Does Baylor Scott and White Medical Center Uptown have an emergency room?

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

Where is Baylor Scott and White Medical Center Uptown?

2727 East Lemmon Avenue Building I, Dallas, TX 75204, in Dallas County, Texas.

What is the phone number of Baylor Scott and White Medical Center Uptown?

(214) 443-3000, as listed by Medicare (CMS).

What is the Medicare star rating of Baylor Scott and White Medical Center Uptown?

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 Uptown

Quick answers

Does Baylor Scott and White Medical Center Uptown have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Baylor Scott and White Medical Center Uptown. In a medical emergency, call 911.
Where is Baylor Scott and White Medical Center Uptown?: 2727 East Lemmon Avenue Building I, Dallas, TX 75204, in Dallas County, Texas.
What is the phone number of Baylor Scott and White Medical Center Uptown?: (214) 443-3000, as listed by Medicare (CMS).
What is the Medicare star rating of Baylor Scott and White Medical Center Uptown?: 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][13]

Bariatrics
Emergency services
General surgery
Imaging and diagnostics
Orthopedic surgery
Otolaryngology
Pain management
Plastic and reconstructive surgery
Spine surgery
Surgical oncology
Colon and rectal surgery
Ophthalmology
Robotic Surgery

Conditions treated^[8][17][18]

Breast cancer
Upper and lower back pain
Neck pain
Shoulder pain
Arm pain
Spine-related leg pain
Head pain
Bone cancer

Treatments^[8][9][13]

Total hip replacement
Total knee replacement
Partial knee replacement
Spinal fusion

Procedures^{[4][13][14][18]}

Total joint replacement
Robotic surgery
Mastectomy
Lumpectomy
Sentinel node biopsy
Axillary dissection
Reconstructive breast cancer surgery
Hernia repair
Gallbladder removal
Appendix removal
Adjustable gastric band
Laparoscopic sleeve gastrectomy
Roux-en-Y gastric bypass

Programs and centers^{[4][6][8][13][19]}

Total Joint Replacement Center
Total Spine and Total Joint pre-op classes
Same-day joint replacement surgery
Joint Wellness Program (total hip and knee replacement)
Advanced robotic-assisted surgery
24/7 Emergency Department

Emergency care (hospital website)^[4][6][10]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	After surgery, one designated adult visitor is allowed per patient once recovery criteria are met^[7]
Parking	Complimentary valet parking is offered at the Emergency Department entrance^[6]
Interpreters and languages	Hospital has access to interpreters to give information in the language a patient requests^[11]
Patient portal	Patient portals

Recognition^[9][12][19]

The Joint Commission accreditation
Joint Commission Gold Seal of Approval
Joint Commission Top Performer on Key Quality Measures

Doctors and clinicians (164)

164 doctors and other clinicians list Baylor Scott and White Medical Center Uptown 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 140 more: the button below opens the full list.

Other emergency rooms nearby

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

Baylor University Medical Center1.2 mi · Dallas, TX · Acute Care Hospital
Baylor Scott & White Heart & Vascular Hospital - Dallas1.4 mi · Dallas, TX · Acute Care Hospital
Childrens Medical Ctr of Dallas2.4 mi · Dallas, TX · Children's Hospital
Parkland Health & Hospital System2.5 mi · Dallas, TX · Acute Care Hospital
UT of Texas Southwestern University Hospital - William P. Clements Jr.3.3 mi · Dallas, TX · Acute Care Hospital

Other hospitals nearby

Texas Scottish Rite Hospital for Children1.2 mi · Dallas, TX · Children's Hospital
Baylor Scott & White Institute for Rehabilitation1.2 mi · Dallas, 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

Avir at Dallas1.0 mi · Dallas, TX · 2 of 5 stars
Ventana by Buckner1.4 mi · Dallas, TX · 5 of 5 stars
Simpson Place1.6 mi · Dallas, TX · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Silverstone Hospice1.2 mi · Dallas, TX
Harbor Hospice of East Dallas - Fort Worth, LP1.5 mi · Dallas, TX
Thousand Oaks Hospice Care Inc1.8 mi · Dallas, TX

All hospice providers in the state →

Home health agencies

Elite Care Home Health0.3 mi · Dallas, TX
A K M Home Healthcare1.2 mi · Dallas, TX · 2 of 5 stars
Home Health Professionals Dallas2.3 mi · Dallas, TX

All home health agencies in the state →

Dialysis facilities

DaVita Lower Greenville Dialysis0.3 mi · Dallas, TX · 2 of 5 stars
Swiss Avenue Dialysis Center0.3 mi · Dallas, TX · 2 of 5 stars
USRC Premier Gaston1.5 mi · Dallas, TX · 1 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.

Dallas Nephrology Associates Vascular Center Dalla0.3 mi · Dallas, TX
Baylor Scott and White Surgicare1.5 mi · Dallas, TX
Dallas Endoscopy Center Ltd1.5 mi · Dallas, 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

Prism Health North Texas at Oak Lawn Health Center0.1 mi · Dallas, TX · Community health center
Prism Health North Texas at UPG Health Center0.1 mi · Dallas, TX · Community health center
The Stewpot1.1 mi · Dallas, TX · Community health center

Clinics and urgent care

Medgenix Healthcare LLC1.1 mi · Dallas, TX · Urgent care center
Medixon Diagnostics LLC1.1 mi · Dallas, TX · Urgent care center
Primehealth Organising LLC1.1 mi · Dallas, TX · Urgent care center

Pharmacies

Aids Arms, Inc.0.3 mi · Dallas, TX · Community/retail pharmacy
Capsule Dallas LLC0.3 mi · Dallas, TX · Community/retail pharmacy
Harrington's Acquisition, Inc0.3 mi · Dallas, TX · Pharmacy

Assisted living nearby

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

Baylor Scott & White Institute for Rehabilitation Neuro Transitional Care0.3 mi · Dallas, TX
Bir JV LLP0.3 mi · Dallas, TX
Belmont Village Turtle Creek Tenant, LLC1.2 mi · Dallas, TX
Clearwater Highland Park1.2 mi · Dallas, 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 Uptown 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)	Not reported to Medicare
Overall rating of the hospital	Not reported to Medicare
Would recommend the hospital	Not reported to Medicare
Nurses communicated well	Not reported to Medicare
Doctors communicated well	Not reported to Medicare
Staff explained medicines	Not reported to Medicare
Information about recovery at home	Not reported to Medicare
Room and bathroom kept clean	Not reported to Medicare
Quiet at night	Not reported to Medicare
Rated the hospital 9 or 10 out of 10	73%National average: 72%
Would definitely recommend the hospital	74%National average: 71%
Nurses “always” communicated well	79%National average: 80%
Doctors “always” communicated well	83%National average: 80%
Staff “always” explained medicines before giving them	54%National average: 62%
Were given information about recovery at home	87%National average: 86%
Room and bathroom “always” clean	77%National average: 74%
Area around the room “always” quiet at night	71%National average: 60%
Completed surveys	77Response rate: 27%

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)	0.94No different from the national rate
Complications after hip or knee replacement	4.4%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2024.

