Does Carrollton Regional Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Carrollton Regional Medical Center. In a medical emergency, call 911.

Where is Carrollton Regional Medical Center?

4343 North Josey Lane, Carrollton, TX 75010, in Denton County, Texas.

What is the phone number of Carrollton Regional Medical Center?

(972) 394-2255, as listed by Medicare (CMS).

What is the Medicare star rating of Carrollton Regional Medical Center?

2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Carrollton Regional Medical Center

Quick answers

Does Carrollton Regional Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Carrollton Regional Medical Center. In a medical emergency, call 911.
Where is Carrollton Regional Medical Center?: 4343 North Josey Lane, Carrollton, TX 75010, in Denton County, Texas.
What is the phone number of Carrollton Regional Medical Center?: (972) 394-2255, as listed by Medicare (CMS).
What is the Medicare star rating of Carrollton Regional Medical Center?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Allergy and immunology
Anesthesiology
Back and spine care
Breast imaging
Cancer care
Cardiovascular care
Cosmetic and plastic surgery
Critical and intensive care
Diabetes care
Digestive diseases
Ear, nose and throat
Emergency care
Endocrinology
Foot care
Imaging and radiology
Infectious diseases
Inpatient medicine and hospitalists
Lung care
Men's health
Neuroscience
Orthopedics
Rehabilitation therapy
Rheumatology
Stroke care
Surgical services
Urology
Weight management
Wound care

Conditions treated^[4]

Procedures^[4]

Cardiac catheterization
Joint replacement
3D digital screening mammography
640-slice CT scan

Programs and centers^[4]

Inpatient Orthopedic Center of Excellence
Cardiac catheterization lab
Women's Imaging Center

Emergency care (hospital website)^[4]

Emergency room	Yes
Open 24/7	Yes

Doctors and clinicians (133)

133 doctors and other clinicians list Carrollton Regional Medical 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 (133)

Aaron D. Schrayer, MDOrthopedic Surgery
Adam L. Kouyoumjian, DOOrthopedic Surgery
Adam M. Wright, MDOrthopedic Surgery
Ala Nijim, MDPulmonary Disease
Alex M. Gardner, NPNurse Practitioner
Ali A. Baiomy, MDDiagnostic Radiology
Ali R. Shirvani, MDUrology
Aman J. Grewal, NPNurse Practitioner
Amandeep Kaur, MDFamily Practice
Amir Malik, MDNeurosurgery
Amit K. Sharma, MDDiagnostic Radiology
Angela M. Mealing, NPNurse Practitioner
Anjana Jagalur, MDNephrology
Arthur S. Joseph, DODiagnostic Radiology
Atinder P. Panesar, MDNephrology
Avinash Chavda, MDPhysical Medicine and Rehabilitation
Ayush P. Motwani, MDInterventional Cardiology
Biju M. Lukose, MDGeneral Surgery
Brian C. Fuller, MDOrthopedic Surgery
Chaitanya Musham, MDInternal Medicine
Chengrong Zhang, CNACertified Registered Nurse Anesthetist (CRNA)
Christian E. Isaac, MDOrthopedic Surgery
Collin M. Banning, PAPhysician Assistant
Damien M. Dauphinee, DPMPodiatry

And 109 more: the button below opens the full list.

Other emergency rooms nearby

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

Texas Health Presbyterian Hospital Plano3.0 mi · Plano, TX · Acute Care Hospital
Texas Health Center for Diagnostics & Surgery Plan…3.3 mi · Plano, TX · Acute Care Hospital
Methodist Hospital for Surgery4.5 mi · Addison, TX · Acute Care Hospital
Baylor Scott & White Medical Center Plano5.5 mi · Plano, TX · Acute Care Hospital
Baylor Scott & White the Heart Hospital Plano5.5 mi · Plano, TX · Acute Care Hospital

Other hospitals nearby

Lifecare Hospitals of North Texas1.0 mi · Carrollton, TX · Long-Term Acute Care Hospital
Carrollton Springs1.5 mi · Carrollton, TX · Psychiatric Hospital
Acute Rehabilitation Hospital of Plano4.2 mi · Plano, 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.

Dialysis facilities

DaVita Renal Center of Carrollton1.7 mi · Carrollton, TX · 3 of 5 stars
DaVita Plano Tollway Dialysis4.2 mi · Plano, TX · 3 of 5 stars
FMC of West Plano4.2 mi · Plano, TX · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Baylor Scott and White Surgicare Carrollton1.0 mi · Carrollton, TX
Castle Hills Surgicare LLC1.0 mi · Carrollton, TX
Texas Health Surgery Center Addison3.2 mi · Dallas, TX

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

Prism Health North Texas at Farmers Branch Dental Health Center6.9 mi · Dallas, TX · Community health center
Women's Health Center of Plano7.0 mi · Plano, TX · Community health center
Healthy Family Services of Texas7.1 mi · Lewisville, TX · Community health center

Clinics and urgent care

American Current Care P.A.1.7 mi · Carrollton, TX · Urgent care center
Medtech USA LLC1.7 mi · Carrollton, TX · Urgent care center
Texas Health Urgent Care3.2 mi · Dallas, TX · Urgent care center

Pharmacies

Activecare Pharmacy Inc1.0 mi · Carrollton, TX · Community/retail pharmacy
Ams Health Inc1.0 mi · Carrollton, TX · Community/retail pharmacy
Carrollton Regional Pharmacy1.0 mi · Carrollton, TX · Community/retail pharmacy

Assisted living nearby

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

4SSL Holdings, LLC1.0 mi · Carrollton, TX
Atria Carrollton1.0 mi · Carrollton, TX
Grand Brook Memory Care of Carrollton LLC1.0 mi · Carrollton, TX
Orchard Pointe at Creek Valley1.0 mi · Carrollton, 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 Carrollton Regional Medical 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.

