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Acute Care Hospital

Baylor Scott and White Medical Center Sunnyvale

Sunnyvale, Texas · Dallas County · Emergency services listed

Summary

Baylor Scott and White Medical Center Sunnyvale is an acute care hospital in Sunnyvale, Texas. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 96 services, specialties and programs. Medicare lists 166 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-29). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
70Beds (hospital website)
96Services listed

Quick answers

Does Baylor Scott and White Medical Center Sunnyvale have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Baylor Scott and White Medical Center Sunnyvale. In a medical emergency, call 911.
Where is Baylor Scott and White Medical Center Sunnyvale?
231 South Collins Road, Sunnyvale, TX 75182, in Dallas County, Texas.
What is the phone number of Baylor Scott and White Medical Center Sunnyvale?
(972) 892-3000, as listed by Medicare (CMS).
What is the Medicare star rating of Baylor Scott and White Medical Center Sunnyvale?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][12][16]

Conditions treated[6][12][15][16]

Treatments[4][6][12][13][14][15][16]

Procedures[4][6][9][12][16]

  • Direct screen colonoscopy
  • Mako robotic-arm assisted surgery
  • Cardiac catheterization
  • Percutaneous coronary intervention
  • Echocardiogram (ECHO)
  • Stress test
  • Interventional radiology
  • Open heart surgery
  • Valve repair
  • Appendectomy
  • Gallbladder surgery
  • Thyroid surgery
  • Carotid repair
  • Endovascular aortic aneurysm repair
  • Prostate surgery
  • Cystoscopy
  • Ureteroscopy
  • Breast augmentation

Programs and centers[4][8][10][15][16]

  • Spiritual care
  • Fast Track Unit
  • Physical Therapy Center
  • Heartburn and acid reflux center
  • Eligibility and Enrollment Services
  • Charity Care Program

Emergency care (hospital website)[4][8][16]

Emergency roomYes
Open 24/7Yes
Stroke designationPrimary Stroke Center (Joint Commission Certificate of Distinction)

Visiting and practical information

VisitingNo set visiting hours; units may limit visitor numbers. Visitors arriving after 9pm enter via the ED. Smoke-free campus[7]
Interpreters and languagesPatient rights include interpretation for non-English speakers; financial assistance documents offered in 8 languages[10][11]
Patient portalPatient portal (Cerner)

Recognition[4]

  • Primary Stroke Center (Joint Commission Certificate of Distinction)
  • Management of Chest Pain (Joint Commission Certificate of Distinction)
  • Joint Commission certified
  • The Joint Commission accreditation
  • Certificate of Distinction in the Management of Chest Pain (Joint Commission)

Doctors and clinicians (166)

166 doctors and other clinicians list Baylor Scott and White Medical Center Sunnyvale as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (166)

And 142 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What Baylor Scott and White Medical Center Sunnyvale reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics) 2 of 5 stars
Overall rating of the hospital1 of 5 stars
Would recommend the hospital1 of 5 stars
Nurses communicated well1 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines1 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean2 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1055%National average: 72%
Would definitely recommend the hospital51%National average: 71%
Nurses “always” communicated well65%National average: 80%
Doctors “always” communicated well71%National average: 80%
Staff “always” explained medicines before giving them49%National average: 62%
Were given information about recovery at home79%National average: 86%
Room and bathroom “always” clean61%National average: 74%
Area around the room “always” quiet at night54%National average: 60%
Completed surveys388Response rate: 12%

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)0.912No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)2.363No different from the national benchmark
Surgical site infections after colon surgery0.994No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.755No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.288Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients12.6%
Deaths within 30 days: heart failure patients12.7%
Deaths within 30 days: pneumonia patients14.7%
Deaths within 30 days: COPD patients8.4%
Deaths within 30 days: stroke patients12.5%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.87No different from the national rate
Complications after hip or knee replacementToo few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack14.7%
Readmitted within 30 days: heart failure19.5%
Readmitted within 30 days: pneumonia17.9%
Readmitted within 30 days: COPD19.7%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)228 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)42%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 73 common services exactly as Baylor Scott and White Medical Center Sunnyvale 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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: ED Visit Level 3 $2,045 $1,227 $259.94 – $3,067
Emergency room visit (moderate): 10 of 14 insurance plan rates
  • BCBS — BAV: $1,332
  • BCBS — Blue Advantage HMO: $1,332
  • BCBS — Blue Choice: $2,816
  • BCBS — Blue Essentials HMO: $2,675
  • BCBS — Blue Health: $1,887
  • BCBS — City of Dallas PPO: $2,534
  • BCBS — HMH: $1,887
  • BCBS — HPN: $1,887
  • BCBS — Medicare Adv HMO: $259.94
  • BCBS — PPO: $2,816
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: ED Visit Level 4 $3,273 $1,963.80 $403.52 – $6,143
Emergency room visit (moderately high): 10 of 14 insurance plan rates
  • BCBS — BAV: $2,221
  • BCBS — Blue Advantage HMO: $2,221
  • BCBS — Blue Choice: $4,696
  • BCBS — Blue Essentials HMO: $2,675
  • BCBS — Blue Health: $3,146
  • BCBS — City of Dallas PPO: $4,226
  • BCBS — HMH: $3,146
  • BCBS — HPN: $3,146
  • BCBS — Medicare Adv HMO: $403.52
  • BCBS — PPO: $4,696
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: ED Visit Level 5 $6,574 $3,944.40 $585.19 – $10,230
Emergency room visit (high): 10 of 14 insurance plan rates
  • BCBS — BAV: $4,839
  • BCBS — Blue Advantage HMO: $4,839
  • BCBS — Blue Choice: $10,230
  • BCBS — Blue Essentials HMO: $9,719
  • BCBS — Blue Health: $6,854
  • BCBS — City of Dallas PPO: $9,207
  • BCBS — HMH: $6,854
  • BCBS — HPN: $6,854
  • BCBS — Medicare Adv HMO: $585.19
  • BCBS — PPO: $10,230

