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $357.85
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $356.19
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $356.19
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $357.85
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $356.19
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $357.85
  • DELL STAR — 4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201: $356.19
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN STEM W/O & W/DYE Not listed in the file Not listed in the file $274.01 – $4,253.01
MRI of the brain, before and after contrast: 10 of 32 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $2,558.97
  • AETNA HMO — 4486_AETNA HMO 20250801: $2,377.89
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $2,558.97
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $1,969
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $404.76
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $332.80
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $332.80
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $1,542.67
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $1,401.39
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $1,401.39
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CH-CHEST 2V DR $871.45 $313.72 $20.12 – $392.15
Chest X-ray, 2 views: 10 of 29 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $181.40
  • AETNA HMO — 4486_AETNA HMO 20250801: $221.22
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $199.10
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $176.98
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $79.81
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $33.75
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $33.75
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $292.90
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $264.97
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $264.97
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CH-CHEST 2V CR $829.95 $298.78 $20.12 – $373.48
Chest X-ray, 2 views: 10 of 29 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $181.40
  • AETNA HMO — 4486_AETNA HMO 20250801: $221.22
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $199.10
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $176.98
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $79.81
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $33.75
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $33.75
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $292.90
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $264.97
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $264.97
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CH-CHEST 2V DR $871.45 $313.72 $20.12 – $392.15
Chest X-ray, 2 views: 10 of 19 insurance plan rates
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $28.74
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $26.40
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $26.40
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $193.59
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $28.74
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $26.40
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $28.74
  • DELL STAR — 4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201: $26.40
  • UHC STAR — 3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901: $28.74
  • UHC STAR — 4253_CHIRP UHC STAR (CHI,DCN) OUTPATIENT 20241201: $26.40
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: SP-LS SPNE 4VPLUS DR $1,450.98 $522.35 $34.08 – $652.94
X-ray of the lower spine, at least 4 views: 10 of 30 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $309.78
  • AETNA HMO — 4486_AETNA HMO 20250801: $367.56
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $309.78
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $294.05
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $51.45
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $51.45
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $411.33
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $372.11
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $372.11
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $453.92
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: SP-LS SPNE 4VPLUS CR $1,288.48 $463.85 $34.08 – $579.82
X-ray of the lower spine, at least 4 views: 10 of 30 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $309.78
  • AETNA HMO — 4486_AETNA HMO 20250801: $367.56
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $309.78
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $294.05
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $51.45
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $51.45
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $411.33
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $372.11
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $372.11
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $453.92
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: SP-LS SPNE 4VPLUS DR $1,450.98 $522.35 $34.08 – $652.94
X-ray of the lower spine, at least 4 views: 10 of 27 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $201.33
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $309.78
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $201.33
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $46.11
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $46.11
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $46.11
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $349.61
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $46.11
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $46.11
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $46.11
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MR-LUMB SPINE WO $6,106.37 $2,198.29 $156.11 – $2,747.87
MRI of the lower back (lumbar spine), without contrast: 10 of 29 insurance plan rates
  • AETNA HMO — 4486_AETNA HMO 20250801: $1,365.21
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $1,228.69
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $1,969
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $247.02
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $199.14
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $199.14
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $941.48
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $855.26
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $855.26
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $1,041.69
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MR-LUMB SPINE WO $6,106.37 $2,198.29 $156.11 – $2,747.87
MRI of the lower back (lumbar spine), without contrast: 10 of 26 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $1,741.75
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $1,548.81
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $1,741.75
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $212.84
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $211.18
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $211.18
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $212.84
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $211.18
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $212.84
  • DELL STAR — 4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201: $211.18
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI LUMBAR SPINE W/O DYE Not listed in the file Not listed in the file $156.11 – $2,747.87
MRI of the lower back (lumbar spine), without contrast: 10 of 32 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $1,548.81
  • AETNA HMO — 4486_AETNA HMO 20250801: $1,365.21
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $1,548.81
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $1,969
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $247.02
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $199.14
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $199.14
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $941.48
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $855.26
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $855.26
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT-PELVIS W $8,100.53 $2,916.19 $173.75 – $3,645.24
CT scan of the pelvis, with contrast: 10 of 26 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $1,164.05
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $1,627.20
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $1,164.05
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $213.51
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $213.18
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $213.18
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $213.51
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $213.18
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $213.51
  • DELL STAR — 4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201: $213.18
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT-PELVIS W $8,100.53 $2,916.19 $173.75 – $3,645.24
