Quick answers
- Does Baylor Scott & White Medical Center - Marble Falls have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at Baylor Scott & White Medical Center - Marble Falls. In a medical emergency, call 911.
- Where is Baylor Scott & White Medical Center - Marble Falls?
- 810 W Highway 71, Marble Falls, TX 78654, in Burnet County, Texas.
- What is the phone number of Baylor Scott & White Medical Center - Marble Falls?
- (254) 215-9791, as listed by Medicare (CMS).
- What is the Medicare star rating of Baylor Scott & White Medical Center - Marble Falls?
- 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).
Specialties and care areas[4]
- Cancer care
- Cosmetic and plastic surgery
- Critical and intensive care
- Digestive diseases
- Ear, nose and throat
- Emergency care
- Eye care
- Foot care
- Heart and Vascular Institute
- Hematology
- Imaging and radiology
- Inpatient medicine and hospitalists
- Labor and delivery
- Mammogram and breast imaging
- NeuroHealth Institute
- Orthopedics
- Primary care
- Rehabilitation and physical therapy
- Surgical services
- Urology
- Women's health
- Wound care
Conditions treated[4]
- Breast cancer
- Lung cancer
- Prostate cancer
- Skin cancer
- Pancreatic cancer
- Liver cancer
- Acid reflux (GERD)
- Crohn's disease
- Colon polyps
- Hepatitis
- Irritable bowel syndrome
- C. diff
- Sleep apnea
- Vertigo
- Cataracts
- Glaucoma
- Macular degeneration
- Diabetic retinopathy
- Anemia
- Sickle cell disease
- Von Willebrand disease
- Alzheimer's disease
- Epilepsy
- Parkinson's disease
- Multiple sclerosis
- Stroke
- Concussion
- Kidney stones
- Diabetic ulcers
- Pressure ulcers
- Burns
- Heart failure
Treatments[4][5][6][7]
- Chemotherapy and medical therapy
- Radiation therapy
- Cardiac rehabilitation
- Physical therapy
- Hyperbaric therapy
- Colonoscopy
- Endoscopic retrograde cholangiopancreatography (ERCP)
- Abdominal and endoscopic ultrasound
- Fecal transplant
- Percutaneous liver biopsy
- Gastrostomy tube placement
- Interventional radiology
- CT scan (including low-dose lung cancer CT screening)
- MRI
- Nuclear medicine
- X-ray and fluoroscopy
- Bone density measurement
- Screening and diagnostic mammography
- Needle localization and breast biopsy
- Breast ultrasound
- OB ultrasound
- Cesarean section
- Joint replacement surgery
- Cosmetic surgery (for example breast augmentation, facelift, liposuction, tummy tuck)
Procedures[4]
- Colonoscopy
- ERCP
- Endoscopic ultrasound
- Liver biopsy
- Fecal transplant
- 2D and 3D mammography
- MRI
- CT scan
- Low-dose CT lung cancer screening
- PET scan
- Robotic surgery
- Bariatric surgery
- Cardiothoracic surgery
- Facelift
- Rhinoplasty
- Breast augmentation
- Liposuction
- Tummy tuck
- Joint replacement
Programs and centers[4][6][7]
- Commission on Cancer-accredited cancer program
- Heart and Vascular Institute
- NeuroHealth Institute
- Childbirth education classes
- Sports concussion treatment program
Emergency care (hospital website)[4]
| Emergency room | Yes |
|---|---|
| Open 24/7 | Yes |
Visiting and practical information
| Visiting | Page says visiting hours are available 24 hours a day[4] |
|---|---|