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Basic Metabolic Panel $558 $334.80 $48.55 – $102.65
Basic metabolic panel (blood test): rates for 9 insurance plans
  • BCBS — BAV: $48.55
  • BCBS — Blue Advantage HMO: $48.55
  • BCBS — Blue Choice: $102.65
  • BCBS — Blue Health: $68.78
  • BCBS — City of Dallas PPO: $92.39
  • BCBS — HMH: $68.78
  • BCBS — HPN: $68.78
  • BCBS — PPO: $102.65
  • BCBS — Premier HMO: $68.78
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Comprehensive Metabolic Panel $746 $447.60 $71.54 – $151.26
Comprehensive metabolic panel (blood test): rates for 9 insurance plans
  • BCBS — BAV: $71.54
  • BCBS — Blue Advantage HMO: $71.54
  • BCBS — Blue Choice: $151.26
  • BCBS — Blue Health: $101.34
  • BCBS — City of Dallas PPO: $136.13
  • BCBS — HMH: $101.34
  • BCBS — HPN: $101.34
  • BCBS — PPO: $151.26
  • BCBS — Premier HMO: $101.34
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $172.71 – $365.16
Obstetric blood test panel: rates for 9 insurance plans
  • BCBS — BAV: $172.71
  • BCBS — Blue Advantage HMO: $172.71
  • BCBS — Blue Choice: $365.16
  • BCBS — Blue Health: $244.65
  • BCBS — City of Dallas PPO: $328.64
  • BCBS — HMH: $244.65
  • BCBS — HPN: $244.65
  • BCBS — PPO: $365.16
  • BCBS — Premier HMO: $244.65
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lipid Panel $494 $296.40 $67.21 – $142.08
Cholesterol panel (lipid panel): rates for 9 insurance plans
  • BCBS — BAV: $67.21
  • BCBS — Blue Advantage HMO: $67.21
  • BCBS — Blue Choice: $142.08
  • BCBS — Blue Health: $95.19
  • BCBS — City of Dallas PPO: $127.87
  • BCBS — HMH: $95.19
  • BCBS — HPN: $95.19
  • BCBS — PPO: $142.08
  • BCBS — Premier HMO: $95.19
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Renal Function Panel $659 $395.40 $108.94 – $230.33
Kidney function panel: rates for 9 insurance plans
  • BCBS — BAV: $108.94
  • BCBS — Blue Advantage HMO: $108.94
  • BCBS — Blue Choice: $230.33
  • BCBS — Blue Health: $154.32
  • BCBS — City of Dallas PPO: $207.30
  • BCBS — HMH: $154.32
  • BCBS — HPN: $154.32
  • BCBS — PPO: $230.33
  • BCBS — Premier HMO: $154.32
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hepatic Function Panel $684 $410.40 $79.94 – $169
Liver function panel: rates for 9 insurance plans
  • BCBS — BAV: $79.94
  • BCBS — Blue Advantage HMO: $79.94
  • BCBS — Blue Choice: $169
  • BCBS — Blue Health: $113.23
  • BCBS — City of Dallas PPO: $152.10
  • BCBS — HMH: $113.23
  • BCBS — HPN: $113.23
  • BCBS — PPO: $169
  • BCBS — Premier HMO: $113.23
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: LIVER $684 $410.40 $79.94 – $169
Liver function panel: rates for 9 insurance plans
  • BCBS — BAV: $79.94
  • BCBS — Blue Advantage HMO: $79.94
  • BCBS — Blue Choice: $169
  • BCBS — Blue Health: $113.23
  • BCBS — City of Dallas PPO: $152.10
  • BCBS — HMH: $113.23
  • BCBS — HPN: $113.23
  • BCBS — PPO: $169
  • BCBS — Premier HMO: $113.23
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis With Microscopy $212 $127.20 $34.30 – $72.50
Urine test (automated, with microscope): rates for 9 insurance plans
  • BCBS — BAV: $34.30
  • BCBS — Blue Advantage HMO: $34.30
  • BCBS — Blue Choice: $72.50
  • BCBS — Blue Health: $48.58
  • BCBS — City of Dallas PPO: $65.25
  • BCBS — HMH: $48.58
  • BCBS — HPN: $48.58
  • BCBS — PPO: $72.50
  • BCBS — Premier HMO: $48.58
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE Not listed in the file Not listed in the file $14.88 – $31.46
Urine test (manual, without microscope): rates for 9 insurance plans
  • BCBS — BAV: $14.88
  • BCBS — Blue Advantage HMO: $14.88
  • BCBS — Blue Choice: $31.46
  • BCBS — Blue Health: $21.08
  • BCBS — City of Dallas PPO: $28.31
  • BCBS — HMH: $21.08
  • BCBS — HPN: $21.08
  • BCBS — PPO: $31.46
  • BCBS — Premier HMO: $21.08
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: UA w/Reflex to Micro if Indicated-SV $137 $82.20 $26.99 – $57.05
Urine test (automated, without microscope): rates for 9 insurance plans
  • BCBS — BAV: $26.99
  • BCBS — Blue Advantage HMO: $26.99
  • BCBS — Blue Choice: $57.05
  • BCBS — Blue Health: $38.22
  • BCBS — City of Dallas PPO: $51.35
  • BCBS — HMH: $38.22
  • BCBS — HPN: $38.22
  • BCBS — PPO: $57.05
  • BCBS — Premier HMO: $38.22
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis $137 $82.20 $26.99 – $57.05
Urine test (automated, without microscope): rates for 9 insurance plans
  • BCBS — BAV: $26.99
  • BCBS — Blue Advantage HMO: $26.99
  • BCBS — Blue Choice: $57.05
  • BCBS — Blue Health: $38.22
  • BCBS — City of Dallas PPO: $51.35
  • BCBS — HMH: $38.22
  • BCBS — HPN: $38.22
  • BCBS — PPO: $57.05
  • BCBS — Premier HMO: $38.22
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urine Dipstick $137 $82.20 $26.99 – $57.05
Urine test (automated, without microscope): rates for 9 insurance plans
  • BCBS — BAV: $26.99
  • BCBS — Blue Advantage HMO: $26.99
  • BCBS — Blue Choice: $57.05
  • BCBS — Blue Health: $38.22
  • BCBS — City of Dallas PPO: $51.35
  • BCBS — HMH: $38.22
  • BCBS — HPN: $38.22
  • BCBS — PPO: $57.05
  • BCBS — Premier HMO: $38.22
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Prostate Specific Antigen $245 $147 $65.78 – $139.06
PSA (prostate specific antigen) blood test: rates for 9 insurance plans
  • BCBS — BAV: $65.78
  • BCBS — Blue Advantage HMO: $65.78
  • BCBS — Blue Choice: $139.06
  • BCBS — Blue Health: $93.17
  • BCBS — City of Dallas PPO: $125.15
  • BCBS — HMH: $93.17
  • BCBS — HPN: $93.17
  • BCBS — PPO: $139.06
  • BCBS — Premier HMO: $93.17
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: TSH w/ Rflx Free T4 $564 $338.40 $70.53 – $149.14
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans
  • BCBS — BAV: $70.53
  • BCBS — Blue Advantage HMO: $70.53
  • BCBS — Blue Choice: $149.14
  • BCBS — Blue Health: $99.93
  • BCBS — City of Dallas PPO: $134.23
  • BCBS — HMH: $99.93
  • BCBS — HPN: $99.93
  • BCBS — PPO: $149.14
  • BCBS — Premier HMO: $99.93
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Thyroid Stimulating Hormone $564 $338.40 $70.53 – $149.14
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans
  • BCBS — BAV: $70.53
  • BCBS — Blue Advantage HMO: $70.53
  • BCBS — Blue Choice: $149.14
  • BCBS — Blue Health: $99.93
  • BCBS — City of Dallas PPO: $134.23
  • BCBS — HMH: $99.93
  • BCBS — HPN: $99.93
  • BCBS — PPO: $149.14
  • BCBS — Premier HMO: $99.93
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: zzTSH/FT4 $564 $338.40 $70.53 – $149.14
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans
  • BCBS — BAV: $70.53
  • BCBS — Blue Advantage HMO: $70.53
  • BCBS — Blue Choice: $149.14
  • BCBS — Blue Health: $99.93
  • BCBS — City of Dallas PPO: $134.23
  • BCBS — HMH: $99.93
  • BCBS — HPN: $99.93
  • BCBS — PPO: $149.14
  • BCBS — Premier HMO: $99.93
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC w/ Auto Diff $209 $125.40 $43.42 – $91.82
Complete blood count (CBC) with differential: rates for 9 insurance plans
  • BCBS — BAV: $43.42
  • BCBS — Blue Advantage HMO: $43.42
  • BCBS — Blue Choice: $91.82
  • BCBS — Blue Health: $61.52
  • BCBS — City of Dallas PPO: $82.64
  • BCBS — HMH: $61.52
  • BCBS — HPN: $61.52
  • BCBS — PPO: $91.82
  • BCBS — Premier HMO: $61.52
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC Auto No Diff $275 $165 $32.53 – $68.76
Complete blood count (CBC), automated: rates for 9 insurance plans
  • BCBS — BAV: $32.53
  • BCBS — Blue Advantage HMO: $32.53
  • BCBS — Blue Choice: $68.76
  • BCBS — Blue Health: $46.07
  • BCBS — City of Dallas PPO: $61.88
  • BCBS — HMH: $46.07
  • BCBS — HPN: $46.07
  • BCBS — PPO: $68.76
  • BCBS — Premier HMO: $46.07
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Complete Blood Count w/ Indices $275 $165 $32.53 – $68.76
Complete blood count (CBC), automated: rates for 9 insurance plans
  • BCBS — BAV: $32.53
  • BCBS — Blue Advantage HMO: $32.53
  • BCBS — Blue Choice: $68.76
  • BCBS — Blue Health: $46.07
  • BCBS — City of Dallas PPO: $61.88
  • BCBS — HMH: $46.07
  • BCBS — HPN: $46.07
  • BCBS — PPO: $68.76
  • BCBS — Premier HMO: $46.07
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PT $206 $123.60 $30.31 – $64.09
Blood clotting time test (prothrombin time, PT): rates for 9 insurance plans
  • BCBS — BAV: $30.31
  • BCBS — Blue Advantage HMO: $30.31
  • BCBS — Blue Choice: $64.09
  • BCBS — Blue Health: $42.94
  • BCBS — City of Dallas PPO: $57.68
  • BCBS — HMH: $42.94
  • BCBS — HPN: $42.94
  • BCBS — PPO: $64.09
  • BCBS — Premier HMO: $42.94
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PT/INR Hemochron $206 $123.60 $30.31 – $64.09
Blood clotting time test (prothrombin time, PT): rates for 9 insurance plans
  • BCBS — BAV: $30.31
  • BCBS — Blue Advantage HMO: $30.31
  • BCBS — Blue Choice: $64.09
  • BCBS — Blue Health: $42.94
  • BCBS — City of Dallas PPO: $57.68
  • BCBS — HMH: $42.94
  • BCBS — HPN: $42.94
  • BCBS — PPO: $64.09
  • BCBS — Premier HMO: $42.94
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PT/INR Istat $206 $123.60 $30.31 – $64.09
Blood clotting time test (prothrombin time, PT): rates for 9 insurance plans
  • BCBS — BAV: $30.31
  • BCBS — Blue Advantage HMO: $30.31
  • BCBS — Blue Choice: $64.09
  • BCBS — Blue Health: $42.94
  • BCBS — City of Dallas PPO: $57.68
  • BCBS — HMH: $42.94
  • BCBS — HPN: $42.94
  • BCBS — PPO: $64.09
  • BCBS — Premier HMO: $42.94
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: PTT $248 $148.80 $43.55 – $92.05
Blood clotting test (partial thromboplastin time, PTT): rates for 9 insurance plans
  • BCBS — BAV: $43.55
  • BCBS — Blue Advantage HMO: $43.55
  • BCBS — Blue Choice: $92.05
  • BCBS — Blue Health: $61.67
  • BCBS — City of Dallas PPO: $82.85
  • BCBS — HMH: $61.67
  • BCBS — HPN: $61.67
  • BCBS — PPO: $92.05
  • BCBS — Premier HMO: $61.67

