Does Burleson St Joseph Health Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Burleson St Joseph Health Center. In a medical emergency, call 911.

Where is Burleson St Joseph Health Center?

1101 Woodson Drive, Caldwell, TX 77836, in Burleson County, Texas.

What is the phone number of Burleson St Joseph Health Center?

(979) 567-3245, as listed by Medicare (CMS).

What is the Medicare star rating of Burleson St Joseph Health Center?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Burleson St Joseph Health Center

Quick answers

Does Burleson St Joseph Health Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Burleson St Joseph Health Center. In a medical emergency, call 911.
Where is Burleson St Joseph Health Center?: 1101 Woodson Drive, Caldwell, TX 77836, in Burleson County, Texas.
What is the phone number of Burleson St Joseph Health Center?: (979) 567-3245, as listed by Medicare (CMS).
What is the Medicare star rating of Burleson St Joseph Health Center?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4]

Cardiology
Cardiac rehabilitation
Diagnostic radiology
Emergency medicine
Geriatric medicine
Inpatient care
Laboratory services
Occupational medicine
Occupational therapy
Physical therapy and rehabilitation
Speech and language therapy
Skilled nursing care

Programs and centers^[5]

Inpatient Care
Center for Healthy Aging

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

Emergency room	Yes
Trauma designation	Level IV
Stroke designation	Level III stroke facility

Visiting and practical information

Interpreters and languages	Free interpreters for limited-English and hearing-impaired patients: in person (incl. Spanish, ASL), phone, and video ASL^[4]

Recognition^[4][5]

Level IV trauma center
Level III support stroke facility (Texas DSHS)
Critical access hospital
Joint Commission accredited
Accredited by The Joint Commission

Doctors and clinicians (54)

54 doctors and other clinicians list Burleson St Joseph Health Center 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 (54)

Andrew Burleson, MDFamily Practice
Andrew G. Whitmire, MDDiagnostic Radiology
Bao H. Le, DOInterventional Cardiology
Brandon Browne, MDEmergency Medicine
Charles A. Cole, DOHospitalist
Charles H. Smith, MDCardiac Surgery
Christopher M. Farmer, MDInternal Medicine
Clarence T. Kee, MDOrthopedic Surgery
Coy Wright, MDOrthopedic Surgery
Daniel J. Larsen, MDCardiovascular Disease (Cardiology)
Darryl W. Peterson, MDHand Surgery
Elizabeth VarleyNurse Practitioner
Eva V. Calzada Chico, PAPhysician Assistant
Fernando Colato Zavaleta, MDCardiovascular Disease (Cardiology)
Freweini Lemma, MDInternal Medicine
Gadiel Berrio, MDInterventional Cardiology
Gaurav Sharan, MDDiagnostic Radiology
Gayathri Samudrala, MDInternal Medicine
Gloria J. Mays, MDCardiovascular Disease (Cardiology)
Jerry I. Nam, MDDiagnostic Radiology
John S. Chennault, DOFamily Practice
Jorge E. Perez Torres, MDInternal Medicine
Joseph D. Whitt, MDFamily Practice
Joseph J. Iero, MDOrthopedic Surgery

And 30 more: the button below opens the full list.

Other emergency rooms nearby

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

CHI St Joseph Health Regional Hospital24 mi · Bryan, TX · Acute Care Hospital
The Physicians Centre26 mi · Bryan, TX · Acute Care Hospital
Baylor Scott & White Medical Center- College Stati…26 mi · College Station, TX · Acute Care Hospital
Baylor Scott & White Hospital Brenham32 mi · Brenham, TX · Acute Care Hospital
Grimes St Joseph Health Center39 mi · Navasota, TX · Critical Access Hospital

Other hospitals nearby

CHI St. Joseph Health Rehabilitation Hospital, An24 mi · Bryan, 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

Copperas Hollow Nursing & Rehabilitation Center1.6 mi · Caldwell, TX · 3 of 5 stars
Avir at Caldwell3.7 mi · Caldwell, TX · 2 of 5 stars
Rockdale Estates & Rehabilitation21 mi · Rockdale, TX · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Hospice Brazos Valley Inc22 mi · Bryan, TX · 5 of 5 stars
Enhabit Hospice24 mi · College Station, TX · 5 of 5 stars
Luminos Hospice24 mi · College Station, TX

All hospice providers in the state →

Dialysis facilities

USRC Bryan Dialysis22 mi · Bryan, TX · 4 of 5 stars

All dialysis facilities 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

HealthPoint Caldwell0.1 mi · Caldwell, TX · Community health center
HealthPoint BCS23 mi · Bryan, TX · Community health center
HealthPoint Memorial24 mi · Bryan, TX · Community health center

Clinics and urgent care

Medical Express Urgent Care, P.A.18 mi · Bryan, TX · Urgent care center
Texas a & M University School of Nursing Mobile Clinic18 mi · Bryan, TX · Rural health clinic
Integrity Urgent Care20 mi · Rockdale, TX · Rural health clinic

Pharmacies

Aya Pharmacy LLC2.4 mi · Caldwell, TX · Community/retail pharmacy
Brookshire Brothers Inc2.4 mi · Caldwell, TX · Community/retail pharmacy
Wal-Mart Stores Texas LLC2.4 mi · Caldwell, TX · Community/retail pharmacy

Assisted living nearby

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

Copperas Hollow Assisted Living2.4 mi · Caldwell, 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 Burleson St Joseph Health Center 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.

Not reported to Medicare

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	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

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	Not reported to Medicare
Deaths within 30 days: heart failure patients	Not reported to Medicare
Deaths within 30 days: pneumonia patients	Too few cases to report
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Not reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

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	Not reported to Medicare
Readmitted within 30 days: heart failure	Not reported to Medicare
Readmitted within 30 days: pneumonia	Too few cases to report
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	80 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	Too few cases to report

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 Texas Best hospitals in Texas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 71 common services exactly as Burleson St Joseph Health Center 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 →

