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Acute Care Hospital

CHRISTUS Santa Rosa Hospital-San Marcos

San Marcos, Texas · Hays County · Emergency services listed

Summary

CHRISTUS Santa Rosa Hospital-San Marcos is an acute care hospital in San Marcos, Texas. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 56 services, specialties and programs. Medicare lists 702 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
56Services listed

Quick answers

Does CHRISTUS Santa Rosa Hospital-San Marcos have an emergency room?
Yes. Medicare (CMS) data lists emergency services at CHRISTUS Santa Rosa Hospital-San Marcos. In a medical emergency, call 911.
Where is CHRISTUS Santa Rosa Hospital-San Marcos?
1301 Wonder World Drive, San Marcos, TX 78666, in Hays County, Texas.
What is the phone number of CHRISTUS Santa Rosa Hospital-San Marcos?
(512) 753-3511, as listed by Medicare (CMS).
What is the Medicare star rating of CHRISTUS Santa Rosa Hospital-San Marcos?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Conditions treated[4]

Treatments[4]

  • Emergency care
  • Critical intensive care
  • Diagnostic screenings
  • Cosmetic and reconstructive surgery

Procedures[4]

Programs and centers[4]

  • Birthing / Labor & Delivery (Level II NICU)
  • Breast Care (Women's Center)
  • Diabetes Self-Management Education (AADE accredited)
  • CHRISTUS Weight Loss Institute
  • Diabetes self-management education (DSME)
  • Primary Stroke Center
  • Sexual assault care by certified sexual nurse examiners in the emergency department

Emergency care (hospital website)[4]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel 4
Stroke designationPrimary Stroke Center

Visiting and practical information

Patient portalMyCHRISTUS

Recognition[4]

  • Level 4 Trauma Center
  • Primary Stroke Center (Joint Commission)
  • Accredited Chest Pain Center
  • Level II NICU
  • Level II Maternal Care
  • Joint Commission certification in Total Hip and Knee Replacement
  • Diabetes Self-Management Education accreditation (AADE)

Doctors and clinicians (702)

702 doctors and other clinicians list CHRISTUS Santa Rosa Hospital-San Marcos 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 (702)

And 678 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

  • H-E-B, LP3.0 mi · San Marcos, TX · Community/retail pharmacy
  • H-E-B, LP3.0 mi · San Marcos, TX · Community/retail pharmacy
  • H-E-B, LP3.0 mi · San Marcos, TX · Community/retail pharmacy

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 Santa Rosa Hospital-San Marcos reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1071%National average: 72%
Would definitely recommend the hospital71%National average: 71%
Nurses “always” communicated well78%National average: 80%
Doctors “always” communicated well82%National average: 80%
Staff “always” explained medicines before giving them60%National average: 62%
Were given information about recovery at home85%National average: 86%
Room and bathroom “always” clean78%National average: 74%
Area around the room “always” quiet at night57%National average: 60%
Completed surveys848Response rate: 19%

