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Acute Care Hospital

Baylor Scott & White Texas Spine & Joint Hospital

Tyler, Texas · Smith County · Emergency services listed

Summary

Baylor Scott & White Texas Spine & Joint Hospital is an acute care hospital in Tyler, Texas. Medicare data lists emergency services. CMS overall star rating: 5 of 5 stars. Its official website lists 21 services, specialties and programs. Medicare lists 176 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Call(903) 525‑3300 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
5 of 5 stars5 of 5 stars · Medicare rating
176Doctors and clinicians
21Services listed

Quick answers

Does Baylor Scott & White Texas Spine & Joint Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Baylor Scott & White Texas Spine & Joint Hospital. In a medical emergency, call 911.
Where is Baylor Scott & White Texas Spine & Joint Hospital?
1814 Roseland Boulevard, Tyler, TX 75701, in Smith County, Texas.
What is the phone number of Baylor Scott & White Texas Spine & Joint Hospital?
(903) 525-3300, as listed by Medicare (CMS).
What is the Medicare star rating of Baylor Scott & White Texas Spine & Joint Hospital?
5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Conditions treated[9]

  • Back and neck pain
  • Joint pain
  • Spine problems

Treatments[5]

  • MRI

Procedures[4][6][9]

Programs and centers[6][7]

  • Outpatient surgery
  • Brain Injury Recovery Center (outpatient)

Visiting and practical information

VisitingAdult family or friends may be with patients before outpatient surgery and visit in recovery[6]
Patient portalPatient Portal

Recognition[8]

  • US News & World Report High Performing for Knee and Hip Replacement (2025-2026)

Doctors and clinicians (176)

176 doctors and other clinicians list Baylor Scott & White Texas Spine & Joint Hospital 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 (176)

And 152 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 Texas Spine & Joint Hospital 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 well5 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1081%National average: 72%
Would definitely recommend the hospital86%National average: 71%
Nurses “always” communicated well86%National average: 80%
Doctors “always” communicated well86%National average: 80%
Staff “always” explained medicines before giving them66%National average: 62%
Were given information about recovery at home90%National average: 86%
Room and bathroom “always” clean73%National average: 74%
Area around the room “always” quiet at night70%National average: 60%
Completed surveys404Response rate: 43%

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)0No different from the national benchmark
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot reported to Medicare

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

Complications and deaths

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

Deaths within 30 days: heart attack patientsNot reported to Medicare
Deaths within 30 days: heart failure patientsNot reported to Medicare
Deaths within 30 days: pneumonia patientsToo few cases to report
Deaths within 30 days: COPD patientsNot reported to Medicare
Deaths within 30 days: stroke patientsNot reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.8No different from the national rate
Complications after hip or knee replacement5.3%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackNot reported to Medicare
Readmitted within 30 days: heart failureNot reported to Medicare
Readmitted within 30 days: pneumoniaToo few cases to report
Readmitted within 30 days: COPDNot reported to Medicare
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement5.2%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)152 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)Not reported to Medicare

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in TylerBest hospitals in Tyler

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 82 common services exactly as Baylor Scott & White Texas Spine & Joint Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PATIENT DET $449 $269.40 Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OP/OV LVL 3 99203 TELE $346 $207.60 Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UC NEW PATIENT VISIT L3 $472 $283.20 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PATIENT COMPREHENSIVE MODERATE $476 $285.60 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OP/OV LVL 4 99204 TELE $509 $305.40 Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UC NEW PATIENT VISIT L4 $498 $298.80 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OP/OV LVL 5 99205 TELE $656 $393.60 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UC NEW PATIENT VISIT L5 $626 $375.60 Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UC NEW PATIENT VISIT L5 TELE $626 $375.60 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EST PATIENT EXPANDED $341 $204.60 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE/OP EST LVL3 99213 TELE $233 $139.80 Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UC EST PATIENT VISIT L3 $356 $213.60 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EST PATIENT DETAILED $415 $249 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE/OP EST LVL4 99214 TELE $344 $206.40 Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UC EST PATIENT VISIT L4 $436 $261.60 Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: EMERGENCY DEPART VISIT EXPAND COMPLEX $1,198 $718.80 $257.47 – $2,816
Emergency room visit (moderate): 10 of 16 insurance plan rates
  • BCBS — BAV: $1,332
  • BCBS — Blue Advantage HMO: $1,332
  • BCBS — Blue Choice: $2,816
  • BCBS — Blue Essentials HMO: $2,675
  • BCBS — Blue Health: $1,887
  • BCBS — City of Dallas PPO: $2,534
  • BCBS — HMH: $1,887
  • BCBS — HPN: $1,887
  • BCBS — Medicare Adv HMO: $259.94
  • BCBS — PPO: $2,816
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL III $984 $590.40 $257.47 – $2,816
Emergency room visit (moderate): 10 of 16 insurance plan rates
  • BCBS — BAV: $1,332
  • BCBS — Blue Advantage HMO: $1,332
  • BCBS — Blue Choice: $2,816
  • BCBS — Blue Essentials HMO: $2,675
  • BCBS — Blue Health: $1,887
  • BCBS — City of Dallas PPO: $2,534
  • BCBS — HMH: $1,887
  • BCBS — HPN: $1,887
  • BCBS — Medicare Adv HMO: $259.94
  • BCBS — PPO: $2,816
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UC EM LEVEL 3 $150 $90 $257.47 – $2,816
Emergency room visit (moderate): 10 of 16 insurance plan rates
  • BCBS — BAV: $1,332
  • BCBS — Blue Advantage HMO: $1,332
  • BCBS — Blue Choice: $2,816
  • BCBS — Blue Essentials HMO: $2,675
  • BCBS — Blue Health: $1,887
  • BCBS — City of Dallas PPO: $2,534
  • BCBS — HMH: $1,887
  • BCBS — HPN: $1,887
  • BCBS — Medicare Adv HMO: $259.94
  • BCBS — PPO: $2,816
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: EMERGENCY DEPART VISIT EXPAND COMPLEX $1,953 $1,171.80 $399.68 – $4,696
Emergency room visit (moderately high): 10 of 16 insurance plan rates
  • BCBS — BAV: $2,221
  • BCBS — Blue Advantage HMO: $2,221
  • BCBS — Blue Choice: $4,696
  • BCBS — Blue Essentials HMO: $2,675
  • BCBS — Blue Health: $3,146
  • BCBS — City of Dallas PPO: $4,226
  • BCBS — HMH: $3,146
  • BCBS — HPN: $3,146
  • BCBS — Medicare Adv HMO: $403.52
  • BCBS — PPO: $4,696
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL IV $1,597 $958.20 $399.68 – $4,696
Emergency room visit (moderately high): 10 of 16 insurance plan rates
  • BCBS — BAV: $2,221
  • BCBS — Blue Advantage HMO: $2,221
  • BCBS — Blue Choice: $4,696
  • BCBS — Blue Essentials HMO: $2,675
  • BCBS — Blue Health: $3,146
  • BCBS — City of Dallas PPO: $4,226
  • BCBS — HMH: $3,146
  • BCBS — HPN: $3,146
  • BCBS — Medicare Adv HMO: $403.52
  • BCBS — PPO: $4,696
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UC EM LEVEL 4 $174 $104.40 $399.68 – $4,696
Emergency room visit (moderately high): 10 of 16 insurance plan rates
  • BCBS — BAV: $2,221
  • BCBS — Blue Advantage HMO: $2,221
  • BCBS — Blue Choice: $4,696
  • BCBS — Blue Essentials HMO: $2,675
  • BCBS — Blue Health: $3,146
  • BCBS — City of Dallas PPO: $4,226
  • BCBS — HMH: $3,146
  • BCBS — HPN: $3,146
  • BCBS — Medicare Adv HMO: $403.52
  • BCBS — PPO: $4,696
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: EMERGENCY DEPART VISIT EXPAND COMPLEX $2,845 $1,707 $579.62 – $10,230
Emergency room visit (high): 10 of 16 insurance plan rates
  • BCBS — BAV: $4,839
  • BCBS — Blue Advantage HMO: $4,839
  • BCBS — Blue Choice: $10,230
  • BCBS — Blue Essentials HMO: $9,719
  • BCBS — Blue Health: $6,854
  • BCBS — City of Dallas PPO: $9,207
  • BCBS — HMH: $6,854
  • BCBS — HPN: $6,854
  • BCBS — Medicare Adv HMO: $585.19
  • BCBS — PPO: $10,230
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER LEVEL V $2,346 $1,407.60 $579.62 – $10,230
Emergency room visit (high): 10 of 16 insurance plan rates
  • BCBS — BAV: $4,839
  • BCBS — Blue Advantage HMO: $4,839
  • BCBS — Blue Choice: $10,230
  • BCBS — Blue Essentials HMO: $9,719
  • BCBS — Blue Health: $6,854
  • BCBS — City of Dallas PPO: $9,207
  • BCBS — HMH: $6,854
  • BCBS — HPN: $6,854
  • BCBS — Medicare Adv HMO: $585.19
  • BCBS — PPO: $10,230
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UC EM LEVEL 5 $199 $119.40 $579.62 – $10,230
Emergency room visit (high): 10 of 16 insurance plan rates
  • BCBS — BAV: $4,839
  • BCBS — Blue Advantage HMO: $4,839
  • BCBS — Blue Choice: $10,230
  • BCBS — Blue Essentials HMO: $9,719
  • BCBS — Blue Health: $6,854
  • BCBS — City of Dallas PPO: $9,207
  • BCBS — HMH: $6,854
  • BCBS — HPN: $6,854
  • BCBS — Medicare Adv HMO: $585.19
  • BCBS — PPO: $10,230