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE CT, Head or brain; w/o contrast 70450 $2,218 $1,330.80 $100.16 – $2,050.77
CT scan of the head or brain, without contrast: rates for 10 insurance plans
  • BCBS — BAV: $970.01
  • BCBS — Blue Advantage HMO: $970.01
  • BCBS — Blue Choice: $2,050.77
  • BCBS — Blue Health: $1,374.02
  • BCBS — City of Dallas PPO: $1,845.69
  • BCBS — HMH: $1,374.02
  • BCBS — HPN: $1,374.02
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $2,050.77
  • BCBS — Premier HMO: $1,374.02
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE STROKE CT Head or Brain w/o Contrast 70450 $2,218 $1,330.80 $100.16 – $2,050.77
CT scan of the head or brain, without contrast: rates for 10 insurance plans
  • BCBS — BAV: $970.01
  • BCBS — Blue Advantage HMO: $970.01
  • BCBS — Blue Choice: $2,050.77
  • BCBS — Blue Health: $1,374.02
  • BCBS — City of Dallas PPO: $1,845.69
  • BCBS — HMH: $1,374.02
  • BCBS — HPN: $1,374.02
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $2,050.77
  • BCBS — Premier HMO: $1,374.02
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Head Stroke Protocol W/O Contrast $2,218 $1,330.80 $100.16 – $2,050.77
CT scan of the head or brain, without contrast: rates for 10 insurance plans
  • BCBS — BAV: $970.01
  • BCBS — Blue Advantage HMO: $970.01
  • BCBS — Blue Choice: $2,050.77
  • BCBS — Blue Health: $1,374.02
  • BCBS — City of Dallas PPO: $1,845.69
  • BCBS — HMH: $1,374.02
  • BCBS — HPN: $1,374.02
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $2,050.77
  • BCBS — Premier HMO: $1,374.02
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE MRI Brain, w/o & w/contrast 70553 $4,285 $2,571 $350.37 – $3,961.18
MRI of the brain, before and after contrast: rates for 10 insurance plans
  • BCBS — BAV: $1,873.64
  • BCBS — Blue Advantage HMO: $1,873.64
  • BCBS — Blue Choice: $3,961.18
  • BCBS — Blue Health: $2,653.99
  • BCBS — City of Dallas PPO: $3,565.06
  • BCBS — HMH: $2,653.99
  • BCBS — HPN: $2,653.99
  • BCBS — Medicare Adv HMO: $350.37
  • BCBS — PPO: $3,961.18
  • BCBS — Premier HMO: $2,653.99
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Brain w/ + w/o Contrast 70553 $4,285 $2,571 $350.37 – $3,961.18
MRI of the brain, before and after contrast: rates for 10 insurance plans
  • BCBS — BAV: $1,873.64
  • BCBS — Blue Advantage HMO: $1,873.64
  • BCBS — Blue Choice: $3,961.18
  • BCBS — Blue Health: $2,653.99
  • BCBS — City of Dallas PPO: $3,565.06
  • BCBS — HMH: $2,653.99
  • BCBS — HPN: $2,653.99
  • BCBS — Medicare Adv HMO: $350.37
  • BCBS — PPO: $3,961.18
  • BCBS — Premier HMO: $2,653.99
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE Radiologic examination, chest; 2 views 71046 $285 $171 $82.79 – $271.62
Chest X-ray, 2 views: rates for 10 insurance plans
  • BCBS — BAV: $128.47
  • BCBS — Blue Advantage HMO: $128.47
  • BCBS — Blue Choice: $271.62
  • BCBS — Blue Health: $181.99
  • BCBS — City of Dallas PPO: $244.46
  • BCBS — HMH: $181.99
  • BCBS — HPN: $181.99
  • BCBS — Medicare Adv HMO: $82.79
  • BCBS — PPO: $271.62
  • BCBS — Premier HMO: $181.99
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Chest 2 View (Frontal & Lat) 71046 $285 $171 $82.79 – $271.62
Chest X-ray, 2 views: rates for 10 insurance plans
  • BCBS — BAV: $128.47
  • BCBS — Blue Advantage HMO: $128.47
  • BCBS — Blue Choice: $271.62
  • BCBS — Blue Health: $181.99
  • BCBS — City of Dallas PPO: $244.46
  • BCBS — HMH: $181.99
  • BCBS — HPN: $181.99
  • BCBS — Medicare Adv HMO: $82.79
  • BCBS — PPO: $271.62
  • BCBS — Premier HMO: $181.99
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Chest 2 Views $285 $171 $82.79 – $271.62
Chest X-ray, 2 views: rates for 10 insurance plans
  • BCBS — BAV: $128.47
  • BCBS — Blue Advantage HMO: $128.47
  • BCBS — Blue Choice: $271.62
  • BCBS — Blue Health: $181.99
  • BCBS — City of Dallas PPO: $244.46
  • BCBS — HMH: $181.99
  • BCBS — HPN: $181.99
  • BCBS — Medicare Adv HMO: $82.79
  • BCBS — PPO: $271.62
  • BCBS — Premier HMO: $181.99
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE XR Spine Lumbosacral Min 4 views 72110 $593 $355.80 $100.16 – $547.69
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans
  • BCBS — BAV: $259.07
  • BCBS — Blue Advantage HMO: $259.07
  • BCBS — Blue Choice: $547.69
  • BCBS — Blue Health: $366.95
  • BCBS — City of Dallas PPO: $492.92
  • BCBS — HMH: $366.95
  • BCBS — HPN: $366.95
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $547.69
  • BCBS — Premier HMO: $366.95
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Spine Lumbosacral Minimum 4 V 72110 $593 $355.80 $100.16 – $547.69
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans
  • BCBS — BAV: $259.07
  • BCBS — Blue Advantage HMO: $259.07
  • BCBS — Blue Choice: $547.69
  • BCBS — Blue Health: $366.95
  • BCBS — City of Dallas PPO: $492.92
  • BCBS — HMH: $366.95
  • BCBS — HPN: $366.95
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $547.69
  • BCBS — Premier HMO: $366.95
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE MRI Spine Lumbar w/o contrast 72148 $2,980 $1,788 $223.25 – $2,754.77
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans
  • BCBS — BAV: $1,303.01
  • BCBS — Blue Advantage HMO: $1,303.01
  • BCBS — Blue Choice: $2,754.77
  • BCBS — Blue Health: $1,845.69
  • BCBS — City of Dallas PPO: $2,479.29
  • BCBS — HMH: $1,845.69
  • BCBS — HPN: $1,845.69
  • BCBS — Medicare Adv HMO: $223.25
  • BCBS — PPO: $2,754.77
  • BCBS — Premier HMO: $1,845.69
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Spine Lumbar w/o Contrast 72148 $2,980 $1,788 $223.25 – $2,754.77
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans
  • BCBS — BAV: $1,303.01
  • BCBS — Blue Advantage HMO: $1,303.01
  • BCBS — Blue Choice: $2,754.77
  • BCBS — Blue Health: $1,845.69
  • BCBS — City of Dallas PPO: $2,479.29
  • BCBS — HMH: $1,845.69
  • BCBS — HPN: $1,845.69
  • BCBS — Medicare Adv HMO: $223.25
  • BCBS — PPO: $2,754.77
  • BCBS — Premier HMO: $1,845.69
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE CT Pelvis s/contrast 72193 $2,744 $1,646.40 $167.39 – $2,536.11
CT scan of the pelvis, with contrast: rates for 10 insurance plans
  • BCBS — BAV: $1,199.57
  • BCBS — Blue Advantage HMO: $1,199.57
  • BCBS — Blue Choice: $2,536.11
  • BCBS — Blue Health: $1,699.19
  • BCBS — City of Dallas PPO: $2,282.50
  • BCBS — HMH: $1,699.19
  • BCBS — HPN: $1,699.19
  • BCBS — Medicare Adv HMO: $167.39
  • BCBS — PPO: $2,536.11
  • BCBS — Premier HMO: $1,699.19
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Pelvis w/ Contrast 72193 $2,744 $1,646.40 $167.39 – $2,536.11
CT scan of the pelvis, with contrast: rates for 10 insurance plans
  • BCBS — BAV: $1,199.57
  • BCBS — Blue Advantage HMO: $1,199.57
  • BCBS — Blue Choice: $2,536.11
  • BCBS — Blue Health: $1,699.19
  • BCBS — City of Dallas PPO: $2,282.50
  • BCBS — HMH: $1,699.19
  • BCBS — HPN: $1,699.19
  • BCBS — Medicare Adv HMO: $167.39
  • BCBS — PPO: $2,536.11
  • BCBS — Premier HMO: $1,699.19
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE MRI w/o contrast lower extremity 73721 $3,405 $2,043 $223.25 – $3,148.31
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • BCBS — BAV: $1,489.14
  • BCBS — Blue Advantage HMO: $1,489.14
  • BCBS — Blue Choice: $3,148.31
  • BCBS — Blue Health: $2,109.37
  • BCBS — City of Dallas PPO: $2,833.48
  • BCBS — HMH: $2,109.37
  • BCBS — HPN: $2,109.37
  • BCBS — Medicare Adv HMO: $223.25
  • BCBS — PPO: $3,148.31
  • BCBS — Premier HMO: $2,109.37
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Ankle w/o Contrast Bilateral 73721 $3,405 $2,043 $223.25 – $3,148.31
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • BCBS — BAV: $1,489.14
  • BCBS — Blue Advantage HMO: $1,489.14
  • BCBS — Blue Choice: $3,148.31
  • BCBS — Blue Health: $2,109.37
  • BCBS — City of Dallas PPO: $2,833.48
  • BCBS — HMH: $2,109.37
  • BCBS — HPN: $2,109.37
  • BCBS — Medicare Adv HMO: $223.25
  • BCBS — PPO: $3,148.31
  • BCBS — Premier HMO: $2,109.37
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Ankle w/o Contrast Left 73721 $3,405 $2,043 $223.25 – $3,148.31
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • BCBS — BAV: $1,489.14
  • BCBS — Blue Advantage HMO: $1,489.14