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	1 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	61%National average: 72%
Would definitely recommend the hospital	54%National average: 71%
Nurses “always” communicated well	72%National average: 80%
Doctors “always” communicated well	69%National average: 80%
Staff “always” explained medicines before giving them	53%National average: 62%
Were given information about recovery at home	76%National average: 86%
Room and bathroom “always” clean	69%National average: 74%
Area around the room “always” quiet at night	59%National average: 60%
Completed surveys	249Response rate: 13%

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 surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0.162Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	11.7%
Deaths within 30 days: heart failure patients	12.1%
Deaths within 30 days: pneumonia patients	12.7%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	10.6%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.89No different from the national rate
Complications after hip or knee replacement	4.7%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	15%
Readmitted within 30 days: heart failure	22.5%
Readmitted within 30 days: pneumonia	18.6%
Readmitted within 30 days: COPD	18.7%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	6.1%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	205 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	4%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	55%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

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 39 common services exactly as Carrollton Regional Medical 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 →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: CLASS III	$1,258.89	$755.33	$176.24 – $1,957
Emergency room visit (moderate): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $1,665 AETNA — MEDICARE: $274.22 AETNA_EXCHANGE — MEDICARE: $411.32 AMERIGROUP — MEDICAID: $176.24 AMERIGROUP — MEDICARE: $274.22 BCBS — MEDICAID: $176.24 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $861 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $742 BCBS_POS — COMMERCIAL: $1,232 BCBS_PPO — COMMERCIAL: $1,232
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: CLASS III W/MODIFIER	$1,258.89	$755.33	$176.24 – $1,957
Emergency room visit (moderate): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $1,665 AETNA — MEDICARE: $274.22 AETNA_EXCHANGE — MEDICARE: $411.32 AMERIGROUP — MEDICAID: $176.24 AMERIGROUP — MEDICARE: $274.22 BCBS — MEDICAID: $176.24 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $861 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $742 BCBS_POS — COMMERCIAL: $1,232 BCBS_PPO — COMMERCIAL: $1,232
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: CLASS IV	$2,081.63	$1,248.98	$291.43 – $3,000
Emergency room visit (moderately high): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $2,497 AETNA — MEDICARE: $419.16 AETNA_EXCHANGE — MEDICARE: $628.74 AMERIGROUP — MEDICAID: $291.43 AMERIGROUP — MEDICARE: $419.16 BCBS — MEDICAID: $291.43 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $1,660 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $1,420 BCBS_POS — COMMERCIAL: $2,360 BCBS_PPO — COMMERCIAL: $2,360
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: CLASS IV W/MODIFIER	$2,081.63	$1,248.98	$291.43 – $3,000
Emergency room visit (moderately high): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $2,497 AETNA — MEDICARE: $419.16 AETNA_EXCHANGE — MEDICARE: $628.74 AMERIGROUP — MEDICAID: $291.43 AMERIGROUP — MEDICARE: $419.16 BCBS — MEDICAID: $291.43 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $1,660 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $1,420 BCBS_POS — COMMERCIAL: $2,360 BCBS_PPO — COMMERCIAL: $2,360
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: CLASS V	$3,091.20	$1,854.72	$432.77 – $3,600
Emergency room visit (high): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $3,537 AETNA — MEDICARE: $598.23 AETNA_EXCHANGE — MEDICARE: $897.36 AMERIGROUP — MEDICAID: $432.77 AMERIGROUP — MEDICARE: $598.23 BCBS — MEDICAID: $432.77 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $2,320 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $2,000 BCBS_POS — COMMERCIAL: $3,320 BCBS_PPO — COMMERCIAL: $3,320
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: CLASS V W/MODIFIER	$3,091.20	$1,854.72	$432.77 – $3,600
Emergency room visit (high): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $3,537 AETNA — MEDICARE: $598.23 AETNA_EXCHANGE — MEDICARE: $897.36 AMERIGROUP — MEDICAID: $432.77 AMERIGROUP — MEDICARE: $598.23 BCBS — MEDICAID: $432.77 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $2,320 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $2,000 BCBS_POS — COMMERCIAL: $3,320 BCBS_PPO — COMMERCIAL: $3,320

