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Critical Access Hospital

CHRISTUS Mother Frances Hospital- Winnsboro

Winnsboro, Texas · Wood County · Emergency services listed

Summary

CHRISTUS Mother Frances Hospital- Winnsboro is a critical access hospital in Winnsboro, Texas. Medicare data lists emergency services. Its official website lists 73 services, specialties and programs. Medicare lists 104 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
73Services listed

Quick answers

Does CHRISTUS Mother Frances Hospital- Winnsboro have an emergency room?
Yes. Medicare (CMS) data lists emergency services at CHRISTUS Mother Frances Hospital- Winnsboro. In a medical emergency, call 911.
Where is CHRISTUS Mother Frances Hospital- Winnsboro?
719 West Coke Road, Winnsboro, TX 75494, in Wood County, Texas.
What is the phone number of CHRISTUS Mother Frances Hospital- Winnsboro?
(903) 342-5227, as listed by Medicare (CMS).
What is the Medicare star rating of CHRISTUS Mother Frances Hospital- Winnsboro?
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]

  • Thyroid ultrasound
  • Thyroid biopsy
  • Endoscopic services
  • LUCAS chest compression system

Procedures[4]

Programs and centers[4]

  • Cancer care
  • Inpatient and outpatient rehabilitation
  • Virtual care visits
  • Emergency transport services
  • Flight For Life
  • Maternal transport
  • Neonatal and pediatric transport

Emergency care (hospital website)[4]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel IV

Visiting and practical information

Patient portalMyCHRISTUS

Recognition[4]

  • Level IV Trauma Center

Doctors and clinicians (104)

104 doctors and other clinicians list CHRISTUS Mother Frances Hospital- Winnsboro 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 (104)

