Does Baylor Scott and White Medical Center Frisco at PG… have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Baylor Scott and White Medical Center Frisco at PG…. In a medical emergency, call 911.

Where is Baylor Scott and White Medical Center Frisco at PG…?

7600 Better Way, Frisco, TX 75033, in Denton County, Texas.

What is the phone number of Baylor Scott and White Medical Center Frisco at PG…?

(945) 339-0500, as listed by Medicare (CMS).

What is the Medicare star rating of Baylor Scott and White Medical Center Frisco at PG…?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Baylor Scott and White Medical Center Frisco at PG…

Quick answers

Does Baylor Scott and White Medical Center Frisco at PG… have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Baylor Scott and White Medical Center Frisco at PG…. In a medical emergency, call 911.
Where is Baylor Scott and White Medical Center Frisco at PG…?: 7600 Better Way, Frisco, TX 75033, in Denton County, Texas.
What is the phone number of Baylor Scott and White Medical Center Frisco at PG…?: (945) 339-0500, as listed by Medicare (CMS).
What is the Medicare star rating of Baylor Scott and White Medical Center Frisco at PG…?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4][5]

Cardiovascular care
Emergency and trauma care
Women's health
Labor and delivery
Neonatal intensive care
Surgery
Gastroenterology
Imaging and interventional radiology
Women's imaging
Primary care
Specialty care

Conditions treated^[5]

High-risk pregnancy

Treatments^[5]

Prenatal care
Postpartum care
Pain management, including nitrous oxide
Lactation support
High-risk pregnancy management

Procedures^[4][5]

Cardiac catheterization
Cesarean delivery
Interventional radiology

Programs and centers^[4][5]

Center for Women and Infants
Neonatal Intensive Care Unit (NICU)
Virtual pregnancy care
Virtual postpartum care
Prenatal, breastfeeding and newborn care classes

Emergency care (hospital website)^[4]

Emergency room	Yes

Visiting and practical information

Patient portal	MyBSWHealth

Doctors and clinicians (246)

246 doctors and other clinicians list Baylor Scott and White Medical Center Frisco at PG… 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

And 222 more: the button below opens the full list.

Other emergency rooms nearby

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

Texas Health Hospital Frisco0.4 mi · Frisco, TX · Acute Care Hospital
Cook Childrens Medical Center Prosper4.3 mi · Prosper, TX · Children's Hospital
Baylor Scott & White Medical Center - Frisco5.4 mi · Frisco, TX · Acute Care Hospital
Baylor Scott & White Emergency Hospital6.0 mi · Aubrey, TX · Acute Care Hospital
Baylor Scott & White Medical Center - Centennial6.4 mi · Frisco, TX · Acute Care Hospital

Other hospitals nearby

Medical City Mental Health and Wellness Center2.4 mi · Frisco, TX · Psychiatric Hospital
Encompass Health Rehabilitation Hospital of Prospe…2.7 mi · Prosper, TX · Inpatient Rehabilitation Hospital
Baylor Institute for Rehabilitation at Frisco5.6 mi · Frisco, TX · Inpatient Rehabilitation Hospital

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

Prairie Estates3.0 mi · Frisco, TX · 5 of 5 stars
Victoria Gardens of Frisco4.6 mi · Frisco, TX · 4 of 5 stars
Baybrooke Village Care and Rehab Center4.6 mi · McKinney, TX · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Archway Hospice0.0 mi · Frisco, TX
By Grace Hospice LLC4.2 mi · Frisco, TX
Good Love Hospice LLC4.2 mi · Frisco, TX

All hospice providers in the state →

Home health agencies

Ariel Amana Healthcare Inc0.0 mi · Dallas, TX
Nexus Home Healthcare Inc0.0 mi · Frisco, TX
Almighty Home Health4.2 mi · Frisco, TX · 2 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Renal Center of Frisco0.0 mi · Frisco, TX · 4 of 5 stars
FMC Frisco0.0 mi · Frisco, TX · 4 of 5 stars
Fresenius Kidney Care North Frisco Dialysis Clinic0.0 mi · Frisco, TX · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Baylor Scott and White Surgicare at Centennial4.2 mi · Frisco, TX
Cook Childrens Pediatric Surgery Center4.3 mi · Prosper, TX
Baylor Scott and White Sports Surgery Center4.4 mi · Frisco, TX

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

Healing Hands Ministries Women's Health Center3.1 mi · Frisco, TX · Community health center
HSNT Plano10 mi · Plano, TX · Community health center
Women's Health Center of McKinney12 mi · McKinney, TX · Community health center

Clinics and urgent care

After Hours Pediatric Urgent Care PLLC0.0 mi · Frisco, TX · Urgent care center
El Dorado Urgent Care, PLLC0.0 mi · Frisco, TX · Urgent care center
Legacy Urgent Care, PA0.0 mi · Frisco, TX · Urgent care center

Pharmacies

1918 Winter Street Operating Co LLC0.0 mi · Frisco, TX · Community/retail pharmacy
Costco Wholesale Corporation0.0 mi · Frisco, TX · Community/retail pharmacy
CVS Pharmacy Inc0.0 mi · Frisco, TX · Pharmacy

Assisted living nearby

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

Bethesda Gardens Frisco0.0 mi · Frisco, TX
Frisco Assisted Living0.0 mi · Frisco, TX
Frisco Assisted Living0.0 mi · Frisco, TX
Frisco Assisted Living0.0 mi · Frisco, TX

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 Baylor Scott and White Medical Center Frisco at PG… 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.

Not reported to Medicare

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 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.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

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 patients	Not reported to Medicare
Deaths within 30 days: heart failure patients	Not reported to Medicare
Deaths within 30 days: pneumonia patients	Not reported to Medicare
Deaths within 30 days: COPD patients	Not reported to Medicare
Deaths within 30 days: stroke patients	Not reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

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)	Not reported to Medicare
Readmitted within 30 days: heart attack	Not reported to Medicare
Readmitted within 30 days: heart failure	Not reported to Medicare
Readmitted within 30 days: pneumonia	Not reported to Medicare
Readmitted within 30 days: COPD	Not reported to Medicare
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

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.

Average (median) time patients spent in the emergency room before leaving (OP-18b)	Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)	Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.

See every measure on Medicare Care Compare →

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 Frisco Best hospitals in Frisco

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 70 common services exactly as Baylor Scott and White Medical Center Frisco at PG… 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 →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY CARE LEVEL III	$1,283.40	$770.04	$260.51 – $2,691
Emergency room visit (moderate): 10 of 40 insurance plan rates Aetna — Commercial: $2,691 Aetna — Medicare Advantage: $274.22 American Health Plan — Medicare Advantage: $287.93 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,021.25 Baylor Scott & White Health Plan — BSW Plus - Small Group: $452.46 Baylor Scott & White Health Plan — BSW Premier - Individual: $344.15 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $868.06 Baylor Scott & White Health Plan — BSW Premier - Small Group: $329.06 Baylor Scott & White Health Plan — Medicare Advantage: $260.51 Blue Cross Blue Shield — Blue Advantage: $728
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB EMERGENCY CARE LEVEL III	$1,283.40	$770.04	$260.51 – $2,691
Emergency room visit (moderate): 10 of 40 insurance plan rates Aetna — Commercial: $2,691 Aetna — Medicare Advantage: $274.22 American Health Plan — Medicare Advantage: $287.93 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,021.25 Baylor Scott & White Health Plan — BSW Plus - Small Group: $452.46 Baylor Scott & White Health Plan — BSW Premier - Individual: $344.15 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $868.06 Baylor Scott & White Health Plan — BSW Premier - Small Group: $329.06 Baylor Scott & White Health Plan — Medicare Advantage: $260.51 Blue Cross Blue Shield — Blue Advantage: $728
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY CARE LEVEL III	$1,283.40	$770.04	$705.87 – $898.38
Emergency room visit (moderate): rates for 3 insurance plans Curative — Commercial: $834.21 First Health — PPO: $898.38 QuikTrip — Employee Benefit Plan: $705.87
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY CARE LEVEL IV	$2,122.80	$1,273.68	$398.20 – $3,894
Emergency room visit (moderately high): 10 of 40 insurance plan rates Aetna — Commercial: $3,894 Aetna — Medicare Advantage: $419.16 American Health Plan — Medicare Advantage: $440.12 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,294.65 Baylor Scott & White Health Plan — BSW Plus - Small Group: $691.61 Baylor Scott & White Health Plan — BSW Premier - Individual: $526.05 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,100.45 Baylor Scott & White Health Plan — BSW Premier - Small Group: $502.99 Baylor Scott & White Health Plan — Medicare Advantage: $398.20 Blue Cross Blue Shield — Blue Advantage: $1,420
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB EMERGENCY CARE LEVEL IV	$2,122.80	$1,273.68	$398.20 – $3,894
Emergency room visit (moderately high): 10 of 40 insurance plan rates Aetna — Commercial: $3,894 Aetna — Medicare Advantage: $419.16 American Health Plan — Medicare Advantage: $440.12 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,294.65 Baylor Scott & White Health Plan — BSW Plus - Small Group: $691.61 Baylor Scott & White Health Plan — BSW Premier - Individual: $526.05 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,100.45 Baylor Scott & White Health Plan — BSW Premier - Small Group: $502.99 Baylor Scott & White Health Plan — Medicare Advantage: $398.20 Blue Cross Blue Shield — Blue Advantage: $1,420
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY CARE LEVEL IV	$2,122.80	$1,273.68	$1,167.54 – $1,485.96
Emergency room visit (moderately high): rates for 3 insurance plans Curative — Commercial: $1,379.82 First Health — PPO: $1,485.96 QuikTrip — Employee Benefit Plan: $1,167.54
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY CARE LEVEL V	$3,879.67	$2,327.80	$568.33 – $6,643
Emergency room visit (high): 10 of 40 insurance plan rates Aetna — Commercial: $6,643 Aetna — Medicare Advantage: $598.24 American Health Plan — Medicare Advantage: $628.15 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,770.24 Baylor Scott & White Health Plan — BSW Plus - Small Group: $987.10 Baylor Scott & White Health Plan — BSW Premier - Individual: $750.79 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,504.70 Baylor Scott & White Health Plan — BSW Premier - Small Group: $717.89 Baylor Scott & White Health Plan — Medicare Advantage: $568.33 Blue Cross Blue Shield — Blue Advantage: $3,000
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB EMERGENCY CARE LEVEL V	$3,879.67	$2,327.80	$568.33 – $6,643
Emergency room visit (high): 10 of 40 insurance plan rates Aetna — Commercial: $6,643 Aetna — Medicare Advantage: $598.24 American Health Plan — Medicare Advantage: $628.15 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,770.24 Baylor Scott & White Health Plan — BSW Plus - Small Group: $987.10 Baylor Scott & White Health Plan — BSW Premier - Individual: $750.79 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,504.70 Baylor Scott & White Health Plan — BSW Premier - Small Group: $717.89 Baylor Scott & White Health Plan — Medicare Advantage: $568.33 Blue Cross Blue Shield — Blue Advantage: $3,000
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY CARE LEVEL V	$3,879.67	$2,327.80	$2,133.82 – $2,715.77
Emergency room visit (high): rates for 3 insurance plans Curative — Commercial: $2,521.79 First Health — PPO: $2,715.77 QuikTrip — Employee Benefit Plan: $2,133.82