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: PANEL BASIC METABOLIC	$296.94	$178.16	$6.85 – $296.94
Basic metabolic panel (blood test): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $9.82 AETNA — MEDICARE: $8.46 AETNA_EXCHANGE — MEDICARE: $12.69 AMERIGROUP — MEDICAID: $7.11 AMERIGROUP — MEDICARE: $8.46 BCBS — MEDICAID: $7.11 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $24.62 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $21.07 BCBS_POS — COMMERCIAL: $35.11 BCBS_PPO — COMMERCIAL: $35.11
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: PANEL COMPREHENSIVE METABOLIC	$482.43	$289.46	$8.55 – $482.43
Comprehensive metabolic panel (blood test): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $12.24 AETNA — MEDICARE: $10.56 AETNA_EXCHANGE — MEDICARE: $15.84 AMERIGROUP — MEDICAID: $8.87 AMERIGROUP — MEDICARE: $10.56 BCBS — MEDICAID: $8.87 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $30.73 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $26.29 BCBS_POS — COMMERCIAL: $43.82 BCBS_PPO — COMMERCIAL: $43.82
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: PANEL LIPID	$263	$157.80	$10.85 – $263
Cholesterol panel (lipid panel): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $15.54 AETNA — MEDICARE: $13.39 AETNA_EXCHANGE — MEDICARE: $20.08 AMERIGROUP — MEDICAID: $11.25 AMERIGROUP — MEDICARE: $13.39 BCBS — MEDICAID: $11.25 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $38.96 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $33.34 BCBS_POS — COMMERCIAL: $55.57 BCBS_PPO — COMMERCIAL: $55.57
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: PANEL RENAL FUNCTION	$237	$142.20	$7.03 – $237
Kidney function panel: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $10.06 AETNA — MEDICARE: $8.68 AETNA_EXCHANGE — MEDICARE: $13.02 AMERIGROUP — MEDICAID: $7.29 AMERIGROUP — MEDICARE: $8.68 BCBS — MEDICAID: $7.29 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $25.26 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $21.61 BCBS_POS — COMMERCIAL: $36.02 BCBS_PPO — COMMERCIAL: $36.02
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: PANEL HEPATIC FUNCTION	$261.13	$156.68	$6.62 – $261.13
Liver function panel: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $9.48 AETNA — MEDICARE: $8.17 AETNA_EXCHANGE — MEDICARE: $12.25 AMERIGROUP — MEDICAID: $6.86 AMERIGROUP — MEDICARE: $8.17 BCBS — MEDICAID: $6.86 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $23.77 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $20.34 BCBS_POS — COMMERCIAL: $33.91 BCBS_PPO — COMMERCIAL: $33.91
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS AUTOMATED W MICRO	$108	$64.80	$2.57 – $108
Urine test (automated, with microscope): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $3.68 AETNA — MEDICARE: $3.17 AETNA_EXCHANGE — MEDICARE: $4.75 AMERIGROUP — MEDICAID: $2.66 AMERIGROUP — MEDICARE: $3.17 BCBS — MEDICAID: $2.66 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $9.22 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $7.89 BCBS_POS — COMMERCIAL: $13.16 BCBS_PPO — COMMERCIAL: $13.16
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINE SNGL ITEM	$52.55	$31.53	$2.82 – $52.55
Urine test (manual, without microscope): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $4.04 AETNA — MEDICARE: $3.48 AETNA_EXCHANGE — MEDICARE: $5.22 AMERIGROUP — MEDICAID: $2.92 AMERIGROUP — MEDICARE: $3.48 BCBS — MEDICAID: $2.92 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $10.13 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $8.67 BCBS_POS — COMMERCIAL: $14.44 BCBS_PPO — COMMERCIAL: $14.44
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS AUTOMATED WO MICRO	$67	$40.20	$1.83 – $67
Urine test (automated, without microscope): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $2.62 AETNA — MEDICARE: $2.25 AETNA_EXCHANGE — MEDICARE: $3.37 AMERIGROUP — MEDICAID: $1.89 AMERIGROUP — MEDICARE: $2.25 BCBS — MEDICAID: $1.89 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $6.55 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $5.60 BCBS_POS — COMMERCIAL: $9.34 BCBS_PPO — COMMERCIAL: $9.34