$ 1 amount is marked with “!”: it is more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. It is shown exactly as listed; ask the hospital before relying on it.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: NEW PATIENT LEVEL 3	$178	$31.15	$39.16 – $178
New patient office visit (about 30–44 minutes): 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $113.92 AETNA — Medicare\|All Plans: $44.50 Ambetter — Commercial\|All Plans: $56.79 AMERIVANTAGE — Medicare\|All Plans: $40.34 BCBS — Medicaid\|STARKIDS: $252.84 BCBS — Medicare\|All Plans: $39.16 BCBS-TX — Commercial\|Blue Advantage HMO: $154.19 BCBS-TX — Commercial\|Blue Premier: $178 BCBS-TX — Commercial\|HMO: $178 BCBS-TX — Commercial\|PPO: $178
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: NEW PATIENT LEVEL 3	$178	$31.15	$67.29 – $178
New patient office visit (about 30–44 minutes): rates for 8 insurance plans Aetna — Commercial\|All Plans: $113.92 BCBS-TX — Commercial\|Ref Lab: $178 Cigna — Commercial\|All Other Plans: $113.92 First Health — Commercial\|All Plans: $106.80 Multiplan — Commercial\|All Plans: $160.20 PHCS — Commercial\|All Plans: $151.30 Wellpoint — Medicaid\|All Other Plans: $67.29 Wellpoint — Medicaid\|STAR: $67.29
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: NEW PATIENT LEVEL 4	$271	$47.43	$59.62 – $271
New patient office visit (about 45–59 minutes): 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $173.44 AETNA — Medicare\|All Plans: $67.75 Ambetter — Commercial\|All Plans: $86.45 AMERIVANTAGE — Medicare\|All Plans: $61.41 BCBS — Medicaid\|STARKIDS: $310.47 BCBS — Medicare\|All Plans: $59.62 BCBS-TX — Commercial\|Blue Advantage HMO: $261.05 BCBS-TX — Commercial\|Blue Premier: $271 BCBS-TX — Commercial\|HMO: $271 BCBS-TX — Commercial\|PPO: $271
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: NEW PATIENT LEVEL 4	$271	$47.43	$102.44 – $271
New patient office visit (about 45–59 minutes): rates for 8 insurance plans Aetna — Commercial\|All Plans: $173.44 BCBS-TX — Commercial\|Ref Lab: $271 Cigna — Commercial\|All Other Plans: $173.44 First Health — Commercial\|All Plans: $162.60 Multiplan — Commercial\|All Plans: $243.90 PHCS — Commercial\|All Plans: $230.35 Wellpoint — Medicaid\|All Other Plans: $102.44 Wellpoint — Medicaid\|STAR: $102.44
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: NEW PATIENT LEVEL 5	$295	$51.63	$64.90 – $295
New patient office visit (about 60–74 minutes): 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $188.80 AETNA — Medicare\|All Plans: $73.75 Ambetter — Commercial\|All Plans: $94.11 AMERIVANTAGE — Medicare\|All Plans: $66.85 BCBS — Medicaid\|STARKIDS: $218.15 BCBS — Medicare\|All Plans: $64.90 BCBS-TX — Commercial\|Blue Advantage HMO: $295 BCBS-TX — Commercial\|Blue Premier: $295 BCBS-TX — Commercial\|HMO: $295 BCBS-TX — Commercial\|PPO: $295
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: NEW PATIENT LEVEL 5	$295	$51.63	$111.51 – $295
New patient office visit (about 60–74 minutes): rates for 8 insurance plans Aetna — Commercial\|All Plans: $188.80 BCBS-TX — Commercial\|Ref Lab: $295 Cigna — Commercial\|All Other Plans: $188.80 First Health — Commercial\|All Plans: $177 Multiplan — Commercial\|All Plans: $265.50 PHCS — Commercial\|All Plans: $250.75 Wellpoint — Medicaid\|All Other Plans: $111.51 Wellpoint — Medicaid\|STAR: $111.51
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: ESTABLISHED PATIENT LEVEL 3	$121	$21.18	$26.62 – $121
Established patient office visit (about 20–29 minutes): 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $77.44 AETNA — Medicare\|All Plans: $30.25 Ambetter — Commercial\|All Plans: $38.60 AMERIVANTAGE — Medicare\|All Plans: $27.42 BCBS — Medicaid\|STARKIDS: $114.08 BCBS — Medicare\|All Plans: $26.62 BCBS-TX — Commercial\|Blue Advantage HMO: $103.28 BCBS-TX — Commercial\|Blue Premier: $121 BCBS-TX — Commercial\|HMO: $121 BCBS-TX — Commercial\|PPO: $121
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: ESTABLISHED PATIENT LEVEL 3	$121	$21.18	$45.74 – $121
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans Aetna — Commercial\|All Plans: $77.44 BCBS-TX — Commercial\|Ref Lab: $121 Cigna — Commercial\|All Other Plans: $77.44 First Health — Commercial\|All Plans: $72.60 Multiplan — Commercial\|All Plans: $108.90 PHCS — Commercial\|All Plans: $102.85 Wellpoint — Medicaid\|All Other Plans: $45.74 Wellpoint — Medicaid\|STAR: $45.74
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: ESTABLISHED PATIENT LEVEL 4	$178	$31.15	$39.16 – $178
Established patient office visit (about 30–39 minutes): 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $113.92 AETNA — Medicare\|All Plans: $44.50 Ambetter — Commercial\|All Plans: $56.79 AMERIVANTAGE — Medicare\|All Plans: $40.34 BCBS — Medicaid\|STARKIDS: $147.59 BCBS — Medicare\|All Plans: $39.16 BCBS-TX — Commercial\|Blue Advantage HMO: $159.22 BCBS-TX — Commercial\|Blue Premier: $178 BCBS-TX — Commercial\|HMO: $178 BCBS-TX — Commercial\|PPO: $178
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: ESTABLISHED PATIENT LEVEL 4	$178	$31.15	$67.29 – $178
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans Aetna — Commercial\|All Plans: $113.92 BCBS-TX — Commercial\|Ref Lab: $178 Cigna — Commercial\|All Other Plans: $113.92 First Health — Commercial\|All Plans: $106.80 Multiplan — Commercial\|All Plans: $160.20 PHCS — Commercial\|All Plans: $151.30 Wellpoint — Medicaid\|All Other Plans: $67.29 Wellpoint — Medicaid\|STAR: $67.29
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: OFFICE CONSULTATION LEVEL3	$369	$64.58	$81.18 – $332.10
Office consultation with a specialist (moderate): 10 of 33 insurance plan rates Aetna — Commercial\|All Plans: $236.16 AETNA — Medicare\|All Plans: $92.25 Ambetter — Commercial\|All Plans: $117.72 AMERIVANTAGE — Medicare\|All Plans: $83.62 BCBS — Medicaid\|STARKIDS: $108.49 BCBS — Medicare\|All Plans: $81.18 BCBS-TX — Commercial\|Blue Advantage HMO: $193.65 BCBS-TX — Commercial\|Blue Premier: $227.71 BCBS-TX — Commercial\|HMO: $241.33 BCBS-TX — Commercial\|PPO: $268.58
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: OFFICE CONSULT INTERMEDIATE	$369	$64.58	$77 – $332.10
Office consultation with a specialist (moderate): 10 of 25 insurance plan rates Aetna — Commercial\|All Plans: $236.16 AETNA — Medicare\|All Plans: $92.25 Ambetter — Commercial\|All Plans: $117.72 AMERIVANTAGE — Medicare\|All Plans: $83.62 BCBS — Medicare\|All Plans: $81.18 BCBS-TX — Commercial\|Blue Advantage HMO: $193.65 BCBS-TX — Commercial\|Blue Premier: $227.71 BCBS-TX — Commercial\|HMO: $241.33 BCBS-TX — Commercial\|PPO: $268.58 Bright Health — Commercial\|All Plans: $144.51
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) In the file: OFFICE CONSULT INTERMEDIATE	$369	$64.58	$139.49 – $369
Office consultation with a specialist (moderate): rates for 8 insurance plans Aetna — Commercial\|All Plans: $236.16 BCBS-TX — Commercial\|Ref Lab: $369 Cigna — Commercial\|All Other Plans: $236.16 First Health — Commercial\|All Plans: $221.40 Multiplan — Commercial\|All Plans: $332.10 PHCS — Commercial\|All Plans: $313.65 Wellpoint — Medicaid\|All Other Plans: $139.49 Wellpoint — Medicaid\|STAR: $139.49
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: OFFICE CONSULTATION LEVEL4	$576	$100.80	$77 – $518.40
Office consultation with a specialist (moderate to high): 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $368.64 AETNA — Medicare\|All Plans: $144 Ambetter — Commercial\|All Plans: $183.75 AMERIVANTAGE — Medicare\|All Plans: $130.53 BCBS — Medicaid\|STARKIDS: $169.35 BCBS — Medicare\|All Plans: $126.72 BCBS-TX — Commercial\|Blue Advantage HMO: $311.26 BCBS-TX — Commercial\|Blue Premier: $366 BCBS-TX — Commercial\|HMO: $387.90 BCBS-TX — Commercial\|PPO: $431.69
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) In the file: OFFICE CONSULTATION LEVEL4	$576	$100.80	$217.73 – $576
Office consultation with a specialist (moderate to high): rates for 8 insurance plans Aetna — Commercial\|All Plans: $368.64 BCBS-TX — Commercial\|Ref Lab: $576 Cigna — Commercial\|All Other Plans: $368.64 First Health — Commercial\|All Plans: $345.60 Multiplan — Commercial\|All Plans: $518.40 PHCS — Commercial\|All Plans: $489.60 Wellpoint — Medicaid\|All Other Plans: $217.73 Wellpoint — Medicaid\|STAR: $217.73
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: NEW PAT PREVENTIVE MED 40-64YR	$150	$26.25	$33 – $150
Preventive checkup, new patient, age 40–64: 10 of 25 insurance plan rates Aetna — Commercial\|All Plans: $96 AETNA — Medicare\|All Plans: $37.50 Ambetter — Commercial\|All Plans: $47.85 AMERIVANTAGE — Medicare\|All Plans: $33.99 BCBS — Medicare\|All Plans: $33 BCBS-TX — Commercial\|Blue Advantage HMO: $150 BCBS-TX — Commercial\|Blue Premier: $150 BCBS-TX — Commercial\|HMO: $150 BCBS-TX — Commercial\|PPO: $150 Bright Health — Commercial\|All Plans: $58.74
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) In the file: NEW PAT PREVENTIVE MED 40-64YR	$150	$26.25	$56.70 – $150
Preventive checkup, new patient, age 40–64: rates for 8 insurance plans Aetna — Commercial\|All Plans: $96 BCBS-TX — Commercial\|Ref Lab: $150 Cigna — Commercial\|All Other Plans: $96 First Health — Commercial\|All Plans: $90 Multiplan — Commercial\|All Plans: $135 PHCS — Commercial\|All Plans: $127.50 Wellpoint — Medicaid\|All Other Plans: $56.70 Wellpoint — Medicaid\|STAR: $56.70