  • BCBS — Blue Choice: $3,148.31
  • BCBS — Blue Health: $2,109.37
  • BCBS — City of Dallas PPO: $2,833.48
  • BCBS — HMH: $2,109.37
  • BCBS — HPN: $2,109.37
  • BCBS — Medicare Adv HMO: $223.25
  • BCBS — PPO: $3,148.31
  • BCBS — Premier HMO: $2,109.37
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE CT Abd & Pelvis, w/contrast 74177 $5,657 $3,394.20 $350.37 – $5,229.50
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans
  • BCBS — BAV: $2,473.56
  • BCBS — Blue Advantage HMO: $2,473.56
  • BCBS — Blue Choice: $5,229.50
  • BCBS — Blue Health: $3,503.76
  • BCBS — City of Dallas PPO: $4,706.55
  • BCBS — HMH: $3,503.76
  • BCBS — HPN: $3,503.76
  • BCBS — Medicare Adv HMO: $350.37
  • BCBS — PPO: $5,229.50
  • BCBS — Premier HMO: $3,503.76
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Abdomen and Pelvis w/ Contrast 74177 $5,657 $3,394.20 $350.37 – $5,229.50
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans
  • BCBS — BAV: $2,473.56
  • BCBS — Blue Advantage HMO: $2,473.56
  • BCBS — Blue Choice: $5,229.50
  • BCBS — Blue Health: $3,503.76
  • BCBS — City of Dallas PPO: $4,706.55
  • BCBS — HMH: $3,503.76
  • BCBS — HPN: $3,503.76
  • BCBS — Medicare Adv HMO: $350.37
  • BCBS — PPO: $5,229.50
  • BCBS — Premier HMO: $3,503.76
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Enterography 74177 $5,657 $3,394.20 $350.37 – $5,229.50
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans
  • BCBS — BAV: $2,473.56
  • BCBS — Blue Advantage HMO: $2,473.56
  • BCBS — Blue Choice: $5,229.50
  • BCBS — Blue Health: $3,503.76
  • BCBS — City of Dallas PPO: $4,706.55
  • BCBS — HMH: $3,503.76
  • BCBS — HPN: $3,503.76
  • BCBS — Medicare Adv HMO: $350.37
  • BCBS — PPO: $5,229.50
  • BCBS — Premier HMO: $3,503.76
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE US Abdomen Complete 76700 $1,032 $619.20 $100.16 – $953.98
Ultrasound of the abdomen, complete: rates for 10 insurance plans
  • BCBS — BAV: $451.23
  • BCBS — Blue Advantage HMO: $451.23
  • BCBS — Blue Choice: $953.98
  • BCBS — Blue Health: $639.16
  • BCBS — City of Dallas PPO: $858.58
  • BCBS — HMH: $639.16
  • BCBS — HPN: $639.16
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $953.98
  • BCBS — Premier HMO: $639.16
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US Abdomen Complete 76700 $1,032 $619.20 $100.16 – $953.98
Ultrasound of the abdomen, complete: rates for 10 insurance plans
  • BCBS — BAV: $451.23
  • BCBS — Blue Advantage HMO: $451.23
  • BCBS — Blue Choice: $953.98
  • BCBS — Blue Health: $639.16
  • BCBS — City of Dallas PPO: $858.58
  • BCBS — HMH: $639.16
  • BCBS — HPN: $639.16
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $953.98
  • BCBS — Premier HMO: $639.16
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE US Pregnancy After 1st Trimester 76805 $483 $289.80 $100.16 – $445.78
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans
  • BCBS — BAV: $210.85
  • BCBS — Blue Advantage HMO: $210.85
  • BCBS — Blue Choice: $445.78
  • BCBS — Blue Health: $298.68
  • BCBS — City of Dallas PPO: $401.20
  • BCBS — HMH: $298.68
  • BCBS — HPN: $298.68
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $445.78
  • BCBS — Premier HMO: $298.68
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US Pregnancy After 1st Trimester 76805 $483 $289.80 $100.16 – $445.78
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans
  • BCBS — BAV: $210.85
  • BCBS — Blue Advantage HMO: $210.85
  • BCBS — Blue Choice: $445.78
  • BCBS — Blue Health: $298.68
  • BCBS — City of Dallas PPO: $401.20
  • BCBS — HMH: $298.68
  • BCBS — HPN: $298.68
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $445.78
  • BCBS — Premier HMO: $298.68
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE US Transvaginal 76830 $712 $427.20 $100.16 – $658.17
Transvaginal ultrasound: rates for 10 insurance plans
  • BCBS — BAV: $311.32
  • BCBS — Blue Advantage HMO: $311.32
  • BCBS — Blue Choice: $658.17
  • BCBS — Blue Health: $440.97
  • BCBS — City of Dallas PPO: $592.35
  • BCBS — HMH: $440.97
  • BCBS — HPN: $440.97
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $658.17
  • BCBS — Premier HMO: $440.97
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US Transvaginal 76830 $712 $427.20 $100.16 – $658.17
Transvaginal ultrasound: rates for 10 insurance plans
  • BCBS — BAV: $311.32
  • BCBS — Blue Advantage HMO: $311.32
  • BCBS — Blue Choice: $658.17
  • BCBS — Blue Health: $440.97
  • BCBS — City of Dallas PPO: $592.35
  • BCBS — HMH: $440.97
  • BCBS — HPN: $440.97
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $658.17
  • BCBS — Premier HMO: $440.97
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US Transvaginal Non-OB $712 $427.20 $100.16 – $658.17
Transvaginal ultrasound: rates for 10 insurance plans
  • BCBS — BAV: $311.32
  • BCBS — Blue Advantage HMO: $311.32
  • BCBS — Blue Choice: $658.17
  • BCBS — Blue Health: $440.97
  • BCBS — City of Dallas PPO: $592.35
  • BCBS — HMH: $440.97
  • BCBS — HPN: $440.97
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $658.17
  • BCBS — Premier HMO: $440.97
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE MA Dx Mammo+Cad Unilat 77065 $203 $121.80 $91.46 – $193.36
Diagnostic mammogram, one breast: rates for 9 insurance plans
  • BCBS — BAV: $91.46
  • BCBS — Blue Advantage HMO: $91.46
  • BCBS — Blue Choice: $193.36
  • BCBS — Blue Health: $129.55
  • BCBS — City of Dallas PPO: $174.02
  • BCBS — HMH: $129.55
  • BCBS — HPN: $129.55
  • BCBS — PPO: $193.36
  • BCBS — Premier HMO: $129.55
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MA Dx Mammo+Cad Unilat Lt 77065 $203 $121.80 $91.46 – $193.36
Diagnostic mammogram, one breast: rates for 9 insurance plans
  • BCBS — BAV: $91.46
  • BCBS — Blue Advantage HMO: $91.46
  • BCBS — Blue Choice: $193.36
  • BCBS — Blue Health: $129.55
  • BCBS — City of Dallas PPO: $174.02
  • BCBS — HMH: $129.55
  • BCBS — HPN: $129.55
  • BCBS — PPO: $193.36
  • BCBS — Premier HMO: $129.55
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MA Dx Mammo+Cad Unilat Rt 77065 $203 $121.80 $91.46 – $193.36
Diagnostic mammogram, one breast: rates for 9 insurance plans
  • BCBS — BAV: $91.46
  • BCBS — Blue Advantage HMO: $91.46
  • BCBS — Blue Choice: $193.36
  • BCBS — Blue Health: $129.55
  • BCBS — City of Dallas PPO: $174.02
  • BCBS — HMH: $129.55
  • BCBS — HPN: $129.55
  • BCBS — PPO: $193.36
  • BCBS — Premier HMO: $129.55
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE MA Dx Mammo Incl Cad Bilateral 77066 $250 $150 $112.43 – $237.70
Diagnostic mammogram, both breasts: rates for 9 insurance plans
  • BCBS — BAV: $112.43
  • BCBS — Blue Advantage HMO: $112.43
  • BCBS — Blue Choice: $237.70
  • BCBS — Blue Health: $159.26
  • BCBS — City of Dallas PPO: $213.93
  • BCBS — HMH: $159.26
  • BCBS — HPN: $159.26
  • BCBS — PPO: $237.70
  • BCBS — Premier HMO: $159.26
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MA Dx Mammo Incl Cad Bilateral 77066 $250 $150 $112.43 – $237.70
Diagnostic mammogram, both breasts: rates for 9 insurance plans
  • BCBS — BAV: $112.43
  • BCBS — Blue Advantage HMO: $112.43
  • BCBS — Blue Choice: $237.70
  • BCBS — Blue Health: $159.26
  • BCBS — City of Dallas PPO: $213.93
  • BCBS — HMH: $159.26
  • BCBS — HPN: $159.26
  • BCBS — PPO: $237.70
  • BCBS — Premier HMO: $159.26
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE MA Scrn Mammo+Cad Bilat 77067 $203 $121.80 $91.46 – $193.36
Screening mammogram, both breasts: rates for 9 insurance plans
  • BCBS — BAV: $91.46
  • BCBS — Blue Advantage HMO: $91.46
  • BCBS — Blue Choice: $193.36
  • BCBS — Blue Health: $129.55
  • BCBS — City of Dallas PPO: $174.02
  • BCBS — HMH: $129.55
  • BCBS — HPN: $129.55
  • BCBS — PPO: $193.36
  • BCBS — Premier HMO: $129.55
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MA Scrn Mammo+Cad Bilat 77067 $203 $121.80 $91.46 – $193.36
Screening mammogram, both breasts: rates for 9 insurance plans
  • BCBS — BAV: $91.46
  • BCBS — Blue Advantage HMO: $91.46
  • BCBS — Blue Choice: $193.36
  • BCBS — Blue Health: $129.55
  • BCBS — City of Dallas PPO: $174.02
  • BCBS — HMH: $129.55
  • BCBS — HPN: $129.55
  • BCBS — PPO: $193.36
  • BCBS — Premier HMO: $129.55