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: SINGLE URINALYSIS ANALYTE AUTO	$67	$40.20	$1.83 – $67
Urine test (automated, without microscope): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $2.62 AETNA — MEDICARE: $2.25 AETNA_EXCHANGE — MEDICARE: $3.37 AMERIGROUP — MEDICAID: $1.89 AMERIGROUP — MEDICARE: $2.25 BCBS — MEDICAID: $1.89 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $6.55 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $5.60 BCBS_POS — COMMERCIAL: $9.34 BCBS_PPO — COMMERCIAL: $9.34
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA TOTAL	$200.62	$120.37	$14.90 – $200.62
PSA (prostate specific antigen) blood test: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $21.34 AETNA — MEDICARE: $18.39 AETNA_EXCHANGE — MEDICARE: $27.58 AMERIGROUP — MEDICAID: $15.45 AMERIGROUP — MEDICARE: $18.39 BCBS — MEDICAID: $15.45 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $53.51 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $45.79 BCBS_POS — COMMERCIAL: $76.32 BCBS_PPO — COMMERCIAL: $76.32
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: THYROID STIMULATING HORMONE	$231.97	$139.18	$13.61 – $231.97
Thyroid stimulating hormone (TSH) test: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $19.48 AETNA — MEDICARE: $16.80 AETNA_EXCHANGE — MEDICARE: $25.20 AMERIGROUP — MEDICAID: $14.11 AMERIGROUP — MEDICARE: $16.80 BCBS — MEDICAID: $14.11 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $48.89 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $41.83 BCBS_POS — COMMERCIAL: $69.72 BCBS_PPO — COMMERCIAL: $69.72
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: COMPL BLD CNT (AUTO DIFF)	$150	$90	$6.29 – $150
Complete blood count (CBC) with differential: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $9.02 AETNA — MEDICARE: $7.77 AETNA_EXCHANGE — MEDICARE: $11.65 AMERIGROUP — MEDICAID: $6.53 AMERIGROUP — MEDICARE: $7.77 BCBS — MEDICAID: $6.53 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $22.61 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $19.35 BCBS_POS — COMMERCIAL: $32.25 BCBS_PPO — COMMERCIAL: $32.25
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC Slide Scan	$124.78	$74.87	$5.24 – $124.78
Complete blood count (CBC), automated: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $7.50 AETNA — MEDICARE: $6.47 AETNA_EXCHANGE — MEDICARE: $9.70 AMERIGROUP — MEDICAID: $5.43 AMERIGROUP — MEDICARE: $6.47 BCBS — MEDICAID: $5.43 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $18.83 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $16.11 BCBS_POS — COMMERCIAL: $26.85 BCBS_PPO — COMMERCIAL: $26.85
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: LUPUS ANTICOAG	$1,113.88	$668.33	$3.47 – $1,113.88
Blood clotting time test (prothrombin time, PT): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $4.98 AETNA — MEDICARE: $4.29 AETNA_EXCHANGE — MEDICARE: $6.43 AMERIGROUP — MEDICAID: $3.60 AMERIGROUP — MEDICARE: $4.29 BCBS — MEDICAID: $3.60 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $12.48 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $10.68 BCBS_POS — COMMERCIAL: $17.80 BCBS_PPO — COMMERCIAL: $17.80
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME	$90	$54	$3.47 – $90
Blood clotting time test (prothrombin time, PT): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $4.98 AETNA — MEDICARE: $4.29 AETNA_EXCHANGE — MEDICARE: $6.43 AMERIGROUP — MEDICAID: $3.60 AMERIGROUP — MEDICARE: $4.29 BCBS — MEDICAID: $3.60 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $12.48 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $10.68 BCBS_POS — COMMERCIAL: $17.80 BCBS_PPO — COMMERCIAL: $17.80
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT	$123	$73.80	$4.87 – $123
Blood clotting test (partial thromboplastin time, PTT): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $6.98 AETNA — MEDICARE: $6.01 AETNA_EXCHANGE — MEDICARE: $9.01 AMERIGROUP — MEDICAID: $5.05 AMERIGROUP — MEDICARE: $6.01 BCBS — MEDICAID: $5.05 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $17.49 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $14.96 BCBS_POS — COMMERCIAL: $24.94 BCBS_PPO — COMMERCIAL: $24.94

