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Acute Care Hospital

CHI St Joseph Health Regional Hospital

Bryan, Texas · Brazos County · Emergency services listed

Summary

CHI St Joseph Health Regional Hospital is an acute care hospital in Bryan, Texas. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 54 services, specialties and programs. Medicare lists 553 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
54Services listed

Quick answers

Does CHI St Joseph Health Regional Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at CHI St Joseph Health Regional Hospital. In a medical emergency, call 911.
Where is CHI St Joseph Health Regional Hospital?
2801 Franciscan Dr, Bryan, TX 77802, in Brazos County, Texas.
What is the phone number of CHI St Joseph Health Regional Hospital?
(979) 776-3912, as listed by Medicare (CMS).
What is the Medicare star rating of CHI St Joseph Health Regional Hospital?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5]

Conditions treated[4][5]

Treatments[5]

Procedures[4]

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

Emergency roomYes

Visiting and practical information

VisitingICU visiting anytime except 6:30-7:30 a.m. and p.m. shift changes; two visitors per room; no children under 10[4]
Interpreters and languagesFree interpreter services in person, by phone and video (including ASL)[4]
Patient portalMy Hospital patient portal

Doctors and clinicians (553)

553 doctors and other clinicians list CHI St Joseph Health Regional Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (553)

And 529 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What CHI St Joseph Health Regional Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1066%National average: 72%
Would definitely recommend the hospital67%National average: 71%
Nurses “always” communicated well78%National average: 80%
Doctors “always” communicated well78%National average: 80%
Staff “always” explained medicines before giving them63%National average: 62%
Were given information about recovery at home84%National average: 86%
Room and bathroom “always” clean66%National average: 74%
Area around the room “always” quiet at night61%National average: 60%
Completed surveys1,193Response 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)1.744No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.431No different from the national benchmark
Surgical site infections after colon surgery2.575Worse than the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections1.253No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.26Better 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 patients14.4%
Deaths within 30 days: heart failure patients10.5%
Deaths within 30 days: pneumonia patients15.8%
Deaths within 30 days: COPD patients10.2%
Deaths within 30 days: stroke patients10.4%
Deaths within 30 days: coronary bypass surgery (CABG)3.9%
Serious complications (patient safety indicator PSI-90)0.9No different from the national rate
Complications after hip or knee replacement3.1%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack14.6%
Readmitted within 30 days: heart failure21.3%
Readmitted within 30 days: pneumonia18.3%
Readmitted within 30 days: COPD19%
Readmitted within 30 days: coronary bypass surgery13.3%
Readmitted within 30 days: hip or knee replacement5.3%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)158 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)72%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 74 common services exactly as CHI St Joseph Health Regional Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT LEVEL 3 NEW $402 $189.38 $94.43 – $365.82
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates
  • Aetna — Commercial|All Other Plans: $253.26
  • Aetna — Commercial|HMO: $253.26
  • Aetna — Commercial|PPO: $253.26
  • Aetna — Medicaid|Better Health: $108.54
  • BCBS - Anthem — Commercial|HMO PPO: $213.06
  • BCBS - Anthem — Commercial|Pathway: $188.94
  • BCBS - Anthem — Medicaid|All Plans: $113.97
  • Cigna — Commercial|All Other Plans: $253.26
  • Cigna — Commercial|PPO: $253.26
  • Humana — Medicaid|All Plans: $106.37
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: HC CLINIC VISIT LEVEL 3 NEW $402 $189.38 $365.82
New patient office visit (about 30–44 minutes): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $365.82
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT LEVEL 4 NEW $526 $247.79 $123.56 – $478.66
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates
  • Aetna — Commercial|All Other Plans: $331.38
  • Aetna — Commercial|HMO: $331.38
  • Aetna — Commercial|PPO: $331.38
  • Aetna — Medicaid|Better Health: $142.02
  • BCBS - Anthem — Commercial|HMO PPO: $278.78
  • BCBS - Anthem — Commercial|Pathway: $247.22
  • BCBS - Anthem — Medicaid|All Plans: $149.13
  • Cigna — Commercial|All Other Plans: $331.38
  • Cigna — Commercial|PPO: $331.38
  • Humana — Medicaid|All Plans: $139.18
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: HC CLINIC VISIT LEVEL 4 NEW $526 $247.79 $478.66
New patient office visit (about 45–59 minutes): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $478.66
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT LEVEL 5 NEW $583 $274.65 $136.95 – $530.53
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates
  • Aetna — Commercial|All Other Plans: $367.29
  • Aetna — Commercial|HMO: $367.29
  • Aetna — Commercial|PPO: $367.29
  • Aetna — Medicaid|Better Health: $157.41
  • BCBS - Anthem — Commercial|HMO PPO: $308.99
  • BCBS - Anthem — Commercial|Pathway: $274.01
  • BCBS - Anthem — Medicaid|All Plans: $165.29
  • Cigna — Commercial|All Other Plans: $367.29
  • Cigna — Commercial|PPO: $367.29
  • Humana — Medicaid|All Plans: $154.27
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: HC CLINIC VISIT LEVEL 5 NEW $583 $274.65 $530.53
New patient office visit (about 60–74 minutes): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $530.53
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT LEVEL 3 EST $339 $159.70 $79.64 – $308.49
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates
  • Aetna — Commercial|All Other Plans: $213.57
  • Aetna — Commercial|HMO: $213.57
  • Aetna — Commercial|PPO: $213.57
  • Aetna — Medicaid|Better Health: $91.53
  • BCBS - Anthem — Commercial|HMO PPO: $179.67
  • BCBS - Anthem — Commercial|Pathway: $159.33
  • BCBS - Anthem — Medicaid|All Plans: $96.11
  • Cigna — Commercial|All Other Plans: $213.57
  • Cigna — Commercial|PPO: $213.57
  • Humana — Medicaid|All Plans: $89.70
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: HC CLINIC VISIT LEVEL 3 EST $339 $159.70 $308.49
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $308.49
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC CLINIC VISIT LEVEL 4 EST $565 $266.17 $132.72 – $514.15
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates
  • Aetna — Commercial|All Other Plans: $355.95
  • Aetna — Commercial|HMO: $355.95
  • Aetna — Commercial|PPO: $355.95
  • Aetna — Medicaid|Better Health: $152.55
  • BCBS - Anthem — Commercial|HMO PPO: $299.45
  • BCBS - Anthem — Commercial|Pathway: $265.55
  • BCBS - Anthem — Medicaid|All Plans: $160.18
  • Cigna — Commercial|All Other Plans: $355.95
  • Cigna — Commercial|PPO: $355.95
  • Humana — Medicaid|All Plans: $149.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: HC CLINIC VISIT LEVEL 4 EST $565 $266.17 $514.15
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $514.15
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HC CEC LEVEL 3 $1,471 $692.97 $272.04 – $1,338.61
Emergency room visit (moderate): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $926.73
  • Aetna — Commercial|HMO: $926.73
  • Aetna — Commercial|PPO: $926.73
  • Aetna — Medicaid|Better Health: $397.17
  • Aetna — Medicare|All Plans: $280.20
  • BCBS - Anthem — Commercial|HMO PPO: $1,145
  • BCBS - Anthem — Commercial|Pathway: $969
  • BCBS - Anthem — Medicaid|All Plans: $417.03
  • BCBS - Anthem — Medicare|All Plans: $272.04
  • CareSource — Commercial|All Plans: $544.08
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: HC CEC LEVEL 3 $1,471 $692.97 $1,338.61
Emergency room visit (moderate): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $1,338.61
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HC CEC LEVEL 4 $2,298 $1,082.55 $418.36 – $2,091.18
Emergency room visit (moderately high): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $1,447.74
  • Aetna — Commercial|HMO: $1,447.74
  • Aetna — Commercial|PPO: $1,447.74
  • Aetna — Medicaid|Better Health: $620.46
  • Aetna — Medicare|All Plans: $430.91
  • BCBS - Anthem — Commercial|HMO PPO: $1,145
  • BCBS - Anthem — Commercial|Pathway: $969
  • BCBS - Anthem — Medicaid|All Plans: $651.49
  • BCBS - Anthem — Medicare|All Plans: $418.36
  • CareSource — Commercial|All Plans: $836.72
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: HC CEC LEVEL 4 $2,298 $1,082.55 $2,091.18
Emergency room visit (moderately high): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $2,091.18
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HC CEC LEVEL 5 $2,873 $1,353.43 $602.36 – $2,614.43
Emergency room visit (high): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $1,809.99
  • Aetna — Commercial|HMO: $1,809.99
  • Aetna — Commercial|PPO: $1,809.99
  • Aetna — Medicaid|Better Health: $775.71
  • Aetna — Medicare|All Plans: $620.43
  • BCBS - Anthem — Commercial|HMO PPO: $1,145
  • BCBS - Anthem — Commercial|Pathway: $969
  • BCBS - Anthem — Medicaid|All Plans: $814.50
  • BCBS - Anthem — Medicare|All Plans: $602.36
  • CareSource — Commercial|All Plans: $1,204.72
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: HC CEC LEVEL 5 $2,873 $1,353.43 $2,614.43
Emergency room visit (high): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $2,614.43

