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Acute Care Hospital

Baylor Scott and White Surgical Hospital at Sherma…

Sherman, Texas · Grayson County · Emergency services listed

Summary

Baylor Scott and White Surgical Hospital at Sherma… is an acute care hospital in Sherman, Texas. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 92 services, specialties and programs. Medicare lists 188 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Call(903) 813‑3728 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
188Doctors and clinicians
92Services listed

Quick answers

Does Baylor Scott and White Surgical Hospital at Sherma… have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Baylor Scott and White Surgical Hospital at Sherma…. In a medical emergency, call 911.
Where is Baylor Scott and White Surgical Hospital at Sherma…?
3601 Calais Drive, Sherman, TX 75090, in Grayson County, Texas.
What is the phone number of Baylor Scott and White Surgical Hospital at Sherma…?
(903) 813-3728, as listed by Medicare (CMS).
What is the Medicare star rating of Baylor Scott and White Surgical Hospital at Sherma…?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][15]

Conditions treated[8][9][10][12][13][15]

Treatments[4][9][11][15]

  • Aquablation therapy
  • Inspire sleep apnea treatment
  • Robot-assisted surgery
  • Steroid joint injections
  • Pain management injections

Procedures[4][6][9][10][11][12][13][15]

  • Robotic surgery
  • Direct screen colonoscopy
  • Total knee replacement
  • Partial knee replacement
  • Total hip replacement
  • Total shoulder replacement
  • Sleeve gastrectomy
  • Gastric bypass
  • Hernia repair
  • Gallbladder removal
  • Endoscopy
  • Diagnostic left heart catheterization
  • Diagnostic right heart catheterization
  • Left heart catheterization with percutaneous coronary intervention
  • Angioplasty and stenting
  • IVC filter placement and removal
  • Pacemaker implantation
  • Implantable cardioverter defibrillator implantation

Programs and centers[8][10][12][15]

  • Direct Screen Colonoscopy Program
  • Bariatric surgery weight loss program
  • Joint Health Classes
  • Cardiology center

Emergency care (hospital website)[4][7][15][16][17]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingFamily may wait in the lobby during surgery; visitors under 16 must be supervised by an adult[7]
Interpreters and languagesHas a Spanish-language information page[4]

Recognition[15]

  • Accredited by Det Norske Veritas (DNV)

Doctors and clinicians (188)

188 doctors and other clinicians list Baylor Scott and White Surgical Hospital at Sherma… as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (188)

And 164 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What Baylor Scott and White Surgical Hospital at Sherma… 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 hospitalNot reported to Medicare
Would recommend the hospitalNot reported to Medicare
Nurses communicated wellNot reported to Medicare
Doctors communicated wellNot reported to Medicare
Staff explained medicinesNot reported to Medicare
Information about recovery at homeNot reported to Medicare
Room and bathroom kept cleanNot reported to Medicare
Quiet at nightNot reported to Medicare
Rated the hospital 9 or 10 out of 1082%National average: 72%
Would definitely recommend the hospital86%National average: 71%
Nurses “always” communicated well92%National average: 80%
Doctors “always” communicated well89%National average: 80%
Staff “always” explained medicines before giving them76%National average: 62%
Were given information about recovery at home89%National average: 86%
Room and bathroom “always” clean78%National average: 74%
Area around the room “always” quiet at night75%National average: 60%
Completed surveys92Response rate: 33%

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 surgery0No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot reported to Medicare

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

Complications and deaths

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

Deaths within 30 days: heart attack patientsNot reported to Medicare
Deaths within 30 days: heart failure patientsToo few cases to report
Deaths within 30 days: pneumonia patientsNot reported to Medicare
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsNot reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.91No different from the national rate
Complications after hip or knee replacementToo few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 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 attackNot reported to Medicare
Readmitted within 30 days: heart failureToo few cases to report
Readmitted within 30 days: pneumoniaToo few cases to report
Readmitted within 30 days: COPDToo few cases to report
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

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

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)128 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)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 ShermanBest hospitals in Texas

Prices

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

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: HP PLUS LOW-MOD $89 $53.40 $159.77
New patient office visit (about 30–44 minutes): rates for 1 insurance plan
  • HealthChoice — PPO: $159.77
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: HP PLUS MODERATE $108 $64.80 $159.77
New patient office visit (about 30–44 minutes): rates for 1 insurance plan
  • HealthChoice — PPO: $159.77
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: HP PLUS MOD-HIGH $162 $97.20 $238.44
New patient office visit (about 45–59 minutes): rates for 1 insurance plan
  • HealthChoice — PPO: $238.44
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 $315.07
New patient office visit (about 60–74 minutes): rates for 1 insurance plan
  • HealthChoice — PPO: $315.07
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: HP PLUS EST PAT LOW-MOD $89 $53.40 $128.82
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan
  • HealthChoice — PPO: $128.82
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: HP PLUS EST PAT MOD-HIGH $125 $75 $182.65
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan
  • HealthChoice — PPO: $182.65
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 $144
Office consultation with a specialist (moderate): rates for 1 insurance plan
  • HealthChoice — PPO: $144
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 $214.64
Office consultation with a specialist (moderate to high): rates for 1 insurance plan
  • HealthChoice — PPO: $214.64
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: ED Visit Level 3 $688 $412.80 $259.94 – $2,816
Emergency room visit (moderate): 10 of 12 insurance plan rates
  • BCBS — BAV: $1,332
  • BCBS — Blue Advantage HMO: $1,332
  • BCBS — Blue Choice: $2,816
  • BCBS — Blue Essentials HMO: $2,675
  • BCBS — Blue Health: $1,887
  • BCBS — City of Dallas PPO: $2,534
  • BCBS — HMH: $1,887
  • BCBS — HPN: $1,887
  • BCBS — Medicare Adv HMO: $259.94
  • BCBS — PPO: $2,816
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: ED Visit Level 4 $1,160 $696 $403.52 – $4,696
Emergency room visit (moderately high): 10 of 12 insurance plan rates
  • BCBS — BAV: $2,221
  • BCBS — Blue Advantage HMO: $2,221
  • BCBS — Blue Choice: $4,696
  • BCBS — Blue Essentials HMO: $2,675
  • BCBS — Blue Health: $3,146
  • BCBS — City of Dallas PPO: $4,226
  • BCBS — HMH: $3,146
  • BCBS — HPN: $3,146
  • BCBS — Medicare Adv HMO: $403.52
  • BCBS — PPO: $4,696
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: ED Visit Level 5 $1,715 $1,029 $585.19 – $10,230
Emergency room visit (high): 10 of 12 insurance plan rates
  • BCBS — BAV: $4,839
  • BCBS — Blue Advantage HMO: $4,839
  • BCBS — Blue Choice: $10,230
  • BCBS — Blue Essentials HMO: $9,719
  • BCBS — Blue Health: $6,854
  • BCBS — City of Dallas PPO: $9,207
  • BCBS — HMH: $6,854
  • BCBS — HPN: $6,854
  • BCBS — Medicare Adv HMO: $585.19
  • BCBS — PPO: $10,230