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANEL	$565	$98.88	$7.61 – $508.50
Basic metabolic panel (blood test): 10 of 35 insurance plan rates Aetna — Commercial\|All Plans: $361.60 AETNA — Medicare\|All Plans: $8.46 Ambetter — Commercial\|All Plans: $12.27 AMERIVANTAGE — Medicare\|All Plans: $8.71 BCBS — Medicaid\|STARKIDS: $12.17 BCBS — Medicare\|All Plans: $8.46 BCBS-TX — Commercial\|Blue Advantage HMO: $29.69 BCBS-TX — Commercial\|Blue Premier: $29.69 BCBS-TX — Commercial\|HMO: $30.29 BCBS-TX — Commercial\|PPO: $34.94
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: BASIC METABOLIC PANEL	$565	$98.88	$213.57 – $565
Basic metabolic panel (blood test): rates for 8 insurance plans Aetna — Commercial\|All Plans: $361.60 BCBS-TX — Commercial\|Ref Lab: $565 Cigna — Commercial\|All Other Plans: $361.60 First Health — Commercial\|All Plans: $339 Multiplan — Commercial\|All Plans: $508.50 PHCS — Commercial\|All Plans: $480.25 Wellpoint — Medicaid\|All Other Plans: $213.57 Wellpoint — Medicaid\|STAR: $213.57
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHENSIVE METABOLIC PANEL	$776	$135.80	$9.50 – $698.40
Comprehensive metabolic panel (blood test): 10 of 35 insurance plan rates Aetna — Commercial\|All Plans: $496.64 AETNA — Medicare\|All Plans: $10.56 Ambetter — Commercial\|All Plans: $15.31 AMERIVANTAGE — Medicare\|All Plans: $10.88 BCBS — Medicaid\|STARKIDS: $15.18 BCBS — Medicare\|All Plans: $10.56 BCBS-TX — Commercial\|Blue Advantage HMO: $37.07 BCBS-TX — Commercial\|Blue Premier: $37.07 BCBS-TX — Commercial\|HMO: $37.80 BCBS-TX — Commercial\|PPO: $43.61
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: COMPREHENSIVE METABOLIC PANEL	$776	$135.80	$293.33 – $776
Comprehensive metabolic panel (blood test): rates for 8 insurance plans Aetna — Commercial\|All Plans: $496.64 BCBS-TX — Commercial\|Ref Lab: $776 Cigna — Commercial\|All Other Plans: $496.64 First Health — Commercial\|All Plans: $465.60 Multiplan — Commercial\|All Plans: $698.40 PHCS — Commercial\|All Plans: $659.60 Wellpoint — Medicaid\|All Other Plans: $293.33 Wellpoint — Medicaid\|STAR: $293.33
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: OBSTETRIC PANEL	$911	$159.43	$43.03 – $819.90
Obstetric blood test panel: 10 of 27 insurance plan rates Aetna — Commercial\|All Plans: $583.04 AETNA — Medicare\|All Plans: $47.81 Ambetter — Commercial\|All Plans: $69.32 AMERIVANTAGE — Medicare\|All Plans: $49.24 BCBS — Medicare\|All Plans: $47.81 BCBS-TX — Commercial\|Blue Advantage HMO: $167.81 BCBS-TX — Commercial\|Blue Premier: $167.81 BCBS-TX — Commercial\|HMO: $171.16 BCBS-TX — Commercial\|PPO: $197.46 BCBS-TX — Commercial\|Ref Lab: $52.06
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) In the file: OBSTETRIC PANEL	$911	$159.43	$344.36 – $911
Obstetric blood test panel: rates for 8 insurance plans Aetna — Commercial\|All Plans: $583.04 BCBS-TX — Commercial\|Ref Lab: $911 Cigna — Commercial\|All Other Plans: $583.04 First Health — Commercial\|All Plans: $546.60 Multiplan — Commercial\|All Plans: $819.90 PHCS — Commercial\|All Plans: $774.35 Wellpoint — Medicaid\|All Other Plans: $344.36 Wellpoint — Medicaid\|STAR: $344.36
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PROFILE W/O ELECTROPHORE	$322	$56.35	$12.05 – $289.80
Cholesterol panel (lipid panel): 10 of 35 insurance plan rates Aetna — Commercial\|All Plans: $206.08 AETNA — Medicare\|All Plans: $13.39 Ambetter — Commercial\|All Plans: $19.42 AMERIVANTAGE — Medicare\|All Plans: $13.79 BCBS — Medicaid\|STARKIDS: $19.27 BCBS — Medicare\|All Plans: $13.39 BCBS-TX — Commercial\|Blue Advantage HMO: $47 BCBS-TX — Commercial\|Blue Premier: $47 BCBS-TX — Commercial\|HMO: $47.94 BCBS-TX — Commercial\|PPO: $55.30
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: LIPID PROFILE W/O ELECTROPHORE	$322	$56.35	$121.72 – $322
Cholesterol panel (lipid panel): rates for 8 insurance plans Aetna — Commercial\|All Plans: $206.08 BCBS-TX — Commercial\|Ref Lab: $322 Cigna — Commercial\|All Other Plans: $206.08 First Health — Commercial\|All Plans: $193.20 Multiplan — Commercial\|All Plans: $289.80 PHCS — Commercial\|All Plans: $273.70 Wellpoint — Medicaid\|All Other Plans: $121.72 Wellpoint — Medicaid\|STAR: $121.72
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION	$973	$170.28	$7.81 – $875.70
Kidney function panel: 10 of 35 insurance plan rates Aetna — Commercial\|All Plans: $622.72 AETNA — Medicare\|All Plans: $8.68 Ambetter — Commercial\|All Plans: $12.59 AMERIVANTAGE — Medicare\|All Plans: $8.94 BCBS — Medicaid\|STARKIDS: $12.48 BCBS — Medicare\|All Plans: $8.68 BCBS-TX — Commercial\|Blue Advantage HMO: $30.47 BCBS-TX — Commercial\|Blue Premier: $30.47 BCBS-TX — Commercial\|HMO: $31.07 BCBS-TX — Commercial\|PPO: $35.85
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL FUNCTION	$973	$170.28	$367.80 – $973
Kidney function panel: rates for 8 insurance plans Aetna — Commercial\|All Plans: $622.72 BCBS-TX — Commercial\|Ref Lab: $973 Cigna — Commercial\|All Other Plans: $622.72 First Health — Commercial\|All Plans: $583.80 Multiplan — Commercial\|All Plans: $875.70 PHCS — Commercial\|All Plans: $827.05 Wellpoint — Medicaid\|All Other Plans: $367.80 Wellpoint — Medicaid\|STAR: $367.80
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	$635	$111.13	$7.35 – $571.50
Liver function panel: 10 of 35 insurance plan rates Aetna — Commercial\|All Plans: $406.40 AETNA — Medicare\|All Plans: $8.17 Ambetter — Commercial\|All Plans: $11.85 AMERIVANTAGE — Medicare\|All Plans: $8.42 BCBS — Medicaid\|STARKIDS: $11.75 BCBS — Medicare\|All Plans: $8.17 BCBS-TX — Commercial\|Blue Advantage HMO: $28.68 BCBS-TX — Commercial\|Blue Premier: $28.68 BCBS-TX — Commercial\|HMO: $29.25 BCBS-TX — Commercial\|PPO: $33.74
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HEPATIC FUNCTION PANEL	$635	$111.13	$240.03 – $635
Liver function panel: rates for 8 insurance plans Aetna — Commercial\|All Plans: $406.40 BCBS-TX — Commercial\|Ref Lab: $635 Cigna — Commercial\|All Other Plans: $406.40 First Health — Commercial\|All Plans: $381 Multiplan — Commercial\|All Plans: $571.50 PHCS — Commercial\|All Plans: $539.75 Wellpoint — Medicaid\|All Other Plans: $240.03 Wellpoint — Medicaid\|STAR: $240.03
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA COMPLETE	$333	$58.28	$2.85 – $299.70
Urine test (automated, with microscope): 10 of 35 insurance plan rates Aetna — Commercial\|All Plans: $213.12 AETNA — Medicare\|All Plans: $3.17 Ambetter — Commercial\|All Plans: $4.60 AMERIVANTAGE — Medicare\|All Plans: $3.27 BCBS — Medicaid\|STARKIDS: $4.56 BCBS — Medicare\|All Plans: $3.17 BCBS-TX — Commercial\|Blue Advantage HMO: $11.13 BCBS-TX — Commercial\|Blue Premier: $11.13 BCBS-TX — Commercial\|HMO: $11.35 BCBS-TX — Commercial\|PPO: $13.09
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: UA COMPLETE	$333	$58.28	$125.88 – $333
Urine test (automated, with microscope): rates for 8 insurance plans Aetna — Commercial\|All Plans: $213.12 BCBS-TX — Commercial\|Ref Lab: $333 Cigna — Commercial\|All Other Plans: $213.12 First Health — Commercial\|All Plans: $199.80 Multiplan — Commercial\|All Plans: $299.70 PHCS — Commercial\|All Plans: $283.05 Wellpoint — Medicaid\|All Other Plans: $125.88 Wellpoint — Medicaid\|STAR: $125.88
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINE BY DIPSTICKNON-AUTO	$57	$9.98	$3.13 – $51.30
Urine test (manual, without microscope): 10 of 35 insurance plan rates Aetna — Commercial\|All Plans: $36.48 AETNA — Medicare\|All Plans: $3.48 Ambetter — Commercial\|All Plans: $5.05 AMERIVANTAGE — Medicare\|All Plans: $3.58 BCBS — Medicaid\|STARKIDS: $5.01 BCBS — Medicare\|All Plans: $3.48 BCBS-TX — Commercial\|Blue Advantage HMO: $12.21 BCBS-TX — Commercial\|Blue Premier: $12.21 BCBS-TX — Commercial\|HMO: $12.46 BCBS-TX — Commercial\|PPO: $14.37
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINE-NO MICRO	$18	$3.15	$3.13 – $16.20
Urine test (manual, without microscope): 10 of 35 insurance plan rates Aetna — Commercial\|All Plans: $11.52 AETNA — Medicare\|All Plans: $3.48 Ambetter — Commercial\|All Plans: $5.05 AMERIVANTAGE — Medicare\|All Plans: $3.58 BCBS — Medicaid\|STARKIDS: $5.01 BCBS — Medicare\|All Plans: $3.48 BCBS-TX — Commercial\|Blue Advantage HMO: $12.21 BCBS-TX — Commercial\|Blue Premier: $12.21 BCBS-TX — Commercial\|HMO: $12.46 BCBS-TX — Commercial\|PPO: $14.37
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: URINE BY DIPSTICKNON-AUTO	$57	$9.98	$21.55 – $57
Urine test (manual, without microscope): rates for 8 insurance plans Aetna — Commercial\|All Plans: $36.48 BCBS-TX — Commercial\|Ref Lab: $57 Cigna — Commercial\|All Other Plans: $36.48 First Health — Commercial\|All Plans: $34.20 Multiplan — Commercial\|All Plans: $51.30 PHCS — Commercial\|All Plans: $48.45 Wellpoint — Medicaid\|All Other Plans: $21.55 Wellpoint — Medicaid\|STAR: $21.55
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA TOTAL	$292	$51.10	$16.55 – $262.80
PSA (prostate specific antigen) blood test: 10 of 35 insurance plan rates Aetna — Commercial\|All Plans: $186.88 AETNA — Medicare\|All Plans: $18.39 Ambetter — Commercial\|All Plans: $26.67 AMERIVANTAGE — Medicare\|All Plans: $18.94 BCBS — Medicaid\|STARKIDS: $26.45 BCBS — Medicare\|All Plans: $18.39 BCBS-TX — Commercial\|Blue Advantage HMO: $64.55 BCBS-TX — Commercial\|Blue Premier: $64.55 BCBS-TX — Commercial\|HMO: $65.84 BCBS-TX — Commercial\|PPO: $75.95
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: PSA TOTAL	$292	$51.10	$110.38 – $292
PSA (prostate specific antigen) blood test: rates for 8 insurance plans Aetna — Commercial\|All Plans: $186.88 BCBS-TX — Commercial\|Ref Lab: $292 Cigna — Commercial\|All Other Plans: $186.88 First Health — Commercial\|All Plans: $175.20 Multiplan — Commercial\|All Plans: $262.80 PHCS — Commercial\|All Plans: $248.20 Wellpoint — Medicaid\|All Other Plans: $110.38 Wellpoint — Medicaid\|STAR: $110.38
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH THIRD GENERATION	$42	$7.35	$12.35 – $54.79
Thyroid stimulating hormone (TSH) test: 10 of 35 insurance plan rates Aetna — Commercial\|All Plans: $26.88 AETNA — Medicare\|All Plans: $16.80 Ambetter — Commercial\|All Plans: $24.36 AMERIVANTAGE — Medicare\|All Plans: $17.30 BCBS — Medicaid\|STARKIDS: $24.17 BCBS — Medicare\|All Plans: $16.80 BCBS-TX — Commercial\|Blue Advantage HMO: $42 BCBS-TX — Commercial\|Blue Premier: $42 BCBS-TX — Commercial\|HMO: $42 BCBS-TX — Commercial\|PPO: $42
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: TSH THIRD GENERATION	$42	$7.35	$15.88 – $42
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans Aetna — Commercial\|All Plans: $26.88 BCBS-TX — Commercial\|Ref Lab: $42 Cigna — Commercial\|All Other Plans: $26.88 First Health — Commercial\|All Plans: $25.20 Multiplan — Commercial\|All Plans: $37.80 PHCS — Commercial\|All Plans: $35.70 Wellpoint — Medicaid\|All Other Plans: $15.88 Wellpoint — Medicaid\|STAR: $15.88
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC W/AUTO DIFF	$215	$37.63	$6.99 – $193.50
Complete blood count (CBC) with differential: 10 of 35 insurance plan rates Aetna — Commercial\|All Plans: $137.60 AETNA — Medicare\|All Plans: $7.77 Ambetter — Commercial\|All Plans: $11.27 AMERIVANTAGE — Medicare\|All Plans: $8 BCBS — Medicaid\|STARKIDS: $11.17 BCBS — Medicare\|All Plans: $7.77 BCBS-TX — Commercial\|Blue Advantage HMO: $27.27 BCBS-TX — Commercial\|Blue Premier: $27.27 BCBS-TX — Commercial\|HMO: $27.82 BCBS-TX — Commercial\|PPO: $32.09
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: CBC W/AUTO DIFF	$215	$37.63	$81.27 – $215
Complete blood count (CBC) with differential: rates for 8 insurance plans Aetna — Commercial\|All Plans: $137.60 BCBS-TX — Commercial\|Ref Lab: $215 Cigna — Commercial\|All Other Plans: $137.60 First Health — Commercial\|All Plans: $129 Multiplan — Commercial\|All Plans: $193.50 PHCS — Commercial\|All Plans: $182.75 Wellpoint — Medicaid\|All Other Plans: $81.27 Wellpoint — Medicaid\|STAR: $81.27
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HEMAGRAM & PLATELET COUNT AUTO	$242	$42.35	$5.82 – $217.80
Complete blood count (CBC), automated: 10 of 35 insurance plan rates Aetna — Commercial\|All Plans: $154.88 AETNA — Medicare\|All Plans: $6.47 Ambetter — Commercial\|All Plans: $9.38 AMERIVANTAGE — Medicare\|All Plans: $6.66 BCBS — Medicaid\|STARKIDS: $9.30 BCBS — Medicare\|All Plans: $6.47 BCBS-TX — Commercial\|Blue Advantage HMO: $22.71 BCBS-TX — Commercial\|Blue Premier: $22.71 BCBS-TX — Commercial\|HMO: $23.16 BCBS-TX — Commercial\|PPO: $26.72
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: HEMAGRAM & PLATELET COUNT AUTO	$242	$42.35	$91.48 – $242
Complete blood count (CBC), automated: rates for 8 insurance plans Aetna — Commercial\|All Plans: $154.88 BCBS-TX — Commercial\|Ref Lab: $242 Cigna — Commercial\|All Other Plans: $154.88 First Health — Commercial\|All Plans: $145.20 Multiplan — Commercial\|All Plans: $217.80 PHCS — Commercial\|All Plans: $205.70 Wellpoint — Medicaid\|All Other Plans: $91.48 Wellpoint — Medicaid\|STAR: $91.48
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PRO-TIME W/INR	$270	$47.25	$3.86 – $243
Blood clotting time test (prothrombin time, PT): 10 of 35 insurance plan rates Aetna — Commercial\|All Plans: $172.80 AETNA — Medicare\|All Plans: $4.29 Ambetter — Commercial\|All Plans: $6.22 AMERIVANTAGE — Medicare\|All Plans: $4.42 BCBS — Medicaid\|STARKIDS: $6.17 BCBS — Medicare\|All Plans: $4.29 BCBS-TX — Commercial\|Blue Advantage HMO: $15.06 BCBS-TX — Commercial\|Blue Premier: $15.06 BCBS-TX — Commercial\|HMO: $15.36 BCBS-TX — Commercial\|PPO: $17.72
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: PRO-TIME W/INR	$270	$47.25	$102.06 – $270
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans Aetna — Commercial\|All Plans: $172.80 BCBS-TX — Commercial\|Ref Lab: $270 Cigna — Commercial\|All Other Plans: $172.80 First Health — Commercial\|All Plans: $162 Multiplan — Commercial\|All Plans: $243 PHCS — Commercial\|All Plans: $229.50 Wellpoint — Medicaid\|All Other Plans: $102.06 Wellpoint — Medicaid\|STAR: $102.06
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT	$305	$53.38	$5.41 – $274.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 35 insurance plan rates Aetna — Commercial\|All Plans: $195.20 AETNA — Medicare\|All Plans: $6.01 Ambetter — Commercial\|All Plans: $8.71 AMERIVANTAGE — Medicare\|All Plans: $6.19 BCBS — Medicaid\|STARKIDS: $8.64 BCBS — Medicare\|All Plans: $6.01 BCBS-TX — Commercial\|Blue Advantage HMO: $21.10 BCBS-TX — Commercial\|Blue Premier: $21.10 BCBS-TX — Commercial\|HMO: $21.52 BCBS-TX — Commercial\|PPO: $24.82
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: PTT	$305	$53.38	$115.29 – $305
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans Aetna — Commercial\|All Plans: $195.20 BCBS-TX — Commercial\|Ref Lab: $305 Cigna — Commercial\|All Other Plans: $195.20 First Health — Commercial\|All Plans: $183 Multiplan — Commercial\|All Plans: $274.50 PHCS — Commercial\|All Plans: $259.25 Wellpoint — Medicaid\|All Other Plans: $115.29 Wellpoint — Medicaid\|STAR: $115.29