| Patient portal | MyBSWHealth |
Recognition[4]
- Commission on Cancer accreditation
Doctors and clinicians (517)
517 doctors and other clinicians list Baylor Scott & White Medical Center - Marble Falls 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
- Internal Medicine68
- Diagnostic Radiology63
- Nurse Practitioner54
- Physician Assistant43
- Family Practice39
- Neurology23
- Pathology20
- Certified Registered Nurse Anesthetist (CRNA)17
- Cardiovascular Disease (Cardiology)14
- Interventional Radiology13
- General Surgery12
- Anesthesiology12
Doctors with a page on this site (517)
- Aakriti Mainali, MDInternal Medicine
- Aaron P. Best, MDInternal Medicine
- Abdulhamid Al-Douri, MDInternal Medicine
- Abigail J. Berezoski, MDNeurology
- Adam Racusin, MDOrthopedic Surgery
- Adam Villalba, MDEmergency Medicine
- Aditi A. Desai, MDDiagnostic Radiology
- Adrienne Gonzales, DOInternal Medicine
- Ahmed N. Shobassy, MDGastroenterology
- Aileen Ebadat, MDGeneral Surgery
- Ajay Tripuraneni, MDCardiac Electrophysiology
- Alan E. Leifeste, MDFamily Practice
- Alex Balekian, MDPulmonary Disease
- Alexander M. Goldstein, MDNephrology
- Alexander Wilkins, DOAnesthesiology
- Alison Granato, MDFamily Practice
- Allyson K. McDonough, MDRheumatology
- Amanda Lindo, NPNurse Practitioner
- Ameen Fahad, DONeurology
- Amy E. Van Dorfy, MDFamily Practice
- Anastacio Saenz Jr., MDInterventional Radiology
- Andrew A. Stoebner, MDHand Surgery
- Andria Hillman, CNACertified Registered Nurse Anesthetist (CRNA)
- Aneesha Hossain, MDMedical Oncology
And 493 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
- Ascension Seton Highland Lakes20 mi · Burnet, TX · Critical Access Hospital
- Mid Coast Medical Center - Central27 mi · Llano, TX · Critical Access Hospital
- Ascension Seton Cedar Park29 mi · Cedar Park, TX · Acute Care Hospital
- Texas Childrens Hospital North Austin Campus31 mi · Austin, TX · Children's Hospital
- Ascension Seton Southwest32 mi · Austin, TX · Acute Care Hospital
Other hospitals nearby
- Baylor Scott & White Institute for Rehabilitation23 mi · Lakeway, TX · Inpatient Rehabilitation Hospital
Nursing homes, hospice, home health and dialysis nearby
Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.
Nursing homes
- The Brixton at Horseshoe Bay3.4 mi · Horseshoe Bay, TX · 4 of 5 stars
- Granite Mesa Health Center5.3 mi · Marble Falls, TX · 2 of 5 stars
- Avir at Kingsland15 mi · Kingsland, TX · 2 of 5 stars
All nursing homes in the state →
Hospice providers
- Enhabit Hospice7.0 mi · Marble Falls, TX
- Blue Water Hospice, LLC24 mi · Leander, TX
All hospice providers in the state →
Home health agencies
- Accentcare Home Health of Marble Falls7.0 mi · Marble Falls, TX · 4 of 5 stars
- Choice Health at Home7.0 mi · Marble Falls, TX
- Enhabit Home Health7.0 mi · Marble Falls, TX · 3 of 5 stars
All home health agencies in the state →
Dialysis facilities
- Nna - Marble Falls7.0 mi · Marble Falls, TX · 3 of 5 stars
- Carmen Lakeway23 mi · Lakeway, TX · 1 of 5 stars
- DaVita Leander Dialysis24 mi · Leander, TX · 4 of 5 stars
Outpatient surgery centers nearby
Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.
