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Children's Hospital

Childrens Medical Ctr of Dallas

Dallas, Texas · Dallas County · Emergency services listed

Summary

Childrens Medical Ctr of Dallas is a children's hospital in Dallas, Texas. Medicare data lists emergency services. Its official website lists 25 services, specialties and programs. Medicare lists 72 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a children's hospital?

A hospital that treats babies, children and teenagers, with doctors and equipment made for young patients. More about hospital types

Call(214) 456‑7000 Directions Website Medicare profile
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Exterior of Childrens Medical Ctr of Dallas
Photo: Nightryder84, CC BY-SA 4.0, via Wikimedia Commons · source · licence

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-29). 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
Not ratedNot rated by CMSMedicare rating
488Beds (hospital website)
72Doctors and clinicians
25Services listed

Quick answers

Does Childrens Medical Ctr of Dallas have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Childrens Medical Ctr of Dallas. In a medical emergency, call 911.
Where is Childrens Medical Ctr of Dallas?
1935 Medical District Drive, Dallas, TX 75235, in Dallas County, Texas.
What is the phone number of Childrens Medical Ctr of Dallas?
(214) 456-7000, as listed by Medicare (CMS).
What is the Medicare star rating of Childrens Medical Ctr of Dallas?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[4]

Conditions treated[4]

Treatments[4]

  • Pediatric heart transplant
  • Respiratory care
  • Laboratory services
  • Imaging services
  • Pharmacy services
  • Therapy services

Programs and centers[4][5][6]

  • Pediatric heart transplant program
  • Level IV NICU (47 beds)
  • Pediatric intensive care unit
  • Cardiac intensive care unit
  • Child Life
  • Pet therapy
  • Advanced Simulation Laboratory
  • Level I pediatric trauma center
  • Neonatal intensive care unit (Level IV, 47 beds)
  • Social work
  • Comprehensive outpatient behavioral health

Emergency care (hospital website)[4][5][6]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel I (pediatric)

Visiting and practical information

ParkingSelf-parking is free with ticket validation; valet at the main entrance for a fee; free EV charging[4]
Interpreters and languagesInterpreter services are listed among amenities[4]
Patient portalMyChart

Recognition[4]

  • U.S. News & World Report ranked in all 11 pediatric specialties

Doctors and clinicians (72)

72 doctors and other clinicians list Childrens Medical Ctr of Dallas 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 (72)

And 48 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 Childrens Medical Ctr of Dallas reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Not reported to Medicare

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot reported to Medicare

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

Complications and deaths

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

Deaths within 30 days: heart attack patientsNot reported to Medicare
Deaths within 30 days: heart failure patientsNot reported to Medicare
Deaths within 30 days: pneumonia patientsNot reported to Medicare
Deaths within 30 days: COPD patientsNot reported to Medicare
Deaths within 30 days: stroke patientsNot reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)Not reported to Medicare
Complications after hip or knee replacementNot reported to Medicare

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackNot reported to Medicare
Readmitted within 30 days: heart failureNot reported to Medicare
Readmitted within 30 days: pneumoniaNot reported to Medicare
Readmitted within 30 days: COPDNot reported to Medicare
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

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

Emergency room times and sepsis care

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

Average (median) time patients spent in the emergency room before leaving (OP-18b)Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in DallasBest hospitals in Dallas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 69 common services exactly as Childrens Medical Ctr of Dallas lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/Outpatient New Low Mdm 30-44 Minutes $715 $536.25 $150.15 – $693.55
New patient office visit (about 30–44 minutes): 10 of 30 insurance plan rates
  • Aetna — Commercial: $500.50
  • Aetna Better Health — Managed Medicaid: $243.10
  • Blue Cross Blue Shield — Commercial: $486.20
  • Blue Cross Blue Shield — Managed Medicaid: $286
  • Carelon — Managed Medicaid: $350.35
  • ChoiceCare/Humana — Managed Medicaid: $321.75
  • Cigna — Commercial: $493.35
  • Cigna Lifesource — Commercial: $471.90
  • CookChildren's Health Plan — Managed Medicaid: $243.10
  • Coventry Health — Commercial: $572
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office/Outpatient New Low Mdm 30-44 Minutes $715 $536.25 $264.55 – $693.55
New patient office visit (about 30–44 minutes): 10 of 25 insurance plan rates
  • Aetna — Commercial: $500.50
  • Blue Cross Blue Shield — Commercial: $486.20
  • Carelon — Managed Medicaid: $264.55
  • ChoiceCare/Humana — Managed Medicaid: $271.70
  • Cigna — Commercial: $493.35
  • Cigna Lifesource — Commercial: $471.90
  • Coventry Health — Commercial: $572
  • Employers Health Network — Commercial: $500.50
  • Equifax Healthcare — Commercial: $607.75
  • Galaxy Health — Commercial: $693.55
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/Outpatient New Moderate Mdm 45-59 Minutes $916 $687 $192.36 – $888.52
New patient office visit (about 45–59 minutes): 10 of 30 insurance plan rates
  • Aetna — Commercial: $641.20
  • Aetna Better Health — Managed Medicaid: $311.44
  • Blue Cross Blue Shield — Commercial: $622.88
  • Blue Cross Blue Shield — Managed Medicaid: $366.40
  • Carelon — Managed Medicaid: $448.84
  • ChoiceCare/Humana — Managed Medicaid: $412.20
  • Cigna — Commercial: $632.04
  • Cigna Lifesource — Commercial: $604.56
  • CookChildren's Health Plan — Managed Medicaid: $311.44
  • Coventry Health — Commercial: $732.80
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office/Outpatient New Moderate Mdm 45-59 Minutes $916 $687 $338.92 – $888.52
New patient office visit (about 45–59 minutes): 10 of 25 insurance plan rates
  • Aetna — Commercial: $641.20
  • Blue Cross Blue Shield — Commercial: $622.88
  • Carelon — Managed Medicaid: $338.92
  • ChoiceCare/Humana — Managed Medicaid: $348.08
  • Cigna — Commercial: $632.04
  • Cigna Lifesource — Commercial: $604.56
  • Coventry Health — Commercial: $732.80
  • Employers Health Network — Commercial: $641.20
  • Equifax Healthcare — Commercial: $778.60
  • Galaxy Health — Commercial: $888.52
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/Outpatient New High Mdm 60-74 Minutes $1,133 $849.75 $237.93 – $1,099.01
New patient office visit (about 60–74 minutes): 10 of 30 insurance plan rates
  • Aetna — Commercial: $793.10
  • Aetna Better Health — Managed Medicaid: $385.22
  • Blue Cross Blue Shield — Commercial: $770.44
  • Blue Cross Blue Shield — Managed Medicaid: $453.20
  • Carelon — Managed Medicaid: $555.17
  • ChoiceCare/Humana — Managed Medicaid: $509.85
  • Cigna — Commercial: $781.77
  • Cigna Lifesource — Commercial: $747.78
  • CookChildren's Health Plan — Managed Medicaid: $385.22
  • Coventry Health — Commercial: $906.40
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office/Outpatient New High Mdm 60-74 Minutes $1,133 $849.75 $419.21 – $1,099.01
New patient office visit (about 60–74 minutes): 10 of 25 insurance plan rates
  • Aetna — Commercial: $793.10
  • Blue Cross Blue Shield — Commercial: $770.44
  • Carelon — Managed Medicaid: $419.21
  • ChoiceCare/Humana — Managed Medicaid: $430.54
  • Cigna — Commercial: $781.77
  • Cigna Lifesource — Commercial: $747.78
  • Coventry Health — Commercial: $906.40
  • Employers Health Network — Commercial: $793.10
  • Equifax Healthcare — Commercial: $963.05
  • Galaxy Health — Commercial: $1,099.01
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/Outpatient Established Low Mdm 20-29 Min $309 $231.75 $64.89 – $299.73
Established patient office visit (about 20–29 minutes): 10 of 30 insurance plan rates
  • Aetna — Commercial: $216.30
  • Aetna Better Health — Managed Medicaid: $105.06
  • Blue Cross Blue Shield — Commercial: $210.12
  • Blue Cross Blue Shield — Managed Medicaid: $123.60
  • Carelon — Managed Medicaid: $151.41
  • ChoiceCare/Humana — Managed Medicaid: $139.05
  • Cigna — Commercial: $213.21
  • Cigna Lifesource — Commercial: $203.94
  • CookChildren's Health Plan — Managed Medicaid: $105.06
  • Coventry Health — Commercial: $247.20
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office/Outpatient Established Low Mdm 20-29 Min $309 $231.75 $114.33 – $299.73
Established patient office visit (about 20–29 minutes): 10 of 25 insurance plan rates
  • Aetna — Commercial: $216.30
  • Blue Cross Blue Shield — Commercial: $210.12
  • Carelon — Managed Medicaid: $114.33
  • ChoiceCare/Humana — Managed Medicaid: $117.42
  • Cigna — Commercial: $213.21
  • Cigna Lifesource — Commercial: $203.94
  • Coventry Health — Commercial: $247.20
  • Employers Health Network — Commercial: $216.30
  • Equifax Healthcare — Commercial: $262.65
  • Galaxy Health — Commercial: $299.73
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/Outpatient Established Mod Mdm 30-39 Min $471 $353.25 $98.91 – $456.87
Established patient office visit (about 30–39 minutes): 10 of 30 insurance plan rates
  • Aetna — Commercial: $329.70
  • Aetna Better Health — Managed Medicaid: $160.14
  • Blue Cross Blue Shield — Commercial: $320.28
  • Blue Cross Blue Shield — Managed Medicaid: $188.40
  • Carelon — Managed Medicaid: $230.79
  • ChoiceCare/Humana — Managed Medicaid: $211.95
  • Cigna — Commercial: $324.99
  • Cigna Lifesource — Commercial: $310.86
  • CookChildren's Health Plan — Managed Medicaid: $160.14
  • Coventry Health — Commercial: $376.80
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office/Outpatient Established Mod Mdm 30-39 Min $471 $353.25 $174.27 – $456.87
Established patient office visit (about 30–39 minutes): 10 of 25 insurance plan rates
  • Aetna — Commercial: $329.70
  • Blue Cross Blue Shield — Commercial: $320.28
  • Carelon — Managed Medicaid: $174.27
  • ChoiceCare/Humana — Managed Medicaid: $178.98
  • Cigna — Commercial: $324.99
  • Cigna Lifesource — Commercial: $310.86
  • Coventry Health — Commercial: $376.80
  • Employers Health Network — Commercial: $329.70
  • Equifax Healthcare — Commercial: $400.35
  • Galaxy Health — Commercial: $456.87
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency Service Level III $1,635 $1,226.25 $343.35 – $1,585.95
Emergency room visit (moderate): 10 of 30 insurance plan rates
  • Aetna — Commercial: $1,144.50
  • Aetna Better Health — Managed Medicaid: $490.50
  • Blue Cross Blue Shield — Commercial: $1,111.80
  • Blue Cross Blue Shield — Managed Medicaid: $654
  • Carelon — Managed Medicaid: $801.15
  • ChoiceCare/Humana — Managed Medicaid: $735.75
  • Cigna — Commercial: $1,128.15
  • Cigna Lifesource — Commercial: $1,079.10
  • CookChildren's Health Plan — Managed Medicaid: $555.90
  • Coventry Health — Commercial: $1,308
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Emergency Service Level III $1,635 $1,226.25 $604.95 – $1,585.95
Emergency room visit (moderate): 10 of 25 insurance plan rates
  • Aetna — Commercial: $1,144.50
  • Blue Cross Blue Shield — Commercial: $1,111.80
  • Carelon — Managed Medicaid: $604.95
  • ChoiceCare/Humana — Managed Medicaid: $621.30
  • Cigna — Commercial: $1,128.15
  • Cigna Lifesource — Commercial: $1,079.10
  • Coventry Health — Commercial: $1,308
  • Employers Health Network — Commercial: $1,144.50
  • Equifax Healthcare — Commercial: $1,389.75
  • Galaxy Health — Commercial: $1,585.95
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency Service Level IV $2,618 $1,963.50 $549.78 – $2,539.46
Emergency room visit (moderately high): 10 of 30 insurance plan rates
  • Aetna — Commercial: $1,832.60
  • Aetna Better Health — Managed Medicaid: $785.40
  • Blue Cross Blue Shield — Commercial: $1,780.24
  • Blue Cross Blue Shield — Managed Medicaid: $1,047.20
  • Carelon — Managed Medicaid: $1,282.82
  • ChoiceCare/Humana — Managed Medicaid: $1,178.10
  • Cigna — Commercial: $1,806.42
  • Cigna Lifesource — Commercial: $1,727.88
  • CookChildren's Health Plan — Managed Medicaid: $890.12
  • Coventry Health — Commercial: $2,094.40
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Emergency Service Level IV $2,618 $1,963.50 $968.66 – $2,539.46
Emergency room visit (moderately high): 10 of 25 insurance plan rates
  • Aetna — Commercial: $1,832.60
  • Blue Cross Blue Shield — Commercial: $1,780.24
  • Carelon — Managed Medicaid: $968.66
  • ChoiceCare/Humana — Managed Medicaid: $994.84
  • Cigna — Commercial: $1,806.42
  • Cigna Lifesource — Commercial: $1,727.88
  • Coventry Health — Commercial: $2,094.40
  • Employers Health Network — Commercial: $1,832.60
  • Equifax Healthcare — Commercial: $2,225.30
  • Galaxy Health — Commercial: $2,539.46
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency Service Level V $3,908 $2,931 $820.68 – $3,790.76
Emergency room visit (high): 10 of 30 insurance plan rates
  • Aetna — Commercial: $2,735.60
  • Aetna Better Health — Managed Medicaid: $1,172.40
  • Blue Cross Blue Shield — Commercial: $2,657.44
  • Blue Cross Blue Shield — Managed Medicaid: $1,563.20
  • Carelon — Managed Medicaid: $1,914.92
  • ChoiceCare/Humana — Managed Medicaid: $1,758.60
  • Cigna — Commercial: $2,696.52
  • Cigna Lifesource — Commercial: $2,579.28
  • CookChildren's Health Plan — Managed Medicaid: $1,328.72
  • Coventry Health — Commercial: $3,126.40
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Emergency Service Level V $3,908 $2,931 $1,445.96 – $3,790.76
Emergency room visit (high): 10 of 25 insurance plan rates
  • Aetna — Commercial: $2,735.60
  • Blue Cross Blue Shield — Commercial: $2,657.44
  • Carelon — Managed Medicaid: $1,445.96
  • ChoiceCare/Humana — Managed Medicaid: $1,485.04
  • Cigna — Commercial: $2,696.52
  • Cigna Lifesource — Commercial: $2,579.28
  • Coventry Health — Commercial: $3,126.40
  • Employers Health Network — Commercial: $2,735.60
  • Equifax Healthcare — Commercial: $3,321.80
  • Galaxy Health — Commercial: $3,790.76