And 80 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 CHRISTUS Mother Frances Hospital- Winnsboro 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)109 minutesNational average: 162 minutes
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; data from October 2024 to September 2025.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 50 common services exactly as CHRISTUS Mother Frances Hospital- Winnsboro 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 O/P NEW LOW 30 MIN Not listed in the file Not listed in the file $247.94 – $356.41
New patient office visit (about 30–44 minutes): 10 of 43 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $247.94
  • Blue Cross Blue Shield of Texas — HEB: $304.50
  • Blue Cross Blue Shield of Texas — HMO: $301.40
  • Blue Cross Blue Shield of Texas — PPO: $331.61
  • Blue Cross Blue Shield of Texas — Traditional: $356.41
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 16% (a percentage in the contract, not a dollar amount)
  • Allwell — Superior Medicare Advantage: 15% (a percentage in the contract, not a dollar amount)
  • American Health Medicare — AdvantageMM: 17% (a percentage in the contract, not a dollar amount)
  • Amerigroup — Star KM: 38% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN Not listed in the file Not listed in the file $419.78 – $603.43
New patient office visit (about 45–59 minutes): 10 of 42 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $419.78
  • Blue Cross Blue Shield of Texas — HEB: $515.54
  • Blue Cross Blue Shield of Texas — HMO: $510.29
  • Blue Cross Blue Shield of Texas — PPO: $561.45
  • Blue Cross Blue Shield of Texas — Traditional: $603.43
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 16% (a percentage in the contract, not a dollar amount)
  • Allwell — Superior Medicare Advantage: 15% (a percentage in the contract, not a dollar amount)
  • American Health Medicare — AdvantageMM: 17% (a percentage in the contract, not a dollar amount)
  • Amerigroup — Star KM: 38% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN Not listed in the file Not listed in the file $547.81 – $787.47
New patient office visit (about 60–74 minutes): 10 of 43 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $547.81
  • Blue Cross Blue Shield of Texas — HEB: $672.78
  • Blue Cross Blue Shield of Texas — HMO: $665.93
  • Blue Cross Blue Shield of Texas — PPO: $732.69
  • Blue Cross Blue Shield of Texas — Traditional: $787.47
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 16% (a percentage in the contract, not a dollar amount)
  • Allwell — Superior Medicare Advantage: 15% (a percentage in the contract, not a dollar amount)
  • American Health Medicare — AdvantageMM: 17% (a percentage in the contract, not a dollar amount)
  • Amerigroup — Star KM: 38% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 Not listed in the file Not listed in the file $311.39 – $447.63
Office consultation with a specialist (moderate): 10 of 43 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $311.39
  • Blue Cross Blue Shield of Texas — HEB: $382.43
  • Blue Cross Blue Shield of Texas — HMO: $378.54
  • Blue Cross Blue Shield of Texas — PPO: $416.49
  • Blue Cross Blue Shield of Texas — Traditional: $447.63
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 16% (a percentage in the contract, not a dollar amount)
  • Allwell — Superior Medicare Advantage: 15% (a percentage in the contract, not a dollar amount)
  • American Health Medicare — AdvantageMM: 17% (a percentage in the contract, not a dollar amount)
  • Amerigroup — Star KM: 38% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 Not listed in the file Not listed in the file $500.51 – $719.49
Office consultation with a specialist (moderate to high): 10 of 43 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $500.51
  • Blue Cross Blue Shield of Texas — HEB: $614.69
  • Blue Cross Blue Shield of Texas — HMO: $608.43
  • Blue Cross Blue Shield of Texas — PPO: $669.43
  • Blue Cross Blue Shield of Texas — Traditional: $719.49
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 16% (a percentage in the contract, not a dollar amount)
  • Allwell — Superior Medicare Advantage: 15% (a percentage in the contract, not a dollar amount)
  • American Health Medicare — AdvantageMM: 17% (a percentage in the contract, not a dollar amount)
  • Amerigroup — Star KM: 38% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39 Not listed in the file Not listed in the file $318.30 – $457.56
Preventive checkup, new patient, age 18–39: 10 of 43 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $318.30
  • Blue Cross Blue Shield of Texas — HEB: $390.92
  • Blue Cross Blue Shield of Texas — HMO: $386.94
  • Blue Cross Blue Shield of Texas — PPO: $425.73
  • Blue Cross Blue Shield of Texas — Traditional: $457.56
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 16% (a percentage in the contract, not a dollar amount)
  • Allwell — Superior Medicare Advantage: 15% (a percentage in the contract, not a dollar amount)
  • American Health Medicare — AdvantageMM: 17% (a percentage in the contract, not a dollar amount)
  • Amerigroup — Star KM: 38% (a percentage in the contract, not a dollar amount)
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64 Not listed in the file Not listed in the file $387.49 – $557.01
Preventive checkup, new patient, age 40–64: 10 of 43 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $387.49
  • Blue Cross Blue Shield of Texas — HEB: $475.88
  • Blue Cross Blue Shield of Texas — HMO: $471.04
  • Blue Cross Blue Shield of Texas — PPO: $518.27
  • Blue Cross Blue Shield of Texas — Traditional: $557.01
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 16% (a percentage in the contract, not a dollar amount)
  • Allwell — Superior Medicare Advantage: 15% (a percentage in the contract, not a dollar amount)
  • American Health Medicare — AdvantageMM: 17% (a percentage in the contract, not a dollar amount)
  • Amerigroup — Star KM: 38% (a percentage in the contract, not a dollar amount)