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Basic Metabolic Panel $368 $220.80 $10.58 – $102.65
Basic metabolic panel (blood test): rates for 10 insurance plans
  • BCBS — BAV: $48.55
  • BCBS — Blue Advantage HMO: $48.55
  • BCBS — Blue Choice: $102.65
  • BCBS — Blue Health: $68.78
  • BCBS — City of Dallas PPO: $92.39
  • BCBS — HMH: $68.78
  • BCBS — HPN: $68.78
  • BCBS — PPO: $102.65
  • BCBS — Premier HMO: $68.78
  • HealthChoice — PPO: $10.58
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Comprehensive Metabolic Panel $420 $252 $42.24 – $151.26
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
  • BCBS — BAV: $71.54
  • BCBS — Blue Advantage HMO: $71.54
  • BCBS — Blue Choice: $151.26
  • BCBS — Blue Health: $101.34
  • BCBS — City of Dallas PPO: $136.13
  • BCBS — HMH: $101.34
  • BCBS — HPN: $101.34
  • BCBS — PPO: $151.26
  • BCBS — Premier HMO: $101.34
  • HealthChoice — PPO: $42.24
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 $59.76 – $365.16
Obstetric blood test panel: rates for 10 insurance plans
  • BCBS — BAV: $172.71
  • BCBS — Blue Advantage HMO: $172.71
  • BCBS — Blue Choice: $365.16
  • BCBS — Blue Health: $244.65
  • BCBS — City of Dallas PPO: $328.64
  • BCBS — HMH: $244.65
  • BCBS — HPN: $244.65
  • BCBS — PPO: $365.16
  • BCBS — Premier HMO: $244.65
  • HealthChoice — PPO: $59.76
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lipid Panel $486 $291.60 $16.74 – $142.08
Cholesterol panel (lipid panel): rates for 10 insurance plans
  • BCBS — BAV: $67.21
  • BCBS — Blue Advantage HMO: $67.21
  • BCBS — Blue Choice: $142.08
  • BCBS — Blue Health: $95.19
  • BCBS — City of Dallas PPO: $127.87
  • BCBS — HMH: $95.19
  • BCBS — HPN: $95.19
  • BCBS — PPO: $142.08
  • BCBS — Premier HMO: $95.19
  • HealthChoice — PPO: $16.74
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Renal Function Panel $448 $268.80 $10.85 – $230.33
Kidney function panel: rates for 10 insurance plans
  • BCBS — BAV: $108.94
  • BCBS — Blue Advantage HMO: $108.94
  • BCBS — Blue Choice: $230.33
  • BCBS — Blue Health: $154.32
  • BCBS — City of Dallas PPO: $207.30
  • BCBS — HMH: $154.32
  • BCBS — HPN: $154.32
  • BCBS — PPO: $230.33
  • BCBS — Premier HMO: $154.32
  • HealthChoice — PPO: $10.85
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Hepatic Function Panel $381 $228.60 $10.21 – $169
Liver function panel: rates for 10 insurance plans
  • BCBS — BAV: $79.94
  • BCBS — Blue Advantage HMO: $79.94
  • BCBS — Blue Choice: $169
  • BCBS — Blue Health: $113.23
  • BCBS — City of Dallas PPO: $152.10
  • BCBS — HMH: $113.23
  • BCBS — HPN: $113.23
  • BCBS — PPO: $169
  • BCBS — Premier HMO: $113.23
  • HealthChoice — PPO: $10.21
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: LIVER $381 $228.60 $10.21 – $169
Liver function panel: rates for 10 insurance plans
  • BCBS — BAV: $79.94
  • BCBS — Blue Advantage HMO: $79.94
  • BCBS — Blue Choice: $169
  • BCBS — Blue Health: $113.23
  • BCBS — City of Dallas PPO: $152.10
  • BCBS — HMH: $113.23
  • BCBS — HPN: $113.23
  • BCBS — PPO: $169
  • BCBS — Premier HMO: $113.23
  • HealthChoice — PPO: $10.21
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis With Microscopy $120 $72 $3.96 – $72.50
Urine test (automated, with microscope): rates for 10 insurance plans
  • BCBS — BAV: $34.30
  • BCBS — Blue Advantage HMO: $34.30
  • BCBS — Blue Choice: $72.50
  • BCBS — Blue Health: $48.58
  • BCBS — City of Dallas PPO: $65.25
  • BCBS — HMH: $48.58
  • BCBS — HPN: $48.58
  • BCBS — PPO: $72.50
  • BCBS — Premier HMO: $48.58
  • HealthChoice — PPO: $3.96
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Macroscopic $92 $55.20 $4.35 – $31.46
Urine test (manual, without microscope): rates for 10 insurance plans
  • BCBS — BAV: $14.88
  • BCBS — Blue Advantage HMO: $14.88
  • BCBS — Blue Choice: $31.46
  • BCBS — Blue Health: $21.08
  • BCBS — City of Dallas PPO: $28.31
  • BCBS — HMH: $21.08
  • BCBS — HPN: $21.08
  • BCBS — PPO: $31.46
  • BCBS — Premier HMO: $21.08
  • HealthChoice — PPO: $4.35
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis $120 $72 $2.81 – $57.05
Urine test (automated, without microscope): rates for 10 insurance plans
  • BCBS — BAV: $26.99
  • BCBS — Blue Advantage HMO: $26.99
  • BCBS — Blue Choice: $57.05
  • BCBS — Blue Health: $38.22
  • BCBS — City of Dallas PPO: $51.35
  • BCBS — HMH: $38.22
  • BCBS — HPN: $38.22
  • BCBS — PPO: $57.05
  • BCBS — Premier HMO: $38.22
  • HealthChoice — PPO: $2.81
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urine Dipstick $105 $63 $2.81 – $57.05
Urine test (automated, without microscope): rates for 10 insurance plans
  • BCBS — BAV: $26.99
  • BCBS — Blue Advantage HMO: $26.99
  • BCBS — Blue Choice: $57.05
  • BCBS — Blue Health: $38.22
  • BCBS — City of Dallas PPO: $51.35
  • BCBS — HMH: $38.22
  • BCBS — HPN: $38.22
  • BCBS — PPO: $57.05
  • BCBS — Premier HMO: $38.22
  • HealthChoice — PPO: $2.81
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Prostate Specific Antigen $394 $236.40 $22.99 – $139.06
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
  • BCBS — BAV: $65.78
  • BCBS — Blue Advantage HMO: $65.78
  • BCBS — Blue Choice: $139.06
  • BCBS — Blue Health: $93.17
  • BCBS — City of Dallas PPO: $125.15
  • BCBS — HMH: $93.17
  • BCBS — HPN: $93.17
  • BCBS — PPO: $139.06
  • BCBS — Premier HMO: $93.17
  • HealthChoice — PPO: $22.99
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: TSH w/ Rflx Free T4 $330 $198 $21 – $149.14
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
  • BCBS — BAV: $70.53
  • BCBS — Blue Advantage HMO: $70.53
  • BCBS — Blue Choice: $149.14
  • BCBS — Blue Health: $99.93
  • BCBS — City of Dallas PPO: $134.23
  • BCBS — HMH: $99.93
  • BCBS — HPN: $99.93
  • BCBS — PPO: $149.14
  • BCBS — Premier HMO: $99.93
  • HealthChoice — PPO: $21
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Thyroid Stimulating Hormone $330 $198 $21 – $149.14
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
  • BCBS — BAV: $70.53
  • BCBS — Blue Advantage HMO: $70.53
  • BCBS — Blue Choice: $149.14
  • BCBS — Blue Health: $99.93
  • BCBS — City of Dallas PPO: $134.23
  • BCBS — HMH: $99.93
  • BCBS — HPN: $99.93
  • BCBS — PPO: $149.14
  • BCBS — Premier HMO: $99.93
  • HealthChoice — PPO: $21
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC w/ Auto Diff $158 $94.80 $9.71 – $91.82
Complete blood count (CBC) with differential: rates for 10 insurance plans
  • BCBS — BAV: $43.42
  • BCBS — Blue Advantage HMO: $43.42
  • BCBS — Blue Choice: $91.82
  • BCBS — Blue Health: $61.52
  • BCBS — City of Dallas PPO: $82.64
  • BCBS — HMH: $61.52
  • BCBS — HPN: $61.52
  • BCBS — PPO: $91.82
  • BCBS — Premier HMO: $61.52
  • HealthChoice — PPO: $9.71
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC w/ Auto Diff Sherman $158 $94.80 $9.71 – $91.82
Complete blood count (CBC) with differential: rates for 10 insurance plans
  • BCBS — BAV: $43.42
  • BCBS — Blue Advantage HMO: $43.42
  • BCBS — Blue Choice: $91.82
  • BCBS — Blue Health: $61.52
  • BCBS — City of Dallas PPO: $82.64
  • BCBS — HMH: $61.52
  • BCBS — HPN: $61.52
  • BCBS — PPO: $91.82
  • BCBS — Premier HMO: $61.52
  • HealthChoice — PPO: $9.71
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC with Diff-MHFC $158 $94.80 $9.71 – $91.82
Complete blood count (CBC) with differential: rates for 10 insurance plans
  • BCBS — BAV: $43.42
  • BCBS — Blue Advantage HMO: $43.42
  • BCBS — Blue Choice: $91.82
  • BCBS — Blue Health: $61.52
  • BCBS — City of Dallas PPO: $82.64
  • BCBS — HMH: $61.52
  • BCBS — HPN: $61.52
  • BCBS — PPO: $91.82
  • BCBS — Premier HMO: $61.52
  • HealthChoice — PPO: $9.71
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC Auto No Diff $142 $85.20 $8.09 – $68.76
Complete blood count (CBC), automated: rates for 10 insurance plans
  • BCBS — BAV: $32.53
  • BCBS — Blue Advantage HMO: $32.53
  • BCBS — Blue Choice: $68.76
  • BCBS — Blue Health: $46.07
  • BCBS — City of Dallas PPO: $61.88
  • BCBS — HMH: $46.07
  • BCBS — HPN: $46.07
  • BCBS — PPO: $68.76
  • BCBS — Premier HMO: $46.07
  • HealthChoice — PPO: $8.09
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PT $105 $63 $5.36 – $64.09
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
  • BCBS — BAV: $30.31
  • BCBS — Blue Advantage HMO: $30.31
  • BCBS — Blue Choice: $64.09
  • BCBS — Blue Health: $42.94
  • BCBS — City of Dallas PPO: $57.68
  • BCBS — HMH: $42.94
  • BCBS — HPN: $42.94
  • BCBS — PPO: $64.09
  • BCBS — Premier HMO: $42.94
  • HealthChoice — PPO: $5.36
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: PTT $142 $85.20 $7.51 – $92.05
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
  • BCBS — BAV: $43.55
  • BCBS — Blue Advantage HMO: $43.55
  • BCBS — Blue Choice: $92.05
  • BCBS — Blue Health: $61.67
  • BCBS — City of Dallas PPO: $82.85
  • BCBS — HMH: $61.67
  • BCBS — HPN: $61.67
  • BCBS — PPO: $92.05
  • BCBS — Premier HMO: $61.67
  • HealthChoice — PPO: $7.51

