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Acute Care Hospital

CHI St Lukes Health Memorial Lufkin

Lufkin, Texas · Angelina County · Emergency services listed

Summary

CHI St Lukes Health Memorial Lufkin is an acute care hospital in Lufkin, Texas. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 91 services, specialties and programs. Medicare lists 306 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)
91Services listed

Quick answers

Does CHI St Lukes Health Memorial Lufkin have an emergency room?
Yes. Medicare (CMS) data lists emergency services at CHI St Lukes Health Memorial Lufkin. In a medical emergency, call 911.
Where is CHI St Lukes Health Memorial Lufkin?
1201 West Frank Street, Lufkin, TX 75901, in Angelina County, Texas.
What is the phone number of CHI St Lukes Health Memorial Lufkin?
(936) 634-8111, as listed by Medicare (CMS).
What is the Medicare star rating of CHI St Lukes Health Memorial Lufkin?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Conditions treated[4]

Treatments[4]

Procedures[4]

Programs and centers[4]

  • Primary Stroke Center program
  • HeartCARE Center
  • Chest Pain Center with PCI
  • Birth center

Emergency care (hospital website)[4]

Emergency roomYes
Open 24/7Yes
Stroke designationJoint Commission Certified Primary Stroke Center

Visiting and practical information

VisitingICU visiting 8-5:30 and 8-9 p.m.; two visitors at a time; no children under 12[4]

Recognition[4]

  • Joint Commission Certified Primary Stroke Center
  • AHA Get With The Guidelines Stroke Gold Plus
  • ACC HeartCARE Center National Distinction of Excellence
  • Chest Pain Center Accreditation with PCI (ACC)

Doctors and clinicians (306)

306 doctors and other clinicians list CHI St Lukes Health Memorial Lufkin 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 (306)

And 282 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 Lukes Health Memorial Lufkin reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1071%National average: 72%
Would definitely recommend the hospital71%National average: 71%
Nurses “always” communicated well79%National average: 80%
Doctors “always” communicated well81%National average: 80%
Staff “always” explained medicines before giving them64%National average: 62%
Were given information about recovery at home84%National average: 86%
Room and bathroom “always” clean71%National average: 74%
Area around the room “always” quiet at night59%National average: 60%
Completed surveys521Response rate: 17%

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)1.574No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.231No different from the national benchmark
Surgical site infections after colon surgery1.33No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.573No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.157Better 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 patients11.2%
Deaths within 30 days: heart failure patients10.2%
Deaths within 30 days: pneumonia patients12.6%
Deaths within 30 days: COPD patients9.1%
Deaths within 30 days: stroke patients16.8%
Deaths within 30 days: coronary bypass surgery (CABG)3%
Serious complications (patient safety indicator PSI-90)1.08No different from the national rate
Complications after hip or knee replacement3.6%

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 attack15.7%
Readmitted within 30 days: heart failure21.3%
Readmitted within 30 days: pneumonia17.7%
Readmitted within 30 days: COPD19.2%
Readmitted within 30 days: coronary bypass surgery14.6%
Readmitted within 30 days: hip or knee replacement5.1%

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)164 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)65%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 72 common services exactly as CHI St Lukes Health Memorial Lufkin 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 →

$ 2 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

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: OFFICE VISIT NEW PT 30 MIN $398 $59.70 $59.70 – $358.20
New patient office visit (about 30–44 minutes): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Plans: $250.74
  • BCBS — Medicaid|All Plans: $62.69
  • BCBS-TX — Commercial|Blue Advantage HMO: $189.05
  • BCBS-TX — Commercial|Blue Premier: $165.81
  • BCBS-TX — Commercial|HMO: $189.83
  • BCBS-TX — Commercial|PPO: $206.10
  • Cigna — Commercial|All Plans: $100
  • CIGNA HEALTHSPRING — Medicaid|STARPLUS: $60.90
  • Galaxy — Commercial|All Plans: $358.20
  • Humana — Commercial|All Plans: $202.98
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: WOUND CARE E&M NEW PT LVL 3 $456.96 $68.55 $68.55 – $411.27
New patient office visit (about 30–44 minutes): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Plans: $287.89
  • BCBS — Medicaid|All Plans: $71.98
  • BCBS-TX — Commercial|Blue Advantage HMO: $189.05
  • BCBS-TX — Commercial|Blue Premier: $165.81
  • BCBS-TX — Commercial|HMO: $189.83
  • BCBS-TX — Commercial|PPO: $206.10
  • Cigna — Commercial|All Plans: $100
  • CIGNA HEALTHSPRING — Medicaid|STARPLUS: $69.92
  • Galaxy — Commercial|All Plans: $411.27
  • Humana — Commercial|All Plans: $233.05
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: BCCCP OFFICE VISIT NEW PATIENT $126 $18.90 $31.50 – $126
New patient office visit (about 30–44 minutes): 10 of 12 insurance plan rates
  • Aetna — Commercial|All Plans: $79.38
  • BCBS-TX — Commercial|Blue Advantage HMO: $126
  • BCBS-TX — Commercial|Blue Premier: $126
  • BCBS-TX — Commercial|HMO: $126
  • BCBS-TX — Commercial|PPO: $126
  • Galaxy — Commercial|All Plans: $113.40
  • Humana — Commercial|All Plans: $64.26
  • Multiplan — Commercial|All Plans: $88.20
  • PHCS — Commercial|All Plans: $85.68
  • United — Commercial|All Other Plans: $40.32
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICE VISIT NEW PT 45 MIN $628.32 $94.25 $94.25 – $565.49
New patient office visit (about 45–59 minutes): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Plans: $395.85
  • BCBS — Medicaid|All Plans: $98.97
  • BCBS-TX — Commercial|Blue Advantage HMO: $320.08
  • BCBS-TX — Commercial|Blue Premier: $280.73
  • BCBS-TX — Commercial|HMO: $321.39
  • BCBS-TX — Commercial|PPO: $348.94
  • Cigna — Commercial|All Plans: $100
  • CIGNA HEALTHSPRING — Medicaid|STARPLUS: $96.14
  • Galaxy — Commercial|All Plans: $565.49
  • Humana — Commercial|All Plans: $320.45
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: WOUND CARE E&M NEW PT LVL 4 $682.38 $102.36 $100 – $614.15
New patient office visit (about 45–59 minutes): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Plans: $429.90
  • BCBS — Medicaid|All Plans: $107.48
  • BCBS-TX — Commercial|Blue Advantage HMO: $320.08
  • BCBS-TX — Commercial|Blue Premier: $280.73
  • BCBS-TX — Commercial|HMO: $321.39
  • BCBS-TX — Commercial|PPO: $348.94
  • Cigna — Commercial|All Plans: $100
  • CIGNA HEALTHSPRING — Medicaid|STARPLUS: $104.41
  • Galaxy — Commercial|All Plans: $614.15
  • Humana — Commercial|All Plans: $348.02
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: OFFICE VISIT NEW PT 45 MIN $628.32 $94.25 $320.45 – $565.49
New patient office visit (about 45–59 minutes): rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $395.85
  • Galaxy — Commercial|All Plans: $565.49
  • Humana — Commercial|All Plans: $320.45
  • Multiplan — Commercial|All Plans: $439.83
  • PHCS — Commercial|All Plans: $502.66
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HFC NEW PATIENT EVAL 1-2 HR $1,067 $160.05 $100 – $960.30
New patient office visit (about 60–74 minutes): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Plans: $672.21
  • BCBS — Medicaid|All Plans: $168.06
  • BCBS-TX — Commercial|Blue Advantage HMO: $417.70
  • BCBS-TX — Commercial|Blue Premier: $366.35
  • BCBS-TX — Commercial|HMO: $419.42
  • BCBS-TX — Commercial|PPO: $455.37
  • Cigna — Commercial|All Plans: $100
  • CIGNA HEALTHSPRING — Medicaid|STARPLUS: $163.26
  • Galaxy — Commercial|All Plans: $960.30
  • Humana — Commercial|All Plans: $544.17
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HFC NEW PATIENT EVAL 2-4 HR $1,646 $246.90 $100 – $1,481.40
New patient office visit (about 60–74 minutes): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Plans: $1,036.98
  • BCBS — Medicaid|All Plans: $259.25
  • BCBS-TX — Commercial|Blue Advantage HMO: $417.70
  • BCBS-TX — Commercial|Blue Premier: $366.35
  • BCBS-TX — Commercial|HMO: $419.42
  • BCBS-TX — Commercial|PPO: $455.37
  • Cigna — Commercial|All Plans: $100
  • CIGNA HEALTHSPRING — Medicaid|STARPLUS: $251.84
  • Galaxy — Commercial|All Plans: $1,481.40
  • Humana — Commercial|All Plans: $839.46
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFFICE VISIT NEW PT 60 MIN $746.64 $112 $100 – $671.98
New patient office visit (about 60–74 minutes): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Plans: $470.39
  • BCBS — Medicaid|All Plans: $117.60
  • BCBS-TX — Commercial|Blue Advantage HMO: $417.70
  • BCBS-TX — Commercial|Blue Premier: $366.35
  • BCBS-TX — Commercial|HMO: $419.42
  • BCBS-TX — Commercial|PPO: $455.37
  • Cigna — Commercial|All Plans: $100
  • CIGNA HEALTHSPRING — Medicaid|STARPLUS: $114.24
  • Galaxy — Commercial|All Plans: $671.98
  • Humana — Commercial|All Plans: $380.79
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: FOLLOW UP OFFICE VISIT EST PT 15M $418.20 $62.73 $62.73 – $376.38
Established patient office visit (about 20–29 minutes): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Plans: $263.47
  • BCBS — Medicaid|All Plans: $65.87
  • BCBS-TX — Commercial|Blue Advantage HMO: $126.64
  • BCBS-TX — Commercial|Blue Premier: $111.07
  • BCBS-TX — Commercial|HMO: $127.16
  • BCBS-TX — Commercial|PPO: $138.05
  • Cigna — Commercial|All Plans: $100
  • CIGNA HEALTHSPRING — Medicaid|STARPLUS: $63.99
  • Galaxy — Commercial|All Plans: $376.38
  • Humana — Commercial|All Plans: $213.29
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: WOUND CARE E&M EST PT LVL 3 $445.74 $66.87 $66.87 – $401.17
Established patient office visit (about 20–29 minutes): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Plans: $280.82
  • BCBS — Medicaid|All Plans: $70.21
  • BCBS-TX — Commercial|Blue Advantage HMO: $126.64
  • BCBS-TX — Commercial|Blue Premier: $111.07
  • BCBS-TX — Commercial|HMO: $127.16
  • BCBS-TX — Commercial|PPO: $138.05
  • Cigna — Commercial|All Plans: $100
  • CIGNA HEALTHSPRING — Medicaid|STARPLUS: $68.20
  • Galaxy — Commercial|All Plans: $401.17
  • Humana — Commercial|All Plans: $227.33
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: BCCCP OFFFICE VISIT ESTAB 15 MIN $82 $12.30 $20.50 – $82
Established patient office visit (about 20–29 minutes): 10 of 12 insurance plan rates
  • Aetna — Commercial|All Plans: $51.66
  • BCBS-TX — Commercial|Blue Advantage HMO: $82
  • BCBS-TX — Commercial|Blue Premier: $82
  • BCBS-TX — Commercial|HMO: $82
  • BCBS-TX — Commercial|PPO: $82
  • Galaxy — Commercial|All Plans: $73.80
  • Humana — Commercial|All Plans: $41.82
  • Multiplan — Commercial|All Plans: $57.40
  • PHCS — Commercial|All Plans: $55.76
  • United — Commercial|All Other Plans: $26.24
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: FOLLOW UP OFFICE VISIT EST PT 25M $491.64 $73.75 $73.75 – $442.48
Established patient office visit (about 30–39 minutes): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Plans: $309.74
  • BCBS — Medicaid|All Plans: $77.44
  • BCBS-TX — Commercial|Blue Advantage HMO: $195.22
  • BCBS-TX — Commercial|Blue Premier: $171.22
  • BCBS-TX — Commercial|HMO: $196.02
  • BCBS-TX — Commercial|PPO: $212.83
  • Cigna — Commercial|All Plans: $100
  • CIGNA HEALTHSPRING — Medicaid|STARPLUS: $75.23
  • Galaxy — Commercial|All Plans: $442.48
  • Humana — Commercial|All Plans: $250.74
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: WOUND CARE E&M EST PT LVL 4 $555.90 $83.39 $83.39 – $500.31
Established patient office visit (about 30–39 minutes): 10 of 24 insurance plan rates
  • Aetna — Commercial|All Plans: $350.22
  • BCBS — Medicaid|All Plans: $87.56
  • BCBS-TX — Commercial|Blue Advantage HMO: $195.22
  • BCBS-TX — Commercial|Blue Premier: $171.22
  • BCBS-TX — Commercial|HMO: $196.02
  • BCBS-TX — Commercial|PPO: $212.83
  • Cigna — Commercial|All Plans: $100
  • CIGNA HEALTHSPRING — Medicaid|STARPLUS: $85.06
  • Galaxy — Commercial|All Plans: $500.31
  • Humana — Commercial|All Plans: $283.51
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: FOLLOW UP OFFICE VISIT EST PT 25M $491.64 $73.75 $250.74 – $442.48
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $309.74
  • Galaxy — Commercial|All Plans: $442.48
  • Humana — Commercial|All Plans: $250.74
  • Multiplan — Commercial|All Plans: $344.15
  • PHCS — Commercial|All Plans: $393.32
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: LEVEL 2 -COMPREHENSIVE EXAM $344.04 $51.61 $27.53 – $1,638
Emergency room visit (moderate): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $216.75
  • AETNA — Medicare|All Plans: $261.72
  • Angelina County — Commercial|All Plans: $402.54
  • BCBS — Medicaid|All Plans: $28.90
  • BCBS — Medicare|All Plans: $261.72
  • BCBS-TX — Commercial|Blue Advantage HMO: $539
  • BCBS-TX — Commercial|Blue Premier: $344.04
  • BCBS-TX — Commercial|HMO: $344.04
  • BCBS-TX — Commercial|PPO: $344.04
  • Brookshire Brothers — Commercial|All Plans: $754.77
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: LEVEL 3-INTERMEDIATE CARE $2,046 $306.90 $163.68 – $1,841.40
Emergency room visit (moderate): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $1,288.98
  • AETNA — Medicare|All Plans: $261.72
  • Angelina County — Commercial|All Plans: $402.54
  • BCBS — Medicaid|All Plans: $171.87
  • BCBS — Medicare|All Plans: $261.72
  • BCBS-TX — Commercial|Blue Advantage HMO: $539
  • BCBS-TX — Commercial|Blue Premier: $477.95
  • BCBS-TX — Commercial|HMO: $547.18
  • BCBS-TX — Commercial|PPO: $594.08
  • Brookshire Brothers — Commercial|All Plans: $754.77
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: SA EXAMINER FEE-COMPREHENSIVE $273 $40.95 $21.84 – $1,638
Emergency room visit (moderate): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $171.99
  • AETNA — Medicare|All Plans: $261.72
  • Angelina County — Commercial|All Plans: $402.54
  • BCBS — Medicaid|All Plans: $22.94
  • BCBS — Medicare|All Plans: $261.72
  • BCBS-TX — Commercial|Blue Advantage HMO: $539
  • BCBS-TX — Commercial|Blue Premier: $273
  • BCBS-TX — Commercial|HMO: $273
  • BCBS-TX — Commercial|PPO: $273
  • Brookshire Brothers — Commercial|All Plans: $754.77
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: LEVEL 4-COMPREHENSIVE CARE $3,209 $481.35 $265 – $3,623
Emergency room visit (moderately high): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $2,021.67
  • AETNA — Medicare|All Plans: $402.49
  • Angelina County — Commercial|All Plans: $624.88
  • BCBS — Medicaid|All Plans: $505.42
  • BCBS — Medicare|All Plans: $402.49
  • BCBS-TX — Commercial|Blue Advantage HMO: $858.37
  • BCBS-TX — Commercial|Blue Premier: $752.83
  • BCBS-TX — Commercial|HMO: $861.89
  • BCBS-TX — Commercial|PPO: $935.76
  • Brookshire Brothers — Commercial|All Plans: $1,171.65
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: LEVEL 4-COMPREHENSIVE CARE $3,209 $481.35 $1,636.59 – $2,888.10
Emergency room visit (moderately high): rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $2,021.67
  • Galaxy — Commercial|All Plans: $2,888.10
  • Humana — Commercial|All Plans: $1,636.59
  • Multiplan — Commercial|All Plans: $2,246.30
  • PHCS — Commercial|All Plans: $2,567.20
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: LEVEL 5-INTENSIVE CARE $4,650 $697.50 $265 – $4,804
Emergency room visit (high): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $2,929.50
  • AETNA — Medicare|All Plans: $579.51
  • Angelina County — Commercial|All Plans: $906.21
  • BCBS — Medicaid|All Plans: $732.38
  • BCBS — Medicare|All Plans: $579.51
  • BCBS-TX — Commercial|Blue Advantage HMO: $1,231
  • BCBS-TX — Commercial|Blue Premier: $1,079.65
  • BCBS-TX — Commercial|HMO: $1,236.05
  • BCBS-TX — Commercial|PPO: $1,342
  • Brookshire Brothers — Commercial|All Plans: $1,699.14
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: LEVEL 5-INTENSIVE CARE $4,650 $697.50 $2,371.50 – $4,185
Emergency room visit (high): rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $2,929.50
  • Galaxy — Commercial|All Plans: $4,185
  • Humana — Commercial|All Plans: $2,371.50
  • Multiplan — Commercial|All Plans: $3,255
  • PHCS — Commercial|All Plans: $3,720