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI Not listed in the file Not listed in the file $105 – $374
Diagnostic mammogram, one breast: 10 of 43 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $218.22
  • Blue Cross Blue Shield of Texas — HEB: $269.01
  • Blue Cross Blue Shield of Texas — HMO: $266.19
  • Blue Cross Blue Shield of Texas — PPO: $292.53
  • Blue Cross Blue Shield of Texas — Traditional: $313.22
  • Cigna — New Business: $218
  • Cigna — PPO: $374
  • United Healthcare — All Payer: $195
  • United Healthcare — HIX: $105
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI Not listed in the file Not listed in the file $105 – $400.83
Diagnostic mammogram, both breasts: 10 of 43 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $279.26
  • Blue Cross Blue Shield of Texas — HEB: $344.26
  • Blue Cross Blue Shield of Texas — HMO: $340.65
  • Blue Cross Blue Shield of Texas — PPO: $374.35
  • Blue Cross Blue Shield of Texas — Traditional: $400.83
  • Cigna — New Business: $218
  • Cigna — PPO: $374
  • United Healthcare — All Payer: $195
  • United Healthcare — HIX: $105
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD Not listed in the file Not listed in the file $105 – $374
Screening mammogram, both breasts: 10 of 43 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $230.77
  • Blue Cross Blue Shield of Texas — HEB: $284.48
  • Blue Cross Blue Shield of Texas — HMO: $281.50
  • Blue Cross Blue Shield of Texas — PPO: $309.35
  • Blue Cross Blue Shield of Texas — Traditional: $331.24
  • Cigna — New Business: $218
  • Cigna — PPO: $374
  • United Healthcare — All Payer: $195
  • United Healthcare — HIX: $105
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE Not listed in the file Not listed in the file $53.28 – $509
Electrocardiogram (ECG/EKG) with reading: 10 of 43 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $53.28
  • Blue Cross Blue Shield of Texas — HEB: $65.57
  • Blue Cross Blue Shield of Texas — HMO: $64.88
  • Blue Cross Blue Shield of Texas — PPO: $71.28
  • Blue Cross Blue Shield of Texas — Traditional: $76.29
  • United Healthcare — All Payer: $509
  • United Healthcare — HIX: $331
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 16% (a percentage in the contract, not a dollar amount)
  • Allwell — Superior Medicare Advantage: 15% (a percentage in the contract, not a dollar amount)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $2,406.64 – $13,730
Left heart catheterization (diagnostic): 10 of 43 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $9,563
  • Blue Cross Blue Shield of Texas — HEB: $11,746
  • Blue Cross Blue Shield of Texas — HMO: $11,631
  • Blue Cross Blue Shield of Texas — PPO: $12,798
  • Blue Cross Blue Shield of Texas — Traditional: $13,730
  • Coventry — First Health: $3,614
  • Coventry — First Health PPO: $3,614
  • Humana — Choicecare: $2,406.64
  • United Healthcare — All Payer: $7,509
  • United Healthcare — HIX: $6,664
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION Not listed in the file Not listed in the file $5,166 – $10,666
Heart rhythm study (electrophysiology evaluation): 10 of 43 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $7,428
  • Blue Cross Blue Shield of Texas — HEB: $9,125
  • Blue Cross Blue Shield of Texas — HMO: $9,036
  • Blue Cross Blue Shield of Texas — PPO: $9,941
  • Blue Cross Blue Shield of Texas — Traditional: $10,666
  • United Healthcare — All Payer: $5,822
  • United Healthcare — HIX: $5,166
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 16% (a percentage in the contract, not a dollar amount)
  • Allwell — Superior Medicare Advantage: 15% (a percentage in the contract, not a dollar amount)
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 Not listed in the file Not listed in the file $7,428 – $14,966
Heart rhythm study with ablation for atrial fibrillation: 10 of 43 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $7,428
  • Blue Cross Blue Shield of Texas — HEB: $9,125
  • Blue Cross Blue Shield of Texas — HMO: $9,036
  • Blue Cross Blue Shield of Texas — PPO: $9,941
  • Blue Cross Blue Shield of Texas — Traditional: $10,666
  • United Healthcare — All Payer: $14,966
  • United Healthcare — HIX: $13,283
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 16% (a percentage in the contract, not a dollar amount)
  • Allwell — Superior Medicare Advantage: 15% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM Not listed in the file Not listed in the file $1,313 – $2,304.32
Sleep study (overnight, in a sleep lab): 10 of 43 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $1,603.01
  • Blue Cross Blue Shield of Texas — HEB: $1,968.69
  • Blue Cross Blue Shield of Texas — HMO: $1,948.66
  • Blue Cross Blue Shield of Texas — PPO: $2,144.02
  • Blue Cross Blue Shield of Texas — Traditional: $2,304.32
  • United Healthcare — All Payer: $1,925
  • United Healthcare — HIX: $1,313
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 16% (a percentage in the contract, not a dollar amount)
  • Allwell — Superior Medicare Advantage: 15% (a percentage in the contract, not a dollar amount)