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) In the file: CT BRAIN W/O CONTRAST	$2,918	$510.65	$131.99 – $2,626.20
CT scan of the head or brain, without contrast: 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $1,867.52 AETNA — Medicare\|All Plans: $729.50 Ambetter — Commercial\|All Plans: $930.85 AMERIVANTAGE — Medicare\|All Plans: $661.22 BCBS — Medicaid\|STARKIDS: $138.59 BCBS — Medicare\|All Plans: $641.96 BCBS-TX — Commercial\|Blue Advantage HMO: $316.07 BCBS-TX — Commercial\|Blue Premier: $365.38 BCBS-TX — Commercial\|HMO: $366.50 BCBS-TX — Commercial\|PPO: $430.39
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT BRAIN W/O CONTRAST	$2,918	$510.65	$1,103.01 – $2,918
CT scan of the head or brain, without contrast: rates for 8 insurance plans Aetna — Commercial\|All Plans: $1,867.52 BCBS-TX — Commercial\|Ref Lab: $2,918 Cigna — Commercial\|All Other Plans: $1,867.52 First Health — Commercial\|All Plans: $1,750.80 Multiplan — Commercial\|All Plans: $2,626.20 PHCS — Commercial\|All Plans: $2,480.30 Wellpoint — Medicaid\|All Other Plans: $1,103.01 Wellpoint — Medicaid\|STAR: $1,103.01
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN W/WO CONTRAST	$6,138	$1,074.15	$461.69 – $5,524.20
MRI of the brain, before and after contrast: 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $3,928.32 AETNA — Medicare\|All Plans: $1,534.50 Ambetter — Commercial\|All Plans: $1,958.03 AMERIVANTAGE — Medicare\|All Plans: $1,390.88 BCBS — Medicaid\|STARKIDS: $484.77 BCBS — Medicare\|All Plans: $1,350.36 BCBS-TX — Commercial\|Blue Advantage HMO: $1,076.82 BCBS-TX — Commercial\|Blue Premier: $1,244.83 BCBS-TX — Commercial\|HMO: $1,248.65 BCBS-TX — Commercial\|PPO: $1,466.30
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MRI BRAIN W/WO CONTRAST	$6,138	$1,074.15	$2,320.17 – $6,138
MRI of the brain, before and after contrast: rates for 8 insurance plans Aetna — Commercial\|All Plans: $3,928.32 BCBS-TX — Commercial\|Ref Lab: $6,138 Cigna — Commercial\|All Other Plans: $3,928.32 First Health — Commercial\|All Plans: $3,682.80 Multiplan — Commercial\|All Plans: $5,524.20 PHCS — Commercial\|All Plans: $5,217.30 Wellpoint — Medicaid\|All Other Plans: $2,320.17 Wellpoint — Medicaid\|STAR: $2,320.17
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI L-SPINE WO CONTRAST	$4,730	$827.75	$294.17 – $4,257
MRI of the lower back (lumbar spine), without contrast: 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $3,027.20 AETNA — Medicare\|All Plans: $1,182.50 Ambetter — Commercial\|All Plans: $1,508.87 AMERIVANTAGE — Medicare\|All Plans: $1,071.82 BCBS — Medicaid\|STARKIDS: $308.88 BCBS — Medicare\|All Plans: $1,040.60 BCBS-TX — Commercial\|Blue Advantage HMO: $657.17 BCBS-TX — Commercial\|Blue Premier: $759.71 BCBS-TX — Commercial\|HMO: $762.04 BCBS-TX — Commercial\|PPO: $894.87
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MRI L-SPINE WO CONTRAST	$4,730	$827.75	$1,787.94 – $4,730
MRI of the lower back (lumbar spine), without contrast: rates for 8 insurance plans Aetna — Commercial\|All Plans: $3,027.20 BCBS-TX — Commercial\|Ref Lab: $4,730 Cigna — Commercial\|All Other Plans: $3,027.20 First Health — Commercial\|All Plans: $2,838 Multiplan — Commercial\|All Plans: $4,257 PHCS — Commercial\|All Plans: $4,020.50 Wellpoint — Medicaid\|All Other Plans: $1,787.94 Wellpoint — Medicaid\|STAR: $1,787.94
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/CONTRAST	$3,071	$537.43	$220.58 – $2,763.90
CT scan of the pelvis, with contrast: 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $1,965.44 AETNA — Medicare\|All Plans: $767.75 Ambetter — Commercial\|All Plans: $979.65 AMERIVANTAGE — Medicare\|All Plans: $695.89 BCBS — Medicaid\|STARKIDS: $231.61 BCBS — Medicare\|All Plans: $675.62 BCBS-TX — Commercial\|Blue Advantage HMO: $513.86 BCBS-TX — Commercial\|Blue Premier: $594.04 BCBS-TX — Commercial\|HMO: $595.86 BCBS-TX — Commercial\|PPO: $699.72
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT PELVIS W/CONTRAST	$3,071	$537.43	$1,160.84 – $3,071
CT scan of the pelvis, with contrast: rates for 8 insurance plans Aetna — Commercial\|All Plans: $1,965.44 BCBS-TX — Commercial\|Ref Lab: $3,071 Cigna — Commercial\|All Other Plans: $1,965.44 First Health — Commercial\|All Plans: $1,842.60 Multiplan — Commercial\|All Plans: $2,763.90 PHCS — Commercial\|All Plans: $2,610.35 Wellpoint — Medicaid\|All Other Plans: $1,160.84 Wellpoint — Medicaid\|STAR: $1,160.84
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT TRAUMA ABDOMEN/PELVIS	$8,425	$1,474.38	$461.69 – $7,582.50
CT scan of the abdomen and pelvis, with contrast: 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $5,392 AETNA — Medicare\|All Plans: $2,106.25 Ambetter — Commercial\|All Plans: $2,687.58 AMERIVANTAGE — Medicare\|All Plans: $1,909.11 BCBS — Medicaid\|STARKIDS: $484.77 BCBS — Medicare\|All Plans: $1,853.50 BCBS-TX — Commercial\|Blue Advantage HMO: $1,076.82 BCBS-TX — Commercial\|Blue Premier: $1,244.83 BCBS-TX — Commercial\|HMO: $1,248.65 BCBS-TX — Commercial\|PPO: $1,466.30
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT TRAUMA ABDOMEN/PELVIS	$8,425	$1,474.38	$3,184.65 – $8,425
CT scan of the abdomen and pelvis, with contrast: rates for 8 insurance plans Aetna — Commercial\|All Plans: $5,392 BCBS-TX — Commercial\|Ref Lab: $8,425 Cigna — Commercial\|All Other Plans: $5,392 First Health — Commercial\|All Plans: $5,055 Multiplan — Commercial\|All Plans: $7,582.50 PHCS — Commercial\|All Plans: $7,161.25 Wellpoint — Medicaid\|All Other Plans: $3,184.65 Wellpoint — Medicaid\|STAR: $3,184.65
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: ABDOMINAL ECHO	$1,774	$310.45	$131.99 – $1,596.60
Ultrasound of the abdomen, complete: 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $1,135.36 AETNA — Medicare\|All Plans: $443.50 Ambetter — Commercial\|All Plans: $565.91 AMERIVANTAGE — Medicare\|All Plans: $401.99 BCBS — Medicaid\|STARKIDS: $138.59 BCBS — Medicare\|All Plans: $390.28 BCBS-TX — Commercial\|Blue Advantage HMO: $254.42 BCBS-TX — Commercial\|Blue Premier: $282.44 BCBS-TX — Commercial\|HMO: $300.37 BCBS-TX — Commercial\|PPO: $331.76
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: ABDOMINAL ULTRASOUND	$1,747	$305.73	$131.99 – $1,572.30
Ultrasound of the abdomen, complete: 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $1,118.08 AETNA — Medicare\|All Plans: $436.75 Ambetter — Commercial\|All Plans: $557.30 AMERIVANTAGE — Medicare\|All Plans: $395.88 BCBS — Medicaid\|STARKIDS: $138.59 BCBS — Medicare\|All Plans: $384.34 BCBS-TX — Commercial\|Blue Advantage HMO: $254.42 BCBS-TX — Commercial\|Blue Premier: $282.44 BCBS-TX — Commercial\|HMO: $300.37 BCBS-TX — Commercial\|PPO: $331.76
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: ABDOMINAL ECHO	$1,774	$310.45	$670.58 – $1,774
Ultrasound of the abdomen, complete: rates for 8 insurance plans Aetna — Commercial\|All Plans: $1,135.36 BCBS-TX — Commercial\|Ref Lab: $1,774 Cigna — Commercial\|All Other Plans: $1,135.36 First Health — Commercial\|All Plans: $1,064.40 Multiplan — Commercial\|All Plans: $1,596.60 PHCS — Commercial\|All Plans: $1,507.90 Wellpoint — Medicaid\|All Other Plans: $670.58 Wellpoint — Medicaid\|STAR: $670.58
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: COMPLETE PREGNANCY ECHO	$1,880	$329	$131.99 – $1,692
Pregnancy ultrasound (after the first trimester): 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $1,203.20 AETNA — Medicare\|All Plans: $470 Ambetter — Commercial\|All Plans: $599.72 AMERIVANTAGE — Medicare\|All Plans: $426.01 BCBS — Medicaid\|STARKIDS: $138.59 BCBS — Medicare\|All Plans: $413.60 BCBS-TX — Commercial\|Blue Advantage HMO: $207.80 BCBS-TX — Commercial\|Blue Premier: $230.68 BCBS-TX — Commercial\|HMO: $245.33 BCBS-TX — Commercial\|PPO: $270.96
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: COMPLETE PREGNANCY ECHO	$1,880	$329	$710.64 – $1,880
Pregnancy ultrasound (after the first trimester): rates for 8 insurance plans Aetna — Commercial\|All Plans: $1,203.20 BCBS-TX — Commercial\|Ref Lab: $1,880 Cigna — Commercial\|All Other Plans: $1,203.20 First Health — Commercial\|All Plans: $1,128 Multiplan — Commercial\|All Plans: $1,692 PHCS — Commercial\|All Plans: $1,598 Wellpoint — Medicaid\|All Other Plans: $710.64 Wellpoint — Medicaid\|STAR: $710.64
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: NON-OB US TRANSVAGINAL	$1,122	$196.35	$131.99 – $1,009.80
Transvaginal ultrasound: 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $718.08 AETNA — Medicare\|All Plans: $280.50 Ambetter — Commercial\|All Plans: $357.92 AMERIVANTAGE — Medicare\|All Plans: $254.25 BCBS — Medicaid\|STARKIDS: $138.59 BCBS — Medicare\|All Plans: $246.84 BCBS-TX — Commercial\|Blue Advantage HMO: $200.44 BCBS-TX — Commercial\|Blue Premier: $222.52 BCBS-TX — Commercial\|HMO: $236.64 BCBS-TX — Commercial\|PPO: $261.37
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: NON-OB US TRANSVAGINAL	$1,122	$196.35	$424.12 – $1,122
Transvaginal ultrasound: rates for 8 insurance plans Aetna — Commercial\|All Plans: $718.08 BCBS-TX — Commercial\|Ref Lab: $1,122 Cigna — Commercial\|All Other Plans: $718.08 First Health — Commercial\|All Plans: $673.20 Multiplan — Commercial\|All Plans: $1,009.80 PHCS — Commercial\|All Plans: $953.70 Wellpoint — Medicaid\|All Other Plans: $424.12 Wellpoint — Medicaid\|STAR: $424.12
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MAMMO ADDL VIEWS RETURN VISIT	$577	$100.98	$126.94 – $519.30
Diagnostic mammogram, both breasts: 10 of 26 insurance plan rates Aetna — Commercial\|All Plans: $369.28 AETNA — Medicare\|All Plans: $144.25 Ambetter — Commercial\|All Plans: $184.07 AMERIVANTAGE — Medicare\|All Plans: $130.75 BCBS — Medicare\|All Plans: $126.94 BCBS-TX — Commercial\|Blue Advantage HMO: $273.24 BCBS-TX — Commercial\|Blue Premier: $303.33 BCBS-TX — Commercial\|HMO: $322.59 BCBS-TX — Commercial\|PPO: $356.30 Bright Health — Commercial\|All Plans: $225.96
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: MAMMO ADDL VIEWS RETURN VISIT	$577	$100.98	$218.11 – $577
Diagnostic mammogram, both breasts: rates for 8 insurance plans Aetna — Commercial\|All Plans: $369.28 BCBS-TX — Commercial\|Ref Lab: $577 Cigna — Commercial\|All Other Plans: $369.28 First Health — Commercial\|All Plans: $346.20 Multiplan — Commercial\|All Plans: $519.30 PHCS — Commercial\|All Plans: $490.45 Wellpoint — Medicaid\|All Other Plans: $218.11 Wellpoint — Medicaid\|STAR: $218.11
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MAMMO BILATERAL SCREENING DDI	$451	$78.93	$99.22 – $405.90
Screening mammogram, both breasts: 10 of 26 insurance plan rates Aetna — Commercial\|All Plans: $288.64 AETNA — Medicare\|All Plans: $112.75 Ambetter — Commercial\|All Plans: $143.87 AMERIVANTAGE — Medicare\|All Plans: $102.20 BCBS — Medicare\|All Plans: $99.22 BCBS-TX — Commercial\|Blue Advantage HMO: $225.80 BCBS-TX — Commercial\|Blue Premier: $250.66 BCBS-TX — Commercial\|HMO: $266.58 BCBS-TX — Commercial\|PPO: $294.43 Bright Health — Commercial\|All Plans: $176.62
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: MAMMO BILATERAL SCREENING DDI	$451	$78.93	$170.48 – $451
Screening mammogram, both breasts: rates for 8 insurance plans Aetna — Commercial\|All Plans: $288.64 BCBS-TX — Commercial\|Ref Lab: $451 Cigna — Commercial\|All Other Plans: $288.64 First Health — Commercial\|All Plans: $270.60 Multiplan — Commercial\|All Plans: $405.90 PHCS — Commercial\|All Plans: $383.35 Wellpoint — Medicaid\|All Other Plans: $170.48 Wellpoint — Medicaid\|STAR: $170.48

