Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Acute Care Hospital

Baylor Scott & White Medical Center at Irving

Irving, Texas · Dallas County · Emergency services listed

Summary

Baylor Scott & White Medical Center at Irving is an acute care hospital in Irving, Texas. Medicare data lists emergency services. CMS overall star rating: 5 of 5 stars. Its official website lists 117 services, specialties and programs. Medicare lists 410 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

Compare

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
5 of 5 stars5 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
297Beds (hospital website)
117Services listed

Quick answers

Does Baylor Scott & White Medical Center at Irving have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Baylor Scott & White Medical Center at Irving. In a medical emergency, call 911.
Where is Baylor Scott & White Medical Center at Irving?
1901 N Macarthur Blvd, Irving, TX 75061, in Dallas County, Texas.
What is the phone number of Baylor Scott & White Medical Center at Irving?
(972) 579-8100, as listed by Medicare (CMS).
What is the Medicare star rating of Baylor Scott & White Medical Center at Irving?
5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Conditions treated[4]

Treatments[4]

Procedures[4]

  • Colonoscopy
  • ERCP
  • Endoscopic ultrasound
  • Fecal transplant
  • Liver biopsy
  • Gastrostomy tube placement
  • Bone density testing
  • Thyroid fine needle biopsy
  • 3D mammography
  • Breast biopsy
  • Joint replacement
  • Hand and wrist surgery
  • Cardiac catheterization
  • Robotic surgery
  • Weight-loss surgery
  • Vascular surgery
  • Rhinoplasty
  • Facelift

Programs and centers[4]

  • Comprehensive Wound Center
  • Enhanced recovery after surgery (ERAS)
  • Child life program (palliative care)
  • Cancer research and clinical trials
  • Neonatal intensive care unit (NICU)
  • Pediatric intensive care unit (PICU)

Emergency care (hospital website)[4]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

Patient portalMyBSWHealth

Recognition[4]

  • Joint Commission accredited

Doctors and clinicians (410)

410 doctors and other clinicians list Baylor Scott & White Medical Center at Irving 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 (410)

And 386 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 & White Medical Center at Irving 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) 3 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1075%National average: 72%
Would definitely recommend the hospital78%National average: 71%
Nurses “always” communicated well79%National average: 80%
Doctors “always” communicated well78%National average: 80%
Staff “always” explained medicines before giving them61%National average: 62%
Were given information about recovery at home87%National average: 86%
Room and bathroom “always” clean77%National average: 74%
Area around the room “always” quiet at night65%National average: 60%
Completed surveys821Response rate: 11%

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)1.187No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0Better than the national benchmark
Surgical site infections after colon surgery0Better than the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.566No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.113Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients11.1%
Deaths within 30 days: heart failure patients7.7%
Deaths within 30 days: pneumonia patients12%
Deaths within 30 days: COPD patients7.1%
Deaths within 30 days: stroke patients8.1%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.85No different from the national rate
Complications after hip or knee replacementToo few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack14.8%
Readmitted within 30 days: heart failure21.1%
Readmitted within 30 days: pneumonia18.7%
Readmitted within 30 days: COPD20.7%
Readmitted within 30 days: coronary bypass surgeryToo few cases to report
Readmitted within 30 days: hip or knee replacementToo few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)155 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)91%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 56 common services exactly as Baylor Scott & White Medical Center at Irving lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY CARE LEVEL III $1,283.40 $770.04 $141.17 – $2,691
Emergency room visit (moderate): 10 of 46 insurance plan rates
  • Aetna — Commercial: $2,691
  • Aetna — Medicare Advantage: $274.22
  • American Health Plan — Medicare Advantage: $287.93
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,021.25
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $452.46
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $344.15
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $868.06
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $329.06
  • Baylor Scott & White Health Plan — Medicare Advantage: $260.51
  • Blue Cross Blue Shield — Blue Advantage: $728
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB EMERGENCY CARE LEVEL III $1,283.40 $770.04 $141.17 – $2,691
Emergency room visit (moderate): 10 of 46 insurance plan rates
  • Aetna — Commercial: $2,691
  • Aetna — Medicare Advantage: $274.22
  • American Health Plan — Medicare Advantage: $287.93
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,021.25
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $452.46
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $344.15
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $868.06
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $329.06
  • Baylor Scott & White Health Plan — Medicare Advantage: $260.51
  • Blue Cross Blue Shield — Blue Advantage: $728
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY CARE LEVEL III $1,283.40 $770.04 $705.87 – $898.38
Emergency room visit (moderate): rates for 3 insurance plans
  • Curative — Commercial: $834.21
  • First Health — PPO: $898.38
  • QuikTrip — Employee Benefit Plan: $705.87
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY CARE LEVEL IV $2,122.80 $1,273.68 $233.51 – $3,894
Emergency room visit (moderately high): 10 of 46 insurance plan rates
  • Aetna — Commercial: $3,894
  • Aetna — Medicare Advantage: $419.16
  • American Health Plan — Medicare Advantage: $440.12
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,294.65
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $691.61
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $526.05
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,100.45
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $502.99
  • Baylor Scott & White Health Plan — Medicare Advantage: $398.20
  • Blue Cross Blue Shield — Blue Advantage: $1,420
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB EMERGENCY CARE LEVEL IV $2,122.80 $1,273.68 $233.51 – $3,894
Emergency room visit (moderately high): 10 of 46 insurance plan rates
  • Aetna — Commercial: $3,894
  • Aetna — Medicare Advantage: $419.16
  • American Health Plan — Medicare Advantage: $440.12
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,294.65
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $691.61
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $526.05
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,100.45
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $502.99
  • Baylor Scott & White Health Plan — Medicare Advantage: $398.20
  • Blue Cross Blue Shield — Blue Advantage: $1,420
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY CARE LEVEL IV $2,122.80 $1,273.68 $1,167.54 – $1,485.96
Emergency room visit (moderately high): rates for 3 insurance plans
  • Curative — Commercial: $1,379.82
  • First Health — PPO: $1,485.96
  • QuikTrip — Employee Benefit Plan: $1,167.54
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY CARE LEVEL V $3,879.67 $2,327.80 $426.76 – $6,643
Emergency room visit (high): 10 of 46 insurance plan rates
  • Aetna — Commercial: $6,643
  • Aetna — Medicare Advantage: $598.24
  • American Health Plan — Medicare Advantage: $628.15
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,770.24
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $987.10
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $750.79
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,504.70
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $717.89
  • Baylor Scott & White Health Plan — Medicare Advantage: $568.33
  • Blue Cross Blue Shield — Blue Advantage: $3,000
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB EMERGENCY CARE LEVEL V $3,879.67 $2,327.80 $426.76 – $6,643
Emergency room visit (high): 10 of 46 insurance plan rates
  • Aetna — Commercial: $6,643
  • Aetna — Medicare Advantage: $598.24
  • American Health Plan — Medicare Advantage: $628.15
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,770.24
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $987.10
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $750.79
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,504.70
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $717.89
  • Baylor Scott & White Health Plan — Medicare Advantage: $568.33
  • Blue Cross Blue Shield — Blue Advantage: $3,000
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY CARE LEVEL V $3,879.67 $2,327.80 $2,133.82 – $2,715.77
Emergency room visit (high): rates for 3 insurance plans
  • Curative — Commercial: $2,521.79
  • First Health — PPO: $2,715.77
  • QuikTrip — Employee Benefit Plan: $2,133.82