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: THERAPEUTIC EXERCISES Not listed in the file Not listed in the file $100.32 – $521
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 40 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $100.32
  • Blue Cross Blue Shield of Texas — HEB: $123.21
  • Blue Cross Blue Shield of Texas — HMO: $121.95
  • Blue Cross Blue Shield of Texas — PPO: $134.18
  • Blue Cross Blue Shield of Texas — Traditional: $144.21
  • Cigna — New Business: $185
  • Cigna — PPO: $521
  • United Healthcare — All Payer: $235
  • United Healthcare — HIX: $155
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN Not listed in the file Not listed in the file $155 – $521
Physical therapy evaluation (low complexity): 10 of 40 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $276.77
  • Blue Cross Blue Shield of Texas — HEB: $339.91
  • Blue Cross Blue Shield of Texas — HMO: $336.45
  • Blue Cross Blue Shield of Texas — PPO: $370.18
  • Blue Cross Blue Shield of Texas — Traditional: $397.85
  • Cigna — New Business: $185
  • Cigna — PPO: $521
  • United Healthcare — All Payer: $235
  • United Healthcare — HIX: $155
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN Not listed in the file Not listed in the file $155 – $521
Physical therapy evaluation (moderate complexity): 10 of 39 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $276.77
  • Blue Cross Blue Shield of Texas — HEB: $339.91
  • Blue Cross Blue Shield of Texas — HMO: $336.45
  • Blue Cross Blue Shield of Texas — PPO: $370.18
  • Blue Cross Blue Shield of Texas — Traditional: $397.85
  • Cigna — New Business: $185
  • Cigna — PPO: $521
  • United Healthcare — All Payer: $235
  • United Healthcare — HIX: $155
  • Aetna — MM: 16% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN Not listed in the file Not listed in the file $155 – $521
Physical therapy evaluation (high complexity): 10 of 39 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $276.77
  • Blue Cross Blue Shield of Texas — HEB: $339.91
  • Blue Cross Blue Shield of Texas — HMO: $336.45
  • Blue Cross Blue Shield of Texas — PPO: $370.18
  • Blue Cross Blue Shield of Texas — Traditional: $397.85
  • Cigna — New Business: $185
  • Cigna — PPO: $521
  • United Healthcare — All Payer: $235
  • United Healthcare — HIX: $155
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES Not listed in the file Not listed in the file Not listed in the file
Psychotherapy, 30 minutes: 10 of 43 insurance plan rates
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 16% (a percentage in the contract, not a dollar amount)
  • Allwell — Superior Medicare Advantage: 15% (a percentage in the contract, not a dollar amount)
  • American Health Medicare — AdvantageMM: 17% (a percentage in the contract, not a dollar amount)
  • Amerigroup — Star KM: 38% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: 33% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — HEB: 39% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — HMO: 39% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — MM: 15% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — PPO: 43% (a percentage in the contract, not a dollar amount)
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES Not listed in the file Not listed in the file Not listed in the file
Psychotherapy, 45 minutes: 10 of 43 insurance plan rates
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 16% (a percentage in the contract, not a dollar amount)
  • Allwell — Superior Medicare Advantage: 15% (a percentage in the contract, not a dollar amount)
  • American Health Medicare — AdvantageMM: 17% (a percentage in the contract, not a dollar amount)
  • Amerigroup — Star KM: 38% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: 33% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — HEB: 39% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — HMO: 39% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — MM: 15% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — PPO: 43% (a percentage in the contract, not a dollar amount)
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file Not listed in the file
Psychotherapy, 60 minutes: 10 of 43 insurance plan rates
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 16% (a percentage in the contract, not a dollar amount)
  • Allwell — Superior Medicare Advantage: 15% (a percentage in the contract, not a dollar amount)
  • American Health Medicare — AdvantageMM: 17% (a percentage in the contract, not a dollar amount)
  • Amerigroup — Star KM: 38% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: 33% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — HEB: 39% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — HMO: 39% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — MM: 15% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — PPO: 43% (a percentage in the contract, not a dollar amount)
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file Not listed in the file Not listed in the file
Family psychotherapy, without the patient: 10 of 43 insurance plan rates
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 16% (a percentage in the contract, not a dollar amount)
  • Allwell — Superior Medicare Advantage: 15% (a percentage in the contract, not a dollar amount)
  • American Health Medicare — AdvantageMM: 17% (a percentage in the contract, not a dollar amount)
  • Amerigroup — Star KM: 38% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: 33% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — HEB: 39% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — HMO: 39% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — MM: 15% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — PPO: 43% (a percentage in the contract, not a dollar amount)
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN Not listed in the file Not listed in the file Not listed in the file
Family psychotherapy, with the patient: 10 of 43 insurance plan rates
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 16% (a percentage in the contract, not a dollar amount)
  • Allwell — Superior Medicare Advantage: 15% (a percentage in the contract, not a dollar amount)
  • American Health Medicare — AdvantageMM: 17% (a percentage in the contract, not a dollar amount)
  • Amerigroup — Star KM: 38% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: 33% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — HEB: 39% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — HMO: 39% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — MM: 15% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — PPO: 43% (a percentage in the contract, not a dollar amount)
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file Not listed in the file
Group psychotherapy: 10 of 43 insurance plan rates
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 16% (a percentage in the contract, not a dollar amount)
  • Allwell — Superior Medicare Advantage: 15% (a percentage in the contract, not a dollar amount)
  • American Health Medicare — AdvantageMM: 17% (a percentage in the contract, not a dollar amount)
  • Amerigroup — Star KM: 38% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: 33% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — HEB: 39% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — HMO: 39% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — MM: 15% (a percentage in the contract, not a dollar amount)
  • Blue Cross Blue Shield of Texas — PPO: 43% (a percentage in the contract, not a dollar amount)