CT scan of the pelvis, with contrast: 10 of 25 insurance plan rates
  • AETNA HMO — 4486_AETNA HMO 20250801: $1,701.09
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $1,345
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $193.15
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $180.34
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $180.34
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $736.17
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $668.75
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $668.75
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $814.52
  • BCBS STAR KIDS — 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $180.34
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/DYE Not listed in the file Not listed in the file $173.75 – $3,645.24
CT scan of the pelvis, with contrast: 10 of 30 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $1,627.20
  • AETNA HMO — 4486_AETNA HMO 20250801: $1,701.09
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $1,627.20
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $1,345
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $193.15
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $180.34
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $180.34
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $736.17
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $668.75
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $668.75
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MR-LW JOINT WO $6,106.37 $2,198.29 $175.86 – $2,747.87
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates
  • AETNA HMO — 4486_AETNA HMO 20250801: $1,536.48
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $1,382.83
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $1,969
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $247.02
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $210.84
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $210.84
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $941.48
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $855.26
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $855.26
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $1,041.69
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MR-LW JOINT WO $6,106.37 $2,198.29 $175.86 – $2,747.87
MRI of a leg joint (such as the knee), without contrast: 10 of 26 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $1,975.92
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $1,708.92
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $1,975.92
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $224.88
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $223.54
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $223.54
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $224.88
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $223.54
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $224.88
  • DELL STAR — 4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201: $223.54
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI JNT OF LWR EXTRE W/O DYE Not listed in the file Not listed in the file $175.86 – $2,747.87
MRI of a leg joint (such as the knee), without contrast: 10 of 32 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $1,708.92
  • AETNA HMO — 4486_AETNA HMO 20250801: $1,536.48
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $1,708.92
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $1,969
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $247.02
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $210.84
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $210.84
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $941.48
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $855.26
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $855.26
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT-ABD PELVIS W $14,556.99 $5,240.52 $228.53 – $6,550.65
CT scan of the abdomen and pelvis, with contrast: 10 of 26 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $1,523.31
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $2,140.47
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $1,523.31
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $252.74
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $293.70
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $293.70
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $252.74
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $293.70
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $252.74
  • DELL STAR — 4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201: $293.70
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT-ABD PELVIS W $14,556.99 $5,240.52 $228.53 – $6,550.65
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates
  • AETNA HMO — 4486_AETNA HMO 20250801: $2,374.56
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $1,345
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $404.76
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $318.09
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $318.09
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $1,542.67
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $1,401.39
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $1,401.39
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $1,706.87
  • BCBS STAR KIDS — 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $318.09
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD & PELVIS W/CONTRAST Not listed in the file Not listed in the file $228.53 – $6,550.65
CT scan of the abdomen and pelvis, with contrast: 10 of 30 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $2,140.47
  • AETNA HMO — 4486_AETNA HMO 20250801: $2,374.56
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $2,140.47
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $1,345
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $404.76
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $318.09
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $318.09
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $1,542.67
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $1,401.39
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $1,401.39
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US-ABDOMEN COMP WO $1,628.97 $586.43 $85.91 – $927.63
Ultrasound of the abdomen, complete: 10 of 31 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $927.63
  • AETNA HMO — 4486_AETNA HMO 20250801: $806.49
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $927.63
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $645.19
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $112.08
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $106.88
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $106.88
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $411.33
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $372.11
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $372.11
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US-ABDOMEN COMP WO $1,628.97 $586.43 $85.91 – $927.63
Ultrasound of the abdomen, complete: 10 of 27 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $508.56
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $927.63
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $508.56
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $114.46
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $116.28
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $116.28
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $349.61
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $114.46
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $116.28
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $114.46
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US EXAM ABDOM COMPLETE Not listed in the file Not listed in the file $85.91 – $927.63
Ultrasound of the abdomen, complete: 10 of 31 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $927.63
  • AETNA HMO — 4486_AETNA HMO 20250801: $806.49
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $927.63
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $645.19
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $112.08
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $106.88
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $106.88
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $411.33
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $372.11
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $372.11
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US-PELVIS PREG $1,628.97 $586.43 $91.54 – $896.31
Pregnancy ultrasound (after the first trimester): 10 of 31 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $891.63
  • AETNA HMO — 4486_AETNA HMO 20250801: $896.31
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $891.63
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $717.05
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $91.54
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $106.88