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE CT, Head or brain; w/o contrast 70450 $2,445 $1,467 $100.16 – $2,050.77
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates
  • BCBS — BAV: $970.01
  • BCBS — Blue Advantage HMO: $970.01
  • BCBS — Blue Choice: $2,050.77
  • BCBS — Blue Health: $1,374.02
  • BCBS — City of Dallas PPO: $1,845.69
  • BCBS — HMH: $1,374.02
  • BCBS — HPN: $1,374.02
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $2,050.77
  • BCBS — Premier HMO: $1,374.02
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Head Stroke Protocol W/O Contrast $2,218 $1,330.80 $100.16 – $2,050.77
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates
  • BCBS — BAV: $970.01
  • BCBS — Blue Advantage HMO: $970.01
  • BCBS — Blue Choice: $2,050.77
  • BCBS — Blue Health: $1,374.02
  • BCBS — City of Dallas PPO: $1,845.69
  • BCBS — HMH: $1,374.02
  • BCBS — HPN: $1,374.02
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $2,050.77
  • BCBS — Premier HMO: $1,374.02
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Head or Brain w/o Contrast 70450 $2,445 $1,467 $100.16 – $2,050.77
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates
  • BCBS — BAV: $970.01
  • BCBS — Blue Advantage HMO: $970.01
  • BCBS — Blue Choice: $2,050.77
  • BCBS — Blue Health: $1,374.02
  • BCBS — City of Dallas PPO: $1,845.69
  • BCBS — HMH: $1,374.02
  • BCBS — HPN: $1,374.02
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $2,050.77
  • BCBS — Premier HMO: $1,374.02
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE MRI Brain, w/o & w/contrast 70553 $3,905 $2,343 $350.37 – $3,961.18
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates
  • BCBS — BAV: $1,873.64
  • BCBS — Blue Advantage HMO: $1,873.64
  • BCBS — Blue Choice: $3,961.18
  • BCBS — Blue Health: $2,653.99
  • BCBS — City of Dallas PPO: $3,565.06
  • BCBS — HMH: $2,653.99
  • BCBS — HPN: $2,653.99
  • BCBS — Medicare Adv HMO: $350.37
  • BCBS — PPO: $3,961.18
  • BCBS — Premier HMO: $2,653.99
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Brain w/ + w/o Contrast 70553 $3,905 $2,343 $350.37 – $3,961.18
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates
  • BCBS — BAV: $1,873.64
  • BCBS — Blue Advantage HMO: $1,873.64
  • BCBS — Blue Choice: $3,961.18
  • BCBS — Blue Health: $2,653.99
  • BCBS — City of Dallas PPO: $3,565.06
  • BCBS — HMH: $2,653.99
  • BCBS — HPN: $2,653.99
  • BCBS — Medicare Adv HMO: $350.37
  • BCBS — PPO: $3,961.18
  • BCBS — Premier HMO: $2,653.99
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI IAC w/ + w/o Contrast 70553 $3,905 $2,343 $350.37 – $3,961.18
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates
  • BCBS — BAV: $1,873.64
  • BCBS — Blue Advantage HMO: $1,873.64
  • BCBS — Blue Choice: $3,961.18
  • BCBS — Blue Health: $2,653.99
  • BCBS — City of Dallas PPO: $3,565.06
  • BCBS — HMH: $2,653.99
  • BCBS — HPN: $2,653.99
  • BCBS — Medicare Adv HMO: $350.37
  • BCBS — PPO: $3,961.18
  • BCBS — Premier HMO: $2,653.99
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE Radiologic examination, chest; 2 views 71046 $487 $292.20 $82.79 – $271.62
Chest X-ray, 2 views: 10 of 11 insurance plan rates
  • BCBS — BAV: $128.47
  • BCBS — Blue Advantage HMO: $128.47
  • BCBS — Blue Choice: $271.62
  • BCBS — Blue Health: $181.99
  • BCBS — City of Dallas PPO: $244.46
  • BCBS — HMH: $181.99
  • BCBS — HPN: $181.99
  • BCBS — Medicare Adv HMO: $82.79
  • BCBS — PPO: $271.62
  • BCBS — Premier HMO: $181.99
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Chest 2 View (Frontal & Lat) 71046 $487 $292.20 $82.79 – $271.62
Chest X-ray, 2 views: 10 of 11 insurance plan rates
  • BCBS — BAV: $128.47
  • BCBS — Blue Advantage HMO: $128.47
  • BCBS — Blue Choice: $271.62
  • BCBS — Blue Health: $181.99
  • BCBS — City of Dallas PPO: $244.46
  • BCBS — HMH: $181.99
  • BCBS — HPN: $181.99
  • BCBS — Medicare Adv HMO: $82.79
  • BCBS — PPO: $271.62
  • BCBS — Premier HMO: $181.99
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Chest 2 Views $487 $292.20 $82.79 – $271.62
Chest X-ray, 2 views: 10 of 11 insurance plan rates
  • BCBS — BAV: $128.47
  • BCBS — Blue Advantage HMO: $128.47
  • BCBS — Blue Choice: $271.62
  • BCBS — Blue Health: $181.99
  • BCBS — City of Dallas PPO: $244.46
  • BCBS — HMH: $181.99
  • BCBS — HPN: $181.99
  • BCBS — Medicare Adv HMO: $82.79
  • BCBS — PPO: $271.62
  • BCBS — Premier HMO: $181.99
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE XR Spine Lumbosacral Min 4 views 72110 $862 $517.20 $100.16 – $547.69
X-ray of the lower spine, at least 4 views: 10 of 11 insurance plan rates
  • BCBS — BAV: $259.07
  • BCBS — Blue Advantage HMO: $259.07
  • BCBS — Blue Choice: $547.69
  • BCBS — Blue Health: $366.95
  • BCBS — City of Dallas PPO: $492.92
  • BCBS — HMH: $366.95
  • BCBS — HPN: $366.95
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $547.69
  • BCBS — Premier HMO: $366.95
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: XR Spine Lumbosacral Minimum 4 V 72110 $862 $517.20 $100.16 – $547.69
X-ray of the lower spine, at least 4 views: 10 of 11 insurance plan rates
  • BCBS — BAV: $259.07
  • BCBS — Blue Advantage HMO: $259.07
  • BCBS — Blue Choice: $547.69
  • BCBS — Blue Health: $366.95
  • BCBS — City of Dallas PPO: $492.92
  • BCBS — HMH: $366.95
  • BCBS — HPN: $366.95
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $547.69
  • BCBS — Premier HMO: $366.95
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE MRI Spine Lumbar w/o contrast 72148 $2,839 $1,703.40 $223.25 – $2,754.77
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates
  • BCBS — BAV: $1,303.01
  • BCBS — Blue Advantage HMO: $1,303.01
  • BCBS — Blue Choice: $2,754.77
  • BCBS — Blue Health: $1,845.69
  • BCBS — City of Dallas PPO: $2,479.29
  • BCBS — HMH: $1,845.69
  • BCBS — HPN: $1,845.69
  • BCBS — Medicare Adv HMO: $223.25
  • BCBS — PPO: $2,754.77
  • BCBS — Premier HMO: $1,845.69
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Spine Lumbar w/o Contrast 72148 $2,839 $1,703.40 $223.25 – $2,754.77
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates
  • BCBS — BAV: $1,303.01
  • BCBS — Blue Advantage HMO: $1,303.01
  • BCBS — Blue Choice: $2,754.77
  • BCBS — Blue Health: $1,845.69
  • BCBS — City of Dallas PPO: $2,479.29
  • BCBS — HMH: $1,845.69
  • BCBS — HPN: $1,845.69
  • BCBS — Medicare Adv HMO: $223.25
  • BCBS — PPO: $2,754.77
  • BCBS — Premier HMO: $1,845.69
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE CT Pelvis s/contrast 72193 $3,224 $1,934.40 $167.39 – $2,536.11
CT scan of the pelvis, with contrast: 10 of 11 insurance plan rates
  • BCBS — BAV: $1,199.57
  • BCBS — Blue Advantage HMO: $1,199.57
  • BCBS — Blue Choice: $2,536.11
  • BCBS — Blue Health: $1,699.19
  • BCBS — City of Dallas PPO: $2,282.50
  • BCBS — HMH: $1,699.19
  • BCBS — HPN: $1,699.19
  • BCBS — Medicare Adv HMO: $167.39
  • BCBS — PPO: $2,536.11
  • BCBS — Premier HMO: $1,699.19
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Pelvis w/ Contrast 72193 $3,224 $1,934.40 $167.39 – $2,536.11
CT scan of the pelvis, with contrast: 10 of 11 insurance plan rates
  • BCBS — BAV: $1,199.57
  • BCBS — Blue Advantage HMO: $1,199.57
  • BCBS — Blue Choice: $2,536.11
  • BCBS — Blue Health: $1,699.19
  • BCBS — City of Dallas PPO: $2,282.50
  • BCBS — HMH: $1,699.19
  • BCBS — HPN: $1,699.19
  • BCBS — Medicare Adv HMO: $167.39
  • BCBS — PPO: $2,536.11
  • BCBS — Premier HMO: $1,699.19
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE MRI w/o contrast lower extremity 73721 $2,839 $1,703.40 $223.25 – $3,148.31
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • BCBS — BAV: $1,489.14
  • BCBS — Blue Advantage HMO: $1,489.14
  • BCBS — Blue Choice: $3,148.31
  • BCBS — Blue Health: $2,109.37
  • BCBS — City of Dallas PPO: $2,833.48
  • BCBS — HMH: $2,109.37
  • BCBS — HPN: $2,109.37
  • BCBS — Medicare Adv HMO: $223.25
  • BCBS — PPO: $3,148.31
  • BCBS — Premier HMO: $2,109.37
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Ankle w/o Contrast Bilateral 73721 $5,678 $3,406.80 $223.25 – $3,148.31
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • BCBS — BAV: $1,489.14
  • BCBS — Blue Advantage HMO: $1,489.14
  • BCBS — Blue Choice: $3,148.31
  • BCBS — Blue Health: $2,109.37
  • BCBS — City of Dallas PPO: $2,833.48
  • BCBS — HMH: $2,109.37
  • BCBS — HPN: $2,109.37
  • BCBS — Medicare Adv HMO: $223.25
  • BCBS — PPO: $3,148.31
  • BCBS — Premier HMO: $2,109.37
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI Ankle w/o Contrast Left 73721 $2,839 $1,703.40 $223.25 – $3,148.31
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • BCBS — BAV: $1,489.14
  • BCBS — Blue Advantage HMO: $1,489.14
  • BCBS — Blue Choice: $3,148.31
  • BCBS — Blue Health: $2,109.37
  • BCBS — City of Dallas PPO: $2,833.48
  • BCBS — HMH: $2,109.37
  • BCBS — HPN: $2,109.37
  • BCBS — Medicare Adv HMO: $223.25
  • BCBS — PPO: $3,148.31
  • BCBS — Premier HMO: $2,109.37
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE CT Abd & Pelvis, w/contrast 74177 $1,500 $900 $350.37 – $5,229.50
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates
  • BCBS — BAV: $2,473.56
  • BCBS — Blue Advantage HMO: $2,473.56
  • BCBS — Blue Choice: $5,229.50
  • BCBS — Blue Health: $3,503.76
  • BCBS — City of Dallas PPO: $4,706.55
  • BCBS — HMH: $3,503.76
  • BCBS — HPN: $3,503.76
  • BCBS — Medicare Adv HMO: $350.37
  • BCBS — PPO: $5,229.50
  • BCBS — Premier HMO: $3,503.76
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Abdomen and Pelvis w/ Contrast 74177 $1,500 $900 $350.37 – $5,229.50
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates
  • BCBS — BAV: $2,473.56
  • BCBS — Blue Advantage HMO: $2,473.56
  • BCBS — Blue Choice: $5,229.50
  • BCBS — Blue Health: $3,503.76
  • BCBS — City of Dallas PPO: $4,706.55
  • BCBS — HMH: $3,503.76
  • BCBS — HPN: $3,503.76
  • BCBS — Medicare Adv HMO: $350.37
  • BCBS — PPO: $5,229.50
  • BCBS — Premier HMO: $3,503.76
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Enterography 74177 $1,500 $900 $350.37 – $5,229.50
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates
  • BCBS — BAV: $2,473.56
  • BCBS — Blue Advantage HMO: $2,473.56
  • BCBS — Blue Choice: $5,229.50
  • BCBS — Blue Health: $3,503.76
  • BCBS — City of Dallas PPO: $4,706.55
  • BCBS — HMH: $3,503.76
  • BCBS — HPN: $3,503.76
  • BCBS — Medicare Adv HMO: $350.37
  • BCBS — PPO: $5,229.50
  • BCBS — Premier HMO: $3,503.76
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE US Abdomen Complete 76700 $543 $325.80 $100.16 – $953.98
Ultrasound of the abdomen, complete: 10 of 11 insurance plan rates
  • BCBS — BAV: $451.23
  • BCBS — Blue Advantage HMO: $451.23
  • BCBS — Blue Choice: $953.98
  • BCBS — Blue Health: $639.16
  • BCBS — City of Dallas PPO: $858.58
  • BCBS — HMH: $639.16
  • BCBS — HPN: $639.16
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $953.98
  • BCBS — Premier HMO: $639.16
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US Abdomen Complete 76700 $543 $325.80 $100.16 – $953.98
Ultrasound of the abdomen, complete: 10 of 11 insurance plan rates
  • BCBS — BAV: $451.23
  • BCBS — Blue Advantage HMO: $451.23
  • BCBS — Blue Choice: $953.98
  • BCBS — Blue Health: $639.16
  • BCBS — City of Dallas PPO: $858.58
  • BCBS — HMH: $639.16
  • BCBS — HPN: $639.16
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $953.98
  • BCBS — Premier HMO: $639.16
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US Pregnancy After 1st Trimester 76805 $543 $325.80 $100.16 – $445.78
Pregnancy ultrasound (after the first trimester): 10 of 11 insurance plan rates
  • BCBS — BAV: $210.85
  • BCBS — Blue Advantage HMO: $210.85
  • BCBS — Blue Choice: $445.78
  • BCBS — Blue Health: $298.68
  • BCBS — City of Dallas PPO: $401.20
  • BCBS — HMH: $298.68
  • BCBS — HPN: $298.68
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $445.78
  • BCBS — Premier HMO: $298.68
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE US Transvaginal 76830 $543 $325.80 $100.16 – $658.17
Transvaginal ultrasound: 10 of 11 insurance plan rates
  • BCBS — BAV: $311.32
  • BCBS — Blue Advantage HMO: $311.32
  • BCBS — Blue Choice: $658.17
  • BCBS — Blue Health: $440.97
  • BCBS — City of Dallas PPO: $592.35
  • BCBS — HMH: $440.97
  • BCBS — HPN: $440.97
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $658.17
  • BCBS — Premier HMO: $440.97
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US Transvaginal 76830 $543 $325.80 $100.16 – $658.17
Transvaginal ultrasound: 10 of 11 insurance plan rates
  • BCBS — BAV: $311.32
  • BCBS — Blue Advantage HMO: $311.32
  • BCBS — Blue Choice: $658.17
  • BCBS — Blue Health: $440.97
  • BCBS — City of Dallas PPO: $592.35
  • BCBS — HMH: $440.97
  • BCBS — HPN: $440.97
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $658.17
  • BCBS — Premier HMO: $440.97
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US Transvaginal Non-OB $543 $325.80 $100.16 – $658.17
Transvaginal ultrasound: 10 of 11 insurance plan rates
  • BCBS — BAV: $311.32
  • BCBS — Blue Advantage HMO: $311.32
  • BCBS — Blue Choice: $658.17
  • BCBS — Blue Health: $440.97
  • BCBS — City of Dallas PPO: $592.35
  • BCBS — HMH: $440.97
  • BCBS — HPN: $440.97
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $658.17
  • BCBS — Premier HMO: $440.97
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI Not listed in the file Not listed in the file $91.46 – $203.47
Diagnostic mammogram, one breast: rates for 10 insurance plans
  • BCBS — BAV: $91.46
  • BCBS — Blue Advantage HMO: $91.46
  • BCBS — Blue Choice: $193.36
  • BCBS — Blue Health: $129.55
  • BCBS — City of Dallas PPO: $174.02
  • BCBS — HMH: $129.55
  • BCBS — HPN: $129.55
  • BCBS — PPO: $193.36
  • BCBS — Premier HMO: $129.55
  • HealthChoice — PPO: $203.47
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 $112.43 – $256.45
Diagnostic mammogram, both breasts: rates for 10 insurance plans
  • BCBS — BAV: $112.43
  • BCBS — Blue Advantage HMO: $112.43
  • BCBS — Blue Choice: $237.70
  • BCBS — Blue Health: $159.26
  • BCBS — City of Dallas PPO: $213.93
  • BCBS — HMH: $159.26
  • BCBS — HPN: $159.26
  • BCBS — PPO: $237.70
  • BCBS — Premier HMO: $159.26
  • HealthChoice — PPO: $256.45
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 $91.46 – $207.88
Screening mammogram, both breasts: rates for 10 insurance plans
  • BCBS — BAV: $91.46
  • BCBS — Blue Advantage HMO: $91.46
  • BCBS — Blue Choice: $193.36
  • BCBS — Blue Health: $129.55
  • BCBS — City of Dallas PPO: $174.02
  • BCBS — HMH: $129.55
  • BCBS — HPN: $129.55
  • BCBS — PPO: $193.36
  • BCBS — Premier HMO: $129.55
  • HealthChoice — PPO: $207.88