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HEART ONLY	$12,446	$2,178.05	$875 – $11,399.80
Left heart catheterization (diagnostic): 10 of 28 insurance plan rates Aetna — Commercial\|All Plans: $7,965.44 AETNA — Medicare\|All Plans: $3,111.50 Ambetter — Commercial\|All Plans: $3,970.28 AMERIVANTAGE — Medicare\|All Plans: $2,820.27 BCBS — Medicare\|All Plans: $2,738.12 BCBS-TX — Commercial\|Blue Advantage HMO: $8,122.36 BCBS-TX — Commercial\|Blue Premier: $9,689.83 BCBS-TX — Commercial\|HMO: $10,231.32 BCBS-TX — Commercial\|PPO: $11,399.80 Bright Health — Commercial\|All Plans: $4,873.86
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) In the file: LEFT HEART ONLY	$12,446	$2,178.05	$4,704.59 – $12,446
Left heart catheterization (diagnostic): rates for 8 insurance plans Aetna — Commercial\|All Plans: $7,965.44 BCBS-TX — Commercial\|Ref Lab: $12,446 Cigna — Commercial\|All Other Plans: $7,965.44 First Health — Commercial\|All Plans: $7,467.60 Multiplan — Commercial\|All Plans: $11,201.40 PHCS — Commercial\|All Plans: $10,579.10 Wellpoint — Medicaid\|All Other Plans: $4,704.59 Wellpoint — Medicaid\|STAR: $4,704.59
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: A FIB ABLATION	$73,182	$12,806.85	$875 – $65,863.80
Heart rhythm study with ablation for atrial fibrillation: 10 of 28 insurance plan rates Aetna — Commercial\|All Plans: $46,836.48 AETNA — Medicare\|All Plans: $18,295.50 Ambetter — Commercial\|All Plans: $23,345.06 AMERIVANTAGE — Medicare\|All Plans: $16,583.05 BCBS — Medicare\|All Plans: $16,100.04 BCBS-TX — Commercial\|Blue Advantage HMO: $28,813.73 BCBS-TX — Commercial\|Blue Premier: $28,609.38 BCBS-TX — Commercial\|HMO: $30,652.91 BCBS-TX — Commercial\|PPO: $33,718.20 Bright Health — Commercial\|All Plans: $28,658.08
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) In the file: A FIB ABLATION	$73,182	$12,806.85	$27,662.80 – $73,182
Heart rhythm study with ablation for atrial fibrillation: rates for 8 insurance plans Aetna — Commercial\|All Plans: $46,836.48 BCBS-TX — Commercial\|Ref Lab: $73,182 Cigna — Commercial\|All Other Plans: $46,836.48 First Health — Commercial\|All Plans: $43,909.20 Multiplan — Commercial\|All Plans: $65,863.80 PHCS — Commercial\|All Plans: $62,204.70 Wellpoint — Medicaid\|All Other Plans: $27,662.80 Wellpoint — Medicaid\|STAR: $27,662.80
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOMNOGRAPHY4 OR MORE	$10,174	$1,780.45	$996.87 – $9,156.60
Sleep study (overnight, in a sleep lab): 10 of 26 insurance plan rates Aetna — Commercial\|All Plans: $6,511.36 AETNA — Medicare\|All Plans: $2,543.50 Ambetter — Commercial\|All Plans: $3,245.51 AMERIVANTAGE — Medicare\|All Plans: $2,305.43 BCBS — Medicare\|All Plans: $2,238.28 BCBS-TX — Commercial\|Blue Advantage HMO: $996.87 BCBS-TX — Commercial\|Blue Premier: $1,172.20 BCBS-TX — Commercial\|HMO: $1,242.33 BCBS-TX — Commercial\|PPO: $1,382.59 Bright Health — Commercial\|All Plans: $3,984.14
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: POLYSOMNOGRAPHY4 OR MORE	$10,174	$1,780.45	$3,845.78 – $10,174
Sleep study (overnight, in a sleep lab): rates for 8 insurance plans Aetna — Commercial\|All Plans: $6,511.36 BCBS-TX — Commercial\|Ref Lab: $10,174 Cigna — Commercial\|All Other Plans: $6,511.36 First Health — Commercial\|All Plans: $6,104.40 Multiplan — Commercial\|All Plans: $9,156.60 PHCS — Commercial\|All Plans: $8,647.90 Wellpoint — Medicaid\|All Other Plans: $3,845.78 Wellpoint — Medicaid\|STAR: $3,845.78