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL TOTAL CALCIUM $249.74 $149.84 $7.11 – $187.31
Basic metabolic panel (blood test): 10 of 46 insurance plan rates
  • Aetna — Commercial: $137.36
  • Aetna — Medicare Advantage: $8.46
  • American Health Plan — Medicare Advantage: $8.88
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $14.40
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $13.96
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $10.62
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $12.24
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $10.15
  • Baylor Scott & White Health Plan — Medicare Advantage: $8.04
  • Blue Cross Blue Shield — Blue Advantage: $20.64
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL TOTAL CALCIUM $249.74 $149.84 $7.11 – $187.31
Basic metabolic panel (blood test): 10 of 46 insurance plan rates
  • Aetna — Commercial: $137.36
  • Aetna — Medicare Advantage: $8.46
  • American Health Plan — Medicare Advantage: $8.88
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $14.40
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $13.96
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $10.62
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $12.24
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $10.15
  • Baylor Scott & White Health Plan — Medicare Advantage: $8.04
  • Blue Cross Blue Shield — Blue Advantage: $20.64
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL TOTAL CALCIUM $249.74 $149.84 $137.36 – $174.82
Basic metabolic panel (blood test): rates for 3 insurance plans
  • Curative — Commercial: $162.33
  • First Health — PPO: $174.82
  • QuikTrip — Employee Benefit Plan: $137.36
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL $392.86 $235.72 $8.87 – $294.64
Comprehensive metabolic panel (blood test): 10 of 46 insurance plan rates
  • Aetna — Commercial: $216.07
  • Aetna — Medicare Advantage: $10.56
  • American Health Plan — Medicare Advantage: $11.09
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $19.80
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $17.42
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $13.25
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $16.83
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $12.67
  • Baylor Scott & White Health Plan — Medicare Advantage: $10.03
  • Blue Cross Blue Shield — Blue Advantage: $25.77
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHEN METABOLIC PANEL - MEDFUSION $392.86 $235.72 $8.87 – $294.64
Comprehensive metabolic panel (blood test): 10 of 46 insurance plan rates
  • Aetna — Commercial: $216.07
  • Aetna — Medicare Advantage: $10.56
  • American Health Plan — Medicare Advantage: $11.09
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $19.80
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $17.42
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $13.25
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $16.83
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $12.67
  • Baylor Scott & White Health Plan — Medicare Advantage: $10.03
  • Blue Cross Blue Shield — Blue Advantage: $25.77
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL $392.86 $235.72 $216.07 – $275
Comprehensive metabolic panel (blood test): rates for 3 insurance plans
  • Curative — Commercial: $255.36
  • First Health — PPO: $275
  • QuikTrip — Employee Benefit Plan: $216.07
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL $422.88 $253.73 $10 – $317.16
Obstetric blood test panel: 10 of 46 insurance plan rates
  • Aetna — Commercial: $232.58
  • Aetna — Medicare Advantage: $47.81
  • American Health Plan — Medicare Advantage: $50.20
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $86.40
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $78.89
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $60
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $73.44
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $57.37
  • Baylor Scott & White Health Plan — Medicare Advantage: $45.42
  • Blue Cross Blue Shield — Blue Advantage: $116.66
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL $422.88 $253.73 $232.58 – $296.02
Obstetric blood test panel: rates for 3 insurance plans
  • Curative — Commercial: $274.87
  • First Health — PPO: $296.02
  • QuikTrip — Employee Benefit Plan: $232.58
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL $328.07 $196.84 $10 – $246.05
Cholesterol panel (lipid panel): 10 of 46 insurance plan rates
  • Aetna — Commercial: $180.44
  • Aetna — Medicare Advantage: $13.39
  • American Health Plan — Medicare Advantage: $14.06
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $23.40
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $22.09
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $16.80
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $19.89
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $16.07
  • Baylor Scott & White Health Plan — Medicare Advantage: $12.72
  • Blue Cross Blue Shield — Blue Advantage: $32.67
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL - LIPOPROTEIN METABOLISM PROFILE $328.07 $196.84 $10 – $246.05
Cholesterol panel (lipid panel): 10 of 46 insurance plan rates
  • Aetna — Commercial: $180.44
  • Aetna — Medicare Advantage: $13.39
  • American Health Plan — Medicare Advantage: $14.06
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $23.40
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $22.09
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $16.80
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $19.89
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $16.07
  • Baylor Scott & White Health Plan — Medicare Advantage: $12.72
  • Blue Cross Blue Shield — Blue Advantage: $32.67
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC REF LABCORP, 361946 LIPID CASCADE W LIPO ASSESS BY NMR $46.80 $28.08 $10 – $69.09
Cholesterol panel (lipid panel): 10 of 46 insurance plan rates
  • Aetna — Commercial: $25.74
  • Aetna — Medicare Advantage: $13.39
  • American Health Plan — Medicare Advantage: $14.06
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $23.40
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $22.09
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $16.80
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $19.89
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $16.07
  • Baylor Scott & White Health Plan — Medicare Advantage: $12.72
  • Blue Cross Blue Shield — Blue Advantage: $32.67
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $295.62 $177.37 $7.29 – $221.72
Kidney function panel: 10 of 46 insurance plan rates
  • Aetna — Commercial: $162.59
  • Aetna — Medicare Advantage: $8.68
  • American Health Plan — Medicare Advantage: $9.11
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $16.20
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $14.32
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $10.89
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $13.77
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $10.42
  • Baylor Scott & White Health Plan — Medicare Advantage: $8.25
  • Blue Cross Blue Shield — Blue Advantage: $21.18
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PANEL RENAL FUNCTION $295.62 $177.37 $7.29 – $221.72
Kidney function panel: 10 of 46 insurance plan rates
  • Aetna — Commercial: $162.59
  • Aetna — Medicare Advantage: $8.68
  • American Health Plan — Medicare Advantage: $9.11
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $16.20
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $14.32
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $10.89
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $13.77
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $10.42
  • Baylor Scott & White Health Plan — Medicare Advantage: $8.25
  • Blue Cross Blue Shield — Blue Advantage: $21.18
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $295.62 $177.37 $162.59 – $206.93
Kidney function panel: rates for 3 insurance plans
  • Curative — Commercial: $192.15
  • First Health — PPO: $206.93
  • QuikTrip — Employee Benefit Plan: $162.59
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL $322.54 $193.52 $6.86 – $241.91
Liver function panel: 10 of 46 insurance plan rates
  • Aetna — Commercial: $177.40
  • Aetna — Medicare Advantage: $8.17
  • American Health Plan — Medicare Advantage: $8.58
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $14.40
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $13.48
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $10.25
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $12.24
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $9.80
  • Baylor Scott & White Health Plan — Medicare Advantage: $7.76
  • Blue Cross Blue Shield — Blue Advantage: $19.93
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL POC $322.54 $193.52 $6.86 – $241.91
Liver function panel: 10 of 46 insurance plan rates
  • Aetna — Commercial: $177.40
  • Aetna — Medicare Advantage: $8.17
  • American Health Plan — Medicare Advantage: $8.58
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $14.40
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $13.48
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $10.25
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $12.24
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $9.80
  • Baylor Scott & White Health Plan — Medicare Advantage: $7.76
  • Blue Cross Blue Shield — Blue Advantage: $19.93
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL $322.54 $193.52 $177.40 – $225.78
Liver function panel: rates for 3 insurance plans
  • Curative — Commercial: $209.65
  • First Health — PPO: $225.78
  • QuikTrip — Employee Benefit Plan: $177.40
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE $129.78 $77.87 $2.66 – $97.33
Urine test (automated, with microscope): 10 of 46 insurance plan rates
  • Aetna — Commercial: $71.38
  • Aetna — Medicare Advantage: $3.17
  • American Health Plan — Medicare Advantage: $3.33
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $5.40
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $5.23
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $3.98
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $4.59
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $3.80
  • Baylor Scott & White Health Plan — Medicare Advantage: $3.01
  • Blue Cross Blue Shield — Blue Advantage: $7.73
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/SCOPE - W/RFLX TO CULTURE $129.78 $77.87 $2.66 – $97.33
Urine test (automated, with microscope): 10 of 46 insurance plan rates
  • Aetna — Commercial: $71.38
  • Aetna — Medicare Advantage: $3.17
  • American Health Plan — Medicare Advantage: $3.33
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $5.40
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $5.23
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $3.98
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $4.59
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $3.80
  • Baylor Scott & White Health Plan — Medicare Advantage: $3.01
  • Blue Cross Blue Shield — Blue Advantage: $7.73
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS, AUTO, W/SCOPE $129.78 $77.87 $71.38 – $90.85
Urine test (automated, with microscope): rates for 3 insurance plans
  • Curative — Commercial: $84.36
  • First Health — PPO: $90.85
  • QuikTrip — Employee Benefit Plan: $71.38
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O SCOPE $59.67 $35.80 $2.92 – $44.75
Urine test (manual, without microscope): 10 of 46 insurance plan rates
  • Aetna — Commercial: $32.82
  • Aetna — Medicare Advantage: $3.48
  • American Health Plan — Medicare Advantage: $3.65
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $5.40
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $5.74
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $4.37
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $4.59
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $4.18
  • Baylor Scott & White Health Plan — Medicare Advantage: $3.31
  • Blue Cross Blue Shield — Blue Advantage: $8.49
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, REAGENT STRIP $59.67 $35.80 $2.92 – $44.75
Urine test (manual, without microscope): 10 of 46 insurance plan rates
  • Aetna — Commercial: $32.82
  • Aetna — Medicare Advantage: $3.48
  • American Health Plan — Medicare Advantage: $3.65
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $5.40
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $5.74
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $4.37
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $4.59
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $4.18
  • Baylor Scott & White Health Plan — Medicare Advantage: $3.31
  • Blue Cross Blue Shield — Blue Advantage: $8.49
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O SCOPE, PH URINE $59.67 $35.80 $2.92 – $44.75
Urine test (manual, without microscope): 10 of 46 insurance plan rates
  • Aetna — Commercial: $32.82
  • Aetna — Medicare Advantage: $3.48
  • American Health Plan — Medicare Advantage: $3.65
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $5.40
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $5.74
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $4.37
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $4.59
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $4.18
  • Baylor Scott & White Health Plan — Medicare Advantage: $3.31
  • Blue Cross Blue Shield — Blue Advantage: $8.49
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/O SCOPE $83.58 $50.15 $1.89 – $62.69
Urine test (automated, without microscope): 10 of 46 insurance plan rates
  • Aetna — Commercial: $45.97
  • Aetna — Medicare Advantage: $2.25
  • American Health Plan — Medicare Advantage: $2.36
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $3.60
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $3.71
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $2.82
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $3.06
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $2.70