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance 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 $22.41
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan
  • HealthChoice — PPO: $22.41
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: 93452-CCL Left Heart Cath W/Left Vent/Puncture $7,045 $4,227 $2,968.76 – $12,028
Left heart catheterization (diagnostic): 10 of 12 insurance plan rates
  • BCBS — BAV: $5,689
  • BCBS — Blue Advantage HMO: $5,689
  • BCBS — Blue Choice: $12,028
  • BCBS — Blue Essentials HMO: $11,427
  • BCBS — Blue Health: $8,059
  • BCBS — City of Dallas PPO: $10,825.20
  • BCBS — HMH: $8,059
  • BCBS — HPN: $8,059
  • BCBS — Medicare Adv HMO: $2,968.76
  • BCBS — PPO: $12,028
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: LEFT HEART CATH 93452 $7,327 $4,396.20 $2,968.76 – $12,028
Left heart catheterization (diagnostic): 10 of 12 insurance plan rates
  • BCBS — BAV: $5,689
  • BCBS — Blue Advantage HMO: $5,689
  • BCBS — Blue Choice: $12,028
  • BCBS — Blue Essentials HMO: $11,427
  • BCBS — Blue Health: $8,059
  • BCBS — City of Dallas PPO: $10,825.20
  • BCBS — HMH: $8,059
  • BCBS — HPN: $8,059
  • BCBS — Medicare Adv HMO: $2,968.76
  • BCBS — PPO: $12,028
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION Not listed in the file Not listed in the file $3,259 – $11,445.68
Heart rhythm study (electrophysiology evaluation): 10 of 12 insurance plan rates
  • BCBS — BAV: $3,259
  • BCBS — Blue Advantage HMO: $3,259
  • BCBS — Blue Choice: $6,891
  • BCBS — Blue Essentials HMO: $6,546
  • BCBS — Blue Health: $4,617
  • BCBS — City of Dallas PPO: $6,201.90
  • BCBS — HMH: $4,617
  • BCBS — HPN: $4,617
  • BCBS — Medicare Adv HMO: $6,804
  • BCBS — PPO: $6,891
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file Not listed in the file $21,638.17 – $39,918.19
Heart rhythm study with ablation for atrial fibrillation: rates for 2 insurance plans
  • BCBS — Medicare Adv HMO: $21,638.17
  • HealthChoice — PPO: $39,918.19
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: POLYSOMNOGRAPHY; AGE 6 YEARS OR OLDER, SLEEP STAGING WITH 4 OR MORE ADDITIONAL PARAMETERS; 95810 $5,202 $3,121.20 $952.55 – $1,635.17
Sleep study (overnight, in a sleep lab): rates for 2 insurance plans
  • BCBS — Medicare Adv HMO: $952.55
  • HealthChoice — PPO: $1,635.17

