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Acute Care Hospital

Baylor Scott & White Medical Center- College Stati…

College Station, Texas · Brazos County · Emergency services listed

Summary

Baylor Scott & White Medical Center- College Stati… is an acute care hospital in College Station, Texas. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 63 services, specialties and programs. Medicare lists 594 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
142Beds (hospital website)
63Services listed

Quick answers

Does Baylor Scott & White Medical Center- College Stati… have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Baylor Scott & White Medical Center- College Stati…. In a medical emergency, call 911.
Where is Baylor Scott & White Medical Center- College Stati…?
700 Scott & White Drive, College Station, TX 77845, in Brazos County, Texas.
What is the phone number of Baylor Scott & White Medical Center- College Stati…?
(979) 691-3701, as listed by Medicare (CMS).
What is the Medicare star rating of Baylor Scott & White Medical Center- College Stati…?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Conditions treated[5]

Treatments[5]

  • Colonoscopy
  • Endoscopic retrograde cholangiopancreatography (ERCP)
  • Endoscopic ultrasound
  • Bone density testing
  • Continuous glucose monitoring
  • Insulin pump therapy
  • Thyroid fine needle biopsy

Programs and centers[4]

  • Advanced Primary Stroke Center
  • Primary Heart Attack Center
  • Level III Neonatal Intensive Care Unit (NICU)

Emergency care (hospital website)[4][5]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel III
Stroke designationCertified Advanced Primary Stroke Center

Visiting and practical information

VisitingVisitors asked to keep visits brief, two at a time; children under 12 need an adult. Hours not listed on page[4]
Patient portalMyBSWHealth

Recognition[4][5]

  • Magnet Recognition (ANCC)
  • U.S. News & World Report Best Hospitals: high performing for heart attack and pneumonia
  • Primary Heart Attack Center (certified)
  • Advanced Primary Stroke Center (certified)

Doctors and clinicians (594)

594 doctors and other clinicians list Baylor Scott & White Medical Center- College Stati… 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 (594)

And 570 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- College Stati… 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) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines4 of 5 stars
Information about recovery at home4 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 1080%National average: 72%
Would definitely recommend the hospital81%National average: 71%
Nurses “always” communicated well82%National average: 80%
Doctors “always” communicated well82%National average: 80%
Staff “always” explained medicines before giving them67%National average: 62%
Were given information about recovery at home88%National average: 86%
Room and bathroom “always” clean80%National average: 74%
Area around the room “always” quiet at night68%National average: 60%
Completed surveys1,151Response rate: 19%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)0.948No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)1.411No different from the national benchmark
Surgical site infections after colon surgery1.989No different from the national benchmark
Surgical site infections after abdominal hysterectomy1.616No different from the national benchmark
MRSA bloodstream infections1.3No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.17Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients12.8%
Deaths within 30 days: heart failure patients10.9%
Deaths within 30 days: pneumonia patients14.1%
Deaths within 30 days: COPD patients9.7%
Deaths within 30 days: stroke patients7.5%
Deaths within 30 days: coronary bypass surgery (CABG)3.2%
Serious complications (patient safety indicator PSI-90)0.86No different from the national rate
Complications after hip or knee replacement3.7%

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 attack14.4%
Readmitted within 30 days: heart failure21.5%
Readmitted within 30 days: pneumonia17%
Readmitted within 30 days: COPD20.6%
Readmitted within 30 days: coronary bypass surgery11.4%
Readmitted within 30 days: hip or knee replacement6.1%

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)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)208 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)73%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 78 common services exactly as Baylor Scott & White Medical Center- College Stati… 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)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE OR OTHER OUTPATIENT VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT, WHICH REQUIRES A MEDICALLY APPROPRIATE HISTORY Not listed in the file Not listed in the file $295.24
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans
  • Blue Cross Blue Shield — TX AM University: $295.24
  • Imagine Health — Commercial: 60% (a percentage in the contract, not a dollar amount)
  • University of Mary Hardin-Baylor — Commercial: 60% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY CARE LEVEL III $1,477.92 $886.75 $260.51 – $2,805
Emergency room visit (moderate): 10 of 39 insurance plan rates
  • Aetna — Commercial: $2,805
  • 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 — Medicare Advantage: $287.93
  • Blue Cross Blue Shield — TX AM University: $1,407
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB EMERGENCY CARE LEVEL III $1,477.92 $886.75 $260.51 – $2,805
Emergency room visit (moderate): 10 of 39 insurance plan rates
  • Aetna — Commercial: $2,805
  • 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 — Medicare Advantage: $287.93
  • Blue Cross Blue Shield — TX AM University: $1,407
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY CARE LEVEL III $1,477.92 $886.75 $812.86 – $1,330.13
Emergency room visit (moderate): rates for 6 insurance plans
  • Curative — Commercial: $960.65
  • First Health — PPO: $1,034.54
  • Independent Medical System — Commercial PPO: $886.75
  • MidCoast — Commercial: $812.86
  • QuikTrip — Employee Benefit Plan: $812.86
  • Three Rivers — Three Rivers Provider Network: $1,330.13
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY CARE LEVEL IV $2,669.48 $1,601.69 $398.20 – $4,020
Emergency room visit (moderately high): 10 of 39 insurance plan rates
  • Aetna — Commercial: $4,008
  • 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 — Medicare Advantage: $440.12
  • Blue Cross Blue Shield — TX AM University: $4,020
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB EMERGENCY CARE LEVEL IV $2,669.48 $1,601.69 $398.20 – $4,020
Emergency room visit (moderately high): 10 of 39 insurance plan rates
  • Aetna — Commercial: $4,008
  • 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 — Medicare Advantage: $440.12
  • Blue Cross Blue Shield — TX AM University: $4,020
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY CARE LEVEL IV $2,669.48 $1,601.69 $1,468.21 – $2,402.53
Emergency room visit (moderately high): rates for 6 insurance plans
  • Curative — Commercial: $1,735.16
  • First Health — PPO: $1,868.64
  • Independent Medical System — Commercial PPO: $1,601.69
  • MidCoast — Commercial: $1,468.21
  • QuikTrip — Employee Benefit Plan: $1,468.21
  • Three Rivers — Three Rivers Provider Network: $2,402.53
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY CARE LEVEL V $3,962.58 $2,377.55 $568.33 – $10,880
Emergency room visit (high): 10 of 39 insurance plan rates
  • Aetna — Commercial: $6,643
  • 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 — Medicare Advantage: $628.15
  • Blue Cross Blue Shield — TX AM University: $10,880
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB EMERGENCY CARE LEVEL V $3,962.58 $2,377.55 $568.33 – $10,880
Emergency room visit (high): 10 of 39 insurance plan rates
  • Aetna — Commercial: $6,643
  • 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 — Medicare Advantage: $628.15
  • Blue Cross Blue Shield — TX AM University: $10,880
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY CARE LEVEL V $3,962.58 $2,377.55 $2,179.42 – $3,566.32
Emergency room visit (high): rates for 6 insurance plans
  • Curative — Commercial: $2,575.68
  • First Health — PPO: $2,773.81
  • Independent Medical System — Commercial PPO: $2,377.55
  • MidCoast — Commercial: $2,179.42
  • QuikTrip — Employee Benefit Plan: $2,179.42
  • Three Rivers — Three Rivers Provider Network: $3,566.32