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic Metabolic Panel Calcium Total $361 $270.75 $7.11 – $350.17
Basic metabolic panel (blood test): 10 of 31 insurance plan rates
  • Aetna — Commercial: $252.70
  • Aetna Better Health — Managed Medicaid: $108.30
  • Blue Cross Blue Shield — Commercial: $245.48
  • Blue Cross Blue Shield — Managed Medicaid: $144.40
  • Carelon — Managed Medicaid: $176.89
  • ChoiceCare/Humana — Managed Medicaid: $162.45
  • Cigna — Commercial: $249.09
  • Cigna Lifesource — Commercial: $238.26
  • CookChildren's Health Plan — Managed Medicaid: $122.74
  • Coventry Health — Commercial: $288.80
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Basic Metabolic Panel Calcium Total $361 $270.75 $133.57 – $350.17
Basic metabolic panel (blood test): 10 of 25 insurance plan rates
  • Aetna — Commercial: $252.70
  • Blue Cross Blue Shield — Commercial: $245.48
  • Carelon — Managed Medicaid: $133.57
  • ChoiceCare/Humana — Managed Medicaid: $137.18
  • Cigna — Commercial: $249.09
  • Cigna Lifesource — Commercial: $238.26
  • Coventry Health — Commercial: $288.80
  • Employers Health Network — Commercial: $252.70
  • Equifax Healthcare — Commercial: $306.85
  • Galaxy Health — Commercial: $350.17
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel $590 $442.50 $8.87 – $572.30
Comprehensive metabolic panel (blood test): 10 of 31 insurance plan rates
  • Aetna — Commercial: $413
  • Aetna Better Health — Managed Medicaid: $177
  • Blue Cross Blue Shield — Commercial: $401.20
  • Blue Cross Blue Shield — Managed Medicaid: $236
  • Carelon — Managed Medicaid: $289.10
  • ChoiceCare/Humana — Managed Medicaid: $265.50
  • Cigna — Commercial: $407.10
  • Cigna Lifesource — Commercial: $389.40
  • CookChildren's Health Plan — Managed Medicaid: $200.60
  • Coventry Health — Commercial: $472
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel $590 $442.50 $218.30 – $572.30
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates
  • Aetna — Commercial: $413
  • Blue Cross Blue Shield — Commercial: $401.20
  • Carelon — Managed Medicaid: $218.30
  • ChoiceCare/Humana — Managed Medicaid: $224.20
  • Cigna — Commercial: $407.10
  • Cigna Lifesource — Commercial: $389.40
  • Coventry Health — Commercial: $472
  • Employers Health Network — Commercial: $413
  • Equifax Healthcare — Commercial: $501.50
  • Galaxy Health — Commercial: $572.30
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC Lipid Panel $435 $326.25 $14.06 – $421.95
Cholesterol panel (lipid panel): 10 of 31 insurance plan rates
  • Aetna — Commercial: $304.50
  • Aetna Better Health — Managed Medicaid: $130.50
  • Blue Cross Blue Shield — Commercial: $295.80
  • Blue Cross Blue Shield — Managed Medicaid: $174
  • Carelon — Managed Medicaid: $213.15
  • ChoiceCare/Humana — Managed Medicaid: $195.75
  • Cigna — Commercial: $300.15
  • Cigna Lifesource — Commercial: $287.10
  • CookChildren's Health Plan — Managed Medicaid: $147.90
  • Coventry Health — Commercial: $348
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel $435 $326.25 $14.06 – $421.95
Cholesterol panel (lipid panel): 10 of 31 insurance plan rates
  • Aetna — Commercial: $304.50
  • Aetna Better Health — Managed Medicaid: $130.50
  • Blue Cross Blue Shield — Commercial: $295.80
  • Blue Cross Blue Shield — Managed Medicaid: $174
  • Carelon — Managed Medicaid: $213.15
  • ChoiceCare/Humana — Managed Medicaid: $195.75
  • Cigna — Commercial: $300.15
  • Cigna Lifesource — Commercial: $287.10
  • CookChildren's Health Plan — Managed Medicaid: $147.90
  • Coventry Health — Commercial: $348
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POC Lipid Panel $435 $326.25 $160.95 – $421.95
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates
  • Aetna — Commercial: $304.50
  • Blue Cross Blue Shield — Commercial: $295.80
  • Carelon — Managed Medicaid: $160.95
  • ChoiceCare/Humana — Managed Medicaid: $165.30
  • Cigna — Commercial: $300.15
  • Cigna Lifesource — Commercial: $287.10
  • Coventry Health — Commercial: $348
  • Employers Health Network — Commercial: $304.50
  • Equifax Healthcare — Commercial: $369.75
  • Galaxy Health — Commercial: $421.95
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal Function Panel $490 $367.50 $9.11 – $475.30
Kidney function panel: 10 of 31 insurance plan rates
  • Aetna — Commercial: $343
  • Aetna Better Health — Managed Medicaid: $147
  • Blue Cross Blue Shield — Commercial: $333.20
  • Blue Cross Blue Shield — Managed Medicaid: $196
  • Carelon — Managed Medicaid: $240.10
  • ChoiceCare/Humana — Managed Medicaid: $220.50
  • Cigna — Commercial: $338.10
  • Cigna Lifesource — Commercial: $323.40
  • CookChildren's Health Plan — Managed Medicaid: $166.60
  • Coventry Health — Commercial: $392
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Renal Function Panel $490 $367.50 $181.30 – $475.30
Kidney function panel: 10 of 25 insurance plan rates
  • Aetna — Commercial: $343
  • Blue Cross Blue Shield — Commercial: $333.20
  • Carelon — Managed Medicaid: $181.30
  • ChoiceCare/Humana — Managed Medicaid: $186.20
  • Cigna — Commercial: $338.10
  • Cigna Lifesource — Commercial: $323.40
  • Coventry Health — Commercial: $392
  • Employers Health Network — Commercial: $343
  • Equifax Healthcare — Commercial: $416.50
  • Galaxy Health — Commercial: $475.30
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Function Panel $326 $244.50 $8.58 – $316.22
Liver function panel: 10 of 31 insurance plan rates
  • Aetna — Commercial: $228.20
  • Aetna Better Health — Managed Medicaid: $97.80
  • Blue Cross Blue Shield — Commercial: $221.68
  • Blue Cross Blue Shield — Managed Medicaid: $130.40
  • Carelon — Managed Medicaid: $159.74
  • ChoiceCare/Humana — Managed Medicaid: $146.70
  • Cigna — Commercial: $224.94
  • Cigna Lifesource — Commercial: $215.16
  • CookChildren's Health Plan — Managed Medicaid: $110.84
  • Coventry Health — Commercial: $260.80
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hepatic Function Panel $326 $244.50 $120.62 – $316.22
Liver function panel: 10 of 25 insurance plan rates
  • Aetna — Commercial: $228.20
  • Blue Cross Blue Shield — Commercial: $221.68
  • Carelon — Managed Medicaid: $120.62
  • ChoiceCare/Humana — Managed Medicaid: $123.88
  • Cigna — Commercial: $224.94
  • Cigna Lifesource — Commercial: $215.16
  • Coventry Health — Commercial: $260.80
  • Employers Health Network — Commercial: $228.20
  • Equifax Healthcare — Commercial: $277.10
  • Galaxy Health — Commercial: $316.22
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urnls Dip Stick/Tablet Rgnt Auto Mic $202 $151.50 $2.66 – $195.94
Urine test (automated, with microscope): 10 of 31 insurance plan rates
  • Aetna — Commercial: $141.40
  • Aetna Better Health — Managed Medicaid: $60.60
  • Blue Cross Blue Shield — Commercial: $137.36
  • Blue Cross Blue Shield — Managed Medicaid: $80.80
  • Carelon — Managed Medicaid: $98.98
  • ChoiceCare/Humana — Managed Medicaid: $90.90
  • Cigna — Commercial: $139.38
  • Cigna Lifesource — Commercial: $133.32
  • CookChildren's Health Plan — Managed Medicaid: $68.68
  • Coventry Health — Commercial: $161.60
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urnls Dip Stick/Tablet Rgnt Auto Mic $202 $151.50 $74.74 – $195.94
Urine test (automated, with microscope): 10 of 25 insurance plan rates
  • Aetna — Commercial: $141.40
  • Blue Cross Blue Shield — Commercial: $137.36
  • Carelon — Managed Medicaid: $74.74
  • ChoiceCare/Humana — Managed Medicaid: $76.76
  • Cigna — Commercial: $139.38
  • Cigna Lifesource — Commercial: $133.32
  • Coventry Health — Commercial: $161.60
  • Employers Health Network — Commercial: $141.40
  • Equifax Healthcare — Commercial: $171.70
  • Galaxy Health — Commercial: $195.94
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE Not listed in the file Not listed in the file $3.65
Urine test (manual, without microscope): rates for 2 insurance plans
  • Superior Health Plan — Managed Medicaid: $3.65
  • Wellpoint — Managed Medicaid: $4.18
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC Urnls Dip Stick/Tablet Rgnt Auto W/O Mic $100 $75 $1.89 – $97
Urine test (automated, without microscope): 10 of 31 insurance plan rates
  • Aetna — Commercial: $70
  • Aetna Better Health — Managed Medicaid: $30
  • Blue Cross Blue Shield — Commercial: $68
  • Blue Cross Blue Shield — Managed Medicaid: $40
  • Carelon — Managed Medicaid: $49
  • ChoiceCare/Humana — Managed Medicaid: $45
  • Cigna — Commercial: $69
  • Cigna Lifesource — Commercial: $66
  • CookChildren's Health Plan — Managed Medicaid: $34