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance 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 $131 $78.60 $42.53
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan
  • HealthChoice — PPO: $42.53
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE PT Therapeutic Exercise 97110 $131 $78.60 $42.53
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan
  • HealthChoice — PPO: $42.53
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE PT Eval, low complexity 97161 $290 $174 $145.02
Physical therapy evaluation (low complexity): rates for 1 insurance plan
  • HealthChoice — PPO: $145.02
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: PT Complexity -> Low $220 $132 $145.02
Physical therapy evaluation (low complexity): rates for 1 insurance plan
  • HealthChoice — PPO: $145.02
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE PT Eval, moderate complexity 97162 $290 $174 $145.02
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan
  • HealthChoice — PPO: $145.02
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: PT Complexity -> Moderate $220 $132 $145.02
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan
  • HealthChoice — PPO: $145.02
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE PT Eval, high complexity 97163 $290 $174 $145.02
Physical therapy evaluation (high complexity): rates for 1 insurance plan
  • HealthChoice — PPO: $145.02
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: PT Complexity -> High $220 $132 $145.02
Physical therapy evaluation (high complexity): rates for 1 insurance plan
  • HealthChoice — PPO: $145.02
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES Not listed in the file Not listed in the file $145.26 – $254.98
Psychotherapy, 30 minutes: rates for 2 insurance plans
  • BCBS — Medicare Adv HMO: $145.26
  • HealthChoice — PPO: $254.98
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES Not listed in the file Not listed in the file $145.26 – $254.98
Psychotherapy, 45 minutes: rates for 2 insurance plans
  • BCBS — Medicare Adv HMO: $145.26
  • HealthChoice — PPO: $254.98
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file $145.26 – $254.98
Psychotherapy, 60 minutes: rates for 2 insurance plans
  • BCBS — Medicare Adv HMO: $145.26
  • HealthChoice — PPO: $254.98
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file Not listed in the file $145.26
Family psychotherapy, without the patient: rates for 1 insurance plan
  • BCBS — Medicare Adv HMO: $145.26
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN Not listed in the file Not listed in the file $145.26 – $254.98
Family psychotherapy, with the patient: rates for 2 insurance plans
  • BCBS — Medicare Adv HMO: $145.26
  • HealthChoice — PPO: $254.98
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file $81.21 – $132.74
Group psychotherapy: rates for 2 insurance plans
  • BCBS — Medicare Adv HMO: $81.21
  • HealthChoice — PPO: $132.74