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 $260.74 $156.44 $7.61 – $234.67
Basic metabolic panel (blood test): 10 of 39 insurance plan rates
  • Aetna — Commercial: $143.41
  • American Health Plan — Medicare Advantage: $8.88
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $17.12
  • 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: $14.55
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $10.15
  • Baylor Scott & White Health Plan — Medicare Advantage: $8.04
  • Blue Cross Blue Shield — Medicare Advantage: $8.88
  • Blue Cross Blue Shield — TX AM University: $53.38
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL TOTAL CALCIUM $260.74 $156.44 $143.41 – $234.67
Basic metabolic panel (blood test): rates for 6 insurance plans
  • Curative — Commercial: $169.48
  • First Health — PPO: $182.52
  • Independent Medical System — Commercial PPO: $156.44
  • MidCoast — Commercial: $143.41
  • QuikTrip — Employee Benefit Plan: $143.41
  • Three Rivers — Three Rivers Provider Network: $234.67
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL $267.47 $160.48 $9.49 – $240.72
Comprehensive metabolic panel (blood test): 10 of 39 insurance plan rates
  • Aetna — Commercial: $147.11
  • American Health Plan — Medicare Advantage: $11.09
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $23.54
  • 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: $20.01
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $12.67
  • Baylor Scott & White Health Plan — Medicare Advantage: $10.03
  • Blue Cross Blue Shield — Medicare Advantage: $11.09
  • Blue Cross Blue Shield — TX AM University: $66.63
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHEN METABOLIC PANEL - MEDFUSION $267.47 $160.48 $9.49 – $240.72
Comprehensive metabolic panel (blood test): 10 of 39 insurance plan rates
  • Aetna — Commercial: $147.11
  • American Health Plan — Medicare Advantage: $11.09
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $23.54
  • 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: $20.01
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $12.67
  • Baylor Scott & White Health Plan — Medicare Advantage: $10.03
  • Blue Cross Blue Shield — Medicare Advantage: $11.09
  • Blue Cross Blue Shield — TX AM University: $66.63
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL $267.47 $160.48 $147.11 – $240.72
Comprehensive metabolic panel (blood test): rates for 6 insurance plans
  • Curative — Commercial: $173.86
  • First Health — PPO: $187.23
  • Independent Medical System — Commercial PPO: $160.48
  • MidCoast — Commercial: $147.11
  • QuikTrip — Employee Benefit Plan: $147.11
  • Three Rivers — Three Rivers Provider Network: $240.72
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL $421.60 $252.96 $12 – $379.44
Obstetric blood test panel: 10 of 39 insurance plan rates
  • Aetna — Commercial: $231.88
  • American Health Plan — Medicare Advantage: $50.20
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $102.72
  • 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: $87.31
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $57.37
  • Baylor Scott & White Health Plan — Medicare Advantage: $45.42
  • Blue Cross Blue Shield — Medicare Advantage: $50.20
  • Blue Cross Blue Shield — TX AM University: $301.68
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OBSTETRIC PANEL $421.60 $252.96 $231.88 – $379.44
Obstetric blood test panel: rates for 6 insurance plans
  • Curative — Commercial: $274.04
  • First Health — PPO: $295.12
  • Independent Medical System — Commercial PPO: $252.96
  • MidCoast — Commercial: $231.88
  • QuikTrip — Employee Benefit Plan: $231.88
  • Three Rivers — Three Rivers Provider Network: $379.44
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL $244.08 $146.45 $12 – $219.67
Cholesterol panel (lipid panel): 10 of 39 insurance plan rates
  • Aetna — Commercial: $134.24
  • American Health Plan — Medicare Advantage: $14.06
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $27.82
  • 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: $23.65
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $16.07
  • Baylor Scott & White Health Plan — Medicare Advantage: $12.72
  • Blue Cross Blue Shield — Medicare Advantage: $14.06
  • Blue Cross Blue Shield — TX AM University: $84.49
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL - LIPOPROTEIN METABOLISM PROFILE $244.08 $146.45 $12 – $219.67
Cholesterol panel (lipid panel): 10 of 39 insurance plan rates
  • Aetna — Commercial: $134.24
  • American Health Plan — Medicare Advantage: $14.06
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $27.82
  • 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: $23.65
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $16.07
  • Baylor Scott & White Health Plan — Medicare Advantage: $12.72
  • Blue Cross Blue Shield — Medicare Advantage: $14.06
  • Blue Cross Blue Shield — TX AM University: $84.49
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 $12 – $84.49
Cholesterol panel (lipid panel): 10 of 39 insurance plan rates
  • Aetna — Commercial: $25.74
  • American Health Plan — Medicare Advantage: $14.06
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $27.82
  • 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: $23.65
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $16.07
  • Baylor Scott & White Health Plan — Medicare Advantage: $12.72
  • Blue Cross Blue Shield — Medicare Advantage: $14.06
  • Blue Cross Blue Shield — TX AM University: $84.49
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $279.04 $167.42 $7.80 – $251.14
Kidney function panel: 10 of 39 insurance plan rates
  • Aetna — Commercial: $153.47
  • American Health Plan — Medicare Advantage: $9.11
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $19.26
  • 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: $16.37
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $10.42
  • Baylor Scott & White Health Plan — Medicare Advantage: $8.25
  • Blue Cross Blue Shield — Medicare Advantage: $9.11
  • Blue Cross Blue Shield — TX AM University: $54.77
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $279.04 $167.42 $153.47 – $251.14
Kidney function panel: rates for 6 insurance plans
  • Curative — Commercial: $181.38
  • First Health — PPO: $195.33
  • Independent Medical System — Commercial PPO: $167.42
  • MidCoast — Commercial: $153.47
  • QuikTrip — Employee Benefit Plan: $153.47
  • Three Rivers — Three Rivers Provider Network: $251.14
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL $249.92 $149.95 $7.34 – $224.93
Liver function panel: 10 of 39 insurance plan rates
  • Aetna — Commercial: $137.46
  • American Health Plan — Medicare Advantage: $8.58
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $17.12
  • 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: $14.55
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $9.80
  • Baylor Scott & White Health Plan — Medicare Advantage: $7.76
  • Blue Cross Blue Shield — Medicare Advantage: $8.58
  • Blue Cross Blue Shield — TX AM University: $51.55
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL POC $249.92 $149.95 $7.34 – $224.93
Liver function panel: 10 of 39 insurance plan rates
  • Aetna — Commercial: $137.46
  • American Health Plan — Medicare Advantage: $8.58
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $17.12
  • 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: $14.55
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $9.80
  • Baylor Scott & White Health Plan — Medicare Advantage: $7.76
  • Blue Cross Blue Shield — Medicare Advantage: $8.58
  • Blue Cross Blue Shield — TX AM University: $51.55
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL $249.92 $149.95 $137.46 – $224.93
Liver function panel: rates for 6 insurance plans
  • Curative — Commercial: $162.45
  • First Health — PPO: $174.94
  • Independent Medical System — Commercial PPO: $149.95
  • MidCoast — Commercial: $137.46
  • QuikTrip — Employee Benefit Plan: $137.46
  • Three Rivers — Three Rivers Provider Network: $224.93
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 $2.85 – $116.80
Urine test (automated, with microscope): 10 of 39 insurance plan rates
  • Aetna — Commercial: $71.38
  • American Health Plan — Medicare Advantage: $3.33
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $6.42
  • 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: $5.46
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $3.80
  • Baylor Scott & White Health Plan — Medicare Advantage: $3.01
  • Blue Cross Blue Shield — Medicare Advantage: $3.33
  • Blue Cross Blue Shield — TX AM University: $20
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 $2.85 – $116.80
Urine test (automated, with microscope): 10 of 39 insurance plan rates
  • Aetna — Commercial: $71.38
  • American Health Plan — Medicare Advantage: $3.33
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $6.42
  • 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: $5.46
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $3.80
  • Baylor Scott & White Health Plan — Medicare Advantage: $3.01
  • Blue Cross Blue Shield — Medicare Advantage: $3.33
  • Blue Cross Blue Shield — TX AM University: $20
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 – $116.80
Urine test (automated, with microscope): rates for 6 insurance plans
  • Curative — Commercial: $84.36
  • First Health — PPO: $90.85
  • Independent Medical System — Commercial PPO: $77.87
  • MidCoast — Commercial: $71.38
  • QuikTrip — Employee Benefit Plan: $71.38
  • Three Rivers — Three Rivers Provider Network: $116.80
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O SCOPE $32.30 $19.38 $3.12 – $29.07
Urine test (manual, without microscope): 10 of 39 insurance plan rates
  • Aetna — Commercial: $17.77
  • American Health Plan — Medicare Advantage: $3.65
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $6.42
  • 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: $5.46
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $4.18
  • Baylor Scott & White Health Plan — Medicare Advantage: $3.31
  • Blue Cross Blue Shield — Medicare Advantage: $3.65
  • Blue Cross Blue Shield — TX AM University: $21.96
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, REAGENT STRIP $32.30 $19.38 $3.12 – $29.07
Urine test (manual, without microscope): 10 of 39 insurance plan rates
  • Aetna — Commercial: $17.77
  • American Health Plan — Medicare Advantage: $3.65
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $6.42
  • 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: $5.46
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $4.18
  • Baylor Scott & White Health Plan — Medicare Advantage: $3.31
  • Blue Cross Blue Shield — Medicare Advantage: $3.65
  • Blue Cross Blue Shield — TX AM University: $21.96
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O SCOPE $32.30 $19.38 $17.77 – $29.07
Urine test (manual, without microscope): rates for 6 insurance plans
  • Curative — Commercial: $21
  • First Health — PPO: $22.61
  • Independent Medical System — Commercial PPO: $19.38
  • MidCoast — Commercial: $17.77
  • QuikTrip — Employee Benefit Plan: $17.77
  • Three Rivers — Three Rivers Provider Network: $29.07
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/O SCOPE $59.97 $35.98 $2.02 – $53.97
Urine test (automated, without microscope): 10 of 39 insurance plan rates
  • Aetna — Commercial: $32.98
  • American Health Plan — Medicare Advantage: $2.36
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $4.28
  • 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: $3.64
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $2.70
  • Baylor Scott & White Health Plan — Medicare Advantage: $2.14
  • Blue Cross Blue Shield — Medicare Advantage: $2.36
  • Blue Cross Blue Shield — TX AM University: $14.20
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, WITHOUT MICROSCOPY $59.97 $35.98 $2.02 – $53.97
Urine test (automated, without microscope): 10 of 39 insurance plan rates
  • Aetna — Commercial: $32.98
  • American Health Plan — Medicare Advantage: $2.36
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $4.28
  • 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: $3.64
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $2.70
  • Baylor Scott & White Health Plan — Medicare Advantage: $2.14
  • Blue Cross Blue Shield — Medicare Advantage: $2.36
  • Blue Cross Blue Shield — TX AM University: $14.20
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY, URINALYSIS $59.97 $35.98 $2.02 – $53.97
Urine test (automated, without microscope): 10 of 39 insurance plan rates
  • Aetna — Commercial: $32.98
  • American Health Plan — Medicare Advantage: $2.36
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $4.28
  • 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: $3.64
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $2.70
  • Baylor Scott & White Health Plan — Medicare Advantage: $2.14
  • Blue Cross Blue Shield — Medicare Advantage: $2.36
  • Blue Cross Blue Shield — TX AM University: $14.20
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA,TOTAL $229.67 $137.80 $12 – $206.70
PSA (prostate specific antigen) blood test: 10 of 39 insurance plan rates
  • Aetna — Commercial: $126.32
  • American Health Plan — Medicare Advantage: $19.31
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $38.52
  • 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: $32.74
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $22.07
  • Baylor Scott & White Health Plan — Medicare Advantage: $17.47
  • Blue Cross Blue Shield — Medicare Advantage: $19.31
  • Blue Cross Blue Shield — TX AM University: $116.04
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN (PSA), TOTAL $229.67 $137.80 $12 – $206.70
PSA (prostate specific antigen) blood test: 10 of 39 insurance plan rates
  • Aetna — Commercial: $126.32
  • American Health Plan — Medicare Advantage: $19.31
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $38.52
  • 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: $32.74
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $22.07
  • Baylor Scott & White Health Plan — Medicare Advantage: $17.47
  • Blue Cross Blue Shield — Medicare Advantage: $19.31
  • Blue Cross Blue Shield — TX AM University: $116.04
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN (PSA), ULTRASENSITIVE $229.67 $137.80 $12 – $206.70
PSA (prostate specific antigen) blood test: 10 of 39 insurance plan rates
  • Aetna — Commercial: $126.32
  • American Health Plan — Medicare Advantage: $19.31
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $38.52
  • 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: $32.74
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $22.07
  • Baylor Scott & White Health Plan — Medicare Advantage: $17.47
  • Blue Cross Blue Shield — Medicare Advantage: $19.31
  • Blue Cross Blue Shield — TX AM University: $116.04
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THYROID STIMULATING HORMONE $240.54 $144.32 $12 – $216.49
Thyroid stimulating hormone (TSH) test: 10 of 39 insurance plan rates
  • Aetna — Commercial: $132.30
  • American Health Plan — Medicare Advantage: $17.64
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $36.38
  • 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: $30.92
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $20.16
  • Baylor Scott & White Health Plan — Medicare Advantage: $15.96
  • Blue Cross Blue Shield — Medicare Advantage: $17.64
  • Blue Cross Blue Shield — TX AM University: $106.01
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH W/FT4 REFLEX $240.54 $144.32 $12 – $216.49
Thyroid stimulating hormone (TSH) test: 10 of 39 insurance plan rates
  • Aetna — Commercial: $132.30
  • American Health Plan — Medicare Advantage: $17.64
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $36.38
  • 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: $30.92
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $20.16
  • Baylor Scott & White Health Plan — Medicare Advantage: $15.96
  • Blue Cross Blue Shield — Medicare Advantage: $17.64
  • Blue Cross Blue Shield — TX AM University: $106.01
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 $240.54 $144.32 $12 – $216.49
Thyroid stimulating hormone (TSH) test: 10 of 39 insurance plan rates
  • Aetna — Commercial: $132.30
  • American Health Plan — Medicare Advantage: $17.64
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $36.38
  • 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: $30.92
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $20.16
  • Baylor Scott & White Health Plan — Medicare Advantage: $15.96
  • Blue Cross Blue Shield — Medicare Advantage: $17.64
  • Blue Cross Blue Shield — TX AM University: $106.01
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 $149.69 $89.81 $6.99 – $134.72
Complete blood count (CBC) with differential: 10 of 39 insurance plan rates
  • Aetna — Commercial: $82.33
  • American Health Plan — Medicare Advantage: $8.16
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $17.12
  • 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: $14.55
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $9.32
  • Baylor Scott & White Health Plan — Medicare Advantage: $7.38
  • Blue Cross Blue Shield — Medicare Advantage: $8.16
  • Blue Cross Blue Shield — TX AM University: $49.03
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC W/AUTO WBC DIFF $149.69 $89.81 $82.33 – $134.72
Complete blood count (CBC) with differential: rates for 6 insurance plans
  • Curative — Commercial: $97.30
  • First Health — PPO: $104.78
  • Independent Medical System — Commercial PPO: $89.81
  • MidCoast — Commercial: $82.33
  • QuikTrip — Employee Benefit Plan: $82.33
  • Three Rivers — Three Rivers Provider Network: $134.72
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC AUTOMATED W/OUT DIFF $174.77 $104.86 $5.81 – $157.29
Complete blood count (CBC), automated: 10 of 39 insurance plan rates
  • Aetna — Commercial: $96.12
  • American Health Plan — Medicare Advantage: $6.79
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $12.84
  • 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: $10.91
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $7.76
  • Baylor Scott & White Health Plan — Medicare Advantage: $6.15
  • Blue Cross Blue Shield — Medicare Advantage: $6.79
  • Blue Cross Blue Shield — TX AM University: $40.83
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEMOGRAM $174.77 $104.86 $5.81 – $157.29
Complete blood count (CBC), automated: 10 of 39 insurance plan rates
  • Aetna — Commercial: $96.12
  • American Health Plan — Medicare Advantage: $6.79
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $12.84
  • 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: $10.91
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $7.76
  • Baylor Scott & White Health Plan — Medicare Advantage: $6.15
  • Blue Cross Blue Shield — Medicare Advantage: $6.79
  • Blue Cross Blue Shield — TX AM University: $40.83
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC AUTOMATED W/OUT DIFF $174.77 $104.86 $96.12 – $157.29
Complete blood count (CBC), automated: rates for 6 insurance plans
  • Curative — Commercial: $113.60
  • First Health — PPO: $122.34
  • Independent Medical System — Commercial PPO: $104.86
  • MidCoast — Commercial: $96.12
  • QuikTrip — Employee Benefit Plan: $96.12
  • Three Rivers — Three Rivers Provider Network: $157.29
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 $47.85 $28.71 $3.85 – $43.06
Blood clotting time test (prothrombin time, PT): 10 of 39 insurance plan rates
  • Aetna — Commercial: $26.32
  • American Health Plan — Medicare Advantage: $4.50
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $8.56
  • 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: $7.28
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $5.15
  • Baylor Scott & White Health Plan — Medicare Advantage: $4.08
  • Blue Cross Blue Shield — Medicare Advantage: $4.50
  • Blue Cross Blue Shield — TX AM University: $27.07
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME $109.34 $65.60 $3.85 – $98.41
Blood clotting time test (prothrombin time, PT): 10 of 39 insurance plan rates
  • Aetna — Commercial: $60.14
  • American Health Plan — Medicare Advantage: $4.50
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $8.56
  • 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: $7.28
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $5.15
  • Baylor Scott & White Health Plan — Medicare Advantage: $4.08
  • Blue Cross Blue Shield — Medicare Advantage: $4.50
  • Blue Cross Blue Shield — TX AM University: $27.07
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PROTHROMBIN TIME $109.34 $65.60 $3.85 – $98.41
Blood clotting time test (prothrombin time, PT): 10 of 39 insurance plan rates
  • Aetna — Commercial: $60.14
  • American Health Plan — Medicare Advantage: $4.50
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $8.56
  • 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: $7.28
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $5.15
  • Baylor Scott & White Health Plan — Medicare Advantage: $4.08
  • Blue Cross Blue Shield — Medicare Advantage: $4.50
  • Blue Cross Blue Shield — TX AM University: $27.07
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 $5.40 – $60.37
Blood clotting test (partial thromboplastin time, PTT): 10 of 39 insurance plan rates
  • Aetna — Commercial: $36.89
  • American Health Plan — Medicare Advantage: $6.31
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $12.84
  • 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: $10.91
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $7.21
  • Baylor Scott & White Health Plan — Medicare Advantage: $5.71
  • Blue Cross Blue Shield — Medicare Advantage: $6.31
  • Blue Cross Blue Shield — TX AM University: $37.92
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PARTIALTHROMBOPLASTIN TIME (APTT) $192.03 $115.22 $5.40 – $172.83
Blood clotting test (partial thromboplastin time, PTT): 10 of 39 insurance plan rates
  • Aetna — Commercial: $105.62
  • American Health Plan — Medicare Advantage: $6.31
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $12.84
  • 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: $10.91
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $7.21
  • Baylor Scott & White Health Plan — Medicare Advantage: $5.71
  • Blue Cross Blue Shield — Medicare Advantage: $6.31
  • Blue Cross Blue Shield — TX AM University: $37.92
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 $5.40 – $101.66
Blood clotting test (partial thromboplastin time, PTT): 10 of 39 insurance plan rates
  • Aetna — Commercial: $62.12
  • American Health Plan — Medicare Advantage: $6.31
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $12.84
  • 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: $10.91
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $7.21
  • Baylor Scott & White Health Plan — Medicare Advantage: $5.71
  • Blue Cross Blue Shield — Medicare Advantage: $6.31
  • Blue Cross Blue Shield — TX AM University: $37.92