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL TOTAL CALCIUM	$249.74	$149.84	$7.11 – $187.31
Basic metabolic panel (blood test): 10 of 40 insurance plan rates Aetna — Commercial: $137.36 Aetna — Medicare Advantage: $8.46 American Health Plan — Medicare Advantage: $8.88 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $14.40 Baylor Scott & White Health Plan — BSW Plus - Small Group: $13.96 Baylor Scott & White Health Plan — BSW Premier - Individual: $10.62 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $12.24 Baylor Scott & White Health Plan — BSW Premier - Small Group: $10.15 Baylor Scott & White Health Plan — Medicare Advantage: $8.04 Blue Cross Blue Shield — Blue Advantage: $20.64
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL TOTAL CALCIUM	$249.74	$149.84	$7.11 – $187.31
Basic metabolic panel (blood test): 10 of 40 insurance plan rates Aetna — Commercial: $137.36 Aetna — Medicare Advantage: $8.46 American Health Plan — Medicare Advantage: $8.88 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $14.40 Baylor Scott & White Health Plan — BSW Plus - Small Group: $13.96 Baylor Scott & White Health Plan — BSW Premier - Individual: $10.62 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $12.24 Baylor Scott & White Health Plan — BSW Premier - Small Group: $10.15 Baylor Scott & White Health Plan — Medicare Advantage: $8.04 Blue Cross Blue Shield — Blue Advantage: $20.64
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL TOTAL CALCIUM	$249.74	$149.84	$137.36 – $174.82
Basic metabolic panel (blood test): rates for 3 insurance plans Curative — Commercial: $162.33 First Health — PPO: $174.82 QuikTrip — Employee Benefit Plan: $137.36
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$392.86	$235.72	$8.87 – $294.64
Comprehensive metabolic panel (blood test): 10 of 40 insurance plan rates Aetna — Commercial: $216.07 Aetna — Medicare Advantage: $10.56 American Health Plan — Medicare Advantage: $11.09 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $19.80 Baylor Scott & White Health Plan — BSW Plus - Small Group: $17.42 Baylor Scott & White Health Plan — BSW Premier - Individual: $13.25 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $16.83 Baylor Scott & White Health Plan — BSW Premier - Small Group: $12.67 Baylor Scott & White Health Plan — Medicare Advantage: $10.03 Blue Cross Blue Shield — Blue Advantage: $25.77
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHEN METABOLIC PANEL - MEDFUSION	$392.86	$235.72	$8.87 – $294.64
Comprehensive metabolic panel (blood test): 10 of 40 insurance plan rates Aetna — Commercial: $216.07 Aetna — Medicare Advantage: $10.56 American Health Plan — Medicare Advantage: $11.09 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $19.80 Baylor Scott & White Health Plan — BSW Plus - Small Group: $17.42 Baylor Scott & White Health Plan — BSW Premier - Individual: $13.25 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $16.83 Baylor Scott & White Health Plan — BSW Premier - Small Group: $12.67 Baylor Scott & White Health Plan — Medicare Advantage: $10.03 Blue Cross Blue Shield — Blue Advantage: $25.77
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$392.86	$235.72	$216.07 – $275
Comprehensive metabolic panel (blood test): rates for 3 insurance plans Curative — Commercial: $255.36 First Health — PPO: $275 QuikTrip — Employee Benefit Plan: $216.07
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL	$422.88	$253.73	$10 – $317.16
Obstetric blood test panel: 10 of 40 insurance plan rates Aetna — Commercial: $232.58 Aetna — Medicare Advantage: $47.81 American Health Plan — Medicare Advantage: $50.20 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $86.40 Baylor Scott & White Health Plan — BSW Plus - Small Group: $78.89 Baylor Scott & White Health Plan — BSW Premier - Individual: $60 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $73.44 Baylor Scott & White Health Plan — BSW Premier - Small Group: $57.37 Baylor Scott & White Health Plan — Medicare Advantage: $45.42 Blue Cross Blue Shield — Blue Advantage: $116.66
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL	$422.88	$253.73	$232.58 – $296.02
Obstetric blood test panel: rates for 3 insurance plans Curative — Commercial: $274.87 First Health — PPO: $296.02 QuikTrip — Employee Benefit Plan: $232.58
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL	$328.07	$196.84	$10 – $246.05
Cholesterol panel (lipid panel): 10 of 40 insurance plan rates Aetna — Commercial: $180.44 Aetna — Medicare Advantage: $13.39 American Health Plan — Medicare Advantage: $14.06 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $23.40 Baylor Scott & White Health Plan — BSW Plus - Small Group: $22.09 Baylor Scott & White Health Plan — BSW Premier - Individual: $16.80 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $19.89 Baylor Scott & White Health Plan — BSW Premier - Small Group: $16.07 Baylor Scott & White Health Plan — Medicare Advantage: $12.72 Blue Cross Blue Shield — Blue Advantage: $32.67
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL - LIPOPROTEIN METABOLISM PROFILE	$328.07	$196.84	$10 – $246.05
Cholesterol panel (lipid panel): 10 of 40 insurance plan rates Aetna — Commercial: $180.44 Aetna — Medicare Advantage: $13.39 American Health Plan — Medicare Advantage: $14.06 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $23.40 Baylor Scott & White Health Plan — BSW Plus - Small Group: $22.09 Baylor Scott & White Health Plan — BSW Premier - Individual: $16.80 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $19.89 Baylor Scott & White Health Plan — BSW Premier - Small Group: $16.07 Baylor Scott & White Health Plan — Medicare Advantage: $12.72 Blue Cross Blue Shield — Blue Advantage: $32.67
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC REF LABCORP, 361946 LIPID CASCADE W LIPO ASSESS BY NMR	$46.80	$28.08	$10 – $69.09
Cholesterol panel (lipid panel): 10 of 40 insurance plan rates Aetna — Commercial: $25.74 Aetna — Medicare Advantage: $13.39 American Health Plan — Medicare Advantage: $14.06 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $23.40 Baylor Scott & White Health Plan — BSW Plus - Small Group: $22.09 Baylor Scott & White Health Plan — BSW Premier - Individual: $16.80 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $19.89 Baylor Scott & White Health Plan — BSW Premier - Small Group: $16.07 Baylor Scott & White Health Plan — Medicare Advantage: $12.72 Blue Cross Blue Shield — Blue Advantage: $32.67
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$295.62	$177.37	$7.29 – $221.72
Kidney function panel: 10 of 40 insurance plan rates Aetna — Commercial: $162.59 Aetna — Medicare Advantage: $8.68 American Health Plan — Medicare Advantage: $9.11 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $16.20 Baylor Scott & White Health Plan — BSW Plus - Small Group: $14.32 Baylor Scott & White Health Plan — BSW Premier - Individual: $10.89 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $13.77 Baylor Scott & White Health Plan — BSW Premier - Small Group: $10.42 Baylor Scott & White Health Plan — Medicare Advantage: $8.25 Blue Cross Blue Shield — Blue Advantage: $21.18
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PANEL RENAL FUNCTION	$295.62	$177.37	$7.29 – $221.72
Kidney function panel: 10 of 40 insurance plan rates Aetna — Commercial: $162.59 Aetna — Medicare Advantage: $8.68 American Health Plan — Medicare Advantage: $9.11 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $16.20 Baylor Scott & White Health Plan — BSW Plus - Small Group: $14.32 Baylor Scott & White Health Plan — BSW Premier - Individual: $10.89 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $13.77 Baylor Scott & White Health Plan — BSW Premier - Small Group: $10.42 Baylor Scott & White Health Plan — Medicare Advantage: $8.25 Blue Cross Blue Shield — Blue Advantage: $21.18
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$295.62	$177.37	$162.59 – $206.93
Kidney function panel: rates for 3 insurance plans Curative — Commercial: $192.15 First Health — PPO: $206.93 QuikTrip — Employee Benefit Plan: $162.59
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL	$322.54	$193.52	$6.86 – $241.91
Liver function panel: 10 of 40 insurance plan rates Aetna — Commercial: $177.40 Aetna — Medicare Advantage: $8.17 American Health Plan — Medicare Advantage: $8.58 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $14.40 Baylor Scott & White Health Plan — BSW Plus - Small Group: $13.48 Baylor Scott & White Health Plan — BSW Premier - Individual: $10.25 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $12.24 Baylor Scott & White Health Plan — BSW Premier - Small Group: $9.80 Baylor Scott & White Health Plan — Medicare Advantage: $7.76 Blue Cross Blue Shield — Blue Advantage: $19.93
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL POC	$322.54	$193.52	$6.86 – $241.91
Liver function panel: 10 of 40 insurance plan rates Aetna — Commercial: $177.40 Aetna — Medicare Advantage: $8.17 American Health Plan — Medicare Advantage: $8.58 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $14.40 Baylor Scott & White Health Plan — BSW Plus - Small Group: $13.48 Baylor Scott & White Health Plan — BSW Premier - Individual: $10.25 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $12.24 Baylor Scott & White Health Plan — BSW Premier - Small Group: $9.80 Baylor Scott & White Health Plan — Medicare Advantage: $7.76 Blue Cross Blue Shield — Blue Advantage: $19.93
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL	$322.54	$193.52	$177.40 – $225.78
Liver function panel: rates for 3 insurance plans Curative — Commercial: $209.65 First Health — PPO: $225.78 QuikTrip — Employee Benefit Plan: $177.40
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE	$129.78	$77.87	$2.66 – $97.33
Urine test (automated, with microscope): 10 of 40 insurance plan rates Aetna — Commercial: $71.38 Aetna — Medicare Advantage: $3.17 American Health Plan — Medicare Advantage: $3.33 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $5.40 Baylor Scott & White Health Plan — BSW Plus - Small Group: $5.23 Baylor Scott & White Health Plan — BSW Premier - Individual: $3.98 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $4.59 Baylor Scott & White Health Plan — BSW Premier - Small Group: $3.80 Baylor Scott & White Health Plan — Medicare Advantage: $3.01 Blue Cross Blue Shield — Blue Advantage: $7.73
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/SCOPE - W/RFLX TO CULTURE	$129.78	$77.87	$2.66 – $97.33
Urine test (automated, with microscope): 10 of 40 insurance plan rates Aetna — Commercial: $71.38 Aetna — Medicare Advantage: $3.17 American Health Plan — Medicare Advantage: $3.33 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $5.40 Baylor Scott & White Health Plan — BSW Plus - Small Group: $5.23 Baylor Scott & White Health Plan — BSW Premier - Individual: $3.98 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $4.59 Baylor Scott & White Health Plan — BSW Premier - Small Group: $3.80 Baylor Scott & White Health Plan — Medicare Advantage: $3.01 Blue Cross Blue Shield — Blue Advantage: $7.73
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE	$129.78	$77.87	$71.38 – $90.85
Urine test (automated, with microscope): rates for 3 insurance plans Curative — Commercial: $84.36 First Health — PPO: $90.85 QuikTrip — Employee Benefit Plan: $71.38
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O SCOPE	$59.67	$35.80	$2.92 – $44.75
Urine test (manual, without microscope): 10 of 40 insurance plan rates Aetna — Commercial: $32.82 Aetna — Medicare Advantage: $3.48 American Health Plan — Medicare Advantage: $3.65 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $5.40 Baylor Scott & White Health Plan — BSW Plus - Small Group: $5.74 Baylor Scott & White Health Plan — BSW Premier - Individual: $4.37 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $4.59 Baylor Scott & White Health Plan — BSW Premier - Small Group: $4.18 Baylor Scott & White Health Plan — Medicare Advantage: $3.31 Blue Cross Blue Shield — Blue Advantage: $8.49
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, REAGENT STRIP	$59.67	$35.80	$2.92 – $44.75
Urine test (manual, without microscope): 10 of 40 insurance plan rates Aetna — Commercial: $32.82 Aetna — Medicare Advantage: $3.48 American Health Plan — Medicare Advantage: $3.65 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $5.40 Baylor Scott & White Health Plan — BSW Plus - Small Group: $5.74 Baylor Scott & White Health Plan — BSW Premier - Individual: $4.37 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $4.59 Baylor Scott & White Health Plan — BSW Premier - Small Group: $4.18 Baylor Scott & White Health Plan — Medicare Advantage: $3.31 Blue Cross Blue Shield — Blue Advantage: $8.49
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O SCOPE, PH URINE	$59.67	$35.80	$2.92 – $44.75
Urine test (manual, without microscope): 10 of 40 insurance plan rates Aetna — Commercial: $32.82 Aetna — Medicare Advantage: $3.48 American Health Plan — Medicare Advantage: $3.65 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $5.40 Baylor Scott & White Health Plan — BSW Plus - Small Group: $5.74 Baylor Scott & White Health Plan — BSW Premier - Individual: $4.37 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $4.59 Baylor Scott & White Health Plan — BSW Premier - Small Group: $4.18 Baylor Scott & White Health Plan — Medicare Advantage: $3.31 Blue Cross Blue Shield — Blue Advantage: $8.49
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/O SCOPE	$83.58	$50.15	$1.89 – $62.69
Urine test (automated, without microscope): 10 of 40 insurance plan rates Aetna — Commercial: $45.97 Aetna — Medicare Advantage: $2.25 American Health Plan — Medicare Advantage: $2.36 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $3.60 Baylor Scott & White Health Plan — BSW Plus - Small Group: $3.71 Baylor Scott & White Health Plan — BSW Premier - Individual: $2.82 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $3.06 Baylor Scott & White Health Plan — BSW Premier - Small Group: $2.70 Baylor Scott & White Health Plan — Medicare Advantage: $2.14 Blue Cross Blue Shield — Blue Advantage: $5.49