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: HC LAB BASIC METABOLIC PANEL $224 $105.53 $5.69 – $203.84
Basic metabolic panel (blood test): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $141.12
  • Aetna — Commercial|HMO: $141.12
  • Aetna — Commercial|PPO: $141.12
  • Aetna — Medicaid|Better Health: $8.46
  • Aetna — Medicare|All Plans: $8.71
  • BCBS - Anthem — Commercial|HMO PPO: $5.69
  • BCBS - Anthem — Commercial|Pathway: $5.69
  • BCBS - Anthem — Medicaid|All Plans: $8.88
  • BCBS - Anthem — Medicare|All Plans: $8.46
  • CareSource — Commercial|All Plans: $16.92
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: HC LAB BASIC METABOLIC PANEL $224 $105.53 $203.84
Basic metabolic panel (blood test): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $203.84
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HC LAB COMP METABOLIC PANEL $427 $201.16 $7.15 – $388.57
Comprehensive metabolic panel (blood test): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $269.01
  • Aetna — Commercial|HMO: $269.01
  • Aetna — Commercial|PPO: $269.01
  • Aetna — Medicaid|Better Health: $10.56
  • Aetna — Medicare|All Plans: $10.88
  • BCBS - Anthem — Commercial|HMO PPO: $7.15
  • BCBS - Anthem — Commercial|Pathway: $7.15
  • BCBS - Anthem — Medicaid|All Plans: $11.09
  • BCBS - Anthem — Medicare|All Plans: $10.56
  • CareSource — Commercial|All Plans: $21.12
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: HC LAB COMP METABOLIC PANEL $427 $201.16 $388.57
Comprehensive metabolic panel (blood test): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $388.57
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC LAB LIPID $8 $3.77 $5.04 – $16
Cholesterol panel (lipid panel): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $5.04
  • Aetna — Commercial|HMO: $5.04
  • Aetna — Commercial|PPO: $5.04
  • Aetna — Medicaid|Better Health: $13.39
  • Aetna — Medicare|All Plans: $8.24
  • BCBS - Anthem — Commercial|HMO PPO: $8
  • BCBS - Anthem — Commercial|Pathway: $8
  • BCBS - Anthem — Medicaid|All Plans: $14.06
  • BCBS - Anthem — Medicare|All Plans: $8
  • CareSource — Commercial|All Plans: $16
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC LAB LIPID PANEL $250 $117.78 $9.68 – $227.50
Cholesterol panel (lipid panel): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $157.50
  • Aetna — Commercial|HMO: $157.50
  • Aetna — Commercial|PPO: $157.50
  • Aetna — Medicaid|Better Health: $13.39
  • Aetna — Medicare|All Plans: $13.79
  • BCBS - Anthem — Commercial|HMO PPO: $9.68
  • BCBS - Anthem — Commercial|Pathway: $9.68
  • BCBS - Anthem — Medicaid|All Plans: $14.06
  • BCBS - Anthem — Medicare|All Plans: $13.39
  • CareSource — Commercial|All Plans: $26.78
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: HC LAB LIPID $8 $3.77 $7.28
Cholesterol panel (lipid panel): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $7.28
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: HC RENAL PROFILE $382 $179.96 $5.69 – $347.62
Kidney function panel: 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $240.66
  • Aetna — Commercial|HMO: $240.66
  • Aetna — Commercial|PPO: $240.66
  • Aetna — Medicaid|Better Health: $8.68
  • Aetna — Medicare|All Plans: $8.94
  • BCBS - Anthem — Commercial|HMO PPO: $5.69
  • BCBS - Anthem — Commercial|Pathway: $5.69
  • BCBS - Anthem — Medicaid|All Plans: $9.11
  • BCBS - Anthem — Medicare|All Plans: $8.68
  • CareSource — Commercial|All Plans: $17.36
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: HC RENAL PROFILE $382 $179.96 $347.62
Kidney function panel: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $347.62
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HC LAB HEPATIC FUNCTION PANEL $249 $117.30 $5.69 – $226.59
Liver function panel: 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $156.87
  • Aetna — Commercial|HMO: $156.87
  • Aetna — Commercial|PPO: $156.87
  • Aetna — Medicaid|Better Health: $8.17
  • Aetna — Medicare|All Plans: $8.42
  • BCBS - Anthem — Commercial|HMO PPO: $5.69
  • BCBS - Anthem — Commercial|Pathway: $5.69
  • BCBS - Anthem — Medicaid|All Plans: $8.58
  • BCBS - Anthem — Medicare|All Plans: $8.17
  • CareSource — Commercial|All Plans: $16.34
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HC LAB HEPATIC FUNCTION PANEL $249 $117.30 $226.59
Liver function panel: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $226.59
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HC LAB AUTO URINALYS W/ MICRO $119 $56.06 $2.69 – $108.29
Urine test (automated, with microscope): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $74.97
  • Aetna — Commercial|HMO: $74.97
  • Aetna — Commercial|PPO: $74.97
  • Aetna — Medicaid|Better Health: $3.17
  • Aetna — Medicare|All Plans: $3.27
  • BCBS - Anthem — Commercial|HMO PPO: $2.69
  • BCBS - Anthem — Commercial|Pathway: $2.69
  • BCBS - Anthem — Medicaid|All Plans: $3.33
  • BCBS - Anthem — Medicare|All Plans: $3.17
  • CareSource — Commercial|All Plans: $6.34
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: HC LAB AUTO URINALYS W/ MICRO $119 $56.06 $108.29
Urine test (automated, with microscope): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $108.29
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HC LAB N-AUTO URINALYS OT POC $60 $28.27 $2.05 – $54.60
Urine test (manual, without microscope): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $37.80
  • Aetna — Commercial|HMO: $37.80
  • Aetna — Commercial|PPO: $37.80
  • Aetna — Medicaid|Better Health: $3.48
  • Aetna — Medicare|All Plans: $3.58
  • BCBS - Anthem — Commercial|HMO PPO: $2.05
  • BCBS - Anthem — Commercial|Pathway: $2.05
  • BCBS - Anthem — Medicaid|All Plans: $3.65
  • BCBS - Anthem — Medicare|All Plans: $3.48
  • CareSource — Commercial|All Plans: $6.96
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: HC LAB N-AUTO URINALYS OT POC $60 $28.27 $54.60
Urine test (manual, without microscope): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $54.60
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HC LAB AUTO URINALYS WO MICRO $88 $41.46 $1.91 – $80.08
Urine test (automated, without microscope): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $55.44
  • Aetna — Commercial|HMO: $55.44
  • Aetna — Commercial|PPO: $55.44
  • Aetna — Medicaid|Better Health: $2.25
  • Aetna — Medicare|All Plans: $2.32
  • BCBS - Anthem — Commercial|HMO PPO: $1.91
  • BCBS - Anthem — Commercial|Pathway: $1.91
  • BCBS - Anthem — Medicaid|All Plans: $2.36
  • BCBS - Anthem — Medicare|All Plans: $2.25
  • CareSource — Commercial|All Plans: $4.50
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: HC LAB AUTO URINALYS WO MICRO $88 $41.46 $80.08
Urine test (automated, without microscope): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $80.08
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC LAB PROSTATIC SPECIFIC ANTIGEN $254 $119.66 $15.64 – $231.14
PSA (prostate specific antigen) blood test: 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $160.02
  • Aetna — Commercial|HMO: $160.02
  • Aetna — Commercial|PPO: $160.02
  • Aetna — Medicaid|Better Health: $18.39
  • Aetna — Medicare|All Plans: $18.94
  • BCBS - Anthem — Commercial|HMO PPO: $15.64
  • BCBS - Anthem — Commercial|Pathway: $15.64
  • BCBS - Anthem — Medicaid|All Plans: $19.31
  • BCBS - Anthem — Medicare|All Plans: $18.39
  • CareSource — Commercial|All Plans: $36.78
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: HC LAB PROSTATIC SPECIFIC ANTIGEN $254 $119.66 $231.14
PSA (prostate specific antigen) blood test: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $231.14
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC LAB TSH $169 $79.62 $14.28 – $153.79
Thyroid stimulating hormone (TSH) test: 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $106.47
  • Aetna — Commercial|HMO: $106.47
  • Aetna — Commercial|PPO: $106.47
  • Aetna — Medicaid|Better Health: $16.80
  • Aetna — Medicare|All Plans: $17.30
  • BCBS - Anthem — Commercial|HMO PPO: $14.28
  • BCBS - Anthem — Commercial|Pathway: $14.28
  • BCBS - Anthem — Medicaid|All Plans: $17.64
  • BCBS - Anthem — Medicare|All Plans: $16.80
  • CareSource — Commercial|All Plans: $33.60
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: HC LAB TSH $169 $79.62 $153.79
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $153.79
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HC LAB CBC W/AUTO DIFF $176 $82.92 $6.61 – $160.16
Complete blood count (CBC) with differential: 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $110.88
  • Aetna — Commercial|HMO: $110.88
  • Aetna — Commercial|PPO: $110.88
  • Aetna — Medicaid|Better Health: $7.77
  • Aetna — Medicare|All Plans: $8
  • BCBS - Anthem — Commercial|HMO PPO: $6.61
  • BCBS - Anthem — Commercial|Pathway: $6.61
  • BCBS - Anthem — Medicaid|All Plans: $8.16
  • BCBS - Anthem — Medicare|All Plans: $7.77
  • CareSource — Commercial|All Plans: $15.54
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: HC LAB CBC W/AUTO DIFF $176 $82.92 $160.16
Complete blood count (CBC) with differential: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $160.16
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HC LAB CBC (W/PLT&HEMOGRAM) $120 $56.53 $5.50 – $109.20
Complete blood count (CBC), automated: 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $75.60
  • Aetna — Commercial|HMO: $75.60
  • Aetna — Commercial|PPO: $75.60
  • Aetna — Medicaid|Better Health: $6.47
  • Aetna — Medicare|All Plans: $6.66
  • BCBS - Anthem — Commercial|HMO PPO: $5.50
  • BCBS - Anthem — Commercial|Pathway: $5.50
  • BCBS - Anthem — Medicaid|All Plans: $6.79
  • BCBS - Anthem — Medicare|All Plans: $6.47
  • CareSource — Commercial|All Plans: $12.94
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: HC LAB CBC (W/PLT&HEMOGRAM) $120 $56.53 $109.20
Complete blood count (CBC), automated: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $109.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC LAB PT $120 $56.53 $3.34 – $109.20
Blood clotting time test (prothrombin time, PT): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $75.60
  • Aetna — Commercial|HMO: $75.60
  • Aetna — Commercial|PPO: $75.60
  • Aetna — Medicaid|Better Health: $4.29
  • Aetna — Medicare|All Plans: $4.42
  • BCBS - Anthem — Commercial|HMO PPO: $3.34
  • BCBS - Anthem — Commercial|Pathway: $3.34
  • BCBS - Anthem — Medicaid|All Plans: $4.50
  • BCBS - Anthem — Medicare|All Plans: $4.29
  • CareSource — Commercial|All Plans: $8.58
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: HC LAB PT $120 $56.53 $109.20
Blood clotting time test (prothrombin time, PT): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $109.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC LAB PTT $162 $76.32 $5.10 – $147.42
Blood clotting test (partial thromboplastin time, PTT): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $102.06
  • Aetna — Commercial|HMO: $102.06
  • Aetna — Commercial|PPO: $102.06
  • Aetna — Medicaid|Better Health: $6.01
  • Aetna — Medicare|All Plans: $6.19
  • BCBS - Anthem — Commercial|HMO PPO: $5.10
  • BCBS - Anthem — Commercial|Pathway: $5.10
  • BCBS - Anthem — Medicaid|All Plans: $6.31
  • BCBS - Anthem — Medicare|All Plans: $6.01
  • CareSource — Commercial|All Plans: $12.02
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: HC LAB PTT $162 $76.32 $147.42
Blood clotting test (partial thromboplastin time, PTT): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $147.42