  • Coventry Health — Commercial: $80
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urnls Dip Stick/Tablet Rgnt Auto W/O Mic $134 $100.50 $1.89 – $129.98
Urine test (automated, without microscope): 10 of 31 insurance plan rates
  • Aetna — Commercial: $93.80
  • Aetna Better Health — Managed Medicaid: $40.20
  • Blue Cross Blue Shield — Commercial: $91.12
  • Blue Cross Blue Shield — Managed Medicaid: $53.60
  • Carelon — Managed Medicaid: $65.66
  • ChoiceCare/Humana — Managed Medicaid: $60.30
  • Cigna — Commercial: $92.46
  • Cigna Lifesource — Commercial: $88.44
  • CookChildren's Health Plan — Managed Medicaid: $45.56
  • Coventry Health — Commercial: $107.20
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POC Urnls Dip Stick/Tablet Rgnt Auto W/O Mic $100 $75 $37 – $97
Urine test (automated, without microscope): 10 of 25 insurance plan rates
  • Aetna — Commercial: $70
  • Blue Cross Blue Shield — Commercial: $68
  • Carelon — Managed Medicaid: $37
  • ChoiceCare/Humana — Managed Medicaid: $38
  • Cigna — Commercial: $69
  • Cigna Lifesource — Commercial: $66
  • Coventry Health — Commercial: $80
  • Employers Health Network — Commercial: $70
  • Equifax Healthcare — Commercial: $85
  • Galaxy Health — Commercial: $97
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prostate Specific Antigen,Total $314 $235.50 $19.31 – $304.58
PSA (prostate specific antigen) blood test: 10 of 31 insurance plan rates
  • Aetna — Commercial: $219.80
  • Aetna Better Health — Managed Medicaid: $94.20
  • Blue Cross Blue Shield — Commercial: $213.52
  • Blue Cross Blue Shield — Managed Medicaid: $125.60
  • Carelon — Managed Medicaid: $153.86
  • ChoiceCare/Humana — Managed Medicaid: $141.30
  • Cigna — Commercial: $216.66
  • Cigna Lifesource — Commercial: $207.24
  • CookChildren's Health Plan — Managed Medicaid: $106.76
  • Coventry Health — Commercial: $251.20
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Prostate Specific Antigen,Total $314 $235.50 $116.18 – $304.58
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates
  • Aetna — Commercial: $219.80
  • Blue Cross Blue Shield — Commercial: $213.52
  • Carelon — Managed Medicaid: $116.18
  • ChoiceCare/Humana — Managed Medicaid: $119.32
  • Cigna — Commercial: $216.66
  • Cigna Lifesource — Commercial: $207.24
  • Coventry Health — Commercial: $251.20
  • Employers Health Network — Commercial: $219.80
  • Equifax Healthcare — Commercial: $266.90
  • Galaxy Health — Commercial: $304.58
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyr Stimulating Horm $294 $220.50 $14.11 – $285.18
Thyroid stimulating hormone (TSH) test: 10 of 31 insurance plan rates
  • Aetna — Commercial: $205.80
  • Aetna Better Health — Managed Medicaid: $88.20
  • Blue Cross Blue Shield — Commercial: $199.92
  • Blue Cross Blue Shield — Managed Medicaid: $117.60
  • Carelon — Managed Medicaid: $144.06
  • ChoiceCare/Humana — Managed Medicaid: $132.30
  • Cigna — Commercial: $202.86
  • Cigna Lifesource — Commercial: $194.04
  • CookChildren's Health Plan — Managed Medicaid: $99.96
  • Coventry Health — Commercial: $235.20
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Thyr Stimulating Horm $294 $220.50 $108.78 – $285.18
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates
  • Aetna — Commercial: $205.80
  • Blue Cross Blue Shield — Commercial: $199.92
  • Carelon — Managed Medicaid: $108.78
  • ChoiceCare/Humana — Managed Medicaid: $111.72
  • Cigna — Commercial: $202.86
  • Cigna Lifesource — Commercial: $194.04
  • Coventry Health — Commercial: $235.20
  • Employers Health Network — Commercial: $205.80
  • Equifax Healthcare — Commercial: $249.90
  • Galaxy Health — Commercial: $285.18
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Bld# Compl Auto Hhrwp&Auto Diffial $246 $184.50 $6.53 – $238.62
Complete blood count (CBC) with differential: 10 of 31 insurance plan rates
  • Aetna — Commercial: $172.20
  • Aetna Better Health — Managed Medicaid: $73.80
  • Blue Cross Blue Shield — Commercial: $167.28
  • Blue Cross Blue Shield — Managed Medicaid: $98.40
  • Carelon — Managed Medicaid: $120.54
  • ChoiceCare/Humana — Managed Medicaid: $110.70
  • Cigna — Commercial: $169.74
  • Cigna Lifesource — Commercial: $162.36
  • CookChildren's Health Plan — Managed Medicaid: $83.64
  • Coventry Health — Commercial: $196.80
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Bld# Compl Auto Hhrwp&Auto Diffial $246 $184.50 $91.02 – $238.62
Complete blood count (CBC) with differential: 10 of 25 insurance plan rates
  • Aetna — Commercial: $172.20
  • Blue Cross Blue Shield — Commercial: $167.28
  • Carelon — Managed Medicaid: $91.02
  • ChoiceCare/Humana — Managed Medicaid: $93.48
  • Cigna — Commercial: $169.74
  • Cigna Lifesource — Commercial: $162.36
  • Coventry Health — Commercial: $196.80
  • Employers Health Network — Commercial: $172.20
  • Equifax Healthcare — Commercial: $209.10
  • Galaxy Health — Commercial: $238.62
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete Cbc Automated $393 $294.75 $5.43 – $381.21
Complete blood count (CBC), automated: 10 of 31 insurance plan rates
  • Aetna — Commercial: $275.10
  • Aetna Better Health — Managed Medicaid: $117.90
  • Blue Cross Blue Shield — Commercial: $267.24
  • Blue Cross Blue Shield — Managed Medicaid: $157.20
  • Carelon — Managed Medicaid: $192.57
  • ChoiceCare/Humana — Managed Medicaid: $176.85
  • Cigna — Commercial: $271.17
  • Cigna Lifesource — Commercial: $259.38
  • CookChildren's Health Plan — Managed Medicaid: $133.62
  • Coventry Health — Commercial: $314.40
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Complete Cbc Automated $393 $294.75 $145.41 – $381.21
Complete blood count (CBC), automated: 10 of 25 insurance plan rates
  • Aetna — Commercial: $275.10
  • Blue Cross Blue Shield — Commercial: $267.24
  • Carelon — Managed Medicaid: $145.41
  • ChoiceCare/Humana — Managed Medicaid: $149.34
  • Cigna — Commercial: $271.17
  • Cigna Lifesource — Commercial: $259.38
  • Coventry Health — Commercial: $314.40
  • Employers Health Network — Commercial: $275.10
  • Equifax Healthcare — Commercial: $334.05
  • Galaxy Health — Commercial: $381.21
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time $232 $174 $4.50 – $225.04
Blood clotting time test (prothrombin time, PT): 10 of 31 insurance plan rates
  • Aetna — Commercial: $162.40
  • Aetna Better Health — Managed Medicaid: $69.60
  • Blue Cross Blue Shield — Commercial: $157.76
  • Blue Cross Blue Shield — Managed Medicaid: $92.80
  • Carelon — Managed Medicaid: $113.68
  • ChoiceCare/Humana — Managed Medicaid: $104.40
  • Cigna — Commercial: $160.08
  • Cigna Lifesource — Commercial: $153.12
  • CookChildren's Health Plan — Managed Medicaid: $78.88
  • Coventry Health — Commercial: $185.60
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Prothrombin Time $232 $174 $85.84 – $225.04
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates
  • Aetna — Commercial: $162.40
  • Blue Cross Blue Shield — Commercial: $157.76
  • Carelon — Managed Medicaid: $85.84
  • ChoiceCare/Humana — Managed Medicaid: $88.16
  • Cigna — Commercial: $160.08
  • Cigna Lifesource — Commercial: $153.12
  • Coventry Health — Commercial: $185.60
  • Employers Health Network — Commercial: $162.40
  • Equifax Healthcare — Commercial: $197.20
  • Galaxy Health — Commercial: $225.04
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin Tm Prtl Plsm/Whl Bld $258 $193.50 $6.31 – $250.26
Blood clotting test (partial thromboplastin time, PTT): 10 of 31 insurance plan rates
  • Aetna — Commercial: $180.60
  • Aetna Better Health — Managed Medicaid: $77.40
  • Blue Cross Blue Shield — Commercial: $175.44
  • Blue Cross Blue Shield — Managed Medicaid: $103.20
  • Carelon — Managed Medicaid: $126.42
  • ChoiceCare/Humana — Managed Medicaid: $116.10
  • Cigna — Commercial: $178.02
  • Cigna Lifesource — Commercial: $170.28
  • CookChildren's Health Plan — Managed Medicaid: $87.72
  • Coventry Health — Commercial: $206.40
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Thromboplastin Tm Prtl Plsm/Whl Bld $258 $193.50 $95.46 – $250.26
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates
  • Aetna — Commercial: $180.60
  • Blue Cross Blue Shield — Commercial: $175.44
  • Carelon — Managed Medicaid: $95.46
  • ChoiceCare/Humana — Managed Medicaid: $98.04
  • Cigna — Commercial: $178.02
  • Cigna Lifesource — Commercial: $170.28
  • Coventry Health — Commercial: $206.40
  • Employers Health Network — Commercial: $180.60
  • Equifax Healthcare — Commercial: $219.30
  • Galaxy Health — Commercial: $250.26