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 $2,758.19 $1,654.91 $99.77 – $2,482.37
CT scan of the head or brain, without contrast: 10 of 39 insurance plan rates
  • Aetna — Commercial: $1,517
  • American Health Plan — Medicare Advantage: $110.27
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,741.52
  • 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: $1,480.29
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $126.02
  • Baylor Scott & White Health Plan — Medicare Advantage: $99.77
  • Blue Cross Blue Shield — Medicare Advantage: $110.27
  • Blue Cross Blue Shield — TX AM University: $571.61
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 $2,758.19 $1,654.91 $1,517 – $2,482.37
CT scan of the head or brain, without contrast: rates for 6 insurance plans
  • Curative — Commercial: $1,792.82
  • First Health — PPO: $1,930.73
  • Independent Medical System — Commercial PPO: $1,654.91
  • MidCoast — Commercial: $1,517
  • QuikTrip — Employee Benefit Plan: $1,517
  • Three Rivers — Three Rivers Provider Network: $2,482.37
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 $5,800.62 $3,480.37 $332.94 – $5,220.56
MRI of the brain, before and after contrast: 10 of 39 insurance plan rates
  • Aetna — Commercial: $3,190.34
  • American Health Plan — Medicare Advantage: $367.98
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $2,036.75
  • 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: $1,731.24
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $420.55
  • Baylor Scott & White Health Plan — Medicare Advantage: $332.94
  • Blue Cross Blue Shield — Medicare Advantage: $367.98
  • Blue Cross Blue Shield — TX AM University: $1,947.43
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 $5,800.62 $3,480.37 $3,190.34 – $5,220.56
MRI of the brain, before and after contrast: rates for 6 insurance plans
  • Curative — Commercial: $3,770.40
  • First Health — PPO: $4,060.43
  • Independent Medical System — Commercial PPO: $3,480.37
  • MidCoast — Commercial: $3,190.34
  • QuikTrip — Employee Benefit Plan: $3,190.34
  • Three Rivers — Three Rivers Provider Network: $5,220.56
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC X-RAY EXAM CHEST 2 VIEWS $568.86 $341.32 $36.11 – $511.97
Chest X-ray, 2 views: 10 of 39 insurance plan rates
  • Aetna — Commercial: $312.87
  • American Health Plan — Medicare Advantage: $91.79
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $243.47
  • 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: $206.95
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $104.90
  • Baylor Scott & White Health Plan — Medicare Advantage: $83.05
  • Blue Cross Blue Shield — Medicare Advantage: $91.79
  • Blue Cross Blue Shield — TX AM University: $326.42
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC X-RAY EXAM CHEST 2 VIEWS $568.86 $341.32 $312.87 – $511.97
Chest X-ray, 2 views: rates for 6 insurance plans
  • Curative — Commercial: $369.76
  • First Health — PPO: $398.20
  • Independent Medical System — Commercial PPO: $341.32
  • MidCoast — Commercial: $312.87
  • QuikTrip — Employee Benefit Plan: $312.87
  • Three Rivers — Three Rivers Provider Network: $511.97
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 $932.37 $559.42 $55.78 – $839.13
X-ray of the lower spine, at least 4 views: 10 of 39 insurance plan rates
  • Aetna — Commercial: $512.80
  • American Health Plan — Medicare Advantage: $110.27
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $399.05
  • 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: $339.20
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $126.02
  • Baylor Scott & White Health Plan — Medicare Advantage: $99.77
  • Blue Cross Blue Shield — Medicare Advantage: $110.27
  • Blue Cross Blue Shield — TX AM University: $458.41
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 $932.37 $559.42 $512.80 – $839.13
X-ray of the lower spine, at least 4 views: rates for 6 insurance plans
  • Curative — Commercial: $606.04
  • First Health — PPO: $652.66
  • Independent Medical System — Commercial PPO: $559.42
  • MidCoast — Commercial: $512.80
  • QuikTrip — Employee Benefit Plan: $512.80
  • Three Rivers — Three Rivers Provider Network: $839.13
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 $3,813.42 $2,288.05 $210.94 – $3,432.08
MRI of the lower back (lumbar spine), without contrast: 10 of 39 insurance plan rates
  • Aetna — Commercial: $2,097.38
  • American Health Plan — Medicare Advantage: $251.67
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $2,036.75
  • 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: $1,731.24
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $287.63
  • Baylor Scott & White Health Plan — Medicare Advantage: $227.71
  • Blue Cross Blue Shield — Medicare Advantage: $251.67
  • Blue Cross Blue Shield — TX AM University: $1,188.50
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 $3,813.42 $2,288.05 $2,097.38 – $3,432.08
MRI of the lower back (lumbar spine), without contrast: rates for 6 insurance plans
  • Curative — Commercial: $2,478.72
  • First Health — PPO: $2,669.39
  • Independent Medical System — Commercial PPO: $2,288.05
  • MidCoast — Commercial: $2,097.38
  • QuikTrip — Employee Benefit Plan: $2,097.38
  • Three Rivers — Three Rivers Provider Network: $3,432.08
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 $3,628.80 $2,177.28 $167.39 – $3,265.92
CT scan of the pelvis, with contrast: 10 of 39 insurance plan rates
  • Aetna — Commercial: $1,995.84
  • American Health Plan — Medicare Advantage: $185.01
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,741.52
  • 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: $1,480.29
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $211.44
  • Baylor Scott & White Health Plan — Medicare Advantage: $167.39
  • Blue Cross Blue Shield — Medicare Advantage: $185.01
  • Blue Cross Blue Shield — TX AM University: $929.32
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PELVIS CT SCAN,W/CONTRAST $3,628.80 $2,177.28 $1,995.84 – $3,265.92
CT scan of the pelvis, with contrast: rates for 6 insurance plans
  • Curative — Commercial: $2,358.72
  • First Health — PPO: $2,540.16
  • Independent Medical System — Commercial PPO: $2,177.28
  • MidCoast — Commercial: $1,995.84
  • QuikTrip — Employee Benefit Plan: $1,995.84
  • Three Rivers — Three Rivers Provider Network: $3,265.92
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 $3,598.48 $2,159.09 $223.46 – $3,238.63
MRI of a leg joint (such as the knee), without contrast: 10 of 39 insurance plan rates
  • Aetna — Commercial: $1,979.16
  • American Health Plan — Medicare Advantage: $251.67
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $2,036.75
  • 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: $1,731.24
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $287.63
  • Baylor Scott & White Health Plan — Medicare Advantage: $227.71
  • Blue Cross Blue Shield — Medicare Advantage: $251.67
  • Blue Cross Blue Shield — TX AM University: $1,188.50
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 $3,598.48 $2,159.09 $1,979.16 – $3,238.63
MRI of a leg joint (such as the knee), without contrast: rates for 6 insurance plans
  • Curative — Commercial: $2,339.01
  • First Health — PPO: $2,518.94
  • Independent Medical System — Commercial PPO: $2,159.09
  • MidCoast — Commercial: $1,979.16
  • QuikTrip — Employee Benefit Plan: $1,979.16
  • Three Rivers — Three Rivers Provider Network: $3,238.63
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 $3,598.48 $2,159.09 $223.46 – $3,238.63
MRI of a leg joint (such as the knee), without contrast: 10 of 26 insurance plan rates
  • Aetna — Commercial: $1,979.16
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $2,036.75
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,731.24
  • Blue Cross Blue Shield — TX AM University: $1,188.50
  • Cigna — HMO/PPO: $2,013
  • Cigna — Local Plus: $1,711
  • CORVEL — Worker's Compensation: $3,058.71
  • Curative — Commercial: $2,339.01
  • Employers Health Network — BSWQA Direct/EHN Rental: $1,691.29
  • Employers Health Network — EHN Network: $1,979.16
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 $6,344.94 $3,806.96 $332.94 – $5,710.45
CT scan of the abdomen and pelvis, with contrast: 10 of 39 insurance plan rates
  • Aetna — Commercial: $3,489.72
  • American Health Plan — Medicare Advantage: $367.98
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,741.52
  • 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: $1,480.29
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $420.55
  • Baylor Scott & White Health Plan — Medicare Advantage: $332.94
  • Blue Cross Blue Shield — Medicare Advantage: $367.98
  • Blue Cross Blue Shield — TX AM University: $1,947.43
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 $6,344.94 $3,806.96 $3,489.72 – $5,710.45
CT scan of the abdomen and pelvis, with contrast: rates for 6 insurance plans
  • Curative — Commercial: $4,124.21
  • First Health — PPO: $4,441.46
  • Independent Medical System — Commercial PPO: $3,806.96
  • MidCoast — Commercial: $3,489.72
  • QuikTrip — Employee Benefit Plan: $3,489.72
  • Three Rivers — Three Rivers Provider Network: $5,710.45
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE $1,191.61 $714.97 $99.77 – $1,072.45
Ultrasound of the abdomen, complete: 10 of 39 insurance plan rates
  • Aetna — Commercial: $655.39
  • American Health Plan — Medicare Advantage: $110.27
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $510.01
  • 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: $433.51
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $126.02
  • Baylor Scott & White Health Plan — Medicare Advantage: $99.77
  • Blue Cross Blue Shield — Medicare Advantage: $110.27
  • Blue Cross Blue Shield — TX AM University: $458.41
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE $1,191.61 $714.97 $655.39 – $1,072.45
Ultrasound of the abdomen, complete: rates for 6 insurance plans
  • Curative — Commercial: $774.55
  • First Health — PPO: $834.13
  • Independent Medical System — Commercial PPO: $714.97
  • MidCoast — Commercial: $655.39
  • QuikTrip — Employee Benefit Plan: $655.39
  • Three Rivers — Three Rivers Provider Network: $1,072.45
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 $1,087.27 $652.36 $99.77 – $978.54
Pregnancy ultrasound (after the first trimester): 10 of 39 insurance plan rates
  • Aetna — Commercial: $598
  • American Health Plan — Medicare Advantage: $110.27
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $465.35
  • 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: $395.55
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $126.02
  • Baylor Scott & White Health Plan — Medicare Advantage: $99.77
  • Blue Cross Blue Shield — Medicare Advantage: $110.27
  • Blue Cross Blue Shield — TX AM University: $374.40
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US > 14 WKS - TRANSABDOMINAL - FIRST FETUS $1,087.27 $652.36 $598 – $978.54
Pregnancy ultrasound (after the first trimester): rates for 6 insurance plans
  • Curative — Commercial: $706.73
  • First Health — PPO: $761.09
  • Independent Medical System — Commercial PPO: $652.36
  • MidCoast — Commercial: $598
  • QuikTrip — Employee Benefit Plan: $598
  • Three Rivers — Three Rivers Provider Network: $978.54
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ULTRASOUND, TRANSVAGINAL $1,007.97 $604.78 $99.77 – $907.17
Transvaginal ultrasound: 10 of 39 insurance plan rates
  • Aetna — Commercial: $554.38
  • American Health Plan — Medicare Advantage: $110.27
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $431.41
  • 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: $366.70
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $126.02
  • Baylor Scott & White Health Plan — Medicare Advantage: $99.77
  • Blue Cross Blue Shield — Medicare Advantage: $110.27
  • Blue Cross Blue Shield — TX AM University: $361.15
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED ONLY - ULTRASOUND, TRANSVAGINAL $1,007.97 $604.78 $99.77 – $907.17
Transvaginal ultrasound: 10 of 39 insurance plan rates
  • Aetna — Commercial: $554.38
  • American Health Plan — Medicare Advantage: $110.27
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $431.41
  • 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: $366.70
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $126.02
  • Baylor Scott & White Health Plan — Medicare Advantage: $99.77
  • Blue Cross Blue Shield — Medicare Advantage: $110.27
  • Blue Cross Blue Shield — TX AM University: $361.15
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ULTRASOUND, TRANSVAGINAL $1,007.97 $604.78 $554.38 – $907.17
Transvaginal ultrasound: rates for 6 insurance plans
  • Curative — Commercial: $655.18
  • First Health — PPO: $705.58
  • Independent Medical System — Commercial PPO: $604.78
  • MidCoast — Commercial: $554.38
  • QuikTrip — Employee Benefit Plan: $554.38
  • Three Rivers — Three Rivers Provider Network: $907.17
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 $87.36 – $408.24
Diagnostic mammogram, one breast: 10 of 25 insurance plan rates
  • Aetna — Commercial: $249.48
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $194.14
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $165.02
  • Blue Cross Blue Shield — TX AM University: $384.71
  • Cigna — HMO/PPO: $245.85
  • Cigna — Local Plus: $210.47
  • CORVEL — Worker's Compensation: $385.56
  • Curative — Commercial: $294.84
  • Employers Health Network — BSWQA Direct/EHN Rental: $213.19
  • Employers Health Network — EHN Network: $249.48
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 – $408.24
Diagnostic mammogram, one breast: rates for 6 insurance plans
  • Curative — Commercial: $294.84
  • First Health — PPO: $317.52
  • Independent Medical System — Commercial PPO: $272.16
  • MidCoast — Commercial: $249.48
  • QuikTrip — Employee Benefit Plan: $249.48
  • Three Rivers — Three Rivers Provider Network: $408.24
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 $87.36 – $408.24
Diagnostic mammogram, one breast: 10 of 25 insurance plan rates
  • Aetna — Commercial: $249.48
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $194.14
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $165.02
  • Blue Cross Blue Shield — TX AM University: $384.71
  • Cigna — HMO/PPO: $245.85
  • Cigna — Local Plus: $210.47
  • CORVEL — Worker's Compensation: $385.56
  • Curative — Commercial: $294.84
  • Employers Health Network — BSWQA Direct/EHN Rental: $213.19
  • Employers Health Network — EHN Network: $249.48
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 $109.20 – $510.30
Diagnostic mammogram, both breasts: 10 of 25 insurance plan rates
  • Aetna — Commercial: $311.85
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $242.68
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $206.27
  • Blue Cross Blue Shield — TX AM University: $492.31
  • Cigna — HMO/PPO: $307.31
  • Cigna — Local Plus: $263.09
  • CORVEL — Worker's Compensation: $481.95
  • Curative — Commercial: $368.55
  • Employers Health Network — BSWQA Direct/EHN Rental: $266.49
  • Employers Health Network — EHN Network: $311.85
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 $109.20 – $510.30
Diagnostic mammogram, both breasts: 10 of 25 insurance plan rates
  • Aetna — Commercial: $311.85
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $242.68
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $206.27
  • Blue Cross Blue Shield — TX AM University: $492.31
  • Cigna — HMO/PPO: $307.31
  • Cigna — Local Plus: $263.09
  • CORVEL — Worker's Compensation: $481.95
  • Curative — Commercial: $368.55
  • Employers Health Network — BSWQA Direct/EHN Rental: $266.49
  • Employers Health Network — EHN Network: $311.85
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 – $510.30
Diagnostic mammogram, both breasts: rates for 6 insurance plans
  • Curative — Commercial: $368.55
  • First Health — PPO: $396.90
  • Independent Medical System — Commercial PPO: $340.20
  • MidCoast — Commercial: $311.85
  • QuikTrip — Employee Benefit Plan: $311.85
  • Three Rivers — Three Rivers Provider Network: $510.30
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCREENING MAMMO W/CAD, BILATERAL $396.90 $238.14 $76.44 – $406.83
Screening mammogram, both breasts: 10 of 25 insurance plan rates
  • Aetna — Commercial: $218.29
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $169.87
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $144.39
  • Blue Cross Blue Shield — TX AM University: $406.83
  • Cigna — HMO/PPO: $215.12
  • Cigna — Local Plus: $184.16
  • CORVEL — Worker's Compensation: $337.37
  • Curative — Commercial: $257.99
  • Employers Health Network — BSWQA Direct/EHN Rental: $186.54
  • Employers Health Network — EHN Network: $218.29
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 $396.90 $238.14 $76.44 – $406.83
Screening mammogram, both breasts: 10 of 25 insurance plan rates
  • Aetna — Commercial: $218.29
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $169.87
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $144.39
  • Blue Cross Blue Shield — TX AM University: $406.83
  • Cigna — HMO/PPO: $215.12
  • Cigna — Local Plus: $184.16
  • CORVEL — Worker's Compensation: $337.37
  • Curative — Commercial: $257.99
  • Employers Health Network — BSWQA Direct/EHN Rental: $186.54
  • Employers Health Network — EHN Network: $218.29
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 $396.90 $238.14 $76.44 – $406.83
Screening mammogram, both breasts: 10 of 25 insurance plan rates
  • Aetna — Commercial: $218.29
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $169.87
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $144.39
  • Blue Cross Blue Shield — TX AM University: $406.83
  • Cigna — HMO/PPO: $215.12
  • Cigna — Local Plus: $184.16
  • CORVEL — Worker's Compensation: $337.37
  • Curative — Commercial: $257.99
  • Employers Health Network — BSWQA Direct/EHN Rental: $186.54
  • Employers Health Network — EHN Network: $218.29