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANEL $568.14 $85.23 $7.11 – $511.33
Basic metabolic panel (blood test): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $357.93
  • AETNA — Medicare|All Plans: $8.46
  • Angelina County — Commercial|All Plans: $13.54
  • BCBS — Medicaid|All Plans: $7.47
  • BCBS — Medicare|All Plans: $8.46
  • BCBS-TX — Commercial|Blue Advantage HMO: $16.07
  • BCBS-TX — Commercial|Blue Premier: $27.92
  • BCBS-TX — Commercial|HMO: $29.61
  • BCBS-TX — Commercial|PPO: $34.18
  • Brookshire Brothers — Commercial|All Plans: $25.38
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: ED CHEM 8 $569 $85.35 $7.11 – $512.10
Basic metabolic panel (blood test): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $358.47
  • AETNA — Medicare|All Plans: $8.46
  • Angelina County — Commercial|All Plans: $13.54
  • BCBS — Medicaid|All Plans: $7.47
  • BCBS — Medicare|All Plans: $8.46
  • BCBS-TX — Commercial|Blue Advantage HMO: $16.07
  • BCBS-TX — Commercial|Blue Premier: $27.92
  • BCBS-TX — Commercial|HMO: $29.61
  • BCBS-TX — Commercial|PPO: $34.18
  • Brookshire Brothers — Commercial|All Plans: $25.38
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: EL BASIC METABOLIC (CHEM 7) $29 $4.35 $7.11 – $35.91
Basic metabolic panel (blood test): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $18.27
  • AETNA — Medicare|All Plans: $8.46
  • Angelina County — Commercial|All Plans: $13.54
  • BCBS — Medicaid|All Plans: $7.47
  • BCBS — Medicare|All Plans: $8.46
  • BCBS-TX — Commercial|Blue Advantage HMO: $16.07
  • BCBS-TX — Commercial|Blue Premier: $27.92
  • BCBS-TX — Commercial|HMO: $29
  • BCBS-TX — Commercial|PPO: $29
  • Brookshire Brothers — Commercial|All Plans: $25.38
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHENSIVE METABOLIC PANEL $1,329 $199.35 $8.87 – $1,196.10
Comprehensive metabolic panel (blood test): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $837.27
  • AETNA — Medicare|All Plans: $10.56
  • Angelina County — Commercial|All Plans: $16.90
  • BCBS — Medicaid|All Plans: $9.31
  • BCBS — Medicare|All Plans: $10.56
  • BCBS-TX — Commercial|Blue Advantage HMO: $20.06
  • BCBS-TX — Commercial|Blue Premier: $34.85
  • BCBS-TX — Commercial|HMO: $36.96
  • BCBS-TX — Commercial|PPO: $42.66
  • Brookshire Brothers — Commercial|All Plans: $31.68
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: EL COMPREHENSIVE METABOLIC PNL (C $40 $6 $8.87 – $46.37
Comprehensive metabolic panel (blood test): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $25.20
  • AETNA — Medicare|All Plans: $10.56
  • Angelina County — Commercial|All Plans: $16.90
  • BCBS — Medicaid|All Plans: $9.31
  • BCBS — Medicare|All Plans: $10.56
  • BCBS-TX — Commercial|Blue Advantage HMO: $20.06
  • BCBS-TX — Commercial|Blue Premier: $34.85
  • BCBS-TX — Commercial|HMO: $36.96
  • BCBS-TX — Commercial|PPO: $40
  • Brookshire Brothers — Commercial|All Plans: $31.68
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: LHF CMP $22 $3.30 $5.50 – $46.37
Comprehensive metabolic panel (blood test): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $13.86
  • AETNA — Medicare|All Plans: $10.56
  • Angelina County — Commercial|All Plans: $16.90
  • BCBS — Medicaid|All Plans: $9.31
  • BCBS — Medicare|All Plans: $10.56
  • BCBS-TX — Commercial|Blue Advantage HMO: $20.06
  • BCBS-TX — Commercial|Blue Premier: $22
  • BCBS-TX — Commercial|HMO: $22
  • BCBS-TX — Commercial|PPO: $22
  • Brookshire Brothers — Commercial|All Plans: $31.68
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: CORONARY RISK $682.38 $102.36 $7.66 – $614.15
Cholesterol panel (lipid panel): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $429.90
  • AETNA — Medicare|All Plans: $13.39
  • Angelina County — Commercial|All Plans: $21.42
  • BCBS — Medicaid|All Plans: $11.81
  • BCBS — Medicare|All Plans: $13.39
  • BCBS-TX — Commercial|Blue Advantage HMO: $25.44
  • BCBS-TX — Commercial|Blue Premier: $44.19
  • BCBS-TX — Commercial|HMO: $46.87
  • BCBS-TX — Commercial|PPO: $54.10
  • Brookshire Brothers — Commercial|All Plans: $40.17
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: CORONARY RISK (HF LUF) $15 $2.25 $3.75 – $58.34
Cholesterol panel (lipid panel): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $9.45
  • AETNA — Medicare|All Plans: $13.39
  • Angelina County — Commercial|All Plans: $21.42
  • BCBS — Medicaid|All Plans: $11.81
  • BCBS — Medicare|All Plans: $13.39
  • BCBS-TX — Commercial|Blue Advantage HMO: $15
  • BCBS-TX — Commercial|Blue Premier: $15
  • BCBS-TX — Commercial|HMO: $15
  • BCBS-TX — Commercial|PPO: $15
  • Brookshire Brothers — Commercial|All Plans: $40.17
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: EL CORONARY RISK $29 $4.35 $7.25 – $58.34
Cholesterol panel (lipid panel): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $18.27
  • AETNA — Medicare|All Plans: $13.39
  • Angelina County — Commercial|All Plans: $21.42
  • BCBS — Medicaid|All Plans: $11.81
  • BCBS — Medicare|All Plans: $13.39
  • BCBS-TX — Commercial|Blue Advantage HMO: $25.44
  • BCBS-TX — Commercial|Blue Premier: $29
  • BCBS-TX — Commercial|HMO: $29
  • BCBS-TX — Commercial|PPO: $29
  • Brookshire Brothers — Commercial|All Plans: $40.17
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: EL RENAL PANEL $35 $5.25 $7.29 – $37.38
Kidney function panel: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $22.05
  • AETNA — Medicare|All Plans: $8.68
  • Angelina County — Commercial|All Plans: $13.89
  • BCBS — Medicaid|All Plans: $7.65
  • BCBS — Medicare|All Plans: $8.68
  • BCBS-TX — Commercial|Blue Advantage HMO: $16.49
  • BCBS-TX — Commercial|Blue Premier: $28.64
  • BCBS-TX — Commercial|HMO: $30.38
  • BCBS-TX — Commercial|PPO: $35
  • Brookshire Brothers — Commercial|All Plans: $26.04
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL $948.75 $142.32 $7.29 – $853.88
Kidney function panel: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $597.72
  • AETNA — Medicare|All Plans: $8.68
  • Angelina County — Commercial|All Plans: $13.89
  • BCBS — Medicaid|All Plans: $7.65
  • BCBS — Medicare|All Plans: $8.68
  • BCBS-TX — Commercial|Blue Advantage HMO: $16.49
  • BCBS-TX — Commercial|Blue Premier: $28.64
  • BCBS-TX — Commercial|HMO: $30.38
  • BCBS-TX — Commercial|PPO: $35.07
  • Brookshire Brothers — Commercial|All Plans: $26.04
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: EL RENAL PANEL $35 $5.25 $17.85 – $31.50
Kidney function panel: rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $22.05
  • Galaxy — Commercial|All Plans: $31.50
  • Humana — Commercial|All Plans: $17.85
  • Multiplan — Commercial|All Plans: $24.50
  • PHCS — Commercial|All Plans: $28
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: EL HEPATIC FUNCTION $35 $5.25 $6.86 – $35.91
Liver function panel: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $22.05
  • AETNA — Medicare|All Plans: $8.17
  • Angelina County — Commercial|All Plans: $13.07
  • BCBS — Medicaid|All Plans: $7.20
  • BCBS — Medicare|All Plans: $8.17
  • BCBS-TX — Commercial|Blue Advantage HMO: $15.52
  • BCBS-TX — Commercial|Blue Premier: $26.96
  • BCBS-TX — Commercial|HMO: $28.60
  • BCBS-TX — Commercial|PPO: $33.01
  • Brookshire Brothers — Commercial|All Plans: $24.51
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: LIVER FUNCTION PANEL $768 $115.20 $6.86 – $691.20
Liver function panel: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $483.84
  • AETNA — Medicare|All Plans: $8.17
  • Angelina County — Commercial|All Plans: $13.07
  • BCBS — Medicaid|All Plans: $7.20
  • BCBS — Medicare|All Plans: $8.17
  • BCBS-TX — Commercial|Blue Advantage HMO: $15.52
  • BCBS-TX — Commercial|Blue Premier: $26.96
  • BCBS-TX — Commercial|HMO: $28.60
  • BCBS-TX — Commercial|PPO: $33.01
  • Brookshire Brothers — Commercial|All Plans: $24.51
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: EL HEPATIC FUNCTION $35 $5.25 $17.85 – $31.50
Liver function panel: rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $22.05
  • Galaxy — Commercial|All Plans: $31.50
  • Humana — Commercial|All Plans: $17.85
  • Multiplan — Commercial|All Plans: $24.50
  • PHCS — Commercial|All Plans: $28
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: EL URINALYSIS $17 $2.55 $2.66 – $15.30
Urine test (automated, with microscope): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $10.71
  • AETNA — Medicare|All Plans: $3.17
  • Angelina County — Commercial|All Plans: $5.07
  • BCBS — Medicaid|All Plans: $2.79
  • BCBS — Medicare|All Plans: $3.17
  • BCBS-TX — Commercial|Blue Advantage HMO: $6.02
  • BCBS-TX — Commercial|Blue Premier: $10.46
  • BCBS-TX — Commercial|HMO: $11.10
  • BCBS-TX — Commercial|PPO: $12.81
  • Brookshire Brothers — Commercial|All Plans: $9.51
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS WITH MICROSCOPIC $385 $57.75 $2.66 – $346.50
Urine test (automated, with microscope): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $242.55
  • AETNA — Medicare|All Plans: $3.17
  • Angelina County — Commercial|All Plans: $5.07
  • BCBS — Medicaid|All Plans: $2.79
  • BCBS — Medicare|All Plans: $3.17
  • BCBS-TX — Commercial|Blue Advantage HMO: $6.02
  • BCBS-TX — Commercial|Blue Premier: $10.46
  • BCBS-TX — Commercial|HMO: $11.10
  • BCBS-TX — Commercial|PPO: $12.81
  • Brookshire Brothers — Commercial|All Plans: $9.51
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: EL URINALYSIS $17 $2.55 $8.67 – $15.30
Urine test (automated, with microscope): rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $10.71
  • Galaxy — Commercial|All Plans: $15.30
  • Humana — Commercial|All Plans: $8.67
  • Multiplan — Commercial|All Plans: $11.90
  • PHCS — Commercial|All Plans: $13.60
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: PH URINE $102 $15.30 $1.89 – $91.80
Urine test (automated, without microscope): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $64.26
  • AETNA — Medicare|All Plans: $2.25
  • Angelina County — Commercial|All Plans: $3.60
  • BCBS — Medicaid|All Plans: $1.98
  • BCBS — Medicare|All Plans: $2.25
  • BCBS-TX — Commercial|Blue Advantage HMO: $4.28
  • BCBS-TX — Commercial|Blue Premier: $7.43
  • BCBS-TX — Commercial|HMO: $7.88
  • BCBS-TX — Commercial|PPO: $9.09
  • Brookshire Brothers — Commercial|All Plans: $6.75
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: SP GRAVITY URINE $94 $14.10 $1.89 – $84.60
Urine test (automated, without microscope): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $59.22
  • AETNA — Medicare|All Plans: $2.25
  • Angelina County — Commercial|All Plans: $3.60
  • BCBS — Medicaid|All Plans: $1.98
  • BCBS — Medicare|All Plans: $2.25
  • BCBS-TX — Commercial|Blue Advantage HMO: $4.28
  • BCBS-TX — Commercial|Blue Premier: $7.43
  • BCBS-TX — Commercial|HMO: $7.88