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Head/Brn C-Matrl $3,977 $2,982.75 $104.75 – $3,857.69
CT scan of the head or brain, without contrast: 10 of 32 insurance plan rates
  • Aetna — Commercial: $1,100
  • Aetna Better Health — Managed Medicaid: $1,193.10
  • Blue Cross Blue Shield — Commercial: $1,275
  • Blue Cross Blue Shield — Managed Medicaid: $1,590.80
  • Carelon — Managed Medicaid: $1,948.73
  • ChoiceCare/Humana — Managed Medicaid: $1,789.65
  • Cigna — Commercial: $1,075
  • Cigna Lifesource — Commercial: $2,624.82
  • CookChildren's Health Plan — Managed Medicaid: $1,352.18
  • Coventry Health — Commercial: $3,181.60
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Head/Brn C-Matrl $3,977 $2,982.75 $1,471.49 – $3,857.69
CT scan of the head or brain, without contrast: 10 of 25 insurance plan rates
  • Aetna — Commercial: $2,783.90
  • Blue Cross Blue Shield — Commercial: $2,704.36
  • Carelon — Managed Medicaid: $1,471.49
  • ChoiceCare/Humana — Managed Medicaid: $1,511.26
  • Cigna — Commercial: $2,744.13
  • Cigna Lifesource — Commercial: $2,624.82
  • Coventry Health — Commercial: $3,181.60
  • Employers Health Network — Commercial: $2,783.90
  • Equifax Healthcare — Commercial: $3,380.45
  • Galaxy Health — Commercial: $3,857.69
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Brain Combo $5,718 $4,288.50 $328.11 – $5,546.46
MRI of the brain, before and after contrast: 10 of 32 insurance plan rates
  • Aetna — Commercial: $1,700
  • Aetna Better Health — Managed Medicaid: $1,715.40
  • Blue Cross Blue Shield — Commercial: $2,050
  • Blue Cross Blue Shield — Managed Medicaid: $2,287.20
  • Carelon — Managed Medicaid: $2,801.82
  • ChoiceCare/Humana — Managed Medicaid: $2,573.10
  • Cigna — Commercial: $1,700
  • Cigna Lifesource — Commercial: $3,773.88
  • CookChildren's Health Plan — Managed Medicaid: $1,944.12
  • Coventry Health — Commercial: $4,574.40
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Brain Combo $5,718 $4,288.50 $2,115.66 – $5,546.46
MRI of the brain, before and after contrast: 10 of 25 insurance plan rates
  • Aetna — Commercial: $4,002.60
  • Blue Cross Blue Shield — Commercial: $3,888.24
  • Carelon — Managed Medicaid: $2,115.66
  • ChoiceCare/Humana — Managed Medicaid: $2,172.84
  • Cigna — Commercial: $3,945.42
  • Cigna Lifesource — Commercial: $3,773.88
  • Coventry Health — Commercial: $4,574.40
  • Employers Health Network — Commercial: $4,002.60
  • Equifax Healthcare — Commercial: $4,860.30
  • Galaxy Health — Commercial: $5,546.46
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Radiologic Exam Chest 2 Views $689 $516.75 $33.75 – $668.33
Chest X-ray, 2 views: 10 of 31 insurance plan rates
  • Aetna — Commercial: $482.30
  • Aetna Better Health — Managed Medicaid: $206.70
  • Blue Cross Blue Shield — Commercial: $468.52
  • Blue Cross Blue Shield — Managed Medicaid: $275.60
  • Carelon — Managed Medicaid: $337.61
  • ChoiceCare/Humana — Managed Medicaid: $310.05
  • Cigna — Commercial: $475.41
  • Cigna Lifesource — Commercial: $454.74
  • CookChildren's Health Plan — Managed Medicaid: $234.26
  • Coventry Health — Commercial: $551.20
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Radiologic Exam Chest 2 Views $689 $516.75 $254.93 – $668.33
Chest X-ray, 2 views: 10 of 25 insurance plan rates
  • Aetna — Commercial: $482.30
  • Blue Cross Blue Shield — Commercial: $468.52
  • Carelon — Managed Medicaid: $254.93
  • ChoiceCare/Humana — Managed Medicaid: $261.82
  • Cigna — Commercial: $475.41
  • Cigna Lifesource — Commercial: $454.74
  • Coventry Health — Commercial: $551.20
  • Employers Health Network — Commercial: $482.30
  • Equifax Healthcare — Commercial: $585.65
  • Galaxy Health — Commercial: $668.33
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Radex Spine Lumbosac Minimum 4 Views $932 $699 $54.74 – $904.04
X-ray of the lower spine, at least 4 views: 10 of 31 insurance plan rates
  • Aetna — Commercial: $652.40
  • Aetna Better Health — Managed Medicaid: $279.60
  • Blue Cross Blue Shield — Commercial: $633.76
  • Blue Cross Blue Shield — Managed Medicaid: $372.80
  • Carelon — Managed Medicaid: $456.68
  • ChoiceCare/Humana — Managed Medicaid: $419.40
  • Cigna — Commercial: $643.08
  • Cigna Lifesource — Commercial: $615.12
  • CookChildren's Health Plan — Managed Medicaid: $316.88
  • Coventry Health — Commercial: $745.60
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Radex Spine Lumbosac Minimum 4 Views $932 $699 $344.84 – $904.04
X-ray of the lower spine, at least 4 views: 10 of 25 insurance plan rates
  • Aetna — Commercial: $652.40
  • Blue Cross Blue Shield — Commercial: $633.76
  • Carelon — Managed Medicaid: $344.84
  • ChoiceCare/Humana — Managed Medicaid: $354.16
  • Cigna — Commercial: $643.08
  • Cigna Lifesource — Commercial: $615.12
  • Coventry Health — Commercial: $745.60
  • Employers Health Network — Commercial: $652.40
  • Equifax Healthcare — Commercial: $792.20
  • Galaxy Health — Commercial: $904.04
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI, Lumbar Spine $4,020 $3,015 $197.14 – $3,899.40
MRI of the lower back (lumbar spine), without contrast: 10 of 32 insurance plan rates
  • Aetna — Commercial: $1,700
  • Aetna Better Health — Managed Medicaid: $1,206
  • Blue Cross Blue Shield — Commercial: $2,025
  • Blue Cross Blue Shield — Managed Medicaid: $1,608
  • Carelon — Managed Medicaid: $1,969.80
  • ChoiceCare/Humana — Managed Medicaid: $1,809
  • Cigna — Commercial: $1,700
  • Cigna Lifesource — Commercial: $2,653.20
  • CookChildren's Health Plan — Managed Medicaid: $1,366.80
  • Coventry Health — Commercial: $3,216
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI, Lumbar Spine $4,020 $3,015 $1,487.40 – $3,899.40
MRI of the lower back (lumbar spine), without contrast: 10 of 25 insurance plan rates
  • Aetna — Commercial: $2,814
  • Blue Cross Blue Shield — Commercial: $2,733.60
  • Carelon — Managed Medicaid: $1,487.40
  • ChoiceCare/Humana — Managed Medicaid: $1,527.60
  • Cigna — Commercial: $2,773.80
  • Cigna Lifesource — Commercial: $2,653.20
  • Coventry Health — Commercial: $3,216
  • Employers Health Network — Commercial: $2,814
  • Equifax Healthcare — Commercial: $3,417
  • Galaxy Health — Commercial: $3,899.40
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis C+ Matrl $4,245 $3,183.75 $183.81 – $4,117.65
CT scan of the pelvis, with contrast: 10 of 32 insurance plan rates
  • Aetna — Commercial: $2,971.50
  • Aetna Better Health — Managed Medicaid: $1,273.50
  • Blue Cross Blue Shield — Commercial: $2,886.60
  • Blue Cross Blue Shield — Managed Medicaid: $1,698
  • Carelon — Managed Medicaid: $2,080.05
  • ChoiceCare/Humana — Managed Medicaid: $1,910.25
  • Cigna — Commercial: $2,929.05
  • Cigna Lifesource — Commercial: $2,801.70
  • CookChildren's Health Plan — Managed Medicaid: $1,443.30
  • Coventry Health — Commercial: $3,396
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Pelvis C+ Matrl $4,245 $3,183.75 $1,570.65 – $4,117.65
CT scan of the pelvis, with contrast: 10 of 25 insurance plan rates
  • Aetna — Commercial: $2,971.50
  • Blue Cross Blue Shield — Commercial: $2,886.60
  • Carelon — Managed Medicaid: $1,570.65
  • ChoiceCare/Humana — Managed Medicaid: $1,613.10
  • Cigna — Commercial: $2,929.05
  • Cigna Lifesource — Commercial: $2,801.70
  • Coventry Health — Commercial: $3,396
  • Employers Health Network — Commercial: $2,971.50
  • Equifax Healthcare — Commercial: $3,608.25
  • Galaxy Health — Commercial: $4,117.65
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Lower Extrem Jt, W/O Contrast $5,100 $3,825 $219.28 – $4,947
MRI of a leg joint (such as the knee), without contrast: 10 of 32 insurance plan rates
  • Aetna — Commercial: $1,700
  • Aetna Better Health — Managed Medicaid: $1,530
  • Blue Cross Blue Shield — Commercial: $1,950
  • Blue Cross Blue Shield — Managed Medicaid: $2,040
  • Carelon — Managed Medicaid: $2,499
  • ChoiceCare/Humana — Managed Medicaid: $2,295
  • Cigna — Commercial: $1,700
  • Cigna Lifesource — Commercial: $3,366
  • CookChildren's Health Plan — Managed Medicaid: $1,734
  • Coventry Health — Commercial: $4,080
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Lower Extrem Jt, W/O Contrast $5,100 $3,825 $1,887 – $4,947
MRI of a leg joint (such as the knee), without contrast: 10 of 25 insurance plan rates
  • Aetna — Commercial: $3,570
  • Blue Cross Blue Shield — Commercial: $3,468
  • Carelon — Managed Medicaid: $1,887
  • ChoiceCare/Humana — Managed Medicaid: $1,938
  • Cigna — Commercial: $3,519
  • Cigna Lifesource — Commercial: $3,366
  • Coventry Health — Commercial: $4,080
  • Employers Health Network — Commercial: $3,570
  • Equifax Healthcare — Commercial: $4,335
  • Galaxy Health — Commercial: $4,947
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Scan,Abdoment and Pelvis,W Contrast $5,758 $4,318.50 $312.08 – $5,585.26
CT scan of the abdomen and pelvis, with contrast: 10 of 32 insurance plan rates
  • Aetna — Commercial: $1,100
  • Aetna Better Health — Managed Medicaid: $1,727.40
  • Blue Cross Blue Shield — Commercial: $1,275
  • Blue Cross Blue Shield — Managed Medicaid: $2,303.20
  • Carelon — Managed Medicaid: $2,821.42
  • ChoiceCare/Humana — Managed Medicaid: $2,591.10
  • Cigna — Commercial: $1,075
  • Cigna Lifesource — Commercial: $3,800.28
  • CookChildren's Health Plan — Managed Medicaid: $1,957.72
  • Coventry Health — Commercial: $4,606.40
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Scan,Abdoment and Pelvis,W Contrast $5,758 $4,318.50 $2,130.46 – $5,585.26
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates
  • Aetna — Commercial: $4,030.60
  • Blue Cross Blue Shield — Commercial: $3,915.44
  • Carelon — Managed Medicaid: $2,130.46
  • ChoiceCare/Humana — Managed Medicaid: $2,188.04
  • Cigna — Commercial: $3,973.02
  • Cigna Lifesource — Commercial: $3,800.28
  • Coventry Health — Commercial: $4,606.40
  • Employers Health Network — Commercial: $4,030.60
  • Equifax Healthcare — Commercial: $4,894.30
  • Galaxy Health — Commercial: $5,585.26
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdominal R-T W/Image Documentation $1,713 $1,284.75 $109.99 – $1,661.61
Ultrasound of the abdomen, complete: 10 of 32 insurance plan rates
  • Aetna — Commercial: $500
  • Aetna Better Health — Managed Medicaid: $513.90
  • Blue Cross Blue Shield — Commercial: $650
  • Blue Cross Blue Shield — Managed Medicaid: $685.20
  • Carelon — Managed Medicaid: $839.37
  • ChoiceCare/Humana — Managed Medicaid: $770.85
  • Cigna — Commercial: $475
  • Cigna Lifesource — Commercial: $1,130.58
  • CookChildren's Health Plan — Managed Medicaid: $582.42
  • Coventry Health — Commercial: $1,370.40
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Abdominal R-T W/Image Documentation $1,713 $1,284.75 $633.81 – $1,661.61
Ultrasound of the abdomen, complete: 10 of 25 insurance plan rates
  • Aetna — Commercial: $1,199.10
  • Blue Cross Blue Shield — Commercial: $1,164.84
  • Carelon — Managed Medicaid: $633.81
  • ChoiceCare/Humana — Managed Medicaid: $650.94
  • Cigna — Commercial: $1,181.97
  • Cigna Lifesource — Commercial: $1,130.58
  • Coventry Health — Commercial: $1,370.40
  • Employers Health Network — Commercial: $1,199.10
  • Equifax Healthcare — Commercial: $1,456.05
  • Galaxy Health — Commercial: $1,661.61
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >/= 14 WKS SNGL FETUS Not listed in the file Not listed in the file $109.99 – $125.70
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans
  • Superior Health Plan — Managed Medicaid: $109.99
  • Wellpoint — Managed Medicaid: $125.70
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Trvg $633 $474.75 $109.99 – $614.01
Transvaginal ultrasound: 10 of 32 insurance plan rates
  • Aetna — Commercial: $443.10
  • Aetna Better Health — Managed Medicaid: $189.90
  • Blue Cross Blue Shield — Commercial: $430.44
  • Blue Cross Blue Shield — Managed Medicaid: $253.20
  • Carelon — Managed Medicaid: $310.17
  • ChoiceCare/Humana — Managed Medicaid: $284.85
  • Cigna — Commercial: $436.77
  • Cigna Lifesource — Commercial: $417.78
  • CookChildren's Health Plan — Managed Medicaid: $215.22
  • Coventry Health — Commercial: $506.40
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US Trvg $633 $474.75 $234.21 – $614.01
Transvaginal ultrasound: 10 of 25 insurance plan rates
  • Aetna — Commercial: $443.10
  • Blue Cross Blue Shield — Commercial: $430.44
  • Carelon — Managed Medicaid: $234.21
  • ChoiceCare/Humana — Managed Medicaid: $240.54
  • Cigna — Commercial: $436.77
  • Cigna Lifesource — Commercial: $417.78
  • Coventry Health — Commercial: $506.40
  • Employers Health Network — Commercial: $443.10
  • Equifax Healthcare — Commercial: $538.05
  • Galaxy Health — Commercial: $614.01