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)0.548No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.436No different from the national benchmark
Surgical site infections after colon surgery0Better than the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients11%
Deaths within 30 days: heart failure patients10.1%
Deaths within 30 days: pneumonia patients14.5%
Deaths within 30 days: COPD patients8.9%
Deaths within 30 days: stroke patients10.5%
Deaths within 30 days: coronary bypass surgery (CABG)Too few cases to report
Serious complications (patient safety indicator PSI-90)0.85No different from the national rate
Complications after hip or knee replacementToo few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack13.9%
Readmitted within 30 days: heart failure21.6%
Readmitted within 30 days: pneumonia17.8%
Readmitted within 30 days: COPD19.7%
Readmitted within 30 days: coronary bypass surgeryToo few cases to report
Readmitted within 30 days: hip or knee replacementToo few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)143 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)78%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 75 common services exactly as CHRISTUS Santa Rosa Hospital-San Marcos lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 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 $417.70 – $955.70
New patient office visit (about 60–74 minutes): 10 of 36 insurance plan rates
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $417.70
  • Blue Cross Blue Shield Of Texas — HEB: $465.64
  • Blue Cross Blue Shield Of Texas — HMO: $657.37
  • Blue Cross Blue Shield Of Texas — PPO: $719
  • Humana — Choicecare: $955.70
  • Aetna — HMO: 42% (a percentage in the contract, not a dollar amount)
  • Aetna — New Business: 37% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 42% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 42% (a percentage in the contract, not a dollar amount)
  • Amerigroup — MM: 40% (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 $237.44 – $566.87
Office consultation with a specialist (moderate): 10 of 37 insurance plan rates
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $237.44
  • Blue Cross Blue Shield Of Texas — HEB: $264.68
  • Blue Cross Blue Shield Of Texas — HMO: $373.67
  • Blue Cross Blue Shield Of Texas — PPO: $408.70
  • Humana — Choicecare: $566.87
  • Aetna — HMO: 42% (a percentage in the contract, not a dollar amount)
  • Aetna — New Business: 37% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 42% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 42% (a percentage in the contract, not a dollar amount)
  • Amerigroup — MM: 40% (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 $381.64 – $850.06
Office consultation with a specialist (moderate to high): 10 of 37 insurance plan rates
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $381.64
  • Blue Cross Blue Shield Of Texas — HEB: $425.44
  • Blue Cross Blue Shield Of Texas — HMO: $600.61
  • Blue Cross Blue Shield Of Texas — PPO: $656.92
  • Humana — Choicecare: $850.06
  • Aetna — HMO: 42% (a percentage in the contract, not a dollar amount)
  • Aetna — New Business: 37% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 42% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 42% (a percentage in the contract, not a dollar amount)
  • Amerigroup — MM: 40% (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 $242.71 – $605.39
Preventive checkup, new patient, age 18–39: 10 of 37 insurance plan rates
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $242.71
  • Blue Cross Blue Shield Of Texas — HEB: $270.56
  • Blue Cross Blue Shield Of Texas — HMO: $381.96
  • Blue Cross Blue Shield Of Texas — PPO: $417.77
  • Humana — Choicecare: $605.39
  • Aetna — HMO: 42% (a percentage in the contract, not a dollar amount)
  • Aetna — New Business: 37% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 42% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 42% (a percentage in the contract, not a dollar amount)
  • Amerigroup — MM: 40% (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 $295.46 – $704.76
Preventive checkup, new patient, age 40–64: 10 of 37 insurance plan rates
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $295.46
  • Blue Cross Blue Shield Of Texas — HEB: $329.36
  • Blue Cross Blue Shield Of Texas — HMO: $464.99
  • Blue Cross Blue Shield Of Texas — PPO: $508.58
  • Humana — Choicecare: $704.76
  • Aetna — HMO: 42% (a percentage in the contract, not a dollar amount)
  • Aetna — New Business: 37% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 42% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 42% (a percentage in the contract, not a dollar amount)
  • Amerigroup — MM: 40% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LOW MDM Not listed in the file Not listed in the file $37.41 – $2,280
Emergency room visit (moderate): 10 of 44 insurance plan rates
  • Aetna — MM: $273.70
  • Allwell — Superior Medicare Advantage: $268.33
  • Amerigroup — MM: $289.80
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $1,722
  • Blue Cross Blue Shield Of Texas — HEB: $1,862
  • Blue Cross Blue Shield Of Texas — HMO: $806.26
  • Blue Cross Blue Shield Of Texas — PPO: $37.41
  • Christus Health — HIX: $375.66
  • Christus Health — Med Adv MM: $268.33
  • Cigna — Healthspring Medicare Advantage MM: $276.38
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM Not listed in the file Not listed in the file $5.69 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,549
Emergency room visit (moderately high): 10 of 44 insurance plan rates
  • Aetna — MM: $420.91
  • Allwell — Superior Medicare Advantage: $412.66
  • Amerigroup — MM: $445.67
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $2,760
  • Blue Cross Blue Shield Of Texas — HEB: $2,980
  • Blue Cross Blue Shield Of Texas — HMO: $1,269.96
  • Blue Cross Blue Shield Of Texas — PPO: $5.69 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Christus Health — HIX: $577.72
  • Christus Health — Med Adv MM: $412.66
  • Cigna — Healthspring Medicare Advantage MM: $425.04
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM Not listed in the file Not listed in the file $319.67 – $4,720
Emergency room visit (high): 10 of 41 insurance plan rates
  • Aetna — MM: $606.04
  • Allwell — Superior Medicare Advantage: $594.16
  • Amerigroup — MM: $641.69
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $4,320
  • Blue Cross Blue Shield Of Texas — HEB: $4,720
  • Blue Cross Blue Shield Of Texas — HMO: $1,821.28
  • Blue Cross Blue Shield Of Texas — PPO: $319.67
  • Christus Health — HIX: $831.82
  • Christus Health — Med Adv MM: $594.16
  • Cigna — Healthspring Medicare Advantage MM: $611.98