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ELECTROCARDIOGRAM, COMPLETE $237.87 $142.72 $45.81 – $917
Electrocardiogram (ECG/EKG) with reading: 10 of 25 insurance plan rates
  • Aetna — Commercial: $917
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $101.81
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $86.54
  • Blue Cross Blue Shield — TX AM University: $109.16
  • Cigna — HMO/PPO: $128.93
  • Cigna — Local Plus: $110.37
  • CORVEL — Worker's Compensation: $202.19
  • Curative — Commercial: $154.62
  • Employers Health Network — BSWQA Direct/EHN Rental: $111.80
  • Employers Health Network — EHN Network: $130.83
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ELECTROCARDIOGRAM, COMPLETE $237.87 $142.72 $130.83 – $214.08
Electrocardiogram (ECG/EKG) with reading: rates for 6 insurance plans
  • Curative — Commercial: $154.62
  • First Health — PPO: $166.51
  • Independent Medical System — Commercial PPO: $142.72
  • MidCoast — Commercial: $130.83
  • QuikTrip — Employee Benefit Plan: $130.83
  • Three Rivers — Three Rivers Provider Network: $214.08
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LEFT HEART CATHETER $20,385.89 $12,231.53 $3,093.86 – $18,347.30
Left heart catheterization (diagnostic): 10 of 39 insurance plan rates
  • Aetna — Commercial: $17,181
  • American Health Plan — Medicare Advantage: $3,419.53
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $12,961.45
  • 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: $11,017.23
  • 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 — Medicare Advantage: $3,419.53
  • Blue Cross Blue Shield — TX AM University: $9,575.83
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LEFT HEART CATHETER $20,385.89 $12,231.53 $11,212.24 – $18,347.30
Left heart catheterization (diagnostic): rates for 6 insurance plans
  • Curative — Commercial: $13,250.83
  • First Health — PPO: $14,270.12
  • Independent Medical System — Commercial PPO: $12,231.53
  • MidCoast — Commercial: $11,212.24
  • QuikTrip — Employee Benefit Plan: $11,212.24
  • Three Rivers — Three Rivers Provider Network: $18,347.30
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMP EPS W/O ATTEMPT INDUCTION $19,128.23 $11,476.94 $3,684.10 – $24,657
Heart rhythm study (electrophysiology evaluation): 10 of 39 insurance plan rates
  • Aetna — Commercial: $10,520.53
  • American Health Plan — Medicare Advantage: $8,226.97
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $8,186.88
  • 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: $6,958.85
  • 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 — Medicare Advantage: $8,226.97
  • Blue Cross Blue Shield — TX AM University: $21,718.27
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) $19,128.23 $11,476.94 $3,684.10 – $24,657
Heart rhythm study (electrophysiology evaluation): 10 of 39 insurance plan rates
  • Aetna — Commercial: $10,520.53
  • American Health Plan — Medicare Advantage: $8,226.97
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $8,186.88
  • 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: $6,958.85
  • 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 — Medicare Advantage: $8,226.97
  • Blue Cross Blue Shield — TX AM University: $21,718.27
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMP EPS W/O ATTEMPT INDUCTION $19,128.23 $11,476.94 $10,520.53 – $17,215.41
Heart rhythm study (electrophysiology evaluation): rates for 6 insurance plans
  • Curative — Commercial: $12,433.35
  • First Health — PPO: $13,389.76
  • Independent Medical System — Commercial PPO: $11,476.94
  • MidCoast — Commercial: $10,520.53
  • QuikTrip — Employee Benefit Plan: $10,520.53
  • Three Rivers — Three Rivers Provider Network: $17,215.41
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 $11,709.76 – $75,406.15
Heart rhythm study with ablation for atrial fibrillation: 10 of 39 insurance plan rates
  • Aetna — Commercial: $33,439.08
  • American Health Plan — Medicare Advantage: $27,569.82
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $26,021.68
  • 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: $22,118.43
  • 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 — Medicare Advantage: $27,569.82
  • Blue Cross Blue Shield — TX AM University: $75,406.15
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 $11,709.76 – $75,406.15
Heart rhythm study with ablation for atrial fibrillation: 10 of 39 insurance plan rates
  • Aetna — Commercial: $33,439.08
  • American Health Plan — Medicare Advantage: $27,569.82
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $26,021.68
  • 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: $22,118.43
  • 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 — Medicare Advantage: $27,569.82
  • Blue Cross Blue Shield — TX AM University: $75,406.15
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 – $54,718.49
Heart rhythm study with ablation for atrial fibrillation: rates for 6 insurance plans
  • Curative — Commercial: $39,518.91
  • First Health — PPO: $42,558.82
  • Independent Medical System — Commercial PPO: $36,478.99
  • MidCoast — Commercial: $33,439.08
  • QuikTrip — Employee Benefit Plan: $33,439.08
  • Three Rivers — Three Rivers Provider Network: $54,718.49
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOMNOGRAPHY 4OR MORE $7,764.68 $4,658.81 $819.52 – $6,988.21
Sleep study (overnight, in a sleep lab): 10 of 39 insurance plan rates
  • Aetna — Commercial: $2,062
  • American Health Plan — Medicare Advantage: $905.78
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $3,323.28
  • 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: $2,824.79
  • 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 — Medicare Advantage: $905.78
  • Blue Cross Blue Shield — TX AM University: $1,848.47
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 – $6,988.21
Sleep study (overnight, in a sleep lab): 10 of 39 insurance plan rates
  • Aetna — Commercial: $2,062
  • American Health Plan — Medicare Advantage: $905.78
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $3,323.28
  • 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: $2,824.79
  • 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 — Medicare Advantage: $905.78
  • Blue Cross Blue Shield — TX AM University: $1,848.47
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 – $6,988.21
Sleep study (overnight, in a sleep lab): 10 of 39 insurance plan rates
  • Aetna — Commercial: $2,062
  • American Health Plan — Medicare Advantage: $905.78
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $3,323.28
  • 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: $2,824.79
  • 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 — Medicare Advantage: $905.78
  • Blue Cross Blue Shield — TX AM University: $1,848.47