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL - CPL $619 $371.40 $8.46 – $102.65
Basic metabolic panel (blood test): 10 of 12 insurance plan rates
  • BCBS — BAV: $48.55
  • BCBS — Blue Advantage HMO: $48.55
  • BCBS — Blue Choice: $102.65
  • BCBS — Blue Health: $68.78
  • BCBS — City of Dallas PPO: $92.39
  • BCBS — HMH: $68.78
  • BCBS — HPN: $68.78
  • BCBS — PPO: $102.65
  • BCBS — Premier HMO: $68.78
  • United HealthCare — Charter: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OPSS BMP $619 $371.40 $8.46 – $102.65
Basic metabolic panel (blood test): 10 of 12 insurance plan rates
  • BCBS — BAV: $48.55
  • BCBS — Blue Advantage HMO: $48.55
  • BCBS — Blue Choice: $102.65
  • BCBS — Blue Health: $68.78
  • BCBS — City of Dallas PPO: $92.39
  • BCBS — HMH: $68.78
  • BCBS — HPN: $68.78
  • BCBS — PPO: $102.65
  • BCBS — Premier HMO: $68.78
  • United HealthCare — Charter: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $619 $371.40 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP METABOLIC PANEL $640 $384 $10.57 – $151.26
Comprehensive metabolic panel (blood test): 10 of 12 insurance plan rates
  • BCBS — BAV: $71.54
  • BCBS — Blue Advantage HMO: $71.54
  • BCBS — Blue Choice: $151.26
  • BCBS — Blue Health: $101.34
  • BCBS — City of Dallas PPO: $136.13
  • BCBS — HMH: $101.34
  • BCBS — HPN: $101.34
  • BCBS — PPO: $151.26
  • BCBS — Premier HMO: $101.34
  • United HealthCare — Charter: $10.57
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PAN PROJECT ROSE $21 $12.60 $10.57 – $151.26
Comprehensive metabolic panel (blood test): 10 of 12 insurance plan rates
  • BCBS — BAV: $71.54
  • BCBS — Blue Advantage HMO: $71.54
  • BCBS — Blue Choice: $151.26
  • BCBS — Blue Health: $101.34
  • BCBS — City of Dallas PPO: $136.13
  • BCBS — HMH: $101.34
  • BCBS — HPN: $101.34
  • BCBS — PPO: $151.26
  • BCBS — Premier HMO: $101.34
  • United HealthCare — Charter: $10.57
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PAN WEIGHT MGMT $29 $17.40 $10.57 – $151.26
Comprehensive metabolic panel (blood test): 10 of 12 insurance plan rates
  • BCBS — BAV: $71.54
  • BCBS — Blue Advantage HMO: $71.54
  • BCBS — Blue Choice: $151.26
  • BCBS — Blue Health: $101.34
  • BCBS — City of Dallas PPO: $136.13
  • BCBS — HMH: $101.34
  • BCBS — HPN: $101.34
  • BCBS — PPO: $151.26
  • BCBS — Premier HMO: $101.34
  • United HealthCare — Charter: $10.57
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $47.81 – $365.16
Obstetric blood test panel: 10 of 12 insurance plan rates
  • BCBS — BAV: $172.71
  • BCBS — Blue Advantage HMO: $172.71
  • BCBS — Blue Choice: $365.16
  • BCBS — Blue Health: $244.65
  • BCBS — City of Dallas PPO: $328.64
  • BCBS — HMH: $244.65
  • BCBS — HPN: $244.65
  • BCBS — PPO: $365.16
  • BCBS — Premier HMO: $244.65
  • United HealthCare — Charter: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $422 $253.20 $13.39 – $142.08
Cholesterol panel (lipid panel): 10 of 12 insurance plan rates
  • BCBS — BAV: $67.21
  • BCBS — Blue Advantage HMO: $67.21
  • BCBS — Blue Choice: $142.08
  • BCBS — Blue Health: $95.19
  • BCBS — City of Dallas PPO: $127.87
  • BCBS — HMH: $95.19
  • BCBS — HPN: $95.19
  • BCBS — PPO: $142.08
  • BCBS — Premier HMO: $95.19
  • United HealthCare — Charter: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL - CPL $422 $253.20 $13.39 – $142.08
Cholesterol panel (lipid panel): 10 of 12 insurance plan rates
  • BCBS — BAV: $67.21
  • BCBS — Blue Advantage HMO: $67.21
  • BCBS — Blue Choice: $142.08
  • BCBS — Blue Health: $95.19
  • BCBS — City of Dallas PPO: $127.87
  • BCBS — HMH: $95.19
  • BCBS — HPN: $95.19
  • BCBS — PPO: $142.08
  • BCBS — Premier HMO: $95.19
  • United HealthCare — Charter: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL PROJECT ROSE $25 $15 $13.39 – $142.08
Cholesterol panel (lipid panel): 10 of 12 insurance plan rates
  • BCBS — BAV: $67.21
  • BCBS — Blue Advantage HMO: $67.21
  • BCBS — Blue Choice: $142.08
  • BCBS — Blue Health: $95.19
  • BCBS — City of Dallas PPO: $127.87
  • BCBS — HMH: $95.19
  • BCBS — HPN: $95.19
  • BCBS — PPO: $142.08
  • BCBS — Premier HMO: $95.19
  • United HealthCare — Charter: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $783 $469.80 $8.69 – $230.33
Kidney function panel: 10 of 12 insurance plan rates
  • BCBS — BAV: $108.94
  • BCBS — Blue Advantage HMO: $108.94
  • BCBS — Blue Choice: $230.33
  • BCBS — Blue Health: $154.32
  • BCBS — City of Dallas PPO: $207.30
  • BCBS — HMH: $154.32
  • BCBS — HPN: $154.32
  • BCBS — PPO: $230.33
  • BCBS — Premier HMO: $154.32
  • United HealthCare — Charter: $8.69
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $631 $378.60 $8.17 – $169
Liver function panel: 10 of 12 insurance plan rates
  • BCBS — BAV: $79.94
  • BCBS — Blue Advantage HMO: $79.94
  • BCBS — Blue Choice: $169
  • BCBS — Blue Health: $113.23
  • BCBS — City of Dallas PPO: $152.10
  • BCBS — HMH: $113.23
  • BCBS — HPN: $113.23
  • BCBS — PPO: $169
  • BCBS — Premier HMO: $113.23
  • United HealthCare — Charter: $8.17
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL - CPL $631 $378.60 $8.17 – $169
Liver function panel: 10 of 12 insurance plan rates
  • BCBS — BAV: $79.94
  • BCBS — Blue Advantage HMO: $79.94
  • BCBS — Blue Choice: $169
  • BCBS — Blue Health: $113.23
  • BCBS — City of Dallas PPO: $152.10
  • BCBS — HMH: $113.23