  • Baylor Scott & White Health Plan — Medicare Advantage: $2.14
  • Blue Cross Blue Shield — Blue Advantage: $5.49
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, WITHOUT MICROSCOPY $83.58 $50.15 $1.89 – $62.69
Urine test (automated, without microscope): 10 of 46 insurance plan rates
  • Aetna — Commercial: $45.97
  • Aetna — Medicare Advantage: $2.25
  • American Health Plan — Medicare Advantage: $2.36
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $3.60
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $3.71
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $2.82
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $3.06
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $2.70
  • Baylor Scott & White Health Plan — Medicare Advantage: $2.14
  • Blue Cross Blue Shield — Blue Advantage: $5.49
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, WITHOUT MICROSCOPY POINT OF CARE PATHOLOGY $83.58 $50.15 $1.89 – $62.69
Urine test (automated, without microscope): 10 of 46 insurance plan rates
  • Aetna — Commercial: $45.97
  • Aetna — Medicare Advantage: $2.25
  • American Health Plan — Medicare Advantage: $2.36
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $3.60
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $3.71
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $2.82
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $3.06
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $2.70
  • Baylor Scott & White Health Plan — Medicare Advantage: $2.14
  • Blue Cross Blue Shield — Blue Advantage: $5.49
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA,TOTAL $250.73 $150.44 $10 – $188.05
PSA (prostate specific antigen) blood test: 10 of 46 insurance plan rates
  • Aetna — Commercial: $137.90
  • Aetna — Medicare Advantage: $18.39
  • American Health Plan — Medicare Advantage: $19.31
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $32.40
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $30.34
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $23.08
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $27.54
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $22.07
  • Baylor Scott & White Health Plan — Medicare Advantage: $17.47
  • Blue Cross Blue Shield — Blue Advantage: $44.87
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN (PSA), TOTAL $250.73 $150.44 $10 – $188.05
PSA (prostate specific antigen) blood test: 10 of 46 insurance plan rates
  • Aetna — Commercial: $137.90
  • Aetna — Medicare Advantage: $18.39
  • American Health Plan — Medicare Advantage: $19.31
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $32.40
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $30.34
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $23.08
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $27.54
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $22.07
  • Baylor Scott & White Health Plan — Medicare Advantage: $17.47
  • Blue Cross Blue Shield — Blue Advantage: $44.87
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN (PSA), ULTRASENSITIVE $250.73 $150.44 $10 – $188.05
PSA (prostate specific antigen) blood test: 10 of 46 insurance plan rates
  • Aetna — Commercial: $137.90
  • Aetna — Medicare Advantage: $18.39
  • American Health Plan — Medicare Advantage: $19.31
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $32.40
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $30.34
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $23.08
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $27.54
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $22.07
  • Baylor Scott & White Health Plan — Medicare Advantage: $17.47
  • Blue Cross Blue Shield — Blue Advantage: $44.87
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE $285.79 $171.47 $10 – $214.34
Thyroid stimulating hormone (TSH) test: 10 of 46 insurance plan rates
  • Aetna — Commercial: $157.18
  • Aetna — Medicare Advantage: $16.80
  • American Health Plan — Medicare Advantage: $17.64
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $30.60
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $27.72
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $21.08
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $26.01
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $20.16
  • Baylor Scott & White Health Plan — Medicare Advantage: $15.96
  • Blue Cross Blue Shield — Blue Advantage: $40.99
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - THYROID PANEL, COMPREHENSIVE $285.79 $171.47 $10 – $214.34
Thyroid stimulating hormone (TSH) test: 10 of 46 insurance plan rates
  • Aetna — Commercial: $157.18
  • Aetna — Medicare Advantage: $16.80
  • American Health Plan — Medicare Advantage: $17.64
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $30.60
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $27.72
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $21.08
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $26.01
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $20.16
  • Baylor Scott & White Health Plan — Medicare Advantage: $15.96
  • Blue Cross Blue Shield — Blue Advantage: $40.99
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - CHRONIC URTICARIA INDEX $285.79 $171.47 $10 – $214.34
Thyroid stimulating hormone (TSH) test: 10 of 46 insurance plan rates
  • Aetna — Commercial: $157.18
  • Aetna — Medicare Advantage: $16.80
  • American Health Plan — Medicare Advantage: $17.64
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $30.60
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $27.72
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $21.08
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $26.01
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $20.16
  • Baylor Scott & White Health Plan — Medicare Advantage: $15.96
  • Blue Cross Blue Shield — Blue Advantage: $40.99
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC W/AUTO WBC DIFF $183.63 $110.18 $6.53 – $137.72
Complete blood count (CBC) with differential: 10 of 46 insurance plan rates
  • Aetna — Commercial: $101
  • Aetna — Medicare Advantage: $7.77
  • American Health Plan — Medicare Advantage: $8.16
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $14.40
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $12.82
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $9.75
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $12.24
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $9.32
  • Baylor Scott & White Health Plan — Medicare Advantage: $7.38
  • Blue Cross Blue Shield — Blue Advantage: $18.96
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC,COMPLTE/AUTO&AUTO DIFFERTI $183.63 $110.18 $6.53 – $137.72
Complete blood count (CBC) with differential: 10 of 46 insurance plan rates
  • Aetna — Commercial: $101
  • Aetna — Medicare Advantage: $7.77
  • American Health Plan — Medicare Advantage: $8.16
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $14.40
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $12.82
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $9.75
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $12.24
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $9.32
  • Baylor Scott & White Health Plan — Medicare Advantage: $7.38
  • Blue Cross Blue Shield — Blue Advantage: $18.96
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC W/AUTO DIFF WBC $183.63 $110.18 $6.53 – $137.72
Complete blood count (CBC) with differential: 10 of 46 insurance plan rates
  • Aetna — Commercial: $101
  • Aetna — Medicare Advantage: $7.77
  • American Health Plan — Medicare Advantage: $8.16
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $14.40
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $12.82
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $9.75
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $12.24
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $9.32
  • Baylor Scott & White Health Plan — Medicare Advantage: $7.38
  • Blue Cross Blue Shield — Blue Advantage: $18.96
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC AUTOMATED W/OUT DIFF $149.84 $89.90 $5.43 – $112.38
Complete blood count (CBC), automated: 10 of 46 insurance plan rates
  • Aetna — Commercial: $82.41
  • Aetna — Medicare Advantage: $6.47
  • American Health Plan — Medicare Advantage: $6.79
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $10.80
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $10.68
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $8.12
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $9.18
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $7.76
  • Baylor Scott & White Health Plan — Medicare Advantage: $6.15
  • Blue Cross Blue Shield — Blue Advantage: $15.79
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEMOGRAM $149.84 $89.90 $5.43 – $112.38
Complete blood count (CBC), automated: 10 of 46 insurance plan rates
  • Aetna — Commercial: $82.41
  • Aetna — Medicare Advantage: $6.47
  • American Health Plan — Medicare Advantage: $6.79
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $10.80
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $10.68
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $8.12
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $9.18
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $7.76
  • Baylor Scott & White Health Plan — Medicare Advantage: $6.15
  • Blue Cross Blue Shield — Blue Advantage: $15.79
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC AUTOMATED W/OUT DIFF $149.84 $89.90 $82.41 – $104.89
Complete blood count (CBC), automated: rates for 3 insurance plans
  • Curative — Commercial: $97.40
  • First Health — PPO: $104.89
  • QuikTrip — Employee Benefit Plan: $82.41
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC REF MAYO, COMP AATHR, CPT 85610 $50.24 $30.14 $3.60 – $37.68
Blood clotting time test (prothrombin time, PT): 10 of 46 insurance plan rates
  • Aetna — Commercial: $27.63
  • Aetna — Medicare Advantage: $4.29
  • American Health Plan — Medicare Advantage: $4.50
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $7.20
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $7.08
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $5.38
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $6.12
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $5.15
  • Baylor Scott & White Health Plan — Medicare Advantage: $4.08
  • Blue Cross Blue Shield — Blue Advantage: $10.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME $140.91 $84.55 $3.60 – $105.68
Blood clotting time test (prothrombin time, PT): 10 of 46 insurance plan rates
  • Aetna — Commercial: $77.50
  • Aetna — Medicare Advantage: $4.29
  • American Health Plan — Medicare Advantage: $4.50
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $7.20
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $7.08
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $5.38
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $6.12
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $5.15
  • Baylor Scott & White Health Plan — Medicare Advantage: $4.08
  • Blue Cross Blue Shield — Blue Advantage: $10.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PROTHROMBIN TIME $140.91 $84.55 $3.60 – $105.68
Blood clotting time test (prothrombin time, PT): 10 of 46 insurance plan rates
  • Aetna — Commercial: $77.50
  • Aetna — Medicare Advantage: $4.29
  • American Health Plan — Medicare Advantage: $4.50
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $7.20
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $7.08
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $5.38
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $6.12
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $5.15
  • Baylor Scott & White Health Plan — Medicare Advantage: $4.08
  • Blue Cross Blue Shield — Blue Advantage: $10.47
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC REF MAYO, COMP AATHR, CPT 85730 $67.08 $40.25 $5.05 – $50.31
Blood clotting test (partial thromboplastin time, PTT): 10 of 46 insurance plan rates
  • Aetna — Commercial: $36.89
  • Aetna — Medicare Advantage: $6.01
  • American Health Plan — Medicare Advantage: $6.31
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $10.80
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $9.92
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $7.54
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $9.18
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $7.21
  • Baylor Scott & White Health Plan — Medicare Advantage: $5.71
  • Blue Cross Blue Shield — Blue Advantage: $14.66
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PARTIALTHROMBOPLASTIN TIME (APTT) $146.11 $87.67 $5.05 – $109.58
Blood clotting test (partial thromboplastin time, PTT): 10 of 46 insurance plan rates
  • Aetna — Commercial: $80.36
  • Aetna — Medicare Advantage: $6.01
  • American Health Plan — Medicare Advantage: $6.31
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $10.80
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $9.92
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $7.54
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $9.18
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $7.21
  • Baylor Scott & White Health Plan — Medicare Advantage: $5.71
  • Blue Cross Blue Shield — Blue Advantage: $14.66
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC REF MAYO COMP APROL CPT 85730 $112.95 $67.77 $5.05 – $84.71
Blood clotting test (partial thromboplastin time, PTT): 10 of 46 insurance plan rates
  • Aetna — Commercial: $62.12
  • Aetna — Medicare Advantage: $6.01
  • American Health Plan — Medicare Advantage: $6.31
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $10.80
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $9.92
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $7.54
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $9.18
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $7.21
  • Baylor Scott & White Health Plan — Medicare Advantage: $5.71
  • Blue Cross Blue Shield — Blue Advantage: $14.66