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: LEFT HEART CATH 93452 $17,558 $10,534.80 $2,968.76 – $12,028
Left heart catheterization (diagnostic): 10 of 14 insurance plan rates
  • BCBS — BAV: $5,689
  • BCBS — Blue Advantage HMO: $5,689
  • BCBS — Blue Choice: $12,028
  • BCBS — Blue Essentials HMO: $11,427
  • BCBS — Blue Health: $8,059
  • BCBS — City of Dallas PPO: $10,825.20
  • BCBS — HMH: $8,059
  • BCBS — HPN: $8,059
  • BCBS — Medicare Adv HMO: $2,968.76
  • BCBS — PPO: $12,028
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION Not listed in the file Not listed in the file $3,259 – $7,701
Heart rhythm study (electrophysiology evaluation): 10 of 14 insurance plan rates
  • BCBS — BAV: $3,259
  • BCBS — Blue Advantage HMO: $3,259
  • BCBS — Blue Choice: $6,891
  • BCBS — Blue Essentials HMO: $6,546
  • BCBS — Blue Health: $4,617
  • BCBS — City of Dallas PPO: $6,201.90
  • BCBS — HMH: $4,617
  • BCBS — HPN: $4,617
  • BCBS — Medicare Adv HMO: $6,804
  • BCBS — PPO: $6,891
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file Not listed in the file $17,960 – $21,638.17
Heart rhythm study with ablation for atrial fibrillation: rates for 4 insurance plans
  • BCBS — Medicare Adv HMO: $21,638.17
  • UHC — Charter: $17,960
  • UHC — Commercial: $19,956
  • UHC — Nexus: $17,960
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM Not listed in the file Not listed in the file $952.55
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan
  • BCBS — Medicare Adv HMO: $952.55