  • BCBS — HPN: $113.23
  • BCBS — PPO: $169
  • BCBS — Premier HMO: $113.23
  • United HealthCare — Charter: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS $212 $127.20 $3.17 – $72.50
Urine test (automated, with microscope): 10 of 12 insurance plan rates
  • BCBS — BAV: $34.30
  • BCBS — Blue Advantage HMO: $34.30
  • BCBS — Blue Choice: $72.50
  • BCBS — Blue Health: $48.58
  • BCBS — City of Dallas PPO: $65.25
  • BCBS — HMH: $48.58
  • BCBS — HPN: $48.58
  • BCBS — PPO: $72.50
  • BCBS — Premier HMO: $48.58
  • United HealthCare — Charter: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS W/ MICRO (AUTO) $296 $177.60 $3.17 – $72.50
Urine test (automated, with microscope): 10 of 12 insurance plan rates
  • BCBS — BAV: $34.30
  • BCBS — Blue Advantage HMO: $34.30
  • BCBS — Blue Choice: $72.50
  • BCBS — Blue Health: $48.58
  • BCBS — City of Dallas PPO: $65.25
  • BCBS — HMH: $48.58
  • BCBS — HPN: $48.58
  • BCBS — PPO: $72.50
  • BCBS — Premier HMO: $48.58
  • United HealthCare — Charter: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS W/O MICRO (NON AUTO) $87 $52.20 $3.13 – $31.46
Urine test (manual, without microscope): 10 of 12 insurance plan rates
  • BCBS — BAV: $14.88
  • BCBS — Blue Advantage HMO: $14.88
  • BCBS — Blue Choice: $31.46
  • BCBS — Blue Health: $21.08
  • BCBS — City of Dallas PPO: $28.31
  • BCBS — HMH: $21.08
  • BCBS — HPN: $21.08
  • BCBS — PPO: $31.46
  • BCBS — Premier HMO: $21.08
  • United HealthCare — Charter: $3.13
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS - Charge Only $231 $138.60 $2.24 – $57.05
Urine test (automated, without microscope): 10 of 12 insurance plan rates
  • BCBS — BAV: $26.99
  • BCBS — Blue Advantage HMO: $26.99
  • BCBS — Blue Choice: $57.05
  • BCBS — Blue Health: $38.22
  • BCBS — City of Dallas PPO: $51.35
  • BCBS — HMH: $38.22
  • BCBS — HPN: $38.22
  • BCBS — PPO: $57.05
  • BCBS — Premier HMO: $38.22
  • United HealthCare — Charter: $2.24
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O MICRO $231 $138.60 $2.24 – $57.05
Urine test (automated, without microscope): 10 of 12 insurance plan rates
  • BCBS — BAV: $26.99
  • BCBS — Blue Advantage HMO: $26.99
  • BCBS — Blue Choice: $57.05
  • BCBS — Blue Health: $38.22
  • BCBS — City of Dallas PPO: $51.35
  • BCBS — HMH: $38.22
  • BCBS — HPN: $38.22
  • BCBS — PPO: $57.05
  • BCBS — Premier HMO: $38.22
  • United HealthCare — Charter: $2.24
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS PROJECT ROSE $14 $8.40 $2.24 – $57.05
Urine test (automated, without microscope): 10 of 12 insurance plan rates
  • BCBS — BAV: $26.99
  • BCBS — Blue Advantage HMO: $26.99
  • BCBS — Blue Choice: $57.05
  • BCBS — Blue Health: $38.22
  • BCBS — City of Dallas PPO: $51.35
  • BCBS — HMH: $38.22
  • BCBS — HPN: $38.22
  • BCBS — PPO: $57.05
  • BCBS — Premier HMO: $38.22
  • United HealthCare — Charter: $2.24
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOTAL PROJECT ROSE $21 $12.60 $18.40 – $139.06
PSA (prostate specific antigen) blood test: 10 of 12 insurance plan rates
  • BCBS — BAV: $65.78
  • BCBS — Blue Advantage HMO: $65.78
  • BCBS — Blue Choice: $139.06
  • BCBS — Blue Health: $93.17
  • BCBS — City of Dallas PPO: $125.15
  • BCBS — HMH: $93.17
  • BCBS — HPN: $93.17
  • BCBS — PPO: $139.06
  • BCBS — Premier HMO: $93.17
  • United HealthCare — Charter: $18.40
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA, TOTAL $421 $252.60 $18.40 – $139.06
PSA (prostate specific antigen) blood test: 10 of 12 insurance plan rates
  • BCBS — BAV: $65.78
  • BCBS — Blue Advantage HMO: $65.78
  • BCBS — Blue Choice: $139.06
  • BCBS — Blue Health: $93.17
  • BCBS — City of Dallas PPO: $125.15
  • BCBS — HMH: $93.17
  • BCBS — HPN: $93.17
  • BCBS — PPO: $139.06
  • BCBS — Premier HMO: $93.17
  • United HealthCare — Charter: $18.40
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA, TOTAL AND FREE $177 $106.20 $18.40 – $139.06
PSA (prostate specific antigen) blood test: 10 of 12 insurance plan rates
  • BCBS — BAV: $65.78
  • BCBS — Blue Advantage HMO: $65.78
  • BCBS — Blue Choice: $139.06
  • BCBS — Blue Health: $93.17
  • BCBS — City of Dallas PPO: $125.15
  • BCBS — HMH: $93.17
  • BCBS — HPN: $93.17
  • BCBS — PPO: $139.06
  • BCBS — Premier HMO: $93.17
  • United HealthCare — Charter: $18.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH PROJECT ROSE $15 $9 $16.80 – $149.14
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates
  • BCBS — BAV: $70.53
  • BCBS — Blue Advantage HMO: $70.53
  • BCBS — Blue Choice: $149.14
  • BCBS — Blue Health: $99.93
  • BCBS — City of Dallas PPO: $134.23
  • BCBS — HMH: $99.93
  • BCBS — HPN: $99.93
  • BCBS — PPO: $149.14
  • BCBS — Premier HMO: $99.93
  • United HealthCare — Charter: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH WEIGHT MGNT $17 $10.20 $16.80 – $149.14
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates
  • BCBS — BAV: $70.53
  • BCBS — Blue Advantage HMO: $70.53
  • BCBS — Blue Choice: $149.14
  • BCBS — Blue Health: $99.93
  • BCBS — City of Dallas PPO: $134.23
  • BCBS — HMH: $99.93
  • BCBS — HPN: $99.93
  • BCBS — PPO: $149.14
  • BCBS — Premier HMO: $99.93
  • United HealthCare — Charter: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH, THIRD GENERATION $503 $301.80 $16.80 – $149.14
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates