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 $963.66 – $11,531
Removal of breast growth (open surgery): 10 of 43 insurance plan rates
  • Amerigroup — Star KM: $963.66
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $3,877.82
  • Blue Cross Blue Shield of Texas — HEB: $4,635.21
  • Blue Cross Blue Shield of Texas — HMO: $4,574.62
  • Blue Cross Blue Shield of Texas — PPO: $4,998.76
  • Blue Cross Blue Shield of Texas — Traditional: $5,332.01
  • Cigna — New Business: $5,092
  • Cigna — PPO: $11,531
  • Humana — Choicecare: $2,153.92
  • Molina — Chip KM: $1,011.84
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $2,050 – $20,945.25
Total hip replacement: 10 of 43 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $15,232.91
  • Blue Cross Blue Shield of Texas — HEB: $18,208.09
  • Blue Cross Blue Shield of Texas — HMO: $17,970.07
  • Blue Cross Blue Shield of Texas — PPO: $19,636.17
  • Blue Cross Blue Shield of Texas — Traditional: $20,945.25
  • Cigna — New Business: $2,050
  • Cigna — PPO: $8,200
  • Humana — Choicecare: $2,406.64
  • United Healthcare — All Payer: $9,937
  • United Healthcare — HIX: $8,818
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $2,050 – $20,945.25
Total knee replacement: 10 of 43 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $15,232.91
  • Blue Cross Blue Shield of Texas — HEB: $18,208.09
  • Blue Cross Blue Shield of Texas — HMO: $17,970.07
  • Blue Cross Blue Shield of Texas — PPO: $19,636.17
  • Blue Cross Blue Shield of Texas — Traditional: $20,945.25
  • Cigna — New Business: $2,050
  • Cigna — PPO: $8,200
  • Humana — Choicecare: $2,406.64
  • United Healthcare — All Payer: $9,937
  • United Healthcare — HIX: $8,818
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $224 – $11,531
Shoulder arthroscopy: shaving of shoulder bone: 10 of 38 insurance plan rates
  • Cigna — New Business: $5,092
  • Cigna — PPO: $11,531
  • Humana — Choicecare: $2,153.92
  • United Healthcare — All Payer: $252
  • United Healthcare — HIX: $224
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 16% (a percentage in the contract, not a dollar amount)
  • Allwell — Superior Medicare Advantage: 15% (a percentage in the contract, not a dollar amount)
  • American Health Medicare — AdvantageMM: 17% (a percentage in the contract, not a dollar amount)
  • Amerigroup — Star KM: 38% (a percentage in the contract, not a dollar amount)
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 $1,088.27 – $17,425
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 43 insurance plan rates
  • Amerigroup — Star KM: $1,088.27
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $3,503.94
  • Blue Cross Blue Shield of Texas — HEB: $4,188.30
  • Blue Cross Blue Shield of Texas — HMO: $4,133.55
  • Blue Cross Blue Shield of Texas — PPO: $4,516.79
  • Blue Cross Blue Shield of Texas — Traditional: $4,817.91
  • Cigna — New Business: $4,819
  • Cigna — PPO: $17,425
  • Humana — Choicecare: $2,659.31
  • Molina — Chip KM: $1,142.68
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 $1,954.22 – $11,531
Removal of tonsils and adenoids (under age 12): 10 of 43 insurance plan rates
  • Amerigroup — Star KM: $1,954.22
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $6,208.68
  • Blue Cross Blue Shield of Texas — HEB: $7,421.31
  • Blue Cross Blue Shield of Texas — HMO: $7,324.30