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES Not listed in the file Not listed in the file $145.26
Psychotherapy, 30 minutes: rates for 1 insurance plan
  • BCBS — Medicare Adv HMO: $145.26
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES Not listed in the file Not listed in the file $145.26
Psychotherapy, 45 minutes: rates for 1 insurance plan
  • BCBS — Medicare Adv HMO: $145.26
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file $145.26
Psychotherapy, 60 minutes: rates for 1 insurance plan
  • BCBS — Medicare Adv HMO: $145.26
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file Not listed in the file $145.26
Family psychotherapy, without the patient: rates for 1 insurance plan
  • BCBS — Medicare Adv HMO: $145.26
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN Not listed in the file Not listed in the file $145.26
Family psychotherapy, with the patient: rates for 1 insurance plan
  • BCBS — Medicare Adv HMO: $145.26
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file $81.21
Group psychotherapy: rates for 1 insurance plan
  • BCBS — Medicare Adv HMO: $81.21

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: EXCISION LIPOMA BREAST 19120 $16,647 $9,988.20 $1,590 – $3,697
Removal of breast growth (open surgery): 10 of 14 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $3,472.74
  • BCBS — PPO: $3,361
Total hip replacement CPT 27130 · Inpatient or outpatient · Hospital (facility) fee In the file: ARTHROPLASTY ACETABULAR & PROXIMAL FEMORAL PROSTHETIC REPLACEMENT 27130 $66,461 $39,876.60 $7,568 – $15,999
Total hip replacement: 10 of 14 insurance plan rates
  • BCBS — BAV: $7,568
  • BCBS — Blue Advantage HMO: $7,568
  • BCBS — Blue Choice: $15,999
  • BCBS — Blue Essentials HMO: $15,199
  • BCBS — Blue Health: $10,719
  • BCBS — City of Dallas PPO: $14,399.10
  • BCBS — HMH: $10,719
  • BCBS — HPN: $10,719
  • BCBS — Medicare Adv HMO: $11,990.65
  • BCBS — PPO: $15,999
Total knee replacement CPT 27447 · Inpatient or outpatient · Hospital (facility) fee In the file: ARTHROPLASTY KNEE CONDYLE & PLATEAU MEDIAL AND LATERAL 27447 $61,776 $37,065.60 $7,568 – $15,999
Total knee replacement: 10 of 14 insurance plan rates
  • BCBS — BAV: $7,568
  • BCBS — Blue Advantage HMO: $7,568
  • BCBS — Blue Choice: $15,999
  • BCBS — Blue Essentials HMO: $15,199
  • BCBS — Blue Health: $10,719
  • BCBS — City of Dallas PPO: $14,399.10
  • BCBS — HMH: $10,719
  • BCBS — HPN: $10,719
  • BCBS — Medicare Adv HMO: $11,990.65
  • BCBS — PPO: $15,999
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Hospital (facility) fee In the file: ARTHROSCOPY SHOULDER W/SUBACROMIAL DECOMPRESSION/ACROMIOPLASTY 29826 $28,018 $16,810.80 $1,481 – $12,028
Shoulder arthroscopy: shaving of shoulder bone: 10 of 13 insurance plan rates
  • BCBS — BAV: $5,689
  • BCBS — Blue Advantage HMO: $5,689
  • BCBS — Blue Choice: $12,028
  • BCBS — Blue Essentials HMO: $11,427
  • BCBS — Blue Health: $8,059
  • BCBS — City of Dallas PPO: $10,825.20
  • BCBS — HMH: $8,059
  • BCBS — HPN: $8,059
  • BCBS — PPO: $12,028
  • BCBS — Premier HMO: $8,059
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Hospital (facility) fee In the file: ARTHROSCOPY KNEE W/MEDIAL OR LATERAL MENISCECTOMY 29881 $16,143 $9,685.80 $2,872 – $6,071
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 14 insurance plan rates
  • BCBS — BAV: $2,872
  • BCBS — Blue Advantage HMO: $2,872
  • BCBS — Blue Choice: $6,071
  • BCBS — Blue Essentials HMO: $5,767
  • BCBS — Blue Health: $4,068
  • BCBS — City of Dallas PPO: $5,463.90
  • BCBS — HMH: $4,068
  • BCBS — HPN: $4,068
  • BCBS — Medicare Adv HMO: $2,948.97
  • BCBS — PPO: $6,071
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $1,590 – $5,335.35
Removal of tonsils and adenoids (under age 12): 10 of 14 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $5,335.35
  • BCBS — PPO: $3,361
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY; FLEXIBLE DIAGNOSTIC 43235 $4,538 $2,722.80 $825.87 – $3,538
Upper GI endoscopy (diagnostic): 10 of 14 insurance plan rates
  • BCBS — BAV: $1,673
  • BCBS — Blue Advantage HMO: $1,673
  • BCBS — Blue Choice: $3,538
  • BCBS — Blue Essentials HMO: $3,361
  • BCBS — Blue Health: $2,370
  • BCBS — City of Dallas PPO: $3,184.20
  • BCBS — HMH: $2,370
  • BCBS — HPN: $2,370
  • BCBS — Medicare Adv HMO: $825.87
  • BCBS — PPO: $3,538
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY W/BIOPSY 43239 $4,538 $2,722.80 $825.87 – $3,538
Upper GI endoscopy with biopsy: 10 of 14 insurance plan rates
  • BCBS — BAV: $1,673
  • BCBS — Blue Advantage HMO: $1,673
  • BCBS — Blue Choice: $3,538
  • BCBS — Blue Essentials HMO: $3,361
  • BCBS — Blue Health: $2,370
  • BCBS — City of Dallas PPO: $3,184.20
  • BCBS — HMH: $2,370
  • BCBS — HPN: $2,370
  • BCBS — Medicare Adv HMO: $825.87
  • BCBS — PPO: $3,538
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY FLEXIBLE; DIAGNOSTIC; INCL. COLLECTION OF SPECIMENS 45378 $4,333 $2,599.80 $832.67 – $3,538
Colonoscopy (diagnostic): 10 of 14 insurance plan rates
  • BCBS — BAV: $1,673
  • BCBS — Blue Advantage HMO: $1,673
  • BCBS — Blue Choice: $3,538
  • BCBS — Blue Essentials HMO: $3,361
  • BCBS — Blue Health: $2,370
  • BCBS — City of Dallas PPO: $3,184.20
  • BCBS — HMH: $2,370
  • BCBS — HPN: $2,370
  • BCBS — Medicare Adv HMO: $832.67
  • BCBS — PPO: $3,538
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY FLEXIBLE; WITH BIOPSY; SINGLE OR MULTIPLE 45380 $5,715 $3,429 $1,075.12 – $3,538
Colonoscopy with biopsy: 10 of 14 insurance plan rates
  • BCBS — BAV: $1,673
  • BCBS — Blue Advantage HMO: $1,673
  • BCBS — Blue Choice: $3,538
  • BCBS — Blue Essentials HMO: $3,361
  • BCBS — Blue Health: $2,370
  • BCBS — City of Dallas PPO: $3,184.20
  • BCBS — HMH: $2,370
  • BCBS — HPN: $2,370
  • BCBS — Medicare Adv HMO: $1,075.12
  • BCBS — PPO: $3,538
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY FLEXIBLE; WITH REMOVAL OF TUMOR/POLYP/LESION BY SNARE TECHNIQUE 45385 $5,715 $3,429 $1,075.12 – $3,538
Colonoscopy with removal of polyps (snare): 10 of 14 insurance plan rates
  • BCBS — BAV: $1,673
  • BCBS — Blue Advantage HMO: $1,673
  • BCBS — Blue Choice: $3,538
  • BCBS — Blue Essentials HMO: $3,361
  • BCBS — Blue Health: $2,370
  • BCBS — City of Dallas PPO: $3,184.20
  • BCBS — HMH: $2,370
  • BCBS — HPN: $2,370
  • BCBS — Medicare Adv HMO: $1,075.12
  • BCBS — PPO: $3,538
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $1,075.12 – $3,361
Ultrasound of the lower bowel by endoscope: 10 of 14 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $1,075.12
  • BCBS — PPO: $3,361
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: COLON CANCER SCREEN NOT HIGH RISK G0121 $4,333 $2,599.80 $832.67 – $3,361
Screening colonoscopy (not high risk): 10 of 14 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $832.67
  • BCBS — PPO: $3,361
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Hospital (facility) fee In the file: CHOLECYSTECTOMY LAPAROSCOPIC 47562 $27,393 $16,435.80 $5,256.83 – $12,028
Gallbladder removal by laparoscope: 10 of 14 insurance plan rates
  • BCBS — BAV: $5,689
  • BCBS — Blue Advantage HMO: $5,689
  • BCBS — Blue Choice: $12,028
  • BCBS — Blue Essentials HMO: $11,427
  • BCBS — Blue Health: $8,059
  • BCBS — City of Dallas PPO: $10,825.20
  • BCBS — HMH: $8,059
  • BCBS — HPN: $8,059
  • BCBS — Medicare Adv HMO: $5,256.83
  • BCBS — PPO: $12,028
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: REPAIR INITIAL HERNIA INGUINAL-AGE 5 YEARS OR OLDER-REDUCIBLE 49505 $17,764 $10,658.40 $3,011 – $6,366
Groin (inguinal) hernia repair, age 5 or older: 10 of 14 insurance plan rates
  • BCBS — BAV: $3,011
  • BCBS — Blue Advantage HMO: $3,011
  • BCBS — Blue Choice: $6,366
  • BCBS — Blue Essentials HMO: $6,048
  • BCBS — Blue Health: $4,265
  • BCBS — City of Dallas PPO: $5,729.40
  • BCBS — HMH: $4,265
  • BCBS — HPN: $4,265
  • BCBS — Medicare Adv HMO: $3,151.98
  • BCBS — PPO: $6,366
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: BIOPSY PROSTATE;NEEDLE OR PUNCTURE 55700 $10,604 $6,362.40 $1,590 – $3,361
Prostate biopsy: 10 of 14 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $1,855.67
  • BCBS — PPO: $3,361
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Hospital (facility) fee In the file: LAPARASCOPIC PROSTATECTOMY RETROPUBIC RADICAL 55866 $38,534 $23,120.40 $5,689 – $13,934
Prostate removal by laparoscope (radical prostatectomy): 10 of 14 insurance plan rates
  • BCBS — BAV: $5,689
  • BCBS — Blue Advantage HMO: $5,689
  • BCBS — Blue Choice: $12,028
  • BCBS — Blue Essentials HMO: $11,427
  • BCBS — Blue Health: $8,059
  • BCBS — City of Dallas PPO: $10,825.20
  • BCBS — HMH: $8,059
  • BCBS — HPN: $8,059
  • BCBS — Medicare Adv HMO: $9,378.24
  • BCBS — PPO: $12,028
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: HYSTEROSCOPY WITH BIOPSY 58558 $13,868 $8,320.80 $2,848.32 – $6,366
Hysteroscopy with biopsy of the uterus lining: 10 of 14 insurance plan rates
  • BCBS — BAV: $3,011
  • BCBS — Blue Advantage HMO: $3,011
  • BCBS — Blue Choice: $6,366
  • BCBS — Blue Essentials HMO: $6,048
  • BCBS — Blue Health: $4,265
  • BCBS — City of Dallas PPO: $5,729.40
  • BCBS — HMH: $4,265
  • BCBS — HPN: $4,265
  • BCBS — Medicare Adv HMO: $2,848.32
  • BCBS — PPO: $6,366
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: INJECTION DIAG./THER. SUB. W/NEEDLE OR CATH. LUMBAR/SACRAL W/IMAGE 62323 $2,110 $1,266 $630.04 – $3,361
Spinal injection, lower back (epidural), with imaging guidance: 10 of 14 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $630.04
  • BCBS — PPO: $3,361
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: INJ CATH PLACE OF DISG/THERA SUBSTANCE EPIDURAL OR SUBARACHNOID LUMBAR/SACRAL PP 64483 $3,530 $2,118 $830.42 – $3,361
Nerve root injection, lower back, with imaging guidance: 10 of 14 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $830.42
  • BCBS — PPO: $3,361
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: INJ.ANESTHETIC AGENT AND/OR STEROID; LUMBAR/SACRAL 64483 $4,101 $2,460.60 $830.42 – $3,361
Nerve root injection, lower back, with imaging guidance: 10 of 14 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $830.42
  • BCBS — PPO: $3,361
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: NEUROPLASTY AND/OR TRANSPOSITION;MEDIAN NERVE AT CARPAL TUNNEL 64721 $9,829 $5,897.40 $1,759.07 – $6,366
Carpal tunnel release: 10 of 14 insurance plan rates
  • BCBS — BAV: $3,011
  • BCBS — Blue Advantage HMO: $3,011
  • BCBS — Blue Choice: $6,366
  • BCBS — Blue Essentials HMO: $6,048
  • BCBS — Blue Health: $4,265
  • BCBS — City of Dallas PPO: $5,729.40
  • BCBS — HMH: $4,265
  • BCBS — HPN: $4,265
  • BCBS — Medicare Adv HMO: $1,759.07
  • BCBS — PPO: $6,366
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $529.58 – $3,361
Laser treatment of clouding after cataract surgery: 10 of 14 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $529.58
  • BCBS — PPO: $3,361
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $2,123.11 – $6,891
Cataract removal with lens implant: 10 of 14 insurance plan rates
  • BCBS — BAV: $3,259
  • BCBS — Blue Advantage HMO: $3,259
  • BCBS — Blue Choice: $6,891
  • BCBS — Blue Essentials HMO: $6,546
  • BCBS — Blue Health: $4,617
  • BCBS — City of Dallas PPO: $6,201.90
  • BCBS — HMH: $4,617
  • BCBS — HPN: $4,617
  • BCBS — Medicare Adv HMO: $2,123.11
  • BCBS — PPO: $6,891