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: METABOLIC PANEL TOTAL CA Not listed in the file Not listed in the file $7.90 – $145
Basic metabolic panel (blood test): 10 of 47 insurance plan rates
  • Aetna — MM: $8.63
  • Allwell — Superior Medicare Advantage: $8.46
  • Amerigroup — MM: $9.14
  • Amerigroup — Star KM: $8.88
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $34.69
  • Blue Cross Blue Shield Of Texas — HEB: $38.58
  • Blue Cross Blue Shield Of Texas — HMO: $32.49
  • Blue Cross Blue Shield Of Texas — PPO: $35.53
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $8.63
  • Blue Cross Blue Shield Of Texas — Star KM: $8.63
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL Not listed in the file Not listed in the file $9.86 – $145
Comprehensive metabolic panel (blood test): 10 of 47 insurance plan rates
  • Aetna — MM: $10.77
  • Allwell — Superior Medicare Advantage: $10.56
  • Amerigroup — MM: $11.40
  • Amerigroup — Star KM: $11.09
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $43.30
  • Blue Cross Blue Shield Of Texas — HEB: $48.15
  • Blue Cross Blue Shield Of Texas — HMO: $40.55
  • Blue Cross Blue Shield Of Texas — PPO: $44.35
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $10.77
  • Blue Cross Blue Shield Of Texas — Star KM: $10.77
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $47.81 – $360.69
Obstetric blood test panel: 10 of 47 insurance plan rates
  • Aetna — MM: $48.77
  • Allwell — Superior Medicare Advantage: $47.81
  • Amerigroup — MM: $51.63
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $196.02
  • Blue Cross Blue Shield Of Texas — HEB: $218.01
  • Blue Cross Blue Shield Of Texas — HMO: $183.59
  • Blue Cross Blue Shield Of Texas — PPO: $200.80
  • Christus Health — HIX: $66.93
  • Christus Health — Med Adv MM: $47.81
  • Cigna — Healthspring Medicare Advantage MM: $49.24
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL Not listed in the file Not listed in the file $12.50 – $145
Cholesterol panel (lipid panel): 10 of 46 insurance plan rates
  • Aetna — MM: $13.66
  • Allwell — Superior Medicare Advantage: $13.39
  • Amerigroup — MM: $14.46
  • Amerigroup — Star KM: $14.06
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $54.90
  • Blue Cross Blue Shield Of Texas — HEB: $61.06
  • Blue Cross Blue Shield Of Texas — HMO: $51.42
  • Blue Cross Blue Shield Of Texas — PPO: $56.24
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $13.66
  • Blue Cross Blue Shield Of Texas — Star KM: $13.66
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL Not listed in the file Not listed in the file $8.11 – $145
Kidney function panel: 10 of 47 insurance plan rates
  • Aetna — MM: $8.85
  • Allwell — Superior Medicare Advantage: $8.68
  • Amerigroup — MM: $9.37
  • Amerigroup — Star KM: $9.11
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $35.59
  • Blue Cross Blue Shield Of Texas — HEB: $39.58
  • Blue Cross Blue Shield Of Texas — HMO: $33.33
  • Blue Cross Blue Shield Of Texas — PPO: $36.46
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $8.85
  • Blue Cross Blue Shield Of Texas — Star KM: $8.85
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL Not listed in the file Not listed in the file $7.63 – $145
Liver function panel: 10 of 47 insurance plan rates
  • Aetna — MM: $8.33
  • Allwell — Superior Medicare Advantage: $8.17
  • Amerigroup — MM: $8.82
  • Amerigroup — Star KM: $8.58
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $33.50
  • Blue Cross Blue Shield Of Texas — HEB: $37.26
  • Blue Cross Blue Shield Of Texas — HMO: $31.37
  • Blue Cross Blue Shield Of Texas — PPO: $34.31
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $8.33
  • Blue Cross Blue Shield Of Texas — Star KM: $8.33
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE Not listed in the file Not listed in the file $2.96 – $145
Urine test (automated, with microscope): 10 of 45 insurance plan rates
  • Aetna — MM: $3.23
  • Allwell — Superior Medicare Advantage: $3.17
  • Amerigroup — MM: $3.42
  • Amerigroup — Star KM: $3.33
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $13
  • Blue Cross Blue Shield Of Texas — HEB: $14.46
  • Blue Cross Blue Shield Of Texas — HMO: $12.17
  • Blue Cross Blue Shield Of Texas — PPO: $13.31
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $3.23
  • Blue Cross Blue Shield Of Texas — Star KM: $3.23
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 $2.92 – $145
Urine test (manual, without microscope): 10 of 47 insurance plan rates
  • Aetna — MM: $3.55
  • Allwell — Superior Medicare Advantage: $3.48
  • Amerigroup — MM: $3.76
  • Amerigroup — Star KM: $3.65
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $14.27
  • Blue Cross Blue Shield Of Texas — HEB: $15.87
  • Blue Cross Blue Shield Of Texas — HMO: $13.36
  • Blue Cross Blue Shield Of Texas — PPO: $14.62
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $3.55
  • Blue Cross Blue Shield Of Texas — Star KM: $3.55
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE Not listed in the file Not listed in the file $2.09 – $145
Urine test (automated, without microscope): 10 of 47 insurance plan rates
  • Aetna — MM: $2.30
  • Allwell — Superior Medicare Advantage: $2.25
  • Amerigroup — MM: $2.43
  • Amerigroup — Star KM: $2.36
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $9.23
  • Blue Cross Blue Shield Of Texas — HEB: $10.26
  • Blue Cross Blue Shield Of Texas — HMO: $8.64
  • Blue Cross Blue Shield Of Texas — PPO: $9.45
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $2.30
  • Blue Cross Blue Shield Of Texas — Star KM: $2.30
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC Not listed in the file Not listed in the file $7.25 – $145
Complete blood count (CBC) with differential: 10 of 45 insurance plan rates
  • Aetna — MM: $7.93
  • Allwell — Superior Medicare Advantage: $7.77
  • Amerigroup — MM: $8.39
  • Amerigroup — Star KM: $8.16
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $31.86
  • Blue Cross Blue Shield Of Texas — HEB: $35.43
  • Blue Cross Blue Shield Of Texas — HMO: $29.84
  • Blue Cross Blue Shield Of Texas — PPO: $32.63
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $7.93
  • Blue Cross Blue Shield Of Texas — Star KM: $7.93
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED Not listed in the file Not listed in the file $6.03 – $145
Complete blood count (CBC), automated: 10 of 47 insurance plan rates
  • Aetna — MM: $6.60
  • Allwell — Superior Medicare Advantage: $6.47
  • Amerigroup — MM: $6.99
  • Amerigroup — Star KM: $6.79
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $26.53
  • Blue Cross Blue Shield Of Texas — HEB: $29.50
  • Blue Cross Blue Shield Of Texas — HMO: $24.84
  • Blue Cross Blue Shield Of Texas — PPO: $27.17
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $6.60
  • Blue Cross Blue Shield Of Texas — Star KM: $6.60