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, WITHOUT MICROSCOPY	$83.58	$50.15	$1.89 – $62.69
Urine test (automated, without microscope): 10 of 40 insurance plan rates Aetna — Commercial: $45.97 Aetna — Medicare Advantage: $2.25 American Health Plan — Medicare Advantage: $2.36 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $3.60 Baylor Scott & White Health Plan — BSW Plus - Small Group: $3.71 Baylor Scott & White Health Plan — BSW Premier - Individual: $2.82 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $3.06 Baylor Scott & White Health Plan — BSW Premier - Small Group: $2.70 Baylor Scott & White Health Plan — Medicare Advantage: $2.14 Blue Cross Blue Shield — Blue Advantage: $5.49
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, WITHOUT MICROSCOPY POINT OF CARE PATHOLOGY	$83.58	$50.15	$1.89 – $62.69
Urine test (automated, without microscope): 10 of 40 insurance plan rates Aetna — Commercial: $45.97 Aetna — Medicare Advantage: $2.25 American Health Plan — Medicare Advantage: $2.36 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $3.60 Baylor Scott & White Health Plan — BSW Plus - Small Group: $3.71 Baylor Scott & White Health Plan — BSW Premier - Individual: $2.82 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $3.06 Baylor Scott & White Health Plan — BSW Premier - Small Group: $2.70 Baylor Scott & White Health Plan — Medicare Advantage: $2.14 Blue Cross Blue Shield — Blue Advantage: $5.49
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA,TOTAL	$250.73	$150.44	$10 – $188.05
PSA (prostate specific antigen) blood test: 10 of 40 insurance plan rates Aetna — Commercial: $137.90 Aetna — Medicare Advantage: $18.39 American Health Plan — Medicare Advantage: $19.31 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $32.40 Baylor Scott & White Health Plan — BSW Plus - Small Group: $30.34 Baylor Scott & White Health Plan — BSW Premier - Individual: $23.08 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $27.54 Baylor Scott & White Health Plan — BSW Premier - Small Group: $22.07 Baylor Scott & White Health Plan — Medicare Advantage: $17.47 Blue Cross Blue Shield — Blue Advantage: $44.87
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN (PSA), TOTAL	$250.73	$150.44	$10 – $188.05
PSA (prostate specific antigen) blood test: 10 of 40 insurance plan rates Aetna — Commercial: $137.90 Aetna — Medicare Advantage: $18.39 American Health Plan — Medicare Advantage: $19.31 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $32.40 Baylor Scott & White Health Plan — BSW Plus - Small Group: $30.34 Baylor Scott & White Health Plan — BSW Premier - Individual: $23.08 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $27.54 Baylor Scott & White Health Plan — BSW Premier - Small Group: $22.07 Baylor Scott & White Health Plan — Medicare Advantage: $17.47 Blue Cross Blue Shield — Blue Advantage: $44.87
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN (PSA), ULTRASENSITIVE	$250.73	$150.44	$10 – $188.05
PSA (prostate specific antigen) blood test: 10 of 40 insurance plan rates Aetna — Commercial: $137.90 Aetna — Medicare Advantage: $18.39 American Health Plan — Medicare Advantage: $19.31 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $32.40 Baylor Scott & White Health Plan — BSW Plus - Small Group: $30.34 Baylor Scott & White Health Plan — BSW Premier - Individual: $23.08 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $27.54 Baylor Scott & White Health Plan — BSW Premier - Small Group: $22.07 Baylor Scott & White Health Plan — Medicare Advantage: $17.47 Blue Cross Blue Shield — Blue Advantage: $44.87
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE	$285.79	$171.47	$10 – $214.34
Thyroid stimulating hormone (TSH) test: 10 of 40 insurance plan rates Aetna — Commercial: $157.18 Aetna — Medicare Advantage: $16.80 American Health Plan — Medicare Advantage: $17.64 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $30.60 Baylor Scott & White Health Plan — BSW Plus - Small Group: $27.72 Baylor Scott & White Health Plan — BSW Premier - Individual: $21.08 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $26.01 Baylor Scott & White Health Plan — BSW Premier - Small Group: $20.16 Baylor Scott & White Health Plan — Medicare Advantage: $15.96 Blue Cross Blue Shield — Blue Advantage: $40.99
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - THYROID PANEL, COMPREHENSIVE	$285.79	$171.47	$10 – $214.34
Thyroid stimulating hormone (TSH) test: 10 of 40 insurance plan rates Aetna — Commercial: $157.18 Aetna — Medicare Advantage: $16.80 American Health Plan — Medicare Advantage: $17.64 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $30.60 Baylor Scott & White Health Plan — BSW Plus - Small Group: $27.72 Baylor Scott & White Health Plan — BSW Premier - Individual: $21.08 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $26.01 Baylor Scott & White Health Plan — BSW Premier - Small Group: $20.16 Baylor Scott & White Health Plan — Medicare Advantage: $15.96 Blue Cross Blue Shield — Blue Advantage: $40.99
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - CHRONIC URTICARIA INDEX	$285.79	$171.47	$10 – $214.34
Thyroid stimulating hormone (TSH) test: 10 of 40 insurance plan rates Aetna — Commercial: $157.18 Aetna — Medicare Advantage: $16.80 American Health Plan — Medicare Advantage: $17.64 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $30.60 Baylor Scott & White Health Plan — BSW Plus - Small Group: $27.72 Baylor Scott & White Health Plan — BSW Premier - Individual: $21.08 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $26.01 Baylor Scott & White Health Plan — BSW Premier - Small Group: $20.16 Baylor Scott & White Health Plan — Medicare Advantage: $15.96 Blue Cross Blue Shield — Blue Advantage: $40.99
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC W/AUTO WBC DIFF	$183.63	$110.18	$6.53 – $137.72
Complete blood count (CBC) with differential: 10 of 40 insurance plan rates Aetna — Commercial: $101 Aetna — Medicare Advantage: $7.77 American Health Plan — Medicare Advantage: $8.16 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $14.40 Baylor Scott & White Health Plan — BSW Plus - Small Group: $12.82 Baylor Scott & White Health Plan — BSW Premier - Individual: $9.75 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $12.24 Baylor Scott & White Health Plan — BSW Premier - Small Group: $9.32 Baylor Scott & White Health Plan — Medicare Advantage: $7.38 Blue Cross Blue Shield — Blue Advantage: $18.96
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC,COMPLTE/AUTO&AUTO DIFFERTI	$183.63	$110.18	$6.53 – $137.72
Complete blood count (CBC) with differential: 10 of 40 insurance plan rates Aetna — Commercial: $101 Aetna — Medicare Advantage: $7.77 American Health Plan — Medicare Advantage: $8.16 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $14.40 Baylor Scott & White Health Plan — BSW Plus - Small Group: $12.82 Baylor Scott & White Health Plan — BSW Premier - Individual: $9.75 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $12.24 Baylor Scott & White Health Plan — BSW Premier - Small Group: $9.32 Baylor Scott & White Health Plan — Medicare Advantage: $7.38 Blue Cross Blue Shield — Blue Advantage: $18.96
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC W/AUTO DIFF WBC	$183.63	$110.18	$6.53 – $137.72
Complete blood count (CBC) with differential: 10 of 40 insurance plan rates Aetna — Commercial: $101 Aetna — Medicare Advantage: $7.77 American Health Plan — Medicare Advantage: $8.16 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $14.40 Baylor Scott & White Health Plan — BSW Plus - Small Group: $12.82 Baylor Scott & White Health Plan — BSW Premier - Individual: $9.75 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $12.24 Baylor Scott & White Health Plan — BSW Premier - Small Group: $9.32 Baylor Scott & White Health Plan — Medicare Advantage: $7.38 Blue Cross Blue Shield — Blue Advantage: $18.96
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC AUTOMATED W/OUT DIFF	$149.84	$89.90	$5.43 – $112.38
Complete blood count (CBC), automated: 10 of 40 insurance plan rates Aetna — Commercial: $82.41 Aetna — Medicare Advantage: $6.47 American Health Plan — Medicare Advantage: $6.79 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $10.80 Baylor Scott & White Health Plan — BSW Plus - Small Group: $10.68 Baylor Scott & White Health Plan — BSW Premier - Individual: $8.12 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $9.18 Baylor Scott & White Health Plan — BSW Premier - Small Group: $7.76 Baylor Scott & White Health Plan — Medicare Advantage: $6.15 Blue Cross Blue Shield — Blue Advantage: $15.79
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEMOGRAM	$149.84	$89.90	$5.43 – $112.38
Complete blood count (CBC), automated: 10 of 40 insurance plan rates Aetna — Commercial: $82.41 Aetna — Medicare Advantage: $6.47 American Health Plan — Medicare Advantage: $6.79 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $10.80 Baylor Scott & White Health Plan — BSW Plus - Small Group: $10.68 Baylor Scott & White Health Plan — BSW Premier - Individual: $8.12 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $9.18 Baylor Scott & White Health Plan — BSW Premier - Small Group: $7.76 Baylor Scott & White Health Plan — Medicare Advantage: $6.15 Blue Cross Blue Shield — Blue Advantage: $15.79
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC AUTOMATED W/OUT DIFF	$149.84	$89.90	$82.41 – $104.89
Complete blood count (CBC), automated: rates for 3 insurance plans Curative — Commercial: $97.40 First Health — PPO: $104.89 QuikTrip — Employee Benefit Plan: $82.41
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC REF MAYO, COMP AATHR, CPT 85610	$50.24	$30.14	$3.60 – $37.68
Blood clotting time test (prothrombin time, PT): 10 of 40 insurance plan rates Aetna — Commercial: $27.63 Aetna — Medicare Advantage: $4.29 American Health Plan — Medicare Advantage: $4.50 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $7.20 Baylor Scott & White Health Plan — BSW Plus - Small Group: $7.08 Baylor Scott & White Health Plan — BSW Premier - Individual: $5.38 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $6.12 Baylor Scott & White Health Plan — BSW Premier - Small Group: $5.15 Baylor Scott & White Health Plan — Medicare Advantage: $4.08 Blue Cross Blue Shield — Blue Advantage: $10.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$140.91	$84.55	$3.60 – $105.68
Blood clotting time test (prothrombin time, PT): 10 of 40 insurance plan rates Aetna — Commercial: $77.50 Aetna — Medicare Advantage: $4.29 American Health Plan — Medicare Advantage: $4.50 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $7.20 Baylor Scott & White Health Plan — BSW Plus - Small Group: $7.08 Baylor Scott & White Health Plan — BSW Premier - Individual: $5.38 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $6.12 Baylor Scott & White Health Plan — BSW Premier - Small Group: $5.15 Baylor Scott & White Health Plan — Medicare Advantage: $4.08 Blue Cross Blue Shield — Blue Advantage: $10.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PROTHROMBIN TIME	$140.91	$84.55	$3.60 – $105.68
Blood clotting time test (prothrombin time, PT): 10 of 40 insurance plan rates Aetna — Commercial: $77.50 Aetna — Medicare Advantage: $4.29 American Health Plan — Medicare Advantage: $4.50 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $7.20 Baylor Scott & White Health Plan — BSW Plus - Small Group: $7.08 Baylor Scott & White Health Plan — BSW Premier - Individual: $5.38 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $6.12 Baylor Scott & White Health Plan — BSW Premier - Small Group: $5.15 Baylor Scott & White Health Plan — Medicare Advantage: $4.08 Blue Cross Blue Shield — Blue Advantage: $10.47
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC REF MAYO, COMP AATHR, CPT 85730	$67.08	$40.25	$5.05 – $50.31
Blood clotting test (partial thromboplastin time, PTT): 10 of 40 insurance plan rates Aetna — Commercial: $36.89 Aetna — Medicare Advantage: $6.01 American Health Plan — Medicare Advantage: $6.31 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $10.80 Baylor Scott & White Health Plan — BSW Plus - Small Group: $9.92 Baylor Scott & White Health Plan — BSW Premier - Individual: $7.54 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $9.18 Baylor Scott & White Health Plan — BSW Premier - Small Group: $7.21 Baylor Scott & White Health Plan — Medicare Advantage: $5.71 Blue Cross Blue Shield — Blue Advantage: $14.66
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PARTIALTHROMBOPLASTIN TIME (APTT)	$146.11	$87.67	$5.05 – $109.58
Blood clotting test (partial thromboplastin time, PTT): 10 of 40 insurance plan rates Aetna — Commercial: $80.36 Aetna — Medicare Advantage: $6.01 American Health Plan — Medicare Advantage: $6.31 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $10.80 Baylor Scott & White Health Plan — BSW Plus - Small Group: $9.92 Baylor Scott & White Health Plan — BSW Premier - Individual: $7.54 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $9.18 Baylor Scott & White Health Plan — BSW Premier - Small Group: $7.21 Baylor Scott & White Health Plan — Medicare Advantage: $5.71 Blue Cross Blue Shield — Blue Advantage: $14.66
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC REF MAYO COMP APROL CPT 85730	$112.95	$67.77	$5.05 – $84.71
Blood clotting test (partial thromboplastin time, PTT): 10 of 40 insurance plan rates Aetna — Commercial: $62.12 Aetna — Medicare Advantage: $6.01 American Health Plan — Medicare Advantage: $6.31 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $10.80 Baylor Scott & White Health Plan — BSW Plus - Small Group: $9.92 Baylor Scott & White Health Plan — BSW Premier - Individual: $7.54 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $9.18 Baylor Scott & White Health Plan — BSW Premier - Small Group: $7.21 Baylor Scott & White Health Plan — Medicare Advantage: $5.71 Blue Cross Blue Shield — Blue Advantage: $14.66