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $3,011 – $6,366
Vaginal delivery, with care before and after: rates for 10 insurance plans
  • BCBS — BAV: $3,011
  • BCBS — Blue Advantage HMO: $3,011
  • BCBS — Blue Choice: $6,366
  • BCBS — Blue Essentials HMO: $6,048
  • BCBS — Blue Health: $4,265
  • BCBS — City of Dallas PPO: $5,729.40
  • BCBS — HMH: $4,265
  • BCBS — HPN: $4,265
  • BCBS — PPO: $6,366
  • BCBS — Premier HMO: $4,265
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $3,359 – $7,101
Cesarean delivery (C-section), with care before and after: rates for 10 insurance plans
  • BCBS — BAV: $3,359
  • BCBS — Blue Advantage HMO: $3,359
  • BCBS — Blue Choice: $7,101
  • BCBS — Blue Essentials HMO: $6,746
  • BCBS — Blue Health: $4,758
  • BCBS — City of Dallas PPO: $6,390.90
  • BCBS — HMH: $4,758
  • BCBS — HPN: $4,758
  • BCBS — PPO: $7,101
  • BCBS — Premier HMO: $4,758
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $3,359 – $7,101
Vaginal delivery after a previous C-section, with care before and after: rates for 10 insurance plans
  • BCBS — BAV: $3,359
  • BCBS — Blue Advantage HMO: $3,359
  • BCBS — Blue Choice: $7,101
  • BCBS — Blue Essentials HMO: $6,746
  • BCBS — Blue Health: $4,758
  • BCBS — City of Dallas PPO: $6,390.90
  • BCBS — HMH: $4,758
  • BCBS — HPN: $4,758
  • BCBS — PPO: $7,101
  • BCBS — Premier HMO: $4,758