- Lake Travis Surgery Center LLC23 mi · Lakeway, TX
- Austin Endoscopy Center24 mi · Leander, TX
- Austin Endoscopy Center24 mi · Bee Cave, TX
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
- Lone Star Circle of Care at Jonestown23 mi · Leander, TX · Community health center
Clinics and urgent care
- Baylor Scott & White Clinic - Horseshoe Bay4.6 mi · Horseshoe Bay, TX · Rural health clinic
- Baylor Scott & White Clinic - Marble Falls7.0 mi · Marble Falls, TX · Rural health clinic
- Ascension Seton Kingsland Health Center13 mi · Kingsland, TX · Rural health clinic
Pharmacies
- Atkins Pharmacy Services Inc7.0 mi · Marble Falls, TX · Community/retail pharmacy
- H-E-B, LP7.0 mi · Marble Falls, TX · Community/retail pharmacy
- Wal-Mart Stores Texas LLC7.0 mi · Marble Falls, TX · Community/retail pharmacy
Assisted living nearby
Licensed homes from the official state licence list, by straight-line distance.
- Arbor House of Horseshoe Bay Memory Care4.6 mi · Horseshoe Bay, TX
- HBFL TX Arbor House, LLC4.6 mi · Horseshoe Bay, TX
- Arbor House of Marble Falls7.0 mi · Marble Falls, TX
- Gateway Gardens7.0 mi · Marble Falls, TX
About the Medicare star rating
CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →
Medicare quality data
What Baylor Scott & White Medical Center - Marble Falls 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 hospital | 4 of 5 stars |
| Would recommend the hospital | 5 of 5 stars |
| Nurses communicated well | 4 of 5 stars |
| Doctors communicated well | 4 of 5 stars |
| Staff explained medicines | 5 of 5 stars |
| Information about recovery at home | 4 of 5 stars |
| Room and bathroom kept clean | 5 of 5 stars |
| Quiet at night | 5 of 5 stars |
| Rated the hospital 9 or 10 out of 10 | 77%National average: 72% |
| Would definitely recommend the hospital | 79%National average: 71% |
| Nurses “always” communicated well | 83%National average: 80% |
| Doctors “always” communicated well | 81%National average: 80% |
| Staff “always” explained medicines before giving them | 73%National average: 62% |
| Were given information about recovery at home | 92%National average: 86% |
| Room and bathroom “always” clean | 85%National average: 74% |
| Area around the room “always” quiet at night | 70%National average: 60% |
| Completed surveys | 483Response rate: 23% |
Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.
Infections caught in the hospital
What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.
| Central line bloodstream infections (CLABSI) | Not reported to Medicare |
|---|---|
| Catheter-associated urinary tract infections (CAUTI) | Not reported to Medicare |
| Surgical site infections after colon surgery | Not reported to Medicare |
| Surgical site infections after abdominal hysterectomy | Not reported to Medicare |
| MRSA bloodstream infections | Not reported to Medicare |
| Clostridioides difficile (C. diff) intestinal infections | 0.38No different from 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 patients | Too few cases to report |
|---|---|
| Deaths within 30 days: heart failure patients | 11.4% |
| Deaths within 30 days: pneumonia patients | 17% |
| Deaths within 30 days: COPD patients | 9.8% |
| Deaths within 30 days: stroke patients | 12.1% |
| Deaths within 30 days: coronary bypass surgery (CABG) | Not reported to Medicare |
| Serious complications (patient safety indicator PSI-90) | 0.9No different from the national rate |
| Complications after hip or knee replacement | 3.5% |
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 attack | Too few cases to report |
| Readmitted within 30 days: heart failure | 20.5% |
| Readmitted within 30 days: pneumonia | 16.7% |
| Readmitted within 30 days: COPD | 20.1% |
| Readmitted within 30 days: coronary bypass surgery | Not reported to Medicare |
| Readmitted within 30 days: hip or knee replacement | 5.6% |
Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.
Emergency room times and sepsis care
What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.
| Emergency room volume (patients per year) | Medium (20,000–39,999) |
|---|---|
| Average (median) time patients spent in the emergency room before leaving (OP-18b) | 160 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) | 75%National average: 65% |
Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.