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYCHOTHERAPY (30 MINUTES)	$253	$44.28	$55.66 – $227.70
Psychotherapy, 30 minutes: 10 of 21 insurance plan rates Aetna — Commercial\|All Plans: $161.92 AETNA — Medicare\|All Plans: $63.25 Ambetter — Commercial\|All Plans: $80.71 AMERIVANTAGE — Medicare\|All Plans: $57.33 BCBS — Medicare\|All Plans: $55.66 Bright Health — Commercial\|All Plans: $99.08 Cigna — Commercial\|All Other Plans: $161.92 Cigna — Commercial\|Local Plus: $123.97 Ellwood — Commercial\|All Plans: $166.98 Entrust — Commercial\|All Plans: $121.44
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: PSYCHOTHERAPY (30 MINUTES)	$253	$44.28	$95.64 – $253
Psychotherapy, 30 minutes: rates for 8 insurance plans Aetna — Commercial\|All Plans: $161.92 BCBS-TX — Commercial\|Ref Lab: $253 Cigna — Commercial\|All Other Plans: $161.92 First Health — Commercial\|All Plans: $151.80 Multiplan — Commercial\|All Plans: $227.70 PHCS — Commercial\|All Plans: $215.05 Wellpoint — Medicaid\|All Other Plans: $95.64 Wellpoint — Medicaid\|STAR: $95.64
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYCHOTHERAPY (45 MINUTES)	$350	$61.25	$77 – $315
Psychotherapy, 45 minutes: 10 of 21 insurance plan rates Aetna — Commercial\|All Plans: $224 AETNA — Medicare\|All Plans: $87.50 Ambetter — Commercial\|All Plans: $111.65 AMERIVANTAGE — Medicare\|All Plans: $79.31 BCBS — Medicare\|All Plans: $77 Bright Health — Commercial\|All Plans: $137.06 Cigna — Commercial\|All Other Plans: $224 Cigna — Commercial\|Local Plus: $171.50 Ellwood — Commercial\|All Plans: $231 Entrust — Commercial\|All Plans: $168
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: PSYCHOTHERAPY (45 MINUTES)	$350	$61.25	$132.30 – $350
Psychotherapy, 45 minutes: rates for 8 insurance plans Aetna — Commercial\|All Plans: $224 BCBS-TX — Commercial\|Ref Lab: $350 Cigna — Commercial\|All Other Plans: $224 First Health — Commercial\|All Plans: $210 Multiplan — Commercial\|All Plans: $315 PHCS — Commercial\|All Plans: $297.50 Wellpoint — Medicaid\|All Other Plans: $132.30 Wellpoint — Medicaid\|STAR: $132.30
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYCHOTHERAPY (60 MINUTES)	$400	$70	$88 – $360
Psychotherapy, 60 minutes: 10 of 21 insurance plan rates Aetna — Commercial\|All Plans: $256 AETNA — Medicare\|All Plans: $100 Ambetter — Commercial\|All Plans: $127.60 AMERIVANTAGE — Medicare\|All Plans: $90.64 BCBS — Medicare\|All Plans: $88 Bright Health — Commercial\|All Plans: $156.64 Cigna — Commercial\|All Other Plans: $256 Cigna — Commercial\|Local Plus: $196 Ellwood — Commercial\|All Plans: $264 Entrust — Commercial\|All Plans: $192
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: PSYCHOTHERAPY (60 MINUTES)	$400	$70	$151.20 – $400
Psychotherapy, 60 minutes: rates for 8 insurance plans Aetna — Commercial\|All Plans: $256 BCBS-TX — Commercial\|Ref Lab: $400 Cigna — Commercial\|All Other Plans: $256 First Health — Commercial\|All Plans: $240 Multiplan — Commercial\|All Plans: $360 PHCS — Commercial\|All Plans: $340 Wellpoint — Medicaid\|All Other Plans: $151.20 Wellpoint — Medicaid\|STAR: $151.20
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY THERAPY W/O PATIENT	$350	$61.25	$77 – $315
Family psychotherapy, without the patient: 10 of 21 insurance plan rates Aetna — Commercial\|All Plans: $224 AETNA — Medicare\|All Plans: $87.50 Ambetter — Commercial\|All Plans: $111.65 AMERIVANTAGE — Medicare\|All Plans: $79.31 BCBS — Medicare\|All Plans: $77 Bright Health — Commercial\|All Plans: $137.06 Cigna — Commercial\|All Other Plans: $224 Cigna — Commercial\|Local Plus: $171.50 Ellwood — Commercial\|All Plans: $231 Entrust — Commercial\|All Plans: $168
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) In the file: FAMILY THERAPY W/O PATIENT	$350	$61.25	$132.30 – $350
Family psychotherapy, without the patient: rates for 8 insurance plans Aetna — Commercial\|All Plans: $224 BCBS-TX — Commercial\|Ref Lab: $350 Cigna — Commercial\|All Other Plans: $224 First Health — Commercial\|All Plans: $210 Multiplan — Commercial\|All Plans: $315 PHCS — Commercial\|All Plans: $297.50 Wellpoint — Medicaid\|All Other Plans: $132.30 Wellpoint — Medicaid\|STAR: $132.30
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY THERAPY W/PATIENT	$390	$68.25	$85.80 – $351
Family psychotherapy, with the patient: 10 of 21 insurance plan rates Aetna — Commercial\|All Plans: $249.60 AETNA — Medicare\|All Plans: $97.50 Ambetter — Commercial\|All Plans: $124.41 AMERIVANTAGE — Medicare\|All Plans: $88.38 BCBS — Medicare\|All Plans: $85.80 Bright Health — Commercial\|All Plans: $152.73 Cigna — Commercial\|All Other Plans: $249.60 Cigna — Commercial\|Local Plus: $191.10 Ellwood — Commercial\|All Plans: $257.40 Entrust — Commercial\|All Plans: $187.20
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) In the file: FAMILY THERAPY W/PATIENT	$390	$68.25	$147.42 – $390
Family psychotherapy, with the patient: rates for 8 insurance plans Aetna — Commercial\|All Plans: $249.60 BCBS-TX — Commercial\|Ref Lab: $390 Cigna — Commercial\|All Other Plans: $249.60 First Health — Commercial\|All Plans: $234 Multiplan — Commercial\|All Plans: $351 PHCS — Commercial\|All Plans: $331.50 Wellpoint — Medicaid\|All Other Plans: $147.42 Wellpoint — Medicaid\|STAR: $147.42
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY	$384	$67.20	$84.48 – $345.60
Group psychotherapy: 10 of 21 insurance plan rates Aetna — Commercial\|All Plans: $245.76 AETNA — Medicare\|All Plans: $96 Ambetter — Commercial\|All Plans: $122.50 AMERIVANTAGE — Medicare\|All Plans: $87.02 BCBS — Medicare\|All Plans: $84.48 Bright Health — Commercial\|All Plans: $150.38 Cigna — Commercial\|All Other Plans: $245.76 Cigna — Commercial\|Local Plus: $188.16 Ellwood — Commercial\|All Plans: $253.44 Entrust — Commercial\|All Plans: $184.32
Group psychotherapy CPT 90853 · Inpatient (hospital stay) In the file: GROUP PSYCHOTHERAPY	$384	$67.20	$145.16 – $384
Group psychotherapy: rates for 8 insurance plans Aetna — Commercial\|All Plans: $245.76 BCBS-TX — Commercial\|Ref Lab: $384 Cigna — Commercial\|All Other Plans: $245.76 First Health — Commercial\|All Plans: $230.40 Multiplan — Commercial\|All Plans: $345.60 PHCS — Commercial\|All Plans: $326.40 Wellpoint — Medicaid\|All Other Plans: $145.16 Wellpoint — Medicaid\|STAR: $145.16