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/BRAIN W/O DYE Not listed in the file Not listed in the file $103.05 – $1,500
CT scan of the head or brain, without contrast: 10 of 47 insurance plan rates
  • Aetna — MM: $105.11
  • Allwell — Superior Medicare Advantage: $103.05
  • Amerigroup — MM: $111.29
  • Amerigroup — Star KM: $141.40
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $574.97
  • Blue Cross Blue Shield Of Texas — HEB: $638.86
  • Blue Cross Blue Shield Of Texas — HMO: $430.39
  • Blue Cross Blue Shield Of Texas — PPO: $470.74
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $137.36
  • Blue Cross Blue Shield Of Texas — Star KM: $137.36
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE Not listed in the file Not listed in the file $346.09 – $2,251
MRI of the brain, before and after contrast: 10 of 47 insurance plan rates
  • Aetna — MM: $353.01
  • Allwell — Superior Medicare Advantage: $346.09
  • Amerigroup — MM: $373.78
  • Amerigroup — Star KM: $487.43
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $1,958.89
  • Blue Cross Blue Shield Of Texas — HEB: $2,176.55
  • Blue Cross Blue Shield Of Texas — HMO: $1,466.30
  • Blue Cross Blue Shield Of Texas — PPO: $1,603.77
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $473.50
  • Blue Cross Blue Shield Of Texas — Star KM: $473.50
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE Not listed in the file Not listed in the file $212.84 – $2,251
MRI of the lower back (lumbar spine), without contrast: 10 of 47 insurance plan rates
  • Aetna — MM: $238.94
  • Allwell — Superior Medicare Advantage: $234.25
  • Amerigroup — MM: $252.99
  • Amerigroup — Star KM: $308.95
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $1,195.50
  • Blue Cross Blue Shield Of Texas — HEB: $1,328.33
  • Blue Cross Blue Shield Of Texas — HMO: $894.87
  • Blue Cross Blue Shield Of Texas — PPO: $978.77
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $300.12
  • Blue Cross Blue Shield Of Texas — Star KM: $300.12
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE Not listed in the file Not listed in the file $172.52 – $1,500
CT scan of the pelvis, with contrast: 10 of 47 insurance plan rates
  • Aetna — MM: $175.97
  • Allwell — Superior Medicare Advantage: $172.52
  • Amerigroup — MM: $186.32
  • Amerigroup — Star KM: $238.59
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $934.79
  • Blue Cross Blue Shield Of Texas — HEB: $1,038.65
  • Blue Cross Blue Shield Of Texas — HMO: $699.72
  • Blue Cross Blue Shield Of Texas — PPO: $765.32
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $231.77
  • Blue Cross Blue Shield Of Texas — Star KM: $231.77
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE Not listed in the file Not listed in the file $224.88 – $2,251
MRI of a leg joint (such as the knee), without contrast: 10 of 47 insurance plan rates
  • Aetna — MM: $238.94
  • Allwell — Superior Medicare Advantage: $234.25
  • Amerigroup — MM: $252.99
  • Amerigroup — Star KM: $308.95
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $1,195.50
  • Blue Cross Blue Shield Of Texas — HEB: $1,328.33
  • Blue Cross Blue Shield Of Texas — HMO: $894.87
  • Blue Cross Blue Shield Of Texas — PPO: $978.77
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $300.13
  • Blue Cross Blue Shield Of Texas — Star KM: $300.13
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELV W/CONTRAST Not listed in the file Not listed in the file $252.74 – $2,176.55
CT scan of the abdomen and pelvis, with contrast: 10 of 46 insurance plan rates
  • Aetna — MM: $353.01
  • Allwell — Superior Medicare Advantage: $346.09
  • Amerigroup — MM: $373.78
  • Amerigroup — Star KM: $487.43
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $1,958.89
  • Blue Cross Blue Shield Of Texas — HEB: $2,176.55
  • Blue Cross Blue Shield Of Texas — HMO: $1,466.30
  • Blue Cross Blue Shield Of Texas — PPO: $1,603.77
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $473.50
  • Blue Cross Blue Shield Of Texas — Star KM: $473.50
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE Not listed in the file Not listed in the file $103.05 – $1,408
Ultrasound of the abdomen, complete: 10 of 47 insurance plan rates
  • Aetna — MM: $105.11
  • Allwell — Superior Medicare Advantage: $103.05
  • Amerigroup — MM: $111.29
  • Amerigroup — Star KM: $141.40
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $383.31
  • Blue Cross Blue Shield Of Texas — HEB: $424.78
  • Blue Cross Blue Shield Of Texas — HMO: $430.39
  • Blue Cross Blue Shield Of Texas — PPO: $470.74
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $137.36
  • Blue Cross Blue Shield Of Texas — Star KM: $137.36
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB Not listed in the file Not listed in the file $103.05 – $1,408
Transvaginal ultrasound: 10 of 47 insurance plan rates
  • Aetna — MM: $105.11
  • Allwell — Superior Medicare Advantage: $103.05
  • Amerigroup — MM: $111.29
  • Amerigroup — Star KM: $141.40