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	5.2%

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)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	102 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)	Not reported to Medicare

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.

ER wait times in Dallas Best hospitals in Dallas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as Baylor Scott and White Medical Center Uptown 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 →

$ 97 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$917 – $8,427
New patient office visit (about 30–44 minutes): rates for 6 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $1,344 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $1,848 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $1,946 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $1,750 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $1,302
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$1,820 – $8,427
New patient office visit (about 45–59 minutes): rates for 6 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $2,654 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $3,640 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $3,460 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $2,580
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$3,840 – $8,427
New patient office visit (about 60–74 minutes): rates for 6 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,840 BLUE CROSS/BLUE SHIELD — BCBS DFW: $5,615 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $7,720 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,120 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN	Not listed in the file	Not listed in the file	$3,986 – $8,427
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	$3,986 – $8,427
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$3,986 – $8,427
Office consultation with a specialist (moderate): rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$3,986 – $8,427
Office consultation with a specialist (moderate to high): rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$3,986 – $8,427
Preventive checkup, new patient, age 18–39: rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$3,986 – $8,427
Preventive checkup, new patient, age 40–64: rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: ED Visit Level 3	$1,817	$1,090.20	$917 – $8,427
Emergency room visit (moderate): 10 of 12 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $917 BLUE CROSS/BLUE SHIELD — BCBS DFW: $1,344 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $1,750 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646 CIGNA — CIGNA CMC: $2,029 CIGNA — CIGNA DFW: $2,952 CIGNA — CIGNA HIX: $1,659 CIGNA — CIGNA MARKET SOLUTIONS: $2,509
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: ED Visit Level 4	$3,590	$2,154	$1,820 – $8,427
Emergency room visit (moderately high): 10 of 12 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $2,654 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $3,640 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $3,840 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $3,460 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $2,580 CIGNA — CIGNA CMC: $3,005 CIGNA — CIGNA DFW: $4,372 CIGNA — CIGNA HIX: $2,457 CIGNA — CIGNA MARKET SOLUTIONS: $3,716
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: ED Visit Level 5	$7,595	$4,557	$2,457 – $8,427
Emergency room visit (high): 10 of 12 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,840 BLUE CROSS/BLUE SHIELD — BCBS DFW: $5,615 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,440 CIGNA — CIGNA CMC: $3,005 CIGNA — CIGNA DFW: $4,372 CIGNA — CIGNA HIX: $2,457 CIGNA — CIGNA MARKET SOLUTIONS: $3,716

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Basic Metabolic Panel	$43	$25.80	$0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $8,427 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Basic metabolic panel (blood test): 10 of 12 insurance plan rates AETNA — AETNA DFW: $0.55 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH A/1: $0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH B/2: $0.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH C/3: $0.52 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $119.80 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $119.80 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $126.09 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $113.48 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Comprehensive Metabolic Panel	$50	$30	$0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $8,427
Comprehensive metabolic panel (blood test): 10 of 12 insurance plan rates AETNA — AETNA DFW: $0.55 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH A/1: $0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH B/2: $0.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH C/3: $0.52 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $176.50 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $185.78 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $167.20 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
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	$0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $8,427
Obstetric blood test panel: 10 of 12 insurance plan rates AETNA — AETNA DFW: $0.55 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH A/1: $0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH B/2: $0.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH C/3: $0.52 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS BAV: $212.13 BLUE CROSS/BLUE SHIELD — BCBS DFW: $426.07 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $448.48 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $403.63 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lipid Panel	$50	$30	$0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $8,427 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Cholesterol panel (lipid panel): 10 of 12 insurance plan rates AETNA — AETNA DFW: $0.55 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH A/1: $0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH B/2: $0.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH C/3: $0.52 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS BAV: $82.54 BLUE CROSS/BLUE SHIELD — BCBS DFW: $165.78 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $174.50 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Renal Function Panel	$83	$49.80	$0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $8,427 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Kidney function panel: 10 of 12 insurance plan rates AETNA — AETNA DFW: $0.55 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH A/1: $0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH B/2: $0.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH C/3: $0.52 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS BAV: $133.81 BLUE CROSS/BLUE SHIELD — BCBS DFW: $268.73 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $254.60 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hepatic Function Panel	$50	$30	$0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $8,427 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Liver function panel: 10 of 12 insurance plan rates AETNA — AETNA DFW: $0.55 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH A/1: $0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH B/2: $0.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH C/3: $0.52 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS BAV: $98.20 BLUE CROSS/BLUE SHIELD — BCBS DFW: $197.22 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $186.83 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: LIVER	$48	$28.80	$0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $8,427 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Liver function panel: 10 of 12 insurance plan rates AETNA — AETNA DFW: $0.55 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH A/1: $0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH B/2: $0.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH C/3: $0.52 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $197.22 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $207.59 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $186.83 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $139.09
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis With Microscopy	$46	$27.60	$0.47 – $8,427 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, with microscope): 10 of 12 insurance plan rates AETNA — AETNA DFW: $0.55 AETNA — AETNA WHOLE HEALTH A/1: $0.47 AETNA — AETNA WHOLE HEALTH B/2: $0.50 AETNA — AETNA WHOLE HEALTH C/3: $0.52 BLUE CROSS/BLUE SHIELD — BCBS BAV: $42.12 BLUE CROSS/BLUE SHIELD — BCBS DFW: $84.61 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $84.61 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $59.67
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	$0.47 – $8,427 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (manual, without microscope): 10 of 12 insurance plan rates AETNA — AETNA DFW: $0.55 AETNA — AETNA WHOLE HEALTH A/1: $0.47 AETNA — AETNA WHOLE HEALTH B/2: $0.50 AETNA — AETNA WHOLE HEALTH C/3: $0.52 BLUE CROSS/BLUE SHIELD — BCBS BAV: $18.27 BLUE CROSS/BLUE SHIELD — BCBS DFW: $36.70 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $36.70 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $38.63 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $25.88
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis	$51	$30.60	$0.47 – $8,427 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, without microscope): 10 of 12 insurance plan rates AETNA — AETNA DFW: $0.55 AETNA — AETNA WHOLE HEALTH A/1: $0.47 AETNA — AETNA WHOLE HEALTH B/2: $0.50 AETNA — AETNA WHOLE HEALTH C/3: $0.52 BLUE CROSS/BLUE SHIELD — BCBS BAV: $33.16 BLUE CROSS/BLUE SHIELD — BCBS DFW: $66.58 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $70.08 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $46.96
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urine Dipstick	$18	$10.80	$0.47 – $8,427 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, without microscope): 10 of 12 insurance plan rates AETNA — AETNA DFW: $0.55 AETNA — AETNA WHOLE HEALTH A/1: $0.47 AETNA — AETNA WHOLE HEALTH B/2: $0.50 AETNA — AETNA WHOLE HEALTH C/3: $0.52 BLUE CROSS/BLUE SHIELD — BCBS BAV: $33.16 BLUE CROSS/BLUE SHIELD — BCBS DFW: $66.58 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $70.08 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $63.07 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $46.96
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Prostate Specific Antigen	$222	$133.20	$0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $8,427
PSA (prostate specific antigen) blood test: 10 of 12 insurance plan rates AETNA — AETNA DFW: $0.55 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH A/1: $0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH B/2: $0.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH C/3: $0.52 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $162.26 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $153.72 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $114.43
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: TSH w/ Rflx Free T4	$89	$53.40	$0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $8,427
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates AETNA — AETNA DFW: $0.55 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH A/1: $0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH B/2: $0.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH C/3: $0.52 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS BAV: $86.65 BLUE CROSS/BLUE SHIELD — BCBS DFW: $174.03 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $164.85 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Thyroid Stimulating Hormone	$89	$53.40	$0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $8,427
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates AETNA — AETNA DFW: $0.55 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH A/1: $0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH B/2: $0.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH C/3: $0.52 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $174.03 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $174.03 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $183.17 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $122.74
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC w/ Auto Diff	$18	$10.80	$0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $8,427 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC) with differential: 10 of 12 insurance plan rates AETNA — AETNA DFW: $0.55 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH A/1: $0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH B/2: $0.50 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH C/3: $0.52 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $107.15 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $112.78 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $101.50 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $75.56
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC Auto No Diff	$83	$49.80	$0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $8,427 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC), automated: 10 of 12 insurance plan rates AETNA — AETNA DFW: $0.55 AETNA — AETNA WHOLE HEALTH A/1: $0.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AETNA — AETNA WHOLE HEALTH B/2: $0.50 AETNA — AETNA WHOLE HEALTH C/3: $0.52 BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $80.23 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $80.23 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $76 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PT	$378	$226.80	$0.47 – $8,427 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates AETNA — AETNA DFW: $0.55 AETNA — AETNA WHOLE HEALTH A/1: $0.47 AETNA — AETNA WHOLE HEALTH B/2: $0.50 AETNA — AETNA WHOLE HEALTH C/3: $0.52 BLUE CROSS/BLUE SHIELD — BCBS BAV: $37.24 BLUE CROSS/BLUE SHIELD — BCBS DFW: $74.79 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $74.79 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $78.74 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $70.87 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PT/INR Hemochron	$378	$226.80	$0.47 – $8,427 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates AETNA — AETNA DFW: $0.55 AETNA — AETNA WHOLE HEALTH A/1: $0.47 AETNA — AETNA WHOLE HEALTH B/2: $0.50 AETNA — AETNA WHOLE HEALTH C/3: $0.52 BLUE CROSS/BLUE SHIELD — BCBS BAV: $37.24 BLUE CROSS/BLUE SHIELD — BCBS DFW: $74.79 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $78.74 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PT/INR Istat	$378	$226.80	$0.47 – $8,427 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates AETNA — AETNA DFW: $0.55 AETNA — AETNA WHOLE HEALTH A/1: $0.47 AETNA — AETNA WHOLE HEALTH B/2: $0.50 AETNA — AETNA WHOLE HEALTH C/3: $0.52 BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS DFW: $74.79 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $52.76
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: PTT	$286	$171.60	$0.47 – $8,427 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting test (partial thromboplastin time, PTT): 10 of 12 insurance plan rates AETNA — AETNA DFW: $0.55 AETNA — AETNA WHOLE HEALTH A/1: $0.47 AETNA — AETNA WHOLE HEALTH B/2: $0.50 AETNA — AETNA WHOLE HEALTH C/3: $0.52 BLUE CROSS/BLUE SHIELD — BCBS BAV: $53.48 BLUE CROSS/BLUE SHIELD — BCBS DFW: $107.41 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $107.41 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $113.06 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $101.75 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $75.74