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · 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 $57,399.27 – $129,148.43
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 14 insurance plan rates
  • BCBS — BAV: $57,399.27
  • BCBS — Blue Advantage HMO: $57,399.27
  • BCBS — Blue Choice: $93,035.15
  • BCBS — Blue Essentials HMO: $88,388.26
  • BCBS — Blue Health: $62,338.42
  • BCBS — City of Dallas PPO: $83,731.63
  • BCBS — HMH: $62,338.42
  • BCBS — HPN: $62,338.42
  • BCBS — Medicare Adv HMO: $65,805.71
  • BCBS — PPO: $93,035.15
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 $22,189.27 – $48,675.68
Spinal fusion (not neck), without major complications: 10 of 14 insurance plan rates
  • BCBS — BAV: $22,189.27
  • BCBS — Blue Advantage HMO: $22,189.27
  • BCBS — Blue Choice: $35,965.30
  • BCBS — Blue Essentials HMO: $34,168.92
  • BCBS — Blue Health: $24,098.63
  • BCBS — City of Dallas PPO: $32,368.77
  • BCBS — HMH: $24,098.63
  • BCBS — HPN: $24,098.63
  • BCBS — Medicare Adv HMO: $24,801.98
  • BCBS — PPO: $35,965.30
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 $11,264.91 – $25,039.78
Hip or knee replacement (major joint of the leg), without major complications: 10 of 14 insurance plan rates
  • BCBS — BAV: $11,264.91
  • BCBS — Blue Advantage HMO: $11,264.91
  • BCBS — Blue Choice: $18,258.65
  • BCBS — Blue Essentials HMO: $17,346.67
  • BCBS — Blue Health: $12,234.25
  • BCBS — City of Dallas PPO: $16,432.78
  • BCBS — HMH: $12,234.25
  • BCBS — HPN: $12,234.25
  • BCBS — Medicare Adv HMO: $12,758.66
  • BCBS — PPO: $18,258.65
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 $14,936.81 – $32,743.20
Neck (cervical) spinal fusion, without complications: 10 of 14 insurance plan rates
  • BCBS — BAV: $14,936.81
  • BCBS — Blue Advantage HMO: $14,936.81
  • BCBS — Blue Choice: $24,210.21
  • BCBS — Blue Essentials HMO: $23,000.96
  • BCBS — Blue Health: $16,222.10
  • BCBS — City of Dallas PPO: $21,789.18
  • BCBS — HMH: $16,222.10
  • BCBS — HPN: $16,222.10
  • BCBS — Medicare Adv HMO: $16,683.82
  • BCBS — PPO: $24,210.21
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 $6,897.18 – $15,462.73
Uterus and ovary surgery (not for cancer), without complications: 10 of 14 insurance plan rates
  • BCBS — BAV: $6,897.18
  • BCBS — Blue Advantage HMO: $6,897.18
  • BCBS — Blue Choice: $11,179.23
  • BCBS — Blue Essentials HMO: $10,620.85
  • BCBS — Blue Health: $7,490.67
  • BCBS — City of Dallas PPO: $10,061.31
  • BCBS — HMH: $7,490.67
  • BCBS — HPN: $7,490.67
  • BCBS — Medicare Adv HMO: $7,878.81
  • BCBS — PPO: $11,179.23

Source: Baylor Scott and White Medical Center Sunnyvale’s standard charges file (mrfs.hyvehealthcare.com, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address231 South Collins Road, Sunnyvale, TX 75182
CountyDallas County
StateTexas
Phone(972) 892‑3000
Emergency servicesYes
OwnershipProprietary
Medicare overall rating2 of 5 stars
CMS Certification Number670060
Name in Medicare recordsBAYLOR SCOTT AND WHITE MEDICAL CENTER SUNNYVALE
Profile levelMedicare data + hospital website
Name on the hospital’s websiteBaylor Scott & White Medical Center – Sunnyvale
Official websitebswhealthsunnyvale.com
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-29.

  1. Baylor Scott & White Medical Center – Sunnyvale — bswhealthsunnyvale.com
  2. Surgical Services - Baylor Scott & White Medical Center – Sunnyvale — bswhealthsunnyvale.com
  3. Visiting Patients - Baylor Scott & White Medical Center – Sunnyvale — bswhealthsunnyvale.com
  4. Emergency Care - Baylor Scott & White Medical Center – Sunnyvale — bswhealthsunnyvale.com
  5. Imaging and Radiology - Baylor Scott & White Medical Center – Sunnyvale — bswhealthsunnyvale.com
  6. Financial Assistance Programs - Baylor Scott & White Medical Center – Sunnyvale — bswhealthsunnyvale.com
  7. Patient Rights - Baylor Scott & White Medical Center – Sunnyvale — bswhealthsunnyvale.com
  8. Heart and Vascular Care - Baylor Scott & White Medical Center – Sunnyvale — bswhealthsunnyvale.com
  9. MAKO - Baylor Scott & White Medical Center – Sunnyvale — bswhealthsunnyvale.com
  10. Neuroscience - Baylor Scott & White Medical Center – Sunnyvale — bswhealthsunnyvale.com
  11. Orthopedics - Baylor Scott & White Medical Center – Sunnyvale — bswhealthsunnyvale.com
  12. About Us - Baylor Scott & White Medical Center – Sunnyvale — bswhealthsunnyvale.com