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 76 common services exactly as Baylor Scott & White Medical Center - Marble Falls 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
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY CARE LEVEL III | $1,477.92 | $886.75 | $260.51 – $2,805 |
Emergency room visit (moderate): 10 of 41 insurance plan rates
| |||
| 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 41 insurance plan rates
| |||
| 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
| |||
| 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 41 insurance plan rates
| |||
| 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 41 insurance plan rates
| |||
| 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
| |||
| 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 41 insurance plan rates
| |||
| 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 41 insurance plan rates
| |||
| 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
| |||
Lab tests
| Service | Hospital charge | Cash price | Insurance 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 | $8.04 – $234.67 |
Basic metabolic panel (blood test): 10 of 41 insurance plan rates
| |||
| 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
| |||
| 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 | $10.03 – $240.72 |
Comprehensive metabolic panel (blood test): 10 of 41 insurance plan rates
| |||
| 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 | $10.03 – $240.72 |
Comprehensive metabolic panel (blood test): 10 of 41 insurance plan rates
| |||
| 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
| |||
| 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 41 insurance plan rates
| |||
| 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
| |||
| 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 41 insurance plan rates
| |||
| 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 41 insurance plan rates
| |||
| 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 41 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL | $279.04 | $167.42 | $8.25 – $251.14 |
Kidney function panel: 10 of 41 insurance plan rates
| |||
| 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
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL | $249.92 | $149.95 | $7.76 – $224.93 |
Liver function panel: 10 of 41 insurance plan rates
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL POC | $249.92 | $149.95 | $7.76 – $224.93 |
Liver function panel: 10 of 41 insurance plan rates
| |||
| 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
| |||
| 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 | $3.01 – $116.80 |
Urine test (automated, with microscope): 10 of 41 insurance plan rates
| |||
| 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 | $3.01 – $116.80 |
Urine test (automated, with microscope): 10 of 41 insurance plan rates
| |||
| 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
| |||
| 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 | $3.31 – $29.07 |
Urine test (manual, without microscope): 10 of 41 insurance plan rates
| |||
| 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 | $3.31 – $29.07 |
Urine test (manual, without microscope): 10 of 41 insurance plan rates
| |||
| 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
| |||
| 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 | $2.14 – $53.97 |
Urine test (automated, without microscope): 10 of 41 insurance plan rates
| |||
| 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 | $2.14 – $53.97 |
Urine test (automated, without microscope): 10 of 41 insurance plan rates
| |||
| 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 | $2.14 – $53.97 |
Urine test (automated, without microscope): 10 of 41 insurance plan rates
| |||
| 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 41 insurance plan rates
| |||
| 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 41 insurance plan rates
| |||
| 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 41 insurance plan rates
| |||
| 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 41 insurance plan rates
| |||
| 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 41 insurance plan rates
| |||
| 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 41 insurance plan rates
| |||
| 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 | $7.38 – $134.72 |
Complete blood count (CBC) with differential: 10 of 41 insurance plan rates
| |||
| 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
| |||
| 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 | $6.15 – $157.29 |
Complete blood count (CBC), automated: 10 of 41 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEMOGRAM | $174.77 | $104.86 | $6.15 – $157.29 |
Complete blood count (CBC), automated: 10 of 41 insurance plan rates
| |||
| 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
| |||
| 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 | $4.08 – $43.06 |
Blood clotting time test (prothrombin time, PT): 10 of 41 insurance plan rates
| |||
| 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 | $4.08 – $98.41 |
Blood clotting time test (prothrombin time, PT): 10 of 41 insurance plan rates
| |||
| 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 | $4.08 – $98.41 |
Blood clotting time test (prothrombin time, PT): 10 of 41 insurance plan rates
| |||
| 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 | $5.71 – $60.37 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 41 insurance plan rates
| |||