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL BREAST LESION	$704	$123.20	$154.88 – $4,998.76
Removal of breast growth (open surgery): 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $450.56 AETNA — Medicare\|All Plans: $176 Ambetter — Commercial\|All Plans: $224.58 AMERIVANTAGE — Medicare\|All Plans: $159.53 BCBS — Medicaid\|STARKIDS: $1,064.46 BCBS — Medicare\|All Plans: $154.88 BCBS-TX — Commercial\|Blue Advantage HMO: $4,271.67 BCBS-TX — Commercial\|Blue Premier: $4,241.37 BCBS-TX — Commercial\|HMO: $4,544.33 BCBS-TX — Commercial\|PPO: $4,998.76
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) In the file: REMOVAL BREAST LESION	$704	$123.20	$266.12 – $704
Removal of breast growth (open surgery): rates for 8 insurance plans Aetna — Commercial\|All Plans: $450.56 BCBS-TX — Commercial\|Ref Lab: $704 Cigna — Commercial\|All Other Plans: $450.56 First Health — Commercial\|All Plans: $422.40 Multiplan — Commercial\|All Plans: $633.60 PHCS — Commercial\|All Plans: $598.40 Wellpoint — Medicaid\|All Other Plans: $266.12 Wellpoint — Medicaid\|STAR: $266.12
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$7,783 – $19,636.17
Total hip replacement: 10 of 25 insurance plan rates BCBS-TX — Commercial\|Blue Advantage HMO: $16,780 BCBS-TX — Commercial\|Blue Premier: $16,660.99 BCBS-TX — Commercial\|HMO: $17,851.07 BCBS-TX — Commercial\|PPO: $19,636.17 United — Commercial\|Exchange: $7,783 Aetna — Commercial\|All Plans: 64% (a percentage in the contract, not a dollar amount) AETNA — Medicare\|All Plans: 25% (a percentage in the contract, not a dollar amount) Ambetter — Commercial\|All Plans: 31.9% (a percentage in the contract, not a dollar amount) AMERIVANTAGE — Medicare\|All Plans: 22.66% (a percentage in the contract, not a dollar amount) BCBS — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$7,783 – $19,636.17
Total knee replacement: 10 of 25 insurance plan rates BCBS-TX — Commercial\|Blue Advantage HMO: $16,780 BCBS-TX — Commercial\|Blue Premier: $16,660.99 BCBS-TX — Commercial\|HMO: $17,851.07 BCBS-TX — Commercial\|PPO: $19,636.17 United — Commercial\|Exchange: $7,783 Aetna — Commercial\|All Plans: 64% (a percentage in the contract, not a dollar amount) AETNA — Medicare\|All Plans: 25% (a percentage in the contract, not a dollar amount) Ambetter — Commercial\|All Plans: 31.9% (a percentage in the contract, not a dollar amount) AMERIVANTAGE — Medicare\|All Plans: 22.66% (a percentage in the contract, not a dollar amount) BCBS — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$1,508 – $3,711
Shoulder arthroscopy: shaving of shoulder bone: 10 of 22 insurance plan rates Cigna — Commercial\|Local Plus: $3,711 United — Commercial\|Exchange: $1,508 Aetna — Commercial\|All Plans: 64% (a percentage in the contract, not a dollar amount) AETNA — Medicare\|All Plans: 25% (a percentage in the contract, not a dollar amount) Ambetter — Commercial\|All Plans: 31.9% (a percentage in the contract, not a dollar amount) AMERIVANTAGE — Medicare\|All Plans: 22.66% (a percentage in the contract, not a dollar amount) BCBS — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) Bright Health — Commercial\|All Plans: 39.16% (a percentage in the contract, not a dollar amount) Cigna — Commercial\|All Other Plans: 64% (a percentage in the contract, not a dollar amount) Ellwood — Commercial\|All Plans: 66% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$1,144.86 – $6,045
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 34 insurance plan rates BCBS — Medicaid\|STARKIDS: $1,202.10 BCBS-TX — Commercial\|Blue Advantage HMO: $3,859.80 BCBS-TX — Commercial\|Blue Premier: $3,832.43 BCBS-TX — Commercial\|HMO: $4,106.18 BCBS-TX — Commercial\|PPO: $4,516.79 Cigna — Commercial\|Local Plus: $4,319 SUPERIOR — Medicaid\|All Other Plans: $1,202.10 SUPERIOR — Medicaid\|CHIP: $1,144.86 SUPERIOR — Medicaid\|STAR: $1,442.52 SUPERIOR — Medicaid\|STARPLUS: $2,667.52
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS	$374	$65.45	$82.28 – $8,003.37
Removal of tonsils and adenoids (under age 12): 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $239.36 AETNA — Medicare\|All Plans: $93.50 Ambetter — Commercial\|All Plans: $119.31 AMERIVANTAGE — Medicare\|All Plans: $84.75 BCBS — Medicaid\|STARKIDS: $2,158.63 BCBS — Medicare\|All Plans: $82.28 BCBS-TX — Commercial\|Blue Advantage HMO: $6,839.25 BCBS-TX — Commercial\|Blue Premier: $6,790.74 BCBS-TX — Commercial\|HMO: $7,275.80 BCBS-TX — Commercial\|PPO: $8,003.37
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) In the file: REMOVE TONSILS AND ADENOIDS	$374	$65.45	$141.38 – $374
Removal of tonsils and adenoids (under age 12): rates for 8 insurance plans Aetna — Commercial\|All Plans: $239.36 BCBS-TX — Commercial\|Ref Lab: $374 Cigna — Commercial\|All Other Plans: $239.36 First Health — Commercial\|All Plans: $224.40 Multiplan — Commercial\|All Plans: $336.60 PHCS — Commercial\|All Plans: $317.90 Wellpoint — Medicaid\|All Other Plans: $141.38 Wellpoint — Medicaid\|STAR: $141.38
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: UPPR GI ENDOSCOPY DIAGNOSIS	$2,250	$393.75	$188 – $2,888
Upper GI endoscopy (diagnostic): 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $1,440 AETNA — Medicare\|All Plans: $562.50 Ambetter — Commercial\|All Plans: $717.75 AMERIVANTAGE — Medicare\|All Plans: $509.85 BCBS — Medicaid\|STARKIDS: $369.99 BCBS — Medicare\|All Plans: $495 BCBS-TX — Commercial\|Blue Advantage HMO: $1,108.15 BCBS-TX — Commercial\|Blue Premier: $1,100.29 BCBS-TX — Commercial\|HMO: $1,178.88 BCBS-TX — Commercial\|PPO: $1,296.77
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: UPPR GI ENDOSCOPY DIAGNOSIS	$2,250	$393.75	$850.50 – $2,250
Upper GI endoscopy (diagnostic): rates for 8 insurance plans Aetna — Commercial\|All Plans: $1,440 BCBS-TX — Commercial\|Ref Lab: $2,250 Cigna — Commercial\|All Other Plans: $1,440 First Health — Commercial\|All Plans: $1,350 Multiplan — Commercial\|All Plans: $2,025 PHCS — Commercial\|All Plans: $1,912.50 Wellpoint — Medicaid\|All Other Plans: $850.50 Wellpoint — Medicaid\|STAR: $850.50
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$352.37 – $3,346
Upper GI endoscopy with biopsy: 10 of 34 insurance plan rates BCBS — Medicaid\|STARKIDS: $369.99 BCBS-TX — Commercial\|Blue Advantage HMO: $1,108.15 BCBS-TX — Commercial\|Blue Premier: $1,100.29 BCBS-TX — Commercial\|HMO: $1,178.88 BCBS-TX — Commercial\|PPO: $1,296.77 Cigna — Commercial\|Local Plus: $3,346 SUPERIOR — Medicaid\|All Other Plans: $369.99 SUPERIOR — Medicaid\|CHIP: $352.37 SUPERIOR — Medicaid\|STAR: $443.99 SUPERIOR — Medicaid\|STARPLUS: $821.02
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$345.58 – $3,346
Colonoscopy (diagnostic): 10 of 34 insurance plan rates BCBS — Medicaid\|STARKIDS: $362.86 BCBS-TX — Commercial\|Blue Advantage HMO: $1,077.07 BCBS-TX — Commercial\|Blue Premier: $1,069.43 BCBS-TX — Commercial\|HMO: $1,145.82 BCBS-TX — Commercial\|PPO: $1,260.40 Cigna — Commercial\|Local Plus: $3,346 SUPERIOR — Medicaid\|All Other Plans: $362.86 SUPERIOR — Medicaid\|CHIP: $345.58 SUPERIOR — Medicaid\|STAR: $435.43 SUPERIOR — Medicaid\|STARPLUS: $805.20
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY	$556	$97.30	$122.32 – $3,346
Colonoscopy with biopsy: 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $355.84 AETNA — Medicare\|All Plans: $139 Ambetter — Commercial\|All Plans: $177.37 AMERIVANTAGE — Medicare\|All Plans: $125.99 BCBS — Medicaid\|STARKIDS: $474.16 BCBS — Medicare\|All Plans: $122.32 BCBS-TX — Commercial\|Blue Advantage HMO: $1,415.95 BCBS-TX — Commercial\|Blue Premier: $1,405.91 BCBS-TX — Commercial\|HMO: $1,506.33 BCBS-TX — Commercial\|PPO: $1,656.96
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: COLONOSCOPY AND BIOPSY	$556	$97.30	$210.17 – $556
Colonoscopy with biopsy: rates for 8 insurance plans Aetna — Commercial\|All Plans: $355.84 BCBS-TX — Commercial\|Ref Lab: $556 Cigna — Commercial\|All Other Plans: $355.84 First Health — Commercial\|All Plans: $333.60 Multiplan — Commercial\|All Plans: $500.40 PHCS — Commercial\|All Plans: $472.60 Wellpoint — Medicaid\|All Other Plans: $210.17 Wellpoint — Medicaid\|STAR: $210.17
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$451.58 – $3,346
Colonoscopy with removal of polyps (snare): 10 of 34 insurance plan rates BCBS — Medicaid\|STARKIDS: $474.16 BCBS-TX — Commercial\|Blue Advantage HMO: $1,415.95 BCBS-TX — Commercial\|Blue Premier: $1,405.91 BCBS-TX — Commercial\|HMO: $1,506.33 BCBS-TX — Commercial\|PPO: $1,656.96 Cigna — Commercial\|Local Plus: $3,346 SUPERIOR — Medicaid\|All Other Plans: $474.16 SUPERIOR — Medicaid\|CHIP: $451.58 SUPERIOR — Medicaid\|STAR: $568.99 SUPERIOR — Medicaid\|STARPLUS: $1,052.18
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$451.58 – $3,346
Ultrasound of the lower bowel by endoscope: 10 of 34 insurance plan rates BCBS — Medicaid\|STARKIDS: $474.16 BCBS-TX — Commercial\|Blue Advantage HMO: $1,415.95 BCBS-TX — Commercial\|Blue Premier: $1,405.91 BCBS-TX — Commercial\|HMO: $1,506.33 BCBS-TX — Commercial\|PPO: $1,656.96 Cigna — Commercial\|Local Plus: $3,346 SUPERIOR — Medicaid\|All Other Plans: $474.16 SUPERIOR — Medicaid\|CHIP: $451.58 SUPERIOR — Medicaid\|STAR: $568.99 SUPERIOR — Medicaid\|STARPLUS: $1,052.18
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$1,987.07 – $9,379
Gallbladder removal by laparoscope: 10 of 34 insurance plan rates BCBS — Medicaid\|STARKIDS: $2,086.42 BCBS-TX — Commercial\|Blue Advantage HMO: $6,815.53 BCBS-TX — Commercial\|Blue Premier: $6,767.19 BCBS-TX — Commercial\|HMO: $7,250.57 BCBS-TX — Commercial\|PPO: $7,975.62 Cigna — Commercial\|Local Plus: $7,855 SUPERIOR — Medicaid\|All Other Plans: $2,086.42 SUPERIOR — Medicaid\|CHIP: $1,987.07 SUPERIOR — Medicaid\|STAR: $2,503.71 SUPERIOR — Medicaid\|STARPLUS: $4,629.87
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$1,211.42 – $6,045
Groin (inguinal) hernia repair, age 5 or older: 10 of 34 insurance plan rates BCBS — Medicaid\|STARKIDS: $1,271.99 BCBS-TX — Commercial\|Blue Advantage HMO: $4,384.17 BCBS-TX — Commercial\|Blue Premier: $4,353.08 BCBS-TX — Commercial\|HMO: $4,664.01 BCBS-TX — Commercial\|PPO: $5,130.41 Cigna — Commercial\|Local Plus: $4,319 SUPERIOR — Medicaid\|All Other Plans: $1,271.99 SUPERIOR — Medicaid\|CHIP: $1,211.42 SUPERIOR — Medicaid\|STAR: $1,526.39 SUPERIOR — Medicaid\|STARPLUS: $2,822.61
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE	$444	$77.70	$97.68 – $3,346
Prostate biopsy: 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $284.16 AETNA — Medicare\|All Plans: $111 Ambetter — Commercial\|All Plans: $141.64 AMERIVANTAGE — Medicare\|All Plans: $100.62 BCBS — Medicaid\|STARKIDS: $721.09 BCBS — Medicare\|All Plans: $97.68 BCBS-TX — Commercial\|Blue Advantage HMO: $2,497.89 BCBS-TX — Commercial\|Blue Premier: $2,480.17 BCBS-TX — Commercial\|HMO: $2,657.33 BCBS-TX — Commercial\|PPO: $2,923.06
Prostate biopsy CPT 55700 · Inpatient (hospital stay) In the file: BIOPSY OF PROSTATE	$444	$77.70	$167.84 – $444
Prostate biopsy: rates for 8 insurance plans Aetna — Commercial\|All Plans: $284.16 BCBS-TX — Commercial\|Ref Lab: $444 Cigna — Commercial\|All Other Plans: $284.16 First Health — Commercial\|All Plans: $266.40 Multiplan — Commercial\|All Plans: $399.60 PHCS — Commercial\|All Plans: $377.40 Wellpoint — Medicaid\|All Other Plans: $167.84 Wellpoint — Medicaid\|STAR: $167.84
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPARO RADICAL PROSTATECTOMY	Not listed in the file	Not listed in the file	$7,783 – $13,881.63
Prostate removal by laparoscope (radical prostatectomy): 10 of 25 insurance plan rates BCBS-TX — Commercial\|Blue Advantage HMO: $11,862.49 BCBS-TX — Commercial\|Blue Premier: $11,778.35 BCBS-TX — Commercial\|HMO: $12,619.67 BCBS-TX — Commercial\|PPO: $13,881.63 United — Commercial\|Exchange: $7,783 Aetna — Commercial\|All Plans: 64% (a percentage in the contract, not a dollar amount) AETNA — Medicare\|All Plans: 25% (a percentage in the contract, not a dollar amount) Ambetter — Commercial\|All Plans: 31.9% (a percentage in the contract, not a dollar amount) AMERIVANTAGE — Medicare\|All Plans: 22.66% (a percentage in the contract, not a dollar amount) BCBS — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$1,118.82 – $4,479
Hysteroscopy with biopsy of the uterus lining: 10 of 34 insurance plan rates BCBS — Medicaid\|STARKIDS: $1,174.76 BCBS-TX — Commercial\|Blue Advantage HMO: $3,522.32 BCBS-TX — Commercial\|Blue Premier: $3,497.34 BCBS-TX — Commercial\|HMO: $3,747.15 BCBS-TX — Commercial\|PPO: $4,121.87 Cigna — Commercial\|Local Plus: $3,711 SUPERIOR — Medicaid\|All Other Plans: $1,174.76 SUPERIOR — Medicaid\|CHIP: $1,118.82 SUPERIOR — Medicaid\|STAR: $1,409.71 SUPERIOR — Medicaid\|STARPLUS: $2,606.85
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: INJ LUMBAR W IMAGING	$2,563	$448.53	$276.53 – $2,888
Spinal injection, lower back (epidural), with imaging guidance: 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $1,640.32 AETNA — Medicare\|All Plans: $640.75 Ambetter — Commercial\|All Plans: $817.60 AMERIVANTAGE — Medicare\|All Plans: $580.78 BCBS — Medicaid\|STARKIDS: $290.36 BCBS — Medicare\|All Plans: $563.86 BCBS-TX — Commercial\|Blue Advantage HMO: $881.32 BCBS-TX — Commercial\|Blue Premier: $875.07 BCBS-TX — Commercial\|HMO: $937.58 BCBS-TX — Commercial\|PPO: $1,031.33
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: INJ LUMBAR W IMAGING	$2,563	$448.53	$968.82 – $2,563
Spinal injection, lower back (epidural), with imaging guidance: rates for 8 insurance plans Aetna — Commercial\|All Plans: $1,640.32 BCBS-TX — Commercial\|Ref Lab: $2,563 Cigna — Commercial\|All Other Plans: $1,640.32 First Health — Commercial\|All Plans: $1,537.80 Multiplan — Commercial\|All Plans: $2,306.70 PHCS — Commercial\|All Plans: $2,178.55 Wellpoint — Medicaid\|All Other Plans: $968.82 Wellpoint — Medicaid\|STAR: $968.82
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: INJ FORAMEN EPIDURAL L/S	$3,033	$530.78	$358.49 – $2,888
Nerve root injection, lower back, with imaging guidance: 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $1,941.12 AETNA — Medicare\|All Plans: $758.25 Ambetter — Commercial\|All Plans: $967.53 AMERIVANTAGE — Medicare\|All Plans: $687.28 BCBS — Medicaid\|STARKIDS: $376.41 BCBS — Medicare\|All Plans: $667.26 BCBS-TX — Commercial\|Blue Advantage HMO: $1,144.99 BCBS-TX — Commercial\|Blue Premier: $1,136.87 BCBS-TX — Commercial\|HMO: $1,218.08 BCBS-TX — Commercial\|PPO: $1,339.88
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: INJ FORAMEN EPIDURAL L/S	$3,033	$530.78	$1,146.48 – $3,033
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans Aetna — Commercial\|All Plans: $1,941.12 BCBS-TX — Commercial\|Ref Lab: $3,033 Cigna — Commercial\|All Other Plans: $1,941.12 First Health — Commercial\|All Plans: $1,819.80 Multiplan — Commercial\|All Plans: $2,729.70 PHCS — Commercial\|All Plans: $2,578.05 Wellpoint — Medicaid\|All Other Plans: $1,146.48 Wellpoint — Medicaid\|STAR: $1,146.48
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$694.26 – $4,479
Carpal tunnel release: 10 of 34 insurance plan rates BCBS — Medicaid\|STARKIDS: $728.97 BCBS-TX — Commercial\|Blue Advantage HMO: $2,424.28 BCBS-TX — Commercial\|Blue Premier: $2,407.09 BCBS-TX — Commercial\|HMO: $2,579.03 BCBS-TX — Commercial\|PPO: $2,836.93 Cigna — Commercial\|Local Plus: $3,346 SUPERIOR — Medicaid\|All Other Plans: $728.97 SUPERIOR — Medicaid\|CHIP: $694.26 SUPERIOR — Medicaid\|STAR: $874.77 SUPERIOR — Medicaid\|STARPLUS: $1,617.63
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$219.16 – $3,346
Laser treatment of clouding after cataract surgery: 10 of 34 insurance plan rates BCBS — Medicaid\|STARKIDS: $230.12 BCBS-TX — Commercial\|Blue Advantage HMO: $714.77 BCBS-TX — Commercial\|Blue Premier: $709.70 BCBS-TX — Commercial\|HMO: $760.40 BCBS-TX — Commercial\|PPO: $836.43 Cigna — Commercial\|Local Plus: $3,346 SUPERIOR — Medicaid\|All Other Plans: $230.12 SUPERIOR — Medicaid\|CHIP: $219.16 SUPERIOR — Medicaid\|STAR: $276.14 SUPERIOR — Medicaid\|STARPLUS: $510.64
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$894.14 – $4,479
Cataract removal with lens implant: 10 of 34 insurance plan rates BCBS — Medicaid\|STARKIDS: $938.85 BCBS-TX — Commercial\|Blue Advantage HMO: $2,850.82 BCBS-TX — Commercial\|Blue Premier: $2,830.60 BCBS-TX — Commercial\|HMO: $3,032.79 BCBS-TX — Commercial\|PPO: $3,336.07 Cigna — Commercial\|Local Plus: $3,261 SUPERIOR — Medicaid\|All Other Plans: $938.85 SUPERIOR — Medicaid\|CHIP: $894.14 SUPERIOR — Medicaid\|STAR: $1,126.62 SUPERIOR — Medicaid\|STARPLUS: $2,083.35