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 STROKE HEAD BRAIN WO CM	$1,952.53	$1,171.52	$94.51 – $1,952.53
CT scan of the head or brain, without contrast: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $1,749 AETNA — MEDICARE: $105.02 AETNA_EXCHANGE — MEDICARE: $157.52 AMERIGROUP — MEDICAID: $106.88 AMERIGROUP — MEDICARE: $105.02 BCBS — MEDICAID: $106.88 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $282.44 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $242.09 BCBS_POS — COMMERCIAL: $403.49 BCBS_PPO — COMMERCIAL: $403.49
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier TC In the file: CT HEAD BRAIN WO CM	$1,952.53	$1,171.52	$94.51 – $1,952.53
CT scan of the head or brain, without contrast: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $1,749 AETNA — MEDICARE: $105.02 AETNA_EXCHANGE — MEDICARE: $157.52 AMERIGROUP — MEDICAID: $106.88 AMERIGROUP — MEDICARE: $105.02 BCBS — MEDICAID: $106.88 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $282.44 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $242.09 BCBS_POS — COMMERCIAL: $403.49 BCBS_PPO — COMMERCIAL: $403.49
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier TC In the file: MR BRAIN WWO CM	$4,234.11	$2,540.47	$315.41 – $4,234.11
MRI of the brain, before and after contrast: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $2,790 AETNA — MEDICARE: $350.46 AETNA_EXCHANGE — MEDICARE: $525.69 AMERIGROUP — MEDICAID: $332.80 AMERIGROUP — MEDICARE: $350.46 BCBS — MEDICAID: $332.80 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $962.26 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $824.80 BCBS_POS — COMMERCIAL: $1,374.66 BCBS_PPO — COMMERCIAL: $1,374.66
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: DX CHEST 2V PORT	$350	$210	$22.16 – $350
Chest X-ray, 2 views: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $22.16 AETNA — MEDICARE: $87.42 AETNA_EXCHANGE — MEDICARE: $131.12 AMERIGROUP — MEDICAID: $33.75 AMERIGROUP — MEDICARE: $87.42 BCBS — MEDICAID: $33.75 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $187.55 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $160.42 BCBS_POS — COMMERCIAL: $267.36 BCBS_PPO — COMMERCIAL: $267.36
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: DX CHEST 2V NEONATE PORT	$350	$210	$22.16 – $350
Chest X-ray, 2 views: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $22.16 AETNA — MEDICARE: $87.42 AETNA_EXCHANGE — MEDICARE: $131.12 AMERIGROUP — MEDICAID: $33.75 AMERIGROUP — MEDICARE: $87.42 BCBS — MEDICAID: $33.75 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $187.55 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $160.42 BCBS_POS — COMMERCIAL: $267.36 BCBS_PPO — COMMERCIAL: $267.36
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: DX CHEST ABD 2V NEONATE PORT	$350	$210	$22.16 – $350
Chest X-ray, 2 views: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $22.16 AETNA — MEDICARE: $87.42 AETNA_EXCHANGE — MEDICARE: $131.12 AMERIGROUP — MEDICAID: $33.75 AMERIGROUP — MEDICARE: $87.42 BCBS — MEDICAID: $33.75 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $187.55 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $160.42 BCBS_POS — COMMERCIAL: $267.36 BCBS_PPO — COMMERCIAL: $267.36
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier TC In the file: DX LSPINE MIN 4V	$604.47	$362.68	$36.80 – $604.47
X-ray of the lower spine, at least 4 views: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $36.80 AETNA — MEDICARE: $105.02 AETNA_EXCHANGE — MEDICARE: $157.53 AMERIGROUP — MEDICAID: $51.45 AMERIGROUP — MEDICARE: $105.02 BCBS — MEDICAID: $51.45 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $263.39 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $225.28 BCBS_POS — COMMERCIAL: $375.47 BCBS_PPO — COMMERCIAL: $375.47
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MR LSPINE WO CM	$3,009.43	$1,805.66	$199.14 – $3,009.43
MRI of the lower back (lumbar spine), without contrast: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $2,790 AETNA — MEDICARE: $239.68 AETNA_EXCHANGE — MEDICARE: $359.52 AMERIGROUP — MEDICAID: $199.14 AMERIGROUP — MEDICARE: $239.68 BCBS — MEDICAID: $199.14 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $587.26 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $503.37 BCBS_POS — COMMERCIAL: $838.94 BCBS_PPO — COMMERCIAL: $838.94
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier TC In the file: CT PEL W CM	$2,518.14	$1,510.88	$158.57 – $2,518.14
CT scan of the pelvis, with contrast: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $1,749 AETNA — MEDICARE: $176.20 AETNA_EXCHANGE — MEDICARE: $264.30 AMERIGROUP — MEDICAID: $180.34 AMERIGROUP — MEDICARE: $176.20 BCBS — MEDICAID: $180.34 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $459.19 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $393.60 BCBS_POS — COMMERCIAL: $655.99 BCBS_PPO — COMMERCIAL: $655.99
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MR LWR EXT JT WO CM BI	$4,271.64	$2,562.98	$210.84 – $4,271.64
MRI of a leg joint (such as the knee), without contrast: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $2,790 AETNA — MEDICARE: $239.68 AETNA_EXCHANGE — MEDICARE: $359.52 AMERIGROUP — MEDICAID: $210.84 AMERIGROUP — MEDICARE: $239.68 BCBS — MEDICAID: $210.84 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $587.26 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $503.37 BCBS_POS — COMMERCIAL: $838.94 BCBS_PPO — COMMERCIAL: $838.94
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier TC In the file: MR LWR EXT JT WO CM LT	$2,847.76	$1,708.66	$210.84 – $2,847.76