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) $249.28 $149.57 $48.01 – $224.35
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates
  • Aetna — Commercial: $108
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $106.69
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $90.69
  • Blue Cross Blue Shield — TX AM University: $115.68
  • Cigna — HMO/PPO: $175
  • Cigna — Local Plus: $149
  • CORVEL — Worker's Compensation: $211.89
  • Curative — Commercial: $162.03
  • Employers Health Network — BSWQA Direct/EHN Rental: $117.16
  • Employers Health Network — EHN Network: $137.10
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) $249.28 $149.57 $48.01 – $224.35
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates
  • Aetna — Commercial: $108
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $106.69
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $90.69
  • Blue Cross Blue Shield — TX AM University: $115.68
  • Cigna — HMO/PPO: $185
  • Cigna — Local Plus: $157
  • CORVEL — Worker's Compensation: $211.89
  • Curative — Commercial: $162.03
  • Employers Health Network — BSWQA Direct/EHN Rental: $117.16
  • Employers Health Network — EHN Network: $137.10
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THERAPUETIC EXERCISES $249.28 $149.57 $48.01 – $224.35
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates
  • Aetna — Commercial: $108
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $106.69
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $90.69
  • Blue Cross Blue Shield — TX AM University: $115.68
  • Cigna — HMO/PPO: $135.11
  • Cigna — Local Plus: $115.67
  • CORVEL — Worker's Compensation: $211.89
  • Curative — Commercial: $162.03
  • Employers Health Network — BSWQA Direct/EHN Rental: $117.16
  • Employers Health Network — EHN Network: $137.10
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX (97161) $506.98 $304.19 $97.64 – $456.28
Physical therapy evaluation (low complexity): 10 of 26 insurance plan rates
  • Aetna — Commercial: $108
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $216.99
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $184.44
  • Blue Cross Blue Shield — TX AM University: $319.15
  • Cigna — HMO/PPO: $175
  • Cigna — Local Plus: $149
  • CORVEL — Worker's Compensation: $430.93
  • Curative — Commercial: $329.54
  • Employers Health Network — BSWQA Direct/EHN Rental: $238.28
  • Employers Health Network — EHN Network: $278.84
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX (97161) $506.98 $304.19 $278.84 – $456.28
Physical therapy evaluation (low complexity): rates for 6 insurance plans
  • Curative — Commercial: $329.54
  • First Health — PPO: $354.89
  • Independent Medical System — Commercial PPO: $304.19
  • MidCoast — Commercial: $278.84
  • QuikTrip — Employee Benefit Plan: $278.84
  • Three Rivers — Three Rivers Provider Network: $456.28
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEX (97162) $553.94 $332.36 $106.69 – $498.55
Physical therapy evaluation (moderate complexity): 10 of 26 insurance plan rates
  • Aetna — Commercial: $108
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $237.09
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $201.52
  • Blue Cross Blue Shield — TX AM University: $319.15
  • Cigna — HMO/PPO: $175
  • Cigna — Local Plus: $149
  • CORVEL — Worker's Compensation: $470.85
  • Curative — Commercial: $360.06
  • Employers Health Network — BSWQA Direct/EHN Rental: $260.35
  • Employers Health Network — EHN Network: $304.67
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEX (97162) $553.94 $332.36 $304.67 – $498.55
Physical therapy evaluation (moderate complexity): rates for 6 insurance plans
  • Curative — Commercial: $360.06
  • First Health — PPO: $387.76
  • Independent Medical System — Commercial PPO: $332.36
  • MidCoast — Commercial: $304.67
  • QuikTrip — Employee Benefit Plan: $304.67
  • Three Rivers — Three Rivers Provider Network: $498.55
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX (97163) $624.48 $374.69 $108 – $562.03
Physical therapy evaluation (high complexity): 10 of 26 insurance plan rates
  • Aetna — Commercial: $108
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $267.28
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $227.19
  • Blue Cross Blue Shield — TX AM University: $319.15
  • Cigna — HMO/PPO: $175
  • Cigna — Local Plus: $149
  • CORVEL — Worker's Compensation: $530.81
  • Curative — Commercial: $405.91
  • Employers Health Network — BSWQA Direct/EHN Rental: $293.51
  • Employers Health Network — EHN Network: $343.46
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX (97163) $624.48 $374.69 $343.46 – $562.03
Physical therapy evaluation (high complexity): rates for 6 insurance plans
  • Curative — Commercial: $405.91
  • First Health — PPO: $437.14
  • Independent Medical System — Commercial PPO: $374.69
  • MidCoast — Commercial: $343.46
  • QuikTrip — Employee Benefit Plan: $343.46
  • Three Rivers — Three Rivers Provider Network: $562.03
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC VIDEO VISIT PSYCHOTHERAPY, 30 MIN WITH PATIENT $315.24 $189.14 $60.72 – $394.97
Psychotherapy, 30 minutes: 10 of 39 insurance plan rates
  • Aetna — Commercial: $173.38
  • American Health Plan — Medicare Advantage: $187.22
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $134.92
  • 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: $114.68
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $213.96
  • Baylor Scott & White Health Plan — Medicare Advantage: $169.38
  • Blue Cross Blue Shield — Medicare Advantage: $187.22
  • Blue Cross Blue Shield — TX AM University: $176.53
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY, 30 MIN WITH PATIENT $315.24 $189.14 $60.72 – $394.97
Psychotherapy, 30 minutes: 10 of 37 insurance plan rates
  • Aetna — Commercial: $173.38
  • American Health Plan — Medicare Advantage: $187.22
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $134.92
  • 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: $114.68
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $213.96
  • Baylor Scott & White Health Plan — Medicare Advantage: $169.38
  • Blue Cross Blue Shield — Medicare Advantage: $187.22
  • Blue Cross Blue Shield — TX AM University: $176.53
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC VIDEO VISIT PSYCHOTHERAPY, 30 MIN WITH PATIENT $315.24 $189.14 $173.38 – $283.72
Psychotherapy, 30 minutes: rates for 6 insurance plans
  • Curative — Commercial: $204.91
  • First Health — PPO: $220.67
  • Independent Medical System — Commercial PPO: $189.14
  • MidCoast — Commercial: $173.38
  • QuikTrip — Employee Benefit Plan: $173.38
  • Three Rivers — Three Rivers Provider Network: $283.72
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC VIDEO VISIT PSYCHOTHERAPY, 45 MIN WITH PATIENT $412.65 $247.59 $79.48 – $394.97
Psychotherapy, 45 minutes: 10 of 39 insurance plan rates
  • Aetna — Commercial: $226.96
  • American Health Plan — Medicare Advantage: $187.22
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $176.61
  • 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: $150.12
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $213.96
  • Baylor Scott & White Health Plan — Medicare Advantage: $169.38
  • Blue Cross Blue Shield — Medicare Advantage: $187.22
  • Blue Cross Blue Shield — TX AM University: $231.08
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY, 45 MIN WITH PATIENT $412.65 $247.59 $79.48 – $394.97
Psychotherapy, 45 minutes: 10 of 37 insurance plan rates
  • Aetna — Commercial: $226.96
  • American Health Plan — Medicare Advantage: $187.22
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $176.61
  • 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: $150.12
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $213.96
  • Baylor Scott & White Health Plan — Medicare Advantage: $169.38
  • Blue Cross Blue Shield — Medicare Advantage: $187.22
  • Blue Cross Blue Shield — TX AM University: $231.08
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC VIDEO VISIT PSYCHOTHERAPY, 45 MIN WITH PATIENT $412.65 $247.59 $226.96 – $371.38
Psychotherapy, 45 minutes: rates for 6 insurance plans
  • Curative — Commercial: $268.22
  • First Health — PPO: $288.86
  • Independent Medical System — Commercial PPO: $247.59
  • MidCoast — Commercial: $226.96
  • QuikTrip — Employee Benefit Plan: $226.96
  • Three Rivers — Three Rivers Provider Network: $371.38
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC VIDEO VISIT PSYCHOTHERAPY, 60 MIN WITH PATIENT $458.37 $275.02 $88.28 – $412.53
Psychotherapy, 60 minutes: 10 of 39 insurance plan rates
  • Aetna — Commercial: $252.10
  • American Health Plan — Medicare Advantage: $187.22
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $196.18
  • 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: $166.76
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $213.96
  • Baylor Scott & White Health Plan — Medicare Advantage: $169.38
  • Blue Cross Blue Shield — Medicare Advantage: $187.22
  • Blue Cross Blue Shield — TX AM University: $256.69
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY, 60 MIN WITH PATIENT $458.37 $275.02 $88.28 – $412.53
Psychotherapy, 60 minutes: 10 of 37 insurance plan rates
  • Aetna — Commercial: $252.10
  • American Health Plan — Medicare Advantage: $187.22
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $196.18
  • 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: $166.76
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $213.96
  • Baylor Scott & White Health Plan — Medicare Advantage: $169.38
  • Blue Cross Blue Shield — Medicare Advantage: $187.22
  • Blue Cross Blue Shield — TX AM University: $256.69
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC VIDEO VISIT PSYCHOTHERAPY, 60 MIN WITH PATIENT $458.37 $275.02 $252.10 – $412.53
Psychotherapy, 60 minutes: rates for 6 insurance plans
  • Curative — Commercial: $297.94
  • First Health — PPO: $320.86
  • Independent Medical System — Commercial PPO: $275.02
  • MidCoast — Commercial: $252.10
  • QuikTrip — Employee Benefit Plan: $252.10
  • Three Rivers — Three Rivers Provider Network: $412.53
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W/O PT $408.73 $245.24 $78.72 – $394.97
Family psychotherapy, without the patient: 10 of 37 insurance plan rates
  • Aetna — Commercial: $224.80
  • American Health Plan — Medicare Advantage: $187.22
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $174.94
  • 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: $148.70
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $213.96
  • Baylor Scott & White Health Plan — Medicare Advantage: $169.38
  • Blue Cross Blue Shield — Medicare Advantage: $187.22
  • Blue Cross Blue Shield — TX AM University: $228.89
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W/O PT $408.73 $245.24 $224.80 – $367.86
Family psychotherapy, without the patient: rates for 6 insurance plans
  • Curative — Commercial: $265.67
  • First Health — PPO: $286.11
  • Independent Medical System — Commercial PPO: $245.24
  • MidCoast — Commercial: $224.80
  • QuikTrip — Employee Benefit Plan: $224.80
  • Three Rivers — Three Rivers Provider Network: $367.86
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W/PATIENT $383.94 $230.36 $73.95 – $394.97
Family psychotherapy, with the patient: 10 of 37 insurance plan rates
  • Aetna — Commercial: $211.17
  • American Health Plan — Medicare Advantage: $187.22
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $164.33
  • 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: $139.68
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $213.96
  • Baylor Scott & White Health Plan — Medicare Advantage: $169.38
  • Blue Cross Blue Shield — Medicare Advantage: $187.22
  • Blue Cross Blue Shield — TX AM University: $215.01
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W/PATIENT $383.94 $230.36 $211.17 – $345.55
Family psychotherapy, with the patient: rates for 6 insurance plans
  • Curative — Commercial: $249.56
  • First Health — PPO: $268.76
  • Independent Medical System — Commercial PPO: $230.36
  • MidCoast — Commercial: $211.17
  • QuikTrip — Employee Benefit Plan: $211.17
  • Three Rivers — Three Rivers Provider Network: $345.55
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DRUG AND ALCOHOL IOP/HALF DAY $263.23 $157.94 $50.70 – $236.91
Group psychotherapy: 10 of 39 insurance plan rates
  • Aetna — Commercial: $144.78
  • American Health Plan — Medicare Advantage: $107.15
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $112.66
  • 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: $95.76
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $122.46
  • Baylor Scott & White Health Plan — Medicare Advantage: $96.95
  • Blue Cross Blue Shield — Medicare Advantage: $107.15
  • Blue Cross Blue Shield — TX AM University: $147.41
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHIATRIC HALF DAY IOP $263.23 $157.94 $50.70 – $342
Group psychotherapy: 10 of 38 insurance plan rates
  • Aetna — Commercial: $235
  • American Health Plan — Medicare Advantage: $107.15
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $112.66
  • 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: $95.76
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $122.46
  • Baylor Scott & White Health Plan — Medicare Advantage: $96.95
  • Blue Cross Blue Shield — Medicare Advantage: $107.15
  • Blue Cross Blue Shield — TX AM University: $342
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY $263.23 $157.94 $50.70 – $236.91
Group psychotherapy: 10 of 37 insurance plan rates
  • Aetna — Commercial: $144.78
  • American Health Plan — Medicare Advantage: $107.15
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $112.66
  • 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: $95.76
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $122.46
  • Baylor Scott & White Health Plan — Medicare Advantage: $96.95
  • Blue Cross Blue Shield — Medicare Advantage: $107.15
  • Blue Cross Blue Shield — TX AM University: $147.41