  • BCBS — BAV: $70.53
  • BCBS — Blue Advantage HMO: $70.53
  • BCBS — Blue Choice: $149.14
  • BCBS — Blue Health: $99.93
  • BCBS — City of Dallas PPO: $134.23
  • BCBS — HMH: $99.93
  • BCBS — HPN: $99.93
  • BCBS — PPO: $149.14
  • BCBS — Premier HMO: $99.93
  • United HealthCare — Charter: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC AUTOMATED $486 $291.60 $7.77 – $91.82
Complete blood count (CBC) with differential: 10 of 12 insurance plan rates
  • BCBS — BAV: $43.42
  • BCBS — Blue Advantage HMO: $43.42
  • BCBS — Blue Choice: $91.82
  • BCBS — Blue Health: $61.52
  • BCBS — City of Dallas PPO: $82.64
  • BCBS — HMH: $61.52
  • BCBS — HPN: $61.52
  • BCBS — PPO: $91.82
  • BCBS — Premier HMO: $61.52
  • United HealthCare — Charter: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC PROJECT ROSE $15 $9 $7.77 – $91.82
Complete blood count (CBC) with differential: 10 of 12 insurance plan rates
  • BCBS — BAV: $43.42
  • BCBS — Blue Advantage HMO: $43.42
  • BCBS — Blue Choice: $91.82
  • BCBS — Blue Health: $61.52
  • BCBS — City of Dallas PPO: $82.64
  • BCBS — HMH: $61.52
  • BCBS — HPN: $61.52
  • BCBS — PPO: $91.82
  • BCBS — Premier HMO: $61.52
  • United HealthCare — Charter: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC WEIGHT MGNT $17 $10.20 $7.77 – $91.82
Complete blood count (CBC) with differential: 10 of 12 insurance plan rates
  • BCBS — BAV: $43.42
  • BCBS — Blue Advantage HMO: $43.42
  • BCBS — Blue Choice: $91.82
  • BCBS — Blue Health: $61.52
  • BCBS — City of Dallas PPO: $82.64
  • BCBS — HMH: $61.52
  • BCBS — HPN: $61.52
  • BCBS — PPO: $91.82
  • BCBS — Premier HMO: $61.52
  • United HealthCare — Charter: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC $376 $225.60 $6.46 – $68.76
Complete blood count (CBC), automated: 10 of 12 insurance plan rates
  • BCBS — BAV: $32.53
  • BCBS — Blue Advantage HMO: $32.53
  • BCBS — Blue Choice: $68.76
  • BCBS — Blue Health: $46.07
  • BCBS — City of Dallas PPO: $61.88
  • BCBS — HMH: $46.07
  • BCBS — HPN: $46.07
  • BCBS — PPO: $68.76
  • BCBS — Premier HMO: $46.07
  • United HealthCare — Charter: $6.46
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC - CPL $376 $225.60 $6.46 – $68.76
Complete blood count (CBC), automated: 10 of 12 insurance plan rates
  • BCBS — BAV: $32.53
  • BCBS — Blue Advantage HMO: $32.53
  • BCBS — Blue Choice: $68.76
  • BCBS — Blue Health: $46.07
  • BCBS — City of Dallas PPO: $61.88
  • BCBS — HMH: $46.07
  • BCBS — HPN: $46.07
  • BCBS — PPO: $68.76
  • BCBS — Premier HMO: $46.07
  • United HealthCare — Charter: $6.46
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUPUS ANTICOAGULANT SCREEN, REFLEX CONFI $1,195 $717 $3.93 – $64.09
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates
  • BCBS — BAV: $30.31
  • BCBS — Blue Advantage HMO: $30.31
  • BCBS — Blue Choice: $64.09
  • BCBS — Blue Health: $42.94
  • BCBS — City of Dallas PPO: $57.68
  • BCBS — HMH: $42.94
  • BCBS — HPN: $42.94
  • BCBS — PPO: $64.09
  • BCBS — Premier HMO: $42.94
  • United HealthCare — Charter: $3.93
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $310 $186 $3.93 – $64.09
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates
  • BCBS — BAV: $30.31
  • BCBS — Blue Advantage HMO: $30.31
  • BCBS — Blue Choice: $64.09
  • BCBS — Blue Health: $42.94
  • BCBS — City of Dallas PPO: $57.68
  • BCBS — HMH: $42.94
  • BCBS — HPN: $42.94
  • BCBS — PPO: $64.09
  • BCBS — Premier HMO: $42.94
  • United HealthCare — Charter: $3.93
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT - CPL $310 $186 $3.93 – $64.09
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates
  • BCBS — BAV: $30.31
  • BCBS — Blue Advantage HMO: $30.31
  • BCBS — Blue Choice: $64.09
  • BCBS — Blue Health: $42.94
  • BCBS — City of Dallas PPO: $57.68
  • BCBS — HMH: $42.94
  • BCBS — HPN: $42.94
  • BCBS — PPO: $64.09
  • BCBS — Premier HMO: $42.94
  • United HealthCare — Charter: $3.93
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PARTIAL THROMBOPLASTIN TIME $368 $220.80 $6 – $92.05
Blood clotting test (partial thromboplastin time, PTT): 10 of 12 insurance plan rates
  • BCBS — BAV: $43.55
  • BCBS — Blue Advantage HMO: $43.55
  • BCBS — Blue Choice: $92.05
  • BCBS — Blue Health: $61.67
  • BCBS — City of Dallas PPO: $82.85
  • BCBS — HMH: $61.67
  • BCBS — HPN: $61.67
  • BCBS — PPO: $92.05
  • BCBS — Premier HMO: $61.67
  • United HealthCare — Charter: $6
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT - CPL $368 $220.80 $6 – $92.05
Blood clotting test (partial thromboplastin time, PTT): 10 of 12 insurance plan rates
  • BCBS — BAV: $43.55
  • BCBS — Blue Advantage HMO: $43.55
  • BCBS — Blue Choice: $92.05
  • BCBS — Blue Health: $61.67
  • BCBS — City of Dallas PPO: $82.85
  • BCBS — HMH: $61.67
  • BCBS — HPN: $61.67
  • BCBS — PPO: $92.05
  • BCBS — Premier HMO: $61.67
  • United HealthCare — Charter: $6
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VON WILLEBRAND PANEL $1,284 $770.40 $6 – $92.05
Blood clotting test (partial thromboplastin time, PTT): 10 of 12 insurance plan rates
  • BCBS — BAV: $43.55
  • BCBS — Blue Advantage HMO: $43.55
  • BCBS — Blue Choice: $92.05
  • BCBS — Blue Health: $61.67
  • BCBS — City of Dallas PPO: $82.85
  • BCBS — HMH: $61.67
  • BCBS — HPN: $61.67
  • BCBS — PPO: $92.05
  • BCBS — Premier HMO: $61.67
  • United HealthCare — Charter: $6