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 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE CT, Head or brain; w/o contrast 70450	$2,218	$1,330.80	$1,042.46 – $8,427
CT scan of the head or brain, without contrast: rates for 10 insurance plans AETNA — AETNA DFW: $1,219.90 AETNA — AETNA WHOLE HEALTH A/1: $1,042.46 AETNA — AETNA WHOLE HEALTH B/2: $1,109 AETNA — AETNA WHOLE HEALTH C/3: $1,153.36 BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $2,392.88 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $2,392.88 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $2,266.92 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Head or Brain w/o Contrast 70450	$2,218	$1,330.80	$1,042.46 – $8,427
CT scan of the head or brain, without contrast: rates for 10 insurance plans AETNA — AETNA DFW: $1,219.90 AETNA — AETNA WHOLE HEALTH A/1: $1,042.46 AETNA — AETNA WHOLE HEALTH B/2: $1,109 AETNA — AETNA WHOLE HEALTH C/3: $1,153.36 BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $2,392.88 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $2,392.88 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $2,518.80 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $2,266.92 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
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	$2,013.95 – $8,427
MRI of the brain, before and after contrast: rates for 10 insurance plans AETNA — AETNA DFW: $2,356.75 AETNA — AETNA WHOLE HEALTH A/1: $2,013.95 AETNA — AETNA WHOLE HEALTH B/2: $2,142.50 AETNA — AETNA WHOLE HEALTH C/3: $2,228.20 BLUE CROSS/BLUE SHIELD — BCBS BAV: $2,301.25 BLUE CROSS/BLUE SHIELD — BCBS DFW: $4,622 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $4,622 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $4,865.26 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $4,378.73 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
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	$2,013.95 – $8,427
MRI of the brain, before and after contrast: rates for 10 insurance plans AETNA — AETNA DFW: $2,356.75 AETNA — AETNA WHOLE HEALTH A/1: $2,013.95 AETNA — AETNA WHOLE HEALTH B/2: $2,142.50 AETNA — AETNA WHOLE HEALTH C/3: $2,228.20 BLUE CROSS/BLUE SHIELD — BCBS BAV: $2,301.25 BLUE CROSS/BLUE SHIELD — BCBS DFW: $4,622 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $4,622 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $4,378.73 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
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	$133.95 – $8,427
Chest X-ray, 2 views: 10 of 12 insurance plan rates AETNA — AETNA DFW: $156.75 AETNA — AETNA WHOLE HEALTH A/1: $133.95 AETNA — AETNA WHOLE HEALTH B/2: $142.50 AETNA — AETNA WHOLE HEALTH C/3: $148.20 BLUE CROSS/BLUE SHIELD — BCBS BAV: $153.20 BLUE CROSS/BLUE SHIELD — BCBS DFW: $307.71 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $217.02
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	$133.95 – $8,427
Chest X-ray, 2 views: 10 of 12 insurance plan rates AETNA — AETNA DFW: $156.75 AETNA — AETNA WHOLE HEALTH A/1: $133.95 AETNA — AETNA WHOLE HEALTH B/2: $142.50 AETNA — AETNA WHOLE HEALTH C/3: $148.20 BLUE CROSS/BLUE SHIELD — BCBS BAV: $153.20 BLUE CROSS/BLUE SHIELD — BCBS DFW: $307.71 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $307.71 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Chest 2 Views	$285	$171	$133.95 – $8,427
Chest X-ray, 2 views: 10 of 12 insurance plan rates AETNA — AETNA DFW: $156.75 AETNA — AETNA WHOLE HEALTH A/1: $133.95 AETNA — AETNA WHOLE HEALTH B/2: $142.50 AETNA — AETNA WHOLE HEALTH C/3: $148.20 BLUE CROSS/BLUE SHIELD — BCBS BAV: $153.20 BLUE CROSS/BLUE SHIELD — BCBS DFW: $307.71 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $307.71 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $217.02
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	$278.71 – $8,427
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates AETNA — AETNA DFW: $326.15 AETNA — AETNA WHOLE HEALTH A/1: $278.71 AETNA — AETNA WHOLE HEALTH B/2: $296.50 AETNA — AETNA WHOLE HEALTH C/3: $308.36 BLUE CROSS/BLUE SHIELD — BCBS BAV: $318.20 BLUE CROSS/BLUE SHIELD — BCBS DFW: $639.07 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $639.07 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $672.68 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
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	$278.71 – $8,427
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates AETNA — AETNA DFW: $326.15 AETNA — AETNA WHOLE HEALTH A/1: $278.71 AETNA — AETNA WHOLE HEALTH B/2: $296.50 AETNA — AETNA WHOLE HEALTH C/3: $308.36 BLUE CROSS/BLUE SHIELD — BCBS BAV: $318.20 BLUE CROSS/BLUE SHIELD — BCBS DFW: $639.07 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
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	$1,400.60 – $8,427
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans AETNA — AETNA DFW: $1,639 AETNA — AETNA WHOLE HEALTH A/1: $1,400.60 AETNA — AETNA WHOLE HEALTH B/2: $1,490 AETNA — AETNA WHOLE HEALTH C/3: $1,549.60 BLUE CROSS/BLUE SHIELD — BCBS BAV: $1,600.40 BLUE CROSS/BLUE SHIELD — BCBS DFW: $3,214.32 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $2,266.95
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	$1,400.60 – $8,427
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans AETNA — AETNA DFW: $1,639 AETNA — AETNA WHOLE HEALTH A/1: $1,400.60 AETNA — AETNA WHOLE HEALTH B/2: $1,490 AETNA — AETNA WHOLE HEALTH C/3: $1,549.60 BLUE CROSS/BLUE SHIELD — BCBS BAV: $1,600.40 BLUE CROSS/BLUE SHIELD — BCBS DFW: $3,214.32 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $3,045.16 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $2,266.95
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	$1,289.68 – $8,427
CT scan of the pelvis, with contrast: rates for 10 insurance plans AETNA — AETNA DFW: $1,509.20 AETNA — AETNA WHOLE HEALTH A/1: $1,289.68 AETNA — AETNA WHOLE HEALTH B/2: $1,372 AETNA — AETNA WHOLE HEALTH C/3: $1,426.88 BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $2,959.18 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $2,959.18 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $2,803.44 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
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	$1,289.68 – $8,427
CT scan of the pelvis, with contrast: rates for 10 insurance plans AETNA — AETNA DFW: $1,509.20 AETNA — AETNA WHOLE HEALTH A/1: $1,289.68 AETNA — AETNA WHOLE HEALTH B/2: $1,372 AETNA — AETNA WHOLE HEALTH C/3: $1,426.88 BLUE CROSS/BLUE SHIELD — BCBS BAV: $1,473.36 BLUE CROSS/BLUE SHIELD — BCBS DFW: $2,959.18 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $2,959.18 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $3,114.93 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
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	$1,600.35 – $8,427
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans AETNA — AETNA DFW: $1,872.75 AETNA — AETNA WHOLE HEALTH A/1: $1,600.35 AETNA — AETNA WHOLE HEALTH B/2: $1,702.50 AETNA — AETNA WHOLE HEALTH C/3: $1,770.60 BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $3,673.52 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $3,673.52 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $3,866.87 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $3,480.18 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
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	$1,600.35 – $8,427
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans AETNA — AETNA DFW: $1,872.75 AETNA — AETNA WHOLE HEALTH A/1: $1,600.35 AETNA — AETNA WHOLE HEALTH B/2: $1,702.50 AETNA — AETNA WHOLE HEALTH C/3: $1,770.60 BLUE CROSS/BLUE SHIELD — BCBS BAV: $1,829.02 BLUE CROSS/BLUE SHIELD — BCBS DFW: $3,673.52 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $3,866.87 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
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	$1,600.35 – $8,427
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans AETNA — AETNA DFW: $1,872.75 AETNA — AETNA WHOLE HEALTH A/1: $1,600.35 AETNA — AETNA WHOLE HEALTH B/2: $1,702.50 AETNA — AETNA WHOLE HEALTH C/3: $1,770.60 BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $3,673.52 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $3,673.52 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $3,866.87 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $3,480.18 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $2,590.81