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: HC CT BRAIN $1,788 $842.30 $104.48 – $1,627.08
CT scan of the head or brain, without contrast: 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $1,126.44
  • Aetna — Commercial|HMO: $1,126.44
  • Aetna — Commercial|PPO: $1,126.44
  • Aetna — Medicaid|Better Health: $482.76
  • Aetna — Medicare|All Plans: $107.61
  • BCBS - Anthem — Commercial|HMO PPO: $354
  • BCBS - Anthem — Commercial|Pathway: $340
  • BCBS - Anthem — Medicaid|All Plans: $506.90
  • BCBS - Anthem — Medicare|All Plans: $104.48
  • CareSource — Commercial|All Plans: $208.96
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: HC CT BRAIN $1,788 $842.30 $1,627.08
CT scan of the head or brain, without contrast: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $1,627.08
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: HC MR BRAIN WOW CONTRAST $3,236 $1,524.43 $350.87 – $2,944.76
MRI of the brain, before and after contrast: 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $2,038.68
  • Aetna — Commercial|HMO: $2,038.68
  • Aetna — Commercial|PPO: $2,038.68
  • Aetna — Medicaid|Better Health: $873.72
  • Aetna — Medicare|All Plans: $361.40
  • BCBS - Anthem — Commercial|HMO PPO: $590
  • BCBS - Anthem — Commercial|Pathway: $567
  • BCBS - Anthem — Medicaid|All Plans: $917.41
  • BCBS - Anthem — Medicare|All Plans: $350.87
  • CareSource — Commercial|All Plans: $701.74
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: HC MR BRAIN WOW CONTRAST $3,236 $1,524.43 $2,944.76
MRI of the brain, before and after contrast: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $2,944.76
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HC XR CHEST 2 VIEWS $632 $297.73 $67.12 – $575.12
Chest X-ray, 2 views: 10 of 22 insurance plan rates
  • Aetna — Commercial|All Other Plans: $398.16
  • Aetna — Commercial|HMO: $398.16
  • Aetna — Commercial|PPO: $398.16
  • Aetna — Medicaid|Better Health: $170.64
  • Aetna — Medicare|All Plans: $89.11
  • BCBS - Anthem — Medicaid|All Plans: $179.18
  • BCBS - Anthem — Medicare|All Plans: $86.51
  • CareSource — Commercial|All Plans: $173.02
  • Cigna — Commercial|All Other Plans: $398.16
  • Cigna — Commercial|PPO: $398.16
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: HC XR CHEST 2 VIEWS $632 $297.73 $575.12
Chest X-ray, 2 views: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $575.12
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: HC XR SPINE LUMBAR 4-5 VIEW $914 $430.57 $94.71 – $831.74
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates
  • Aetna — Commercial|All Other Plans: $575.82
  • Aetna — Commercial|HMO: $575.82
  • Aetna — Commercial|PPO: $575.82
  • Aetna — Medicaid|Better Health: $246.78
  • Aetna — Medicare|All Plans: $107.61
  • BCBS - Anthem — Medicaid|All Plans: $259.12
  • BCBS - Anthem — Medicare|All Plans: $104.48
  • CareSource — Commercial|All Plans: $208.96
  • Cigna — Commercial|All Other Plans: $575.82
  • Cigna — Commercial|PPO: $575.82
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: HC XR SPINE LUMBAR 4-5 VIEW $914 $430.57 $831.74
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $831.74
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HC MR SPINE LUMBAR $2,168 $1,021.31 $237.49 – $1,972.88
MRI of the lower back (lumbar spine), without contrast: 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $1,365.84
  • Aetna — Commercial|HMO: $1,365.84
  • Aetna — Commercial|PPO: $1,365.84
  • Aetna — Medicaid|Better Health: $585.36
  • Aetna — Medicare|All Plans: $244.61
  • BCBS - Anthem — Commercial|HMO PPO: $590
  • BCBS - Anthem — Commercial|Pathway: $567
  • BCBS - Anthem — Medicaid|All Plans: $614.63
  • BCBS - Anthem — Medicare|All Plans: $237.49
  • CareSource — Commercial|All Plans: $474.98
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HC MRIG LIMITED LUMBAR $1,975 $930.39 $237.49 – $1,797.25
MRI of the lower back (lumbar spine), without contrast: 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $1,244.25
  • Aetna — Commercial|HMO: $1,244.25
  • Aetna — Commercial|PPO: $1,244.25
  • Aetna — Medicaid|Better Health: $533.25
  • Aetna — Medicare|All Plans: $244.61
  • BCBS - Anthem — Commercial|HMO PPO: $590
  • BCBS - Anthem — Commercial|Pathway: $567
  • BCBS - Anthem — Medicaid|All Plans: $559.92
  • BCBS - Anthem — Medicare|All Plans: $237.49
  • CareSource — Commercial|All Plans: $474.98
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: HC MR SPINE LUMBAR $2,168 $1,021.31 $1,972.88
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $1,972.88
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: HC CT PELVIS W CONTRAST $2,030 $956.30 $174.90 – $1,847.30
CT scan of the pelvis, with contrast: 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $1,278.90
  • Aetna — Commercial|HMO: $1,278.90
  • Aetna — Commercial|PPO: $1,278.90
  • Aetna — Medicaid|Better Health: $548.10
  • Aetna — Medicare|All Plans: $180.15
  • BCBS - Anthem — Commercial|HMO PPO: $354
  • BCBS - Anthem — Commercial|Pathway: $340
  • BCBS - Anthem — Medicaid|All Plans: $575.51
  • BCBS - Anthem — Medicare|All Plans: $174.90
  • CareSource — Commercial|All Plans: $349.80
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: HC CT PELVIS W CONTRAST $2,030 $956.30 $1,847.30
CT scan of the pelvis, with contrast: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $1,847.30
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HC MR LOWER EXTREM JNT WO CONT $2,164 $1,019.43 $237.49 – $1,969.24
MRI of a leg joint (such as the knee), without contrast: 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $1,363.32
  • Aetna — Commercial|HMO: $1,363.32
  • Aetna — Commercial|PPO: $1,363.32
  • Aetna — Medicaid|Better Health: $584.28
  • Aetna — Medicare|All Plans: $244.61
  • BCBS - Anthem — Commercial|HMO PPO: $590
  • BCBS - Anthem — Commercial|Pathway: $567
  • BCBS - Anthem — Medicaid|All Plans: $613.50
  • BCBS - Anthem — Medicare|All Plans: $237.49
  • CareSource — Commercial|All Plans: $474.98
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: HC MR LOWER EXTREM JNT WO CONT $2,164 $1,019.43 $1,969.24
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $1,969.24
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HC CT ABD&PEL W CONTRAST $4,000 $1,884.34 $340 – $3,640
CT scan of the abdomen and pelvis, with contrast: 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $2,520
  • Aetna — Commercial|HMO: $2,520
  • Aetna — Commercial|PPO: $2,520
  • Aetna — Medicaid|Better Health: $1,080
  • Aetna — Medicare|All Plans: $361.40
  • BCBS - Anthem — Commercial|HMO PPO: $354
  • BCBS - Anthem — Commercial|Pathway: $340
  • BCBS - Anthem — Medicaid|All Plans: $1,134
  • BCBS - Anthem — Medicare|All Plans: $350.87
  • CareSource — Commercial|All Plans: $701.74
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: HC CT ABD&PEL W CONTRAST $4,000 $1,884.34 $3,640
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $3,640
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HC U/S ABDOMINAL COMP $1,891 $890.82 $104.48 – $1,720.81
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates
  • Aetna — Commercial|All Other Plans: $1,191.33
  • Aetna — Commercial|HMO: $1,191.33
  • Aetna — Commercial|PPO: $1,191.33
  • Aetna — Medicaid|Better Health: $510.57
  • Aetna — Medicare|All Plans: $107.61
  • BCBS - Anthem — Medicaid|All Plans: $536.10
  • BCBS - Anthem — Medicare|All Plans: $104.48
  • CareSource — Commercial|All Plans: $208.96
  • Cigna — Commercial|All Other Plans: $1,191.33
  • Cigna — Commercial|PPO: $1,191.33
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: HC U/S ABDOMINAL COMP $1,891 $890.82 $1,720.81
Ultrasound of the abdomen, complete: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $1,720.81
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: HC U/S OB>=14 WKS-1 FETUS $1,015 $478.15 $104.48 – $923.65
Pregnancy ultrasound (after the first trimester): 10 of 22 insurance plan rates
  • Aetna — Commercial|All Other Plans: $639.45
  • Aetna — Commercial|HMO: $639.45
  • Aetna — Commercial|PPO: $639.45
  • Aetna — Medicaid|Better Health: $274.05
  • Aetna — Medicare|All Plans: $107.61
  • BCBS - Anthem — Medicaid|All Plans: $287.76
  • BCBS - Anthem — Medicare|All Plans: $104.48
  • CareSource — Commercial|All Plans: $208.96
  • Cigna — Commercial|All Other Plans: $639.45
  • Cigna — Commercial|PPO: $639.45
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: HC U/S OB>=14 WKS-1 FETUS $1,015 $478.15 $923.65
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $923.65
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HC U/SENDO VAG (EV) $1,745 $822.04 $104.48 – $1,587.95
Transvaginal ultrasound: 10 of 22 insurance plan rates
  • Aetna — Commercial|All Other Plans: $1,099.35
  • Aetna — Commercial|HMO: $1,099.35
  • Aetna — Commercial|PPO: $1,099.35
  • Aetna — Medicaid|Better Health: $471.15
  • Aetna — Medicare|All Plans: $107.61
  • BCBS - Anthem — Medicaid|All Plans: $494.71
  • BCBS - Anthem — Medicare|All Plans: $104.48
  • CareSource — Commercial|All Plans: $208.96
  • Cigna — Commercial|All Other Plans: $1,099.35
  • Cigna — Commercial|PPO: $1,099.35
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: HC U/SENDO VAG (EV) $1,745 $822.04 $1,587.95
Transvaginal ultrasound: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $1,587.95
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: HC MAMMO DIAG UNI & CAD $448 $211.05 $105.24 – $407.68
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates
  • Aetna — Commercial|All Other Plans: $282.24
  • Aetna — Commercial|HMO: $282.24
  • Aetna — Commercial|PPO: $282.24
  • Aetna — Medicaid|Better Health: $120.96
  • BCBS - Anthem — Commercial|HMO PPO: $182
  • BCBS - Anthem — Commercial|Pathway: $154
  • BCBS - Anthem — Medicaid|All Plans: $127.01
  • Cigna — Commercial|All Other Plans: $282.24
  • Cigna — Commercial|PPO: $282.24
  • Humana — Commercial|All Plans: $270.05
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) In the file: HC MAMMO DIAG UNI & CAD $448 $211.05 $407.68
Diagnostic mammogram, one breast: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $407.68
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: HC MAMMO DIAG BIL & CAD $547 $257.69 $128.50 – $497.77
Diagnostic mammogram, both breasts: 10 of 17 insurance plan rates
  • Aetna — Commercial|All Other Plans: $344.61
  • Aetna — Commercial|HMO: $344.61
  • Aetna — Commercial|PPO: $344.61
  • Aetna — Medicaid|Better Health: $147.69
  • BCBS - Anthem — Commercial|HMO PPO: $182
  • BCBS - Anthem — Commercial|Pathway: $154
  • BCBS - Anthem — Medicaid|All Plans: $155.08
  • Cigna — Commercial|All Other Plans: $344.61
  • Cigna — Commercial|PPO: $344.61
  • Humana — Commercial|All Plans: $345.51
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: HC MAMMO DIAG BIL & CAD $547 $257.69 $497.77
Diagnostic mammogram, both breasts: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $497.77
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HC DIG SCREEN MAMMO UNI $315 $148.40 $74 – $286.65
Screening mammogram, both breasts: 10 of 17 insurance plan rates
  • Aetna — Commercial|All Other Plans: $198.45
  • Aetna — Commercial|HMO: $198.45
  • Aetna — Commercial|PPO: $198.45
  • Aetna — Medicaid|Better Health: $85.05
  • BCBS - Anthem — Commercial|HMO PPO: $182
  • BCBS - Anthem — Commercial|Pathway: $154
  • BCBS - Anthem — Medicaid|All Plans: $89.31
  • Cigna — Commercial|All Other Plans: $198.45
  • Cigna — Commercial|PPO: $198.45
  • Humana — Commercial|All Plans: $285.39
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HC MAMMO SCRN BIL & CAD $346 $163 $81.28 – $314.86
Screening mammogram, both breasts: 10 of 17 insurance plan rates
  • Aetna — Commercial|All Other Plans: $217.98
  • Aetna — Commercial|HMO: $217.98
  • Aetna — Commercial|PPO: $217.98
  • Aetna — Medicaid|Better Health: $93.42
  • BCBS - Anthem — Commercial|HMO PPO: $182
  • BCBS - Anthem — Commercial|Pathway: $154
  • BCBS - Anthem — Medicaid|All Plans: $98.10
  • Cigna — Commercial|All Other Plans: $217.98
  • Cigna — Commercial|PPO: $217.98
  • Humana — Commercial|All Plans: $285.39
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: HC DIG SCREEN MAMMO UNI $315 $148.40 $286.65
Screening mammogram, both breasts: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $286.65