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: CT HEAD/BRAIN W/O DYE Not listed in the file Not listed in the file $99.21 – $2,050.77
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates
  • BCBS — BAV: $970.01
  • BCBS — Blue Advantage HMO: $970.01
  • BCBS — Blue Choice: $2,050.77
  • BCBS — Blue Health: $1,374.02
  • BCBS — City of Dallas PPO: $1,845.69
  • BCBS — HMH: $1,374.02
  • BCBS — HPN: $1,374.02
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $2,050.77
  • BCBS — Premier HMO: $1,374.02
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT BRAIN WO CONT $3,942 $2,365.20 Not listed in the file
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT BRAIN WO CONT PROJECT ROSE $634 $380.40 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE Not listed in the file Not listed in the file $347.04 – $3,961.18
MRI of the brain, before and after contrast: 10 of 15 insurance plan rates
  • BCBS — BAV: $1,873.64
  • BCBS — Blue Advantage HMO: $1,873.64
  • BCBS — Blue Choice: $3,961.18
  • BCBS — Blue Health: $2,653.99
  • BCBS — City of Dallas PPO: $3,565.06
  • BCBS — HMH: $2,653.99
  • BCBS — HPN: $2,653.99
  • BCBS — Medicare Adv HMO: $350.37
  • BCBS — PPO: $3,961.18
  • BCBS — Premier HMO: $2,653.99
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LV MRI BRAIN W/WO CONT $11,273 $6,763.80 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN W/WO CONT $11,273 $6,763.80 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS Not listed in the file Not listed in the file $82 – $271.62
Chest X-ray, 2 views: 10 of 15 insurance plan rates
  • BCBS — BAV: $128.47
  • BCBS — Blue Advantage HMO: $128.47
  • BCBS — Blue Choice: $271.62
  • BCBS — Blue Health: $181.99
  • BCBS — City of Dallas PPO: $244.46
  • BCBS — HMH: $181.99
  • BCBS — HPN: $181.99
  • BCBS — Medicare Adv HMO: $82.79
  • BCBS — PPO: $271.62
  • BCBS — Premier HMO: $181.99
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LV XR CHEST 2 VWS $175 $105 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LV XR FLUORO CHEST EXAMINATION 2V(SNIFF) $175 $105 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS Not listed in the file Not listed in the file $99.21 – $547.69
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates
  • BCBS — BAV: $259.07
  • BCBS — Blue Advantage HMO: $259.07
  • BCBS — Blue Choice: $547.69
  • BCBS — Blue Health: $366.95
  • BCBS — City of Dallas PPO: $492.92
  • BCBS — HMH: $366.95
  • BCBS — HPN: $366.95
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $547.69
  • BCBS — Premier HMO: $366.95
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LV XR L-SPINE MIN 4 VWS $175 $105 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OR L-SPINE MIN 4 VWS $1,397 $838.20 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE Not listed in the file Not listed in the file $221.12 – $2,754.77
MRI of the lower back (lumbar spine), without contrast: 10 of 15 insurance plan rates
  • BCBS — BAV: $1,303.01
  • BCBS — Blue Advantage HMO: $1,303.01
  • BCBS — Blue Choice: $2,754.77
  • BCBS — Blue Health: $1,845.69
  • BCBS — City of Dallas PPO: $2,479.29
  • BCBS — HMH: $1,845.69
  • BCBS — HPN: $1,845.69
  • BCBS — Medicare Adv HMO: $223.25
  • BCBS — PPO: $2,754.77
  • BCBS — Premier HMO: $1,845.69
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LV MRI CORD SCREEN LUMBAR W/O CONT $8,057 $4,834.20 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LV MRI L-SPINE W/O CONT $8,057 $4,834.20 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE Not listed in the file Not listed in the file $165.80 – $2,536.11
CT scan of the pelvis, with contrast: 10 of 15 insurance plan rates
  • BCBS — BAV: $1,199.57
  • BCBS — Blue Advantage HMO: $1,199.57
  • BCBS — Blue Choice: $2,536.11
  • BCBS — Blue Health: $1,699.19
  • BCBS — City of Dallas PPO: $2,282.50
  • BCBS — HMH: $1,699.19
  • BCBS — HPN: $1,699.19
  • BCBS — Medicare Adv HMO: $167.39
  • BCBS — PPO: $2,536.11
  • BCBS — Premier HMO: $1,699.19
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W/CONT $5,274 $3,164.40 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE Not listed in the file Not listed in the file $221.12 – $3,148.31
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates
  • BCBS — BAV: $1,489.14
  • BCBS — Blue Advantage HMO: $1,489.14
  • BCBS — Blue Choice: $3,148.31
  • BCBS — Blue Health: $2,109.37
  • BCBS — City of Dallas PPO: $2,833.48
  • BCBS — HMH: $2,109.37
  • BCBS — HPN: $2,109.37
  • BCBS — Medicare Adv HMO: $223.25
  • BCBS — PPO: $3,148.31
  • BCBS — Premier HMO: $2,109.37
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LV MRI LT LWR EXT JNT W/O CONT $8,057 $4,834.20 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LV MRI RT LWR EXT JNT W/O CONT $8,057 $4,834.20 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELV W/CONTRAST Not listed in the file Not listed in the file $347.04 – $5,229.50
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates
  • BCBS — BAV: $2,473.56
  • BCBS — Blue Advantage HMO: $2,473.56
  • BCBS — Blue Choice: $5,229.50
  • BCBS — Blue Health: $3,503.76
  • BCBS — City of Dallas PPO: $4,706.55
  • BCBS — HMH: $3,503.76
  • BCBS — HPN: $3,503.76
  • BCBS — Medicare Adv HMO: $350.37
  • BCBS — PPO: $5,229.50
  • BCBS — Premier HMO: $3,503.76
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABDOMEN PELVIS W CONTRAST $10,544 $6,326.40 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE Not listed in the file Not listed in the file $99.21 – $953.98
Ultrasound of the abdomen, complete: 10 of 15 insurance plan rates
  • BCBS — BAV: $451.23
  • BCBS — Blue Advantage HMO: $451.23
  • BCBS — Blue Choice: $953.98
  • BCBS — Blue Health: $639.16
  • BCBS — City of Dallas PPO: $858.58
  • BCBS — HMH: $639.16
  • BCBS — HPN: $639.16
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $953.98
  • BCBS — Premier HMO: $639.16
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABD COMPLETE $1,699 $1,019.40 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS Not listed in the file Not listed in the file $99.21 – $445.78
Pregnancy ultrasound (after the first trimester): 10 of 15 insurance plan rates
  • BCBS — BAV: $210.85
  • BCBS — Blue Advantage HMO: $210.85
  • BCBS — Blue Choice: $445.78
  • BCBS — Blue Health: $298.68
  • BCBS — City of Dallas PPO: $401.20
  • BCBS — HMH: $298.68
  • BCBS — HPN: $298.68
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $445.78
  • BCBS — Premier HMO: $298.68
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB Not listed in the file Not listed in the file $99.21 – $658.17
Transvaginal ultrasound: 10 of 15 insurance plan rates
  • BCBS — BAV: $311.32
  • BCBS — Blue Advantage HMO: $311.32
  • BCBS — Blue Choice: $658.17
  • BCBS — Blue Health: $440.97
  • BCBS — City of Dallas PPO: $592.35
  • BCBS — HMH: $440.97
  • BCBS — HPN: $440.97
  • BCBS — Medicare Adv HMO: $100.16
  • BCBS — PPO: $658.17
  • BCBS — Premier HMO: $440.97
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAG NON-PREG $987 $592.20 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI Not listed in the file Not listed in the file $91.46 – $193.36
Diagnostic mammogram, one breast: 10 of 12 insurance plan rates
  • BCBS — BAV: $91.46
  • BCBS — Blue Advantage HMO: $91.46
  • BCBS — Blue Choice: $193.36
  • BCBS — Blue Health: $129.55
  • BCBS — City of Dallas PPO: $174.02
  • BCBS — HMH: $129.55
  • BCBS — HPN: $129.55
  • BCBS — PPO: $193.36
  • BCBS — Premier HMO: $129.55
  • United HealthCare — Charter: $141.09
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI Not listed in the file Not listed in the file $112.43 – $237.70
Diagnostic mammogram, both breasts: 10 of 12 insurance plan rates
  • BCBS — BAV: $112.43
  • BCBS — Blue Advantage HMO: $112.43
  • BCBS — Blue Choice: $237.70
  • BCBS — Blue Health: $159.26
  • BCBS — City of Dallas PPO: $213.93
  • BCBS — HMH: $159.26
  • BCBS — HPN: $159.26
  • BCBS — PPO: $237.70
  • BCBS — Premier HMO: $159.26
  • United HealthCare — Charter: $180.56
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD Not listed in the file Not listed in the file $91.46 – $193.36
Screening mammogram, both breasts: 10 of 12 insurance plan rates
  • BCBS — BAV: $91.46
  • BCBS — Blue Advantage HMO: $91.46
  • BCBS — Blue Choice: $193.36
  • BCBS — Blue Health: $129.55
  • BCBS — City of Dallas PPO: $174.02
  • BCBS — HMH: $129.55
  • BCBS — HPN: $129.55
  • BCBS — PPO: $193.36
  • BCBS — Premier HMO: $129.55
  • United HealthCare — Charter: $149.21