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $106.88
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $335.95
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $303.91
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $303.91
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US-PELVIS PREG $1,628.97 $586.43 $91.54 – $896.31
Pregnancy ultrasound (after the first trimester): 10 of 27 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $567.82
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $891.63
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $567.82
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $114.46
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $148.03
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $148.03
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $349.61
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $114.46
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $148.03
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $114.46
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: OB US >= 14 WKS SNGL FETUS Not listed in the file Not listed in the file $91.54 – $896.31
Pregnancy ultrasound (after the first trimester): 10 of 31 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $891.63
  • AETNA HMO — 4486_AETNA HMO 20250801: $896.31
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $891.63
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $717.05
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $91.54
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $106.88
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $106.88
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $335.95
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $303.91
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $303.91
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US-TRANSVAGINAL $1,628.97 $586.43 $88.30 – $882.99
Transvaginal ultrasound: 10 of 31 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $845.91
  • AETNA HMO — 4486_AETNA HMO 20250801: $882.99
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $845.91
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $706.39
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $88.30
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $106.88
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $106.88
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $324.06
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $293.16
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $293.16
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US-TRANSVAGINAL $1,628.97 $586.43 $88.30 – $882.99
Transvaginal ultrasound: 10 of 27 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $541.47
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $845.91
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $541.47
  • BCBS CHIP/CHIP PERINATE — 3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $114.46
  • BCBS STAR — 3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901: $119.29
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $119.29
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $349.61
  • DELL CHIP/CHIP PERINATE — 3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901: $114.46
  • DELL CHIP/CHIP PERINATE — 4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $119.29
  • DELL STAR — 3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901: $114.46
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: TRANSVAGINAL US NON-OB Not listed in the file Not listed in the file $88.30 – $882.99
Transvaginal ultrasound: 10 of 31 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $845.91
  • AETNA HMO — 4486_AETNA HMO 20250801: $882.99
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $845.91
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $706.39
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $88.30
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $106.88
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $106.88
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $324.06
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $293.16
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $293.16
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: BR-DIG MAMMO UNILAT $1,254.47 $451.61 $94.06 – $869.67
Diagnostic mammogram, one breast: 10 of 14 insurance plan rates
  • AETNA HMO — 4486_AETNA HMO 20250801: $869.67
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $695.74
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $94.06
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $345.20
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $312.28
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $312.28
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $380.94
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $130.83
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $98.04
  • CIGNA HMO — 4476_CIGNA HMO (WIL,DEL) 20250701: $308.92
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: BR-DIG MAMMO UNI GG $522 $187.92 $94.06 – $380.94
Diagnostic mammogram, one breast: 10 of 11 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $94.06
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $345.20
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $312.28
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $312.28
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $380.94
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $130.83
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $98.04
  • CIGNA HMO — 4476_CIGNA HMO (WIL,DEL) 20250701: $308.92
  • COMMUNITY HEALTH SERVICES — 2281_COMMUNITY HEALTH SERVICES Q32 20220901: $96.12
  • HUMANA HMO — 2668_HUMANA HMO 20230701: $159.44
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: BR-DIG MAMMO UNILAT $1,254.47 $451.61 $94.06 – $869.67
Diagnostic mammogram, one breast: rates for 3 insurance plans
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $582.87
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $582.87
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $308.92
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: BR-DIG MAMMO BILAT $2,508.92 $903.21 $120.37 – $1,112.49
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates
  • AETNA HMO — 4486_AETNA HMO 20250801: $1,112.49
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $889.99
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $120.37
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $441.76
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $399.63
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $399.63
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $487.50
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $164.95
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $125.24
  • CIGNA HMO — 4476_CIGNA HMO (WIL,DEL) 20250701: $395.41
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: BR-DIG MAMMO BI GG $863 $310.68 $120.37 – $745.82
Diagnostic mammogram, both breasts: 10 of 11 insurance plan rates
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $682.15
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $120.37
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $441.76
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $399.63
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $399.63
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $487.50
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $164.95
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $125.24
  • CIGNA HMO — 4476_CIGNA HMO (WIL,DEL) 20250701: $395.41
  • COMMUNITY HEALTH SERVICES — 2281_COMMUNITY HEALTH SERVICES Q32 20220901: $122.76
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: BR-DIG MAMMO BILAT $2,508.92 $903.21 $120.37 – $1,112.49
Diagnostic mammogram, both breasts: rates for 3 insurance plans
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $745.82
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $745.82
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $395.41
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: BR-DIG MAMMO SCRN BI $545.11 $196.24 $44.79 – $402.85
Screening mammogram, both breasts: 10 of 14 insurance plan rates
  • AETNA HMO — 4486_AETNA HMO 20250801: $919.62
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $735.70
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $99.47
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $365.05
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $330.24
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $330.24
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $402.85
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $133.14
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $103.55
  • CIGNA HMO — 4476_CIGNA HMO (WIL,DEL) 20250701: $326.69
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: BR-DIG MAMMO SCRN UN $758.78 $273.16 $44.79 – $735.70
Screening mammogram, both breasts: 10 of 13 insurance plan rates
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $563.36
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $735.70