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	$2,658.79 – $8,427
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans AETNA — AETNA DFW: $3,111.35 AETNA — AETNA WHOLE HEALTH A/1: $2,658.79 AETNA — AETNA WHOLE HEALTH B/2: $2,828.50 AETNA — AETNA WHOLE HEALTH C/3: $2,941.64 BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,038.11 BLUE CROSS/BLUE SHIELD — BCBS DFW: $6,101.88 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $6,101.88 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $6,423.01 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $5,780.71 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
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	$2,658.79 – $8,427
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans AETNA — AETNA DFW: $3,111.35 AETNA — AETNA WHOLE HEALTH A/1: $2,658.79 AETNA — AETNA WHOLE HEALTH B/2: $2,828.50 AETNA — AETNA WHOLE HEALTH C/3: $2,941.64 BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,038.11 BLUE CROSS/BLUE SHIELD — BCBS DFW: $6,101.88 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $6,101.88 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
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	$2,658.79 – $8,427
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans AETNA — AETNA DFW: $3,111.35 AETNA — AETNA WHOLE HEALTH A/1: $2,658.79 AETNA — AETNA WHOLE HEALTH B/2: $2,828.50 AETNA — AETNA WHOLE HEALTH C/3: $2,941.64 BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,038.11 BLUE CROSS/BLUE SHIELD — BCBS DFW: $6,101.88 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
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	$397.64 – $8,427
Ultrasound of the abdomen, complete: 10 of 12 insurance plan rates AETNA — AETNA DFW: $567.60 AETNA — AETNA WHOLE HEALTH A/1: $485.04 AETNA — AETNA WHOLE HEALTH B/2: $516 AETNA — AETNA WHOLE HEALTH C/3: $536.64 BLUE CROSS/BLUE SHIELD — BCBS BAV: $554.22 BLUE CROSS/BLUE SHIELD — BCBS DFW: $1,113.13 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: ROD 5.5MM 20MM 7291020	$1,608	$964.80	$397.64 – $8,427
Ultrasound of the abdomen, complete: 10 of 12 insurance plan rates AETNA — AETNA DFW: $884.40 AETNA — AETNA WHOLE HEALTH A/1: $755.76 AETNA — AETNA WHOLE HEALTH B/2: $804 AETNA — AETNA WHOLE HEALTH C/3: $836.16 BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $1,113.13 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $1,113.13 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US Abdomen Complete 76700	$1,032	$619.20	$397.64 – $8,427
Ultrasound of the abdomen, complete: 10 of 12 insurance plan rates AETNA — AETNA DFW: $567.60 AETNA — AETNA WHOLE HEALTH A/1: $485.04 AETNA — AETNA WHOLE HEALTH B/2: $516 AETNA — AETNA WHOLE HEALTH C/3: $536.64 BLUE CROSS/BLUE SHIELD — BCBS BAV: $554.22 BLUE CROSS/BLUE SHIELD — BCBS DFW: $1,113.13 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $1,113.13 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $1,171.72 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $1,054.55 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
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	$227.01 – $8,427
Pregnancy ultrasound (after the first trimester): 10 of 12 insurance plan rates AETNA — AETNA DFW: $265.65 AETNA — AETNA WHOLE HEALTH A/1: $227.01 AETNA — AETNA WHOLE HEALTH B/2: $241.50 AETNA — AETNA WHOLE HEALTH C/3: $251.16 BLUE CROSS/BLUE SHIELD — BCBS BAV: $259 BLUE CROSS/BLUE SHIELD — BCBS DFW: $520.14 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $520.14 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
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	$227.01 – $8,427
Pregnancy ultrasound (after the first trimester): 10 of 12 insurance plan rates AETNA — AETNA DFW: $265.65 AETNA — AETNA WHOLE HEALTH A/1: $227.01 AETNA — AETNA WHOLE HEALTH B/2: $241.50 AETNA — AETNA WHOLE HEALTH C/3: $251.16 BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $520.14 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $492.78 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE US Transvaginal 76830	$712	$427.20	$334.64 – $8,427
Transvaginal ultrasound: 10 of 12 insurance plan rates AETNA — AETNA DFW: $391.60 AETNA — AETNA WHOLE HEALTH A/1: $334.64 AETNA — AETNA WHOLE HEALTH B/2: $356 AETNA — AETNA WHOLE HEALTH C/3: $370.24 BLUE CROSS/BLUE SHIELD — BCBS BAV: $382.38 BLUE CROSS/BLUE SHIELD — BCBS DFW: $767.97 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $808.39 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $727.55 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US Transvaginal 76830	$712	$427.20	$334.64 – $8,427
Transvaginal ultrasound: 10 of 12 insurance plan rates AETNA — AETNA DFW: $391.60 AETNA — AETNA WHOLE HEALTH A/1: $334.64 AETNA — AETNA WHOLE HEALTH B/2: $356 AETNA — AETNA WHOLE HEALTH C/3: $370.24 BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $767.97 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $808.39 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US Transvaginal Non-OB	$712	$427.20	$334.64 – $8,427
Transvaginal ultrasound: 10 of 12 insurance plan rates AETNA — AETNA DFW: $391.60 AETNA — AETNA WHOLE HEALTH A/1: $334.64 AETNA — AETNA WHOLE HEALTH B/2: $356 AETNA — AETNA WHOLE HEALTH C/3: $370.24 BLUE CROSS/BLUE SHIELD — BCBS BAV: $382.38 BLUE CROSS/BLUE SHIELD — BCBS DFW: $767.97 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $767.97 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $727.55 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $541.63
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE MA Dx Mammo+Cad Unilat 77065	$1,040	$624	$109.06 – $8,427
Diagnostic mammogram, one breast: 10 of 12 insurance plan rates AETNA — AETNA DFW: $572 AETNA — AETNA WHOLE HEALTH A/1: $488.80 AETNA — AETNA WHOLE HEALTH B/2: $520 AETNA — AETNA WHOLE HEALTH C/3: $540.80 BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $219.05 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $219.05 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $230.57 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $207.51 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MA Dx Mammo+Cad Unilat Lt 77065	$1,040	$624	$109.06 – $8,427
Diagnostic mammogram, one breast: 10 of 12 insurance plan rates AETNA — AETNA DFW: $572 AETNA — AETNA WHOLE HEALTH A/1: $488.80 AETNA — AETNA WHOLE HEALTH B/2: $520 AETNA — AETNA WHOLE HEALTH C/3: $540.80 BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $219.05 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $219.05 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $154.48
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$134.08 – $8,427
Diagnostic mammogram, both breasts: 10 of 12 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $134.08 BLUE CROSS/BLUE SHIELD — BCBS DFW: $269.29 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $283.45 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646 CIGNA — CIGNA DFW: $518.08 CIGNA — CIGNA MARKET SOLUTIONS: $440.34 AETNA — AETNA DFW: 55% (a percentage in the contract, not a dollar amount) AETNA — AETNA WHOLE HEALTH A/1: 47% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$109.06 – $8,427
Screening mammogram, both breasts: 10 of 12 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $109.06 BLUE CROSS/BLUE SHIELD — BCBS DFW: $219.05 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $230.57 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $207.51 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646 CIGNA — CIGNA DFW: $429.60 CIGNA — CIGNA MARKET SOLUTIONS: $365.13 AETNA — AETNA DFW: 55% (a percentage in the contract, not a dollar amount) AETNA — AETNA WHOLE HEALTH A/1: 47% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$3,986 – $8,427 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Electrocardiogram (ECG/EKG) with reading: rates for 9 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646 AETNA — AETNA DFW: 55% (a percentage in the contract, not a dollar amount) AETNA — AETNA WHOLE HEALTH A/1: 47% (a percentage in the contract, not a dollar amount) AETNA — AETNA WHOLE HEALTH B/2: 50% (a percentage in the contract, not a dollar amount) AETNA — AETNA WHOLE HEALTH C/3: 52% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$3,986 – $15,456