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $2,940.49 – $12,028
Left heart catheterization (diagnostic): 10 of 16 insurance plan rates
  • BCBS — BAV: $5,689
  • BCBS — Blue Advantage HMO: $5,689
  • BCBS — Blue Choice: $12,028
  • BCBS — Blue Essentials HMO: $11,427
  • BCBS — Blue Health: $8,059
  • BCBS — City of Dallas PPO: $10,825.20
  • BCBS — HMH: $8,059
  • BCBS — HPN: $8,059
  • BCBS — Medicare Adv HMO: $2,968.76
  • BCBS — PPO: $12,028
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION Not listed in the file Not listed in the file $3,259 – $6,891
Heart rhythm study (electrophysiology evaluation): 10 of 16 insurance plan rates
  • BCBS — BAV: $3,259
  • BCBS — Blue Advantage HMO: $3,259
  • BCBS — Blue Choice: $6,891
  • BCBS — Blue Essentials HMO: $6,546
  • BCBS — Blue Health: $4,617
  • BCBS — City of Dallas PPO: $6,201.90
  • BCBS — HMH: $4,617
  • BCBS — HPN: $4,617
  • BCBS — Medicare Adv HMO: $6,804
  • BCBS — PPO: $6,891
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file Not listed in the file $9,746 – $21,638.17
Heart rhythm study with ablation for atrial fibrillation: rates for 6 insurance plans
  • BCBS — Medicare Adv HMO: $21,638.17
  • Health First — TPA: $21,432.09
  • United HealthCare — Charter: $9,746
  • United HealthCare — Commercial: $9,746
  • United HealthCare — MCR Advantage: $21,432.09
  • United HealthCare — Nexus: $9,746
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: 95810 BASELINE SLEEP STUDY $5,059 $3,035.40 $943.48 – $952.55
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans
  • BCBS — Medicare Adv HMO: $952.55
  • Health First — TPA: $943.48
  • United HealthCare — MCR Advantage: $943.48