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN SCAN W/O CONTRAST $3,178.59 $1,907.15 $99.77 – $2,383.94
CT scan of the head or brain, without contrast: 10 of 46 insurance plan rates
  • Aetna — Commercial: $1,748.22
  • Aetna — Medicare Advantage: $105.02
  • American Health Plan — Medicare Advantage: $110.27
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,832.27
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $173.28
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $131.80
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,557.43
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $126.02
  • Baylor Scott & White Health Plan — Medicare Advantage: $99.77
  • Blue Cross Blue Shield — Blue Advantage: $366.50
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN SCAN W/O CONTRAST $3,178.59 $1,907.15 $1,748.22 – $2,225.01
CT scan of the head or brain, without contrast: rates for 3 insurance plans
  • Curative — Commercial: $2,066.08
  • First Health — PPO: $2,225.01
  • QuikTrip — Employee Benefit Plan: $1,748.22
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BRAIN W/O&W DYE, MRI $5,248.52 $3,149.11 $328.11 – $3,936.39
MRI of the brain, before and after contrast: 10 of 46 insurance plan rates
  • Aetna — Commercial: $2,886.69
  • Aetna — Medicare Advantage: $350.46
  • American Health Plan — Medicare Advantage: $367.98
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $2,138.99
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $578.26
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $439.83
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,818.14
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $420.55
  • Baylor Scott & White Health Plan — Medicare Advantage: $332.94
  • Blue Cross Blue Shield — Blue Advantage: $1,248.65
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BRAIN W/O&W DYE, MRI $5,248.52 $3,149.11 $2,886.69 – $3,673.96
MRI of the brain, before and after contrast: rates for 3 insurance plans
  • Curative — Commercial: $3,411.54
  • First Health — PPO: $3,673.96
  • QuikTrip — Employee Benefit Plan: $2,886.69
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC X-RAY EXAM CHEST 2 VIEWS $656.37 $393.82 $33.75 – $492.28
Chest X-ray, 2 views: 10 of 46 insurance plan rates
  • Aetna — Commercial: $361
  • Aetna — Medicare Advantage: $87.42
  • American Health Plan — Medicare Advantage: $91.79
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $380.69
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $144.24
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $109.71
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $323.59
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $104.90
  • Baylor Scott & White Health Plan — Medicare Advantage: $83.05
  • Blue Cross Blue Shield — Blue Advantage: $159.62
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC X-RAY EXAM CHEST 2 VIEWS $656.37 $393.82 $361 – $459.46
Chest X-ray, 2 views: rates for 3 insurance plans
  • Curative — Commercial: $426.64
  • First Health — PPO: $459.46
  • QuikTrip — Employee Benefit Plan: $361
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SPINE,LUMBOSACRAL MIN 4 VIEWS $791.73 $475.04 $52.13 – $593.80
X-ray of the lower spine, at least 4 views: 10 of 46 insurance plan rates
  • Aetna — Commercial: $435.45
  • Aetna — Medicare Advantage: $105.02
  • American Health Plan — Medicare Advantage: $110.27
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $459.20
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $173.28
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $131.80
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $390.32
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $126.02
  • Baylor Scott & White Health Plan — Medicare Advantage: $99.77
  • Blue Cross Blue Shield — Blue Advantage: $224.16
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SPINE,LUMBOSACRAL MIN 4 VIEWS $791.73 $475.04 $435.45 – $554.21
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans
  • Curative — Commercial: $514.62
  • First Health — PPO: $554.21
  • QuikTrip — Employee Benefit Plan: $435.45
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI SPINE LUMBAR W/O CONTRA $3,650.03 $2,190.02 $197.14 – $2,737.52
MRI of the lower back (lumbar spine), without contrast: 10 of 46 insurance plan rates
  • Aetna — Commercial: $2,007.52
  • Aetna — Medicare Advantage: $239.69
  • American Health Plan — Medicare Advantage: $251.67
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $2,138.99
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $395.49
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $300.81
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,818.14
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $287.63
  • Baylor Scott & White Health Plan — Medicare Advantage: $227.71
  • Blue Cross Blue Shield — Blue Advantage: $762.04
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI SPINE LUMBAR W/O CONTRA $3,650.03 $2,190.02 $2,007.52 – $2,555.02
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans
  • Curative — Commercial: $2,372.52
  • First Health — PPO: $2,555.02
  • QuikTrip — Employee Benefit Plan: $2,007.52
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PELVIS CT SCAN,W/CONTRAST $3,665.78 $2,199.47 $167.39 – $2,749.34
CT scan of the pelvis, with contrast: 10 of 46 insurance plan rates
  • Aetna — Commercial: $2,016.18
  • Aetna — Medicare Advantage: $176.20
  • American Health Plan — Medicare Advantage: $185.01
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,832.27
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $290.73
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $221.13
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,557.43
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $211.44
  • Baylor Scott & White Health Plan — Medicare Advantage: $167.39
  • Blue Cross Blue Shield — Blue Advantage: $595.86
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PELVIS CT SCAN,W/CONTRAST $3,665.78 $2,199.47 $2,016.18 – $2,566.05
CT scan of the pelvis, with contrast: rates for 3 insurance plans
  • Curative — Commercial: $2,382.76
  • First Health — PPO: $2,566.05
  • QuikTrip — Employee Benefit Plan: $2,016.18
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI EXT LOWER JNT W/O CON $3,682.04 $2,209.22 $208.84 – $2,761.53
MRI of a leg joint (such as the knee), without contrast: 10 of 46 insurance plan rates
  • Aetna — Commercial: $2,025.12
  • Aetna — Medicare Advantage: $239.69
  • American Health Plan — Medicare Advantage: $251.67
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $2,138.99
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $395.49
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $300.81
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,818.14
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $287.63
  • Baylor Scott & White Health Plan — Medicare Advantage: $227.71
  • Blue Cross Blue Shield — Blue Advantage: $762.04
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI EXT LOWER JNT W/O CON $3,682.04 $2,209.22 $2,025.12 – $2,577.43
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans
  • Curative — Commercial: $2,393.33
  • First Health — PPO: $2,577.43
  • QuikTrip — Employee Benefit Plan: $2,025.12
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: HC MR LWR EXT JT WO CM LT $3,682.04 $2,209.22 $208.84 – $3,129.73
MRI of a leg joint (such as the knee), without contrast: 10 of 32 insurance plan rates
  • Aetna — Commercial: $2,025.12
  • Aetna — Medicare Advantage: $2,209.22
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $2,138.99
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,818.14
  • Blue Cross Blue Shield — Blue Advantage: $762.04
  • Blue Cross Blue Shield — Blue Essentials (HMO): $1,531.07
  • Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $1,081.31
  • Blue Cross Blue Shield — BlueChoice (PPO): $1,612.64
  • Blue Cross Blue Shield — City of Dallas: $1,451.84
  • Cigna — HMO/PPO: $2,297
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABDOMEN/PELVIS W/CONTRAST $6,484.35 $3,890.61 $312.08 – $4,863.26
CT scan of the abdomen and pelvis, with contrast: 10 of 46 insurance plan rates
  • Aetna — Commercial: $3,566.39
  • Aetna — Medicare Advantage: $350.46
  • American Health Plan — Medicare Advantage: $367.98
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,832.27
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $578.26
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $439.83
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,557.43
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $420.55
  • Baylor Scott & White Health Plan — Medicare Advantage: $332.94
  • Blue Cross Blue Shield — Blue Advantage: $1,248.65
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABDOMEN/PELVIS W/CONTRAST $6,484.35 $3,890.61 $3,566.39 – $4,539.05
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans
  • Curative — Commercial: $4,214.83
  • First Health — PPO: $4,539.05
  • QuikTrip — Employee Benefit Plan: $3,566.39
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE $1,438.16 $862.90 $99.77 – $1,078.62
Ultrasound of the abdomen, complete: 10 of 46 insurance plan rates
  • Aetna — Commercial: $790.99
  • Aetna — Medicare Advantage: $105.02
  • American Health Plan — Medicare Advantage: $110.27
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $834.13
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $173.28
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $131.80
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $709.01
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $126.02
  • Baylor Scott & White Health Plan — Medicare Advantage: $99.77
  • Blue Cross Blue Shield — Blue Advantage: $224.16
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE $1,438.16 $862.90 $790.99 – $1,006.71
Ultrasound of the abdomen, complete: rates for 3 insurance plans
  • Curative — Commercial: $934.80
  • First Health — PPO: $1,006.71
  • QuikTrip — Employee Benefit Plan: $790.99
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US > 14 WKS - TRANSABDOMINAL - FIRST FETUS $983.78 $590.27 $99.77 – $737.84
Pregnancy ultrasound (after the first trimester): 10 of 46 insurance plan rates
  • Aetna — Commercial: $541.08
  • Aetna — Medicare Advantage: $105.02
  • American Health Plan — Medicare Advantage: $110.27
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $570.59
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $173.28
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $131.80
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $485
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $126.02
  • Baylor Scott & White Health Plan — Medicare Advantage: $99.77
  • Blue Cross Blue Shield — Blue Advantage: $183.08
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US > 14 WKS - TRANSABDOMINAL - FIRST FETUS $983.78 $590.27 $541.08 – $688.65
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans
  • Curative — Commercial: $639.46
  • First Health — PPO: $688.65
  • QuikTrip — Employee Benefit Plan: $541.08
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ULTRASOUND, TRANSVAGINAL $1,072.02 $643.21 $99.77 – $804.01
Transvaginal ultrasound: 10 of 46 insurance plan rates
  • Aetna — Commercial: $589.61
  • Aetna — Medicare Advantage: $105.02
  • American Health Plan — Medicare Advantage: $110.27
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $621.77
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $173.28
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $131.80
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $528.51
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $126.02
  • Baylor Scott & White Health Plan — Medicare Advantage: $99.77
  • Blue Cross Blue Shield — Blue Advantage: $176.60
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED ONLY - ULTRASOUND, TRANSVAGINAL $1,072.02 $643.21 $99.77 – $804.01
Transvaginal ultrasound: 10 of 46 insurance plan rates
  • Aetna — Commercial: $589.61
  • Aetna — Medicare Advantage: $105.02
  • American Health Plan — Medicare Advantage: $110.27
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $621.77
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $173.28
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $131.80
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $528.51
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $126.02
  • Baylor Scott & White Health Plan — Medicare Advantage: $99.77
  • Blue Cross Blue Shield — Blue Advantage: $176.60
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ULTRASOUND, TRANSVAGINAL $1,072.02 $643.21 $589.61 – $750.41
Transvaginal ultrasound: rates for 3 insurance plans
  • Curative — Commercial: $696.81
  • First Health — PPO: $750.41
  • QuikTrip — Employee Benefit Plan: $589.61
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMO W/CAD, UNILATERAL $453.60 $272.16 $49.90 – $396.93
Diagnostic mammogram, one breast: 10 of 31 insurance plan rates
  • Aetna — Commercial: $249.48
  • Aetna — Medicare Advantage: $272.16
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $263.09
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $223.62
  • Blue Cross Blue Shield — Blue Advantage: $188.12
  • Blue Cross Blue Shield — Blue Essentials (HMO): $377.18
  • Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $266.19
  • Blue Cross Blue Shield — BlueChoice (PPO): $396.93
  • Blue Cross Blue Shield — City of Dallas: $357.43
  • Cigna — HMO/PPO: $263.09
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMO W/CAD, UNILATERAL $453.60 $272.16 $249.48 – $317.52
Diagnostic mammogram, one breast: rates for 3 insurance plans
  • Curative — Commercial: $294.84
  • First Health — PPO: $317.52
  • QuikTrip — Employee Benefit Plan: $249.48
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: HC MG DIGITAL DX W CAD LT $453.60 $272.16 $49.90 – $396.93
Diagnostic mammogram, one breast: 10 of 31 insurance plan rates
  • Aetna — Commercial: $249.48
  • Aetna — Medicare Advantage: $272.16
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $263.09
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $223.62
  • Blue Cross Blue Shield — Blue Advantage: $188.12
  • Blue Cross Blue Shield — Blue Essentials (HMO): $377.18
  • Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $266.19
  • Blue Cross Blue Shield — BlueChoice (PPO): $396.93
  • Blue Cross Blue Shield — City of Dallas: $357.43
  • Cigna — HMO/PPO: $263.09
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $567 $340.20 $62.37 – $507.96
Diagnostic mammogram, both breasts: 10 of 31 insurance plan rates
  • Aetna — Commercial: $311.85
  • Aetna — Medicare Advantage: $340.20
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $328.86
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $279.53
  • Blue Cross Blue Shield — Blue Advantage: $240.74
  • Blue Cross Blue Shield — Blue Essentials (HMO): $482.68
  • Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $340.65
  • Blue Cross Blue Shield — BlueChoice (PPO): $507.96
  • Blue Cross Blue Shield — City of Dallas: $457.41
  • Cigna — HMO/PPO: $328.86
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMO W/CAD, BILATERAL $567 $340.20 $62.37 – $507.96
Diagnostic mammogram, both breasts: 10 of 31 insurance plan rates
  • Aetna — Commercial: $311.85
  • Aetna — Medicare Advantage: $340.20
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $328.86
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $279.53
  • Blue Cross Blue Shield — Blue Advantage: $240.74
  • Blue Cross Blue Shield — Blue Essentials (HMO): $482.68
  • Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $340.65
  • Blue Cross Blue Shield — BlueChoice (PPO): $507.96
  • Blue Cross Blue Shield — City of Dallas: $457.41
  • Cigna — HMO/PPO: $328.86
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $567 $340.20 $311.85 – $396.90
Diagnostic mammogram, both breasts: rates for 3 insurance plans
  • Curative — Commercial: $368.55
  • First Health — PPO: $396.90
  • QuikTrip — Employee Benefit Plan: $311.85
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCREENING MAMMO W/CAD, BILATERAL $378.70 $227.22 $41.66 – $419.76
Screening mammogram, both breasts: 10 of 31 insurance plan rates
  • Aetna — Commercial: $208.28
  • Aetna — Medicare Advantage: $227.22
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $219.65
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $186.70
  • Blue Cross Blue Shield — Blue Advantage: $198.94
  • Blue Cross Blue Shield — Blue Essentials (HMO): $398.87
  • Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $281.50
  • Blue Cross Blue Shield — BlueChoice (PPO): $419.76
  • Blue Cross Blue Shield — City of Dallas: $377.99
  • Cigna — HMO/PPO: $219.65
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCREENING MAMMO W W/O CAD BILATERAL - RT $378.70 $227.22 $41.66 – $419.76
Screening mammogram, both breasts: 10 of 31 insurance plan rates
  • Aetna — Commercial: $208.28
  • Aetna — Medicare Advantage: $227.22
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $219.65
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $186.70
  • Blue Cross Blue Shield — Blue Advantage: $198.94
  • Blue Cross Blue Shield — Blue Essentials (HMO): $398.87
  • Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $281.50
  • Blue Cross Blue Shield — BlueChoice (PPO): $419.76
  • Blue Cross Blue Shield — City of Dallas: $377.99
  • Cigna — HMO/PPO: $219.65
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCREENING MAMMO W W/O CAD BILATERAL - LT $378.70 $227.22 $41.66 – $419.76
Screening mammogram, both breasts: 10 of 31 insurance plan rates
  • Aetna — Commercial: $208.28
  • Aetna — Medicare Advantage: $227.22
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $219.65
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $186.70
  • Blue Cross Blue Shield — Blue Advantage: $198.94
  • Blue Cross Blue Shield — Blue Essentials (HMO): $398.87
  • Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $281.50
  • Blue Cross Blue Shield — BlueChoice (PPO): $419.76
  • Blue Cross Blue Shield — City of Dallas: $377.99
  • Cigna — HMO/PPO: $219.65