MRI of a leg joint (such as the knee), without contrast: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $2,790 AETNA — MEDICARE: $239.68 AETNA_EXCHANGE — MEDICARE: $359.52 AMERIGROUP — MEDICAID: $210.84 AMERIGROUP — MEDICARE: $239.68 BCBS — MEDICAID: $210.84 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $587.26 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $503.37 BCBS_POS — COMMERCIAL: $838.94 BCBS_PPO — COMMERCIAL: $838.94
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier TC In the file: MR LWR EXT JT WO CM RT	$2,847.76	$1,708.66	$210.84 – $2,847.76
MRI of a leg joint (such as the knee), without contrast: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $2,790 AETNA — MEDICARE: $239.68 AETNA_EXCHANGE — MEDICARE: $359.52 AMERIGROUP — MEDICAID: $210.84 AMERIGROUP — MEDICARE: $239.68 BCBS — MEDICAID: $210.84 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $587.26 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $503.37 BCBS_POS — COMMERCIAL: $838.94 BCBS_PPO — COMMERCIAL: $838.94
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD PEL W CM	$4,525.59	$2,715.35	$315.41 – $4,525.59
CT scan of the abdomen and pelvis, with contrast: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $1,749 AETNA — MEDICARE: $350.46 AETNA_EXCHANGE — MEDICARE: $525.69 AMERIGROUP — MEDICAID: $318.09 AMERIGROUP — MEDICARE: $350.46 BCBS — MEDICAID: $318.09 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $962.26 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $824.80 BCBS_POS — COMMERCIAL: $1,374.66 BCBS_PPO — COMMERCIAL: $1,374.66
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABD COMPL	$977.50	$586.50	$80.75 – $977.50
Ultrasound of the abdomen, complete: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $80.75 AETNA — MEDICARE: $105.02 AETNA_EXCHANGE — MEDICARE: $157.52 AMERIGROUP — MEDICAID: $106.88 AMERIGROUP — MEDICARE: $105.02 BCBS — MEDICAID: $106.88 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $263.39 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $225.28 BCBS_POS — COMMERCIAL: $375.47 BCBS_PPO — COMMERCIAL: $375.47
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US OB OVER 14 WKS	$669.38	$401.63	$89.75 – $669.38
Pregnancy ultrasound (after the first trimester): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $89.75 AETNA — MEDICARE: $105.02 AETNA_EXCHANGE — MEDICARE: $157.52 AMERIGROUP — MEDICAID: $106.88 AMERIGROUP — MEDICARE: $105.02 BCBS — MEDICAID: $106.88 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $215.12 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $184 BCBS_POS — COMMERCIAL: $306.66 BCBS_PPO — COMMERCIAL: $306.66
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier TC In the file: US PELVIC TRNSVAG	$728.93	$437.36	$88.41 – $728.93
Transvaginal ultrasound: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $88.41 AETNA — MEDICARE: $105.02 AETNA_EXCHANGE — MEDICARE: $157.52 AMERIGROUP — MEDICAID: $106.88 AMERIGROUP — MEDICARE: $105.02 BCBS — MEDICAID: $106.88 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $207.51 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $177.48 BCBS_POS — COMMERCIAL: $295.81 BCBS_PPO — COMMERCIAL: $295.81
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MG DIGITAL DX W CAD LT	$402.93	$241.76	$56.41 – $402.93
Diagnostic mammogram, one breast: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $87.08 AETNA — MEDICARE: $81.76 AETNA_EXCHANGE — MEDICARE: $122.64 AMERIGROUP — MEDICAID: $56.41 AMERIGROUP — MEDICARE: $81.76 BCBS — MEDICAID: $56.41 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $221.04 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $189.06 BCBS_POS — COMMERCIAL: $315.10 BCBS_PPO — COMMERCIAL: $315.10
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MG DIGITAL DX W CAD RT	$402.93	$241.76	$56.41 – $402.93
Diagnostic mammogram, one breast: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $87.08 AETNA — MEDICARE: $81.76 AETNA_EXCHANGE — MEDICARE: $122.64 AMERIGROUP — MEDICAID: $56.41 AMERIGROUP — MEDICARE: $81.76 BCBS — MEDICAID: $56.41 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $221.04 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $189.06 BCBS_POS — COMMERCIAL: $315.10 BCBS_PPO — COMMERCIAL: $315.10
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier TC In the file: MG DIGITAL DX W CAD BI	$495.49	$297.29	$69.37 – $495.49
Diagnostic mammogram, both breasts: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $111.38 AETNA — MEDICARE: $104.88 AETNA_EXCHANGE — MEDICARE: $157.32 AMERIGROUP — MEDICAID: $69.37 AMERIGROUP — MEDICARE: $104.88 BCBS — MEDICAID: $69.37 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $282.87 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $241.94 BCBS_POS — COMMERCIAL: $403.24 BCBS_PPO — COMMERCIAL: $403.24
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MG DIGITAL SCREEN W CAD BI	$384.62	$230.77	$53.85 – $384.62
Screening mammogram, both breasts: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $92.07 AETNA — MEDICARE: $86.51 AETNA_EXCHANGE — MEDICARE: $129.77 AMERIGROUP — MEDICAID: $53.85 AMERIGROUP — MEDICARE: $86.51 BCBS — MEDICAID: $53.85 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $233.75 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $199.93 BCBS_POS — COMMERCIAL: $333.22 BCBS_PPO — COMMERCIAL: $333.22
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier TC In the file: MG DIGITAL SCREEN IMPLANT W CAD BI	$366.30	$219.78	$51.28 – $366.30
Screening mammogram, both breasts: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $92.07 AETNA — MEDICARE: $86.51 AETNA_EXCHANGE — MEDICARE: $129.77 AMERIGROUP — MEDICAID: $51.28 AMERIGROUP — MEDICARE: $86.51 BCBS — MEDICAID: $51.28 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $233.75 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $199.93 BCBS_POS — COMMERCIAL: $333.22 BCBS_PPO — COMMERCIAL: $333.22