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: 97110GP THERAPEUTIC EXCERCISE 15 MINS $195 $117 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 97110GP THERAPEUTIC EXCERCISE 15 MINS $402 $241.20 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MCR 97110GPKX THERAP EXERCISE 8-22 MI $195 $117 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MCR 97161GPKX EVALUATION LOW COMPLEXITY $318 $190.80 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MCR 97161GPKX EVALUATION LOW COMPLEXITY $384 $230.40 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OP 97161GP PT EVALUATION LOW COMPLEXITY $318 $190.80 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 97162 PT EVALUATION MODERATE COMPLEXITY $446 $267.60 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MCR 97162GPKX PT EVALUATION MOD $384 $230.40 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MCR 97162GPKX PT EVALUATION MOD $446 $267.60 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MCR 97163GPKX EVALUATION HIGH COMPLEX $384 $230.40 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MCR 97163GPKX EVALUATION HIGH COMPLEX $571 $342.60 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OP 97163GP PT EVALUATION HIGH COMPLEXI $384 $230.40 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES Not listed in the file Not listed in the file $143.87 – $145.26
Psychotherapy, 30 minutes: rates for 3 insurance plans
  • BCBS — Medicare Adv HMO: $145.26
  • Health First — TPA: $143.87
  • United HealthCare — MCR Advantage: $143.87
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES Not listed in the file Not listed in the file $143.87 – $145.26
Psychotherapy, 45 minutes: rates for 3 insurance plans
  • BCBS — Medicare Adv HMO: $145.26
  • Health First — TPA: $143.87
  • United HealthCare — MCR Advantage: $143.87
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file $143.87 – $145.26
Psychotherapy, 60 minutes: rates for 3 insurance plans
  • BCBS — Medicare Adv HMO: $145.26
  • Health First — TPA: $143.87
  • United HealthCare — MCR Advantage: $143.87
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file Not listed in the file $143.87 – $145.26
Family psychotherapy, without the patient: rates for 3 insurance plans
  • BCBS — Medicare Adv HMO: $145.26
  • Health First — TPA: $143.87
  • United HealthCare — MCR Advantage: $143.87
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN Not listed in the file Not listed in the file $143.87 – $145.26
Family psychotherapy, with the patient: rates for 3 insurance plans
  • BCBS — Medicare Adv HMO: $145.26
  • Health First — TPA: $143.87
  • United HealthCare — MCR Advantage: $143.87
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file $80.44 – $81.21
Group psychotherapy: rates for 3 insurance plans
  • BCBS — Medicare Adv HMO: $81.21
  • Health First — TPA: $80.44
  • United HealthCare — MCR Advantage: $80.44