Left heart catheterization (diagnostic): 10 of 23 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $9,922 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $9,564 CIGNA — CIGNA CMC: $9,849 CIGNA — CIGNA DFW: $15,257 CIGNA — CIGNA HIX: $8,055 CIGNA — CIGNA MARKET SOLUTIONS: $12,969
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	$3,869 – $8,945
Heart rhythm study (electrophysiology evaluation): rates for 9 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $5,684 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $7,770 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,361 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,480 UNITED HEALTHCARE — UHC CITY OF DALLAS: $5,168 UNITED HEALTHCARE — UHC DFW: $8,945 UNITED HEALTHCARE — UHC NEXUS: $8,051
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	$3,986 – $23,180
Heart rhythm study with ablation for atrial fibrillation: rates for 9 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646 UNITED HEALTHCARE — UHC CITY OF DALLAS: $13,391 UNITED HEALTHCARE — UHC DFW: $23,180 UNITED HEALTHCARE — UHC NEXUS: $13,910 BLUE CROSS/BLUE SHIELD — BCBS DFW-TRADITIONAL: 55% (a percentage in the contract, not a dollar amount)
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	$3,986 – $8,427
Sleep study (overnight, in a sleep lab): rates for 8 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646 UNITED HEALTHCARE — UHC CITY OF DALLAS: 63% (a percentage in the contract, not a dollar amount) UNITED HEALTHCARE — UHC DFW: 70% (a percentage in the contract, not a dollar amount) UNITED HEALTHCARE — UHC NEXUS: 63% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE OT Therapeutic Exercise 97110	$100	$60	$3,986 – $8,427
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: OT Therapeutic Exercise Charges	$100	$60	$3,986 – $8,427
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Therapeutic Exercise Charges	$109	$65.40	$3,986 – $8,427
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE PT Eval, low complexity 97161	$194	$116.40	$3,986 – $8,427
Physical therapy evaluation (low complexity): rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: PT Complexity -> Low	$141	$84.60	$3,986 – $8,427
Physical therapy evaluation (low complexity): rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE PT Eval, moderate complexity 97162	$194	$116.40	$3,986 – $8,427
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: PT Complexity -> Moderate	$141	$84.60	$3,986 – $8,427
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE PT Eval, high complexity 97163	$194	$116.40	$3,986 – $8,427
Physical therapy evaluation (high complexity): rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: PT Complexity -> High	$141	$84.60	$3,986 – $8,427
Physical therapy evaluation (high complexity): rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
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	$3,986 – $8,427
Psychotherapy, 30 minutes: rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
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	$3,986 – $8,427
Psychotherapy, 45 minutes: rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
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	$3,986 – $8,427
Psychotherapy, 60 minutes: rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
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	$3,986 – $8,427
Family psychotherapy, without the patient: rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
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	$3,986 – $8,427
Family psychotherapy, with the patient: rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
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	$3,986 – $8,427
Group psychotherapy: rates for 5 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: EXCISION LIPOMA BREAST 19120	$1,785	$1,071	$981.75 – $8,427
Removal of breast growth (open surgery): 10 of 13 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $1,887 BLUE CROSS/BLUE SHIELD — BCBS DFW: $2,773 BLUE CROSS/BLUE SHIELD — BCBS DFW-TRADITIONAL: $981.75 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $3,790 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $3,590 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $2,673 CIGNA — CIGNA DFW: $5,831 CIGNA — CIGNA HIX: $4,173 CIGNA — CIGNA MARKET SOLUTIONS: $4,956
Total hip replacement CPT 27130 · Inpatient or outpatient · Hospital (facility) fee In the file: ARTHROPLASTY ACETABULAR & PROXIMAL FEMORAL PROSTHETIC REPLACEMENT 27130	$5,986	$3,591.60	$3,292.30 – $18,989
Total hip replacement: 10 of 13 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $8,982 BLUE CROSS/BLUE SHIELD — BCBS DFW: $13,197 BLUE CROSS/BLUE SHIELD — BCBS DFW-TRADITIONAL: $3,292.30 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $18,989 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $12,723 CIGNA — CIGNA DFW: $6,734 CIGNA — CIGNA HIX: $4,173 CIGNA — CIGNA MARKET SOLUTIONS: $5,724
Total knee replacement CPT 27447 · Inpatient or outpatient · Hospital (facility) fee In the file: ARTHROPLASTY KNEE CONDYLE & PLATEAU MEDIAL AND LATERAL 27447	$5,986	$3,591.60	$3,292.30 – $18,989
Total knee replacement: 10 of 13 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $8,982 BLUE CROSS/BLUE SHIELD — BCBS DFW: $13,197 BLUE CROSS/BLUE SHIELD — BCBS DFW-TRADITIONAL: $3,292.30 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $12,723 CIGNA — CIGNA DFW: $6,734 CIGNA — CIGNA HIX: $4,173 CIGNA — CIGNA MARKET SOLUTIONS: $5,724
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Hospital (facility) fee In the file: ARTHROSCOPY SHOULDER W/SUBACROMIAL DECOMPRESSION/ACROMIOPLASTY 29826	$5,986	$3,591.60	$1,105 – $14,275
Shoulder arthroscopy: shaving of shoulder bone: 10 of 13 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $9,922 BLUE CROSS/BLUE SHIELD — BCBS DFW-TRADITIONAL: $3,292.30 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $14,275 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $12,848 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $9,564 CIGNA — CIGNA DFW: $5,831 CIGNA — CIGNA HIX: $4,173 CIGNA — CIGNA MARKET SOLUTIONS: $4,956
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	$4,410	$2,646	$2,425.50 – $8,427
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 13 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $5,008 BLUE CROSS/BLUE SHIELD — BCBS DFW-TRADITIONAL: $2,425.50 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $6,846 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $6,485 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646 CIGNA — CIGNA DFW: $6,414 CIGNA — CIGNA HIX: $4,173 CIGNA — CIGNA MARKET SOLUTIONS: $5,452
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Hospital (facility) fee In the file: TONSILLECTOMY AND ADENOIDECTOMY UNDER AGE 12 42820	$1,785	$1,071	$981.75 – $8,427
Removal of tonsils and adenoids (under age 12): 10 of 13 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $2,773 BLUE CROSS/BLUE SHIELD — BCBS DFW-TRADITIONAL: $981.75 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $3,590 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $2,673 CIGNA — CIGNA DFW: $5,831 CIGNA — CIGNA HIX: $4,173 CIGNA — CIGNA MARKET SOLUTIONS: $4,956
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY; FLEXIBLE DIAGNOSTIC 43235	$1,785	$1,071	$981.75 – $8,427
Upper GI endoscopy (diagnostic): 10 of 13 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $2,918 BLUE CROSS/BLUE SHIELD — BCBS DFW-TRADITIONAL: $981.75 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646 CIGNA — CIGNA DFW: $3,535 CIGNA — CIGNA HIX: $4,173 CIGNA — CIGNA MARKET SOLUTIONS: $3,004
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY W/BIOPSY 43239	$3,646	$2,187.60	$1,659 – $8,427
Upper GI endoscopy with biopsy: 10 of 13 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $1,987 BLUE CROSS/BLUE SHIELD — BCBS DFW: $2,918 BLUE CROSS/BLUE SHIELD — BCBS DFW-TRADITIONAL: $2,005.30 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $2,814 CIGNA — CIGNA DFW: $3,886 CIGNA — CIGNA HIX: $4,173 CIGNA — CIGNA MARKET SOLUTIONS: $3,303
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY FLEXIBLE; DIAGNOSTIC; INCL. COLLECTION OF SPECIMENS 45378	$3,776	$2,265.60	$1,659 – $8,427