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN SCAN W/O CONTRAST	$3,178.59	$1,907.15	$99.77 – $2,383.94
CT scan of the head or brain, without contrast: 10 of 40 insurance plan rates Aetna — Commercial: $1,748.22 Aetna — Medicare Advantage: $105.02 American Health Plan — Medicare Advantage: $110.27 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,832.27 Baylor Scott & White Health Plan — BSW Plus - Small Group: $173.28 Baylor Scott & White Health Plan — BSW Premier - Individual: $131.80 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,557.43 Baylor Scott & White Health Plan — BSW Premier - Small Group: $126.02 Baylor Scott & White Health Plan — Medicare Advantage: $99.77 Blue Cross Blue Shield — Blue Advantage: $366.50
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN SCAN W/O CONTRAST	$3,178.59	$1,907.15	$1,748.22 – $2,225.01
CT scan of the head or brain, without contrast: rates for 3 insurance plans Curative — Commercial: $2,066.08 First Health — PPO: $2,225.01 QuikTrip — Employee Benefit Plan: $1,748.22
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BRAIN W/O&W DYE, MRI	$5,248.52	$3,149.11	$328.11 – $3,936.39
MRI of the brain, before and after contrast: 10 of 40 insurance plan rates Aetna — Commercial: $2,886.69 Aetna — Medicare Advantage: $350.46 American Health Plan — Medicare Advantage: $367.98 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $2,138.99 Baylor Scott & White Health Plan — BSW Plus - Small Group: $578.26 Baylor Scott & White Health Plan — BSW Premier - Individual: $439.83 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,818.14 Baylor Scott & White Health Plan — BSW Premier - Small Group: $420.55 Baylor Scott & White Health Plan — Medicare Advantage: $332.94 Blue Cross Blue Shield — Blue Advantage: $1,248.65
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BRAIN W/O&W DYE, MRI	$5,248.52	$3,149.11	$2,886.69 – $3,673.96
MRI of the brain, before and after contrast: rates for 3 insurance plans Curative — Commercial: $3,411.54 First Health — PPO: $3,673.96 QuikTrip — Employee Benefit Plan: $2,886.69
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC X-RAY EXAM CHEST 2 VIEWS	$656.37	$393.82	$33.75 – $492.28
Chest X-ray, 2 views: 10 of 40 insurance plan rates Aetna — Commercial: $361 Aetna — Medicare Advantage: $87.42 American Health Plan — Medicare Advantage: $91.79 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $380.69 Baylor Scott & White Health Plan — BSW Plus - Small Group: $144.24 Baylor Scott & White Health Plan — BSW Premier - Individual: $109.71 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $323.59 Baylor Scott & White Health Plan — BSW Premier - Small Group: $104.90 Baylor Scott & White Health Plan — Medicare Advantage: $83.05 Blue Cross Blue Shield — Blue Advantage: $159.62
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC X-RAY EXAM CHEST 2 VIEWS	$656.37	$393.82	$361 – $459.46
Chest X-ray, 2 views: rates for 3 insurance plans Curative — Commercial: $426.64 First Health — PPO: $459.46 QuikTrip — Employee Benefit Plan: $361
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SPINE,LUMBOSACRAL MIN 4 VIEWS	$791.73	$475.04	$52.13 – $593.80
X-ray of the lower spine, at least 4 views: 10 of 40 insurance plan rates Aetna — Commercial: $435.45 Aetna — Medicare Advantage: $105.02 American Health Plan — Medicare Advantage: $110.27 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $459.20 Baylor Scott & White Health Plan — BSW Plus - Small Group: $173.28 Baylor Scott & White Health Plan — BSW Premier - Individual: $131.80 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $390.32 Baylor Scott & White Health Plan — BSW Premier - Small Group: $126.02 Baylor Scott & White Health Plan — Medicare Advantage: $99.77 Blue Cross Blue Shield — Blue Advantage: $224.16
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SPINE,LUMBOSACRAL MIN 4 VIEWS	$791.73	$475.04	$435.45 – $554.21
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans Curative — Commercial: $514.62 First Health — PPO: $554.21 QuikTrip — Employee Benefit Plan: $435.45
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI SPINE LUMBAR W/O CONTRA	$3,650.03	$2,190.02	$197.14 – $2,737.52
MRI of the lower back (lumbar spine), without contrast: 10 of 40 insurance plan rates Aetna — Commercial: $2,007.52 Aetna — Medicare Advantage: $239.69 American Health Plan — Medicare Advantage: $251.67 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $2,138.99 Baylor Scott & White Health Plan — BSW Plus - Small Group: $395.49 Baylor Scott & White Health Plan — BSW Premier - Individual: $300.81 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,818.14 Baylor Scott & White Health Plan — BSW Premier - Small Group: $287.63 Baylor Scott & White Health Plan — Medicare Advantage: $227.71 Blue Cross Blue Shield — Blue Advantage: $762.04
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI SPINE LUMBAR W/O CONTRA	$3,650.03	$2,190.02	$2,007.52 – $2,555.02
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans Curative — Commercial: $2,372.52 First Health — PPO: $2,555.02 QuikTrip — Employee Benefit Plan: $2,007.52
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PELVIS CT SCAN,W/CONTRAST	$3,665.78	$2,199.47	$167.39 – $2,749.34
CT scan of the pelvis, with contrast: 10 of 40 insurance plan rates Aetna — Commercial: $2,016.18 Aetna — Medicare Advantage: $176.20 American Health Plan — Medicare Advantage: $185.01 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,832.27 Baylor Scott & White Health Plan — BSW Plus - Small Group: $290.73 Baylor Scott & White Health Plan — BSW Premier - Individual: $221.13 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,557.43 Baylor Scott & White Health Plan — BSW Premier - Small Group: $211.44 Baylor Scott & White Health Plan — Medicare Advantage: $167.39 Blue Cross Blue Shield — Blue Advantage: $595.86
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PELVIS CT SCAN,W/CONTRAST	$3,665.78	$2,199.47	$2,016.18 – $2,566.05
CT scan of the pelvis, with contrast: rates for 3 insurance plans Curative — Commercial: $2,382.76 First Health — PPO: $2,566.05 QuikTrip — Employee Benefit Plan: $2,016.18
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI EXT LOWER JNT W/O CON	$3,682.04	$2,209.22	$208.84 – $2,761.53
MRI of a leg joint (such as the knee), without contrast: 10 of 40 insurance plan rates Aetna — Commercial: $2,025.12 Aetna — Medicare Advantage: $239.69 American Health Plan — Medicare Advantage: $251.67 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $2,138.99 Baylor Scott & White Health Plan — BSW Plus - Small Group: $395.49 Baylor Scott & White Health Plan — BSW Premier - Individual: $300.81 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,818.14 Baylor Scott & White Health Plan — BSW Premier - Small Group: $287.63 Baylor Scott & White Health Plan — Medicare Advantage: $227.71 Blue Cross Blue Shield — Blue Advantage: $762.04
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI EXT LOWER JNT W/O CON	$3,682.04	$2,209.22	$2,025.12 – $2,577.43
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans Curative — Commercial: $2,393.33 First Health — PPO: $2,577.43 QuikTrip — Employee Benefit Plan: $2,025.12
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: HC MR LWR EXT JT WO CM LT	$3,682.04	$2,209.22	$208.84 – $3,129.73
MRI of a leg joint (such as the knee), without contrast: 10 of 28 insurance plan rates Aetna — Commercial: $2,025.12 Aetna — Medicare Advantage: $2,209.22 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $2,138.99 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,818.14 Blue Cross Blue Shield — Blue Advantage: $762.04 Blue Cross Blue Shield — Blue Essentials (HMO): $1,531.07 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $1,081.31 Blue Cross Blue Shield — BlueChoice (PPO): $1,612.64 Blue Cross Blue Shield — City of Dallas: $1,451.84 Cigna — HMO/PPO: $2,297
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABDOMEN/PELVIS W/CONTRAST	$6,484.35	$3,890.61	$312.08 – $4,863.26
CT scan of the abdomen and pelvis, with contrast: 10 of 40 insurance plan rates Aetna — Commercial: $3,566.39 Aetna — Medicare Advantage: $350.46 American Health Plan — Medicare Advantage: $367.98 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,832.27 Baylor Scott & White Health Plan — BSW Plus - Small Group: $578.26 Baylor Scott & White Health Plan — BSW Premier - Individual: $439.83 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,557.43 Baylor Scott & White Health Plan — BSW Premier - Small Group: $420.55 Baylor Scott & White Health Plan — Medicare Advantage: $332.94 Blue Cross Blue Shield — Blue Advantage: $1,248.65
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABDOMEN/PELVIS W/CONTRAST	$6,484.35	$3,890.61	$3,566.39 – $4,539.05
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans Curative — Commercial: $4,214.83 First Health — PPO: $4,539.05 QuikTrip — Employee Benefit Plan: $3,566.39
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE	$1,438.16	$862.90	$99.77 – $1,078.62
Ultrasound of the abdomen, complete: 10 of 40 insurance plan rates Aetna — Commercial: $790.99 Aetna — Medicare Advantage: $105.02 American Health Plan — Medicare Advantage: $110.27 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $834.13 Baylor Scott & White Health Plan — BSW Plus - Small Group: $173.28 Baylor Scott & White Health Plan — BSW Premier - Individual: $131.80 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $709.01 Baylor Scott & White Health Plan — BSW Premier - Small Group: $126.02 Baylor Scott & White Health Plan — Medicare Advantage: $99.77 Blue Cross Blue Shield — Blue Advantage: $224.16
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE	$1,438.16	$862.90	$790.99 – $1,006.71
Ultrasound of the abdomen, complete: rates for 3 insurance plans Curative — Commercial: $934.80 First Health — PPO: $1,006.71 QuikTrip — Employee Benefit Plan: $790.99
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US > 14 WKS - TRANSABDOMINAL - FIRST FETUS	$983.78	$590.27	$99.77 – $737.84
Pregnancy ultrasound (after the first trimester): 10 of 40 insurance plan rates Aetna — Commercial: $541.08 Aetna — Medicare Advantage: $105.02 American Health Plan — Medicare Advantage: $110.27 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $570.59 Baylor Scott & White Health Plan — BSW Plus - Small Group: $173.28 Baylor Scott & White Health Plan — BSW Premier - Individual: $131.80 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $485 Baylor Scott & White Health Plan — BSW Premier - Small Group: $126.02 Baylor Scott & White Health Plan — Medicare Advantage: $99.77 Blue Cross Blue Shield — Blue Advantage: $183.08
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US > 14 WKS - TRANSABDOMINAL - FIRST FETUS	$983.78	$590.27	$541.08 – $688.65
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans Curative — Commercial: $639.46 First Health — PPO: $688.65 QuikTrip — Employee Benefit Plan: $541.08
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ULTRASOUND, TRANSVAGINAL	$1,072.02	$643.21	$99.77 – $804.01
Transvaginal ultrasound: 10 of 40 insurance plan rates Aetna — Commercial: $589.61 Aetna — Medicare Advantage: $105.02 American Health Plan — Medicare Advantage: $110.27 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $621.77 Baylor Scott & White Health Plan — BSW Plus - Small Group: $173.28 Baylor Scott & White Health Plan — BSW Premier - Individual: $131.80 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $528.51 Baylor Scott & White Health Plan — BSW Premier - Small Group: $126.02 Baylor Scott & White Health Plan — Medicare Advantage: $99.77 Blue Cross Blue Shield — Blue Advantage: $176.60
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED ONLY - ULTRASOUND, TRANSVAGINAL	$1,072.02	$643.21	$99.77 – $804.01
Transvaginal ultrasound: 10 of 40 insurance plan rates Aetna — Commercial: $589.61 Aetna — Medicare Advantage: $105.02 American Health Plan — Medicare Advantage: $110.27 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $621.77 Baylor Scott & White Health Plan — BSW Plus - Small Group: $173.28 Baylor Scott & White Health Plan — BSW Premier - Individual: $131.80 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $528.51 Baylor Scott & White Health Plan — BSW Premier - Small Group: $126.02 Baylor Scott & White Health Plan — Medicare Advantage: $99.77 Blue Cross Blue Shield — Blue Advantage: $176.60
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ULTRASOUND, TRANSVAGINAL	$1,072.02	$643.21	$589.61 – $750.41
Transvaginal ultrasound: rates for 3 insurance plans Curative — Commercial: $696.81 First Health — PPO: $750.41 QuikTrip — Employee Benefit Plan: $589.61
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMO W/CAD, UNILATERAL	$453.60	$272.16	$127.01 – $396.93
Diagnostic mammogram, one breast: 10 of 28 insurance plan rates Aetna — Commercial: $249.48 Aetna — Medicare Advantage: $272.16 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $263.09 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $223.62 Blue Cross Blue Shield — Blue Advantage: $188.12 Blue Cross Blue Shield — Blue Essentials (HMO): $377.18 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $266.19 Blue Cross Blue Shield — BlueChoice (PPO): $396.93 Blue Cross Blue Shield — City of Dallas: $357.43 Cigna — HMO/PPO: $263.09
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMO W/CAD, UNILATERAL	$453.60	$272.16	$249.48 – $317.52
Diagnostic mammogram, one breast: rates for 3 insurance plans Curative — Commercial: $294.84 First Health — PPO: $317.52 QuikTrip — Employee Benefit Plan: $249.48
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: HC MG DIGITAL DX W CAD LT	$453.60	$272.16	$127.01 – $396.93
Diagnostic mammogram, one breast: 10 of 28 insurance plan rates Aetna — Commercial: $249.48 Aetna — Medicare Advantage: $272.16 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $263.09 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $223.62 Blue Cross Blue Shield — Blue Advantage: $188.12 Blue Cross Blue Shield — Blue Essentials (HMO): $377.18 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $266.19 Blue Cross Blue Shield — BlueChoice (PPO): $396.93 Blue Cross Blue Shield — City of Dallas: $357.43 Cigna — HMO/PPO: $263.09
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$567	$340.20	$158.76 – $507.96
Diagnostic mammogram, both breasts: 10 of 28 insurance plan rates Aetna — Commercial: $311.85 Aetna — Medicare Advantage: $340.20 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $328.86 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $279.53 Blue Cross Blue Shield — Blue Advantage: $240.74 Blue Cross Blue Shield — Blue Essentials (HMO): $482.68 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $340.65 Blue Cross Blue Shield — BlueChoice (PPO): $507.96 Blue Cross Blue Shield — City of Dallas: $457.41 Cigna — HMO/PPO: $328.86
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMO W/CAD, BILATERAL	$567	$340.20	$158.76 – $507.96
Diagnostic mammogram, both breasts: 10 of 28 insurance plan rates Aetna — Commercial: $311.85 Aetna — Medicare Advantage: $340.20 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $328.86 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $279.53 Blue Cross Blue Shield — Blue Advantage: $240.74 Blue Cross Blue Shield — Blue Essentials (HMO): $482.68 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $340.65 Blue Cross Blue Shield — BlueChoice (PPO): $507.96 Blue Cross Blue Shield — City of Dallas: $457.41 Cigna — HMO/PPO: $328.86
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$567	$340.20	$311.85 – $396.90
Diagnostic mammogram, both breasts: rates for 3 insurance plans Curative — Commercial: $368.55 First Health — PPO: $396.90 QuikTrip — Employee Benefit Plan: $311.85
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCREENING MAMMO W/CAD, BILATERAL	$378.70	$227.22	$106.04 – $419.76
Screening mammogram, both breasts: 10 of 28 insurance plan rates Aetna — Commercial: $208.28 Aetna — Medicare Advantage: $227.22 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $219.65 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $186.70 Blue Cross Blue Shield — Blue Advantage: $198.94 Blue Cross Blue Shield — Blue Essentials (HMO): $398.87 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $281.50 Blue Cross Blue Shield — BlueChoice (PPO): $419.76 Blue Cross Blue Shield — City of Dallas: $377.99 Cigna — HMO/PPO: $219.65
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCREENING MAMMO W W/O CAD BILATERAL - RT	$378.70	$227.22	$106.04 – $419.76
Screening mammogram, both breasts: 10 of 28 insurance plan rates Aetna — Commercial: $208.28 Aetna — Medicare Advantage: $227.22 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $219.65 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $186.70 Blue Cross Blue Shield — Blue Advantage: $198.94 Blue Cross Blue Shield — Blue Essentials (HMO): $398.87 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $281.50 Blue Cross Blue Shield — BlueChoice (PPO): $419.76 Blue Cross Blue Shield — City of Dallas: $377.99 Cigna — HMO/PPO: $219.65
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCREENING MAMMO W W/O CAD BILATERAL - LT	$378.70	$227.22	$106.04 – $419.76
Screening mammogram, both breasts: 10 of 28 insurance plan rates Aetna — Commercial: $208.28 Aetna — Medicare Advantage: $227.22 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $219.65 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $186.70 Blue Cross Blue Shield — Blue Advantage: $198.94 Blue Cross Blue Shield — Blue Essentials (HMO): $398.87 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $281.50 Blue Cross Blue Shield — BlueChoice (PPO): $419.76 Blue Cross Blue Shield — City of Dallas: $377.99 Cigna — HMO/PPO: $219.65