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: HEART CATH LEFT	$11,558.33	$6,935	$1,618.17 – $18,265
Left heart catheterization (diagnostic): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $9,364 AETNA — MEDICARE: $3,256.70 AETNA_EXCHANGE — MEDICARE: $4,885.05 AMERIGROUP — MEDICAID: $1,618.17 AMERIGROUP — MEDICARE: $3,256.70 BCBS — MEDICAID: $1,618.17 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $2,889.58 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $2,889.58 BCBS_POS — COMMERCIAL: $4,161 BCBS_PPO — COMMERCIAL: $4,161
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOMNGRPHY 4 OR MORE	$5,709.58	$3,425.75	$378.40 – $5,709.58
Sleep study (overnight, in a sleep lab): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $378.40 AETNA — MEDICARE: $862.65 AETNA_EXCHANGE — MEDICARE: $1,293.98 AMERIGROUP — MEDICAID: $799.34 AMERIGROUP — MEDICARE: $862.65 BCBS — MEDICAID: $799.34 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $1,262.37 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $1,082.03 BCBS_POS — COMMERCIAL: $1,803.38 BCBS_PPO — COMMERCIAL: $1,803.38

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: PT THERAPUTIC EXER 15 MIN	$174.54	$104.72	$13.84 – $194
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $13.84 AETNA — MEDICARE: $28.32 AETNA_EXCHANGE — MEDICARE: $42.48 AMERIGROUP — MEDICAID: $24.44 AMERIGROUP — MEDICARE: $28.32 BCBS — MEDICAID: $24.44 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $79 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $67.72 BCBS_POS — COMMERCIAL: $112.86 BCBS_PPO — COMMERCIAL: $112.86
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: PTA THERAPUTIC EXER 15 MIN	$174.54	$104.72	$13.84 – $194
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $13.84 AETNA — MEDICARE: $28.32 AETNA_EXCHANGE — MEDICARE: $42.48 AMERIGROUP — MEDICAID: $24.44 AMERIGROUP — MEDICARE: $28.32 BCBS — MEDICAID: $24.44 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $79 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $67.72 BCBS_POS — COMMERCIAL: $112.86 BCBS_PPO — COMMERCIAL: $112.86
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: (PT) EXERCISES-EA 15 MIN	$174.54	$104.72	$13.84 – $194
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $13.84 AETNA — MEDICARE: $28.32 AETNA_EXCHANGE — MEDICARE: $42.48 AMERIGROUP — MEDICAID: $24.44 AMERIGROUP — MEDICARE: $28.32 BCBS — MEDICAID: $24.44 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $79 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $67.72 BCBS_POS — COMMERCIAL: $112.86 BCBS_PPO — COMMERCIAL: $112.86
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL LOW COMPLEXITY	$315.34	$189.20	$44.15 – $315.34
Physical therapy evaluation (low complexity): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $46.59 AETNA — MEDICARE: $95.48 AETNA_EXCHANGE — MEDICARE: $143.22 AMERIGROUP — MEDICAID: $44.15 AMERIGROUP — MEDICARE: $95.48 BCBS — MEDICAID: $44.15 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $217.95 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $186.82 BCBS_POS — COMMERCIAL: $311.36 BCBS_PPO — COMMERCIAL: $311.36
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: (PT) EVAL LOW COMPLEXITY	$315.34	$189.20	$44.15 – $315.34
Physical therapy evaluation (low complexity): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $46.59 AETNA — MEDICARE: $95.48 AETNA_EXCHANGE — MEDICARE: $143.22 AMERIGROUP — MEDICAID: $44.15 AMERIGROUP — MEDICARE: $95.48 BCBS — MEDICAID: $44.15 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $217.95 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $186.82 BCBS_POS — COMMERCIAL: $311.36 BCBS_PPO — COMMERCIAL: $311.36
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL MODERATE COMPLEXITY	$339.10	$203.46	$46.59 – $339.10
Physical therapy evaluation (moderate complexity): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $46.59 AETNA — MEDICARE: $95.48 AETNA_EXCHANGE — MEDICARE: $143.22 AMERIGROUP — MEDICAID: $47.47 AMERIGROUP — MEDICARE: $95.48 BCBS — MEDICAID: $47.47 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $217.95 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $186.82 BCBS_POS — COMMERCIAL: $311.36 BCBS_PPO — COMMERCIAL: $311.36
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: (PT) EVAL MOD COMPLEXITY	$339.10	$203.46	$46.59 – $339.10
Physical therapy evaluation (moderate complexity): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $46.59 AETNA — MEDICARE: $95.48 AETNA_EXCHANGE — MEDICARE: $143.22 AMERIGROUP — MEDICAID: $47.47 AMERIGROUP — MEDICARE: $95.48 BCBS — MEDICAID: $47.47 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $217.95 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $186.82 BCBS_POS — COMMERCIAL: $311.36 BCBS_PPO — COMMERCIAL: $311.36
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL HIGH COMPLEXITY	$363.45	$218.07	$46.59 – $363.45
Physical therapy evaluation (high complexity): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $46.59 AETNA — MEDICARE: $95.48 AETNA_EXCHANGE — MEDICARE: $143.22 AMERIGROUP — MEDICAID: $50.88 AMERIGROUP — MEDICARE: $95.48 BCBS — MEDICAID: $50.88 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $217.95 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $186.82 BCBS_POS — COMMERCIAL: $311.36 BCBS_PPO — COMMERCIAL: $311.36
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: (PT) EVAL HIGH COMPLEXITY	$363.45	$218.07	$46.59 – $363.45
Physical therapy evaluation (high complexity): 10 of 43 insurance plan rates AETNA — COMMERCIAL: $46.59 AETNA — MEDICARE: $95.48 AETNA_EXCHANGE — MEDICARE: $143.22 AMERIGROUP — MEDICAID: $50.88 AMERIGROUP — MEDICARE: $95.48 BCBS — MEDICAID: $50.88 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $217.95 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $186.82 BCBS_POS — COMMERCIAL: $311.36 BCBS_PPO — COMMERCIAL: $311.36