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $99.47
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $365.05
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $330.24
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $330.24
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $402.85
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $133.14
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $103.55
  • CIGNA HMO — 4476_CIGNA HMO (WIL,DEL) 20250701: $326.69
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: BR-DIG MAMMO SCRN BI $545.11 $196.24 $44.79 – $402.85
Screening mammogram, both breasts: rates for 3 insurance plans
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $615.93
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $615.93
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $326.69

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: ELECTROCARDIOGRAM COMPLETE Not listed in the file Not listed in the file $16.50 – $81.48
Electrocardiogram (ECG/EKG) with reading: 10 of 19 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $32.87
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $73.70
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $66.78
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $66.78
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $81.48
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $16.50
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $17.32
  • TRICARE — 1229_TRICARE CAH OUTPATIENT 20170101: $17.28
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: 46% (a percentage in the contract, not a dollar amount)
  • AETNA ACO PPO/HMO - CHI — 4483_AETNA ACO PPO/HMO (CHI,DCN) 20250801: 70% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: CC-LHC VENT PUNC $27,369.86 $9,853.15 $610.21 – $23,264.38
Left heart catheterization (diagnostic): 10 of 28 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $12,169
  • AETNA ACO PPO — 3438_AETNA ACO PPO 20240701: $12,863.83
  • AETNA ACO PPO/HMO - CHI — 4483_AETNA ACO PPO/HMO (CHI,DCN) 20250801: $19,158.90
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $10,288
  • AETNA HMO — 4486_AETNA HMO 20250801: $14,841
  • AETNA HMO - CHI — 4481_AETNA HMO (CHI,DCN) 20250801: $23,264.38
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $9,289
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4484_AETNA MULTI-TIER WHOLE HEALTH SHA (CHI,DCN) 20250801: $21,074.79
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $13,357
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $10,288
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $610.21 – $23,264.38
Left heart catheterization (diagnostic): 10 of 30 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $12,169
  • AETNA ACO PPO — 3438_AETNA ACO PPO 20240701: $12,863.83
  • AETNA ACO PPO/HMO - CHI — 4483_AETNA ACO PPO/HMO (CHI,DCN) 20250801: $19,158.90
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $10,288
  • AETNA HMO — 4486_AETNA HMO 20250801: $14,841
  • AETNA HMO - CHI — 4481_AETNA HMO (CHI,DCN) 20250801: $23,264.38
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $9,289
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4484_AETNA MULTI-TIER WHOLE HEALTH SHA (CHI,DCN) 20250801: $21,074.79
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $13,357
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $10,288
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $610.21 – $23,264.38
Left heart catheterization (diagnostic): rates for 1 insurance plan
  • HUMANA EXCHANGE — 415_HUMANA EXCHANGE (CHI,DCN) 20160101: $3,531
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: COMPREHENSIVE EP EVALUATION Not listed in the file Not listed in the file $4,538.98 – $24,425.70
Heart rhythm study (electrophysiology evaluation): 10 of 18 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $15,968
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $14,456
  • AETNA HMO — 4486_AETNA HMO 20250801: $19,473
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $12,432
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $17,526
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $14,456
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $14,559
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $10,064.56
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $22,071.41
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $20,011.41
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file Not listed in the file $1,126.05 – $30,569
Heart rhythm study with ablation for atrial fibrillation: 10 of 24 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $18,394
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $16,328
  • AETNA HMO — 4486_AETNA HMO 20250801: $22,433
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $14,041
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $20,190
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $16,328
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $16,770
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $14,713.39
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $21,048.33
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $19,617.86
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOMNO 4 OR MORE $2,886.92 $1,039.29 $524.25 – $2,078.90
Sleep study (overnight, in a sleep lab): 10 of 23 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $1,327.98
  • AETNA HMO — 4486_AETNA HMO 20250801: $1,616.68
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $1,472.33
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $1,327.98
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $856.61
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $1,878.53
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $1,703.20
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $1,703.20
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $2,078.90
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $602.98
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOMNO GT4 GE6YO $2,402.40 $864.86 $524.25 – $2,078.90
Sleep study (overnight, in a sleep lab): 10 of 23 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $1,105.10
  • AETNA HMO — 4486_AETNA HMO 20250801: $1,345.34
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $1,225.22
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $1,105.10
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $856.61
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $1,878.53
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $1,703.20
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $1,703.20
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $2,078.90
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $602.98
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOM 6/> YRS 4/> PARAM Not listed in the file Not listed in the file $524.25 – $2,078.90
Sleep study (overnight, in a sleep lab): 10 of 23 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $1,327.98
  • AETNA HMO — 4486_AETNA HMO 20250801: $1,616.68
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $1,472.33
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $1,327.98
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $856.61
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $1,878.53
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $1,703.20
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $1,703.20
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $2,078.90
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $602.98

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: THERAP EXERCS-15 MIN $251.57 $90.57 $30.31 – $144.05
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $144.05
  • AETNA HMO — 4486_AETNA HMO 20250801: $137.33
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $66.13
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $144.05
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $110.17
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $53.61
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $117.56
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $106.59
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $106.59
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $130.10
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: THER EXRCS-15MIN PT $315.91 $113.73 $30.31 – $144.05
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $144.05
  • AETNA HMO — 4486_AETNA HMO 20250801: $137.33
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $66.13
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $144.05
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $110.17
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $53.61
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $117.56
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $106.59
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $106.59
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $130.10
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: THER EXRCS-15MIN PTA $315.91 $113.73 $30.31 – $144.05
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $144.05