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $301.99
  • Blue Cross Blue Shield Of Texas — HEB: $334.66
  • Blue Cross Blue Shield Of Texas — HMO: $339.07
  • Blue Cross Blue Shield Of Texas — PPO: $370.86
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $137.36
  • Blue Cross Blue Shield Of Texas — Star KM: $137.36
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 $189 – $540.47
Diagnostic mammogram, one breast: 10 of 35 insurance plan rates
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $321.69
  • Blue Cross Blue Shield Of Texas — HEB: $356.49
  • Blue Cross Blue Shield Of Texas — HMO: $361.19
  • Blue Cross Blue Shield Of Texas — PPO: $395.05
  • Cigna — New Business: $203
  • Cigna — PPO: $256
  • Five Point Credit Union — PPO: $189
  • Humana — Choicecare: $540.47
  • United Healthcare — All Payer: $471
  • Aetna — HMO: 42% (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 $189 – $685.44
Diagnostic mammogram, both breasts: 10 of 35 insurance plan rates
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $411.67
  • Blue Cross Blue Shield Of Texas — HEB: $456.20
  • Blue Cross Blue Shield Of Texas — HMO: $462.22
  • Blue Cross Blue Shield Of Texas — PPO: $505.55
  • Cigna — New Business: $203
  • Cigna — PPO: $256
  • Five Point Credit Union — PPO: $189
  • Humana — Choicecare: $685.44
  • United Healthcare — All Payer: $471
  • Aetna — HMO: 42% (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 $189 – $552.84
Screening mammogram, both breasts: 10 of 34 insurance plan rates
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $340.19
  • Blue Cross Blue Shield Of Texas — HEB: $376.99
  • Blue Cross Blue Shield Of Texas — HMO: $381.96
  • Blue Cross Blue Shield Of Texas — PPO: $417.77
  • Cigna — New Business: $203
  • Cigna — PPO: $256
  • Five Point Credit Union — PPO: $189
  • Humana — Choicecare: $552.84
  • United Healthcare — All Payer: $471
  • Aetna — HMO: 42% (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 $66.43 – $471
Electrocardiogram (ECG/EKG) with reading: 10 of 37 insurance plan rates
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $70.93
  • Blue Cross Blue Shield Of Texas — HEB: $78.89
  • Blue Cross Blue Shield Of Texas — HMO: $66.43
  • Blue Cross Blue Shield Of Texas — PPO: $72.66
  • Humana — Choicecare: $77.66
  • United Healthcare — All Payer: $471
  • Aetna — HMO: 42% (a percentage in the contract, not a dollar amount)
  • Aetna — New Business: 37% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 42% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 42% (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 $3,117.02 – $17,731
Left heart catheterization (diagnostic): 10 of 47 insurance plan rates
  • Aetna — MM: $3,179.36
  • Allwell — Superior Medicare Advantage: $3,117.02
  • Amerigroup — MM: $3,366.38
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $8,249
  • Blue Cross Blue Shield Of Texas — HEB: $9,164
  • Blue Cross Blue Shield Of Texas — HMO: $6,896.88
  • Blue Cross Blue Shield Of Texas — PPO: $7,979.86
  • Christus Health — HIX: $4,363.83
  • Christus Health — Med Adv MM: $3,117.02
  • Cigna — Healthspring Medicare Advantage MM: $3,210.53
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 $3,464.56 – $24,719.98
Heart rhythm study (electrophysiology evaluation): 10 of 47 insurance plan rates
  • Aetna — MM: $7,500.70
  • Allwell — Superior Medicare Advantage: $7,353.63
  • Amerigroup — MM: $7,941.92
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $9,605
  • Blue Cross Blue Shield Of Texas — HEB: $10,674
  • Blue Cross Blue Shield Of Texas — HMO: $22,601.13
  • Blue Cross Blue Shield Of Texas — PPO: $24,719.98
  • Christus Health — HIX: $10,295.08
  • Christus Health — Med Adv MM: $7,353.63
  • Cigna — Healthspring Medicare Advantage MM: $7,574.24
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 $5,327.79 – $60,148.85
Heart rhythm study with ablation for atrial fibrillation: 10 of 47 insurance plan rates
  • Aetna — MM: $24,249.74
  • Allwell — Superior Medicare Advantage: $23,774.25
  • Amerigroup — MM: $25,676.19
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $9,605
  • Blue Cross Blue Shield Of Texas — HEB: $10,674
  • Blue Cross Blue Shield Of Texas — HMO: $24,522.32
  • Blue Cross Blue Shield Of Texas — PPO: $26,565.85
  • Christus Health — HIX: $33,283.95
  • Christus Health — Med Adv MM: $23,774.25
  • Cigna — Healthspring Medicare Advantage MM: $24,487.48
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 $466 – $4,077
Sleep study (overnight, in a sleep lab): 10 of 47 insurance plan rates
  • Aetna — MM: $1,005.67
  • Allwell — Superior Medicare Advantage: $985.95
  • Amerigroup — MM: $1,064.83
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $1,222.29
  • Blue Cross Blue Shield Of Texas — HEB: $1,362.56
  • Blue Cross Blue Shield Of Texas — HMO: $1,923.61
  • Blue Cross Blue Shield Of Texas — PPO: $2,103.95
  • Christus Health — HIX: $1,380.33
  • Christus Health — Med Adv MM: $985.95
  • Cigna — Healthspring Medicare Advantage MM: $1,015.53