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LEFT HEART CATHETER $18,668.75 $11,201.25 $2,053.56 – $21,149
Left heart catheterization (diagnostic): 10 of 46 insurance plan rates
  • Aetna — Commercial: $17,181
  • Aetna — Medicare Advantage: $3,256.70
  • American Health Plan — Medicare Advantage: $3,419.53
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $13,269.32
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $5,373.56
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $4,087.16
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $11,279.92
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $3,908.04
  • Baylor Scott & White Health Plan — Medicare Advantage: $3,093.86
  • Blue Cross Blue Shield — Blue Advantage: $7,039.38
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LEFT HEART CATHETER $18,668.75 $11,201.25 $10,267.81 – $13,068.12
Left heart catheterization (diagnostic): rates for 3 insurance plans
  • Curative — Commercial: $12,134.69
  • First Health — PPO: $13,068.12
  • QuikTrip — Employee Benefit Plan: $10,267.81
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMP EPS W/O ATTEMPT INDUCTION $17,963.98 $10,778.39 $1,976.04 – $38,139.40
Heart rhythm study (electrophysiology evaluation): 10 of 46 insurance plan rates
  • Aetna — Commercial: $9,880.19
  • Aetna — Medicare Advantage: $7,835.21
  • American Health Plan — Medicare Advantage: $8,226.97
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $10,419.11
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $12,928.10
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $9,833.19
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $8,856.24
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $9,402.25
  • Baylor Scott & White Health Plan — Medicare Advantage: $7,443.45
  • Blue Cross Blue Shield — Blue Advantage: $18,069.13
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMP EPS W/O ATTEMPT INDUCTION (EP LAB) $17,963.98 $10,778.39 $1,976.04 – $38,139.40
Heart rhythm study (electrophysiology evaluation): 10 of 46 insurance plan rates
  • Aetna — Commercial: $9,880.19
  • Aetna — Medicare Advantage: $7,835.21
  • American Health Plan — Medicare Advantage: $8,226.97
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $10,419.11
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $12,928.10
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $9,833.19
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $8,856.24
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $9,402.25
  • Baylor Scott & White Health Plan — Medicare Advantage: $7,443.45
  • Blue Cross Blue Shield — Blue Advantage: $18,069.13
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMP EPS W/O ATTEMPT INDUCTION $17,963.98 $10,778.39 $9,880.19 – $12,574.79
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans
  • Curative — Commercial: $11,676.59
  • First Health — PPO: $12,574.79
  • QuikTrip — Employee Benefit Plan: $9,880.19
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREH ELECTROPH EVAL WITH TRT ATRIAL FIB $60,798.32 $36,478.99 $6,687.82 – $132,420.55
Heart rhythm study with ablation for atrial fibrillation: 10 of 46 insurance plan rates
  • Aetna — Commercial: $33,439.08
  • Aetna — Medicare Advantage: $26,256.97
  • American Health Plan — Medicare Advantage: $27,569.82
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $35,263.03
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $43,324
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $32,952.50
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $29,973.57
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $31,508.36
  • Baylor Scott & White Health Plan — Medicare Advantage: $24,944.12
  • Blue Cross Blue Shield — Blue Advantage: $62,736.28
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREH ELECTROPH EVAL WITH TRT ATRIAL FIB (EP LAB) $60,798.32 $36,478.99 $6,687.82 – $132,420.55
Heart rhythm study with ablation for atrial fibrillation: 10 of 46 insurance plan rates
  • Aetna — Commercial: $33,439.08
  • Aetna — Medicare Advantage: $26,256.97
  • American Health Plan — Medicare Advantage: $27,569.82
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $35,263.03
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $43,324
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $32,952.50
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $29,973.57
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $31,508.36
  • Baylor Scott & White Health Plan — Medicare Advantage: $24,944.12
  • Blue Cross Blue Shield — Blue Advantage: $62,736.28
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREH ELECTROPH EVAL WITH TRT ATRIAL FIB $60,798.32 $36,478.99 $33,439.08 – $42,558.82
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans
  • Curative — Commercial: $39,518.91
  • First Health — PPO: $42,558.82
  • QuikTrip — Employee Benefit Plan: $33,439.08
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOMNOGRAPHY, 4 AND UP PARAMETERS, ATTENDED BY TECH $7,764.68 $4,658.81 $819.52 – $5,823.51
Sleep study (overnight, in a sleep lab): 10 of 46 insurance plan rates
  • Aetna — Commercial: $2,062
  • Aetna — Medicare Advantage: $862.65
  • American Health Plan — Medicare Advantage: $905.78
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $4,503.51
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $1,423.37
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $1,082.63
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $3,827.99
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $1,035.18
  • Baylor Scott & White Health Plan — Medicare Advantage: $819.52
  • Blue Cross Blue Shield — Blue Advantage: $1,537.89
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOMNGRPHY 4 OR MORE MOD $7,764.68 $4,658.81 $819.52 – $5,823.51
Sleep study (overnight, in a sleep lab): 10 of 46 insurance plan rates
  • Aetna — Commercial: $2,062
  • Aetna — Medicare Advantage: $862.65
  • American Health Plan — Medicare Advantage: $905.78
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $4,503.51
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $1,423.37
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $1,082.63
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $3,827.99
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $1,035.18
  • Baylor Scott & White Health Plan — Medicare Advantage: $819.52
  • Blue Cross Blue Shield — Blue Advantage: $1,537.89
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC POLYSOMNOGRAPHY, 4 AND UP PARAMETERS, ATTENDED BY TECH $7,764.68 $4,658.81 $4,270.57 – $5,435.28
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans
  • Curative — Commercial: $5,047.04
  • First Health — PPO: $5,435.28
  • QuikTrip — Employee Benefit Plan: $4,270.57