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: L Hrt Cath W/Njx L Ventriculography Img S&I $32,099 $24,074.25 $6,740.79 – $31,136.03
Left heart catheterization (diagnostic): 10 of 30 insurance plan rates
  • Aetna — Commercial: $22,469.30
  • Aetna Better Health — Managed Medicaid: $10,913.66
  • Blue Cross Blue Shield — Commercial: $21,827.32
  • Blue Cross Blue Shield — Managed Medicaid: $12,839.60
  • Carelon — Managed Medicaid: $15,728.51
  • ChoiceCare/Humana — Managed Medicaid: $14,444.55
  • Cigna — Commercial: $22,148.31
  • Cigna Lifesource — Commercial: $21,185.34
  • CookChildren's Health Plan — Managed Medicaid: $10,913.66
  • Coventry Health — Commercial: $25,679.20
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: L Hrt Cath W/Njx L Ventriculography Img S&I $32,099 $24,074.25 $11,876.63 – $31,136.03
Left heart catheterization (diagnostic): 10 of 25 insurance plan rates
  • Aetna — Commercial: $22,469.30
  • Blue Cross Blue Shield — Commercial: $21,827.32
  • Carelon — Managed Medicaid: $11,876.63
  • ChoiceCare/Humana — Managed Medicaid: $12,197.62
  • Cigna — Commercial: $22,148.31
  • Cigna Lifesource — Commercial: $21,185.34
  • Coventry Health — Commercial: $25,679.20
  • Employers Health Network — Commercial: $22,469.30
  • Equifax Healthcare — Commercial: $27,284.15
  • Galaxy Health — Commercial: $31,136.03
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Come Electrophysiologic W/O Arrhyt Induction $16,103 $12,077.25 $3,381.63 – $15,619.91
Heart rhythm study (electrophysiology evaluation): 10 of 30 insurance plan rates
  • Aetna — Commercial: $11,272.10
  • Aetna Better Health — Managed Medicaid: $5,475.02
  • Blue Cross Blue Shield — Commercial: $10,950.04
  • Blue Cross Blue Shield — Managed Medicaid: $6,441.20
  • Carelon — Managed Medicaid: $7,890.47
  • ChoiceCare/Humana — Managed Medicaid: $7,246.35
  • Cigna — Commercial: $11,111.07
  • Cigna Lifesource — Commercial: $10,627.98
  • CookChildren's Health Plan — Managed Medicaid: $5,475.02
  • Coventry Health — Commercial: $12,882.40
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Come Electrophysiologic W/O Arrhyt Induction $16,103 $12,077.25 $5,958.11 – $15,619.91
Heart rhythm study (electrophysiology evaluation): 10 of 25 insurance plan rates
  • Aetna — Commercial: $11,272.10
  • Blue Cross Blue Shield — Commercial: $10,950.04
  • Carelon — Managed Medicaid: $5,958.11
  • ChoiceCare/Humana — Managed Medicaid: $6,119.14
  • Cigna — Commercial: $11,111.07
  • Cigna Lifesource — Commercial: $10,627.98
  • Coventry Health — Commercial: $12,882.40
  • Employers Health Network — Commercial: $11,272.10
  • Equifax Healthcare — Commercial: $13,687.55
  • Galaxy Health — Commercial: $15,619.91
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Compre Ep Eval Abltj Atr Fib $103,035 $77,276.25 $21,637.35 – $99,943.95
Heart rhythm study with ablation for atrial fibrillation: 10 of 30 insurance plan rates
  • Aetna — Commercial: $72,124.50
  • Aetna Better Health — Managed Medicaid: $35,031.90
  • Blue Cross Blue Shield — Commercial: $70,063.80
  • Blue Cross Blue Shield — Managed Medicaid: $41,214
  • Carelon — Managed Medicaid: $50,487.15
  • ChoiceCare/Humana — Managed Medicaid: $46,365.75
  • Cigna — Commercial: $71,094.15
  • Cigna Lifesource — Commercial: $68,003.10
  • CookChildren's Health Plan — Managed Medicaid: $35,031.90
  • Coventry Health — Commercial: $82,428
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Compre Ep Eval Abltj Atr Fib $103,035 $77,276.25 $38,122.95 – $99,943.95
Heart rhythm study with ablation for atrial fibrillation: 10 of 25 insurance plan rates
  • Aetna — Commercial: $72,124.50
  • Blue Cross Blue Shield — Commercial: $70,063.80
  • Carelon — Managed Medicaid: $38,122.95
  • ChoiceCare/Humana — Managed Medicaid: $39,153.30
  • Cigna — Commercial: $71,094.15
  • Cigna Lifesource — Commercial: $68,003.10
  • Coventry Health — Commercial: $82,428
  • Employers Health Network — Commercial: $72,124.50
  • Equifax Healthcare — Commercial: $87,579.75
  • Galaxy Health — Commercial: $99,943.95
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/>Yrs Sleep 4/> Addl Param Attnd $7,078 $5,308.50 $1,486.38 – $6,865.66
Sleep study (overnight, in a sleep lab): 10 of 31 insurance plan rates
  • Aetna — Commercial: $3,000
  • Aetna Better Health — Managed Medicaid: $2,406.52
  • Blue Cross Blue Shield — Commercial: $3,250
  • Blue Cross Blue Shield — Managed Medicaid: $2,831.20
  • Carelon — Managed Medicaid: $3,468.22
  • ChoiceCare/Humana — Managed Medicaid: $3,185.10
  • Cigna — Commercial: $2,725
  • Cigna Lifesource — Commercial: $4,671.48
  • CookChildren's Health Plan — Managed Medicaid: $2,406.52
  • Coventry Health — Commercial: $5,662.40
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Polysom 6/>Yrs Sleep 4/> Addl Param Attnd $7,078 $5,308.50 $2,618.86 – $6,865.66
Sleep study (overnight, in a sleep lab): 10 of 25 insurance plan rates
  • Aetna — Commercial: $4,954.60
  • Blue Cross Blue Shield — Commercial: $4,813.04
  • Carelon — Managed Medicaid: $2,618.86
  • ChoiceCare/Humana — Managed Medicaid: $2,689.64
  • Cigna — Commercial: $4,883.82
  • Cigna Lifesource — Commercial: $4,671.48
  • Coventry Health — Commercial: $5,662.40
  • Employers Health Network — Commercial: $4,954.60
  • Equifax Healthcare — Commercial: $6,016.30
  • Galaxy Health — Commercial: $6,865.66