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) In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$3,048.98 – $3,593.44
Vaginal delivery, with care before and after: 10 of 24 insurance plan rates BCBS-TX — Commercial\|Blue Advantage HMO: $3,070.75 BCBS-TX — Commercial\|Blue Premier: $3,048.98 BCBS-TX — Commercial\|HMO: $3,266.76 BCBS-TX — Commercial\|PPO: $3,593.44 Aetna — Commercial\|All Plans: 64% (a percentage in the contract, not a dollar amount) AETNA — Medicare\|All Plans: 25% (a percentage in the contract, not a dollar amount) Ambetter — Commercial\|All Plans: 31.9% (a percentage in the contract, not a dollar amount) AMERIVANTAGE — Medicare\|All Plans: 22.66% (a percentage in the contract, not a dollar amount) BCBS — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) Bright Health — Commercial\|All Plans: 39.16% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$3,380.47 – $3,984.12
Cesarean delivery (C-section), with care before and after: 10 of 24 insurance plan rates BCBS-TX — Commercial\|Blue Advantage HMO: $3,404.61 BCBS-TX — Commercial\|Blue Premier: $3,380.47 BCBS-TX — Commercial\|HMO: $3,621.93 BCBS-TX — Commercial\|PPO: $3,984.12 Aetna — Commercial\|All Plans: 64% (a percentage in the contract, not a dollar amount) AETNA — Medicare\|All Plans: 25% (a percentage in the contract, not a dollar amount) Ambetter — Commercial\|All Plans: 31.9% (a percentage in the contract, not a dollar amount) AMERIVANTAGE — Medicare\|All Plans: 22.66% (a percentage in the contract, not a dollar amount) BCBS — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) Bright Health — Commercial\|All Plans: 39.16% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$3,199.34 – $3,770.65
Vaginal delivery after a previous C-section, with care before and after: 10 of 24 insurance plan rates BCBS-TX — Commercial\|Blue Advantage HMO: $3,222.19 BCBS-TX — Commercial\|Blue Premier: $3,199.34 BCBS-TX — Commercial\|HMO: $3,427.86 BCBS-TX — Commercial\|PPO: $3,770.65 Aetna — Commercial\|All Plans: 64% (a percentage in the contract, not a dollar amount) AETNA — Medicare\|All Plans: 25% (a percentage in the contract, not a dollar amount) Ambetter — Commercial\|All Plans: 31.9% (a percentage in the contract, not a dollar amount) AMERIVANTAGE — Medicare\|All Plans: 22.66% (a percentage in the contract, not a dollar amount) BCBS — Medicare\|All Plans: 22% (a percentage in the contract, not a dollar amount) Bright Health — Commercial\|All Plans: 39.16% (a percentage in the contract, not a dollar amount)

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) 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	$58,949 – $138,128
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 22 insurance plan rates AETNA — Medicare\|All Plans: $2,854 Ambetter — Commercial\|All Plans: $4,139 AMERIVANTAGE — Medicare\|All Plans: $2,940 BCBS — Medicare\|All Plans: $2,854 Bright Health — Commercial\|All Plans: $138,128 Ellwood — Commercial\|All Plans: $8,562 Entrust — Commercial\|All Plans: $5,878 Health Smart — Commercial\|All Plans: $6,000 SCANHealth — Medicare\|All Plans: $3,054 United — Commercial\|All Other Plans: $750 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: NO ACTIVE CODE DESCRIPTION	Not listed in the file	Not listed in the file	$53,397
Spinal fusion (not neck), without major complications: 10 of 19 insurance plan rates AETNA — Medicare\|All Plans: $2,854 Ambetter — Commercial\|All Plans: $4,139 AMERIVANTAGE — Medicare\|All Plans: $2,940 BCBS — Medicare\|All Plans: $2,854 Bright Health — Commercial\|All Plans: $53,397 Ellwood — Commercial\|All Plans: $8,562 Entrust — Commercial\|All Plans: $5,878 SCANHealth — Medicare\|All Plans: $3,054 United — Commercial\|All Other Plans: $750 UNITED — Medicare\|All Plans: $2,912
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) 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	$11,517 – $27,108
Hip or knee replacement (major joint of the leg), without major complications: 10 of 20 insurance plan rates AETNA — Medicare\|All Plans: $2,854 Ambetter — Commercial\|All Plans: $4,139 AMERIVANTAGE — Medicare\|All Plans: $2,940 BCBS — Medicare\|All Plans: $2,854 Bright Health — Commercial\|All Plans: $27,108 Ellwood — Commercial\|All Plans: $8,562 Entrust — Commercial\|All Plans: $5,878 SCANHealth — Medicare\|All Plans: $3,054 United — Commercial\|All Other Plans: $750 United — Commercial\|Exchange: $11,517
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$14,460 – $35,945
Neck (cervical) spinal fusion, without complications: 10 of 20 insurance plan rates AETNA — Medicare\|All Plans: $2,854 Ambetter — Commercial\|All Plans: $4,139 AMERIVANTAGE — Medicare\|All Plans: $2,940 BCBS — Medicare\|All Plans: $2,854 Bright Health — Commercial\|All Plans: $35,945 Ellwood — Commercial\|All Plans: $8,562 Entrust — Commercial\|All Plans: $5,878 SCANHealth — Medicare\|All Plans: $3,054 United — Commercial\|All Other Plans: $750 United — Commercial\|Exchange: $14,460
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$7,322 – $16,598
Uterus and ovary surgery (not for cancer), without complications: 10 of 20 insurance plan rates AETNA — Medicare\|All Plans: $2,854 Ambetter — Commercial\|All Plans: $4,139 AMERIVANTAGE — Medicare\|All Plans: $2,940 BCBS — Medicare\|All Plans: $2,854 Bright Health — Commercial\|All Plans: $16,598 Ellwood — Commercial\|All Plans: $8,562 Entrust — Commercial\|All Plans: $5,878 SCANHealth — Medicare\|All Plans: $3,054 United — Commercial\|All Other Plans: $750 United — Commercial\|Exchange: $7,322

Source: Burleson St Joseph Health Center’s standard charges file (commonspirit.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 28, 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	Critical Access Hospital
Address	1101 Woodson Drive, Caldwell, TX 77836
County	Burleson County
State	Texas
Phone	(979) 567‑3245
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	451305
Name in Medicare records	BURLESON ST JOSEPH HEALTH CENTER
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(979) 567‑7080^[4]
Name on the hospital’s website	CommonSpirit - St. Joseph Hospital - Burleson County
Official website	commonspirit.org
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.

CommonSpirit - St. Joseph Hospital - Burleson County — commonspirit.org
CommonSpirit - St. Joseph Hospital - Burleson County - Caldwell, TX | CommonSpirit Health — commonspirit.org