  • AETNA HMO — 4486_AETNA HMO 20250801: $137.33
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $66.13
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $144.05
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $110.17
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $53.61
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $117.56
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $106.59
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $106.59
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $130.10
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL- LOW COMP $604.80 $217.73 $83.55 – $462
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates
  • AETNA HMO — 4486_AETNA HMO 20250801: $462
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $165.10
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $370.64
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $147.90
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $324.34
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $294.07
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $294.07
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $358.93
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $83.55
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $86.08
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL- LOW CMP PT $789.87 $284.35 $83.55 – $462
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates
  • AETNA HMO — 4486_AETNA HMO 20250801: $462
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $165.10
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $370.64
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $147.90
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $324.34
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $294.07
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $294.07
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $358.93
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $83.55
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $86.08
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL- LOW CMP PTA $789.87 $284.35 $83.55 – $462
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates
  • AETNA HMO — 4486_AETNA HMO 20250801: $462
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $165.10
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $370.64
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $147.90
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $324.34
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $294.07
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $294.07
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $358.93
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $83.55
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $86.08
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL- MOD COMP $628.99 $226.44 $83.55 – $462
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates
  • AETNA HMO — 4486_AETNA HMO 20250801: $462
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $165.10
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $370.64
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $147.90
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $324.34
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $294.07
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $294.07
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $358.93
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $83.55
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $86.08
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL- MOD CMP PT $789.87 $284.35 $83.55 – $462
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates
  • AETNA HMO — 4486_AETNA HMO 20250801: $462
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $165.10
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $370.64
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $147.90
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $324.34
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $294.07
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $294.07
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $358.93
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $83.55
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $86.08
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL- MOD CMP PTA $789.87 $284.35 $83.55 – $462
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates
  • AETNA HMO — 4486_AETNA HMO 20250801: $462
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $165.10
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $370.64
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $147.90
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $324.34
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $294.07
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $294.07
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $358.93
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $83.55
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $86.08
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL- HGH COMP $604.80 $217.73 $83.55 – $462
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates
  • AETNA HMO — 4486_AETNA HMO 20250801: $462
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $165.10
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $370.64
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $147.90
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $324.34
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $294.07
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $294.07
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $358.93
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $83.55
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $86.08
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL- HGH CMP PT $789.87 $284.35 $83.55 – $462
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates
  • AETNA HMO — 4486_AETNA HMO 20250801: $462
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $165.10
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $370.64
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $147.90
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $324.34
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $294.07
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $294.07
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $358.93
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $83.55
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $86.08
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL- HGH CMP PTA $789.87 $284.35 $83.55 – $462
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates
  • AETNA HMO — 4486_AETNA HMO 20250801: $462
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $165.10
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $370.64
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $147.90
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $324.34
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $294.07
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $294.07
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $358.93
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $83.55
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $86.08
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYTX W PT 30 MINUTES Not listed in the file Not listed in the file $62.59 – $67.29
Psychotherapy, 30 minutes: rates for 3 insurance plans
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $62.59
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $63.43
  • TRICARE — 1229_TRICARE CAH OUTPATIENT 20170101: $67.29
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYTX W PT 45 MINUTES Not listed in the file Not listed in the file $83.55 – $120.81
Psychotherapy, 45 minutes: rates for 3 insurance plans
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $83.55
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $84.54
  • TRICARE — 1229_TRICARE CAH OUTPATIENT 20170101: $120.81
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file $120.81 – $127.13
Psychotherapy, 60 minutes: rates for 3 insurance plans
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $125.47
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $127.13
  • TRICARE — 1229_TRICARE CAH OUTPATIENT 20170101: $120.81
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file Not listed in the file $101.24 – $120.81
Family psychotherapy, without the patient: rates for 3 insurance plans
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $101.24
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $102.42
  • TRICARE — 1229_TRICARE CAH OUTPATIENT 20170101: $120.81
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/PT 50 MIN Not listed in the file Not listed in the file $105.19 – $120.81
Family psychotherapy, with the patient: rates for 3 insurance plans
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $105.19
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $106.76
  • TRICARE — 1229_TRICARE CAH OUTPATIENT 20170101: $120.81
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file $24.88 – $67.29