  • Blue Cross Blue Shield of Texas — PPO: $8,003.37
  • Blue Cross Blue Shield of Texas — Traditional: $8,536.93
  • Cigna — New Business: $5,092
  • Cigna — PPO: $11,531
  • Humana — Choicecare: $2,153.92
  • Molina — Chip KM: $2,051.93
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 $429.26 – $5,740
Ultrasound of the lower bowel by endoscope: 10 of 43 insurance plan rates
  • Amerigroup — Star KM: $429.26
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $1,285.40
  • Blue Cross Blue Shield of Texas — HEB: $1,536.46
  • Blue Cross Blue Shield of Texas — HMO: $1,516.37
  • Blue Cross Blue Shield of Texas — PPO: $1,656.96
  • Blue Cross Blue Shield of Texas — Traditional: $1,767.43
  • Cigna — New Business: $2,973
  • Cigna — PPO: $5,740
  • Humana — Choicecare: $1,983.65
  • Molina — Chip KM: $450.72
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 $1,888.85 – $25,625
Gallbladder removal by laparoscope: 10 of 42 insurance plan rates
  • Amerigroup — Star KM: $1,888.85
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $6,187.15
  • Blue Cross Blue Shield of Texas — HEB: $7,395.58
  • Blue Cross Blue Shield of Texas — HMO: $7,298.90
  • Blue Cross Blue Shield of Texas — PPO: $7,975.62
  • Blue Cross Blue Shield of Texas — Traditional: $8,507.33
  • Cigna — New Business: $9,225
  • Cigna — PPO: $25,625
  • Humana — Choicecare: $8,988.77
  • Molina — Chip KM: $1,983.29
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 $1,151.54 – $17,425
Groin (inguinal) hernia repair, age 5 or older: 10 of 42 insurance plan rates
  • Amerigroup — Star KM: $1,151.54
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $3,979.96
  • Blue Cross Blue Shield of Texas — HEB: $4,757.29
  • Blue Cross Blue Shield of Texas — HMO: $4,695.10
  • Blue Cross Blue Shield of Texas — PPO: $5,130.41
  • Blue Cross Blue Shield of Texas — Traditional: $5,472.44
  • Cigna — New Business: $5,638
  • Cigna — PPO: $17,425
  • Humana — Choicecare: $2,659.31
  • Molina — Chip KM: $1,209.12
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $652.80 – $5,740
Prostate biopsy: 10 of 43 insurance plan rates
  • Amerigroup — Star KM: $652.80
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $2,267.58
  • Blue Cross Blue Shield of Texas — HEB: $2,710.47
  • Blue Cross Blue Shield of Texas — HMO: $2,675.04
  • Blue Cross Blue Shield of Texas — PPO: $2,923.06
  • Blue Cross Blue Shield of Texas — Traditional: $3,117.93
  • Cigna — New Business: $2,973
  • Cigna — PPO: $5,740
  • Humana — Choicecare: $1,983.65
  • Molina — Chip KM: $685.44
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $2,050 – $14,807.07
Prostate removal by laparoscope (radical prostatectomy): 10 of 43 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $10,768.78
  • Blue Cross Blue Shield of Texas — HEB: $12,872.06
  • Blue Cross Blue Shield of Texas — HMO: $12,703.80
  • Blue Cross Blue Shield of Texas — PPO: $13,881.63
  • Blue Cross Blue Shield of Texas — Traditional: $14,807.07
  • Cigna — New Business: $2,050
  • Cigna — PPO: $8,200
  • Humana — Choicecare: $2,406.64
  • United Healthcare — All Payer: $9,937
  • United Healthcare — HIX: $8,818
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 $1,063.52 – $11,531
Hysteroscopy with biopsy of the uterus lining: 10 of 43 insurance plan rates
  • Amerigroup — Star KM: $1,063.52
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $3,197.57