  • BCBS-TX — Commercial|PPO: $9.09
  • Brookshire Brothers — Commercial|All Plans: $6.75
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: STAT LAB URINE DIPSTICK $167.50 $25.13 $1.89 – $150.75
Urine test (automated, without microscope): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $105.53
  • AETNA — Medicare|All Plans: $2.25
  • Angelina County — Commercial|All Plans: $3.60
  • BCBS — Medicaid|All Plans: $1.98
  • BCBS — Medicare|All Plans: $2.25
  • BCBS-TX — Commercial|Blue Advantage HMO: $4.28
  • BCBS-TX — Commercial|Blue Premier: $7.43
  • BCBS-TX — Commercial|HMO: $7.88
  • BCBS-TX — Commercial|PPO: $9.09
  • Brookshire Brothers — Commercial|All Plans: $6.75
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: EL PROSTATE SPECIFIC ANTIGEN $50 $7.50 $12.50 – $79.25
PSA (prostate specific antigen) blood test: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $31.50
  • AETNA — Medicare|All Plans: $18.39
  • Angelina County — Commercial|All Plans: $29.42
  • BCBS — Medicaid|All Plans: $16.22
  • BCBS — Medicare|All Plans: $18.39
  • BCBS-TX — Commercial|Blue Advantage HMO: $34.94
  • BCBS-TX — Commercial|Blue Premier: $50
  • BCBS-TX — Commercial|HMO: $50
  • BCBS-TX — Commercial|PPO: $50
  • Brookshire Brothers — Commercial|All Plans: $55.17
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: EL PSA ULTRASENSITIVE $58 $8.70 $14.50 – $79.25
PSA (prostate specific antigen) blood test: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $36.54
  • AETNA — Medicare|All Plans: $18.39
  • Angelina County — Commercial|All Plans: $29.42
  • BCBS — Medicaid|All Plans: $16.22
  • BCBS — Medicare|All Plans: $18.39
  • BCBS-TX — Commercial|Blue Advantage HMO: $34.94
  • BCBS-TX — Commercial|Blue Premier: $58
  • BCBS-TX — Commercial|HMO: $58
  • BCBS-TX — Commercial|PPO: $58
  • Brookshire Brothers — Commercial|All Plans: $55.17
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA ULTRASENSITIVE $665 $99.75 $15.45 – $598.50
PSA (prostate specific antigen) blood test: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $418.95
  • AETNA — Medicare|All Plans: $18.39
  • Angelina County — Commercial|All Plans: $29.42
  • BCBS — Medicaid|All Plans: $16.22
  • BCBS — Medicare|All Plans: $18.39
  • BCBS-TX — Commercial|Blue Advantage HMO: $34.94
  • BCBS-TX — Commercial|Blue Premier: $60.69
  • BCBS-TX — Commercial|HMO: $64.37
  • BCBS-TX — Commercial|PPO: $74.30
  • Brookshire Brothers — Commercial|All Plans: $55.17
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: EL TSH (ULTRA SENSITIVE) $35 $5.25 $8.75 – $73.29
Thyroid stimulating hormone (TSH) test: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $22.05
  • AETNA — Medicare|All Plans: $16.80
  • Angelina County — Commercial|All Plans: $26.88
  • BCBS — Medicaid|All Plans: $14.82
  • BCBS — Medicare|All Plans: $16.80
  • BCBS-TX — Commercial|Blue Advantage HMO: $31.92
  • BCBS-TX — Commercial|Blue Premier: $35
  • BCBS-TX — Commercial|HMO: $35
  • BCBS-TX — Commercial|PPO: $35
  • Brookshire Brothers — Commercial|All Plans: $50.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: LHF TSH $23 $3.45 $5.75 – $73.29
Thyroid stimulating hormone (TSH) test: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $14.49
  • AETNA — Medicare|All Plans: $16.80
  • Angelina County — Commercial|All Plans: $26.88
  • BCBS — Medicaid|All Plans: $14.82
  • BCBS — Medicare|All Plans: $16.80
  • BCBS-TX — Commercial|Blue Advantage HMO: $23
  • BCBS-TX — Commercial|Blue Premier: $23
  • BCBS-TX — Commercial|HMO: $23
  • BCBS-TX — Commercial|PPO: $23
  • Brookshire Brothers — Commercial|All Plans: $50.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: SAHF TSH $13 $1.95 $3.25 – $73.29
Thyroid stimulating hormone (TSH) test: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $8.19
  • AETNA — Medicare|All Plans: $13
  • Angelina County — Commercial|All Plans: $20.80
  • BCBS — Medicaid|All Plans: $14.82
  • BCBS — Medicare|All Plans: $13
  • BCBS-TX — Commercial|Blue Advantage HMO: $13
  • BCBS-TX — Commercial|Blue Premier: $13
  • BCBS-TX — Commercial|HMO: $13
  • BCBS-TX — Commercial|PPO: $13
  • Brookshire Brothers — Commercial|All Plans: $39
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC WITH AUTO DIFF $359.04 $53.86 $6.53 – $323.14
Complete blood count (CBC) with differential: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $226.20
  • AETNA — Medicare|All Plans: $7.77
  • Angelina County — Commercial|All Plans: $12.43
  • BCBS — Medicaid|All Plans: $6.86
  • BCBS — Medicare|All Plans: $7.77
  • BCBS-TX — Commercial|Blue Advantage HMO: $14.76
  • BCBS-TX — Commercial|Blue Premier: $25.64
  • BCBS-TX — Commercial|HMO: $27.20
  • BCBS-TX — Commercial|PPO: $31.39
  • Brookshire Brothers — Commercial|All Plans: $23.31
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: EL CBC & PLATELET $23 $3.45 $5.75 – $32.89
Complete blood count (CBC) with differential: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $14.49
  • AETNA — Medicare|All Plans: $7.77
  • Angelina County — Commercial|All Plans: $12.43
  • BCBS — Medicaid|All Plans: $6.86
  • BCBS — Medicare|All Plans: $7.77
  • BCBS-TX — Commercial|Blue Advantage HMO: $14.76
  • BCBS-TX — Commercial|Blue Premier: $23
  • BCBS-TX — Commercial|HMO: $23
  • BCBS-TX — Commercial|PPO: $23
  • Brookshire Brothers — Commercial|All Plans: $23.31
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: STAT LAB CBC W AUTO DIFF $440 $66 $6.53 – $396
Complete blood count (CBC) with differential: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $277.20
  • AETNA — Medicare|All Plans: $7.77
  • Angelina County — Commercial|All Plans: $12.43
  • BCBS — Medicaid|All Plans: $6.86
  • BCBS — Medicare|All Plans: $7.77
  • BCBS-TX — Commercial|Blue Advantage HMO: $14.76
  • BCBS-TX — Commercial|Blue Premier: $25.64
  • BCBS-TX — Commercial|HMO: $27.20
  • BCBS-TX — Commercial|PPO: $31.39
  • Brookshire Brothers — Commercial|All Plans: $23.31
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC (HEMOGRAM ONLY) $282.54 $42.39 $5.43 – $254.29
Complete blood count (CBC), automated: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $178.01
  • AETNA — Medicare|All Plans: $6.47
  • Angelina County — Commercial|All Plans: $10.35
  • BCBS — Medicaid|All Plans: $5.70
  • BCBS — Medicare|All Plans: $6.47
  • BCBS-TX — Commercial|Blue Advantage HMO: $12.29
  • BCBS-TX — Commercial|Blue Premier: $21.35
  • BCBS-TX — Commercial|HMO: $22.65
  • BCBS-TX — Commercial|PPO: $26.14
  • Brookshire Brothers — Commercial|All Plans: $19.41
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: EL HEMOGRAM $17 $2.55 $4.25 – $28.43
Complete blood count (CBC), automated: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $10.71
  • AETNA — Medicare|All Plans: $6.47
  • Angelina County — Commercial|All Plans: $10.35
  • BCBS — Medicaid|All Plans: $5.70
  • BCBS — Medicare|All Plans: $6.47
  • BCBS-TX — Commercial|Blue Advantage HMO: $12.29
  • BCBS-TX — Commercial|Blue Premier: $17
  • BCBS-TX — Commercial|HMO: $17
  • BCBS-TX — Commercial|PPO: $17
  • Brookshire Brothers — Commercial|All Plans: $19.41
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: CBC (HEMOGRAM ONLY) $282.54 $42.39 $144.10 – $254.29
Complete blood count (CBC), automated: rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $178.01
  • Galaxy — Commercial|All Plans: $254.29
  • Humana — Commercial|All Plans: $144.10
  • Multiplan — Commercial|All Plans: $197.78
  • PHCS — Commercial|All Plans: $226.04
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: ED PROTIME INR $248 $37.20 $3.60 – $223.20
Blood clotting time test (prothrombin time, PT): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $156.24
  • AETNA — Medicare|All Plans: $4.29
  • Angelina County — Commercial|All Plans: $6.86
  • BCBS — Medicaid|All Plans: $3.78
  • BCBS — Medicare|All Plans: $4.29
  • BCBS-TX — Commercial|Blue Advantage HMO: $8.15
  • BCBS-TX — Commercial|Blue Premier: $14.16
  • BCBS-TX — Commercial|HMO: $15.02
  • BCBS-TX — Commercial|PPO: $17.33
  • Brookshire Brothers — Commercial|All Plans: $12.87
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: EL PT PROTIME $23 $3.45 $3.60 – $20.70
Blood clotting time test (prothrombin time, PT): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $14.49
  • AETNA — Medicare|All Plans: $4.29
  • Angelina County — Commercial|All Plans: $6.86
  • BCBS — Medicaid|All Plans: $3.78
  • BCBS — Medicare|All Plans: $4.29
  • BCBS-TX — Commercial|Blue Advantage HMO: $8.15
  • BCBS-TX — Commercial|Blue Premier: $14.16
  • BCBS-TX — Commercial|HMO: $15.02
  • BCBS-TX — Commercial|PPO: $17.33
  • Brookshire Brothers — Commercial|All Plans: $12.87
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME PT INR $247.86 $37.18 $3.60 – $223.08
Blood clotting time test (prothrombin time, PT): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $156.16
  • AETNA — Medicare|All Plans: $4.29
  • Angelina County — Commercial|All Plans: $6.86
  • BCBS — Medicaid|All Plans: $3.78
  • BCBS — Medicare|All Plans: $4.29
  • BCBS-TX — Commercial|Blue Advantage HMO: $8.15
  • BCBS-TX — Commercial|Blue Premier: $14.16
  • BCBS-TX — Commercial|HMO: $15.02
  • BCBS-TX — Commercial|PPO: $17.33
  • Brookshire Brothers — Commercial|All Plans: $12.87
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: EL PTT $23 $3.45 $5.05 – $25.41
Blood clotting test (partial thromboplastin time, PTT): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $14.49
  • AETNA — Medicare|All Plans: $6.01
  • Angelina County — Commercial|All Plans: $9.62
  • BCBS — Medicaid|All Plans: $5.30
  • BCBS — Medicare|All Plans: $6.01
  • BCBS-TX — Commercial|Blue Advantage HMO: $11.42
  • BCBS-TX — Commercial|Blue Premier: $19.83
  • BCBS-TX — Commercial|HMO: $21.04
  • BCBS-TX — Commercial|PPO: $23
  • Brookshire Brothers — Commercial|All Plans: $18.03
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT PARTIAL THROMBOPLASTIN TM $365 $54.75 $5.05 – $328.50
Blood clotting test (partial thromboplastin time, PTT): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $229.95
  • AETNA — Medicare|All Plans: $6.01
  • Angelina County — Commercial|All Plans: $9.62
  • BCBS — Medicaid|All Plans: $5.30
  • BCBS — Medicare|All Plans: $6.01
  • BCBS-TX — Commercial|Blue Advantage HMO: $11.42
  • BCBS-TX — Commercial|Blue Premier: $19.83
  • BCBS-TX — Commercial|HMO: $21.04
  • BCBS-TX — Commercial|PPO: $24.28
  • Brookshire Brothers — Commercial|All Plans: $18.03
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: EL PTT $23 $3.45 $11.73 – $20.70
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $14.49
  • Galaxy — Commercial|All Plans: $20.70
  • Humana — Commercial|All Plans: $11.73
  • Multiplan — Commercial|All Plans: $16.10
  • PHCS — Commercial|All Plans: $18.40