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: HC LT HRT CATH W/VENTRCLGRP $4,747 $2,236.24 $1,115.08 – $9,080
Left heart catheterization (diagnostic): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $2,990.61
  • Aetna — Commercial|HMO: $2,990.61
  • Aetna — Commercial|PPO: $2,990.61
  • Aetna — Medicaid|Better Health: $1,281.69
  • Aetna — Medicare|All Plans: $3,254.86
  • BCBS - Anthem — Commercial|HMO PPO: $5,792
  • BCBS - Anthem — Commercial|Pathway: $4,901
  • BCBS - Anthem — Medicaid|All Plans: $1,345.78
  • BCBS - Anthem — Medicare|All Plans: $3,160.06
  • CareSource — Commercial|All Plans: $6,320.12
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) In the file: HC LT HRT CATH W/VENTRCLGRP $4,747 $2,236.24 $4,319.77
Left heart catheterization (diagnostic): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $4,319.77
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: HC COMP EP EVAL WO A INDUCTION $8,571 $4,037.66 $2,013.33 – $14,910.32
Heart rhythm study (electrophysiology evaluation): 10 of 21 insurance plan rates
  • Aetna — Commercial|All Other Plans: $5,399.73
  • Aetna — Commercial|HMO: $5,399.73
  • Aetna — Commercial|PPO: $5,399.73
  • Aetna — Medicaid|Better Health: $2,314.17
  • Aetna — Medicare|All Plans: $7,678.81
  • BCBS - Anthem — Medicaid|All Plans: $2,429.88
  • BCBS - Anthem — Medicare|All Plans: $7,455.16
  • CareSource — Commercial|All Plans: $14,910.32
  • Cigna — Commercial|All Other Plans: $5,399.73
  • Cigna — Commercial|PPO: $5,399.73
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) In the file: HC COMP EP EVAL WO A INDUCTION $8,571 $4,037.66 $7,799.61
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $7,799.61
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: HC TX ATRIAL FIB PULM VEIN ISOL $18,356 $8,647.20 $4,311.83 – $48,204.98
Heart rhythm study with ablation for atrial fibrillation: 10 of 23 insurance plan rates
  • Aetna — Commercial|All Other Plans: $11,564.28
  • Aetna — Commercial|HMO: $11,564.28
  • Aetna — Commercial|PPO: $11,564.28
  • Aetna — Medicaid|Better Health: $4,956.12
  • Aetna — Medicare|All Plans: $24,825.56
  • BCBS - Anthem — Commercial|HMO PPO: $38,550
  • BCBS - Anthem — Commercial|Pathway: $32,619
  • BCBS - Anthem — Medicaid|All Plans: $5,203.93
  • BCBS - Anthem — Medicare|All Plans: $24,102.49
  • CareSource — Commercial|All Plans: $48,204.98
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) In the file: HC TX ATRIAL FIB PULM VEIN ISOL $18,356 $8,647.20 $16,703.96
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $16,703.96
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: HC POLYSOMNOGRAPHY $6,534 $3,078.06 $999.57 – $5,945.94
Sleep study (overnight, in a sleep lab): 10 of 21 insurance plan rates
  • Aetna — Commercial|All Other Plans: $4,116.42
  • Aetna — Commercial|HMO: $4,116.42
  • Aetna — Commercial|PPO: $4,116.42
  • Aetna — Medicaid|Better Health: $1,764.18
  • Aetna — Medicare|All Plans: $1,029.56
  • BCBS - Anthem — Medicaid|All Plans: $1,852.39
  • BCBS - Anthem — Medicare|All Plans: $999.57
  • CareSource — Commercial|All Plans: $1,999.14
  • Cigna — Commercial|All Other Plans: $4,116.42
  • Cigna — Commercial|PPO: $4,116.42
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: HC POLYSOMNOGRAPHY $6,534 $3,078.06 $5,945.94
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $5,945.94