Colonoscopy (diagnostic): 10 of 13 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $1,987 BLUE CROSS/BLUE SHIELD — BCBS DFW: $2,918 BLUE CROSS/BLUE SHIELD — BCBS DFW-TRADITIONAL: $2,076.80 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $3,990 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $4,200 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $3,780 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $2,814 CIGNA — CIGNA DFW: $3,886 CIGNA — CIGNA HIX: $4,173 CIGNA — CIGNA MARKET SOLUTIONS: $3,303
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY FLEXIBLE; WITH BIOPSY; SINGLE OR MULTIPLE 45380	$2,626	$1,575.60	$1,444.30 – $8,427
Colonoscopy with biopsy: 10 of 13 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $2,918 BLUE CROSS/BLUE SHIELD — BCBS DFW-TRADITIONAL: $1,444.30 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $3,990 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $4,200 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $2,814 CIGNA — CIGNA DFW: $3,886 CIGNA — CIGNA HIX: $4,173 CIGNA — CIGNA MARKET SOLUTIONS: $3,303
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	$4,772	$2,863.20	$1,659 – $8,427
Colonoscopy with removal of polyps (snare): 10 of 13 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $2,918 BLUE CROSS/BLUE SHIELD — BCBS DFW-TRADITIONAL: $2,624.60 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $4,200 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $2,814 CIGNA — CIGNA DFW: $3,886 CIGNA — CIGNA HIX: $4,173 CIGNA — CIGNA MARKET SOLUTIONS: $3,303
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	$1,659 – $8,427
Ultrasound of the lower bowel by endoscope: 10 of 13 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $1,887 BLUE CROSS/BLUE SHIELD — BCBS DFW: $2,773 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $3,590 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646 CIGNA — CIGNA DFW: $3,886 CIGNA — CIGNA HIX: $4,173 CIGNA — CIGNA MARKET SOLUTIONS: $3,303 UNITED HEALTHCARE — UHC CITY OF DALLAS: $1,659
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: COLON CANCER SCREEN NOT HIGH RISK G0121	$1,510	$906	$830.50 – $4,173
Screening colonoscopy (not high risk): 10 of 13 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $1,887 BLUE CROSS/BLUE SHIELD — BCBS DFW: $2,773 BLUE CROSS/BLUE SHIELD — BCBS DFW-TRADITIONAL: $830.50 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $3,790 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $3,989 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $3,590 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $2,673 CIGNA — CIGNA DFW: $3,886 CIGNA — CIGNA HIX: $4,173 CIGNA — CIGNA MARKET SOLUTIONS: $3,303
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Hospital (facility) fee In the file: CHOLECYSTECTOMY LAPAROSCOPIC 47562	$2,626	$1,575.60	$1,444.30 – $14,275
Gallbladder removal by laparoscope: 10 of 13 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $9,922 BLUE CROSS/BLUE SHIELD — BCBS DFW-TRADITIONAL: $1,444.30 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $13,561 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $12,848 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $9,564 CIGNA — CIGNA DFW: $10,329 CIGNA — CIGNA HIX: $4,173 CIGNA — CIGNA MARKET SOLUTIONS: $8,779
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	$2,626	$1,575.60	$1,444.30 – $8,427
Groin (inguinal) hernia repair, age 5 or older: 10 of 13 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $5,251 BLUE CROSS/BLUE SHIELD — BCBS DFW-TRADITIONAL: $1,444.30 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $7,178 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $7,556 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646 CIGNA — CIGNA DFW: $6,414 CIGNA — CIGNA HIX: $4,173 CIGNA — CIGNA MARKET SOLUTIONS: $5,452
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: BIOPSY PROSTATE;NEEDLE OR PUNCTURE 55700	$1,785	$1,071	$981.75 – $8,427
Prostate biopsy: 10 of 13 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $2,773 BLUE CROSS/BLUE SHIELD — BCBS DFW-TRADITIONAL: $981.75 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $3,790 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $3,590 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $2,673 CIGNA — CIGNA DFW: $3,886 CIGNA — CIGNA HIX: $4,173 CIGNA — CIGNA MARKET SOLUTIONS: $3,303
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Hospital (facility) fee In the file: LAPARASCOPIC PROSTATECTOMY RETROPUBIC RADICAL 55866	$3,464	$2,078.40	$1,905.20 – $16,185
Prostate removal by laparoscope (radical prostatectomy): 10 of 13 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $6,752 BLUE CROSS/BLUE SHIELD — BCBS DFW: $9,922 BLUE CROSS/BLUE SHIELD — BCBS DFW-TRADITIONAL: $1,905.20 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $13,561 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $12,848 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646 CIGNA — CIGNA DFW: $6,734 CIGNA — CIGNA HIX: $4,173 CIGNA — CIGNA MARKET SOLUTIONS: $5,724
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: HYSTEROSCOPY WITH BIOPSY 58558	$1,785	$1,071	$981.75 – $8,427
Hysteroscopy with biopsy of the uterus lining: 10 of 13 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,574 BLUE CROSS/BLUE SHIELD — BCBS DFW: $5,251 BLUE CROSS/BLUE SHIELD — BCBS DFW-TRADITIONAL: $981.75 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $7,178 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646 CIGNA — CIGNA DFW: $5,831 CIGNA — CIGNA HIX: $4,173 CIGNA — CIGNA MARKET SOLUTIONS: $4,956
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	$1,786	$1,071.60	$982.30 – $8,427
Spinal injection, lower back (epidural), with imaging guidance: 10 of 12 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $2,773 BLUE CROSS/BLUE SHIELD — BCBS DFW-TRADITIONAL: $982.30 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $3,989 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $2,673 CIGNA — CIGNA DFW: $3,535 CIGNA — CIGNA HIX: $4,173 CIGNA — CIGNA MARKET SOLUTIONS: $3,004
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	$1,046	$627.60	$575.30 – $8,427
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $1,887 BLUE CROSS/BLUE SHIELD — BCBS DFW: $2,773 BLUE CROSS/BLUE SHIELD — BCBS DFW-TRADITIONAL: $575.30 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646 CIGNA — CIGNA DFW: $3,535 CIGNA — CIGNA HIX: $4,173 CIGNA — CIGNA MARKET SOLUTIONS: $3,004
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: NEUROPLASTY AND/OR TRANSPOSITION;MEDIAN NERVE AT CARPAL TUNNEL 64721	$2,626	$1,575.60	$1,444.30 – $8,427
Carpal tunnel release: 10 of 13 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,574 BLUE CROSS/BLUE SHIELD — BCBS DFW: $5,251 BLUE CROSS/BLUE SHIELD — BCBS DFW-TRADITIONAL: $1,444.30 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646 CIGNA — CIGNA DFW: $3,886 CIGNA — CIGNA HIX: $4,173 CIGNA — CIGNA MARKET SOLUTIONS: $3,303
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: DISCISSION OF SECONDARY MEMBRANEOUS CATARACT;LASER SURGERY 66821	$1,785	$1,071	$981.75 – $8,427
Laser treatment of clouding after cataract surgery: 10 of 13 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $1,887 BLUE CROSS/BLUE SHIELD — BCBS DFW: $2,773 BLUE CROSS/BLUE SHIELD — BCBS DFW-TRADITIONAL: $981.75 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $3,790 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $3,590 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $2,673 CIGNA — CIGNA DFW: $3,886 CIGNA — CIGNA HIX: $4,173 CIGNA — CIGNA MARKET SOLUTIONS: $3,303
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Hospital (facility) fee In the file: EXTRACAPSULAR CATARACT REMOVAL W/INSERTION OF INTRAOCULAR LENS PROSTHESIS REG. 66984	$4,410	$2,646	$2,425.50 – $9,391
Cataract removal with lens implant: 10 of 13 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $5,684 BLUE CROSS/BLUE SHIELD — BCBS DFW-TRADITIONAL: $2,425.50 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $7,770 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,361 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,480 CIGNA — CIGNA DFW: $9,391 CIGNA — CIGNA HIX: $4,173 CIGNA — CIGNA MARKET SOLUTIONS: $7,982