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: CT BRAIN (CODE TPA) W/O CON $5,436 $815.40 $100.51 – $4,892.40
CT scan of the head or brain, without contrast: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $3,424.68
  • AETNA — Medicare|All Plans: $100.51
  • Angelina County — Commercial|All Plans: $155.10
  • BCBS — Medicaid|All Plans: $138.59
  • BCBS — Medicare|All Plans: $100.51
  • BCBS-TX — Commercial|Blue Advantage HMO: $128.89
  • BCBS-TX — Commercial|Blue Premier: $353.05
  • BCBS-TX — Commercial|HMO: $370.98
  • BCBS-TX — Commercial|PPO: $447.20
  • Brookshire Brothers — Commercial|All Plans: $290.82
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT BRAIN (CODE TPA) W/O CON $5,436 $815.40 $2,772.36 – $4,892.40
CT scan of the head or brain, without contrast: rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $3,424.68
  • Galaxy — Commercial|All Plans: $4,892.40
  • Humana — Commercial|All Plans: $2,772.36
  • Multiplan — Commercial|All Plans: $3,805.20
  • PHCS — Commercial|All Plans: $4,348.80
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN WO/W CONT $14,515 $2,177.25 $337.57 – $13,063.50
MRI of the brain, before and after contrast: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $9,144.45
  • AETNA — Medicare|All Plans: $337.57
  • Angelina County — Commercial|All Plans: $542.58
  • BCBS — Medicaid|All Plans: $484.77
  • BCBS — Medicare|All Plans: $337.57
  • BCBS-TX — Commercial|Blue Advantage HMO: $439.13
  • BCBS-TX — Commercial|Blue Premier: $1,202.83
  • BCBS-TX — Commercial|HMO: $1,263.92
  • BCBS-TX — Commercial|PPO: $1,523.58
  • Brookshire Brothers — Commercial|All Plans: $1,017.33
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MRI BRAIN WO/W CONT $14,515 $2,177.25 $7,402.65 – $13,063.50
MRI of the brain, before and after contrast: rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $9,144.45
  • Galaxy — Commercial|All Plans: $13,063.50
  • Humana — Commercial|All Plans: $7,402.65
  • Multiplan — Commercial|All Plans: $10,160.50
  • PHCS — Commercial|All Plans: $11,612
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: XR CHEST PA /LATERAL 2 VIEWS $1,333 $199.95 $83.23 – $1,199.70
Chest X-ray, 2 views: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $839.79
  • AETNA — Medicare|All Plans: $83.23
  • Angelina County — Commercial|All Plans: $128.21
  • BCBS — Medicaid|All Plans: $114.54
  • BCBS — Medicare|All Plans: $83.23
  • BCBS-TX — Commercial|Blue Advantage HMO: $150.04
  • BCBS-TX — Commercial|Blue Premier: $206.71
  • BCBS-TX — Commercial|HMO: $214.69
  • BCBS-TX — Commercial|PPO: $238.63
  • Brookshire Brothers — Commercial|All Plans: $240.39
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: XR CHEST PA /LATERAL 2 VIEWS $1,333 $199.95 $679.83 – $1,199.70
Chest X-ray, 2 views: rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $839.79
  • Galaxy — Commercial|All Plans: $1,199.70
  • Humana — Commercial|All Plans: $679.83
  • Multiplan — Commercial|All Plans: $933.10
  • PHCS — Commercial|All Plans: $1,066.40
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR L-S SPINE MIN 4 V $3,433 $514.95 $100.51 – $3,089.70
X-ray of the lower spine, at least 4 views: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $2,162.79
  • AETNA — Medicare|All Plans: $100.51
  • Angelina County — Commercial|All Plans: $155.10
  • BCBS — Medicaid|All Plans: $138.59
  • BCBS — Medicare|All Plans: $100.51
  • BCBS-TX — Commercial|Blue Advantage HMO: $210.71
  • BCBS-TX — Commercial|Blue Premier: $290.29
  • BCBS-TX — Commercial|HMO: $301.50
  • BCBS-TX — Commercial|PPO: $335.12
  • Brookshire Brothers — Commercial|All Plans: $290.82
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: XR L-S SPINE MIN 4 V $3,433 $514.95 $1,750.83 – $3,089.70
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $2,162.79
  • Galaxy — Commercial|All Plans: $3,089.70
  • Humana — Commercial|All Plans: $1,750.83
  • Multiplan — Commercial|All Plans: $2,403.10
  • PHCS — Commercial|All Plans: $2,746.40
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI LSPINE W/O CONTRAST $7,847.88 $1,177.19 $228.48 – $7,063.10
MRI of the lower back (lumbar spine), without contrast: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $4,944.17
  • AETNA — Medicare|All Plans: $228.48
  • Angelina County — Commercial|All Plans: $345.71
  • BCBS — Medicaid|All Plans: $308.88
  • BCBS — Medicare|All Plans: $228.48
  • BCBS-TX — Commercial|Blue Advantage HMO: $268
  • BCBS-TX — Commercial|Blue Premier: $734.08
  • BCBS-TX — Commercial|HMO: $771.36
  • BCBS-TX — Commercial|PPO: $929.83
  • Brookshire Brothers — Commercial|All Plans: $648.21
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MRI LSPINE W/O CONTRAST $7,847.88 $1,177.19 $4,002.42 – $7,063.10
MRI of the lower back (lumbar spine), without contrast: rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $4,944.17
  • Galaxy — Commercial|All Plans: $7,063.10
  • Humana — Commercial|All Plans: $4,002.42
  • Multiplan — Commercial|All Plans: $5,493.52
  • PHCS — Commercial|All Plans: $6,278.31
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/CONTRAST $9,882 $1,482.30 $168.27 – $8,893.80
CT scan of the pelvis, with contrast: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $6,225.66
  • AETNA — Medicare|All Plans: $168.27
  • Angelina County — Commercial|All Plans: $259.22
  • BCBS — Medicaid|All Plans: $231.61
  • BCBS — Medicare|All Plans: $168.27
  • BCBS-TX — Commercial|Blue Advantage HMO: $209.55
  • BCBS-TX — Commercial|Blue Premier: $573.99
  • BCBS-TX — Commercial|HMO: $603.15
  • BCBS-TX — Commercial|PPO: $727.06
  • Brookshire Brothers — Commercial|All Plans: $486.03
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT PELVIS W/CONTRAST $9,882 $1,482.30 $5,039.82 – $8,893.80
CT scan of the pelvis, with contrast: rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $6,225.66
  • Galaxy — Commercial|All Plans: $8,893.80
  • Humana — Commercial|All Plans: $5,039.82
  • Multiplan — Commercial|All Plans: $6,917.40
  • PHCS — Commercial|All Plans: $7,905.60
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI KNEE WO CONTRAST $10,712 $1,606.80 $228.48 – $9,640.80
MRI of a leg joint (such as the knee), without contrast: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $6,748.56
  • AETNA — Medicare|All Plans: $228.48
  • Angelina County — Commercial|All Plans: $345.71
  • BCBS — Medicaid|All Plans: $308.88
  • BCBS — Medicare|All Plans: $228.48
  • BCBS-TX — Commercial|Blue Advantage HMO: $268
  • BCBS-TX — Commercial|Blue Premier: $734.08
  • BCBS-TX — Commercial|HMO: $771.36
  • BCBS-TX — Commercial|PPO: $929.83
  • Brookshire Brothers — Commercial|All Plans: $648.21
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: MRI KNEE WO CONTRAST $10,712 $1,606.80 $5,463.12 – $9,640.80
MRI of a leg joint (such as the knee), without contrast: rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $6,748.56
  • Galaxy — Commercial|All Plans: $9,640.80
  • Humana — Commercial|All Plans: $5,463.12
  • Multiplan — Commercial|All Plans: $7,498.40
  • PHCS — Commercial|All Plans: $8,569.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABDOMEN/PELVIS W/CONTRAST $13,616 $2,042.40 $337.57 – $12,254.40
CT scan of the abdomen and pelvis, with contrast: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $8,578.08
  • AETNA — Medicare|All Plans: $337.57
  • Angelina County — Commercial|All Plans: $542.58
  • BCBS — Medicaid|All Plans: $484.77
  • BCBS — Medicare|All Plans: $337.57
  • BCBS-TX — Commercial|Blue Advantage HMO: $439.13
  • BCBS-TX — Commercial|Blue Premier: $1,202.83
  • BCBS-TX — Commercial|HMO: $1,263.92
  • BCBS-TX — Commercial|PPO: $1,523.58
  • Brookshire Brothers — Commercial|All Plans: $1,017.33
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT ABDOMEN/PELVIS W/CONTRAST $13,616 $2,042.40 $6,944.16 – $12,254.40
CT scan of the abdomen and pelvis, with contrast: rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $8,578.08
  • Galaxy — Commercial|All Plans: $12,254.40
  • Humana — Commercial|All Plans: $6,944.16
  • Multiplan — Commercial|All Plans: $9,531.20
  • PHCS — Commercial|All Plans: $10,892.80
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMPLETE $3,470 $520.50 $100.51 – $3,123
Ultrasound of the abdomen, complete: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $2,186.10
  • AETNA — Medicare|All Plans: $100.51
  • Angelina County — Commercial|All Plans: $155.10
  • BCBS — Medicaid|All Plans: $138.59
  • BCBS — Medicare|All Plans: $100.51
  • BCBS-TX — Commercial|Blue Advantage HMO: $210.71
  • BCBS-TX — Commercial|Blue Premier: $290.29
  • BCBS-TX — Commercial|HMO: $301.50
  • BCBS-TX — Commercial|PPO: $335.12
  • Brookshire Brothers — Commercial|All Plans: $290.82
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US ABDOMEN COMPLETE $3,470 $520.50 $1,769.70 – $3,123
Ultrasound of the abdomen, complete: rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $2,186.10
  • Galaxy — Commercial|All Plans: $3,123
  • Humana — Commercial|All Plans: $1,769.70
  • Multiplan — Commercial|All Plans: $2,429
  • PHCS — Commercial|All Plans: $2,776
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US OB COMP > 14 WKS (TA) $3,745 $561.75 $100.51 – $3,370.50
Pregnancy ultrasound (after the first trimester): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $2,359.35
  • AETNA — Medicare|All Plans: $100.51
  • Angelina County — Commercial|All Plans: $155.10
  • BCBS — Medicaid|All Plans: $138.59
  • BCBS — Medicare|All Plans: $100.51
  • BCBS-TX — Commercial|Blue Advantage HMO: $172.10
  • BCBS-TX — Commercial|Blue Premier: $237.09
  • BCBS-TX — Commercial|HMO: $246.24
  • BCBS-TX — Commercial|PPO: $273.70
  • Brookshire Brothers — Commercial|All Plans: $290.82
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: US OB COMP > 14 WKS (TA) $3,745 $561.75 $1,909.95 – $3,370.50
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $2,359.35
  • Galaxy — Commercial|All Plans: $3,370.50
  • Humana — Commercial|All Plans: $1,909.95
  • Multiplan — Commercial|All Plans: $2,621.50
  • PHCS — Commercial|All Plans: $2,996
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US INTRAVAGINAL PELV $2,078 $311.70 $100.51 – $1,870.20
Transvaginal ultrasound: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $1,309.14
  • AETNA — Medicare|All Plans: $100.51
  • Angelina County — Commercial|All Plans: $155.10
  • BCBS — Medicaid|All Plans: $138.59
  • BCBS — Medicare|All Plans: $100.51
  • BCBS-TX — Commercial|Blue Advantage HMO: $166
  • BCBS-TX — Commercial|Blue Premier: $228.70
  • BCBS-TX — Commercial|HMO: $237.53
  • BCBS-TX — Commercial|PPO: $264.02
  • Brookshire Brothers — Commercial|All Plans: $290.82
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US INTRAVAGINAL PELVIS NON-OB $2,036 $305.40 $100.51 – $1,832.40
Transvaginal ultrasound: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $1,282.68
  • AETNA — Medicare|All Plans: $100.51
  • Angelina County — Commercial|All Plans: $155.10
  • BCBS — Medicaid|All Plans: $138.59
  • BCBS — Medicare|All Plans: $100.51
  • BCBS-TX — Commercial|Blue Advantage HMO: $166
  • BCBS-TX — Commercial|Blue Premier: $228.70
  • BCBS-TX — Commercial|HMO: $237.53
  • BCBS-TX — Commercial|PPO: $264.02
  • Brookshire Brothers — Commercial|All Plans: $290.82
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: US INTRAVAGINAL PELV $2,078 $311.70 $1,059.78 – $1,870.20
Transvaginal ultrasound: rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $1,309.14
  • Galaxy — Commercial|All Plans: $1,870.20
  • Humana — Commercial|All Plans: $1,059.78
  • Multiplan — Commercial|All Plans: $1,454.60
  • PHCS — Commercial|All Plans: $1,662.40
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MM MAMMO DIAG DIR DIGITAL-UNIL $669 $100.35 $167.25 – $602.10
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates
  • Aetna — Commercial|All Plans: $421.47
  • BCBS-TX — Commercial|Blue Advantage HMO: $176.83
  • BCBS-TX — Commercial|Blue Premier: $243.62
  • BCBS-TX — Commercial|HMO: $253.02
  • BCBS-TX — Commercial|PPO: $281.24
  • Cigna — Commercial|All Plans: $391.65
  • Galaxy — Commercial|All Plans: $602.10
  • Humana — Commercial|All Plans: $341.19
  • Multiplan — Commercial|All Plans: $468.30
  • PHCS — Commercial|All Plans: $454.92
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: ZZ BCCCP MAMMO DIAG DIR DIG-UNI $669 $100.35 $167.25 – $602.10
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates
  • Aetna — Commercial|All Plans: $421.47
  • BCBS-TX — Commercial|Blue Advantage HMO: $176.83
  • BCBS-TX — Commercial|Blue Premier: $243.62
  • BCBS-TX — Commercial|HMO: $253.02
  • BCBS-TX — Commercial|PPO: $281.24
  • Cigna — Commercial|All Plans: $391.65
  • Galaxy — Commercial|All Plans: $602.10
  • Humana — Commercial|All Plans: $341.19
  • Multiplan — Commercial|All Plans: $468.30
  • PHCS — Commercial|All Plans: $454.92
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) In the file: MM MAMMO DIAG DIR DIGITAL-UNIL $669 $100.35 $341.19 – $602.10
Diagnostic mammogram, one breast: rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $421.47
  • Galaxy — Commercial|All Plans: $602.10
  • Humana — Commercial|All Plans: $341.19
  • Multiplan — Commercial|All Plans: $468.30
  • PHCS — Commercial|All Plans: $535.20
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MM MAMMO SCRN DIAG DIR DIGITAL-BILAT $1,014 $152.10 $226.30 – $912.60
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates
  • Aetna — Commercial|All Plans: $638.82
  • BCBS-TX — Commercial|Blue Advantage HMO: $226.30
  • BCBS-TX — Commercial|Blue Premier: $311.76
  • BCBS-TX — Commercial|HMO: $323.80
  • BCBS-TX — Commercial|PPO: $359.91
  • Cigna — Commercial|All Plans: $499.34
  • Galaxy — Commercial|All Plans: $912.60
  • Humana — Commercial|All Plans: $517.14
  • Multiplan — Commercial|All Plans: $709.80
  • PHCS — Commercial|All Plans: $689.52
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: ZZ BCCCP MAMMO DIAG DIR DIG-BIL $1,014 $152.10 $226.30 – $912.60
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates
  • Aetna — Commercial|All Plans: $638.82
  • BCBS-TX — Commercial|Blue Advantage HMO: $226.30
  • BCBS-TX — Commercial|Blue Premier: $311.76
  • BCBS-TX — Commercial|HMO: $323.80
  • BCBS-TX — Commercial|PPO: $359.91
  • Cigna — Commercial|All Plans: $499.34
  • Galaxy — Commercial|All Plans: $912.60
  • Humana — Commercial|All Plans: $517.14
  • Multiplan — Commercial|All Plans: $709.80
  • PHCS — Commercial|All Plans: $689.52
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: MM MAMMO SCRN DIAG DIR DIGITAL-BILAT $1,014 $152.10 $517.14 – $912.60
Diagnostic mammogram, both breasts: rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $638.82
  • Galaxy — Commercial|All Plans: $912.60
  • Humana — Commercial|All Plans: $517.14
  • Multiplan — Commercial|All Plans: $709.80
  • PHCS — Commercial|All Plans: $811.20
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MM MAMMO SCRN DIR DIGITAL $789 $118.35 $187 – $710.10
Screening mammogram, both breasts: 10 of 13 insurance plan rates
  • Aetna — Commercial|All Plans: $497.07
  • BCBS-TX — Commercial|Blue Advantage HMO: $187
  • BCBS-TX — Commercial|Blue Premier: $257.63
  • BCBS-TX — Commercial|HMO: $267.57
  • BCBS-TX — Commercial|PPO: $297.42
  • Cigna — Commercial|All Plans: $412.61
  • Galaxy — Commercial|All Plans: $710.10
  • Humana — Commercial|All Plans: $402.39
  • Multiplan — Commercial|All Plans: $552.30
  • PHCS — Commercial|All Plans: $536.52
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: ZZ BCCCP MAMMO SCREEN DIR DIGITAL $789 $118.35 $187 – $710.10
Screening mammogram, both breasts: 10 of 13 insurance plan rates
  • Aetna — Commercial|All Plans: $497.07
  • BCBS-TX — Commercial|Blue Advantage HMO: $187
  • BCBS-TX — Commercial|Blue Premier: $257.63
  • BCBS-TX — Commercial|HMO: $267.57
  • BCBS-TX — Commercial|PPO: $297.42
  • Cigna — Commercial|All Plans: $412.61
  • Galaxy — Commercial|All Plans: $710.10
  • Humana — Commercial|All Plans: $402.39
  • Multiplan — Commercial|All Plans: $552.30
  • PHCS — Commercial|All Plans: $536.52
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: MM MAMMO SCRN DIR DIGITAL $789 $118.35 $402.39 – $710.10
Screening mammogram, both breasts: rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $497.07
  • Galaxy — Commercial|All Plans: $710.10
  • Humana — Commercial|All Plans: $402.39
  • Multiplan — Commercial|All Plans: $552.30
  • PHCS — Commercial|All Plans: $631.20