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: LEVEL 1 BREAST/LYMPHATIC SUGERY $6,315 $3,789 $1,590 – $3,472.74
Removal of breast growth (open surgery): 10 of 16 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $3,472.74
  • BCBS — PPO: $3,361
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROPLASTY, ACETABULAR AND PROXIMAL FE $13,438 $8,062.80 $7,568 – $15,999
Total hip replacement: 10 of 16 insurance plan rates
  • BCBS — BAV: $7,568
  • BCBS — Blue Advantage HMO: $7,568
  • BCBS — Blue Choice: $15,999
  • BCBS — Blue Essentials HMO: $15,199
  • BCBS — Blue Health: $10,719
  • BCBS — City of Dallas PPO: $14,399.10
  • BCBS — HMH: $10,719
  • BCBS — HPN: $10,719
  • BCBS — Medicare Adv HMO: $11,990.65
  • BCBS — PPO: $15,999
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; $10,734 $6,440.40 $7,568 – $15,999
Total knee replacement: 10 of 16 insurance plan rates
  • BCBS — BAV: $7,568
  • BCBS — Blue Advantage HMO: $7,568
  • BCBS — Blue Choice: $15,999
  • BCBS — Blue Essentials HMO: $15,199
  • BCBS — Blue Health: $10,719
  • BCBS — City of Dallas PPO: $14,399.10
  • BCBS — HMH: $10,719
  • BCBS — HPN: $10,719
  • BCBS — Medicare Adv HMO: $11,990.65
  • BCBS — PPO: $15,999
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSCOPY, SHOULDER, SURGICAL; DECOMPR $4,422 $2,653.20 $370 – $12,028
Shoulder arthroscopy: shaving of shoulder bone: 10 of 13 insurance plan rates
  • BCBS — BAV: $5,689
  • BCBS — Blue Advantage HMO: $5,689
  • BCBS — Blue Choice: $12,028
  • BCBS — Blue Essentials HMO: $11,427
  • BCBS — Blue Health: $8,059
  • BCBS — City of Dallas PPO: $10,825.20
  • BCBS — HMH: $8,059
  • BCBS — HPN: $8,059
  • BCBS — PPO: $12,028
  • BCBS — Premier HMO: $8,059
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHROSCOPY, KNEE, SURGICAL; WITH MENISC $4,422 $2,653.20 $2,872 – $6,071
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 16 insurance plan rates
  • BCBS — BAV: $2,872
  • BCBS — Blue Advantage HMO: $2,872
  • BCBS — Blue Choice: $6,071
  • BCBS — Blue Essentials HMO: $5,767
  • BCBS — Blue Health: $4,068
  • BCBS — City of Dallas PPO: $5,463.90
  • BCBS — HMH: $4,068
  • BCBS — HPN: $4,068
  • BCBS — Medicare Adv HMO: $2,948.97
  • BCBS — PPO: $6,071
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TONSILLECTOMY AND ADENOIDECTOMY; UNDER A $2,845 $1,707 $1,590 – $5,335.35
Removal of tonsils and adenoids (under age 12): 10 of 16 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $5,335.35
  • BCBS — PPO: $3,361
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $818 – $3,538
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates
  • BCBS — BAV: $1,673
  • BCBS — Blue Advantage HMO: $1,673
  • BCBS — Blue Choice: $3,538
  • BCBS — Blue Essentials HMO: $3,361
  • BCBS — Blue Health: $2,370
  • BCBS — City of Dallas PPO: $3,184.20
  • BCBS — HMH: $2,370
  • BCBS — HPN: $2,370
  • BCBS — Medicare Adv HMO: $825.87
  • BCBS — PPO: $3,538
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $818 – $3,538
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates
  • BCBS — BAV: $1,673
  • BCBS — Blue Advantage HMO: $1,673
  • BCBS — Blue Choice: $3,538
  • BCBS — Blue Essentials HMO: $3,361
  • BCBS — Blue Health: $2,370
  • BCBS — City of Dallas PPO: $3,184.20
  • BCBS — HMH: $2,370
  • BCBS — HPN: $2,370
  • BCBS — Medicare Adv HMO: $825.87
  • BCBS — PPO: $3,538
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $824.74 – $3,538
Colonoscopy (diagnostic): 10 of 16 insurance plan rates
  • BCBS — BAV: $1,673
  • BCBS — Blue Advantage HMO: $1,673
  • BCBS — Blue Choice: $3,538
  • BCBS — Blue Essentials HMO: $3,361
  • BCBS — Blue Health: $2,370
  • BCBS — City of Dallas PPO: $3,184.20
  • BCBS — HMH: $2,370
  • BCBS — HPN: $2,370
  • BCBS — Medicare Adv HMO: $832.67
  • BCBS — PPO: $3,538
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $1,064.88 – $3,538
Colonoscopy with biopsy: 10 of 16 insurance plan rates
  • BCBS — BAV: $1,673
  • BCBS — Blue Advantage HMO: $1,673
  • BCBS — Blue Choice: $3,538
  • BCBS — Blue Essentials HMO: $3,361
  • BCBS — Blue Health: $2,370
  • BCBS — City of Dallas PPO: $3,184.20
  • BCBS — HMH: $2,370
  • BCBS — HPN: $2,370
  • BCBS — Medicare Adv HMO: $1,075.12
  • BCBS — PPO: $3,538
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $1,064.88 – $3,538
Colonoscopy with removal of polyps (snare): 10 of 16 insurance plan rates
  • BCBS — BAV: $1,673
  • BCBS — Blue Advantage HMO: $1,673
  • BCBS — Blue Choice: $3,538
  • BCBS — Blue Essentials HMO: $3,361
  • BCBS — Blue Health: $2,370
  • BCBS — City of Dallas PPO: $3,184.20
  • BCBS — HMH: $2,370
  • BCBS — HPN: $2,370
  • BCBS — Medicare Adv HMO: $1,075.12
  • BCBS — PPO: $3,538
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $1,064.88 – $3,361
Ultrasound of the lower bowel by endoscope: 10 of 16 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $1,075.12
  • BCBS — PPO: $3,361
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON CA SCRN NOT HI RSK IND Not listed in the file Not listed in the file $824.74 – $3,361
Screening colonoscopy (not high risk): 10 of 16 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $832.67
  • BCBS — PPO: $3,361
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHOLECYSTECTOMY LAPAROSCOPIC 47562 $2,845 $1,707 $4,471 – $12,028
Gallbladder removal by laparoscope: 10 of 16 insurance plan rates
  • BCBS — BAV: $5,689
  • BCBS — Blue Advantage HMO: $5,689
  • BCBS — Blue Choice: $12,028
  • BCBS — Blue Essentials HMO: $11,427
  • BCBS — Blue Health: $8,059
  • BCBS — City of Dallas PPO: $10,825.20
  • BCBS — HMH: $8,059
  • BCBS — HPN: $8,059
  • BCBS — Medicare Adv HMO: $5,256.83
  • BCBS — PPO: $12,028
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR INITIAL INGUINAL HERNIA, AGE 5 YE $4,422 $2,653.20 $3,011 – $6,366
Groin (inguinal) hernia repair, age 5 or older: 10 of 16 insurance plan rates
  • BCBS — BAV: $3,011
  • BCBS — Blue Advantage HMO: $3,011
  • BCBS — Blue Choice: $6,366
  • BCBS — Blue Essentials HMO: $6,048
  • BCBS — Blue Health: $4,265
  • BCBS — City of Dallas PPO: $5,729.40
  • BCBS — HMH: $4,265
  • BCBS — HPN: $4,265
  • BCBS — Medicare Adv HMO: $3,151.98
  • BCBS — PPO: $6,366
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGL $2,959 $1,775.40 $1,566 – $3,361
Prostate biopsy: 10 of 16 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $1,855.67
  • BCBS — PPO: $3,361
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $5,689 – $12,028
Prostate removal by laparoscope (radical prostatectomy): 10 of 16 insurance plan rates
  • BCBS — BAV: $5,689
  • BCBS — Blue Advantage HMO: $5,689
  • BCBS — Blue Choice: $12,028
  • BCBS — Blue Essentials HMO: $11,427
  • BCBS — Blue Health: $8,059
  • BCBS — City of Dallas PPO: $10,825.20
  • BCBS — HMH: $8,059
  • BCBS — HPN: $8,059
  • BCBS — Medicare Adv HMO: $9,378.24
  • BCBS — PPO: $12,028
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY SURGICAL WITH SAMPLING OF E $8,840 $5,304 $2,821.19 – $6,366
Hysteroscopy with biopsy of the uterus lining: 10 of 16 insurance plan rates
  • BCBS — BAV: $3,011
  • BCBS — Blue Advantage HMO: $3,011
  • BCBS — Blue Choice: $6,366
  • BCBS — Blue Essentials HMO: $6,048
  • BCBS — Blue Health: $4,265
  • BCBS — City of Dallas PPO: $5,729.40
  • BCBS — HMH: $4,265
  • BCBS — HPN: $4,265
  • BCBS — Medicare Adv HMO: $2,848.32
  • BCBS — PPO: $6,366
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION DIAG./THER. SUB. W/NEEDLE OR C $2,087 $1,252.20 $624.04 – $3,361
Spinal injection, lower back (epidural), with imaging guidance: 10 of 16 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $630.04
  • BCBS — PPO: $3,361
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SELECTIVE LUMBAR OR SACRAL EPIDURAL SIN $2,087 $1,252.20 $822.51 – $3,361
Nerve root injection, lower back, with imaging guidance: 10 of 16 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $830.42
  • BCBS — PPO: $3,361
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN $4,422 $2,653.20 $1,742.31 – $6,366
Carpal tunnel release: 10 of 16 insurance plan rates
  • BCBS — BAV: $3,011
  • BCBS — Blue Advantage HMO: $3,011
  • BCBS — Blue Choice: $6,366
  • BCBS — Blue Essentials HMO: $6,048
  • BCBS — Blue Health: $4,265
  • BCBS — City of Dallas PPO: $5,729.40
  • BCBS — HMH: $4,265
  • BCBS — HPN: $4,265
  • BCBS — Medicare Adv HMO: $1,759.07
  • BCBS — PPO: $6,366
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $524.53 – $3,361
Laser treatment of clouding after cataract surgery: 10 of 16 insurance plan rates
  • BCBS — BAV: $1,590
  • BCBS — Blue Advantage HMO: $1,590
  • BCBS — Blue Choice: $3,361
  • BCBS — Blue Essentials HMO: $3,193
  • BCBS — Blue Health: $2,252
  • BCBS — City of Dallas PPO: $3,024.90
  • BCBS — HMH: $2,252
  • BCBS — HPN: $2,252
  • BCBS — Medicare Adv HMO: $529.58
  • BCBS — PPO: $3,361
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $2,102.89 – $6,891
Cataract removal with lens implant: 10 of 16 insurance plan rates
  • BCBS — BAV: $3,259
  • BCBS — Blue Advantage HMO: $3,259
  • BCBS — Blue Choice: $6,891
  • BCBS — Blue Essentials HMO: $6,546
  • BCBS — Blue Health: $4,617
  • BCBS — City of Dallas PPO: $6,201.90
  • BCBS — HMH: $4,617
  • BCBS — HPN: $4,617
  • BCBS — Medicare Adv HMO: $2,123.11
  • BCBS — PPO: $6,891

Pregnancy and childbirth

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

Hospital stays (whole stay, MS-DRG)

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

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

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

Hospital information

Hospital typeAcute Care Hospital
Address1814 Roseland Boulevard, Tyler, TX 75701
CountySmith County
StateTexas
Phone(903) 525‑3300
Emergency servicesYes
OwnershipPhysician
Medicare overall rating5 of 5 stars
CMS Certification Number450864
Name in Medicare recordsBAYLOR SCOTT & WHITE TEXAS SPINE & JOINT HOSPITAL
Profile levelMedicare data + hospital website
Official websitetsjh.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Baylor Scott & White Texas Spine & Joint Hospital — tsjh.org
  2. Radiology Services – Baylor Scott & White Texas Spine & Joint Hospital — tsjh.org
  3. Outpatient Surgery – Baylor Scott & White Texas Spine & Joint Hospital — tsjh.org
  4. Brain Injury Recovery Center Tyler – Baylor Scott & White Texas Spine & Joint Hospital — tsjh.org
  5. General Orthopedics – Baylor Scott & White Texas Spine & Joint Hospital — tsjh.org
  6. About Us – Baylor Scott & White Texas Spine & Joint Hospital — tsjh.org