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SM THERA.PROC.-ROM/STREN 15MIN (97110) $208.73 $125.24 $22.96 – $203.15
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 32 insurance plan rates
  • Aetna — Commercial: $108
  • Aetna — Medicare Advantage: $125.24
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $121.06
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $102.90
  • Blue Cross Blue Shield — Blue Advantage: $96.24
  • Blue Cross Blue Shield — Blue Essentials (HMO): $193.12
  • Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $192.49
  • Blue Cross Blue Shield — BlueChoice (PPO): $203.15
  • Blue Cross Blue Shield — City of Dallas: $182.77
  • Cigna — HMO/PPO: $158
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THERAPEUTIC EXERCISE, 15 MIN (97110) $208.73 $125.24 $22.96 – $203.15
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 32 insurance plan rates
  • Aetna — Commercial: $108
  • Aetna — Medicare Advantage: $125.24
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $121.06
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $102.90
  • Blue Cross Blue Shield — Blue Advantage: $96.24
  • Blue Cross Blue Shield — Blue Essentials (HMO): $193.12
  • Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $192.49
  • Blue Cross Blue Shield — BlueChoice (PPO): $203.15
  • Blue Cross Blue Shield — City of Dallas: $182.77
  • Cigna — HMO/PPO: $158
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THERAPUETIC EXERCISES $208.73 $125.24 $22.96 – $203.15
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 32 insurance plan rates
  • Aetna — Commercial: $108
  • Aetna — Medicare Advantage: $125.24
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $121.06
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $102.90
  • Blue Cross Blue Shield — Blue Advantage: $96.24
  • Blue Cross Blue Shield — Blue Essentials (HMO): $193.12
  • Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $192.49
  • Blue Cross Blue Shield — BlueChoice (PPO): $203.15
  • Blue Cross Blue Shield — City of Dallas: $182.77
  • Cigna — HMO/PPO: $121.06
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX (97161) $395.47 $237.28 $43.50 – $560.46
Physical therapy evaluation (low complexity): 10 of 32 insurance plan rates
  • Aetna — Commercial: $108
  • Aetna — Medicare Advantage: $237.28
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $229.37
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $194.97
  • Blue Cross Blue Shield — Blue Advantage: $265.52
  • Blue Cross Blue Shield — Blue Essentials (HMO): $532.78
  • Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $531.05
  • Blue Cross Blue Shield — BlueChoice (PPO): $560.46
  • Blue Cross Blue Shield — City of Dallas: $504.24
  • Cigna — HMO/PPO: $158
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX (97161) $395.47 $237.28 $217.51 – $276.83
Physical therapy evaluation (low complexity): rates for 3 insurance plans
  • Curative — Commercial: $257.06
  • First Health — PPO: $276.83
  • QuikTrip — Employee Benefit Plan: $217.51
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEX (97162) $475.16 $285.10 $52.27 – $560.46
Physical therapy evaluation (moderate complexity): 10 of 32 insurance plan rates
  • Aetna — Commercial: $108
  • Aetna — Medicare Advantage: $285.10
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $275.59
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $234.25
  • Blue Cross Blue Shield — Blue Advantage: $265.52
  • Blue Cross Blue Shield — Blue Essentials (HMO): $532.78
  • Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $531.05
  • Blue Cross Blue Shield — BlueChoice (PPO): $560.46
  • Blue Cross Blue Shield — City of Dallas: $504.24
  • Cigna — HMO/PPO: $158
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEX (97162) $475.16 $285.10 $261.34 – $332.61
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans
  • Curative — Commercial: $308.85
  • First Health — PPO: $332.61
  • QuikTrip — Employee Benefit Plan: $261.34
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX (97163) $508.79 $305.27 $55.97 – $560.46
Physical therapy evaluation (high complexity): 10 of 32 insurance plan rates
  • Aetna — Commercial: $108
  • Aetna — Medicare Advantage: $305.27
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $295.10
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $250.83
  • Blue Cross Blue Shield — Blue Advantage: $265.52
  • Blue Cross Blue Shield — Blue Essentials (HMO): $532.78
  • Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $531.05
  • Blue Cross Blue Shield — BlueChoice (PPO): $560.46
  • Blue Cross Blue Shield — City of Dallas: $504.24
  • Cigna — HMO/PPO: $158
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX (97163) $508.79 $305.27 $279.83 – $356.15
Physical therapy evaluation (high complexity): rates for 3 insurance plans
  • Curative — Commercial: $330.71
  • First Health — PPO: $356.15
  • QuikTrip — Employee Benefit Plan: $279.83
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY, 30 MIN WITH PATIENT $334.05 $200.43 $36.75 – $394.97
Psychotherapy, 30 minutes: 10 of 42 insurance plan rates
  • Aetna — Commercial: $183.73
  • Aetna — Medicare Advantage: $178.30
  • American Health Plan — Medicare Advantage: $187.22
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $193.75
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $294.19
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $223.77
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $164.69
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $213.96
  • Baylor Scott & White Health Plan — Medicare Advantage: $169.38
  • Blue Cross Blue Shield — Blue Advantage: $116.92
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY, 30 MIN WITH PATIENT $334.05 $200.43 $183.73 – $233.84
Psychotherapy, 30 minutes: rates for 3 insurance plans
  • Curative — Commercial: $217.13
  • First Health — PPO: $233.84
  • QuikTrip — Employee Benefit Plan: $183.73
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY, 45 MIN WITH PATIENT $457.50 $274.50 $50.33 – $394.97
Psychotherapy, 45 minutes: 10 of 42 insurance plan rates
  • Aetna — Commercial: $251.62
  • Aetna — Medicare Advantage: $178.30
  • American Health Plan — Medicare Advantage: $187.22
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $265.35
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $294.19
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $223.77
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $225.55
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $213.96
  • Baylor Scott & White Health Plan — Medicare Advantage: $169.38
  • Blue Cross Blue Shield — Blue Advantage: $160.12
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY, 45 MIN WITH PATIENT $457.50 $274.50 $251.62 – $320.25
Psychotherapy, 45 minutes: rates for 3 insurance plans
  • Curative — Commercial: $297.38
  • First Health — PPO: $320.25
  • QuikTrip — Employee Benefit Plan: $251.62
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY, 60 MIN WITH PATIENT $479.11 $287.47 $52.70 – $394.97
Psychotherapy, 60 minutes: 10 of 42 insurance plan rates
  • Aetna — Commercial: $263.51
  • Aetna — Medicare Advantage: $178.30
  • American Health Plan — Medicare Advantage: $187.22
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $277.88
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $294.19
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $223.77
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $236.20
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $213.96
  • Baylor Scott & White Health Plan — Medicare Advantage: $169.38
  • Blue Cross Blue Shield — Blue Advantage: $167.69
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY, 60 MIN WITH PATIENT $479.11 $287.47 $263.51 – $335.38
Psychotherapy, 60 minutes: rates for 3 insurance plans
  • Curative — Commercial: $311.42
  • First Health — PPO: $335.38
  • QuikTrip — Employee Benefit Plan: $263.51
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W/PATIENT $302 $181.20 $33.22 – $394.97
Family psychotherapy, with the patient: 10 of 42 insurance plan rates
  • Aetna — Commercial: $166.10
  • Aetna — Medicare Advantage: $178.30
  • American Health Plan — Medicare Advantage: $187.22
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $175.16
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $294.19
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $223.77
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $148.89
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $213.96
  • Baylor Scott & White Health Plan — Medicare Advantage: $169.38
  • Blue Cross Blue Shield — Blue Advantage: $105.70
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W/PATIENT $302 $181.20 $166.10 – $211.40
Family psychotherapy, with the patient: rates for 3 insurance plans
  • Curative — Commercial: $196.30
  • First Health — PPO: $211.40
  • QuikTrip — Employee Benefit Plan: $166.10
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHIATRIC HALF DAY IOP $268 $160.80 $29.48 – $280
Group psychotherapy: 10 of 45 insurance plan rates
  • Aetna — Commercial: $235
  • Aetna — Medicare Advantage: $102.05
  • American Health Plan — Medicare Advantage: $107.15
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $155.44
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $168.38
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $128.07
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $132.12
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $122.46
  • Baylor Scott & White Health Plan — Medicare Advantage: $96.95
  • Blue Cross Blue Shield — Blue Advantage: $132
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP CD INTENSIVE OP (IOP) $268 $160.80 $29.48 – $282
Group psychotherapy: 10 of 45 insurance plan rates
  • Aetna — Commercial: $235
  • Aetna — Medicare Advantage: $102.05
  • American Health Plan — Medicare Advantage: $107.15
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $155.44
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $168.38
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $128.07
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $132.12
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $122.46
  • Baylor Scott & White Health Plan — Medicare Advantage: $96.95
  • Blue Cross Blue Shield — Blue Advantage: $132
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PHP PSYCH (FULL DAY) $1,072 $643.20 $96.95 – $804
Group psychotherapy: 10 of 42 insurance plan rates
  • Aetna — Commercial: $469
  • Aetna — Medicare Advantage: $102.05
  • American Health Plan — Medicare Advantage: $107.15
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $621.76
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $168.38
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $128.07
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $528.50
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $122.46
  • Baylor Scott & White Health Plan — Medicare Advantage: $96.95
  • Blue Cross Blue Shield — Blue Advantage: $257