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LEFT HEART CATHETER	$18,668.75	$11,201.25	$3,093.86 – $21,149
Left heart catheterization (diagnostic): 10 of 40 insurance plan rates Aetna — Commercial: $17,181 Aetna — Medicare Advantage: $3,256.70 American Health Plan — Medicare Advantage: $3,419.53 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $13,269.32 Baylor Scott & White Health Plan — BSW Plus - Small Group: $5,373.56 Baylor Scott & White Health Plan — BSW Premier - Individual: $4,087.16 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $11,279.92 Baylor Scott & White Health Plan — BSW Premier - Small Group: $3,908.04 Baylor Scott & White Health Plan — Medicare Advantage: $3,093.86 Blue Cross Blue Shield — Blue Advantage: $7,039.38
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LEFT HEART CATHETER	$18,668.75	$11,201.25	$10,267.81 – $13,068.12
Left heart catheterization (diagnostic): rates for 3 insurance plans Curative — Commercial: $12,134.69 First Health — PPO: $13,068.12 QuikTrip — Employee Benefit Plan: $10,267.81
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMP EPS W/O ATTEMPT INDUCTION	$17,963.98	$10,778.39	$5,029.91 – $38,139.40
Heart rhythm study (electrophysiology evaluation): 10 of 40 insurance plan rates Aetna — Commercial: $9,880.19 Aetna — Medicare Advantage: $7,835.21 American Health Plan — Medicare Advantage: $8,226.97 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $10,419.11 Baylor Scott & White Health Plan — BSW Plus - Small Group: $12,928.10 Baylor Scott & White Health Plan — BSW Premier - Individual: $9,833.19 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $8,856.24 Baylor Scott & White Health Plan — BSW Premier - Small Group: $9,402.25 Baylor Scott & White Health Plan — Medicare Advantage: $7,443.45 Blue Cross Blue Shield — Blue Advantage: $18,069.13
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMP EPS W/O ATTEMPT INDUCTION (EP LAB)	$17,963.98	$10,778.39	$5,029.91 – $38,139.40
Heart rhythm study (electrophysiology evaluation): 10 of 40 insurance plan rates Aetna — Commercial: $9,880.19 Aetna — Medicare Advantage: $7,835.21 American Health Plan — Medicare Advantage: $8,226.97 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $10,419.11 Baylor Scott & White Health Plan — BSW Plus - Small Group: $12,928.10 Baylor Scott & White Health Plan — BSW Premier - Individual: $9,833.19 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $8,856.24 Baylor Scott & White Health Plan — BSW Premier - Small Group: $9,402.25 Baylor Scott & White Health Plan — Medicare Advantage: $7,443.45 Blue Cross Blue Shield — Blue Advantage: $18,069.13
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMP EPS W/O ATTEMPT INDUCTION	$17,963.98	$10,778.39	$9,880.19 – $12,574.79
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans Curative — Commercial: $11,676.59 First Health — PPO: $12,574.79 QuikTrip — Employee Benefit Plan: $9,880.19
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREH ELECTROPH EVAL WITH TRT ATRIAL FIB	$60,798.32	$36,478.99	$17,023.53 – $132,420.55
Heart rhythm study with ablation for atrial fibrillation: 10 of 40 insurance plan rates Aetna — Commercial: $33,439.08 Aetna — Medicare Advantage: $26,256.97 American Health Plan — Medicare Advantage: $27,569.82 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $35,263.03 Baylor Scott & White Health Plan — BSW Plus - Small Group: $43,324 Baylor Scott & White Health Plan — BSW Premier - Individual: $32,952.50 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $29,973.57 Baylor Scott & White Health Plan — BSW Premier - Small Group: $31,508.36 Baylor Scott & White Health Plan — Medicare Advantage: $24,944.12 Blue Cross Blue Shield — Blue Advantage: $62,736.28
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREH ELECTROPH EVAL WITH TRT ATRIAL FIB (EP LAB)	$60,798.32	$36,478.99	$17,023.53 – $132,420.55
Heart rhythm study with ablation for atrial fibrillation: 10 of 40 insurance plan rates Aetna — Commercial: $33,439.08 Aetna — Medicare Advantage: $26,256.97 American Health Plan — Medicare Advantage: $27,569.82 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $35,263.03 Baylor Scott & White Health Plan — BSW Plus - Small Group: $43,324 Baylor Scott & White Health Plan — BSW Premier - Individual: $32,952.50 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $29,973.57 Baylor Scott & White Health Plan — BSW Premier - Small Group: $31,508.36 Baylor Scott & White Health Plan — Medicare Advantage: $24,944.12 Blue Cross Blue Shield — Blue Advantage: $62,736.28
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREH ELECTROPH EVAL WITH TRT ATRIAL FIB	$60,798.32	$36,478.99	$33,439.08 – $42,558.82
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans Curative — Commercial: $39,518.91 First Health — PPO: $42,558.82 QuikTrip — Employee Benefit Plan: $33,439.08
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOMNOGRAPHY, 4 AND UP PARAMETERS, ATTENDED BY TECH	$7,764.68	$4,658.81	$819.52 – $5,823.51
Sleep study (overnight, in a sleep lab): 10 of 40 insurance plan rates Aetna — Commercial: $2,062 Aetna — Medicare Advantage: $862.65 American Health Plan — Medicare Advantage: $905.78 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $4,503.51 Baylor Scott & White Health Plan — BSW Plus - Small Group: $1,423.37 Baylor Scott & White Health Plan — BSW Premier - Individual: $1,082.63 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $3,827.99 Baylor Scott & White Health Plan — BSW Premier - Small Group: $1,035.18 Baylor Scott & White Health Plan — Medicare Advantage: $819.52 Blue Cross Blue Shield — Blue Advantage: $1,537.89
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOMNGRPHY 4 OR MORE MOD	$7,764.68	$4,658.81	$819.52 – $5,823.51
Sleep study (overnight, in a sleep lab): 10 of 40 insurance plan rates Aetna — Commercial: $2,062 Aetna — Medicare Advantage: $862.65 American Health Plan — Medicare Advantage: $905.78 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $4,503.51 Baylor Scott & White Health Plan — BSW Plus - Small Group: $1,423.37 Baylor Scott & White Health Plan — BSW Premier - Individual: $1,082.63 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $3,827.99 Baylor Scott & White Health Plan — BSW Premier - Small Group: $1,035.18 Baylor Scott & White Health Plan — Medicare Advantage: $819.52 Blue Cross Blue Shield — Blue Advantage: $1,537.89
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC POLYSOMNOGRAPHY, 4 AND UP PARAMETERS, ATTENDED BY TECH	$7,764.68	$4,658.81	$4,270.57 – $5,435.28
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans Curative — Commercial: $5,047.04 First Health — PPO: $5,435.28 QuikTrip — Employee Benefit Plan: $4,270.57