| 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 | $5.71 – $172.83 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 41 insurance plan rates
| |||
| 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 | $5.71 – $101.66 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 41 insurance plan rates
| |||
Imaging (X-ray, CT, MRI, ultrasound, mammogram)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| CT scan of the head or brain, without contrast CPT 70450 · 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 41 insurance plan rates
| |||
| 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
| |||
| 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 41 insurance plan rates
| |||
| 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
| |||
| 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 | $83.05 – $511.97 |
Chest X-ray, 2 views: 10 of 41 insurance plan rates
| |||
| 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
| |||
| 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 | $99.77 – $839.13 |
X-ray of the lower spine, at least 4 views: 10 of 41 insurance plan rates
| |||
| 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
| |||
| 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 | $227.71 – $3,432.08 |
MRI of the lower back (lumbar spine), without contrast: 10 of 41 insurance plan rates
| |||
| 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
| |||
| 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 41 insurance plan rates
| |||
| 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
| |||
| 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 | $227.71 – $3,238.63 |
MRI of a leg joint (such as the knee), without contrast: 10 of 41 insurance plan rates
| |||
| 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
| |||
| 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 | $294.17 – $3,238.63 |
MRI of a leg joint (such as the knee), without contrast: 10 of 28 insurance plan rates
| |||
| 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 41 insurance plan rates
| |||
| 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
| |||
| 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 41 insurance plan rates
| |||
| 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
| |||
| 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 41 insurance plan rates
| |||
| 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
| |||
| 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 41 insurance plan rates
| |||
| 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 41 insurance plan rates
| |||
| 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
| |||
| 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 | $84.37 – $408.24 |
Diagnostic mammogram, one breast: 10 of 27 insurance plan rates
| |||
| 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
| |||
| 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 | $84.37 – $408.24 |
Diagnostic mammogram, one breast: 10 of 27 insurance plan rates
| |||
| 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 | $105.46 – $510.30 |
Diagnostic mammogram, both breasts: 10 of 27 insurance plan rates
| |||
| 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 | $105.46 – $510.30 |
Diagnostic mammogram, both breasts: 10 of 27 insurance plan rates
| |||
| 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
| |||
| 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 | $73.82 – $406.83 |
Screening mammogram, both breasts: 10 of 27 insurance plan rates
| |||
| 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 | $73.82 – $406.83 |
Screening mammogram, both breasts: 10 of 27 insurance plan rates
| |||
| 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 | $73.82 – $406.83 |
Screening mammogram, both breasts: 10 of 27 insurance plan rates
| |||
Heart tests and sleep study
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ELECTROCARDIOGRAM, COMPLETE | $237.87 | $142.72 | $44.24 – $917 |
Electrocardiogram (ECG/EKG) with reading: 10 of 27 insurance plan rates
| |||
| 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
| |||
| 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 41 insurance plan rates
| |||
| 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
| |||
| 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 | $3,557.85 – $24,657 |
Heart rhythm study (electrophysiology evaluation): 10 of 41 insurance plan rates
| |||
| 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 | $3,557.85 – $24,657 |
Heart rhythm study (electrophysiology evaluation): 10 of 41 insurance plan rates
| |||
| 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
| |||
| 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 | $11,308.49 – $75,406.15 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 41 insurance plan rates
| |||
| 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 | $11,308.49 – $75,406.15 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 41 insurance plan rates
| |||
| 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
| |||
| 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 41 insurance plan rates
| |||
| 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 41 insurance plan rates
| |||
| 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 41 insurance plan rates
| |||
Physical therapy and mental health
| Service | Hospital charge | Cash price | Insurance 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 | $46.37 – $224.35 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates
| |||
| 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 | $46.37 – $224.35 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates