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC REMOVAL OF BREAST LE $8,201.62 $4,920.97 $963.66 – $9,442.65
Removal of breast growth (open surgery): 10 of 46 insurance plan rates
  • Aetna — Commercial: $4,510.89
  • Aetna — Medicare Advantage: $3,933.28
  • American Health Plan — Medicare Advantage: $4,129.94
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $4,756.94
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $6,489.91
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $4,936.27
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $4,043.40
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $4,719.94
  • Baylor Scott & White Health Plan — Medicare Advantage: $3,736.62
  • Blue Cross Blue Shield — Blue Advantage: $2,870.57
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC REMOVAL OF BREAST LE $8,201.62 $4,920.97 $4,510.89 – $5,741.13
Removal of breast growth (open surgery): rates for 3 insurance plans
  • Curative — Commercial: $5,331.05
  • First Health — PPO: $5,741.13
  • QuikTrip — Employee Benefit Plan: $4,510.89
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PRP I/HERN INIT REDU $10,351.20 $6,210.72 $1,151.54 – $8,570.48
Groin (inguinal) hernia repair, age 5 or older: 10 of 46 insurance plan rates
  • Aetna — Commercial: $5,693.16
  • Aetna — Medicare Advantage: $3,596.72
  • American Health Plan — Medicare Advantage: $3,776.56
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $6,003.70
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $5,934.59
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $4,513.88
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $5,103.14
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $4,316.06
  • Baylor Scott & White Health Plan — Medicare Advantage: $3,416.88
  • Blue Cross Blue Shield — Blue Advantage: $3,829.94
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PRP I/HERN INIT REDU $10,351.20 $6,210.72 $5,693.16 – $7,245.84
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans
  • Curative — Commercial: $6,728.28
  • First Health — PPO: $7,245.84
  • QuikTrip — Employee Benefit Plan: $5,693.16
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BIOPSY OF PROSTATE $4,378.44 $2,627.06 $481.63 – $5,045.72
Prostate biopsy: 10 of 32 insurance plan rates
  • Aetna — Commercial: $2,408.14
  • Aetna — Medicare Advantage: $2,627.06
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $2,539.50
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $2,158.57
  • Blue Cross Blue Shield — Blue Advantage: $1,620.02
  • Blue Cross Blue Shield — Blue Essentials (HMO): $3,240.05
  • Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $2,276.79
  • Blue Cross Blue Shield — BlueChoice (PPO): $3,415.18
  • Blue Cross Blue Shield — City of Dallas: $3,064.91
  • Cigna — HMO/PPO: $2,539.50
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BIOPSY OF PROSTATE $4,378.44 $2,627.06 $2,408.14 – $3,064.91
Prostate biopsy: rates for 3 insurance plans
  • Curative — Commercial: $2,845.99
  • First Health — PPO: $3,064.91
  • QuikTrip — Employee Benefit Plan: $2,408.14
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W IM GUID $3,137.53 $1,882.52 $262.86 – $2,447.27
Spinal injection, lower back (epidural), with imaging guidance: 10 of 46 insurance plan rates
  • Aetna — Commercial: $1,725.64
  • Aetna — Medicare Advantage: $709.10
  • American Health Plan — Medicare Advantage: $744.55
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,819.77
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $1,170.02
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $889.92
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,546.80
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $850.92
  • Baylor Scott & White Health Plan — Medicare Advantage: $673.64
  • Blue Cross Blue Shield — Blue Advantage: $1,160.89
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W IM GUID $3,137.53 $1,882.52 $1,725.64 – $2,196.27
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans
  • Curative — Commercial: $2,039.39
  • First Health — PPO: $2,196.27
  • QuikTrip — Employee Benefit Plan: $1,725.64
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJECTION EPI L/S 1 LEVEL $3,751.66 $2,251 $340.77 – $2,813.74
Nerve root injection, lower back, with imaging guidance: 10 of 46 insurance plan rates
  • Aetna — Commercial: $2,063.41
  • Aetna — Medicare Advantage: $888.50
  • American Health Plan — Medicare Advantage: $932.92
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $2,175.96
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $1,466.03
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $1,115.07
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,849.57
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $1,066.20
  • Baylor Scott & White Health Plan — Medicare Advantage: $844.08
  • Blue Cross Blue Shield — Blue Advantage: $1,313.08
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJECTION FORAMEN EPIDURAL - LUMB/SACR SNGL LVL $3,751.66 $2,251 $340.77 – $2,926.29
Nerve root injection, lower back, with imaging guidance: 10 of 46 insurance plan rates
  • Aetna — Commercial: $2,063.41
  • Aetna — Medicare Advantage: $888.50
  • American Health Plan — Medicare Advantage: $932.92
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $2,175.96
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $1,466.03
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $1,115.07
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,849.57
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $1,066.20
  • Baylor Scott & White Health Plan — Medicare Advantage: $844.08
  • Blue Cross Blue Shield — Blue Advantage: $1,388.11
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJECTION EPI L/S 1 LEVEL $3,751.66 $2,251 $2,063.41 – $2,626.16
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans
  • Curative — Commercial: $2,438.58
  • First Health — PPO: $2,626.16
  • QuikTrip — Employee Benefit Plan: $2,063.41
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC AFTER CATARACT LASER $2,288.51 $1,373.11 $208.33 – $1,785.04
Laser treatment of clouding after cataract surgery: 10 of 46 insurance plan rates
  • Aetna — Commercial: $1,258.68
  • Aetna — Medicare Advantage: $552.50
  • American Health Plan — Medicare Advantage: $580.12
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,327.34
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $911.62
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $693.39
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,128.24
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $663
  • Baylor Scott & White Health Plan — Medicare Advantage: $524.88
  • Blue Cross Blue Shield — Blue Advantage: $846.75
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC AFTER CATARACT LASER $2,288.51 $1,373.11 $1,258.68 – $1,601.96
Laser treatment of clouding after cataract surgery: rates for 3 insurance plans
  • Curative — Commercial: $1,487.53
  • First Health — PPO: $1,601.96
  • QuikTrip — Employee Benefit Plan: $1,258.68
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: HC YAG LASER POSTERIOR CAPSULE BI $2,288.51 $1,373.11 $208.33 – $1,945.23
Laser treatment of clouding after cataract surgery: 10 of 32 insurance plan rates
  • Aetna — Commercial: $1,258.68
  • Aetna — Medicare Advantage: $1,373.11
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,327.34
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,128.24
  • Blue Cross Blue Shield — Blue Advantage: $846.75
  • Blue Cross Blue Shield — Blue Essentials (HMO): $1,693.50
  • Blue Cross Blue Shield — Blue Premier/High Performance Network/My BlueHealth: $1,190.03
  • Blue Cross Blue Shield — BlueChoice (PPO): $1,785.04
  • Blue Cross Blue Shield — City of Dallas: $1,601.96
  • Cigna — HMO/PPO: $1,327.34