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC OT THER EXERCISE 15 MIN $168 $79.15 $39.47 – $152.88
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates
  • Aetna — Commercial|All Other Plans: $105.84
  • Aetna — Commercial|HMO: $105.84
  • Aetna — Commercial|PPO: $105.84
  • Aetna — Medicaid|Better Health: $45.36
  • BCBS - Anthem — Medicaid|All Plans: $47.63
  • Cigna — Commercial|All Other Plans: $105.84
  • Cigna — Commercial|PPO: $105.84
  • Humana — Medicaid|All Plans: $44.46
  • Multiplan — Commercial|All Plans: $152.88
  • Passport by Molina — Medicaid|All Plans: $39.47
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC PT THER EXERCISE 15 MIN $258 $121.54 $60.61 – $234.78
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates
  • Aetna — Commercial|All Other Plans: $162.54
  • Aetna — Commercial|HMO: $162.54
  • Aetna — Commercial|PPO: $162.54
  • Aetna — Medicaid|Better Health: $69.66
  • BCBS - Anthem — Medicaid|All Plans: $73.15
  • Cigna — Commercial|All Other Plans: $162.54
  • Cigna — Commercial|PPO: $162.54
  • Humana — Medicaid|All Plans: $68.27
  • Multiplan — Commercial|All Plans: $234.78
  • Passport by Molina — Medicaid|All Plans: $60.61
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: HC OT THER EXERCISE 15 MIN $168 $79.15 $152.88
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $152.88
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: HC PT EVAL LOW COMPLEX 20 MIN $345 $162.53 $81.05 – $313.95
Physical therapy evaluation (low complexity): 10 of 14 insurance plan rates
  • Aetna — Commercial|All Other Plans: $217.35
  • Aetna — Commercial|HMO: $217.35
  • Aetna — Commercial|PPO: $217.35
  • Aetna — Medicaid|Better Health: $93.15
  • BCBS - Anthem — Medicaid|All Plans: $97.81
  • Cigna — Commercial|All Other Plans: $217.35
  • Cigna — Commercial|PPO: $217.35
  • Humana — Medicaid|All Plans: $91.29
  • Multiplan — Commercial|All Plans: $313.95
  • Passport by Molina — Medicaid|All Plans: $81.05
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: HC PT EVAL LOW COMPLEX 20 MIN $345 $162.53 $313.95
Physical therapy evaluation (low complexity): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $313.95
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: HC PT EVAL MOD COMPLEX $411 $193.62 $96.55 – $374.01
Physical therapy evaluation (moderate complexity): 10 of 14 insurance plan rates
  • Aetna — Commercial|All Other Plans: $258.93
  • Aetna — Commercial|HMO: $258.93
  • Aetna — Commercial|PPO: $258.93
  • Aetna — Medicaid|Better Health: $110.97
  • BCBS - Anthem — Medicaid|All Plans: $116.52
  • Cigna — Commercial|All Other Plans: $258.93
  • Cigna — Commercial|PPO: $258.93
  • Humana — Medicaid|All Plans: $108.76
  • Multiplan — Commercial|All Plans: $374.01
  • Passport by Molina — Medicaid|All Plans: $96.55
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: HC PT EVAL MOD COMPLEX $411 $193.62 $374.01
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $374.01
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: HC PT EVAL HIGH COMPLEX $411 $193.62 $96.55 – $374.01
Physical therapy evaluation (high complexity): 10 of 14 insurance plan rates
  • Aetna — Commercial|All Other Plans: $258.93
  • Aetna — Commercial|HMO: $258.93
  • Aetna — Commercial|PPO: $258.93
  • Aetna — Medicaid|Better Health: $110.97
  • BCBS - Anthem — Medicaid|All Plans: $116.52
  • Cigna — Commercial|All Other Plans: $258.93
  • Cigna — Commercial|PPO: $258.93
  • Humana — Medicaid|All Plans: $108.76
  • Multiplan — Commercial|All Plans: $374.01
  • Passport by Molina — Medicaid|All Plans: $96.55
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: HC PT EVAL HIGH COMPLEX $411 $193.62 $374.01
Physical therapy evaluation (high complexity): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $374.01