Group psychotherapy: rates for 3 insurance plans
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $24.88
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $25.09
  • TRICARE — 1229_TRICARE CAH OUTPATIENT 20170101: $67.29

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $409.12 – $3,544.57
Removal of breast growth (open surgery): 10 of 25 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $2,181.28
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $963.66
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $963.66
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $3,120.44
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $2,908.37
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $2,908.37
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $3,544.57
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $963.66
  • BCBS STAR KIDS — 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $963.66
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $409.12
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $409.12 – $3,544.57
Removal of breast growth (open surgery): rates for 1 insurance plan
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $969.15 – $14,153
Total hip replacement: 10 of 12 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $8,568.51
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $12,257.73
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $11,424.68
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $11,424.68
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $13,923.83
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $1,347.10
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $1,384.22
  • HUMANA EXCHANGE — 387_HUMANA EXCHANGE 20160101: $6,640
  • HUMANA HMO — 2668_HUMANA HMO 20230701: $9,036
  • HUMANA HMO CUST — 206_HUMANA HMO CUSTOM 20140201: $969.15
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $969.15 – $14,153
Total hip replacement: rates for 1 insurance plan
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $969.15 – $14,153
Total knee replacement: 10 of 12 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $8,568.51
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $12,257.73
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $11,424.68
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $11,424.68
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $13,923.83
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $1,346.42
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $1,382.85
  • HUMANA EXCHANGE — 387_HUMANA EXCHANGE 20160101: $6,640
  • HUMANA HMO — 2668_HUMANA HMO 20230701: $9,036
  • HUMANA HMO CUST — 206_HUMANA HMO CUSTOM 20140201: $969.15
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $969.15 – $14,153
Total knee replacement: rates for 1 insurance plan
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $175.13 – $1,549
Shoulder arthroscopy: shaving of shoulder bone: rates for 4 insurance plans
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $175.13
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $179.10
  • HUMANA HMO CUST — 206_HUMANA HMO CUSTOM 20140201: $969.15
  • TRICARE — 1229_TRICARE CAH OUTPATIENT 20170101: $1,549
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $175.13 – $1,549
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $535.09 – $3,202.82
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 25 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $1,970.96
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $1,088.27
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $1,088.27
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $2,819.57
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $2,627.95
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $2,627.95
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $3,202.82
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $1,088.27
  • BCBS STAR KIDS — 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $1,088.27
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $535.09
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $535.09 – $3,202.82
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $286.93 – $5,675.12
Removal of tonsils and adenoids (under age 12): 10 of 25 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $3,492.38
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $1,954.22
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $1,954.22
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $4,996.05
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $4,656.51
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $4,656.51
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $5,675.12
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $1,954.22
  • BCBS STAR KIDS — 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $1,954.22
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $286.93
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $286.93 – $5,675.12
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $124.26 – $1,000
Upper GI endoscopy (diagnostic): 10 of 25 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $565.86
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $334.95
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $334.95
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $809.50
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $754.48
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $754.48
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $919.53
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $334.95
  • BCBS STAR KIDS — 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $334.95
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $124.26
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $124.26 – $1,000
Upper GI endoscopy (diagnostic): rates for 1 insurance plan
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $140.61 – $1,000
Upper GI endoscopy with biopsy: 10 of 25 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $565.86
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $334.95
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $334.95
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $809.50
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $754.48
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $754.48
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $919.53
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $334.95
  • BCBS STAR KIDS — 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $334.95
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $140.61
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $140.61 – $1,000
Upper GI endoscopy with biopsy: rates for 1 insurance plan
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $187.81 – $1,000
Colonoscopy (diagnostic): 10 of 25 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $549.99
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $328.50
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $328.50
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $786.80
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $733.32
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $733.32
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $893.74
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $328.50
  • BCBS STAR KIDS — 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $328.50
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $187.81
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $187.81 – $1,000
Colonoscopy (diagnostic): rates for 1 insurance plan
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $203.98 – $1,174.94
Colonoscopy with biopsy: 10 of 25 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $723.04
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $429.26
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $429.26
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $1,034.35
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $964.05
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $964.05
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $1,174.94
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $429.26
  • BCBS STAR KIDS — 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $429.26
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $203.98
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $203.98 – $1,174.94
Colonoscopy with biopsy: rates for 1 insurance plan
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $258.93 – $1,174.94
Colonoscopy with removal of polyps (snare): 10 of 25 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $723.04
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $429.26
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $429.26
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $1,034.35
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $964.05
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $964.05
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $1,174.94
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $429.26