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: EXCISION LIPOMA BREAST 19120 $3,924 $2,354.40 $1,590 – $5,844.26
Removal of breast growth (open surgery): 10 of 12 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $3,472.74
  • BCBS — PPO: $3,361
Total hip replacement CPT 27130 · Inpatient or outpatient · Hospital (facility) fee In the file: ARTHROPLASTY ACETABULAR & PROXIMAL FEMORAL PROSTHETIC REPLACEMENT 27130 $13,500 $8,100 $7,568 – $22,181.74
Total hip replacement: 10 of 12 insurance plan rates
  • BCBS — BAV: $7,568
  • BCBS — Blue Advantage HMO: $7,568
  • BCBS — Blue Choice: $15,999
  • BCBS — Blue Essentials HMO: $15,199
  • BCBS — Blue Health: $10,719
  • BCBS — City of Dallas PPO: $14,399.10
  • BCBS — HMH: $10,719
  • BCBS — HPN: $10,719
  • BCBS — Medicare Adv HMO: $11,990.65
  • BCBS — PPO: $15,999
Total knee replacement CPT 27447 · Inpatient or outpatient · Hospital (facility) fee In the file: ARTHROPLASTY KNEE CONDYLE & PLATEAU MEDIAL AND LATERAL 27447 $13,500 $8,100 $7,568 – $22,181.74
Total knee replacement: 10 of 12 insurance plan rates
  • BCBS — BAV: $7,568
  • BCBS — Blue Advantage HMO: $7,568
  • BCBS — Blue Choice: $15,999
  • BCBS — Blue Essentials HMO: $15,199
  • BCBS — Blue Health: $10,719
  • BCBS — City of Dallas PPO: $14,399.10
  • BCBS — HMH: $10,719
  • BCBS — HPN: $10,719
  • BCBS — Medicare Adv HMO: $11,990.65
  • BCBS — PPO: $15,999
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Hospital (facility) fee In the file: ARTHROSCOPY SHOULDER W/SUBACROMIAL DECOMPRESSION/ACROMIOPLASTY 29826 $5,170 $3,102 $5,689 – $12,028
Shoulder arthroscopy: shaving of shoulder bone: rates for 10 insurance plans
  • BCBS — BAV: $5,689
  • BCBS — Blue Advantage HMO: $5,689
  • BCBS — Blue Choice: $12,028
  • BCBS — Blue Essentials HMO: $11,427
  • BCBS — Blue Health: $8,059
  • BCBS — City of Dallas PPO: $10,825.20
  • BCBS — HMH: $8,059
  • BCBS — HPN: $8,059
  • BCBS — PPO: $12,028
  • BCBS — Premier HMO: $8,059
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Hospital (facility) fee In the file: ARTHROSCOPY KNEE W/MEDIAL OR LATERAL MENISCECTOMY 29881 $6,633 $3,979.80 $2,872 – $6,071
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 12 insurance plan rates
  • BCBS — BAV: $2,872
  • BCBS — Blue Advantage HMO: $2,872
  • BCBS — Blue Choice: $6,071
  • BCBS — Blue Essentials HMO: $5,767
  • BCBS — Blue Health: $4,068
  • BCBS — City of Dallas PPO: $5,463.90
  • BCBS — HMH: $4,068
  • BCBS — HPN: $4,068
  • BCBS — Medicare Adv HMO: $2,948.97
  • BCBS — PPO: $6,071
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Hospital (facility) fee In the file: TONSILLECTOMY AND ADENOIDECTOMY UNDER AGE 12 42820 $5,170 $3,102 $1,590 – $9,077.44
Removal of tonsils and adenoids (under age 12): 10 of 12 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $5,335.35
  • BCBS — PPO: $3,361
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY; FLEXIBLE DIAGNOSTIC 43235 $5,170 $3,102 $825.87 – $3,538
Upper GI endoscopy (diagnostic): 10 of 12 insurance plan rates
  • BCBS — BAV: $1,673
  • BCBS — Blue Advantage HMO: $1,673
  • BCBS — Blue Choice: $3,538
  • BCBS — Blue Essentials HMO: $3,361
  • BCBS — Blue Health: $2,370
  • BCBS — City of Dallas PPO: $3,184.20
  • BCBS — HMH: $2,370
  • BCBS — HPN: $2,370
  • BCBS — Medicare Adv HMO: $825.87
  • BCBS — PPO: $3,538
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY W/BIOPSY 43239 $3,924 $2,354.40 $825.87 – $3,538
Upper GI endoscopy with biopsy: 10 of 12 insurance plan rates
  • BCBS — BAV: $1,673
  • BCBS — Blue Advantage HMO: $1,673
  • BCBS — Blue Choice: $3,538
  • BCBS — Blue Essentials HMO: $3,361
  • BCBS — Blue Health: $2,370
  • BCBS — City of Dallas PPO: $3,184.20
  • BCBS — HMH: $2,370
  • BCBS — HPN: $2,370
  • BCBS — Medicare Adv HMO: $825.87
  • BCBS — PPO: $3,538
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY FLEXIBLE; DIAGNOSTIC; INCL. COLLECTION OF SPECIMENS 45378 $1,928 $1,156.80 $832.67 – $3,538
Colonoscopy (diagnostic): 10 of 12 insurance plan rates
  • BCBS — BAV: $1,673
  • BCBS — Blue Advantage HMO: $1,673
  • BCBS — Blue Choice: $3,538
  • BCBS — Blue Essentials HMO: $3,361
  • BCBS — Blue Health: $2,370
  • BCBS — City of Dallas PPO: $3,184.20
  • BCBS — HMH: $2,370
  • BCBS — HPN: $2,370
  • BCBS — Medicare Adv HMO: $832.67
  • BCBS — PPO: $3,538
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY FLEXIBLE; WITH BIOPSY; SINGLE OR MULTIPLE 45380 $5,170 $3,102 $1,075.12 – $3,538
Colonoscopy with biopsy: 10 of 12 insurance plan rates
  • BCBS — BAV: $1,673
  • BCBS — Blue Advantage HMO: $1,673
  • BCBS — Blue Choice: $3,538
  • BCBS — Blue Essentials HMO: $3,361
  • BCBS — Blue Health: $2,370
  • BCBS — City of Dallas PPO: $3,184.20
  • BCBS — HMH: $2,370
  • BCBS — HPN: $2,370
  • BCBS — Medicare Adv HMO: $1,075.12
  • BCBS — PPO: $3,538
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: COLONOSCOPY FLEXIBLE; WITH REMOVAL OF TUMOR/POLYP/LESION BY SNARE TECHNIQUE 45385 $2,350 $1,410 $1,075.12 – $3,538
Colonoscopy with removal of polyps (snare): 10 of 12 insurance plan rates
  • BCBS — BAV: $1,673
  • BCBS — Blue Advantage HMO: $1,673
  • BCBS — Blue Choice: $3,538
  • BCBS — Blue Essentials HMO: $3,361
  • BCBS — Blue Health: $2,370
  • BCBS — City of Dallas PPO: $3,184.20
  • BCBS — HMH: $2,370
  • BCBS — HPN: $2,370
  • BCBS — Medicare Adv HMO: $1,075.12
  • BCBS — PPO: $3,538
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $1,075.12 – $3,361
Ultrasound of the lower bowel by endoscope: 10 of 12 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $1,075.12
  • BCBS — PPO: $3,361
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: COLON CANCER SCREEN NOT HIGH RISK G0121 $1,891 $1,134.60 $832.67 – $3,361
Screening colonoscopy (not high risk): 10 of 12 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $832.67
  • BCBS — PPO: $3,361
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Hospital (facility) fee In the file: CHOLECYSTECTOMY LAPAROSCOPIC 47562 $6,633 $3,979.80 $5,256.83 – $12,028
Gallbladder removal by laparoscope: 10 of 12 insurance plan rates
  • BCBS — BAV: $5,689
  • BCBS — Blue Advantage HMO: $5,689
  • BCBS — Blue Choice: $12,028
  • BCBS — Blue Essentials HMO: $11,427
  • BCBS — Blue Health: $8,059
  • BCBS — City of Dallas PPO: $10,825.20
  • BCBS — HMH: $8,059
  • BCBS — HPN: $8,059
  • BCBS — Medicare Adv HMO: $5,256.83
  • BCBS — PPO: $12,028
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: REPAIR INITIAL HERNIA INGUINAL-AGE 5 YEARS OR OLDER-REDUCIBLE 49505 $5,170 $3,102 $3,011 – $6,366
Groin (inguinal) hernia repair, age 5 or older: 10 of 12 insurance plan rates
  • BCBS — BAV: $3,011
  • BCBS — Blue Advantage HMO: $3,011
  • BCBS — Blue Choice: $6,366
  • BCBS — Blue Essentials HMO: $6,048
  • BCBS — Blue Health: $4,265
  • BCBS — City of Dallas PPO: $5,729.40
  • BCBS — HMH: $4,265
  • BCBS — HPN: $4,265
  • BCBS — Medicare Adv HMO: $3,151.98
  • BCBS — PPO: $6,366
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: BIOPSY PROSTATE;NEEDLE OR PUNCTURE 55700 $2,350 $1,410 $1,590 – $3,361
Prostate biopsy: 10 of 12 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $1,855.67
  • BCBS — PPO: $3,361
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Hospital (facility) fee In the file: LAPARASCOPIC PROSTATECTOMY RETROPUBIC RADICAL 55866 $18,575 $11,145 $5,689 – $15,448.41
Prostate removal by laparoscope (radical prostatectomy): 10 of 12 insurance plan rates
  • BCBS — BAV: $5,689
  • BCBS — Blue Advantage HMO: $5,689
  • BCBS — Blue Choice: $12,028
  • BCBS — Blue Essentials HMO: $11,427
  • BCBS — Blue Health: $8,059
  • BCBS — City of Dallas PPO: $10,825.20
  • BCBS — HMH: $8,059
  • BCBS — HPN: $8,059
  • BCBS — Medicare Adv HMO: $9,378.24
  • BCBS — PPO: $12,028
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: HYSTEROSCOPY WITH BIOPSY 58558 $3,924 $2,354.40 $2,848.32 – $6,366
Hysteroscopy with biopsy of the uterus lining: 10 of 12 insurance plan rates
  • BCBS — BAV: $3,011
  • BCBS — Blue Advantage HMO: $3,011
  • BCBS — Blue Choice: $6,366
  • BCBS — Blue Essentials HMO: $6,048
  • BCBS — Blue Health: $4,265
  • BCBS — City of Dallas PPO: $5,729.40
  • BCBS — HMH: $4,265
  • BCBS — HPN: $4,265
  • BCBS — Medicare Adv HMO: $2,848.32
  • BCBS — PPO: $6,366
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: BCE INJECTION DIAG./THER. SUB. W/NEEDLE OR CATH. LUMBAR/SACRAL W/IMAGE 62323 $1,928 $1,156.80 $630.04 – $3,361
Spinal injection, lower back (epidural), with imaging guidance: 10 of 12 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $630.04
  • BCBS — PPO: $3,361
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 $1,928 $1,156.80 $630.04 – $3,361
Spinal injection, lower back (epidural), with imaging guidance: 10 of 12 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $630.04
  • BCBS — PPO: $3,361
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: INJ.ANESTHETIC AGENT AND/OR STEROID; LUMBAR/SACRAL 64483 $1,928 $1,156.80 $830.42 – $3,361
Nerve root injection, lower back, with imaging guidance: 10 of 12 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $830.42
  • BCBS — PPO: $3,361
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: NEUROPLASTY AND/OR TRANSPOSITION;MEDIAN NERVE AT CARPAL TUNNEL 64721 $5,170 $3,102 $1,759.07 – $6,366
Carpal tunnel release: 10 of 12 insurance plan rates
  • BCBS — BAV: $3,011
  • BCBS — Blue Advantage HMO: $3,011
  • BCBS — Blue Choice: $6,366
  • BCBS — Blue Essentials HMO: $6,048
  • BCBS — Blue Health: $4,265
  • BCBS — City of Dallas PPO: $5,729.40
  • BCBS — HMH: $4,265
  • BCBS — HPN: $4,265
  • BCBS — Medicare Adv HMO: $1,759.07
  • BCBS — PPO: $6,366
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: DISCISSION OF SECONDARY MEMBRANEOUS CATARACT;LASER SURGERY 66821 $1,928 $1,156.80 $529.58 – $3,361
Laser treatment of clouding after cataract surgery: 10 of 12 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $529.58
  • BCBS — PPO: $3,361
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Hospital (facility) fee In the file: EXTRACAPSULAR CATARACT REMOVAL W/INSERTION OF INTRAOCULAR LENS PROSTHESIS REG. 66984 $5,170 $3,102 $2,123.11 – $6,891
Cataract removal with lens implant: 10 of 12 insurance plan rates
  • BCBS — BAV: $3,259
  • BCBS — Blue Advantage HMO: $3,259
  • BCBS — Blue Choice: $6,891
  • BCBS — Blue Essentials HMO: $6,546
  • BCBS — Blue Health: $4,617
  • BCBS — City of Dallas PPO: $6,201.90
  • BCBS — HMH: $4,617
  • BCBS — HPN: $4,617
  • BCBS — Medicare Adv HMO: $2,123.11
  • BCBS — PPO: $6,891