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $2,657.78 – $7,524.38
Removal of breast growth (open surgery): 10 of 24 insurance plan rates
  • Aetna — Medicare|All Plans: $3,875.06
  • BCBS - Anthem — Commercial|HMO PPO: $3,796
  • BCBS - Anthem — Commercial|Pathway: $3,212
  • BCBS - Anthem — Medicare|All Plans: $3,762.19
  • CareSource — Commercial|All Plans: $7,524.38
  • Humana — Commercial|All Plans: $2,657.78
  • Humana — Medicare|All Plans: $3,762.19
  • Passport by Molina — Medicare|All Plans: $3,950.30
  • United — Medicare|All Plans: $3,912.68
  • Wellcare — Medicare|All Plans: $3,762.19
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 $3,078.06 – $25,282.78
Total hip replacement: 10 of 22 insurance plan rates
  • Aetna — Medicare|All Plans: $13,020.63
  • BCBS - Anthem — Medicare|All Plans: $12,641.39
  • CareSource — Commercial|All Plans: $25,282.78
  • Humana — Commercial|All Plans: $3,078.06
  • Humana — Medicare|All Plans: $12,641.39
  • Passport by Molina — Medicare|All Plans: $13,273.46
  • United — Medicare|All Plans: $13,147.05
  • Wellcare — Medicare|All Plans: $12,641.39
  • Aetna — Commercial|All Other Plans: 63% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial|HMO: 63% (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 $3,078.06 – $25,282.78
Total knee replacement: 10 of 22 insurance plan rates
  • Aetna — Medicare|All Plans: $13,020.63
  • BCBS - Anthem — Medicare|All Plans: $12,641.39
  • CareSource — Commercial|All Plans: $25,282.78
  • Humana — Commercial|All Plans: $3,078.06
  • Humana — Medicare|All Plans: $12,641.39
  • Passport by Molina — Medicare|All Plans: $13,273.46
  • United — Medicare|All Plans: $13,147.05
  • Wellcare — Medicare|All Plans: $12,641.39
  • Aetna — Commercial|All Other Plans: 63% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial|HMO: 63% (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 $2,657.78 – $3,796
Shoulder arthroscopy: shaving of shoulder bone: 10 of 17 insurance plan rates
  • BCBS - Anthem — Commercial|HMO PPO: $3,796
  • BCBS - Anthem — Commercial|Pathway: $3,212
  • Humana — Commercial|All Plans: $2,657.78
  • Aetna — Commercial|All Other Plans: 63% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial|HMO: 63% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial|PPO: 63% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicaid|Better Health: 27% (a percentage in the contract, not a dollar amount)
  • BCBS - Anthem — Medicaid|All Plans: 28.35% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial|All Other Plans: 63% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial|PPO: 63% (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 $3,078.06 – $6,375.52
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 24 insurance plan rates
  • Aetna — Medicare|All Plans: $3,283.39
  • BCBS - Anthem — Commercial|HMO PPO: $4,157
  • BCBS - Anthem — Commercial|Pathway: $3,517
  • BCBS - Anthem — Medicare|All Plans: $3,187.76
  • CareSource — Commercial|All Plans: $6,375.52
  • Humana — Commercial|All Plans: $3,078.06
  • Humana — Medicare|All Plans: $3,187.76
  • Passport by Molina — Medicare|All Plans: $3,347.15
  • United — Medicare|All Plans: $3,315.27
  • Wellcare — Medicare|All Plans: $3,187.76
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $2,657.78 – $11,624.04
Removal of tonsils and adenoids (under age 12): 10 of 24 insurance plan rates
  • Aetna — Medicare|All Plans: $5,986.38
  • BCBS - Anthem — Commercial|HMO PPO: $3,796
  • BCBS - Anthem — Commercial|Pathway: $3,212
  • BCBS - Anthem — Medicare|All Plans: $5,812.02
  • CareSource — Commercial|All Plans: $11,624.04
  • Humana — Commercial|All Plans: $2,657.78
  • Humana — Medicare|All Plans: $5,812.02
  • Passport by Molina — Medicare|All Plans: $6,102.62
  • United — Medicare|All Plans: $6,044.50
  • Wellcare — Medicare|All Plans: $5,812.02
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: HC EGD DIAGNOSTIC BRUSH WASH $2,500 $1,177.71 $587.25 – $2,275
Upper GI endoscopy (diagnostic): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $1,575
  • Aetna — Commercial|HMO: $1,575
  • Aetna — Commercial|PPO: $1,575
  • Aetna — Medicaid|Better Health: $675
  • Aetna — Medicare|All Plans: $948.76
  • BCBS - Anthem — Commercial|HMO PPO: $2,152
  • BCBS - Anthem — Commercial|Pathway: $1,821
  • BCBS - Anthem — Medicaid|All Plans: $708.75
  • BCBS - Anthem — Medicare|All Plans: $921.13
  • CareSource — Commercial|All Plans: $1,842.26
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: HC EGD DIAGNOSTIC BRUSH WASH $2,500 $1,177.71 $2,275
Upper GI endoscopy (diagnostic): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $2,275
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: HC EGD WITH BIOPSY $3,000 $1,413.25 $704.70 – $2,730
Upper GI endoscopy with biopsy: 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $1,890
  • Aetna — Commercial|HMO: $1,890
  • Aetna — Commercial|PPO: $1,890
  • Aetna — Medicaid|Better Health: $810
  • Aetna — Medicare|All Plans: $948.76
  • BCBS - Anthem — Commercial|HMO PPO: $2,376
  • BCBS - Anthem — Commercial|Pathway: $2,011
  • BCBS - Anthem — Medicaid|All Plans: $850.50
  • BCBS - Anthem — Medicare|All Plans: $921.13
  • CareSource — Commercial|All Plans: $1,842.26
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: HC EGD WITH BIOPSY $3,000 $1,413.25 $2,730
Upper GI endoscopy with biopsy: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $2,730
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $895.74 – $2,376
Colonoscopy (diagnostic): 10 of 24 insurance plan rates
  • Aetna — Medicare|All Plans: $922.61
  • BCBS - Anthem — Commercial|HMO PPO: $2,376
  • BCBS - Anthem — Commercial|Pathway: $2,011
  • BCBS - Anthem — Medicare|All Plans: $895.74
  • CareSource — Commercial|All Plans: $1,791.48
  • Humana — Commercial|All Plans: $1,923.63
  • Humana — Medicare|All Plans: $895.74
  • Passport by Molina — Medicare|All Plans: $940.53
  • United — Medicare|All Plans: $931.57
  • Wellcare — Medicare|All Plans: $895.74
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: HC COLONOSCOPY AND BIOPSY $3,569 $1,681.30 $838.36 – $3,247.79
Colonoscopy with biopsy: 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $2,248.47
  • Aetna — Commercial|HMO: $2,248.47
  • Aetna — Commercial|PPO: $2,248.47
  • Aetna — Medicaid|Better Health: $963.63
  • Aetna — Medicare|All Plans: $1,193.17
  • BCBS - Anthem — Commercial|HMO PPO: $2,376
  • BCBS - Anthem — Commercial|Pathway: $2,011
  • BCBS - Anthem — Medicaid|All Plans: $1,011.82
  • BCBS - Anthem — Medicare|All Plans: $1,158.42
  • CareSource — Commercial|All Plans: $2,316.84
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: HC COLONOSCOPY AND BIOPSY $3,569 $1,681.30 $3,247.79
Colonoscopy with biopsy: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $3,247.79
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: HC COLONOSCOPY W/LESION REMOVAL $5,603 $2,639.48 $1,158.42 – $5,098.73
Colonoscopy with removal of polyps (snare): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $3,529.89
  • Aetna — Commercial|HMO: $3,529.89
  • Aetna — Commercial|PPO: $3,529.89
  • Aetna — Medicaid|Better Health: $1,512.81
  • Aetna — Medicare|All Plans: $1,193.17
  • BCBS - Anthem — Commercial|HMO PPO: $2,376
  • BCBS - Anthem — Commercial|Pathway: $2,011
  • BCBS - Anthem — Medicaid|All Plans: $1,588.46
  • BCBS - Anthem — Medicare|All Plans: $1,158.42
  • CareSource — Commercial|All Plans: $2,316.84