  • BCBS STAR KIDS — 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $429.26
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $258.93
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $258.93 – $1,174.94
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $262.58 – $1,174.94
Ultrasound of the lower bowel by endoscope: 10 of 25 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $723.04
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $429.26
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $429.26
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $1,034.35
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $964.05
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $964.05
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $1,174.94
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $429.26
  • BCBS STAR KIDS — 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $429.26
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $262.58
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $262.58 – $1,174.94
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $655.46 – $19,004
Gallbladder removal by laparoscope: 10 of 41 insurance plan rates
  • AETNA ACO HMO — 4489_AETNA ACO HMO 20250801: $5,421
  • AETNA CHOICE — 236_AETNA ELECT CHOICE 20140601: $4,582
  • AETNA HMO — 4486_AETNA HMO 20250801: $6,612
  • AETNA HMO EXCHANGE — 1377_AETNA HMO EXCHANGE 20200101: $4,138
  • AETNA MULTI-TIER WHOLE HEALTH SHA — 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801: $5,950
  • AETNA POS 20140601 — 235_AETNA POS 20140601: $7,708
  • AETNA SHA AISD — 4335_AETNA SHA AISD 20250101: $4,943
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $3,480.27
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $1,888.85
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $1,888.85
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $655.46 – $19,004
Gallbladder removal by laparoscope: rates for 2 insurance plans
  • HUMANA EXCHANGE — 415_HUMANA EXCHANGE (CHI,DCN) 20160101: $5,556
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $517.65 – $3,637.93
Groin (inguinal) hernia repair, age 5 or older: 10 of 25 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $2,238.72
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $1,151.54
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $1,151.54
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $3,202.62
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $2,984.97
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $2,984.97
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $3,637.93
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $1,151.54
  • BCBS STAR KIDS — 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $1,151.54
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $517.65
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $517.65 – $3,637.93
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $131.65 – $2,072.71
Prostate biopsy: 10 of 25 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $1,275.52
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $652.80
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $652.80
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $1,824.70
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $1,700.69
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $1,700.69
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $2,072.71
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $652.80
  • BCBS STAR KIDS — 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $652.80
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $131.65
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $131.65 – $2,072.71
Prostate biopsy: rates for 1 insurance plan
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $969.15 – $9,843.34
Prostate removal by laparoscope (radical prostatectomy): rates for 8 insurance plans
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $6,057.44
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $8,665.50
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $8,076.59
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $8,076.59
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $9,843.34
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $1,457.09
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $1,489.79
  • HUMANA HMO CUST — 206_HUMANA HMO CUSTOM 20140201: $969.15
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $969.15 – $9,843.34
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $230.83 – $2,922.78
Hysteroscopy with biopsy of the uterus lining: 10 of 25 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $1,798.63
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $1,063.52
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $1,063.52
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $2,573.04
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $2,398.18
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $2,398.18
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $2,922.78
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $1,063.52
  • BCBS STAR KIDS — 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $1,063.52
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $230.83
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $230.83 – $2,922.78
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: NJX INTERLAMINAR LMBR/SAC Not listed in the file Not listed in the file $99.21 – $1,000
Spinal injection, lower back (epidural), with imaging guidance: 10 of 24 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $450.04
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $262.86
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $262.86
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $643.80
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $600.05
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $600.05
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $731.31
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $262.86
  • BCBS STAR KIDS — 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $262.86
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $99.21
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: NJX INTERLAMINAR LMBR/SAC Not listed in the file Not listed in the file $99.21 – $1,000
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: NJX AA&/STRD TFRM EPI L/S 1 Not listed in the file Not listed in the file $111.31 – $1,000
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $584.68
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $340.77
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $340.77
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $836.41
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $779.57
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $779.57
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $950.10
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $340.77
  • BCBS STAR KIDS — 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $340.77
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $111.31
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: NJX AA&/STRD TFRM EPI L/S 1 Not listed in the file Not listed in the file $111.31 – $1,000
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $422.46 – $2,011.64
Carpal tunnel release: 10 of 25 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $1,237.93
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $659.94
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $659.94
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $1,770.93
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $1,650.58
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $1,650.58
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $2,011.64
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $659.94
  • BCBS STAR KIDS — 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $659.94
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $422.46
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $422.46 – $2,011.64
Carpal tunnel release: rates for 1 insurance plan
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $208.33 – $1,000
Laser treatment of clouding after cataract surgery: 10 of 25 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $364.99
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $208.33
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $208.33
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $522.14
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $486.65
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $486.65
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $593.11
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $208.33
  • BCBS STAR KIDS — 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $208.33
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $305.54
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $208.33 – $1,000
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $629.86 – $2,365.58
Cataract removal with lens implant: 10 of 25 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $1,455.74