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LHC W/LV ONLY $40,417 $6,062.55 $100 – $36,375.30
Left heart catheterization (diagnostic): 10 of 28 insurance plan rates
  • Aetna — Commercial|All Plans: $25,462.71
  • AETNA — Medicare|All Plans: $3,040.22
  • Angelina County — Commercial|All Plans: $4,597.39
  • BCBS — Medicare|All Plans: $3,040.22
  • BCBS-TX — Commercial|Blue Advantage HMO: $3,220.44
  • BCBS-TX — Commercial|Blue Premier: $8,293.35
  • BCBS-TX — Commercial|HMO: $9,148.34
  • BCBS-TX — Commercial|PPO: $10,373.82
  • Brookshire Brothers — Commercial|All Plans: $8,620.11
  • Cigna — Commercial|All Plans: $100
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) In the file: LHC W/LV ONLY $40,417 $6,062.55 $20,612.67 – $36,375.30
Left heart catheterization (diagnostic): rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $25,462.71
  • Galaxy — Commercial|All Plans: $36,375.30
  • Humana — Commercial|All Plans: $20,612.67
  • Multiplan — Commercial|All Plans: $28,291.90
  • PHCS — Commercial|All Plans: $32,333.60
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: COMP WP EVAL WO INDUCT ARRHYTHMIA $17,036 $2,555.40 $100 – $19,756.08
Heart rhythm study (electrophysiology evaluation): 10 of 28 insurance plan rates
  • Aetna — Commercial|All Plans: $10,732.68
  • AETNA — Medicare|All Plans: $7,172.42
  • Angelina County — Commercial|All Plans: $10,536.58
  • BCBS — Medicare|All Plans: $7,172.42
  • BCBS-TX — Commercial|Blue Advantage HMO: $14,361.13
  • BCBS-TX — Commercial|Blue Premier: $12,595.42
  • BCBS-TX — Commercial|HMO: $14,419.99
  • BCBS-TX — Commercial|PPO: $15,655.99
  • Brookshire Brothers — Commercial|All Plans: $19,756.08
  • Cigna — Commercial|All Plans: $100
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) In the file: COMP WP EVAL WO INDUCT ARRHYTHMIA $17,036 $2,555.40 $8,688.36 – $15,332.40
Heart rhythm study (electrophysiology evaluation): rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $10,732.68
  • Galaxy — Commercial|All Plans: $15,332.40
  • Humana — Commercial|All Plans: $8,688.36
  • Multiplan — Commercial|All Plans: $11,925.20
  • PHCS — Commercial|All Plans: $13,628.80
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: EP & ABLATE AGENIC TX AFIB PV $52,723 $7,908.45 $100 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $62,828.58
Heart rhythm study with ablation for atrial fibrillation: 10 of 28 insurance plan rates
  • Aetna — Commercial|All Plans: $33,215.49
  • AETNA — Medicare|All Plans: $23,188.42
  • Angelina County — Commercial|All Plans: $33,508.58
  • BCBS — Medicare|All Plans: $23,188.42
  • BCBS-TX — Commercial|Blue Advantage HMO: $13,487.28
  • BCBS-TX — Commercial|Blue Premier: $30,039.85
  • BCBS-TX — Commercial|HMO: $30,652.91
  • BCBS-TX — Commercial|PPO: $33,718.20
  • Brookshire Brothers — Commercial|All Plans: $62,828.58
  • Cigna — Commercial|All Plans: $100 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) In the file: EP & ABLATE AGENIC TX AFIB PV $52,723 $7,908.45 $26,888.73 – $47,450.70
Heart rhythm study with ablation for atrial fibrillation: rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $33,215.49
  • Galaxy — Commercial|All Plans: $47,450.70
  • Humana — Commercial|All Plans: $26,888.73
  • Multiplan — Commercial|All Plans: $36,906.10
  • PHCS — Commercial|All Plans: $42,178.40
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: 8 HOUR SLEEP STUDY WO CPAP $7,483.34 $1,122.51 $100 – $6,735.01
Sleep study (overnight, in a sleep lab): 10 of 26 insurance plan rates
  • Aetna — Commercial|All Plans: $4,714.51
  • AETNA — Medicare|All Plans: $961.66
  • Angelina County — Commercial|All Plans: $1,475.10
  • BCBS — Medicare|All Plans: $961.66
  • BCBS-TX — Commercial|Blue Advantage HMO: $1,222.29
  • BCBS-TX — Commercial|Blue Premier: $1,072.01
  • BCBS-TX — Commercial|HMO: $1,227.30
  • BCBS-TX — Commercial|PPO: $1,332.50
  • Brookshire Brothers — Commercial|All Plans: $2,765.82
  • Cigna — Commercial|All Plans: $100
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: 8 HOUR SLEEP STUDY WO CPAP $7,483.34 $1,122.51 $3,816.51 – $6,735.01
Sleep study (overnight, in a sleep lab): rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $4,714.51
  • Galaxy — Commercial|All Plans: $6,735.01
  • Humana — Commercial|All Plans: $3,816.51
  • Multiplan — Commercial|All Plans: $5,238.34
  • PHCS — Commercial|All Plans: $5,986.68