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) In the file: HC COLONOSCOPY W/LESION REMOVAL $5,603 $2,639.48 $5,098.73
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $5,098.73
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 $1,158.42 – $2,376
Ultrasound of the lower bowel by endoscope: 10 of 24 insurance plan rates
  • Aetna — Medicare|All Plans: $1,193.17
  • BCBS - Anthem — Commercial|HMO PPO: $2,376
  • BCBS - Anthem — Commercial|Pathway: $2,011
  • BCBS - Anthem — Medicare|All Plans: $1,158.42
  • CareSource — Commercial|All Plans: $2,316.84
  • Humana — Commercial|All Plans: $1,923.63
  • Humana — Medicare|All Plans: $1,158.42
  • Passport by Molina — Medicare|All Plans: $1,216.34
  • United — Medicare|All Plans: $1,204.76
  • Wellcare — Medicare|All Plans: $1,158.42
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 $3,819 – $11,464.28
Gallbladder removal by laparoscope: 10 of 24 insurance plan rates
  • Aetna — Medicare|All Plans: $5,904.10
  • BCBS - Anthem — Commercial|HMO PPO: $4,514
  • BCBS - Anthem — Commercial|Pathway: $3,819
  • BCBS - Anthem — Medicare|All Plans: $5,732.14
  • CareSource — Commercial|All Plans: $11,464.28
  • Humana — Commercial|All Plans: $4,266.22
  • Humana — Medicare|All Plans: $5,732.14
  • Passport by Molina — Medicare|All Plans: $6,018.75
  • United — Medicare|All Plans: $5,961.43
  • Wellcare — Medicare|All Plans: $5,732.14
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 $3,078.06 – $6,934.46
Groin (inguinal) hernia repair, age 5 or older: 10 of 24 insurance plan rates
  • Aetna — Medicare|All Plans: $3,571.25
  • BCBS - Anthem — Commercial|HMO PPO: $4,157
  • BCBS - Anthem — Commercial|Pathway: $3,517
  • BCBS - Anthem — Medicare|All Plans: $3,467.23
  • CareSource — Commercial|All Plans: $6,934.46
  • Humana — Commercial|All Plans: $3,078.06
  • Humana — Medicare|All Plans: $3,467.23
  • Passport by Molina — Medicare|All Plans: $3,640.59
  • United — Medicare|All Plans: $3,605.92
  • Wellcare — Medicare|All Plans: $3,467.23
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY PROSTATE NEEDLE $4,327 $2,038.38 $1,016.42 – $4,025.24
Prostate biopsy: 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $2,726.01
  • Aetna — Commercial|HMO: $2,726.01
  • Aetna — Commercial|PPO: $2,726.01
  • Aetna — Medicaid|Better Health: $1,168.29
  • Aetna — Medicare|All Plans: $2,073
  • BCBS - Anthem — Commercial|HMO PPO: $2,376
  • BCBS - Anthem — Commercial|Pathway: $2,011
  • BCBS - Anthem — Medicaid|All Plans: $1,226.71
  • BCBS - Anthem — Medicare|All Plans: $2,012.62
  • CareSource — Commercial|All Plans: $4,025.24
Prostate biopsy CPT 55700 · Inpatient (hospital stay) In the file: BIOPSY PROSTATE NEEDLE $4,327 $2,038.38 $3,937.57
Prostate biopsy: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $3,937.57
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 $10,228.82 – $20,457.64
Prostate removal by laparoscope (radical prostatectomy): 10 of 22 insurance plan rates
  • Aetna — Medicare|All Plans: $10,535.68
  • BCBS - Anthem — Medicare|All Plans: $10,228.82
  • CareSource — Commercial|All Plans: $20,457.64
  • Humana — Medicare|All Plans: $10,228.82
  • Passport by Molina — Medicare|All Plans: $10,740.26
  • United — Medicare|All Plans: $10,637.97
  • Wellcare — Medicare|All Plans: $10,228.82
  • Aetna — Commercial|All Other Plans: 63% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial|HMO: 63% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial|PPO: 63% (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 $2,657.78 – $6,247.64
Hysteroscopy with biopsy of the uterus lining: 10 of 24 insurance plan rates
  • Aetna — Medicare|All Plans: $3,217.53
  • BCBS - Anthem — Commercial|HMO PPO: $3,796
  • BCBS - Anthem — Commercial|Pathway: $3,212
  • BCBS - Anthem — Medicare|All Plans: $3,123.82
  • CareSource — Commercial|All Plans: $6,247.64
  • Humana — Commercial|All Plans: $2,657.78
  • Humana — Medicare|All Plans: $3,123.82
  • Passport by Molina — Medicare|All Plans: $3,280.01
  • United — Medicare|All Plans: $3,248.77
  • Wellcare — Medicare|All Plans: $3,123.82
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: HC INJ LUMBAR W IMAGING $2,022 $952.53 $474.97 – $2,152
Spinal injection, lower back (epidural), with imaging guidance: 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $1,273.86
  • Aetna — Commercial|HMO: $1,273.86
  • Aetna — Commercial|PPO: $1,273.86
  • Aetna — Medicaid|Better Health: $545.94
  • Aetna — Medicare|All Plans: $700.80
  • BCBS - Anthem — Commercial|HMO PPO: $2,152
  • BCBS - Anthem — Commercial|Pathway: $1,821
  • BCBS - Anthem — Medicaid|All Plans: $573.24
  • BCBS - Anthem — Medicare|All Plans: $680.39
  • CareSource — Commercial|All Plans: $1,360.78
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: HC INJ LUMBAR W IMAGING $2,022 $952.53 $1,840.02
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $1,840.02
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: HC INJ(S) FORAMEN LUMB/SAC $2,583 $1,216.81 $606.75 – $2,350.53
Nerve root injection, lower back, with imaging guidance: 10 of 24 insurance plan rates
  • Aetna — Commercial|All Other Plans: $1,627.29
  • Aetna — Commercial|HMO: $1,627.29
  • Aetna — Commercial|PPO: $1,627.29
  • Aetna — Medicaid|Better Health: $697.41
  • Aetna — Medicare|All Plans: $900.93
  • BCBS - Anthem — Commercial|HMO PPO: $2,152
  • BCBS - Anthem — Commercial|Pathway: $1,821
  • BCBS - Anthem — Medicaid|All Plans: $732.29
  • BCBS - Anthem — Medicare|All Plans: $874.69
  • CareSource — Commercial|All Plans: $1,749.38
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: HC INJ(S) FORAMEN LUMB/SAC $2,583 $1,216.81 $2,350.53
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan
  • Multiplan — Commercial|All Plans: $2,350.53
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 $1,918.56 – $3,837.12
Carpal tunnel release: 10 of 24 insurance plan rates
  • Aetna — Medicare|All Plans: $1,976.12
  • BCBS - Anthem — Commercial|HMO PPO: $2,376
  • BCBS - Anthem — Commercial|Pathway: $2,011
  • BCBS - Anthem — Medicare|All Plans: $1,918.56
  • CareSource — Commercial|All Plans: $3,837.12
  • Humana — Commercial|All Plans: $1,923.63
  • Humana — Medicare|All Plans: $1,918.56
  • Passport by Molina — Medicare|All Plans: $2,014.49
  • United — Medicare|All Plans: $1,995.30
  • Wellcare — Medicare|All Plans: $1,918.56
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 $538.99 – $2,376
Laser treatment of clouding after cataract surgery: 10 of 24 insurance plan rates
  • Aetna — Medicare|All Plans: $555.16
  • BCBS - Anthem — Commercial|HMO PPO: $2,376
  • BCBS - Anthem — Commercial|Pathway: $2,011
  • BCBS - Anthem — Medicare|All Plans: $538.99
  • CareSource — Commercial|All Plans: $1,077.98
  • Humana — Commercial|All Plans: $1,923.63
  • Humana — Medicare|All Plans: $538.99
  • Passport by Molina — Medicare|All Plans: $565.94
  • United — Medicare|All Plans: $560.55
  • Wellcare — Medicare|All Plans: $538.99
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 $2,240.77 – $4,481.54
Cataract removal with lens implant: 10 of 24 insurance plan rates
  • Aetna — Medicare|All Plans: $2,307.99
  • BCBS - Anthem — Commercial|HMO PPO: $4,463
  • BCBS - Anthem — Commercial|Pathway: $3,776
  • BCBS - Anthem — Medicare|All Plans: $2,240.77
  • CareSource — Commercial|All Plans: $4,481.54
  • Humana — Commercial|All Plans: $4,266.22
  • Humana — Medicare|All Plans: $2,240.77
  • Passport by Molina — Medicare|All Plans: $2,352.81
  • United — Medicare|All Plans: $2,330.40
  • Wellcare — Medicare|All Plans: $2,240.77