| |||
| 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 | $46.37 – $224.35 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates
| |||
| 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 | $94.30 – $456.28 |
Physical therapy evaluation (low complexity): 10 of 28 insurance plan rates
| |||
| 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
| |||
| 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 | $103.03 – $498.55 |
Physical therapy evaluation (moderate complexity): 10 of 28 insurance plan rates
| |||
| 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
| |||
| 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 28 insurance plan rates
| |||
| 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
| |||
| 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 | $58.63 – $394.97 |
Psychotherapy, 30 minutes: 10 of 41 insurance plan rates
| |||
| 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 | $58.63 – $394.97 |
Psychotherapy, 30 minutes: 10 of 39 insurance plan rates
| |||
| 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
| |||
| 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 | $76.75 – $394.97 |
Psychotherapy, 45 minutes: 10 of 41 insurance plan rates
| |||
| 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 | $76.75 – $394.97 |
Psychotherapy, 45 minutes: 10 of 39 insurance plan rates
| |||
| 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
| |||
| 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 | $85.26 – $412.53 |
Psychotherapy, 60 minutes: 10 of 41 insurance plan rates
| |||
| 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 | $85.26 – $412.53 |
Psychotherapy, 60 minutes: 10 of 39 insurance plan rates
| |||
| 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
| |||
| 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 | $76.02 – $394.97 |
Family psychotherapy, without the patient: 10 of 39 insurance plan rates
| |||
| 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
| |||
| 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 | $71.41 – $394.97 |
Family psychotherapy, with the patient: 10 of 39 insurance plan rates
| |||
| 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
| |||
| 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 | $48.96 – $236.91 |
Group psychotherapy: 10 of 41 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHIATRIC HALF DAY IOP | $263.23 | $157.94 | $48.96 – $342 |
Group psychotherapy: 10 of 39 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY | $263.23 | $157.94 | $48.96 – $236.91 |
Group psychotherapy: 10 of 39 insurance plan rates
| |||
Procedures and surgery
| Service | Hospital charge | Cash price | Insurance 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 | $963.66 – $9,442.65 |
Removal of breast growth (open surgery): 10 of 41 insurance plan rates
| |||
| 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
| |||
| 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 | $963.66 – $9,442.65 |
Removal of breast growth (open surgery): 10 of 28 insurance plan rates
| |||
| 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 25 insurance plan rates
| |||
| 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 25 insurance plan rates
| |||
| 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 | $71 – $12,343 |
Shoulder arthroscopy: shaving of shoulder bone: 10 of 27 insurance plan rates
| |||
| 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
| |||
| 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 6 insurance plans
| |||
| 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 | $71 – $12,343 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 41 insurance plan rates
| |||
| 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
| |||
| 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 | $1,088.27 – $12,343 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 28 insurance plan rates
| |||
| 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 | $71 – $14,507.25 |
Removal of tonsils and adenoids (under age 12): 10 of 41 insurance plan rates
| |||
| 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
| |||
| 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 | $1,954.22 – $14,507.25 |
Removal of tonsils and adenoids (under age 12): 10 of 28 insurance plan rates
| |||
| 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 | $334.95 – $4,563 |
Upper GI endoscopy (diagnostic): 10 of 28 insurance plan rates
| |||
| 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 | $334.95 – $5,266 |
Upper GI endoscopy with biopsy: 10 of 28 insurance plan rates
| |||
| 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 | $328.50 – $5,266 |
Colonoscopy (diagnostic): 10 of 28 insurance plan rates
| |||
| 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 | $429.26 – $5,266 |
Colonoscopy with biopsy: 10 of 28 insurance plan rates
| |||
| 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 | $429.26 – $5,266 |
Colonoscopy with removal of polyps (snare): 10 of 28 insurance plan rates
| |||
| 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 | $328.50 – $5,266 |
Screening colonoscopy (not high risk): 10 of 28 insurance plan rates
| |||
| 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 | $1,888.85 – $15,811 |
Gallbladder removal by laparoscope: 10 of 27 insurance plan rates
| |||
| 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 | $71 – $10,061.37 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 41 insurance plan rates
| |||
| 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