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 $73 – $411
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 34 insurance plan rates
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $76.49
  • Blue Cross Blue Shield Of Texas — HEB: $85.27
  • Blue Cross Blue Shield Of Texas — HMO: $120.38
  • Blue Cross Blue Shield Of Texas — PPO: $131.67
  • Cigna — New Business: $323
  • Cigna — PPO: $411
  • Five Point Credit Union — PPO: $225
  • Humana — Choicecare: $73
  • Superior — Chip KM: $78.91
  • Superior — Star Kids KM: $78.91
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 $73 – $411
Physical therapy evaluation (low complexity): 10 of 35 insurance plan rates
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $211.04
  • Blue Cross Blue Shield Of Texas — HEB: $235.25
  • Blue Cross Blue Shield Of Texas — HMO: $332.12
  • Blue Cross Blue Shield Of Texas — PPO: $363.26
  • Cigna — New Business: $323
  • Cigna — PPO: $411
  • Five Point Credit Union — PPO: $225
  • Humana — Choicecare: $73
  • Superior — Chip KM: $78.91
  • Superior — Star Kids KM: $78.91
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 $73 – $411
Physical therapy evaluation (moderate complexity): 10 of 34 insurance plan rates
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $211.04
  • Blue Cross Blue Shield Of Texas — HEB: $235.25
  • Blue Cross Blue Shield Of Texas — HMO: $332.12
  • Blue Cross Blue Shield Of Texas — PPO: $363.26
  • Cigna — New Business: $323
  • Cigna — PPO: $411
  • Five Point Credit Union — PPO: $225
  • Humana — Choicecare: $73
  • Superior — Chip KM: $78.91
  • Superior — Star Kids KM: $78.91
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 $73 – $411
Physical therapy evaluation (high complexity): 10 of 36 insurance plan rates
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $211.04
  • Blue Cross Blue Shield Of Texas — HEB: $235.25
  • Blue Cross Blue Shield Of Texas — HMO: $332.12
  • Blue Cross Blue Shield Of Texas — PPO: $363.26
  • Cigna — New Business: $323
  • Cigna — PPO: $411
  • Five Point Credit Union — PPO: $225
  • Humana — Choicecare: $73
  • Superior — Chip KM: $78.91
  • Superior — Star Kids KM: $78.91
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 $155.71 – $393.95
Psychotherapy, 30 minutes: 10 of 47 insurance plan rates
  • Aetna — MM: $158.82
  • Allwell — Superior Medicare Advantage: $155.71
  • Amerigroup — MM: $168.17
  • Christus Health — HIX: $217.99
  • Christus Health — Med Adv MM: $155.71
  • Cigna — Healthspring Medicare Advantage MM: $160.38
  • Devoted Health Plan — MM: $168.17
  • Healthcare Highways — PPO: $393.95
  • Humana — Choicecare: $300.63
  • Humana — MM: $155.71
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 $155.71 – $399.71
Psychotherapy, 45 minutes: 10 of 47 insurance plan rates
  • Aetna — MM: $158.82
  • Allwell — Superior Medicare Advantage: $155.71
  • Amerigroup — MM: $168.17
  • Christus Health — HIX: $217.99
  • Christus Health — Med Adv MM: $155.71
  • Cigna — Healthspring Medicare Advantage MM: $160.38
  • Devoted Health Plan — MM: $168.17
  • Healthcare Highways — PPO: $393.95
  • Humana — Choicecare: $399.71
  • Humana — MM: $155.71
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 $155.71 – $599.45
Psychotherapy, 60 minutes: 10 of 47 insurance plan rates
  • Aetna — MM: $158.82
  • Allwell — Superior Medicare Advantage: $155.71
  • Amerigroup — MM: $168.17
  • Christus Health — HIX: $217.99
  • Christus Health — Med Adv MM: $155.71
  • Cigna — Healthspring Medicare Advantage MM: $160.38
  • Devoted Health Plan — MM: $168.17
  • Healthcare Highways — PPO: $393.95
  • Humana — Choicecare: $599.45
  • Humana — MM: $155.71
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 $155.71 – $483.31
Family psychotherapy, without the patient: 10 of 47 insurance plan rates
  • Aetna — MM: $158.82
  • Allwell — Superior Medicare Advantage: $155.71
  • Amerigroup — MM: $168.17
  • Christus Health — HIX: $217.99
  • Christus Health — Med Adv MM: $155.71
  • Cigna — Healthspring Medicare Advantage MM: $160.38
  • Devoted Health Plan — MM: $168.17
  • Healthcare Highways — PPO: $393.95
  • Humana — Choicecare: $483.31
  • Humana — MM: $155.71
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 $155.71 – $501.93
Family psychotherapy, with the patient: 10 of 47 insurance plan rates
  • Aetna — MM: $158.82
  • Allwell — Superior Medicare Advantage: $155.71
  • Amerigroup — MM: $168.17
  • Christus Health — HIX: $217.99
  • Christus Health — Med Adv MM: $155.71
  • Cigna — Healthspring Medicare Advantage MM: $160.38
  • Devoted Health Plan — MM: $168.17
  • Healthcare Highways — PPO: $393.95
  • Humana — Choicecare: $501.93
  • Humana — MM: $155.71
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 $89.64 – $226.79
Group psychotherapy: 10 of 47 insurance plan rates
  • Aetna — MM: $91.43
  • Allwell — Superior Medicare Advantage: $89.64
  • Amerigroup — MM: $96.81
  • Christus Health — HIX: $125.50
  • Christus Health — Med Adv MM: $89.64
  • Cigna — Healthspring Medicare Advantage MM: $92.33
  • Devoted Health Plan — MM: $96.81
  • Healthcare Highways — PPO: $226.79
  • Humana — Choicecare: $120.75
  • Humana — MM: $89.64