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $3,011 – $6,366
Vaginal delivery, with care before and after: 10 of 11 insurance plan rates
  • BCBS — BAV: $3,011
  • BCBS — Blue Advantage HMO: $3,011
  • BCBS — Blue Choice: $6,366
  • BCBS — Blue Essentials HMO: $6,048
  • BCBS — Blue Health: $4,265
  • BCBS — City of Dallas PPO: $5,729.40
  • BCBS — HMH: $4,265
  • BCBS — HPN: $4,265
  • BCBS — PPO: $6,366
  • BCBS — Premier HMO: $4,265
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $3,359 – $7,101
Cesarean delivery (C-section), with care before and after: 10 of 11 insurance plan rates
  • BCBS — BAV: $3,359
  • BCBS — Blue Advantage HMO: $3,359
  • BCBS — Blue Choice: $7,101
  • BCBS — Blue Essentials HMO: $6,746
  • BCBS — Blue Health: $4,758
  • BCBS — City of Dallas PPO: $6,390.90
  • BCBS — HMH: $4,758
  • BCBS — HPN: $4,758
  • BCBS — PPO: $7,101
  • BCBS — Premier HMO: $4,758
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $3,359 – $7,101
Vaginal delivery after a previous C-section, with care before and after: 10 of 11 insurance plan rates
  • BCBS — BAV: $3,359
  • BCBS — Blue Advantage HMO: $3,359
  • BCBS — Blue Choice: $7,101
  • BCBS — Blue Essentials HMO: $6,746
  • BCBS — Blue Health: $4,758
  • BCBS — City of Dallas PPO: $6,390.90
  • BCBS — HMH: $4,758
  • BCBS — HPN: $4,758
  • BCBS — PPO: $7,101
  • BCBS — Premier HMO: $4,758