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SM THERA.PROC.-ROM/STREN 15MIN (97110)	$208.73	$125.24	$58.44 – $203.15
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates Aetna — Commercial: $108 Aetna — Medicare Advantage: $125.24 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $121.06 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $102.90 Blue Cross Blue Shield — Blue Advantage: $96.24 Blue Cross Blue Shield — Blue Essentials (HMO): $193.12 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $192.49 Blue Cross Blue Shield — BlueChoice (PPO): $203.15 Blue Cross Blue Shield — City of Dallas: $182.77 Cigna — HMO/PPO: $158
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THERAPEUTIC EXERCISE, 15 MIN (97110)	$208.73	$125.24	$58.44 – $203.15
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates Aetna — Commercial: $108 Aetna — Medicare Advantage: $125.24 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $121.06 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $102.90 Blue Cross Blue Shield — Blue Advantage: $96.24 Blue Cross Blue Shield — Blue Essentials (HMO): $193.12 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $192.49 Blue Cross Blue Shield — BlueChoice (PPO): $203.15 Blue Cross Blue Shield — City of Dallas: $182.77 Cigna — HMO/PPO: $158
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THERAPUETIC EXERCISES	$208.73	$125.24	$58.44 – $203.15
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates Aetna — Commercial: $108 Aetna — Medicare Advantage: $125.24 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $121.06 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $102.90 Blue Cross Blue Shield — Blue Advantage: $96.24 Blue Cross Blue Shield — Blue Essentials (HMO): $193.12 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $192.49 Blue Cross Blue Shield — BlueChoice (PPO): $203.15 Blue Cross Blue Shield — City of Dallas: $182.77 Cigna — HMO/PPO: $121.06
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX (97161)	$395.47	$237.28	$108 – $560.46
Physical therapy evaluation (low complexity): 10 of 28 insurance plan rates Aetna — Commercial: $108 Aetna — Medicare Advantage: $237.28 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $229.37 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $194.97 Blue Cross Blue Shield — Blue Advantage: $265.52 Blue Cross Blue Shield — Blue Essentials (HMO): $532.78 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $531.05 Blue Cross Blue Shield — BlueChoice (PPO): $560.46 Blue Cross Blue Shield — City of Dallas: $504.24 Cigna — HMO/PPO: $158
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX (97161)	$395.47	$237.28	$217.51 – $276.83
Physical therapy evaluation (low complexity): rates for 3 insurance plans Curative — Commercial: $257.06 First Health — PPO: $276.83 QuikTrip — Employee Benefit Plan: $217.51
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEX (97162)	$475.16	$285.10	$108 – $560.46
Physical therapy evaluation (moderate complexity): 10 of 28 insurance plan rates Aetna — Commercial: $108 Aetna — Medicare Advantage: $285.10 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $275.59 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $234.25 Blue Cross Blue Shield — Blue Advantage: $265.52 Blue Cross Blue Shield — Blue Essentials (HMO): $532.78 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $531.05 Blue Cross Blue Shield — BlueChoice (PPO): $560.46 Blue Cross Blue Shield — City of Dallas: $504.24 Cigna — HMO/PPO: $158
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEX (97162)	$475.16	$285.10	$261.34 – $332.61
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans Curative — Commercial: $308.85 First Health — PPO: $332.61 QuikTrip — Employee Benefit Plan: $261.34
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX (97163)	$508.79	$305.27	$108 – $560.46
Physical therapy evaluation (high complexity): 10 of 28 insurance plan rates Aetna — Commercial: $108 Aetna — Medicare Advantage: $305.27 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $295.10 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $250.83 Blue Cross Blue Shield — Blue Advantage: $265.52 Blue Cross Blue Shield — Blue Essentials (HMO): $532.78 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $531.05 Blue Cross Blue Shield — BlueChoice (PPO): $560.46 Blue Cross Blue Shield — City of Dallas: $504.24 Cigna — HMO/PPO: $158
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX (97163)	$508.79	$305.27	$279.83 – $356.15
Physical therapy evaluation (high complexity): rates for 3 insurance plans Curative — Commercial: $330.71 First Health — PPO: $356.15 QuikTrip — Employee Benefit Plan: $279.83
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY, 30 MIN WITH PATIENT	$334.05	$200.43	$93.53 – $383.35
Psychotherapy, 30 minutes: 10 of 36 insurance plan rates Aetna — Commercial: $183.73 Aetna — Medicare Advantage: $178.30 American Health Plan — Medicare Advantage: $187.22 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $193.75 Baylor Scott & White Health Plan — BSW Plus - Small Group: $294.19 Baylor Scott & White Health Plan — BSW Premier - Individual: $223.77 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $164.69 Baylor Scott & White Health Plan — BSW Premier - Small Group: $213.96 Baylor Scott & White Health Plan — Medicare Advantage: $169.38 Blue Cross Blue Shield — Blue Advantage: $116.92
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY, 30 MIN WITH PATIENT	$334.05	$200.43	$183.73 – $233.84
Psychotherapy, 30 minutes: rates for 3 insurance plans Curative — Commercial: $217.13 First Health — PPO: $233.84 QuikTrip — Employee Benefit Plan: $183.73
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY, 45 MIN WITH PATIENT	$457.50	$274.50	$128.10 – $383.35
Psychotherapy, 45 minutes: 10 of 36 insurance plan rates Aetna — Commercial: $251.62 Aetna — Medicare Advantage: $178.30 American Health Plan — Medicare Advantage: $187.22 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $265.35 Baylor Scott & White Health Plan — BSW Plus - Small Group: $294.19 Baylor Scott & White Health Plan — BSW Premier - Individual: $223.77 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $225.55 Baylor Scott & White Health Plan — BSW Premier - Small Group: $213.96 Baylor Scott & White Health Plan — Medicare Advantage: $169.38 Blue Cross Blue Shield — Blue Advantage: $160.12
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY, 45 MIN WITH PATIENT	$457.50	$274.50	$251.62 – $320.25
Psychotherapy, 45 minutes: rates for 3 insurance plans Curative — Commercial: $297.38 First Health — PPO: $320.25 QuikTrip — Employee Benefit Plan: $251.62
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY, 60 MIN WITH PATIENT	$479.11	$287.47	$134.15 – $383.35
Psychotherapy, 60 minutes: 10 of 36 insurance plan rates Aetna — Commercial: $263.51 Aetna — Medicare Advantage: $178.30 American Health Plan — Medicare Advantage: $187.22 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $277.88 Baylor Scott & White Health Plan — BSW Plus - Small Group: $294.19 Baylor Scott & White Health Plan — BSW Premier - Individual: $223.77 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $236.20 Baylor Scott & White Health Plan — BSW Premier - Small Group: $213.96 Baylor Scott & White Health Plan — Medicare Advantage: $169.38 Blue Cross Blue Shield — Blue Advantage: $167.69
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY, 60 MIN WITH PATIENT	$479.11	$287.47	$263.51 – $335.38
Psychotherapy, 60 minutes: rates for 3 insurance plans Curative — Commercial: $311.42 First Health — PPO: $335.38 QuikTrip — Employee Benefit Plan: $263.51
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W/PATIENT	$302	$181.20	$84.56 – $383.35
Family psychotherapy, with the patient: 10 of 36 insurance plan rates Aetna — Commercial: $166.10 Aetna — Medicare Advantage: $178.30 American Health Plan — Medicare Advantage: $187.22 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $175.16 Baylor Scott & White Health Plan — BSW Plus - Small Group: $294.19 Baylor Scott & White Health Plan — BSW Premier - Individual: $223.77 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $148.89 Baylor Scott & White Health Plan — BSW Premier - Small Group: $213.96 Baylor Scott & White Health Plan — Medicare Advantage: $169.38 Blue Cross Blue Shield — Blue Advantage: $105.70
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W/PATIENT	$302	$181.20	$166.10 – $211.40
Family psychotherapy, with the patient: rates for 3 insurance plans Curative — Commercial: $196.30 First Health — PPO: $211.40 QuikTrip — Employee Benefit Plan: $166.10
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHIATRIC HALF DAY IOP	$268	$160.80	$75.04 – $280
Group psychotherapy: 10 of 39 insurance plan rates Aetna — Commercial: $235 Aetna — Medicare Advantage: $102.05 American Health Plan — Medicare Advantage: $107.15 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $155.44 Baylor Scott & White Health Plan — BSW Plus - Small Group: $168.38 Baylor Scott & White Health Plan — BSW Premier - Individual: $128.07 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $132.12 Baylor Scott & White Health Plan — BSW Premier - Small Group: $122.46 Baylor Scott & White Health Plan — Medicare Advantage: $96.95 Blue Cross Blue Shield — Blue Advantage: $132
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP CD INTENSIVE OP (IOP)	$268	$160.80	$75.04 – $282
Group psychotherapy: 10 of 39 insurance plan rates Aetna — Commercial: $235 Aetna — Medicare Advantage: $102.05 American Health Plan — Medicare Advantage: $107.15 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $155.44 Baylor Scott & White Health Plan — BSW Plus - Small Group: $168.38 Baylor Scott & White Health Plan — BSW Premier - Individual: $128.07 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $132.12 Baylor Scott & White Health Plan — BSW Premier - Small Group: $122.46 Baylor Scott & White Health Plan — Medicare Advantage: $96.95 Blue Cross Blue Shield — Blue Advantage: $132
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PHP PSYCH (FULL DAY)	$1,072	$643.20	$96.95 – $804
Group psychotherapy: 10 of 36 insurance plan rates Aetna — Commercial: $469 Aetna — Medicare Advantage: $102.05 American Health Plan — Medicare Advantage: $107.15 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $621.76 Baylor Scott & White Health Plan — BSW Plus - Small Group: $168.38 Baylor Scott & White Health Plan — BSW Premier - Individual: $128.07 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $528.50 Baylor Scott & White Health Plan — BSW Premier - Small Group: $122.46 Baylor Scott & White Health Plan — Medicare Advantage: $96.95 Blue Cross Blue Shield — Blue Advantage: $257