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ther Px 1+ Areas Ea 15 Min Ther Xerss $224 $168 $47.04 – $217.28
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 30 insurance plan rates
  • Aetna — Commercial: $156.80
  • Aetna Better Health — Managed Medicaid: $76.16
  • Blue Cross Blue Shield — Commercial: $152.32
  • Blue Cross Blue Shield — Managed Medicaid: $89.60
  • Carelon — Managed Medicaid: $109.76
  • ChoiceCare/Humana — Managed Medicaid: $100.80
  • Cigna — Commercial: $154.56
  • Cigna Lifesource — Commercial: $147.84
  • CookChildren's Health Plan — Managed Medicaid: $76.16
  • Coventry Health — Commercial: $179.20
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Ther Px 1+ Areas Ea 15 Min Ther Xerss $224 $168 $82.88 – $217.28
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates
  • Aetna — Commercial: $156.80
  • Blue Cross Blue Shield — Commercial: $152.32
  • Carelon — Managed Medicaid: $82.88
  • ChoiceCare/Humana — Managed Medicaid: $85.12
  • Cigna — Commercial: $154.56
  • Cigna Lifesource — Commercial: $147.84
  • Coventry Health — Commercial: $179.20
  • Employers Health Network — Commercial: $156.80
  • Equifax Healthcare — Commercial: $190.40
  • Galaxy Health — Commercial: $217.28
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical Therapy Evaluation Low Complex 15 Mins $471 $353.25 $98.91 – $456.87
Physical therapy evaluation (low complexity): 10 of 30 insurance plan rates
  • Aetna — Commercial: $329.70
  • Aetna Better Health — Managed Medicaid: $160.14
  • Blue Cross Blue Shield — Commercial: $320.28
  • Blue Cross Blue Shield — Managed Medicaid: $188.40
  • Carelon — Managed Medicaid: $230.79
  • ChoiceCare/Humana — Managed Medicaid: $211.95
  • Cigna — Commercial: $324.99
  • Cigna Lifesource — Commercial: $310.86
  • CookChildren's Health Plan — Managed Medicaid: $160.14
  • Coventry Health — Commercial: $376.80
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical Therapy Evaluation Low Complex 30 Mins $489 $366.75 $102.69 – $474.33
Physical therapy evaluation (low complexity): 10 of 30 insurance plan rates
  • Aetna — Commercial: $342.30
  • Aetna Better Health — Managed Medicaid: $166.26
  • Blue Cross Blue Shield — Commercial: $332.52
  • Blue Cross Blue Shield — Managed Medicaid: $195.60
  • Carelon — Managed Medicaid: $239.61
  • ChoiceCare/Humana — Managed Medicaid: $220.05
  • Cigna — Commercial: $337.41
  • Cigna Lifesource — Commercial: $322.74
  • CookChildren's Health Plan — Managed Medicaid: $166.26
  • Coventry Health — Commercial: $391.20
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical Therapy Evaluation Low Complex 45 Mins $489 $366.75 $102.69 – $474.33
Physical therapy evaluation (low complexity): 10 of 30 insurance plan rates
  • Aetna — Commercial: $342.30
  • Aetna Better Health — Managed Medicaid: $166.26
  • Blue Cross Blue Shield — Commercial: $332.52
  • Blue Cross Blue Shield — Managed Medicaid: $195.60
  • Carelon — Managed Medicaid: $239.61
  • ChoiceCare/Humana — Managed Medicaid: $220.05
  • Cigna — Commercial: $337.41
  • Cigna Lifesource — Commercial: $322.74
  • CookChildren's Health Plan — Managed Medicaid: $166.26
  • Coventry Health — Commercial: $391.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical Therapy Evaluation Mod Complex 15 Mins $489 $366.75 $102.69 – $474.33
Physical therapy evaluation (moderate complexity): 10 of 30 insurance plan rates
  • Aetna — Commercial: $342.30
  • Aetna Better Health — Managed Medicaid: $166.26
  • Blue Cross Blue Shield — Commercial: $332.52
  • Blue Cross Blue Shield — Managed Medicaid: $195.60
  • Carelon — Managed Medicaid: $239.61
  • ChoiceCare/Humana — Managed Medicaid: $220.05
  • Cigna — Commercial: $337.41
  • Cigna Lifesource — Commercial: $322.74
  • CookChildren's Health Plan — Managed Medicaid: $166.26
  • Coventry Health — Commercial: $391.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical Therapy Evaluation Mod Complex 30 Mins $489 $366.75 $102.69 – $474.33
Physical therapy evaluation (moderate complexity): 10 of 30 insurance plan rates
  • Aetna — Commercial: $342.30
  • Aetna Better Health — Managed Medicaid: $166.26
  • Blue Cross Blue Shield — Commercial: $332.52
  • Blue Cross Blue Shield — Managed Medicaid: $195.60
  • Carelon — Managed Medicaid: $239.61
  • ChoiceCare/Humana — Managed Medicaid: $220.05
  • Cigna — Commercial: $337.41
  • Cigna Lifesource — Commercial: $322.74
  • CookChildren's Health Plan — Managed Medicaid: $166.26
  • Coventry Health — Commercial: $391.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical Therapy Evaluation Mod Complex 45 Mins $489 $366.75 $102.69 – $474.33
Physical therapy evaluation (moderate complexity): 10 of 30 insurance plan rates
  • Aetna — Commercial: $342.30
  • Aetna Better Health — Managed Medicaid: $166.26
  • Blue Cross Blue Shield — Commercial: $332.52
  • Blue Cross Blue Shield — Managed Medicaid: $195.60
  • Carelon — Managed Medicaid: $239.61
  • ChoiceCare/Humana — Managed Medicaid: $220.05
  • Cigna — Commercial: $337.41
  • Cigna Lifesource — Commercial: $322.74
  • CookChildren's Health Plan — Managed Medicaid: $166.26
  • Coventry Health — Commercial: $391.20
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical Therapy Evaluation High Complex 15 Mins $489 $366.75 $102.69 – $474.33
Physical therapy evaluation (high complexity): 10 of 30 insurance plan rates
  • Aetna — Commercial: $342.30
  • Aetna Better Health — Managed Medicaid: $166.26
  • Blue Cross Blue Shield — Commercial: $332.52
  • Blue Cross Blue Shield — Managed Medicaid: $195.60
  • Carelon — Managed Medicaid: $239.61
  • ChoiceCare/Humana — Managed Medicaid: $220.05
  • Cigna — Commercial: $337.41
  • Cigna Lifesource — Commercial: $322.74
  • CookChildren's Health Plan — Managed Medicaid: $166.26
  • Coventry Health — Commercial: $391.20
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical Therapy Evaluation High Complex 30 Mins $489 $366.75 $102.69 – $474.33
Physical therapy evaluation (high complexity): 10 of 30 insurance plan rates
  • Aetna — Commercial: $342.30
  • Aetna Better Health — Managed Medicaid: $166.26
  • Blue Cross Blue Shield — Commercial: $332.52
  • Blue Cross Blue Shield — Managed Medicaid: $195.60
  • Carelon — Managed Medicaid: $239.61
  • ChoiceCare/Humana — Managed Medicaid: $220.05
  • Cigna — Commercial: $337.41
  • Cigna Lifesource — Commercial: $322.74
  • CookChildren's Health Plan — Managed Medicaid: $166.26
  • Coventry Health — Commercial: $391.20
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical Therapy Evaluation High Complex 45 Mins $489 $366.75 $102.69 – $474.33
Physical therapy evaluation (high complexity): 10 of 30 insurance plan rates
  • Aetna — Commercial: $342.30
  • Aetna Better Health — Managed Medicaid: $166.26
  • Blue Cross Blue Shield — Commercial: $332.52
  • Blue Cross Blue Shield — Managed Medicaid: $195.60
  • Carelon — Managed Medicaid: $239.61
  • ChoiceCare/Humana — Managed Medicaid: $220.05
  • Cigna — Commercial: $337.41
  • Cigna Lifesource — Commercial: $322.74
  • CookChildren's Health Plan — Managed Medicaid: $166.26
  • Coventry Health — Commercial: $391.20
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy W/Patient 30 Minutes $471 $353.25 $98.91 – $456.87
Psychotherapy, 30 minutes: 10 of 30 insurance plan rates
  • Aetna — Commercial: $329.70
  • Aetna Better Health — Managed Medicaid: $160.14
  • Blue Cross Blue Shield — Commercial: $320.28
  • Blue Cross Blue Shield — Managed Medicaid: $188.40
  • Carelon — Managed Medicaid: $230.79
  • ChoiceCare/Humana — Managed Medicaid: $211.95
  • Cigna — Commercial: $324.99
  • Cigna Lifesource — Commercial: $310.86
  • CookChildren's Health Plan — Managed Medicaid: $160.14
  • Coventry Health — Commercial: $376.80
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Psychotherapy W/Patient 30 Minutes $471 $353.25 $174.27 – $456.87
Psychotherapy, 30 minutes: 10 of 25 insurance plan rates
  • Aetna — Commercial: $329.70
  • Blue Cross Blue Shield — Commercial: $320.28
  • Carelon — Managed Medicaid: $174.27
  • ChoiceCare/Humana — Managed Medicaid: $178.98
  • Cigna — Commercial: $324.99
  • Cigna Lifesource — Commercial: $310.86
  • Coventry Health — Commercial: $376.80
  • Employers Health Network — Commercial: $329.70
  • Equifax Healthcare — Commercial: $400.35
  • Galaxy Health — Commercial: $456.87
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy W/Patient 45 Minutes $735 $551.25 $154.35 – $712.95
Psychotherapy, 45 minutes: 10 of 30 insurance plan rates
  • Aetna — Commercial: $514.50
  • Aetna Better Health — Managed Medicaid: $249.90
  • Blue Cross Blue Shield — Commercial: $499.80
  • Blue Cross Blue Shield — Managed Medicaid: $294
  • Carelon — Managed Medicaid: $360.15
  • ChoiceCare/Humana — Managed Medicaid: $330.75
  • Cigna — Commercial: $507.15
  • Cigna Lifesource — Commercial: $485.10
  • CookChildren's Health Plan — Managed Medicaid: $249.90
  • Coventry Health — Commercial: $588
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Psychotherapy W/Patient 45 Minutes $735 $551.25 $271.95 – $712.95
Psychotherapy, 45 minutes: 10 of 25 insurance plan rates
  • Aetna — Commercial: $514.50
  • Blue Cross Blue Shield — Commercial: $499.80
  • Carelon — Managed Medicaid: $271.95
  • ChoiceCare/Humana — Managed Medicaid: $279.30
  • Cigna — Commercial: $507.15
  • Cigna Lifesource — Commercial: $485.10
  • Coventry Health — Commercial: $588
  • Employers Health Network — Commercial: $514.50
  • Equifax Healthcare — Commercial: $624.75
  • Galaxy Health — Commercial: $712.95
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy W/Patient 60 Minutes $920 $690 $193.20 – $892.40
Psychotherapy, 60 minutes: 10 of 30 insurance plan rates
  • Aetna — Commercial: $644
  • Aetna Better Health — Managed Medicaid: $312.80
  • Blue Cross Blue Shield — Commercial: $625.60
  • Blue Cross Blue Shield — Managed Medicaid: $368
  • Carelon — Managed Medicaid: $450.80
  • ChoiceCare/Humana — Managed Medicaid: $414
  • Cigna — Commercial: $634.80
  • Cigna Lifesource — Commercial: $607.20
  • CookChildren's Health Plan — Managed Medicaid: $312.80
  • Coventry Health — Commercial: $736
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Psychotherapy W/Patient 60 Minutes $920 $690 $340.40 – $892.40
Psychotherapy, 60 minutes: 10 of 25 insurance plan rates
  • Aetna — Commercial: $644
  • Blue Cross Blue Shield — Commercial: $625.60
  • Carelon — Managed Medicaid: $340.40
  • ChoiceCare/Humana — Managed Medicaid: $349.60
  • Cigna — Commercial: $634.80
  • Cigna Lifesource — Commercial: $607.20
  • Coventry Health — Commercial: $736
  • Employers Health Network — Commercial: $644
  • Equifax Healthcare — Commercial: $782
  • Galaxy Health — Commercial: $892.40
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family Psychotherapy W/O Patient Esent 50 Mins $781 $585.75 $164.01 – $757.57
Family psychotherapy, without the patient: 10 of 30 insurance plan rates
  • Aetna — Commercial: $546.70
  • Aetna Better Health — Managed Medicaid: $265.54
  • Blue Cross Blue Shield — Commercial: $531.08
  • Blue Cross Blue Shield — Managed Medicaid: $312.40
  • Carelon — Managed Medicaid: $382.69
  • ChoiceCare/Humana — Managed Medicaid: $351.45
  • Cigna — Commercial: $538.89
  • Cigna Lifesource — Commercial: $515.46
  • CookChildren's Health Plan — Managed Medicaid: $265.54
  • Coventry Health — Commercial: $624.80
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Family Psychotherapy W/O Patient Esent 50 Mins $781 $585.75 $288.97 – $757.57
Family psychotherapy, without the patient: 10 of 25 insurance plan rates
  • Aetna — Commercial: $546.70
  • Blue Cross Blue Shield — Commercial: $531.08
  • Carelon — Managed Medicaid: $288.97
  • ChoiceCare/Humana — Managed Medicaid: $296.78
  • Cigna — Commercial: $538.89
  • Cigna Lifesource — Commercial: $515.46
  • Coventry Health — Commercial: $624.80
  • Employers Health Network — Commercial: $546.70
  • Equifax Healthcare — Commercial: $663.85
  • Galaxy Health — Commercial: $757.57
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family Psychotherapy W/Patient Esent 50 Mins $827 $620.25 $173.67 – $802.19
Family psychotherapy, with the patient: 10 of 30 insurance plan rates
  • Aetna — Commercial: $578.90
  • Aetna Better Health — Managed Medicaid: $281.18
  • Blue Cross Blue Shield — Commercial: $562.36
  • Blue Cross Blue Shield — Managed Medicaid: $330.80
  • Carelon — Managed Medicaid: $405.23
  • ChoiceCare/Humana — Managed Medicaid: $372.15
  • Cigna — Commercial: $570.63
  • Cigna Lifesource — Commercial: $545.82
  • CookChildren's Health Plan — Managed Medicaid: $281.18
  • Coventry Health — Commercial: $661.60
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Family Psychotherapy W/Patient Esent 50 Mins $827 $620.25 $305.99 – $802.19
Family psychotherapy, with the patient: 10 of 25 insurance plan rates
  • Aetna — Commercial: $578.90
  • Blue Cross Blue Shield — Commercial: $562.36
  • Carelon — Managed Medicaid: $305.99
  • ChoiceCare/Humana — Managed Medicaid: $314.26
  • Cigna — Commercial: $570.63
  • Cigna Lifesource — Commercial: $545.82
  • Coventry Health — Commercial: $661.60
  • Employers Health Network — Commercial: $578.90
  • Equifax Healthcare — Commercial: $702.95
  • Galaxy Health — Commercial: $802.19
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group Psychotherapy $433 $324.75 $90.93 – $420.01
Group psychotherapy: 10 of 33 insurance plan rates
  • Aetna — Commercial: $303.10
  • Aetna Better Health — Managed Medicaid: $147.22
  • Blue Cross Blue Shield — Commercial: $294.44
  • Blue Cross Blue Shield — Managed Medicaid: $173.20
  • Carelon — Managed Medicaid: $212.17
  • ChoiceCare/Humana — Managed Medicaid: $194.85
  • Cigna — Commercial: $298.77
  • Cigna Lifesource — Commercial: $285.78
  • CompCare — Managed Medicaid: $225
  • CookChildren's Health Plan — Managed Medicaid: $147.22
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Group Psychotherapy $433 $324.75 $160.21 – $420.01
Group psychotherapy: 10 of 25 insurance plan rates
  • Aetna — Commercial: $303.10
  • Blue Cross Blue Shield — Commercial: $294.44
  • Carelon — Managed Medicaid: $160.21
  • ChoiceCare/Humana — Managed Medicaid: $164.54
  • Cigna — Commercial: $298.77
  • Cigna Lifesource — Commercial: $285.78
  • Coventry Health — Commercial: $346.40
  • Employers Health Network — Commercial: $303.10
  • Equifax Healthcare — Commercial: $368.05
  • Galaxy Health — Commercial: $420.01