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 $10,044.69 $6,026.81 $1,031.12 – $9,442.65
Removal of breast growth (open surgery): 10 of 39 insurance plan rates
  • Aetna — Commercial: $5,524.58
  • American Health Plan — Medicare Advantage: $4,129.94
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $4,299.13
  • 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: $3,654.26
  • 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 — Medicare Advantage: $4,129.94
  • Blue Cross Blue Shield — TX AM University: $5,625.03
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC REMOVAL OF BREAST LE $10,044.69 $6,026.81 $5,524.58 – $9,040.22
Removal of breast growth (open surgery): rates for 6 insurance plans
  • Curative — Commercial: $6,529.05
  • First Health — PPO: $7,031.28
  • Independent Medical System — Commercial PPO: $6,026.81
  • MidCoast — Commercial: $5,524.58
  • QuikTrip — Employee Benefit Plan: $5,524.58
  • Three Rivers — Three Rivers Provider Network: $9,040.22
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXCISION OF CYST, FIBROADENOMA, OR OTHER BENIGN OR MALIGNANT TUMOR, ABERRANT BREAST TISSUE, DUCT LESION, NIPPLE OR AREOLAR LESION (EXCEPT 19 Not listed in the file Not listed in the file $1,031.12 – $9,442.65
Removal of breast growth (open surgery): 10 of 25 insurance plan rates
  • American Health Plan — Medicare Advantage: $4,129.94
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $6,489.91
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $4,936.27
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $4,719.94
  • Baylor Scott & White Health Plan — Medicare Advantage: $3,736.62
  • Blue Cross Blue Shield — Medicare Advantage: $4,129.94
  • Blue Cross Blue Shield — TX AM University: $5,816.74
  • CareWorks fka Rockport — Worker's Compensation: $5,880.25
  • Cigna — HMO/PPO: $5,250
  • Cigna — Local Plus: $4,463
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROPLASTY, ACETABULAR AND PROXIMAL FEMORAL PROSTHETIC REPLACEMENT (TOTAL HIP ARTHROPLASTY), WITH OR WITHOUT AUTOGRAFT OR ALLOGRAFT Not listed in the file Not listed in the file $5,388 – $32,603.53
Total hip replacement: 10 of 23 insurance plan rates
  • American Health Plan — Medicare Advantage: $13,542.05
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $21,280.36
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $16,185.97
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $15,476.63
  • Baylor Scott & White Health Plan — Medicare Advantage: $12,252.33
  • Blue Cross Blue Shield — Medicare Advantage: $13,542.05
  • Blue Cross Blue Shield — TX AM University: $22,849.36
  • CareWorks fka Rockport — Worker's Compensation: $19,281.30
  • Cigna — HMO/PPO: $6,339
  • Cigna — Local Plus: $5,388
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATELLA RESURFACING (TOTAL KNEE ARTHROPLASTY) Not listed in the file Not listed in the file $5,388 – $32,603.53
Total knee replacement: 10 of 23 insurance plan rates
  • American Health Plan — Medicare Advantage: $13,542.05
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $21,280.36
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $16,185.97
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $15,476.63
  • Baylor Scott & White Health Plan — Medicare Advantage: $12,252.33
  • Blue Cross Blue Shield — Medicare Advantage: $13,542.05
  • Blue Cross Blue Shield — TX AM University: $22,849.36
  • CareWorks fka Rockport — Worker's Compensation: $19,281.30
  • Cigna — HMO/PPO: $6,339
  • Cigna — Local Plus: $5,388
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SHOULDER ARTHROSCOPY $6,338.35 $3,803.01 $85 – $12,343
Shoulder arthroscopy: shaving of shoulder bone: 10 of 25 insurance plan rates
  • Aetna — Commercial: $3,486.09
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $2,712.81
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $2,305.89
  • Blue Cross Blue Shield — TX AM University: $85
  • Cigna — HMO/PPO: $5,250
  • Cigna — Local Plus: $4,463
  • CORVEL — Worker's Compensation: $5,387.60
  • Curative — Commercial: $4,119.93
  • Employers Health Network — BSWQA Direct/EHN Rental: $2,979.02
  • Employers Health Network — EHN Network: $3,486.09
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SHOULDER ARTHROSCOPY $6,338.35 $3,803.01 $3,486.09 – $5,704.52
Shoulder arthroscopy: shaving of shoulder bone: rates for 6 insurance plans
  • Curative — Commercial: $4,119.93
  • First Health — PPO: $4,436.85
  • Independent Medical System — Commercial PPO: $3,803.01
  • MidCoast — Commercial: $3,486.09
  • QuikTrip — Employee Benefit Plan: $3,486.09
  • Three Rivers — Three Rivers Provider Network: $5,704.52
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSCOPY, SHOULDER, SURGICAL; DECOMPRESSION OF SUBACROMIAL SPACE WITH PARTIAL ACROMIOPLASTY, WITH CORACOACROMIAL LIGAMENT (IE, ARCH) RELE Not listed in the file Not listed in the file $2,959 – $12,343
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans
  • Cigna — HMO/PPO: $5,250
  • Cigna — Local Plus: $4,463
  • HealthSmart — Accel Network: $12,343
  • Humana — Commercial HMO: $6,022
  • United Healthcare — Commercial: $2,959
  • Imagine Health — Commercial: 60% (a percentage in the contract, not a dollar amount)
  • University of Mary Hardin-Baylor — Commercial: 60% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC KNEE ARTHROSCOPY/SUR - W/MENISCECTOMY $9,827.40 $5,896.44 $85 – $12,343
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 39 insurance plan rates
  • Aetna — Commercial: $5,405.07
  • American Health Plan — Medicare Advantage: $3,451.26
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $4,206.13
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $5,423.40
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $4,125.07
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $3,575.21
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $3,944.29
  • Baylor Scott & White Health Plan — Medicare Advantage: $3,122.56
  • Blue Cross Blue Shield — Medicare Advantage: $3,451.26
  • Blue Cross Blue Shield — TX AM University: $85
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC KNEE ARTHROSCOPY/SUR - W/MENISCECTOMY $9,827.40 $5,896.44 $5,405.07 – $8,844.66
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 6 insurance plans
  • Curative — Commercial: $6,387.81
  • First Health — PPO: $6,879.18
  • Independent Medical System — Commercial PPO: $5,896.44
  • MidCoast — Commercial: $5,405.07
  • QuikTrip — Employee Benefit Plan: $5,405.07
  • Three Rivers — Three Rivers Provider Network: $8,844.66
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL OR LATERAL, INCLUDING ANY MENISCAL SHAVING) INCLUDING DEBRIDEMENT/SHAVING OF ARTICULA Not listed in the file Not listed in the file $1,164.45 – $12,343
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 25 insurance plan rates
  • American Health Plan — Medicare Advantage: $3,451.26
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $5,423.40
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $4,125.07
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $3,944.29
  • Baylor Scott & White Health Plan — Medicare Advantage: $3,122.56
  • Blue Cross Blue Shield — Medicare Advantage: $3,451.26
  • Blue Cross Blue Shield — TX AM University: $5,255.90
  • CareWorks fka Rockport — Worker's Compensation: $4,913.93
  • Cigna — HMO/PPO: $6,038
  • Cigna — Local Plus: $5,132
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC REMOVE TONSILS/ADENO $7,972.53 $4,783.52 $85 – $14,507.25
Removal of tonsils and adenoids (under age 12): 10 of 39 insurance plan rates
  • Aetna — Commercial: $4,384.89
  • American Health Plan — Medicare Advantage: $6,244.15
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $3,412.24
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $9,812.24
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $7,463.25
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $2,900.41
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $7,136.17
  • Baylor Scott & White Health Plan — Medicare Advantage: $5,649.47
  • Blue Cross Blue Shield — Medicare Advantage: $6,244.15
  • Blue Cross Blue Shield — TX AM University: $85
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC REMOVE TONSILS/ADENO $7,972.53 $4,783.52 $4,384.89 – $7,175.28
Removal of tonsils and adenoids (under age 12): rates for 6 insurance plans
  • Curative — Commercial: $5,182.14
  • First Health — PPO: $5,580.77
  • Independent Medical System — Commercial PPO: $4,783.52
  • MidCoast — Commercial: $4,384.89
  • QuikTrip — Employee Benefit Plan: $4,384.89
  • Three Rivers — Three Rivers Provider Network: $7,175.28
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TONSILLECTOMY AND ADENOIDECTOMY; YOUNGER THAN AGE 12 Not listed in the file Not listed in the file $2,091.02 – $14,507.25
Removal of tonsils and adenoids (under age 12): 10 of 25 insurance plan rates
  • American Health Plan — Medicare Advantage: $6,244.15
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $9,812.24
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $7,463.25
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $7,136.17
  • Baylor Scott & White Health Plan — Medicare Advantage: $5,649.47
  • Blue Cross Blue Shield — Medicare Advantage: $6,244.15
  • Blue Cross Blue Shield — TX AM University: $9,313.02
  • CareWorks fka Rockport — Worker's Compensation: $8,890.48
  • Cigna — HMO/PPO: $5,250
  • Cigna — Local Plus: $4,463
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEP Not listed in the file Not listed in the file $358.40 – $4,563
Upper GI endoscopy (diagnostic): 10 of 25 insurance plan rates
  • American Health Plan — Medicare Advantage: $956.68
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $1,503.35
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $1,143.46
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $1,093.34
  • Baylor Scott & White Health Plan — Medicare Advantage: $865.56
  • Blue Cross Blue Shield — Medicare Advantage: $956.68
  • Blue Cross Blue Shield — TX AM University: $1,508.97
  • CareWorks fka Rockport — Worker's Compensation: $1,362.12
  • Cigna — HMO/PPO: $3,500
  • Cigna — Local Plus: $2,975
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE Not listed in the file Not listed in the file $358.40 – $5,266
Upper GI endoscopy with biopsy: 10 of 25 insurance plan rates
  • American Health Plan — Medicare Advantage: $956.68
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $1,503.35
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $1,143.46
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $1,093.34
  • Baylor Scott & White Health Plan — Medicare Advantage: $865.56
  • Blue Cross Blue Shield — Medicare Advantage: $956.68
  • Blue Cross Blue Shield — TX AM University: $1,508.97
  • CareWorks fka Rockport — Worker's Compensation: $1,362.12
  • Cigna — HMO/PPO: $4,025
  • Cigna — Local Plus: $3,421
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE) Not listed in the file Not listed in the file $351.50 – $5,266
Colonoscopy (diagnostic): 10 of 25 insurance plan rates
  • American Health Plan — Medicare Advantage: $980.91
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $1,541.43
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $1,172.42
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $1,121.04
  • Baylor Scott & White Health Plan — Medicare Advantage: $887.49
  • Blue Cross Blue Shield — Medicare Advantage: $980.91
  • Blue Cross Blue Shield — TX AM University: $1,466.65
  • CareWorks fka Rockport — Worker's Compensation: $1,396.63
  • Cigna — HMO/PPO: $4,025
  • Cigna — Local Plus: $3,421
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE Not listed in the file Not listed in the file $459.31 – $5,266
Colonoscopy with biopsy: 10 of 25 insurance plan rates
  • American Health Plan — Medicare Advantage: $1,262.19
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $1,983.45
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $1,508.62
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $1,442.51
  • Baylor Scott & White Health Plan — Medicare Advantage: $1,141.99
  • Blue Cross Blue Shield — Medicare Advantage: $1,262.19
  • Blue Cross Blue Shield — TX AM University: $1,928.10
  • CareWorks fka Rockport — Worker's Compensation: $1,797.12
  • Cigna — HMO/PPO: $4,025
  • Cigna — Local Plus: $3,421
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE TECHNIQUE Not listed in the file Not listed in the file $459.31 – $5,266
Colonoscopy with removal of polyps (snare): 10 of 25 insurance plan rates
  • American Health Plan — Medicare Advantage: $1,262.19
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $1,983.45
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $1,508.62
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $1,442.51
  • Baylor Scott & White Health Plan — Medicare Advantage: $1,141.99
  • Blue Cross Blue Shield — Medicare Advantage: $1,262.19
  • Blue Cross Blue Shield — TX AM University: $1,928.10
  • CareWorks fka Rockport — Worker's Compensation: $1,797.12
  • Cigna — HMO/PPO: $4,025
  • Cigna — Local Plus: $3,421
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK Not listed in the file Not listed in the file $351.50 – $5,266
Screening colonoscopy (not high risk): 10 of 25 insurance plan rates
  • American Health Plan — Medicare Advantage: $980.91
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $1,541.43
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $1,172.42
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $1,121.04
  • Baylor Scott & White Health Plan — Medicare Advantage: $887.49
  • Blue Cross Blue Shield — Medicare Advantage: $980.91
  • Blue Cross Blue Shield — TX AM University: $1,466.65
  • CareWorks fka Rockport — Worker's Compensation: $1,396.63
  • Cigna — HMO/PPO: $4,025
  • Cigna — Local Plus: $3,421
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY Not listed in the file Not listed in the file $2,021.07 – $15,811
Gallbladder removal by laparoscope: 10 of 24 insurance plan rates
  • American Health Plan — Medicare Advantage: $6,376.73
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $10,020.58
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $7,621.72
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $7,287.70
  • Baylor Scott & White Health Plan — Medicare Advantage: $5,769.43
  • Blue Cross Blue Shield — Medicare Advantage: $6,376.73
  • Blue Cross Blue Shield — TX AM University: $9,280.72
  • CareWorks fka Rockport — Worker's Compensation: $9,079.25
  • Cigna — HMO/PPO: $10,175
  • Cigna — Local Plus: $8,649
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 $11,179.30 $6,707.58 $85 – $10,061.37
Groin (inguinal) hernia repair, age 5 or older: 10 of 39 insurance plan rates
  • Aetna — Commercial: $6,148.61
  • American Health Plan — Medicare Advantage: $3,776.56
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $4,784.74
  • 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: $4,067.03
  • 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 — Medicare Advantage: $3,776.56
  • Blue Cross Blue Shield — TX AM University: $85
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 $11,179.30 $6,707.58 $6,148.61 – $10,061.37
Groin (inguinal) hernia repair, age 5 or older: rates for 6 insurance plans
  • Curative — Commercial: $7,266.55
  • First Health — PPO: $7,825.51
  • Independent Medical System — Commercial PPO: $6,707.58
  • MidCoast — Commercial: $6,148.61
  • QuikTrip — Employee Benefit Plan: $6,148.61
  • Three Rivers — Three Rivers Provider Network: $10,061.37
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE Not listed in the file Not listed in the file $1,232.15 – $8,570.48
Groin (inguinal) hernia repair, age 5 or older: 10 of 25 insurance plan rates
  • American Health Plan — Medicare Advantage: $3,776.56
  • 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 - Small Group: $4,316.06
  • Baylor Scott & White Health Plan — Medicare Advantage: $3,416.88
  • Blue Cross Blue Shield — Medicare Advantage: $3,776.56
  • Blue Cross Blue Shield — TX AM University: $5,969.93
  • CareWorks fka Rockport — Worker's Compensation: $5,377.10
  • Cigna — HMO/PPO: $6,038
  • Cigna — Local Plus: $5,132
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BIOPSY OF PROSTATE $5,051.42 $3,030.85 $85 – $5,045.72
Prostate biopsy: 10 of 26 insurance plan rates
  • Aetna — Commercial: $2,778.28
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $2,162.01
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,837.71
  • Blue Cross Blue Shield — TX AM University: $85
  • Cigna — HMO/PPO: $4,025
  • Cigna — Local Plus: $3,421
  • CORVEL — Worker's Compensation: $4,293.71
  • Curative — Commercial: $3,283.42
  • Employers Health Network — BSWQA Direct/EHN Rental: $2,374.17
  • Employers Health Network — EHN Network: $2,778.28
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BIOPSY OF PROSTATE $5,051.42 $3,030.85 $2,778.28 – $4,546.28
Prostate biopsy: rates for 6 insurance plans
  • Curative — Commercial: $3,283.42
  • First Health — PPO: $3,535.99
  • Independent Medical System — Commercial PPO: $3,030.85
  • MidCoast — Commercial: $2,778.28
  • QuikTrip — Employee Benefit Plan: $2,778.28
  • Three Rivers — Three Rivers Provider Network: $4,546.28
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE, ANY APPROACH Not listed in the file Not listed in the file $3,401.38 – $5,045.72
Prostate biopsy: rates for 8 insurance plans
  • Blue Cross Blue Shield — TX AM University: $3,401.38
  • Cigna — HMO/PPO: $4,025
  • Cigna — Local Plus: $3,421
  • Humana — Commercial HMO: $4,084
  • Mark Cuban — Commercial: $5,045.72
  • United Healthcare — Commercial: $4,563
  • Imagine Health — Commercial: 60% (a percentage in the contract, not a dollar amount)
  • University of Mary Hardin-Baylor — Commercial: 60% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPY, SURGICAL PROSTATECTOMY, RETROPUBIC RADICAL, INCLUDING NERVE SPARING, INCLUDES ROBOTIC ASSISTANCE, WHEN PERFORMED; Not listed in the file Not listed in the file $5,388 – $25,500.18
Prostate removal by laparoscope (radical prostatectomy): 10 of 23 insurance plan rates
  • American Health Plan — Medicare Advantage: $11,212.18
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $17,619.15
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $13,401.23
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $12,813.92
  • Baylor Scott & White Health Plan — Medicare Advantage: $10,144.36
  • Blue Cross Blue Shield — Medicare Advantage: $11,212.18
  • Blue Cross Blue Shield — TX AM University: $16,153.17
  • CareWorks fka Rockport — Worker's Compensation: $15,964.01
  • Cigna — HMO/PPO: $6,339
  • Cigna — Local Plus: $5,388
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HYSTEROSCOPY, BIOPSY $7,921.97 $4,753.18 $85 – $7,744.80
Hysteroscopy with biopsy of the uterus lining: 10 of 39 insurance plan rates
  • Aetna — Commercial: $4,357.08
  • American Health Plan — Medicare Advantage: $3,414.47
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $3,390.60
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $5,365.60
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $4,081.11
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $2,882.01
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $3,902.26
  • Baylor Scott & White Health Plan — Medicare Advantage: $3,089.29
  • Blue Cross Blue Shield — Medicare Advantage: $3,414.47
  • Blue Cross Blue Shield — TX AM University: $85
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HYSTEROSCOPY, BIOPSY $7,921.97 $4,753.18 $4,357.08 – $7,129.77
Hysteroscopy with biopsy of the uterus lining: rates for 6 insurance plans
  • Curative — Commercial: $5,149.28
  • First Health — PPO: $5,545.38
  • Independent Medical System — Commercial PPO: $4,753.18
  • MidCoast — Commercial: $4,357.08
  • QuikTrip — Employee Benefit Plan: $4,357.08
  • Three Rivers — Three Rivers Provider Network: $7,129.77
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY, SURGICAL; WITH SAMPLING (BIOPSY) OF ENDOMETRIUM AND/OR POLYPECTOMY, WITH OR WITHOUT D & C Not listed in the file Not listed in the file $1,137.97 – $7,744.80
Hysteroscopy with biopsy of the uterus lining: 10 of 25 insurance plan rates
  • American Health Plan — Medicare Advantage: $3,414.47
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $5,365.60
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $4,081.11
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $3,902.26
  • Baylor Scott & White Health Plan — Medicare Advantage: $3,089.29
  • Blue Cross Blue Shield — Medicare Advantage: $3,414.47
  • Blue Cross Blue Shield — TX AM University: $4,796.35
  • CareWorks fka Rockport — Worker's Compensation: $4,861.56
  • Cigna — HMO/PPO: $5,250
  • Cigna — Local Plus: $4,463
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 $3,451.36 $2,070.82 $281.26 – $3,106.22
Spinal injection, lower back (epidural), with imaging guidance: 10 of 39 insurance plan rates
  • Aetna — Commercial: $1,898.25
  • American Health Plan — Medicare Advantage: $744.55
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,477.18
  • 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: $1,255.60
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $850.92
  • Baylor Scott & White Health Plan — Medicare Advantage: $673.64
  • Blue Cross Blue Shield — Medicare Advantage: $744.55
  • Blue Cross Blue Shield — TX AM University: $1,932.76
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 $3,451.36 $2,070.82 $1,898.25 – $3,106.22
Spinal injection, lower back (epidural), with imaging guidance: rates for 6 insurance plans
  • Curative — Commercial: $2,243.38
  • First Health — PPO: $2,415.95
  • Independent Medical System — Commercial PPO: $2,070.82
  • MidCoast — Commercial: $1,898.25
  • QuikTrip — Employee Benefit Plan: $1,898.25
  • Three Rivers — Three Rivers Provider Network: $3,106.22
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION(S), OF DIAGNOSTIC OR THERAPEUTIC SUBSTANCE(S) (EG, ANESTHETIC, ANTISPASMODIC, OPIOID, STEROID, OTHER SOLUTION), NOT INCLUDING NEUR Not listed in the file Not listed in the file $281.26 – $4,563
Spinal injection, lower back (epidural), with imaging guidance: 10 of 25 insurance plan rates
  • American Health Plan — Medicare Advantage: $744.55
  • 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 - Small Group: $850.92
  • Baylor Scott & White Health Plan — Medicare Advantage: $673.64
  • Blue Cross Blue Shield — Medicare Advantage: $744.55
  • Blue Cross Blue Shield — TX AM University: $1,200.10
  • CareWorks fka Rockport — Worker's Compensation: $1,060.10
  • Cigna — HMO/PPO: $3,500
  • Cigna — Local Plus: $2,975
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 $3,807.56 $2,284.54 $364.62 – $3,934
Nerve root injection, lower back, with imaging guidance: 10 of 39 insurance plan rates
  • Aetna — Commercial: $2,094.16
  • American Health Plan — Medicare Advantage: $932.92
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,629.64
  • 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: $1,385.19
  • 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 — Medicare Advantage: $932.92
  • Blue Cross Blue Shield — TX AM University: $2,132.23
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 $3,807.56 $2,284.54 $85 – $3,934
Nerve root injection, lower back, with imaging guidance: 10 of 39 insurance plan rates
  • Aetna — Commercial: $2,094.16
  • American Health Plan — Medicare Advantage: $932.92
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,629.64
  • 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: $1,385.19
  • 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 — Medicare Advantage: $932.92
  • Blue Cross Blue Shield — TX AM University: $85
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 $3,807.56 $2,284.54 $2,094.16 – $3,426.80
Nerve root injection, lower back, with imaging guidance: rates for 6 insurance plans
  • Curative — Commercial: $2,474.91
  • First Health — PPO: $2,665.29
  • Independent Medical System — Commercial PPO: $2,284.54
  • MidCoast — Commercial: $2,094.16
  • QuikTrip — Employee Benefit Plan: $2,094.16
  • Three Rivers — Three Rivers Provider Network: $3,426.80
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CARPAL TUNNEL SURG. $8,456.93 $5,074.16 $706.14 – $7,611.24
Carpal tunnel release: 10 of 39 insurance plan rates
  • Aetna — Commercial: $4,651.31
  • American Health Plan — Medicare Advantage: $2,059.70
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $3,619.57
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $3,236.67
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $2,461.83
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $3,076.63
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $2,353.94
  • Baylor Scott & White Health Plan — Medicare Advantage: $1,863.54
  • Blue Cross Blue Shield — Medicare Advantage: $2,059.70
  • Blue Cross Blue Shield — TX AM University: $4,735.88
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CARPAL TUNNEL SURG. $8,456.93 $5,074.16 $4,651.31 – $7,611.24
Carpal tunnel release: rates for 6 insurance plans
  • Curative — Commercial: $5,497
  • First Health — PPO: $5,919.85
  • Independent Medical System — Commercial PPO: $5,074.16
  • MidCoast — Commercial: $4,651.31
  • QuikTrip — Employee Benefit Plan: $4,651.31
  • Three Rivers — Three Rivers Provider Network: $7,611.24
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL Not listed in the file Not listed in the file $706.14 – $6,555
Carpal tunnel release: 10 of 25 insurance plan rates
  • American Health Plan — Medicare Advantage: $2,059.70
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $3,236.67
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $2,461.83
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $2,353.94
  • Baylor Scott & White Health Plan — Medicare Advantage: $1,863.54
  • Blue Cross Blue Shield — Medicare Advantage: $2,059.70
  • Blue Cross Blue Shield — TX AM University: $3,301.15
  • CareWorks fka Rockport — Worker's Compensation: $2,932.62
  • Cigna — HMO/PPO: $4,025
  • Cigna — Local Plus: $3,421
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC AFTER CATARACT LASER $2,207.43 $1,324.46 $85 – $4,025
Laser treatment of clouding after cataract surgery: 10 of 39 insurance plan rates
  • Aetna — Commercial: $1,214.09
  • American Health Plan — Medicare Advantage: $580.12
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $944.78
  • 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: $803.06
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $663
  • Baylor Scott & White Health Plan — Medicare Advantage: $524.88
  • Blue Cross Blue Shield — Medicare Advantage: $580.12
  • Blue Cross Blue Shield — TX AM University: $85
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC AFTER CATARACT LASER $2,207.43 $1,324.46 $1,214.09 – $1,986.69
Laser treatment of clouding after cataract surgery: rates for 6 insurance plans
  • Curative — Commercial: $1,434.83
  • First Health — PPO: $1,545.20
  • Independent Medical System — Commercial PPO: $1,324.46
  • MidCoast — Commercial: $1,214.09
  • QuikTrip — Employee Benefit Plan: $1,214.09
  • Three Rivers — Three Rivers Provider Network: $1,986.69
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CATARACT SURG W/IOL, $3,919.61 $2,351.77 $85 – $9,718
Cataract removal with lens implant: 10 of 39 insurance plan rates
  • Aetna — Commercial: $2,155.79
  • American Health Plan — Medicare Advantage: $2,434.26
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,677.59
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $3,825.26
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $2,909.52
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,425.95
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $2,782.01
  • Baylor Scott & White Health Plan — Medicare Advantage: $2,202.42
  • Blue Cross Blue Shield — Medicare Advantage: $2,434.26
  • Blue Cross Blue Shield — TX AM University: $85
Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CATARACT SURG W/IOL, $3,919.61 $2,351.77 $2,155.79 – $3,527.65
Cataract removal with lens implant: rates for 6 insurance plans
  • Curative — Commercial: $2,547.75
  • First Health — PPO: $2,743.73
  • Independent Medical System — Commercial PPO: $2,351.77
  • MidCoast — Commercial: $2,155.79
  • QuikTrip — Employee Benefit Plan: $2,155.79
  • Three Rivers — Three Rivers Provider Network: $3,527.65
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS (1 STAGE PROCEDURE), MANUAL OR MECHANICAL TECHNIQUE (EG, IRRIGA Not listed in the file Not listed in the file $909.44 – $9,718
Cataract removal with lens implant: 10 of 25 insurance plan rates
  • American Health Plan — Medicare Advantage: $2,434.26
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $3,825.26
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $2,909.52
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $2,782.01
  • Baylor Scott & White Health Plan — Medicare Advantage: $2,202.42
  • Blue Cross Blue Shield — Medicare Advantage: $2,434.26
  • Blue Cross Blue Shield — TX AM University: $3,881.97
  • CareWorks fka Rockport — Worker's Compensation: $3,465.92
  • Cigna — HMO/PPO: $8,848
  • Cigna — Local Plus: $7,521