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC REMOVAL OF BREAST LE	$8,201.62	$4,920.97	$963.66 – $8,456.55
Removal of breast growth (open surgery): 10 of 40 insurance plan rates Aetna — Commercial: $4,510.89 Aetna — Medicare Advantage: $3,933.28 American Health Plan — Medicare Advantage: $4,129.94 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $4,756.94 Baylor Scott & White Health Plan — BSW Plus - Small Group: $6,489.91 Baylor Scott & White Health Plan — BSW Premier - Individual: $4,936.27 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $4,043.40 Baylor Scott & White Health Plan — BSW Premier - Small Group: $4,719.94 Baylor Scott & White Health Plan — Medicare Advantage: $3,736.62 Blue Cross Blue Shield — Blue Advantage: $2,870.57
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC REMOVAL OF BREAST LE	$8,201.62	$4,920.97	$4,510.89 – $5,741.13
Removal of breast growth (open surgery): rates for 3 insurance plans Curative — Commercial: $5,331.05 First Health — PPO: $5,741.13 QuikTrip — Employee Benefit Plan: $4,510.89
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXCISION OF CYST, FIBROADENOMA, OR OTHER BENIGN OR MALIGNANT TUMOR, ABERRANT BREAST TISSUE, DUCT LESION, NIPPLE OR AREOLAR LESION (EXCEPT 19	Not listed in the file	Not listed in the file	$963.66 – $10,815.49
Removal of breast growth (open surgery): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $3,933.28 American Health Plan — Medicare Advantage: $4,129.94 Baylor Scott & White Health Plan — BSW Plus - Small Group: $6,489.91 Baylor Scott & White Health Plan — BSW Premier - Individual: $4,936.27 Baylor Scott & White Health Plan — BSW Premier - Small Group: $4,719.94 Baylor Scott & White Health Plan — Medicare Advantage: $3,736.62 Blue Cross Blue Shield — Blue Advantage: $5,119.94 Blue Cross Blue Shield — Blue Essentials (HMO): $10,270.17 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $7,240.62 Blue Cross Blue Shield — BlueChoice (PPO): $10,815.49
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROPLASTY, ACETABULAR AND PROXIMAL FEMORAL PROSTHETIC REPLACEMENT (TOTAL HIP ARTHROPLASTY), WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT	Not listed in the file	Not listed in the file	$7,038 – $42,485.53
Total hip replacement: 10 of 27 insurance plan rates Aetna — Medicare Advantage: $12,897.19 American Health Plan — Medicare Advantage: $13,542.05 Baylor Scott & White Health Plan — BSW Plus - Small Group: $21,280.36 Baylor Scott & White Health Plan — BSW Premier - Individual: $16,185.97 Baylor Scott & White Health Plan — BSW Premier - Small Group: $15,476.63 Baylor Scott & White Health Plan — Medicare Advantage: $12,252.33 Blue Cross Blue Shield — Blue Advantage: $20,112.20 Blue Cross Blue Shield — Blue Essentials (HMO): $40,343.41 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $28,442.70 Blue Cross Blue Shield — BlueChoice (PPO): $42,485.53
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATELLA RESURFACING (TOTAL KNEE ARTHROPLASTY)	Not listed in the file	Not listed in the file	$7,038 – $42,485.53
Total knee replacement: 10 of 27 insurance plan rates Aetna — Medicare Advantage: $12,897.19 American Health Plan — Medicare Advantage: $13,542.05 Baylor Scott & White Health Plan — BSW Plus - Small Group: $21,280.36 Baylor Scott & White Health Plan — BSW Premier - Individual: $16,185.97 Baylor Scott & White Health Plan — BSW Premier - Small Group: $15,476.63 Baylor Scott & White Health Plan — Medicare Advantage: $12,252.33 Blue Cross Blue Shield — Blue Advantage: $20,112.20 Blue Cross Blue Shield — Blue Essentials (HMO): $40,343.41 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $28,442.70 Blue Cross Blue Shield — BlueChoice (PPO): $42,485.53
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSCOPY, SHOULDER, SURGICAL; DECOMPRESSION OF SUBACROMIAL SPACE WITH PARTIAL ACROMIOPLASTY, WITH CORACOACROMIAL LIGAMENT (IE, ARCH) RELE	Not listed in the file	Not listed in the file	$1,896 – $12,343
Shoulder arthroscopy: shaving of shoulder bone: rates for 8 insurance plans Cigna — HMO/PPO: $7,168 Cigna — Local Plus: $6,093 HealthSmart — Accel Network: $12,343 United Healthcare — Charter: $1,896 United Healthcare — Commercial Broad: $2,107 United Healthcare — Nexus: $1,896 Imagine Health — Commercial: 60% (a percentage in the contract, not a dollar amount) University of Mary Hardin-Baylor — Commercial: 60% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL OR LATERAL, INCLUDING ANY MENISCAL SHAVING) INCLUDING DEBRIDEMENT/SHAVING OF ARTICULA	Not listed in the file	Not listed in the file	$1,088.27 – $12,343
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $3,286.91 American Health Plan — Medicare Advantage: $3,451.26 Baylor Scott & White Health Plan — BSW Plus - Small Group: $5,423.40 Baylor Scott & White Health Plan — BSW Premier - Individual: $4,125.07 Baylor Scott & White Health Plan — BSW Premier - Small Group: $3,944.29 Baylor Scott & White Health Plan — Medicare Advantage: $3,122.56 Blue Cross Blue Shield — Blue Advantage: $4,626.29 Blue Cross Blue Shield — Blue Essentials (HMO): $9,279.96 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $6,542.51 Blue Cross Blue Shield — BlueChoice (PPO): $9,772.70
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEP	Not listed in the file	Not listed in the file	$334.95 – $4,345
Upper GI endoscopy (diagnostic): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $911.12 American Health Plan — Medicare Advantage: $956.68 Baylor Scott & White Health Plan — BSW Plus - Small Group: $1,503.35 Baylor Scott & White Health Plan — BSW Premier - Individual: $1,143.46 Baylor Scott & White Health Plan — BSW Premier - Small Group: $1,093.34 Baylor Scott & White Health Plan — Medicare Advantage: $865.56 Blue Cross Blue Shield — Blue Advantage: $1,328.20 Blue Cross Blue Shield — Blue Essentials (HMO): $2,664.27 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $1,878.35 Blue Cross Blue Shield — BlueChoice (PPO): $2,805.73
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE	Not listed in the file	Not listed in the file	$334.95 – $4,779
Upper GI endoscopy with biopsy: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $911.12 American Health Plan — Medicare Advantage: $956.68 Baylor Scott & White Health Plan — BSW Plus - Small Group: $1,503.35 Baylor Scott & White Health Plan — BSW Premier - Individual: $1,143.46 Baylor Scott & White Health Plan — BSW Premier - Small Group: $1,093.34 Baylor Scott & White Health Plan — Medicare Advantage: $865.56 Blue Cross Blue Shield — Blue Advantage: $1,328.20 Blue Cross Blue Shield — Blue Essentials (HMO): $2,664.27 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $1,878.35 Blue Cross Blue Shield — BlueChoice (PPO): $2,805.73
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE)	Not listed in the file	Not listed in the file	$328.50 – $4,779
Colonoscopy (diagnostic): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $934.20 American Health Plan — Medicare Advantage: $980.91 Baylor Scott & White Health Plan — BSW Plus - Small Group: $1,541.43 Baylor Scott & White Health Plan — BSW Premier - Individual: $1,172.42 Baylor Scott & White Health Plan — BSW Premier - Small Group: $1,121.04 Baylor Scott & White Health Plan — Medicare Advantage: $887.49 Blue Cross Blue Shield — Blue Advantage: $1,290.96 Blue Cross Blue Shield — Blue Essentials (HMO): $2,589.55 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $1,825.67 Blue Cross Blue Shield — BlueChoice (PPO): $2,727.05
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE	Not listed in the file	Not listed in the file	$429.26 – $4,779
Colonoscopy with biopsy: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $1,202.09 American Health Plan — Medicare Advantage: $1,262.19 Baylor Scott & White Health Plan — BSW Plus - Small Group: $1,983.45 Baylor Scott & White Health Plan — BSW Premier - Individual: $1,508.62 Baylor Scott & White Health Plan — BSW Premier - Small Group: $1,442.51 Baylor Scott & White Health Plan — Medicare Advantage: $1,141.99 Blue Cross Blue Shield — Blue Advantage: $1,697.13 Blue Cross Blue Shield — Blue Essentials (HMO): $3,404.31 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $2,400.09 Blue Cross Blue Shield — BlueChoice (PPO): $3,585.07
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE	Not listed in the file	Not listed in the file	$429.26 – $4,779
Colonoscopy with removal of polyps (snare): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $1,202.09 American Health Plan — Medicare Advantage: $1,262.19 Baylor Scott & White Health Plan — BSW Plus - Small Group: $1,983.45 Baylor Scott & White Health Plan — BSW Premier - Individual: $1,508.62 Baylor Scott & White Health Plan — BSW Premier - Small Group: $1,442.51 Baylor Scott & White Health Plan — Medicare Advantage: $1,141.99 Blue Cross Blue Shield — Blue Advantage: $1,697.13 Blue Cross Blue Shield — Blue Essentials (HMO): $3,404.31 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $2,400.09 Blue Cross Blue Shield — BlueChoice (PPO): $3,585.07
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; WITH ENDOSCOPIC ULTRASOUND EXAMINATION LIMITED TO THE RECTUM, SIGMOID, DESCENDING, TRANSVERSE, OR ASCENDING COLON AND	Not listed in the file	Not listed in the file	$429.26 – $4,779
Ultrasound of the lower bowel by endoscope: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $1,202.09 American Health Plan — Medicare Advantage: $1,262.19 Baylor Scott & White Health Plan — BSW Plus - Small Group: $1,983.45 Baylor Scott & White Health Plan — BSW Premier - Individual: $1,508.62 Baylor Scott & White Health Plan — BSW Premier - Small Group: $1,442.51 Baylor Scott & White Health Plan — Medicare Advantage: $1,141.99 Blue Cross Blue Shield — Blue Advantage: $1,697.13 Blue Cross Blue Shield — Blue Essentials (HMO): $3,404.31 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $2,400.09 Blue Cross Blue Shield — BlueChoice (PPO): $3,585.07
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	Not listed in the file	Not listed in the file	$328.50 – $4,779
Screening colonoscopy (not high risk): 10 of 29 insurance plan rates Aetna — Medicare Advantage: $934.20 American Health Plan — Medicare Advantage: $980.91 Baylor Scott & White Health Plan — BSW Plus - Small Group: $1,541.43 Baylor Scott & White Health Plan — BSW Premier - Individual: $1,172.42 Baylor Scott & White Health Plan — BSW Premier - Small Group: $1,121.04 Baylor Scott & White Health Plan — Medicare Advantage: $887.49 Blue Cross Blue Shield — Blue Advantage: $1,290.96 Blue Cross Blue Shield — Blue Essentials (HMO): $2,589.55 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $1,825.67 Blue Cross Blue Shield — BlueChoice (PPO): $2,727.05
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$1,888.85 – $17,256.34
Gallbladder removal by laparoscope: 10 of 28 insurance plan rates Aetna — Medicare Advantage: $6,073.08 American Health Plan — Medicare Advantage: $6,376.73 Baylor Scott & White Health Plan — BSW Plus - Small Group: $10,020.58 Baylor Scott & White Health Plan — BSW Premier - Individual: $7,621.72 Baylor Scott & White Health Plan — BSW Premier - Small Group: $7,287.70 Baylor Scott & White Health Plan — Medicare Advantage: $5,769.43 Blue Cross Blue Shield — Blue Advantage: $8,168.97 Blue Cross Blue Shield — Blue Essentials (HMO): $16,386.28 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $11,552.57 Blue Cross Blue Shield — BlueChoice (PPO): $17,256.34
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PRP I/HERN INIT REDU	$10,351.20	$6,210.72	$1,151.54 – $8,073.94
Groin (inguinal) hernia repair, age 5 or older: 10 of 40 insurance plan rates Aetna — Commercial: $5,693.16 Aetna — Medicare Advantage: $3,596.72 American Health Plan — Medicare Advantage: $3,776.56 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $6,003.70 Baylor Scott & White Health Plan — BSW Plus - Small Group: $5,934.59 Baylor Scott & White Health Plan — BSW Premier - Individual: $4,513.88 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $5,103.14 Baylor Scott & White Health Plan — BSW Premier - Small Group: $4,316.06 Baylor Scott & White Health Plan — Medicare Advantage: $3,416.88 Blue Cross Blue Shield — Blue Advantage: $3,829.94
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PRP I/HERN INIT REDU	$10,351.20	$6,210.72	$5,693.16 – $7,245.84
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans Curative — Commercial: $6,728.28 First Health — PPO: $7,245.84 QuikTrip — Employee Benefit Plan: $5,693.16
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BIOPSY OF PROSTATE	$4,378.44	$2,627.06	$1,225.96 – $3,721.67
Prostate biopsy: 10 of 28 insurance plan rates Aetna — Commercial: $2,408.14 Aetna — Medicare Advantage: $2,627.06 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $2,539.50 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $2,158.57 Blue Cross Blue Shield — Blue Advantage: $1,620.02 Blue Cross Blue Shield — Blue Essentials (HMO): $3,240.05 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $2,276.79 Blue Cross Blue Shield — BlueChoice (PPO): $3,415.18 Blue Cross Blue Shield — City of Dallas: $3,064.91 Cigna — HMO/PPO: $2,539.50
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BIOPSY OF PROSTATE	$4,378.44	$2,627.06	$2,408.14 – $3,064.91
Prostate biopsy: rates for 3 insurance plans Curative — Commercial: $2,845.99 First Health — PPO: $3,064.91 QuikTrip — Employee Benefit Plan: $2,408.14
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY, SURGICAL; WITH SAMPLING (BIOPSY) OF ENDOMETRIUM AND/OR POLYPECTOMY, WITH OR WITHOUT D & C	Not listed in the file	Not listed in the file	$1,063.52 – $8,918.22
Hysteroscopy with biopsy of the uterus lining: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $3,251.88 American Health Plan — Medicare Advantage: $3,414.47 Baylor Scott & White Health Plan — BSW Plus - Small Group: $5,365.60 Baylor Scott & White Health Plan — BSW Premier - Individual: $4,081.11 Baylor Scott & White Health Plan — BSW Premier - Small Group: $3,902.26 Baylor Scott & White Health Plan — Medicare Advantage: $3,089.29 Blue Cross Blue Shield — Blue Advantage: $4,221.79 Blue Cross Blue Shield — Blue Essentials (HMO): $8,468.56 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $5,970.46 Blue Cross Blue Shield — BlueChoice (PPO): $8,918.22
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W IM GUID	$3,137.53	$1,882.52	$262.86 – $2,447.27
Spinal injection, lower back (epidural), with imaging guidance: 10 of 40 insurance plan rates Aetna — Commercial: $1,725.64 Aetna — Medicare Advantage: $709.10 American Health Plan — Medicare Advantage: $744.55 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,819.77 Baylor Scott & White Health Plan — BSW Plus - Small Group: $1,170.02 Baylor Scott & White Health Plan — BSW Premier - Individual: $889.92 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,546.80 Baylor Scott & White Health Plan — BSW Premier - Small Group: $850.92 Baylor Scott & White Health Plan — Medicare Advantage: $673.64 Blue Cross Blue Shield — Blue Advantage: $1,160.89
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W IM GUID	$3,137.53	$1,882.52	$1,725.64 – $2,196.27
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans Curative — Commercial: $2,039.39 First Health — PPO: $2,196.27 QuikTrip — Employee Benefit Plan: $1,725.64
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJECTION EPI L/S 1 LEVEL	$3,751.66	$2,251	$340.77 – $2,813.74
Nerve root injection, lower back, with imaging guidance: 10 of 40 insurance plan rates Aetna — Commercial: $2,063.41 Aetna — Medicare Advantage: $888.50 American Health Plan — Medicare Advantage: $932.92 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $2,175.96 Baylor Scott & White Health Plan — BSW Plus - Small Group: $1,466.03 Baylor Scott & White Health Plan — BSW Premier - Individual: $1,115.07 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,849.57 Baylor Scott & White Health Plan — BSW Premier - Small Group: $1,066.20 Baylor Scott & White Health Plan — Medicare Advantage: $844.08 Blue Cross Blue Shield — Blue Advantage: $1,313.08
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJECTION FORAMEN EPIDURAL - LUMB/SACR SNGL LVL	$3,751.66	$2,251	$340.77 – $2,926.29
Nerve root injection, lower back, with imaging guidance: 10 of 40 insurance plan rates Aetna — Commercial: $2,063.41 Aetna — Medicare Advantage: $888.50 American Health Plan — Medicare Advantage: $932.92 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $2,175.96 Baylor Scott & White Health Plan — BSW Plus - Small Group: $1,466.03 Baylor Scott & White Health Plan — BSW Premier - Individual: $1,115.07 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,849.57 Baylor Scott & White Health Plan — BSW Premier - Small Group: $1,066.20 Baylor Scott & White Health Plan — Medicare Advantage: $844.08 Blue Cross Blue Shield — Blue Advantage: $1,388.11
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJECTION EPI L/S 1 LEVEL	$3,751.66	$2,251	$2,063.41 – $2,626.16
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans Curative — Commercial: $2,438.58 First Health — PPO: $2,626.16 QuikTrip — Employee Benefit Plan: $2,063.41
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL	Not listed in the file	Not listed in the file	$659.94 – $6,138.08
Carpal tunnel release: 10 of 29 insurance plan rates Aetna — Medicare Advantage: $1,961.62 American Health Plan — Medicare Advantage: $2,059.70 Baylor Scott & White Health Plan — BSW Plus - Small Group: $3,236.67 Baylor Scott & White Health Plan — BSW Premier - Individual: $2,461.83 Baylor Scott & White Health Plan — BSW Premier - Small Group: $2,353.94 Baylor Scott & White Health Plan — Medicare Advantage: $1,863.54 Blue Cross Blue Shield — Blue Advantage: $2,905.70 Blue Cross Blue Shield — Blue Essentials (HMO): $5,828.60 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $4,109.25 Blue Cross Blue Shield — BlueChoice (PPO): $6,138.08
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC AFTER CATARACT LASER	$2,288.51	$1,373.11	$208.33 – $1,785.04
Laser treatment of clouding after cataract surgery: 10 of 40 insurance plan rates Aetna — Commercial: $1,258.68 Aetna — Medicare Advantage: $552.50 American Health Plan — Medicare Advantage: $580.12 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,327.34 Baylor Scott & White Health Plan — BSW Plus - Small Group: $911.62 Baylor Scott & White Health Plan — BSW Premier - Individual: $693.39 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,128.24 Baylor Scott & White Health Plan — BSW Premier - Small Group: $663 Baylor Scott & White Health Plan — Medicare Advantage: $524.88 Blue Cross Blue Shield — Blue Advantage: $846.75
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC AFTER CATARACT LASER	$2,288.51	$1,373.11	$1,258.68 – $1,601.96
Laser treatment of clouding after cataract surgery: rates for 3 insurance plans Curative — Commercial: $1,487.53 First Health — PPO: $1,601.96 QuikTrip — Employee Benefit Plan: $1,258.68
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: HC YAG LASER POSTERIOR CAPSULE BI	$2,288.51	$1,373.11	$208.33 – $1,945.23
Laser treatment of clouding after cataract surgery: 10 of 28 insurance plan rates Aetna — Commercial: $1,258.68 Aetna — Medicare Advantage: $1,373.11 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,327.34 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,128.24 Blue Cross Blue Shield — Blue Advantage: $846.75 Blue Cross Blue Shield — Blue Essentials (HMO): $1,693.50 Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $1,190.03 Blue Cross Blue Shield — BlueChoice (PPO): $1,785.04 Blue Cross Blue Shield — City of Dallas: $1,601.96 Cigna — HMO/PPO: $1,327.34