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 $429.66 – $9,388.73
Removal of breast growth (open surgery): 10 of 47 insurance plan rates
  • Aetna — MM: $3,785.18
  • Allwell — Superior Medicare Advantage: $3,710.96
  • Amerigroup — MM: $4,007.84
  • Amerigroup — Star KM: $1,011.84
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $4,089.89
  • Blue Cross Blue Shield Of Texas — HEB: $7,604.17
  • Blue Cross Blue Shield Of Texas — HMO: $3,635.46
  • Blue Cross Blue Shield Of Texas — PPO: $3,938.42
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $982.93
  • Blue Cross Blue Shield Of Texas — Star KM: $982.93
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 $4,020 – $31,547.18
Total hip replacement: 10 of 47 insurance plan rates
  • Aetna — MM: $12,718.62
  • Allwell — Superior Medicare Advantage: $12,469.24
  • Amerigroup — MM: $13,466.78
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $16,065.96
  • Blue Cross Blue Shield Of Texas — HEB: $29,870.78
  • Blue Cross Blue Shield Of Texas — HMO: $14,280.85
  • Blue Cross Blue Shield Of Texas — PPO: $15,470.92
  • Christus Health — HIX: $17,456.94
  • Christus Health — Med Adv MM: $12,469.24
  • Cigna — Healthspring Medicare Advantage MM: $12,843.32
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 $4,020 – $31,547.18
Total knee replacement: 10 of 47 insurance plan rates
  • Aetna — MM: $12,718.62
  • Allwell — Superior Medicare Advantage: $12,469.24
  • Amerigroup — MM: $13,466.78
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $16,065.96
  • Blue Cross Blue Shield Of Texas — HEB: $29,870.78
  • Blue Cross Blue Shield Of Texas — HMO: $14,280.85
  • Blue Cross Blue Shield Of Texas — PPO: $15,470.92
  • Christus Health — HIX: $17,456.94
  • Christus Health — Med Adv MM: $12,469.24
  • Cigna — Healthspring Medicare Advantage MM: $12,843.32
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 $1,902 – $7,854
Shoulder arthroscopy: shaving of shoulder bone: 10 of 33 insurance plan rates
  • Cigna — New Business: $6,187
  • Cigna — PPO: $7,854
  • Five Point Credit Union — PPO: $4,020
  • Humana — Choicecare: $7,125
  • United Healthcare — All Payer: $1,902
  • Aetna — HMO: 42% (a percentage in the contract, not a dollar amount)
  • Aetna — New Business: 37% (a percentage in the contract, not a dollar amount)
  • Aetna — POS: 42% (a percentage in the contract, not a dollar amount)
  • Aetna — PPO: 42% (a percentage in the contract, not a dollar amount)
  • Amerigroup — MM: 40% (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 $529.24 – $7,955.21
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 47 insurance plan rates
  • Aetna — MM: $3,207.24
  • Allwell — Superior Medicare Advantage: $3,144.35
  • Amerigroup — MM: $3,395.90
  • Amerigroup — Star KM: $1,142.68
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $3,695.56
  • Blue Cross Blue Shield Of Texas — HEB: $6,871
  • Blue Cross Blue Shield Of Texas — HMO: $3,284.94
  • Blue Cross Blue Shield Of Texas — PPO: $3,558.69
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $1,110.04
  • Blue Cross Blue Shield Of Texas — Star KM: $1,110.04
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 $374.64 – $14,504.16
Removal of tonsils and adenoids (under age 12): 10 of 47 insurance plan rates
  • Aetna — MM: $5,847.53
  • Allwell — Superior Medicare Advantage: $5,732.87
  • Amerigroup — MM: $6,191.50
  • Amerigroup — Star KM: $2,051.93
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $6,548.22
  • Blue Cross Blue Shield Of Texas — HEB: $12,174.83
  • Blue Cross Blue Shield Of Texas — HMO: $5,820.64
  • Blue Cross Blue Shield Of Texas — PPO: $6,305.69
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $1,993.30
  • Blue Cross Blue Shield Of Texas — Star KM: $1,993.30
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 $279.80 – $6,561
Upper GI endoscopy (diagnostic): 10 of 47 insurance plan rates
  • Aetna — MM: $926.76
  • Allwell — Superior Medicare Advantage: $908.59
  • Amerigroup — MM: $981.28
  • Amerigroup — Star KM: $351.70
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $1,060.99
  • Blue Cross Blue Shield Of Texas — HEB: $1,972.66
  • Blue Cross Blue Shield Of Texas — HMO: $943.10
  • Blue Cross Blue Shield Of Texas — PPO: $1,021.70
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $341.65
  • Blue Cross Blue Shield Of Texas — Star KM: $341.65
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 $334.95 – $6,603
Upper GI endoscopy with biopsy: 10 of 47 insurance plan rates
  • Aetna — MM: $926.76
  • Allwell — Superior Medicare Advantage: $908.59
  • Amerigroup — MM: $981.28
  • Amerigroup — Star KM: $351.70
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $1,060.99