  • Blue Cross Blue Shield of Texas — HEB: $3,822.09
  • Blue Cross Blue Shield of Texas — HMO: $3,772.13
  • Blue Cross Blue Shield of Texas — PPO: $4,121.87
  • Blue Cross Blue Shield of Texas — Traditional: $4,396.66
  • Cigna — New Business: $5,092
  • Cigna — PPO: $11,531
  • Humana — Choicecare: $2,153.92
  • Molina — Chip KM: $1,116.70
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC Not listed in the file Not listed in the file $262.86 – $5,125
Spinal injection, lower back (epidural), with imaging guidance: 10 of 43 insurance plan rates
  • Amerigroup — Star KM: $262.86
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $800.06
  • Blue Cross Blue Shield of Texas — HEB: $956.33
  • Blue Cross Blue Shield of Texas — HMO: $943.83
  • Blue Cross Blue Shield of Texas — PPO: $1,031.33
  • Blue Cross Blue Shield of Texas — Traditional: $1,100.09
  • Cigna — New Business: $2,091
  • Cigna — PPO: $5,125
  • Humana — Choicecare: $2,406.64
  • Molina — Chip KM: $276
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 Not listed in the file Not listed in the file $340.77 – $5,125
Nerve root injection, lower back, with imaging guidance: 10 of 43 insurance plan rates
  • Amerigroup — Star KM: $340.77
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $1,039.42
  • Blue Cross Blue Shield of Texas — HEB: $1,242.44
  • Blue Cross Blue Shield of Texas — HMO: $1,226.20
  • Blue Cross Blue Shield of Texas — PPO: $1,339.88
  • Blue Cross Blue Shield of Texas — Traditional: $1,429.21
  • Cigna — New Business: $2,091
  • Cigna — PPO: $5,125
  • Humana — Choicecare: $1,465.63
  • Molina — Chip KM: $357.81
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 $659.94 – $6,102
Carpal tunnel release: 10 of 43 insurance plan rates
  • Amerigroup — Star KM: $659.94
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $2,200.77
  • Blue Cross Blue Shield of Texas — HEB: $2,630.61
  • Blue Cross Blue Shield of Texas — HMO: $2,596.22
  • Blue Cross Blue Shield of Texas — PPO: $2,836.93
  • Blue Cross Blue Shield of Texas — Traditional: $3,026.06
  • Cigna — New Business: $2,973
  • Cigna — PPO: $5,740
  • Humana — Choicecare: $1,983.65
  • Molina — Chip KM: $692.94
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 $208.33 – $5,740
Laser treatment of clouding after cataract surgery: 10 of 43 insurance plan rates
  • Amerigroup — Star KM: $208.33
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $648.87
  • Blue Cross Blue Shield of Texas — HEB: $775.60
  • Blue Cross Blue Shield of Texas — HMO: $765.46
  • Blue Cross Blue Shield of Texas — PPO: $836.43
  • Blue Cross Blue Shield of Texas — Traditional: $892.20
  • Cigna — New Business: $2,973
  • Cigna — PPO: $5,740
  • Humana — Choicecare: $1,983.65
  • Molina — Chip KM: $218.75
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 $849.94 – $7,175
Cataract removal with lens implant: 10 of 43 insurance plan rates
  • Amerigroup — Star KM: $849.94
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $2,587.98
  • Blue Cross Blue Shield of Texas — HEB: $3,093.45
  • Blue Cross Blue Shield of Texas — HMO: $3,053.01
  • Blue Cross Blue Shield of Texas — PPO: $3,336.07
  • Blue Cross Blue Shield of Texas — Traditional: $3,558.47
  • Cigna — New Business: $4,100
  • Cigna — PPO: $7,175
  • Humana — Choicecare: $4,151.42
  • Molina — Chip KM: $892.44