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance 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	$3,574 – $8,427
Vaginal delivery, with care before and after: rates for 6 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $5,251 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $7,178 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $6,800 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
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	$3,986 – $8,427
Cesarean delivery (C-section), with care before and after: rates for 6 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $5,856 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646
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	$3,986 – $8,427
Vaginal delivery after a previous C-section, with care before and after: rates for 6 insurance plans BLUE CROSS/BLUE SHIELD — BCBS BAV: $3,986 BLUE CROSS/BLUE SHIELD — BCBS DFW: $5,856 BLUE CROSS/BLUE SHIELD — BCBS HMO DFW: $8,006 BLUE CROSS/BLUE SHIELD — BCBS PPO DFW: $8,427 BLUE CROSS/BLUE SHIELD — BCBS PPO-CITY OF DALLAS: $7,584 BLUE CROSS/BLUE SHIELD — BCBS PREMIER HMO: $5,646

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	$34,236 – $109,462.78
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 11 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS DFW: $109,462.78 CIGNA — CIGNA CMC: $41,856 CIGNA — CIGNA DFW: $66,628 CIGNA — CIGNA HIX: $34,236 CIGNA — CIGNA MARKET SOLUTIONS: $56,634 HUMANA — HUMANA CHOICE CARE: $73,234 OSCAR HEALTH PLAN — OSCAR: $95,616.28 SCOTT AND WHITE HEALTH PLAN — SCOTT AND WHITE HMO/PPO: $48,899 SCOTT AND WHITE HEALTH PLAN — SCOTT AND WHITE PREFERRED: $46,454 SCOTT AND WHITE HEALTH PLAN — SCOTT AND WHITE PREFERRED HMO: $44,009
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	$18,268 – $35,308
Spinal fusion (not neck), without major complications: rates for 3 insurance plans CIGNA — CIGNA CMC: $18,268 HUMANA — HUMANA CHOICE CARE: $35,308 OSCAR HEALTH PLAN — OSCAR: $29,635.25
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	$17,807 – $34,953
Hip or knee replacement (major joint of the leg), without major complications: 10 of 11 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS DFW: $21,385.34 CIGNA — CIGNA CMC: $21,770 CIGNA — CIGNA DFW: $34,654 CIGNA — CIGNA HIX: $17,807 CIGNA — CIGNA MARKET SOLUTIONS: $29,456 HUMANA — HUMANA CHOICE CARE: $34,953 OSCAR HEALTH PLAN — OSCAR: $19,372.69 SCOTT AND WHITE HEALTH PLAN — SCOTT AND WHITE HMO/PPO: $25,433 SCOTT AND WHITE HEALTH PLAN — SCOTT AND WHITE PREFERRED: $24,161 SCOTT AND WHITE HEALTH PLAN — SCOTT AND WHITE PREFERRED HMO: $22,890
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	$14,942 – $35,308
Neck (cervical) spinal fusion, without complications: 10 of 11 insurance plan rates BLUE CROSS/BLUE SHIELD — BCBS DFW: $26,851.05 CIGNA — CIGNA CMC: $18,268 CIGNA — CIGNA DFW: $29,079 CIGNA — CIGNA HIX: $14,942 CIGNA — CIGNA MARKET SOLUTIONS: $24,717 HUMANA — HUMANA CHOICE CARE: $35,308 OSCAR HEALTH PLAN — OSCAR: $17,417.09 SCOTT AND WHITE HEALTH PLAN — SCOTT AND WHITE HMO/PPO: $21,343 SCOTT AND WHITE HEALTH PLAN — SCOTT AND WHITE PREFERRED: $20,276 SCOTT AND WHITE HEALTH PLAN — SCOTT AND WHITE PREFERRED HMO: $19,209
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	$8,188.50 – $13,595.66
Uterus and ovary surgery (not for cancer), without complications: rates for 2 insurance plans BLUE CROSS/BLUE SHIELD — BCBS DFW: $13,595.66 OSCAR HEALTH PLAN — OSCAR: $8,188.50