| |||
| 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 | $1,151.54 – $8,570.48 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 28 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BIOPSY OF PROSTATE | $5,051.42 | $3,030.85 | $71 – $5,045.72 |
Prostate biopsy: 10 of 28 insurance plan rates
| |||
| 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
| |||
| 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 | $71 – $7,744.80 |
Hysteroscopy with biopsy of the uterus lining: 10 of 41 insurance plan rates
| |||
| 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
| |||
| 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 | $1,063.52 – $7,744.80 |
Hysteroscopy with biopsy of the uterus lining: 10 of 28 insurance plan rates
| |||
| 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 | $262.86 – $3,106.22 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 41 insurance plan rates
| |||
| 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
| |||
| 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 | $262.86 – $4,563 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 28 insurance plan rates
| |||
| 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 | $340.77 – $3,934 |
Nerve root injection, lower back, with imaging guidance: 10 of 41 insurance plan rates
| |||
| 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 | $71 – $3,934 |
Nerve root injection, lower back, with imaging guidance: 10 of 41 insurance plan rates
| |||
| 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
| |||
| 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 | $659.94 – $7,611.24 |
Carpal tunnel release: 10 of 41 insurance plan rates
| |||
| 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
| |||
| 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 | $659.94 – $6,555 |
Carpal tunnel release: 10 of 28 insurance plan rates
| |||
| 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 | $71 – $4,025 |
Laser treatment of clouding after cataract surgery: 10 of 41 insurance plan rates
| |||
| 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
| |||
| 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 | $71 – $9,718 |
Cataract removal with lens implant: 10 of 41 insurance plan rates
| |||
| 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
| |||
| 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 | $849.94 – $9,718 |
Cataract removal with lens implant: 10 of 28 insurance plan rates
| |||
Pregnancy and childbirth
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FULL ROUT OBSTE CARE,VAGINAL DELIV | $4,467.33 | $2,680.40 | $71 – $7,441 |
Vaginal delivery, with care before and after: 10 of 27 insurance plan rates
| |||
| 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
| |||
| 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 | $71 – $7,441 |
Cesarean delivery (C-section), with care before and after: 10 of 27 insurance plan rates
| |||
| 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
| |||
| 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 | $71 – $11,956 |
Vaginal delivery after a previous C-section, with care before and after: 10 of 27 insurance plan rates
| |||
| 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
| |||
Hospital stays (whole stay, MS-DRG)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | Not listed in the file | Not listed in the file | $53,805.40 – $242,482.55 |
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 33 insurance plan rates
| |||
| 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
| |||
| 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 | $10,608.95 – $38,266 |
Hip or knee replacement (major joint of the leg), without major complications: 10 of 33 insurance plan rates
| |||
| 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 | $13,427.15 – $44,148.47 |
Neck (cervical) spinal fusion, without complications: 10 of 33 insurance plan rates
| |||
| 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 32 insurance plan rates
| |||
Source: Baylor Scott & White Medical Center - Marble Falls’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 13, 2026; retrieved November 1, 2026. The hospital’s price transparency page →
Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.
Hospital information
| Hospital type | Acute Care Hospital |
|---|---|
| Address | 810 W Highway 71, Marble Falls, TX 78654 |
| County | Burnet County |
| State | Texas |
| Phone | (254) 215‑9791 |
| Emergency services | Yes |
| Ownership | Voluntary non-profit - Private |
| Medicare overall rating | 4 of 5 stars |
| Birthing-friendly designation | Yes (meets CMS criteria) |
| CMS Certification Number | 670108 |
| Name in Medicare records | BAYLOR SCOTT & WHITE MEDICAL CENTER - MARBLE FALLS |
| Profile level | Medicare data + hospital website |
| Main phone on the hospital’s website | (830) 201‑8000[4] |
| Official website | bswhealth.com |
| Corrections | Report an error or suggest an update → |
Sources
- Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
- Medicare Care Compare — official Medicare profile of this hospital
- U.S. Census Bureau Geocoder — map position used for distances
From the hospital’s website
Numbers match the citations above. Checked 2026-10-30.
- Baylor Scott & White Medical Center – Marble Falls — bswhealth.com
- Women's Health | Baylor Scott & White Medical Center – Marble Falls — bswhealth.com
- Labor and Delivery | Baylor Scott & White Medical Center – Marble Falls — bswhealth.com
- Orthopedics | Baylor Scott & White Medical Center – Marble Falls — bswhealth.com