Hospital stays (whole stay, MS-DRG)

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 $73,813.19 – $242,482.55
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 40 insurance plan rates
  • Aetna — Commercial: $185,413
  • Aetna — Medicare Advantage: $77,698.09
  • American Health Plan — Medicare Advantage: $81,582.99
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $89,410.19
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $139,856.56
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $97,511.10
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $75,998.66
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $93,237.71
  • Baylor Scott & White Health Plan — Medicare Advantage: $73,813.19
  • Blue Cross Blue Shield — Blue Advantage: $99,324.77
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $37,499
Spinal fusion (not neck), without major complications: rates for 1 insurance plan
  • Humana — Commercial PPO: $37,499
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $14,984.85 – $43,639.43
Hip or knee replacement (major joint of the leg), without major complications: 10 of 40 insurance plan rates
  • Aetna — Commercial: $36,226
  • Aetna — Medicare Advantage: $18,569.97
  • American Health Plan — Medicare Advantage: $19,498.47
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $17,629.24
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $33,425.95
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $23,305.31
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $14,984.85
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $22,283.96
  • Baylor Scott & White Health Plan — Medicare Advantage: $17,641.47
  • Blue Cross Blue Shield — Blue Advantage: $19,584.12
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $18,965.48 – $54,379.96
Neck (cervical) spinal fusion, without complications: 10 of 40 insurance plan rates
  • Aetna — Commercial: $34,095
  • Aetna — Medicare Advantage: $22,427.58
  • American Health Plan — Medicare Advantage: $23,548.96
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $22,312.33
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $40,369.64
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $28,146.61
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $18,965.48
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $26,913.10
  • Baylor Scott & White Health Plan — Medicare Advantage: $21,306.20
  • Blue Cross Blue Shield — Blue Advantage: $24,786.52
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $6,566 – $31,463.80
Uterus and ovary surgery (not for cancer), without complications: 10 of 39 insurance plan rates
  • Aetna — Commercial: $17,263
  • Aetna — Medicare Advantage: $13,388.85
  • American Health Plan — Medicare Advantage: $14,058.29
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $11,339.41
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $24,099.93
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $16,803.01
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $9,638.50
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $16,066.62
  • Baylor Scott & White Health Plan — Medicare Advantage: $12,719.41
  • Blue Cross Blue Shield — Blue Advantage: $12,596.83

Source: Baylor Scott & White Medical Center at Irving’s standard charges file (wadcdn.azureedge.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 29, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address1901 N Macarthur Blvd, Irving, TX 75061
CountyDallas County
StateTexas
Phone(972) 579‑8100
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating5 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number450079
Name in Medicare recordsBAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING
Profile levelMedicare data + hospital website
Name on the hospital’s websiteBaylor Scott & White Medical Center – Irving
Official websitebswhealth.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 ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

  1. Baylor Scott & White Medical Center – Irving — bswhealth.com