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FULL ROUT OBSTE CARE,VAGINAL DELIV $4,467.33 $2,680.40 $85 – $7,441
Vaginal delivery, with care before and after: 10 of 25 insurance plan rates
  • Aetna — Commercial: $2,457.03
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $1,912.02
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $1,625.21
  • Blue Cross Blue Shield — TX AM University: $85
  • Cigna — HMO/PPO: $2,421.29
  • Cigna — Local Plus: $2,072.84
  • CORVEL — Worker's Compensation: $3,797.23
  • Curative — Commercial: $2,903.76
  • Employers Health Network — BSWQA Direct/EHN Rental: $2,099.65
  • Employers Health Network — EHN Network: $2,457.03
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FULL ROUT OBSTE CARE,VAGINAL DELIV $4,467.33 $2,680.40 $2,457.03 – $4,020.60
Vaginal delivery, with care before and after: rates for 6 insurance plans
  • Curative — Commercial: $2,903.76
  • First Health — PPO: $3,127.13
  • Independent Medical System — Commercial PPO: $2,680.40
  • MidCoast — Commercial: $2,457.03
  • QuikTrip — Employee Benefit Plan: $2,457.03
  • Three Rivers — Three Rivers Provider Network: $4,020.60
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FULL ROUT OBSTE CARE,CESAREAN DELIV $6,926.51 $4,155.91 $85 – $7,441
Cesarean delivery (C-section), with care before and after: 10 of 25 insurance plan rates
  • Aetna — Commercial: $3,809.58
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $2,964.55
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $2,519.86
  • Blue Cross Blue Shield — TX AM University: $85
  • Cigna — HMO/PPO: $3,754.17
  • Cigna — Local Plus: $3,213.90
  • CORVEL — Worker's Compensation: $5,887.53
  • Curative — Commercial: $4,502.23
  • Employers Health Network — BSWQA Direct/EHN Rental: $3,255.46
  • Employers Health Network — EHN Network: $3,809.58
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FULL ROUT OBSTE CARE,CESAREAN DELIV $6,926.51 $4,155.91 $3,809.58 – $6,233.86
Cesarean delivery (C-section), with care before and after: rates for 6 insurance plans
  • Curative — Commercial: $4,502.23
  • First Health — PPO: $4,848.56
  • Independent Medical System — Commercial PPO: $4,155.91
  • MidCoast — Commercial: $3,809.58
  • QuikTrip — Employee Benefit Plan: $3,809.58
  • Three Rivers — Three Rivers Provider Network: $6,233.86
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ROUT OB CARE,VAG DELIV,PREV C-SEC $13,284.44 $7,970.66 $85 – $11,956
Vaginal delivery after a previous C-section, with care before and after: 10 of 25 insurance plan rates
  • Aetna — Commercial: $7,306.44
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $5,685.74
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $4,832.88
  • Blue Cross Blue Shield — TX AM University: $85
  • Cigna — HMO/PPO: $7,200.17
  • Cigna — Local Plus: $6,163.98
  • CORVEL — Worker's Compensation: $11,291.77
  • Curative — Commercial: $8,634.89
  • Employers Health Network — BSWQA Direct/EHN Rental: $6,243.69
  • Employers Health Network — EHN Network: $7,306.44
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ROUT OB CARE,VAG DELIV,PREV C-SEC $13,284.44 $7,970.66 $7,306.44 – $11,956
Vaginal delivery after a previous C-section, with care before and after: rates for 6 insurance plans
  • Curative — Commercial: $8,634.89
  • First Health — PPO: $9,299.11
  • Independent Medical System — Commercial PPO: $7,970.66
  • MidCoast — Commercial: $7,306.44
  • QuikTrip — Employee Benefit Plan: $7,306.44
  • Three Rivers — Three Rivers Provider Network: $11,956