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance 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 $3,078.06
Vaginal delivery, with care before and after: 10 of 13 insurance plan rates
  • Humana — Commercial|All Plans: $3,078.06
  • Aetna — Commercial|All Other Plans: 63% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial|HMO: 63% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial|PPO: 63% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicaid|Better Health: 27% (a percentage in the contract, not a dollar amount)
  • BCBS - Anthem — Medicaid|All Plans: 28.35% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial|All Other Plans: 63% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial|PPO: 63% (a percentage in the contract, not a dollar amount)
  • Humana — Medicaid|All Plans: 26.46% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial|All Plans: 91% (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 $3,078.06
Cesarean delivery (C-section), with care before and after: 10 of 13 insurance plan rates
  • Humana — Commercial|All Plans: $3,078.06
  • Aetna — Commercial|All Other Plans: 63% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial|HMO: 63% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial|PPO: 63% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicaid|Better Health: 27% (a percentage in the contract, not a dollar amount)
  • BCBS - Anthem — Medicaid|All Plans: 28.35% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial|All Other Plans: 63% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial|PPO: 63% (a percentage in the contract, not a dollar amount)
  • Humana — Medicaid|All Plans: 26.46% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial|All Plans: 91% (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 $3,078.06
Vaginal delivery after a previous C-section, with care before and after: 10 of 13 insurance plan rates
  • Humana — Commercial|All Plans: $3,078.06
  • Aetna — Commercial|All Other Plans: 63% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial|HMO: 63% (a percentage in the contract, not a dollar amount)
  • Aetna — Commercial|PPO: 63% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicaid|Better Health: 27% (a percentage in the contract, not a dollar amount)
  • BCBS - Anthem — Medicaid|All Plans: 28.35% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial|All Other Plans: 63% (a percentage in the contract, not a dollar amount)
  • Cigna — Commercial|PPO: 63% (a percentage in the contract, not a dollar amount)
  • Humana — Medicaid|All Plans: 26.46% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial|All Plans: 91% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) 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 $50,221 – $151,966
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 21 insurance plan rates
  • Aetna — Medicaid|Better Health: $58,341.94
  • Aetna — Medicare|All Plans: $70,283.26
  • BCBS - Anthem — Commercial|HMO PPO: $145,317
  • BCBS - Anthem — Commercial|Pathway: $151,966
  • BCBS - Anthem — Medicaid|All Plans: $68,065.59
  • BCBS - Anthem — Medicare|All Plans: $68,577.36
  • CareSource — Commercial|All Plans: $136,472.34
  • Cigna — Commercial|All Other Plans: $50,221
  • Cigna — Commercial|PPO: $50,221
  • Humana — Commercial|All Plans: $120,779
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 $20,225
Spinal fusion (not neck), without major complications: rates for 3 insurance plans
  • Cigna — Commercial|All Other Plans: $20,225
  • Cigna — Commercial|PPO: $20,225
  • Multiplan — Commercial|All Plans: 91% (a percentage in the contract, not a dollar amount)
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 $11,633.82 – $28,390
Hip or knee replacement (major joint of the leg), without major complications: 10 of 21 insurance plan rates
  • Aetna — Medicaid|Better Health: $11,633.82
  • Aetna — Medicare|All Plans: $14,015.01
  • BCBS - Anthem — Commercial|HMO PPO: $28,390
  • BCBS - Anthem — Commercial|Pathway: $27,668
  • BCBS - Anthem — Medicaid|All Plans: $13,572.79
  • BCBS - Anthem — Medicare|All Plans: $13,674.84
  • CareSource — Commercial|All Plans: $27,213.60
  • Cigna — Commercial|All Other Plans: $15,730
  • Cigna — Commercial|PPO: $15,730
  • Humana — Commercial|All Plans: $23,596
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 $14,532.32 – $35,646
Neck (cervical) spinal fusion, without complications: 10 of 19 insurance plan rates
  • Aetna — Medicaid|Better Health: $14,532.32
  • Aetna — Medicare|All Plans: $17,506.77
  • BCBS - Anthem — Commercial|HMO PPO: $35,646
  • BCBS - Anthem — Commercial|Pathway: $31,875
  • BCBS - Anthem — Medicaid|All Plans: $16,954.38
  • BCBS - Anthem — Medicare|All Plans: $17,081.85
  • CareSource — Commercial|All Plans: $33,993.72
  • Humana — Commercial|All Plans: $29,627
  • Humana — Medicaid|All Plans: $16,147.02
  • Humana — Medicare|All Plans: $16,996.86
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 $7,502.89 – $18,049
Uterus and ovary surgery (not for cancer), without complications: 10 of 19 insurance plan rates
  • Aetna — Medicaid|Better Health: $7,502.89
  • Aetna — Medicare|All Plans: $9,038.56
  • BCBS - Anthem — Commercial|HMO PPO: $18,049
  • BCBS - Anthem — Commercial|Pathway: $16,139
  • BCBS - Anthem — Medicaid|All Plans: $8,753.37
  • BCBS - Anthem — Medicare|All Plans: $8,819.18
  • CareSource — Commercial|All Plans: $17,550.60
  • Humana — Commercial|All Plans: $15,001
  • Humana — Medicaid|All Plans: $8,336.54
  • Humana — Medicare|All Plans: $8,775.30

Source: CHI St Joseph Health Regional Hospital’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 typeAcute Care Hospital
Address2801 Franciscan Dr, Bryan, TX 77802
CountyBrazos County
StateTexas
Phone(979) 776‑3912
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number450011
Name in Medicare recordsCHI ST JOSEPH HEALTH REGIONAL HOSPITAL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(979) 776‑3777[4]
Name on the hospital’s websiteCommonSpirit - St. Joseph Hospital - Bryan
Official websitecommonspirit.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. CommonSpirit - St. Joseph Hospital - Bryan — commonspirit.org
  2. CommonSpirit - St. Joseph Hospital - Bryan, TX | CommonSpirit Health — commonspirit.org