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: ACUTE THERAPEUTIC EXERCISES 15M $286 $42.90 $67.09 – $257.40
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates
  • Aetna — Commercial|All Plans: $180.18
  • BCBS-TX — Commercial|Blue Advantage HMO: $76.49
  • BCBS-TX — Commercial|Blue Premier: $67.09
  • BCBS-TX — Commercial|HMO: $76.81
  • BCBS-TX — Commercial|PPO: $83.39
  • Cigna — Commercial|All Plans: $100
  • Galaxy — Commercial|All Plans: $257.40
  • Humana — Commercial|All Plans: $145.86
  • Multiplan — Commercial|All Plans: $200.20
  • PHCS — Commercial|All Plans: $194.48
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: WMRC THERAPEUTIC EXER 15 MIN $286 $42.90 $67.09 – $257.40
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates
  • Aetna — Commercial|All Plans: $180.18
  • BCBS-TX — Commercial|Blue Advantage HMO: $76.49
  • BCBS-TX — Commercial|Blue Premier: $67.09
  • BCBS-TX — Commercial|HMO: $76.81
  • BCBS-TX — Commercial|PPO: $83.39
  • Cigna — Commercial|All Plans: $100
  • Galaxy — Commercial|All Plans: $257.40
  • Humana — Commercial|All Plans: $145.86
  • Multiplan — Commercial|All Plans: $200.20
  • PHCS — Commercial|All Plans: $194.48
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: ACUTE THERAPEUTIC EXERCISES 15M $286 $42.90 $145.86 – $257.40
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $180.18
  • Galaxy — Commercial|All Plans: $257.40
  • Humana — Commercial|All Plans: $145.86
  • Multiplan — Commercial|All Plans: $200.20
  • PHCS — Commercial|All Plans: $228.80
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: OP PT INITIAL EVAL LOW COMPLEXITY $669 $100.35 $100 – $602.10
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates
  • Aetna — Commercial|All Plans: $421.47
  • BCBS-TX — Commercial|Blue Advantage HMO: $211.04
  • BCBS-TX — Commercial|Blue Premier: $185.09
  • BCBS-TX — Commercial|HMO: $211.90
  • BCBS-TX — Commercial|PPO: $230.06
  • Cigna — Commercial|All Plans: $100
  • Galaxy — Commercial|All Plans: $602.10
  • Humana — Commercial|All Plans: $341.19
  • Multiplan — Commercial|All Plans: $468.30
  • PHCS — Commercial|All Plans: $454.92
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: OP PT INITIAL EVAL LOW COMPLEXITY $669 $100.35 $341.19 – $602.10
Physical therapy evaluation (low complexity): rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $421.47
  • Galaxy — Commercial|All Plans: $602.10
  • Humana — Commercial|All Plans: $341.19
  • Multiplan — Commercial|All Plans: $468.30
  • PHCS — Commercial|All Plans: $535.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: OP PT EVAL MODERATE COMPLEXITY $892 $133.80 $100 – $802.80
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates
  • Aetna — Commercial|All Plans: $561.96
  • BCBS-TX — Commercial|Blue Advantage HMO: $211.04
  • BCBS-TX — Commercial|Blue Premier: $185.09
  • BCBS-TX — Commercial|HMO: $211.90
  • BCBS-TX — Commercial|PPO: $230.06
  • Cigna — Commercial|All Plans: $100
  • Galaxy — Commercial|All Plans: $802.80
  • Humana — Commercial|All Plans: $454.92
  • Multiplan — Commercial|All Plans: $624.40
  • PHCS — Commercial|All Plans: $606.56
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: OP PT EVAL MODERATE COMPLEXITY $892 $133.80 $454.92 – $802.80
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $561.96
  • Galaxy — Commercial|All Plans: $802.80
  • Humana — Commercial|All Plans: $454.92
  • Multiplan — Commercial|All Plans: $624.40
  • PHCS — Commercial|All Plans: $713.60
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: OP PT EVAL HIGH COMPLEXITY $1,115 $167.25 $100 – $1,003.50
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates
  • Aetna — Commercial|All Plans: $702.45
  • BCBS-TX — Commercial|Blue Advantage HMO: $211.04
  • BCBS-TX — Commercial|Blue Premier: $185.09
  • BCBS-TX — Commercial|HMO: $211.90
  • BCBS-TX — Commercial|PPO: $230.06
  • Cigna — Commercial|All Plans: $100
  • Galaxy — Commercial|All Plans: $1,003.50
  • Humana — Commercial|All Plans: $568.65
  • Multiplan — Commercial|All Plans: $780.50
  • PHCS — Commercial|All Plans: $758.20
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: OP PT EVAL HIGH COMPLEXITY $1,115 $167.25 $568.65 – $1,003.50
Physical therapy evaluation (high complexity): rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $702.45
  • Galaxy — Commercial|All Plans: $1,003.50
  • Humana — Commercial|All Plans: $568.65
  • Multiplan — Commercial|All Plans: $780.50
  • PHCS — Commercial|All Plans: $892