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 $68,513.41 – $242,482.55
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 31 insurance plan rates
  • Aetna — Commercial: $185,413
  • American Health Plan — Medicare Advantage: $75,725.35
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $116,673.78
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $129,814.88
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $90,509.82
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $99,172.65
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $86,543.26
  • Baylor Scott & White Health Plan — Medicare Advantage: $68,513.41
  • Blue Cross Blue Shield — Medicare Advantage: $75,725.35
  • CareWorks fka Rockport — Worker's Compensation: $89,572.27
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 $14,614.30 – $38,266
Hip or knee replacement (major joint of the leg), without major complications: 10 of 31 insurance plan rates
  • Aetna — Commercial: $36,226
  • American Health Plan — Medicare Advantage: $16,152.64
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $23,004.87
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $27,690.25
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $19,306.25
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $19,554.13
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $18,460.16
  • Baylor Scott & White Health Plan — Medicare Advantage: $14,614.30
  • Blue Cross Blue Shield — Medicare Advantage: $16,152.64
  • CareWorks fka Rockport — Worker's Compensation: $19,106.27
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 $18,130.75 – $44,148.47
Neck (cervical) spinal fusion, without complications: 10 of 31 insurance plan rates
  • Aetna — Commercial: $34,095
  • American Health Plan — Medicare Advantage: $20,039.25
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $29,115.97
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $34,353
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $23,951.67
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $24,748.56
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $22,902
  • Baylor Scott & White Health Plan — Medicare Advantage: $18,130.75
  • Blue Cross Blue Shield — Medicare Advantage: $20,039.25
  • CareWorks fka Rockport — Worker's Compensation: $23,703.57
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 – $22,436.82
Uterus and ovary surgery (not for cancer), without complications: 10 of 30 insurance plan rates
  • Aetna — Commercial: $17,263
  • American Health Plan — Medicare Advantage: $10,932.57
  • Baylor Scott & White Health Plan — BSW Plus - Large Group/BSW Premier Direct to Employer (Rate : $14,797.11
  • Baylor Scott & White Health Plan — BSW Plus - Small Group: $18,741.55
  • Baylor Scott & White Health Plan — BSW Premier - Individual: $13,067.02
  • Baylor Scott & White Health Plan — BSW Premier - Large Group/BSW Premier Direct to Employer (Ra: $12,577.53
  • Baylor Scott & White Health Plan — BSW Premier - Small Group: $12,494.36
  • Baylor Scott & White Health Plan — Medicare Advantage: $9,891.37
  • Blue Cross Blue Shield — Medicare Advantage: $10,932.57
  • CareWorks fka Rockport — Worker's Compensation: $12,931.67

Source: Baylor Scott & White Medical Center- College Stati…’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 12, 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
Address700 Scott & White Drive, College Station, TX 77845
CountyBrazos County
StateTexas
Phone(979) 691‑3701
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number670088
Name in Medicare recordsBAYLOR SCOTT & WHITE MEDICAL CENTER- COLLEGE STATI
Medicare’s file shortens long names to 50 characters, so the end of this name is missing.
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(979) 207‑0100[4]
Name on the hospital’s websiteBaylor Scott & White Medical Center – College Station
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 2026-10-30.

  1. Your healthcare in College Station — bswhealth.com
  2. Baylor Scott & White Medical Center – College Station — bswhealth.com