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201: $849.94
  • BCBS CHIP/CHIP PERINATE — 4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $849.94
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $2,082.52
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $1,940.99
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $1,940.99
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $2,365.58
  • BCBS STAR — 4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201: $849.94
  • BCBS STAR KIDS — 5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201: $849.94
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $629.86
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $629.86 – $2,365.58
Cataract removal with lens implant: rates for 1 insurance plan
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $969.15 – $2,548.07
Vaginal delivery, with care before and after: rates for 8 insurance plans
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $1,568.04
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $2,243.18
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $2,090.73
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $2,090.73
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $2,548.07
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $2,075.42
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $2,102.92
  • HUMANA HMO CUST — 206_HUMANA HMO CUSTOM 20140201: $969.15
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $969.15 – $2,548.07
Vaginal delivery, with care before and after: rates for 1 insurance plan
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $969.15 – $2,825.11
Cesarean delivery (C-section), with care before and after: rates for 8 insurance plans
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $1,738.53
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $2,487.06
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $2,318.04
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $2,318.04
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $2,825.11
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $2,297.98
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $2,327.15
  • HUMANA HMO CUST — 206_HUMANA HMO CUSTOM 20140201: $969.15
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $969.15 – $2,825.11
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: VBAC DELIVERY Not listed in the file Not listed in the file $969.15 – $2,673.73
Vaginal delivery after a previous C-section, with care before and after: rates for 8 insurance plans
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $1,645.37
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $2,353.80
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $2,193.83
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $2,193.83
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $2,673.73
  • CHAMPVA — 1135_CHAMPVA REST_TX 20180301: $2,175.99
  • CHAMPVA — 1136_CHAMPVA AUSTIN 20180301: $2,208
  • HUMANA HMO CUST — 206_HUMANA HMO CUSTOM 20140201: $969.15
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient In the file: VBAC DELIVERY Not listed in the file Not listed in the file $969.15 – $2,673.73
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $1,000

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $4,937 – $112,179
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 24 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $6,318
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $7,532
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $6,862
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $6,862
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $8,368
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $6,863
  • CIGNA HMO — 4476_CIGNA HMO (WIL,DEL) 20250701: $6,863
  • CSHCN CIDC — 4694_CSHCN CIDC IP (ADULT) 20251001: $6,150
  • HUMANA EXCHANGE — 387_HUMANA EXCHANGE 20160101: $61,511
  • HUMANA HMO — 2668_HUMANA HMO 20230701: $112,179
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient or outpatient In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $4,937 – $112,179
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 5 insurance plans
  • HUMANA EXCHANGE — 415_HUMANA EXCHANGE (CHI,DCN) 20160101: $57,489
  • MEDICARE OON — 4666_MEDICARE ADVANTAGE INPATIENT OON 20251001: $6,150
  • SUPERIOR CHIP/CHIP PERINATE — 3619_SUPERIOR CHIP INPATIENT 20240901: $37,800
  • TRICARE — 1229_TRICARE CAH OUTPATIENT 20170101: $56,632.91
  • TRICARE — 4696_TRICARE INPATIENT 20251001: $67,012.85
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $4,701 – $13,993
Hip or knee replacement (major joint of the leg), without major complications: 10 of 24 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $6,318
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $7,532
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $6,862
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $6,862
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $8,368
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $6,863
  • CIGNA HMO — 4476_CIGNA HMO (WIL,DEL) 20250701: $6,863
  • CSHCN CIDC — 4694_CSHCN CIDC IP (ADULT) 20251001: $6,150
  • HUMANA EXCHANGE — 387_HUMANA EXCHANGE 20160101: $5,030
  • HUMANA HMO — 2668_HUMANA HMO 20230701: $9,036
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient or outpatient In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $4,701 – $13,993
Hip or knee replacement (major joint of the leg), without major complications: rates for 4 insurance plans
  • HUMANA EXCHANGE — 415_HUMANA EXCHANGE (CHI,DCN) 20160101: $4,701
  • MEDICARE OON — 4666_MEDICARE ADVANTAGE INPATIENT OON 20251001: $6,150
  • TRICARE — 1229_TRICARE CAH OUTPATIENT 20170101: $12,180.64
  • TRICARE — 4696_TRICARE INPATIENT 20251001: $13,006.77
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $4,701 – $15,398.85
Neck (cervical) spinal fusion, without complications: 10 of 24 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $6,318
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $7,532
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $6,862
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $6,862
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $8,368
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $6,863
  • CIGNA HMO — 4476_CIGNA HMO (WIL,DEL) 20250701: $6,863
  • CSHCN CIDC — 4694_CSHCN CIDC IP (ADULT) 20251001: $6,150
  • HUMANA EXCHANGE — 387_HUMANA EXCHANGE 20160101: $5,030
  • HUMANA HMO — 2668_HUMANA HMO 20230701: $9,036
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient or outpatient In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $4,701 – $15,398.85
Neck (cervical) spinal fusion, without complications: rates for 4 insurance plans
  • HUMANA EXCHANGE — 415_HUMANA EXCHANGE (CHI,DCN) 20160101: $4,701
  • MEDICARE OON — 4666_MEDICARE ADVANTAGE INPATIENT OON 20251001: $6,150
  • TRICARE — 1229_TRICARE CAH OUTPATIENT 20170101: $13,086.73
  • TRICARE — 4696_TRICARE INPATIENT 20251001: $15,398.85
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $4,937 – $9,379
Uterus and ovary surgery (not for cancer), without complications: 10 of 13 insurance plan rates
  • BCBS BAV EXCHANGE — 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101: $6,318
  • BCBS HMO ESSENTIALS — 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101: $7,532
  • BCBS HPN — 4440_BLUE CROSS BLUE SHIELD HPN 20250501: $6,862
  • BCBS HPN — 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 2025: $6,862
  • BCBS PPO — 4094_BLUE CROSS BLUE SHIELD PPO 20250101: $8,368
  • CIGNA HMO — 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701: $6,863
  • CIGNA HMO — 4476_CIGNA HMO (WIL,DEL) 20250701: $6,863
  • CSHCN CIDC — 4694_CSHCN CIDC IP (ADULT) 20251001: $6,150
  • OSCAR HEALTH EXCHANGE — 4511_OSCAR HEALTH PLAN 20251001: $9,379
  • SETON PERFORMANCE PLUS — 785_SETON PERFORMANCE EPO PPO (AUS,NW,SW,HAY) 20180101: $4,937
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient or outpatient In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $4,937 – $9,379
Uterus and ovary surgery (not for cancer), without complications: rates for 3 insurance plans
  • MEDICARE OON — 4666_MEDICARE ADVANTAGE INPATIENT OON 20251001: $6,150
  • TRICARE — 1229_TRICARE CAH OUTPATIENT 20170101: $6,838.86
  • TRICARE — 4696_TRICARE INPATIENT 20251001: $7,992.45

Source: Ascension Seton Cedar Park’s standard charges file (healthcare.ascension.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address1401 Medical Parkway, Cedar Park, TX 78613
CountyWilliamson County
StateTexas
Phone(512) 528‑7000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number670043
Name in Medicare recordsASCENSION SETON CEDAR PARK
Profile levelMedicare data + hospital website
Name on the hospital’s websiteAscension Seton Cedar Park Hospital
Official websitehealthcare.ascension.org
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Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Ascension Seton Cedar Park Hospital — healthcare.ascension.org
  2. Ascension Seton Cedar Park - Emergency — healthcare.ascension.org