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: IR INJ LUMBOSACRAL STEROID	$2,721.63	$1,632.98	$381.03 – $2,721.63
Spinal injection, lower back (epidural), with imaging guidance: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $2,601 AETNA — MEDICARE: $709.09 AETNA_EXCHANGE — MEDICARE: $1,063.64 AMERIGROUP — MEDICAID: $381.03 AMERIGROUP — MEDICARE: $709.09 BCBS — MEDICAID: $381.03 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $1,306.35 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $1,118.84 BCBS_POS — COMMERCIAL: $1,868.90 BCBS_PPO — COMMERCIAL: $1,868.90
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: ESI lumbar/sacral, single level	$3,462.60	$2,077.56	$484.76 – $3,462.60
Spinal injection, lower back (epidural), with imaging guidance: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $2,601 AETNA — MEDICARE: $709.09 AETNA_EXCHANGE — MEDICARE: $1,063.64 AMERIGROUP — MEDICAID: $484.76 AMERIGROUP — MEDICARE: $709.09 BCBS — MEDICAID: $484.76 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $1,306.35 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $1,118.84 BCBS_POS — COMMERCIAL: $1,868.90 BCBS_PPO — COMMERCIAL: $1,868.90
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: EPIDURAL LUMB/SAC W/GUIDANCE	$2,721.63	$1,632.98	$381.03 – $2,721.63
Spinal injection, lower back (epidural), with imaging guidance: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $2,601 AETNA — MEDICARE: $709.09 AETNA_EXCHANGE — MEDICARE: $1,063.64 AMERIGROUP — MEDICAID: $381.03 AMERIGROUP — MEDICARE: $709.09 BCBS — MEDICAID: $381.03 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $1,306.35 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $1,118.84 BCBS_POS — COMMERCIAL: $1,868.90 BCBS_PPO — COMMERCIAL: $1,868.90
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: TF ESI lumbar/sacral, single level	$4,451.45	$2,670.87	$623.20 – $4,451.45
Nerve root injection, lower back, with imaging guidance: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $2,601 AETNA — MEDICARE: $888.50 AETNA_EXCHANGE — MEDICARE: $1,332.75 AMERIGROUP — MEDICAID: $623.20 AMERIGROUP — MEDICARE: $888.50 BCBS — MEDICAID: $623.20 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $1,697.18 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $1,453.57 BCBS_POS — COMMERCIAL: $2,428.03 BCBS_PPO — COMMERCIAL: $2,428.03
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: SNRB LUMB/SAC SNGL LVL	$2,283.91	$1,370.35	$319.75 – $2,601
Nerve root injection, lower back, with imaging guidance: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $2,601 AETNA — MEDICARE: $888.50 AETNA_EXCHANGE — MEDICARE: $1,332.75 AMERIGROUP — MEDICAID: $319.75 AMERIGROUP — MEDICARE: $888.50 BCBS — MEDICAID: $319.75 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $1,697.18 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $1,453.57 BCBS_POS — COMMERCIAL: $2,428.03 BCBS_PPO — COMMERCIAL: $2,428.03
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: SNRB LUMB/SAC SNGL LV BI	$3,425.86	$2,055.52	$479.62 – $3,425.86
Nerve root injection, lower back, with imaging guidance: 10 of 43 insurance plan rates AETNA — COMMERCIAL: $2,601 AETNA — MEDICARE: $888.50 AETNA_EXCHANGE — MEDICARE: $1,332.75 AMERIGROUP — MEDICAID: $479.62 AMERIGROUP — MEDICARE: $888.50 BCBS — MEDICAID: $479.62 BCBS_BLUE_ADVANTAGE — COMMERCIAL: $1,697.18 BCBS_BLUE_ESSENTIALS — COMMERCIAL: $1,453.57 BCBS_POS — COMMERCIAL: $2,428.03 BCBS_PPO — COMMERCIAL: $2,428.03

Source: Carrollton Regional Medical Center’s standard charges file (carrolltonregionalmedicalcenter.pg.revenuemasters.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	4343 North Josey Lane, Carrollton, TX 75010
County	Denton County
State	Texas
Phone	(972) 394‑2255
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	2 of 5 stars
CMS Certification Number	450730
Name in Medicare records	CARROLLTON REGIONAL MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	crmc.health
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 2026-10-29.

Carrollton Regional Medical Center — crmc.health