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $1,011.84
Removal of breast growth (open surgery): rates for 2 insurance plans
  • Superior Health Plan — Managed Medicaid: $1,011.84
  • Wellpoint — Managed Medicaid: $1,156.39
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $1,142.68
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 2 insurance plans
  • Superior Health Plan — Managed Medicaid: $1,142.68
  • Wellpoint — Managed Medicaid: $1,305.92
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $2,051.93 – $5,759
Removal of tonsils and adenoids (under age 12): rates for 7 insurance plans
  • Aetna — Commercial: $3,600
  • Blue Cross Blue Shield — Commercial: $5,750
  • Cigna — Commercial: $4,900
  • Methodist — LOA: $4,895.15
  • Superior Health Plan — Managed Medicaid: $2,051.93
  • United Healthcare — Commercial: $5,759
  • Wellpoint — Managed Medicaid: $2,345.06
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Esophagogastroduodenoscopy Transoral Diagnostic $4,632 $3,474 $401.94 – $4,493.04
Upper GI endoscopy (diagnostic): 10 of 31 insurance plan rates
  • Aetna — Commercial: $3,242.40
  • Aetna Better Health — Managed Medicaid: $1,574.88
  • Blue Cross Blue Shield — Commercial: $3,149.76
  • Blue Cross Blue Shield — Managed Medicaid: $1,852.80
  • Carelon — Managed Medicaid: $2,269.68
  • ChoiceCare/Humana — Managed Medicaid: $2,084.40
  • Cigna — Commercial: $3,196.08
  • Cigna Lifesource — Commercial: $3,057.12
  • CookChildren's Health Plan — Managed Medicaid: $1,574.88
  • Coventry Health — Commercial: $3,705.60
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Esophagogastroduodenoscopy Transoral Diagnostic $4,632 $3,474 $1,713.84 – $4,493.04
Upper GI endoscopy (diagnostic): 10 of 25 insurance plan rates
  • Aetna — Commercial: $3,242.40
  • Blue Cross Blue Shield — Commercial: $3,149.76
  • Carelon — Managed Medicaid: $1,713.84
  • ChoiceCare/Humana — Managed Medicaid: $1,760.16
  • Cigna — Commercial: $3,196.08
  • Cigna Lifesource — Commercial: $3,057.12
  • Coventry Health — Commercial: $3,705.60
  • Employers Health Network — Commercial: $3,242.40
  • Equifax Healthcare — Commercial: $3,937.20
  • Galaxy Health — Commercial: $4,493.04
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $351.70
Upper GI endoscopy (diagnostic): rates for 1 insurance plan
  • Superior Health Plan — Managed Medicaid: $351.70
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd Transoral Biopsy Single/Multiple $4,766 $3,574.50 $401.94 – $6,850
Upper GI endoscopy with biopsy: 10 of 31 insurance plan rates
  • Aetna — Commercial: $3,336.20
  • Aetna Better Health — Managed Medicaid: $1,620.44
  • Blue Cross Blue Shield — Commercial: $6,800
  • Blue Cross Blue Shield — Managed Medicaid: $1,906.40
  • Carelon — Managed Medicaid: $2,335.34
  • ChoiceCare/Humana — Managed Medicaid: $2,144.70
  • Cigna — Commercial: $6,850
  • Cigna Lifesource — Commercial: $3,145.56
  • CookChildren's Health Plan — Managed Medicaid: $1,620.44
  • Coventry Health — Commercial: $3,812.80
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Egd Transoral Biopsy Single/Multiple $4,766 $3,574.50 $1,763.42 – $4,623.02
Upper GI endoscopy with biopsy: 10 of 25 insurance plan rates
  • Aetna — Commercial: $3,336.20
  • Blue Cross Blue Shield — Commercial: $3,240.88
  • Carelon — Managed Medicaid: $1,763.42
  • ChoiceCare/Humana — Managed Medicaid: $1,811.08
  • Cigna — Commercial: $3,288.54
  • Cigna Lifesource — Commercial: $3,145.56
  • Coventry Health — Commercial: $3,812.80
  • Employers Health Network — Commercial: $3,336.20
  • Equifax Healthcare — Commercial: $4,051.10
  • Galaxy Health — Commercial: $4,623.02
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $351.70 – $5,250
Upper GI endoscopy with biopsy: rates for 4 insurance plans
  • Aetna — Commercial: $5,250
  • Methodist — LOA: $3,527.50
  • Superior Health Plan — Managed Medicaid: $351.70
  • United Healthcare — Commercial: $4,150
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd $3,570 $2,677.50 $394.20 – $3,462.90
Colonoscopy (diagnostic): 10 of 31 insurance plan rates
  • Aetna — Commercial: $2,499
  • Aetna Better Health — Managed Medicaid: $1,213.80
  • Blue Cross Blue Shield — Commercial: $2,900
  • Blue Cross Blue Shield — Managed Medicaid: $1,428
  • Carelon — Managed Medicaid: $1,749.30
  • ChoiceCare/Humana — Managed Medicaid: $1,606.50
  • Cigna — Commercial: $2,600
  • Cigna Lifesource — Commercial: $2,356.20
  • CookChildren's Health Plan — Managed Medicaid: $1,213.80
  • Coventry Health — Commercial: $2,856
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonoscopy Flx Dx W/Collj Spec When Pfrmd $3,570 $2,677.50 $1,320.90 – $3,462.90
Colonoscopy (diagnostic): 10 of 25 insurance plan rates
  • Aetna — Commercial: $2,499
  • Blue Cross Blue Shield — Commercial: $2,427.60
  • Carelon — Managed Medicaid: $1,320.90
  • ChoiceCare/Humana — Managed Medicaid: $1,356.60
  • Cigna — Commercial: $2,463.30
  • Cigna Lifesource — Commercial: $2,356.20
  • Coventry Health — Commercial: $2,856
  • Employers Health Network — Commercial: $2,499
  • Equifax Healthcare — Commercial: $3,034.50
  • Galaxy Health — Commercial: $3,462.90
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $344.93 – $2,800
Colonoscopy (diagnostic): rates for 4 insurance plans
  • Aetna — Commercial: $2,500
  • Methodist — LOA: $2,380
  • Superior Health Plan — Managed Medicaid: $344.93
  • United Healthcare — Commercial: $2,800
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy W/Biopsy Single/Multiple $5,794 $4,345.50 $515.11 – $5,620.18
Colonoscopy with biopsy: 10 of 31 insurance plan rates
  • Aetna — Commercial: $4,055.80
  • Aetna Better Health — Managed Medicaid: $1,969.96
  • Blue Cross Blue Shield — Commercial: $4,815
  • Blue Cross Blue Shield — Managed Medicaid: $2,317.60
  • Carelon — Managed Medicaid: $2,839.06
  • ChoiceCare/Humana — Managed Medicaid: $2,607.30
  • Cigna — Commercial: $4,818
  • Cigna Lifesource — Commercial: $3,824.04
  • CookChildren's Health Plan — Managed Medicaid: $1,969.96
  • Coventry Health — Commercial: $4,635.20
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonoscopy W/Biopsy Single/Multiple $5,794 $4,345.50 $2,143.78 – $5,620.18
Colonoscopy with biopsy: 10 of 25 insurance plan rates
  • Aetna — Commercial: $4,055.80
  • Blue Cross Blue Shield — Commercial: $3,939.92
  • Carelon — Managed Medicaid: $2,143.78
  • ChoiceCare/Humana — Managed Medicaid: $2,201.72
  • Cigna — Commercial: $3,997.86
  • Cigna Lifesource — Commercial: $3,824.04
  • Coventry Health — Commercial: $4,635.20
  • Employers Health Network — Commercial: $4,055.80
  • Equifax Healthcare — Commercial: $4,924.90
  • Galaxy Health — Commercial: $5,620.18
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $450.72 – $4,050
Colonoscopy with biopsy: rates for 4 insurance plans
  • Aetna — Commercial: $4,050
  • Methodist — LOA: $2,996.25
  • Superior Health Plan — Managed Medicaid: $450.72
  • United Healthcare — Commercial: $3,525
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq $4,960 $3,720 $515.11 – $4,811.20
Colonoscopy with removal of polyps (snare): 10 of 31 insurance plan rates
  • Aetna — Commercial: $3,472
  • Aetna Better Health — Managed Medicaid: $1,686.40
  • Blue Cross Blue Shield — Commercial: $3,372.80
  • Blue Cross Blue Shield — Managed Medicaid: $1,984
  • Carelon — Managed Medicaid: $2,430.40
  • ChoiceCare/Humana — Managed Medicaid: $2,232
  • Cigna — Commercial: $3,422.40
  • Cigna Lifesource — Commercial: $3,273.60
  • CookChildren's Health Plan — Managed Medicaid: $1,686.40
  • Coventry Health — Commercial: $3,968
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq $4,960 $3,720 $1,835.20 – $4,811.20
Colonoscopy with removal of polyps (snare): 10 of 25 insurance plan rates
  • Aetna — Commercial: $3,472
  • Blue Cross Blue Shield — Commercial: $3,372.80
  • Carelon — Managed Medicaid: $1,835.20
  • ChoiceCare/Humana — Managed Medicaid: $1,884.80
  • Cigna — Commercial: $3,422.40
  • Cigna Lifesource — Commercial: $3,273.60
  • Coventry Health — Commercial: $3,968
  • Employers Health Network — Commercial: $3,472
  • Equifax Healthcare — Commercial: $4,216
  • Galaxy Health — Commercial: $4,811.20
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $450.72
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan
  • Superior Health Plan — Managed Medicaid: $450.72
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux $3,337 $2,502.75 $515.11 – $3,236.89
Ultrasound of the lower bowel by endoscope: 10 of 31 insurance plan rates
  • Aetna — Commercial: $2,335.90
  • Aetna Better Health — Managed Medicaid: $1,134.58
  • Blue Cross Blue Shield — Commercial: $2,269.16
  • Blue Cross Blue Shield — Managed Medicaid: $1,334.80
  • Carelon — Managed Medicaid: $1,635.13
  • ChoiceCare/Humana — Managed Medicaid: $1,501.65
  • Cigna — Commercial: $2,302.53
  • Cigna Lifesource — Commercial: $2,202.42
  • CookChildren's Health Plan — Managed Medicaid: $1,134.58
  • Coventry Health — Commercial: $2,669.60
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colsc Flx W/Ndsc US Xm Rctm Et Al Lmtd&Adj Strux $3,337 $2,502.75 $1,234.69 – $3,236.89
Ultrasound of the lower bowel by endoscope: 10 of 25 insurance plan rates
  • Aetna — Commercial: $2,335.90
  • Blue Cross Blue Shield — Commercial: $2,269.16
  • Carelon — Managed Medicaid: $1,234.69
  • ChoiceCare/Humana — Managed Medicaid: $1,268.06
  • Cigna — Commercial: $2,302.53
  • Cigna Lifesource — Commercial: $2,202.42
  • Coventry Health — Commercial: $2,669.60
  • Employers Health Network — Commercial: $2,335.90
  • Equifax Healthcare — Commercial: $2,836.45
  • Galaxy Health — Commercial: $3,236.89
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $450.72
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan
  • Superior Health Plan — Managed Medicaid: $450.72
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $344.93
Screening colonoscopy (not high risk): rates for 2 insurance plans
  • Superior Health Plan — Managed Medicaid: $344.93
  • Wellpoint — Managed Medicaid: $394.20
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $1,983.29
Gallbladder removal by laparoscope: rates for 2 insurance plans
  • Superior Health Plan — Managed Medicaid: $1,983.29
  • Wellpoint — Managed Medicaid: $2,266.62
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $1,209.12
Groin (inguinal) hernia repair, age 5 or older: rates for 2 insurance plans
  • Superior Health Plan — Managed Medicaid: $1,209.12
  • Wellpoint — Managed Medicaid: $1,381.85
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $1,116.70
Hysteroscopy with biopsy of the uterus lining: rates for 2 insurance plans
  • Superior Health Plan — Managed Medicaid: $1,116.70
  • Wellpoint — Managed Medicaid: $1,276.22
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn $3,308 $2,481 $276 – $3,208.76
Spinal injection, lower back (epidural), with imaging guidance: 10 of 31 insurance plan rates
  • Aetna — Commercial: $2,315.60
  • Aetna Better Health — Managed Medicaid: $992.40
  • Blue Cross Blue Shield — Commercial: $2,249.44
  • Blue Cross Blue Shield — Managed Medicaid: $1,223.96
  • Carelon — Managed Medicaid: $1,620.92
  • ChoiceCare/Humana — Managed Medicaid: $1,488.60
  • Cigna — Commercial: $2,282.52
  • Cigna Lifesource — Commercial: $2,183.28
  • CookChildren's Health Plan — Managed Medicaid: $1,124.72
  • Coventry Health — Commercial: $2,646.40
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn $3,308 $2,481 $1,223.96 – $3,208.76
Spinal injection, lower back (epidural), with imaging guidance: 10 of 25 insurance plan rates
  • Aetna — Commercial: $2,315.60
  • Blue Cross Blue Shield — Commercial: $2,249.44
  • Carelon — Managed Medicaid: $1,223.96
  • ChoiceCare/Humana — Managed Medicaid: $1,257.04
  • Cigna — Commercial: $2,282.52
  • Cigna Lifesource — Commercial: $2,183.28
  • Coventry Health — Commercial: $2,646.40
  • Employers Health Network — Commercial: $2,315.60
  • Equifax Healthcare — Commercial: $2,811.80
  • Galaxy Health — Commercial: $3,208.76
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level $4,041 $3,030.75 $357.81 – $3,919.77
Nerve root injection, lower back, with imaging guidance: 10 of 31 insurance plan rates
  • Aetna — Commercial: $2,828.70
  • Aetna Better Health — Managed Medicaid: $1,212.30
  • Blue Cross Blue Shield — Commercial: $2,747.88
  • Blue Cross Blue Shield — Managed Medicaid: $1,495.17
  • Carelon — Managed Medicaid: $1,980.09
  • ChoiceCare/Humana — Managed Medicaid: $1,818.45
  • Cigna — Commercial: $2,788.29
  • Cigna Lifesource — Commercial: $2,667.06
  • CookChildren's Health Plan — Managed Medicaid: $1,373.94
  • Coventry Health — Commercial: $3,232.80
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level $4,041 $3,030.75 $1,495.17 – $3,919.77
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates
  • Aetna — Commercial: $2,828.70
  • Blue Cross Blue Shield — Commercial: $2,747.88
  • Carelon — Managed Medicaid: $1,495.17
  • ChoiceCare/Humana — Managed Medicaid: $1,535.58
  • Cigna — Commercial: $2,788.29
  • Cigna Lifesource — Commercial: $2,667.06
  • Coventry Health — Commercial: $3,232.80
  • Employers Health Network — Commercial: $2,828.70
  • Equifax Healthcare — Commercial: $3,434.85
  • Galaxy Health — Commercial: $3,919.77
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $692.94
Carpal tunnel release: rates for 2 insurance plans
  • Superior Health Plan — Managed Medicaid: $692.94
  • Wellpoint — Managed Medicaid: $791.93
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Post-Cataract Laser Surgery $2,332 $1,749 $218.75 – $2,262.04
Laser treatment of clouding after cataract surgery: 10 of 34 insurance plan rates
  • Aetna — Commercial: $1,632.40
  • Aetna Better Health — Managed Medicaid: $699.60
  • Aetna Better Health of Oklahoma — Managed Medicaid: $277.58
  • Blue Cross Blue Shield — Commercial: $1,585.76
  • Blue Cross Blue Shield — Managed Medicaid: $862.84
  • Carelon — Managed Medicaid: $1,142.68
  • ChoiceCare/Humana — Managed Medicaid: $1,049.40
  • Cigna — Commercial: $1,609.08
  • Cigna Lifesource — Commercial: $1,539.12
  • CookChildren's Health Plan — Managed Medicaid: $792.88
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Post-Cataract Laser Surgery $2,332 $1,749 $862.84 – $2,262.04
Laser treatment of clouding after cataract surgery: 10 of 25 insurance plan rates
  • Aetna — Commercial: $1,632.40
  • Blue Cross Blue Shield — Commercial: $1,585.76
  • Carelon — Managed Medicaid: $862.84
  • ChoiceCare/Humana — Managed Medicaid: $886.16
  • Cigna — Commercial: $1,609.08
  • Cigna Lifesource — Commercial: $1,539.12
  • Coventry Health — Commercial: $1,865.60
  • Employers Health Network — Commercial: $1,632.40
  • Equifax Healthcare — Commercial: $1,982.20
  • Galaxy Health — Commercial: $2,262.04
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $268.86
Laser treatment of clouding after cataract surgery: rates for 3 insurance plans
  • Aetna Better Health of Oklahoma — Managed Medicaid: $268.86
  • Humana Health Horizons of Oklahoma — Managed Medicaid: $268.86
  • Oklahoma Medicaid — Managed Medicaid: $268.86
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $892.44
Cataract removal with lens implant: rates for 2 insurance plans
  • Superior Health Plan — Managed Medicaid: $892.44
  • Wellpoint — Managed Medicaid: $1,019.93