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee 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	$68,454.65 – $217,911.87
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 36 insurance plan rates Aetna — Commercial: $185,413 Aetna — Medicare Advantage: $72,057.53 American Health Plan — Medicare Advantage: $75,660.41 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $89,410.19 Baylor Scott & White Health Plan — BSW Plus - Small Group: $129,703.55 Baylor Scott & White Health Plan — BSW Premier - Individual: $90,432.20 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $75,998.66 Baylor Scott & White Health Plan — BSW Premier - Small Group: $86,469.04 Baylor Scott & White Health Plan — Medicare Advantage: $68,454.65 Blue Cross Blue Shield — Blue Advantage: $99,324.77
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	Not listed in the file	Not listed in the file	$37,499
Spinal fusion (not neck), without major complications: rates for 1 insurance plan Humana — Commercial PPO: $37,499
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee 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	$14,984.85 – $42,966.25
Hip or knee replacement (major joint of the leg), without major complications: 10 of 36 insurance plan rates Aetna — Commercial: $36,226 Aetna — Medicare Advantage: $17,588.21 American Health Plan — Medicare Advantage: $18,467.62 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $17,629.24 Baylor Scott & White Health Plan — BSW Plus - Small Group: $31,658.78 Baylor Scott & White Health Plan — BSW Premier - Individual: $22,073.20 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $14,984.85 Baylor Scott & White Health Plan — BSW Premier - Small Group: $21,105.85 Baylor Scott & White Health Plan — Medicare Advantage: $16,708.80 Blue Cross Blue Shield — Blue Advantage: $19,584.12
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$17,992.01 – $54,379.96
Neck (cervical) spinal fusion, without complications: 10 of 36 insurance plan rates Aetna — Commercial: $34,095 Aetna — Medicare Advantage: $18,938.96 American Health Plan — Medicare Advantage: $19,885.91 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $22,312.33 Baylor Scott & White Health Plan — BSW Plus - Small Group: $34,090.13 Baylor Scott & White Health Plan — BSW Premier - Individual: $23,768.39 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $18,965.48 Baylor Scott & White Health Plan — BSW Premier - Small Group: $22,726.75 Baylor Scott & White Health Plan — Medicare Advantage: $17,992.01 Blue Cross Blue Shield — Blue Advantage: $24,786.52
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$6,566 – $27,636.59
Uterus and ovary surgery (not for cancer), without complications: 10 of 35 insurance plan rates Aetna — Commercial: $17,263 Aetna — Medicare Advantage: $10,252.16 American Health Plan — Medicare Advantage: $10,764.77 Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $11,339.41 Baylor Scott & White Health Plan — BSW Plus - Small Group: $18,453.89 Baylor Scott & White Health Plan — BSW Premier - Individual: $12,866.46 Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $9,638.50 Baylor Scott & White Health Plan — BSW Premier - Small Group: $12,302.59 Baylor Scott & White Health Plan — Medicare Advantage: $9,739.55 Blue Cross Blue Shield — Blue Advantage: $12,596.83

Source: Baylor Scott and White Medical Center Frisco at PG…’s standard charges file (wadcdn.azureedge.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 29, 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 type	Acute Care Hospital
Address	7600 Better Way, Frisco, TX 75033
County	Denton County
State	Texas
Phone	(945) 339‑0500
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	670346
Name in Medicare records	BAYLOR SCOTT AND WHITE MEDICAL CENTER FRISCO AT PG Medicare’s file shortens long names to 50 characters, so the end of this name is missing.
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(945) 339‑1000^[4]
Name on the hospital’s website	Baylor Scott & White Medical Center - Frisco at PGA Parkway
Official website	bswhealth.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

Baylor Scott & White Medical Center – Frisco at PGA Parkway — bswhealth.com
Labor and Delivery | Baylor Scott & White Medical Center – Frisco at PGA Parkway — bswhealth.com