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 $1,013.77 – $10,083.45
Removal of breast growth (open surgery): 10 of 39 insurance plan rates
  • AETNA — Medicare|All Plans: $3,619.51
  • Angelina County — Commercial|All Plans: $5,377.84
  • BCBS — Medicaid|All Plans: $1,064.46
  • BCBS — Medicare|All Plans: $3,619.51
  • BCBS-TX — Commercial|Blue Advantage HMO: $1,999.50
  • BCBS-TX — Commercial|Blue Premier: $4,453.44
  • BCBS-TX — Commercial|HMO: $4,544.33
  • BCBS-TX — Commercial|PPO: $4,998.76
  • Brookshire Brothers — Commercial|All Plans: $10,083.45
  • Cigna — Commercial|All Plans: $3,623
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 $3,326 – $34,816.05
Total hip replacement: 10 of 25 insurance plan rates
  • AETNA — Medicare|All Plans: $12,161.98
  • Angelina County — Commercial|All Plans: $18,568.56
  • BCBS — Medicare|All Plans: $12,161.98
  • BCBS-TX — Commercial|Blue Advantage HMO: $7,854.47
  • BCBS-TX — Commercial|Blue Premier: $17,494.04
  • BCBS-TX — Commercial|HMO: $17,851.07
  • BCBS-TX — Commercial|PPO: $19,636.17
  • Brookshire Brothers — Commercial|All Plans: $34,816.05
  • Cigna — Commercial|All Plans: $3,326
  • CIGNA HEALTHSPRING — Medicare|All Other Plans: $12,161.98
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 $3,326 – $34,816.05
Total knee replacement: 10 of 25 insurance plan rates
  • AETNA — Medicare|All Plans: $12,161.98
  • Angelina County — Commercial|All Plans: $18,568.56
  • BCBS — Medicare|All Plans: $12,161.98
  • BCBS-TX — Commercial|Blue Advantage HMO: $7,854.47
  • BCBS-TX — Commercial|Blue Premier: $17,494.04
  • BCBS-TX — Commercial|HMO: $17,851.07
  • BCBS-TX — Commercial|PPO: $19,636.17
  • Brookshire Brothers — Commercial|All Plans: $34,816.05
  • Cigna — Commercial|All Plans: $3,326
  • CIGNA HEALTHSPRING — Medicare|All Other Plans: $12,161.98
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 $153 – $3,623
Shoulder arthroscopy: shaving of shoulder bone: rates for 8 insurance plans
  • Cigna — Commercial|All Plans: $3,623
  • United — Commercial|All Other Plans: $204
  • United — Commercial|Exchange: $153
  • Aetna — Commercial|All Plans: 63% (a percentage in the contract, not a dollar amount)
  • Galaxy — Commercial|All Plans: 90% (a percentage in the contract, not a dollar amount)
  • Humana — Commercial|All Plans: 51% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial|All Plans: 70% (a percentage in the contract, not a dollar amount)
  • PHCS — Commercial|All Plans: 68% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $1,144.86 – $8,562.63
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 39 insurance plan rates
  • AETNA — Medicare|All Plans: $3,066.87
  • Angelina County — Commercial|All Plans: $4,566.74
  • BCBS — Medicaid|All Plans: $1,202.10
  • BCBS — Medicare|All Plans: $3,066.87
  • BCBS-TX — Commercial|Blue Advantage HMO: $1,806.72
  • BCBS-TX — Commercial|Blue Premier: $4,024.05
  • BCBS-TX — Commercial|HMO: $4,106.18
  • BCBS-TX — Commercial|PPO: $4,516.79
  • Brookshire Brothers — Commercial|All Plans: $8,562.63
  • Cigna — Commercial|All Plans: $3,623
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 $1,268 – $15,491.73
Removal of tonsils and adenoids (under age 12): 10 of 39 insurance plan rates
  • AETNA — Medicare|All Plans: $5,591.60
  • Angelina County — Commercial|All Plans: $8,262.26
  • BCBS — Medicaid|All Plans: $2,158.63
  • BCBS — Medicare|All Plans: $5,591.60
  • BCBS-TX — Commercial|Blue Advantage HMO: $3,201.35
  • BCBS-TX — Commercial|Blue Premier: $7,130.28
  • BCBS-TX — Commercial|HMO: $7,275.80
  • BCBS-TX — Commercial|PPO: $8,003.37
  • Brookshire Brothers — Commercial|All Plans: $15,491.73
  • Cigna — Commercial|All Plans: $3,623
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: EGD DIAGNOSTIC BRUSH WASH $4,224 $633.60 $352.37 – $3,801.60
Upper GI endoscopy (diagnostic): 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $2,661.12
  • AETNA — Medicare|All Plans: $886.20
  • Angelina County — Commercial|All Plans: $1,278.93
  • BCBS — Medicaid|All Plans: $369.99
  • BCBS — Medicare|All Plans: $886.20
  • BCBS-TX — Commercial|Blue Advantage HMO: $518.71
  • BCBS-TX — Commercial|Blue Premier: $1,155.30
  • BCBS-TX — Commercial|HMO: $1,178.88
  • BCBS-TX — Commercial|PPO: $1,296.77
  • Brookshire Brothers — Commercial|All Plans: $2,397.99
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: EGD DIAGNOSTIC BRUSH WASH $4,224 $633.60 $2,154.24 – $3,801.60
Upper GI endoscopy (diagnostic): rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $2,661.12
  • Galaxy — Commercial|All Plans: $3,801.60
  • Humana — Commercial|All Plans: $2,154.24
  • Multiplan — Commercial|All Plans: $2,956.80
  • PHCS — Commercial|All Plans: $3,379.20
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $352.37 – $2,957
Upper GI endoscopy with biopsy: 10 of 39 insurance plan rates
  • AETNA — Medicare|All Plans: $886.20
  • Angelina County — Commercial|All Plans: $1,278.93
  • BCBS — Medicaid|All Plans: $369.99
  • BCBS — Medicare|All Plans: $886.20
  • BCBS-TX — Commercial|Blue Advantage HMO: $518.71
  • BCBS-TX — Commercial|Blue Premier: $1,155.30
  • BCBS-TX — Commercial|HMO: $1,178.88
  • BCBS-TX — Commercial|PPO: $1,296.77
  • Brookshire Brothers — Commercial|All Plans: $2,397.99
  • Cigna — Commercial|All Plans: $2,957
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $345.58 – $2,957
Colonoscopy (diagnostic): 10 of 39 insurance plan rates
  • AETNA — Medicare|All Plans: $861.77
  • Angelina County — Commercial|All Plans: $1,289.47
  • BCBS — Medicaid|All Plans: $362.86
  • BCBS — Medicare|All Plans: $861.77
  • BCBS-TX — Commercial|Blue Advantage HMO: $504.16
  • BCBS-TX — Commercial|Blue Premier: $1,122.90
  • BCBS-TX — Commercial|HMO: $1,145.82
  • BCBS-TX — Commercial|PPO: $1,260.40
  • Brookshire Brothers — Commercial|All Plans: $2,417.76
  • Cigna — Commercial|All Plans: $2,957
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $451.58 – $3,121.71
Colonoscopy with biopsy: 10 of 39 insurance plan rates
  • AETNA — Medicare|All Plans: $1,114.49
  • Angelina County — Commercial|All Plans: $1,664.91
  • BCBS — Medicaid|All Plans: $474.16
  • BCBS — Medicare|All Plans: $1,114.49
  • BCBS-TX — Commercial|Blue Advantage HMO: $662.79
  • BCBS-TX — Commercial|Blue Premier: $1,476.20
  • BCBS-TX — Commercial|HMO: $1,506.33
  • BCBS-TX — Commercial|PPO: $1,656.96
  • Brookshire Brothers — Commercial|All Plans: $3,121.71
  • Cigna — Commercial|All Plans: $2,957
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $451.58 – $3,121.71
Colonoscopy with removal of polyps (snare): 10 of 39 insurance plan rates
  • AETNA — Medicare|All Plans: $1,114.49
  • Angelina County — Commercial|All Plans: $1,664.91
  • BCBS — Medicaid|All Plans: $474.16
  • BCBS — Medicare|All Plans: $1,114.49
  • BCBS-TX — Commercial|Blue Advantage HMO: $662.79
  • BCBS-TX — Commercial|Blue Premier: $1,476.20
  • BCBS-TX — Commercial|HMO: $1,506.33
  • BCBS-TX — Commercial|PPO: $1,656.96
  • Brookshire Brothers — Commercial|All Plans: $3,121.71
  • Cigna — Commercial|All Plans: $2,957
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $451.58 – $3,121.71
Ultrasound of the lower bowel by endoscope: 10 of 39 insurance plan rates
  • AETNA — Medicare|All Plans: $1,114.49
  • Angelina County — Commercial|All Plans: $1,664.91
  • BCBS — Medicaid|All Plans: $474.16
  • BCBS — Medicare|All Plans: $1,114.49
  • BCBS-TX — Commercial|Blue Advantage HMO: $662.79
  • BCBS-TX — Commercial|Blue Premier: $1,476.20
  • BCBS-TX — Commercial|HMO: $1,506.33
  • BCBS-TX — Commercial|PPO: $1,656.96
  • Brookshire Brothers — Commercial|All Plans: $3,121.71
  • Cigna — Commercial|All Plans: $2,957
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $1,987.07 – $15,263.73
Gallbladder removal by laparoscope: 10 of 39 insurance plan rates
  • AETNA — Medicare|All Plans: $5,514.75
  • Angelina County — Commercial|All Plans: $8,140.66
  • BCBS — Medicaid|All Plans: $2,086.42
  • BCBS — Medicare|All Plans: $5,514.75
  • BCBS-TX — Commercial|Blue Advantage HMO: $3,190.25
  • BCBS-TX — Commercial|Blue Premier: $7,105.55
  • BCBS-TX — Commercial|HMO: $7,250.57
  • BCBS-TX — Commercial|PPO: $7,975.62
  • Brookshire Brothers — Commercial|All Plans: $15,263.73
  • Cigna — Commercial|All Plans: $8,720
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $1,211.42 – $9,152.10
Groin (inguinal) hernia repair, age 5 or older: 10 of 39 insurance plan rates
  • AETNA — Medicare|All Plans: $3,335.74
  • Angelina County — Commercial|All Plans: $4,881.12
  • BCBS — Medicaid|All Plans: $1,271.99
  • BCBS — Medicare|All Plans: $3,335.74
  • BCBS-TX — Commercial|Blue Advantage HMO: $2,052.16
  • BCBS-TX — Commercial|Blue Premier: $4,570.73
  • BCBS-TX — Commercial|HMO: $4,664.01
  • BCBS-TX — Commercial|PPO: $5,130.41
  • Brookshire Brothers — Commercial|All Plans: $9,152.10
  • Cigna — Commercial|All Plans: $3,623
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: US NEEDLE BX PROSTAT $6,206 $930.90 $686.75 – $5,585.40
Prostate biopsy: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $3,909.78
  • AETNA — Medicare|All Plans: $1,936.29
  • Angelina County — Commercial|All Plans: $2,873.66
  • BCBS — Medicaid|All Plans: $721.09
  • BCBS — Medicare|All Plans: $1,936.29
  • BCBS-TX — Commercial|Blue Advantage HMO: $1,169.22
  • BCBS-TX — Commercial|Blue Premier: $2,604.18
  • BCBS-TX — Commercial|HMO: $2,657.33
  • BCBS-TX — Commercial|PPO: $2,923.06
  • Brookshire Brothers — Commercial|All Plans: $5,388.12
Prostate biopsy CPT 55700 · Inpatient (hospital stay) In the file: US NEEDLE BX PROSTAT $6,206 $930.90 $3,165.06 – $5,585.40
Prostate biopsy: rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $3,909.78
  • Galaxy — Commercial|All Plans: $5,585.40
  • Humana — Commercial|All Plans: $3,165.06
  • Multiplan — Commercial|All Plans: $4,344.20
  • PHCS — Commercial|All Plans: $4,964.80
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 $3,326 – $27,230.67
Prostate removal by laparoscope (radical prostatectomy): 10 of 25 insurance plan rates
  • AETNA — Medicare|All Plans: $9,840.89
  • Angelina County — Commercial|All Plans: $14,523.02
  • BCBS — Medicare|All Plans: $9,840.89
  • BCBS-TX — Commercial|Blue Advantage HMO: $5,552.65
  • BCBS-TX — Commercial|Blue Premier: $12,367.27
  • BCBS-TX — Commercial|HMO: $12,619.67
  • BCBS-TX — Commercial|PPO: $13,881.63
  • Brookshire Brothers — Commercial|All Plans: $27,230.67
  • Cigna — Commercial|All Plans: $3,326
  • CIGNA HEALTHSPRING — Medicare|All Other Plans: $9,840.89
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $1,118.82 – $8,270.37
Hysteroscopy with biopsy of the uterus lining: 10 of 39 insurance plan rates
  • AETNA — Medicare|All Plans: $3,005.36
  • Angelina County — Commercial|All Plans: $4,410.86
  • BCBS — Medicaid|All Plans: $1,174.76
  • BCBS — Medicare|All Plans: $3,005.36
  • BCBS-TX — Commercial|Blue Advantage HMO: $1,648.75
  • BCBS-TX — Commercial|Blue Premier: $3,672.21
  • BCBS-TX — Commercial|HMO: $3,747.15
  • BCBS-TX — Commercial|PPO: $4,121.87
  • Brookshire Brothers — Commercial|All Plans: $8,270.37
  • Cigna — Commercial|All Plans: $3,623
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: INJECT SPINE LUMBAR/SACRAL $2,915 $437.25 $276.53 – $2,623.50
Spinal injection, lower back (epidural), with imaging guidance: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $1,836.45
  • AETNA — Medicare|All Plans: $654.58
  • Angelina County — Commercial|All Plans: $975.68
  • BCBS — Medicaid|All Plans: $290.36
  • BCBS — Medicare|All Plans: $654.58
  • BCBS-TX — Commercial|Blue Advantage HMO: $412.53
  • BCBS-TX — Commercial|Blue Premier: $918.82
  • BCBS-TX — Commercial|HMO: $937.58
  • BCBS-TX — Commercial|PPO: $1,031.33
  • Brookshire Brothers — Commercial|All Plans: $1,829.40
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: SP ESI LUMBAR/SACRAL $2,981 $447.15 $276.53 – $2,682.90
Spinal injection, lower back (epidural), with imaging guidance: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $1,878.03
  • AETNA — Medicare|All Plans: $654.58
  • Angelina County — Commercial|All Plans: $975.68
  • BCBS — Medicaid|All Plans: $290.36
  • BCBS — Medicare|All Plans: $654.58
  • BCBS-TX — Commercial|Blue Advantage HMO: $412.53
  • BCBS-TX — Commercial|Blue Premier: $918.82
  • BCBS-TX — Commercial|HMO: $937.58
  • BCBS-TX — Commercial|PPO: $1,031.33
  • Brookshire Brothers — Commercial|All Plans: $1,829.40
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: INJECT SPINE LUMBAR/SACRAL $2,915 $437.25 $1,486.65 – $2,623.50
Spinal injection, lower back (epidural), with imaging guidance: rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $1,836.45
  • Galaxy — Commercial|All Plans: $2,623.50
  • Humana — Commercial|All Plans: $1,486.65
  • Multiplan — Commercial|All Plans: $2,040.50
  • PHCS — Commercial|All Plans: $2,332
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: SP LUMB NERVE RT BLOCK W/FLURO SNGLE $2,773 $415.95 $355 – $2,495.70
Nerve root injection, lower back, with imaging guidance: 10 of 40 insurance plan rates
  • Aetna — Commercial|All Plans: $1,746.99
  • AETNA — Medicare|All Plans: $841.52
  • Angelina County — Commercial|All Plans: $1,285.97
  • BCBS — Medicaid|All Plans: $376.41
  • BCBS — Medicare|All Plans: $841.52
  • BCBS-TX — Commercial|Blue Advantage HMO: $535.95
  • BCBS-TX — Commercial|Blue Premier: $1,193.71
  • BCBS-TX — Commercial|HMO: $1,218.08
  • BCBS-TX — Commercial|PPO: $1,339.88
  • Brookshire Brothers — Commercial|All Plans: $2,411.19
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: SP LUMB NERVE RT BLOCK W/FLURO SNGLE $2,773 $415.95 $1,414.23 – $2,495.70
Nerve root injection, lower back, with imaging guidance: rates for 5 insurance plans
  • Aetna — Commercial|All Plans: $1,746.99
  • Galaxy — Commercial|All Plans: $2,495.70
  • Humana — Commercial|All Plans: $1,414.23
  • Multiplan — Commercial|All Plans: $1,941.10
  • PHCS — Commercial|All Plans: $2,218.40
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $694.26 – $5,107.62
Carpal tunnel release: 10 of 39 insurance plan rates
  • AETNA — Medicare|All Plans: $1,845.80
  • Angelina County — Commercial|All Plans: $2,724.06
  • BCBS — Medicaid|All Plans: $728.97
  • BCBS — Medicare|All Plans: $1,845.80
  • BCBS-TX — Commercial|Blue Advantage HMO: $1,134.77
  • BCBS-TX — Commercial|Blue Premier: $2,527.44
  • BCBS-TX — Commercial|HMO: $2,579.03
  • BCBS-TX — Commercial|PPO: $2,836.93
  • Brookshire Brothers — Commercial|All Plans: $5,107.62
  • Cigna — Commercial|All Plans: $2,957
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $219.16 – $2,957
Laser treatment of clouding after cataract surgery: 10 of 39 insurance plan rates
  • AETNA — Medicare|All Plans: $518.55
  • Angelina County — Commercial|All Plans: $820.10
  • BCBS — Medicaid|All Plans: $230.12
  • BCBS — Medicare|All Plans: $518.55
  • BCBS-TX — Commercial|Blue Advantage HMO: $334.57
  • BCBS-TX — Commercial|Blue Premier: $745.19
  • BCBS-TX — Commercial|HMO: $760.40
  • BCBS-TX — Commercial|PPO: $836.43
  • Brookshire Brothers — Commercial|All Plans: $1,537.68
  • Cigna — Commercial|All Plans: $2,957
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $894.14 – $8,247
Cataract removal with lens implant: 10 of 39 insurance plan rates
  • AETNA — Medicare|All Plans: $2,155.79
  • Angelina County — Commercial|All Plans: $3,287.82
  • BCBS — Medicaid|All Plans: $938.85
  • BCBS — Medicare|All Plans: $2,155.79
  • BCBS-TX — Commercial|Blue Advantage HMO: $1,334.43
  • BCBS-TX — Commercial|Blue Premier: $2,972.13
  • BCBS-TX — Commercial|HMO: $3,032.79
  • BCBS-TX — Commercial|PPO: $3,336.07
  • Brookshire Brothers — Commercial|All Plans: $6,164.67
  • Cigna — Commercial|All Plans: $8,247