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $2,050 – $8,200
Vaginal delivery, with care before and after: 10 of 43 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $2,787.64
  • Blue Cross Blue Shield of Texas — HEB: $3,332.10
  • Blue Cross Blue Shield of Texas — HMO: $3,288.54
  • Blue Cross Blue Shield of Texas — PPO: $3,593.44
  • Blue Cross Blue Shield of Texas — Traditional: $3,833
  • Cigna — New Business: $2,050
  • Cigna — PPO: $8,200
  • Humana — Choicecare: $2,406.64
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 16% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $2,050 – $8,200
Cesarean delivery (C-section), with care before and after: 10 of 43 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $3,090.71
  • Blue Cross Blue Shield of Texas — HEB: $3,694.37
  • Blue Cross Blue Shield of Texas — HMO: $3,646.08
  • Blue Cross Blue Shield of Texas — PPO: $3,984.12
  • Blue Cross Blue Shield of Texas — Traditional: $4,249.73
  • Cigna — New Business: $2,050
  • Cigna — PPO: $8,200
  • Humana — Choicecare: $2,406.64
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 16% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $2,050 – $8,200
Vaginal delivery after a previous C-section, with care before and after: 10 of 43 insurance plan rates
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $2,925.11
  • Blue Cross Blue Shield of Texas — HEB: $3,496.42
  • Blue Cross Blue Shield of Texas — HMO: $3,450.71
  • Blue Cross Blue Shield of Texas — PPO: $3,770.65
  • Blue Cross Blue Shield of Texas — Traditional: $4,022.02
  • Cigna — New Business: $2,050
  • Cigna — PPO: $8,200
  • Humana — Choicecare: $2,406.64
  • Aetna — All Plans: 44% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 16% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · 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 $2,500.40 – $159,725.71
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 36 insurance plan rates
  • Aetna — MM: $2,860
  • Allwell — Superior Medicare Advantage: $2,632
  • American Health Medicare — AdvantageMM: $2,895.20
  • Amerigroup — MM: $2,842.56
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $72,161.27
  • Blue Cross Blue Shield of Texas — HEB: $94,474.62
  • Blue Cross Blue Shield of Texas — HMO: $87,728.50
  • Blue Cross Blue Shield of Texas — MM: $2,632
  • Blue Cross Blue Shield of Texas — PPO: $97,147.97
  • Blue Cross Blue Shield of Texas — Traditional: $97,398.90
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without MCC Not listed in the file Not listed in the file $2,632
Spinal fusion (not neck), without major complications: rates for 1 insurance plan
  • Triwest — VA MM: $2,632
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 $1,248 – $31,205.03
Hip or knee replacement (major joint of the leg), without major complications: 10 of 36 insurance plan rates
  • Aetna — MM: $2,860
  • Allwell — Superior Medicare Advantage: $2,632
  • American Health Medicare — AdvantageMM: $2,895.20
  • Amerigroup — MM: $2,842.56
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $14,097.88
  • Blue Cross Blue Shield of Texas — HEB: $18,457.16
  • Blue Cross Blue Shield of Texas — HMO: $17,139.20
  • Blue Cross Blue Shield of Texas — MM: $2,632
  • Blue Cross Blue Shield of Texas — PPO: $18,979.44
  • Blue Cross Blue Shield of Texas — Traditional: $19,028.47
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 $1,248 – $39,180.47
Neck (cervical) spinal fusion, without complications: 10 of 36 insurance plan rates
  • Aetna — MM: $2,860
  • Allwell — Superior Medicare Advantage: $2,632
  • American Health Medicare — AdvantageMM: $2,895.20
  • Amerigroup — MM: $2,842.56
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $17,701.05
  • Blue Cross Blue Shield of Texas — HEB: $23,174.48
  • Blue Cross Blue Shield of Texas — HMO: $21,519.67
  • Blue Cross Blue Shield of Texas — MM: $2,632
  • Blue Cross Blue Shield of Texas — PPO: $23,830.25
  • Blue Cross Blue Shield of Texas — Traditional: $23,891.80
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 $1,248 – $19,838.49
Uterus and ovary surgery (not for cancer), without complications: 10 of 36 insurance plan rates
  • Aetna — MM: $2,860
  • Allwell — Superior Medicare Advantage: $2,632
  • American Health Medicare — AdvantageMM: $2,895.20
  • Amerigroup — MM: $2,842.56
  • Blue Cross Blue Shield of Texas — Blue Advantage HMO: $8,962.68
  • Blue Cross Blue Shield of Texas — HEB: $11,734.07
  • Blue Cross Blue Shield of Texas — HMO: $10,896.18
  • Blue Cross Blue Shield of Texas — MM: $2,632
  • Blue Cross Blue Shield of Texas — PPO: $12,066.11
  • Blue Cross Blue Shield of Texas — Traditional: $12,097.28

Source: CHRISTUS Mother Frances Hospital- Winnsboro’s standard charges file (christushealth.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 12, 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 typeCritical Access Hospital
Address719 West Coke Road, Winnsboro, TX 75494
CountyWood County
StateTexas
Phone(903) 342‑5227
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall ratingNot rated by CMS
CMS Certification Number451381
Name in Medicare recordsCHRISTUS MOTHER FRANCES HOSPITAL- WINNSBORO
Profile levelMedicare data + hospital website
Official websitechristushealth.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. CHRISTUS Mother Frances Hospital - Winnsboro — christushealth.org