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $51,784.77
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 3 insurance plans
  • Aetna Better Health of Oklahoma — Managed Medicaid: $51,784.77
  • Humana Health Horizons of Oklahoma — Managed Medicaid: $51,784.77
  • Oklahoma Medicaid — Managed Medicaid: $51,784.77
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $8,276.62
Hip or knee replacement (major joint of the leg), without major complications: rates for 3 insurance plans
  • Aetna Better Health of Oklahoma — Managed Medicaid: $8,276.62
  • Humana Health Horizons of Oklahoma — Managed Medicaid: $8,276.62
  • Oklahoma Medicaid — Managed Medicaid: $8,276.62
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $10,499.65
Neck (cervical) spinal fusion, without complications: rates for 3 insurance plans
  • Aetna Better Health of Oklahoma — Managed Medicaid: $10,499.65
  • Humana Health Horizons of Oklahoma — Managed Medicaid: $10,499.65
  • Oklahoma Medicaid — Managed Medicaid: $10,499.65
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $4,976.57
Uterus and ovary surgery (not for cancer), without complications: rates for 3 insurance plans
  • Aetna Better Health of Oklahoma — Managed Medicaid: $4,976.57
  • Humana Health Horizons of Oklahoma — Managed Medicaid: $4,976.57
  • Oklahoma Medicaid — Managed Medicaid: $4,976.57

Source: Childrens Medical Ctr of Dallas’s standard charges file (assets.childrens.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on August 17, 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 typeChildren's Hospital
Address1935 Medical District Drive, Dallas, TX 75235
CountyDallas County
StateTexas
Phone(214) 456‑7000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall ratingNot rated by CMS
CMS Certification Number453302
Name in Medicare recordsCHILDRENS MEDICAL CTR OF DALLAS
Profile levelMedicare data + hospital website
Name on the hospital’s websiteChildren's Medical Center Dallas
Official websitechildrens.com
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 2026-10-29.

  1. Children's Medical Center Dallas - Children's Health — childrens.com
  2. Pediatric Emergency Room (ER) Supporting North Texas - Children's Health — childrens.com
  3. Level 1 Pediatric Trauma and advanced Emergency Room Dallas - Children's Health — childrens.com