Source: Baylor Scott and White Medical Center Uptown’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 14, 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	2727 East Lemmon Avenue Building I, Dallas, TX 75204
County	Dallas County
State	Texas
Phone	(214) 443‑3000
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	Not rated by CMS
CMS Certification Number	450422
Name in Medicare records	BAYLOR SCOTT AND WHITE MEDICAL CENTER UPTOWN
Profile level	Medicare data + hospital website
Name on the hospital’s website	Baylor Scott & White Medical Center – Uptown
Official website	bayloruptown.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 Geocoder — map position used for distances

From the hospital’s website

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

Baylor Scott & White Medical Center – Uptown — bayloruptown.com
24/7 Emergency Department - Baylor Scott & White Medical Center – Uptown, TX — bayloruptown.com
About Your Surgery - Baylor Scott & White Medical Center – Uptown, TX — bayloruptown.com
Orthopedic Surgery - Baylor Scott & White Medical Center – Uptown, TX — bayloruptown.com
Our Awards - Baylor Scott & White Medical Center – Uptown, TX — bayloruptown.com
Contact Us - Baylor Scott & White Medical Center – Uptown, TX — bayloruptown.com
Patient Rights & Responsibilities - Baylor Scott & White Medical Center – Uptown, TX — bayloruptown.com
Quality Care and Safety - Baylor Scott & White Medical Center – Uptown, TX — bayloruptown.com
Advanced Robotic Surgery System - Baylor Scott & White Medical Center – Uptown, TX — bayloruptown.com
General Surgery - Baylor Scott & White Medical Center – Uptown, TX — bayloruptown.com
Spine Surgery - Baylor Scott & White Medical Center – Uptown, TX — bayloruptown.com
Surgical Oncology - Baylor Scott & White Medical Center – Uptown, TX — bayloruptown.com
About Us - Baylor Scott & White Medical Center – Uptown, TX — bayloruptown.com