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 $1,437.37 – $3,593.44
Vaginal delivery, with care before and after: rates for 9 insurance plans
  • BCBS-TX — Commercial|Blue Advantage HMO: $1,437.37
  • BCBS-TX — Commercial|Blue Premier: $3,201.42
  • BCBS-TX — Commercial|HMO: $3,266.76
  • BCBS-TX — Commercial|PPO: $3,593.44
  • Aetna — Commercial|All Plans: 63% (a percentage in the contract, not a dollar amount)
  • Galaxy — Commercial|All Plans: 90% (a percentage in the contract, not a dollar amount)
  • Humana — Commercial|All Plans: 51% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial|All Plans: 70% (a percentage in the contract, not a dollar amount)
  • PHCS — Commercial|All Plans: 68% (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 $1,593.65 – $3,984.12
Cesarean delivery (C-section), with care before and after: rates for 9 insurance plans
  • BCBS-TX — Commercial|Blue Advantage HMO: $1,593.65
  • BCBS-TX — Commercial|Blue Premier: $3,549.49
  • BCBS-TX — Commercial|HMO: $3,621.93
  • BCBS-TX — Commercial|PPO: $3,984.12
  • Aetna — Commercial|All Plans: 63% (a percentage in the contract, not a dollar amount)
  • Galaxy — Commercial|All Plans: 90% (a percentage in the contract, not a dollar amount)
  • Humana — Commercial|All Plans: 51% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial|All Plans: 70% (a percentage in the contract, not a dollar amount)
  • PHCS — Commercial|All Plans: 68% (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 $1,508.26 – $3,770.65
Vaginal delivery after a previous C-section, with care before and after: rates for 9 insurance plans
  • BCBS-TX — Commercial|Blue Advantage HMO: $1,508.26
  • BCBS-TX — Commercial|Blue Premier: $3,359.30
  • BCBS-TX — Commercial|HMO: $3,427.86
  • BCBS-TX — Commercial|PPO: $3,770.65
  • Aetna — Commercial|All Plans: 63% (a percentage in the contract, not a dollar amount)
  • Galaxy — Commercial|All Plans: 90% (a percentage in the contract, not a dollar amount)
  • Humana — Commercial|All Plans: 51% (a percentage in the contract, not a dollar amount)
  • Multiplan — Commercial|All Plans: 70% (a percentage in the contract, not a dollar amount)
  • PHCS — Commercial|All Plans: 68% (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 $51,189 – $201,750.36
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 22 insurance plan rates
  • AETNA — Medicare|All Plans: $67,250.12
  • Angelina County — Commercial|All Plans: $100,875.18
  • BCBS — Medicare|All Plans: $67,250.12
  • Brookshire Brothers — Commercial|All Plans: $201,750.36
  • Cigna — Commercial|All Plans: $108,478
  • CIGNA HEALTHSPRING — Medicare|All Other Plans: $67,250.12
  • CIGNA HEALTHSPRING — Medicare|PPO: $67,922.63
  • Entrust — Commercial|All Plans: $174,850.32
  • HUMANA — Medicare|All Plans: $67,250.12
  • MD Save — Commercial|All Plans: $84,062.65
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 $10,001 – $43,355.91
Hip or knee replacement (major joint of the leg), without major complications: 10 of 22 insurance plan rates
  • AETNA — Medicare|All Plans: $14,451.97
  • Angelina County — Commercial|All Plans: $21,677.96
  • BCBS — Medicare|All Plans: $14,451.97
  • Brookshire Brothers — Commercial|All Plans: $43,355.91
  • Cigna — Commercial|All Plans: $21,193
  • CIGNA HEALTHSPRING — Medicare|All Other Plans: $14,451.97
  • CIGNA HEALTHSPRING — Medicare|PPO: $14,596.49
  • Entrust — Commercial|All Plans: $37,575.13
  • HUMANA — Medicare|All Plans: $14,451.97
  • MD Save — Commercial|All Plans: $18,064.97
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 $12,557 – $53,185.20
Neck (cervical) spinal fusion, without complications: 10 of 22 insurance plan rates
  • AETNA — Medicare|All Plans: $17,728.40
  • Angelina County — Commercial|All Plans: $26,592.60
  • BCBS — Medicare|All Plans: $17,728.40
  • Brookshire Brothers — Commercial|All Plans: $53,185.20
  • Cigna — Commercial|All Plans: $26,610
  • CIGNA HEALTHSPRING — Medicare|All Other Plans: $17,728.40
  • CIGNA HEALTHSPRING — Medicare|PPO: $17,905.69
  • Entrust — Commercial|All Plans: $46,093.84
  • HUMANA — Medicare|All Plans: $17,728.40
  • MD Save — Commercial|All Plans: $22,160.50
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 $6,358 – $29,347.29
Uterus and ovary surgery (not for cancer), without complications: 10 of 22 insurance plan rates
  • AETNA — Medicare|All Plans: $9,782.43
  • Angelina County — Commercial|All Plans: $14,673.65
  • BCBS — Medicare|All Plans: $9,782.43
  • Brookshire Brothers — Commercial|All Plans: $29,347.29
  • Cigna — Commercial|All Plans: $13,473
  • CIGNA HEALTHSPRING — Medicare|All Other Plans: $9,782.43
  • CIGNA HEALTHSPRING — Medicare|PPO: $9,880.26
  • Entrust — Commercial|All Plans: $25,434.32
  • HUMANA — Medicare|All Plans: $9,782.43
  • MD Save — Commercial|All Plans: $12,228.04

Source: CHI St Lukes Health Memorial Lufkin’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
Address1201 West Frank Street, Lufkin, TX 75901
CountyAngelina County
StateTexas
Phone(936) 634‑8111
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number450211
Name in Medicare recordsCHI ST LUKES HEALTH MEMORIAL LUFKIN
Profile levelMedicare data + hospital website
Name on the hospital’s websiteCommonSpirit - St. Luke's Hospital - Lufkin
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. Luke's Hospital - Lufkin — commonspirit.org