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $57,399.27 – $114,251
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 12 insurance plan rates
  • BCBS — BAV: $57,399.27
  • BCBS — Blue Advantage HMO: $57,399.27
  • BCBS — Blue Choice: $93,035.15
  • BCBS — Blue Essentials HMO: $88,388.26
  • BCBS — Blue Health: $62,338.42
  • BCBS — City of Dallas PPO: $83,731.63
  • BCBS — HMH: $62,338.42
  • BCBS — HPN: $62,338.42
  • BCBS — Medicare Adv HMO: $65,805.71
  • BCBS — PPO: $93,035.15
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without MCC Not listed in the file Not listed in the file $22,189.27 – $43,061
Spinal fusion (not neck), without major complications: 10 of 12 insurance plan rates
  • BCBS — BAV: $22,189.27
  • BCBS — Blue Advantage HMO: $22,189.27
  • BCBS — Blue Choice: $35,965.30
  • BCBS — Blue Essentials HMO: $34,168.92
  • BCBS — Blue Health: $24,098.63
  • BCBS — City of Dallas PPO: $32,368.77
  • BCBS — HMH: $24,098.63
  • BCBS — HPN: $24,098.63
  • BCBS — Medicare Adv HMO: $24,801.98
  • BCBS — PPO: $35,965.30
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $11,264.91 – $22,151
Hip or knee replacement (major joint of the leg), without major complications: 10 of 12 insurance plan rates
  • BCBS — BAV: $11,264.91
  • BCBS — Blue Advantage HMO: $11,264.91
  • BCBS — Blue Choice: $18,258.65
  • BCBS — Blue Essentials HMO: $17,346.67
  • BCBS — Blue Health: $12,234.25
  • BCBS — City of Dallas PPO: $16,432.78
  • BCBS — HMH: $12,234.25
  • BCBS — HPN: $12,234.25
  • BCBS — Medicare Adv HMO: $12,758.66
  • BCBS — PPO: $18,258.65
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $14,936.81 – $28,966
Neck (cervical) spinal fusion, without complications: 10 of 12 insurance plan rates
  • BCBS — BAV: $14,936.81
  • BCBS — Blue Advantage HMO: $14,936.81
  • BCBS — Blue Choice: $24,210.21
  • BCBS — Blue Essentials HMO: $23,000.96
  • BCBS — Blue Health: $16,222.10
  • BCBS — City of Dallas PPO: $21,789.18
  • BCBS — HMH: $16,222.10
  • BCBS — HPN: $16,222.10
  • BCBS — Medicare Adv HMO: $16,683.82
  • BCBS — PPO: $24,210.21
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $6,897.18 – $13,679
Uterus and ovary surgery (not for cancer), without complications: 10 of 12 insurance plan rates
  • BCBS — BAV: $6,897.18
  • BCBS — Blue Advantage HMO: $6,897.18
  • BCBS — Blue Choice: $11,179.23
  • BCBS — Blue Essentials HMO: $10,620.85
  • BCBS — Blue Health: $7,490.67
  • BCBS — City of Dallas PPO: $10,061.31
  • BCBS — HMH: $7,490.67
  • BCBS — HPN: $7,490.67
  • BCBS — Medicare Adv HMO: $7,878.81
  • BCBS — PPO: $11,179.23

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

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

Hospital information

Hospital typeAcute Care Hospital
Address3601 Calais Drive, Sherman, TX 75090
CountyGrayson County
StateTexas
Phone(903) 813‑3728
Emergency servicesYes
OwnershipPhysician
Medicare overall rating3 of 5 stars
CMS Certification Number670076
Name in Medicare recordsBAYLOR SCOTT AND WHITE SURGICAL HOSPITAL AT SHERMA
Medicare’s file shortens long names to 50 characters, so the end of this name is missing.
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(903) 870‑0999[4]
Name on the hospital’s websiteBaylor Scott & White Surgical Hospital at Sherman
Official websitebaylorsherman.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Baylor Scott & White Surgical Hospital at Sherman — baylorsherman.com
  2. Laboratory Services – Baylor Scott & White Surgical Hospital at Sherman | Hospital in Sherman, TX — baylorsherman.com
  3. About Your Surgery – Baylor Scott & White Surgical Hospital at Sherman | Hospital in Sherman, TX — baylorsherman.com
  4. Direct Screen Colonoscopy – Baylor Scott & White Surgical Hospital at Sherman | Hospital in Sherman, TX — baylorsherman.com
  5. Robotic Surgery – Baylor Scott & White Surgical Hospital at Sherman | Hospital in Sherman, TX — baylorsherman.com
  6. Heart and Vascular – Baylor Scott & White Surgical Hospital at Sherman | Hospital in Sherman, TX — baylorsherman.com
  7. Imaging – Baylor Scott & White Surgical Hospital at Sherman | Hospital in Sherman, TX — baylorsherman.com
  8. Orthopedics – Baylor Scott & White Surgical Hospital at Sherman | Hospital in Sherman, TX — baylorsherman.com
  9. Plastic Surgery – Baylor Scott & White Surgical Hospital at Sherman | Hospital in Sherman, TX — baylorsherman.com
  10. About Us – Baylor Scott & White Surgical Hospital at Sherman | Hospital in Sherman, TX — baylorsherman.com
  11. Location – Baylor Scott & White Surgical Hospital at Sherman | Hospital in Sherman, TX — baylorsherman.com
  12. Contact Us – Baylor Scott & White Surgical Hospital at Sherman | Hospital in Sherman, TX — baylorsherman.com