  • Blue Cross Blue Shield Of Texas — HEB: $1,972.66
  • Blue Cross Blue Shield Of Texas — HMO: $943.10
  • Blue Cross Blue Shield Of Texas — PPO: $1,021.70
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $341.65
  • Blue Cross Blue Shield Of Texas — Star KM: $341.65
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 $328.50 – $6,603
Colonoscopy (diagnostic): 10 of 47 insurance plan rates
  • Aetna — MM: $901.21
  • Allwell — Superior Medicare Advantage: $883.54
  • Amerigroup — MM: $954.22
  • Amerigroup — Star KM: $344.93
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $1,031.24
  • Blue Cross Blue Shield Of Texas — HEB: $1,917.34
  • Blue Cross Blue Shield Of Texas — HMO: $916.66
  • Blue Cross Blue Shield Of Texas — PPO: $993.04
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $335.07
  • Blue Cross Blue Shield Of Texas — Star KM: $335.07
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 $374.64 – $6,603
Colonoscopy with biopsy: 10 of 47 insurance plan rates
  • Aetna — MM: $1,165.50
  • Allwell — Superior Medicare Advantage: $1,142.65
  • Amerigroup — MM: $1,234.06
  • Amerigroup — Star KM: $450.72
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $1,355.70
  • Blue Cross Blue Shield Of Texas — HEB: $2,520.59
  • Blue Cross Blue Shield Of Texas — HMO: $1,205.06
  • Blue Cross Blue Shield Of Texas — PPO: $1,305.49
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $437.85
  • Blue Cross Blue Shield Of Texas — Star KM: $437.85
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 $374.64 – $6,603
Colonoscopy with removal of polyps (snare): 10 of 47 insurance plan rates
  • Aetna — MM: $1,165.50
  • Allwell — Superior Medicare Advantage: $1,142.65
  • Amerigroup — MM: $1,234.06
  • Amerigroup — Star KM: $450.72
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $1,355.70
  • Blue Cross Blue Shield Of Texas — HEB: $2,520.59
  • Blue Cross Blue Shield Of Texas — HMO: $1,205.06
  • Blue Cross Blue Shield Of Texas — PPO: $1,305.49
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $437.85
  • Blue Cross Blue Shield Of Texas — Star KM: $437.85
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 $374.64 – $6,603
Ultrasound of the lower bowel by endoscope: 10 of 47 insurance plan rates
  • Aetna — MM: $1,165.50
  • Allwell — Superior Medicare Advantage: $1,142.65
  • Amerigroup — MM: $1,234.06
  • Amerigroup — Star KM: $450.72
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $1,355.70
  • Blue Cross Blue Shield Of Texas — HEB: $2,520.59
  • Blue Cross Blue Shield Of Texas — HMO: $1,205.06
  • Blue Cross Blue Shield Of Texas — PPO: $1,305.49
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $437.85
  • Blue Cross Blue Shield Of Texas — Star KM: $437.85
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 $279.80 – $6,603
Screening colonoscopy (not high risk): 10 of 47 insurance plan rates
  • Aetna — MM: $901.21
  • Allwell — Superior Medicare Advantage: $883.54
  • Amerigroup — MM: $954.22
  • Amerigroup — Star KM: $344.93
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $1,031.24
  • Blue Cross Blue Shield Of Texas — HEB: $1,917.34
  • Blue Cross Blue Shield Of Texas — HMO: $916.66
  • Blue Cross Blue Shield Of Texas — PPO: $993.04
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $335.07
  • Blue Cross Blue Shield Of Texas — Star KM: $335.07
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 $764.75 – $21,698
Gallbladder removal by laparoscope: 10 of 47 insurance plan rates
  • Aetna — MM: $5,767.16
  • Allwell — Superior Medicare Advantage: $5,654.08
  • Amerigroup — MM: $6,106.41
  • Amerigroup — Star KM: $1,983.29
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $6,525.51
  • Blue Cross Blue Shield Of Texas — HEB: $12,132.61
  • Blue Cross Blue Shield Of Texas — HMO: $5,800.45
  • Blue Cross Blue Shield Of Texas — PPO: $6,283.82
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $1,926.63
  • Blue Cross Blue Shield Of Texas — Star KM: $1,926.63
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 $529.24 – $9,326
Groin (inguinal) hernia repair, age 5 or older: 10 of 47 insurance plan rates
  • Aetna — MM: $3,488.41
  • Allwell — Superior Medicare Advantage: $3,420.01
  • Amerigroup — MM: $3,693.61
  • Amerigroup — Star KM: $1,209.12
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $4,197.61
  • Blue Cross Blue Shield Of Texas — HEB: $7,804.44
  • Blue Cross Blue Shield Of Texas — HMO: $3,731.21
  • Blue Cross Blue Shield Of Texas — PPO: $4,042.14
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $1,174.57
  • Blue Cross Blue Shield Of Texas — Star KM: $1,174.57
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 $374.64 – $6,603
Prostate biopsy: 10 of 47 insurance plan rates
  • Aetna — MM: $2,024.91
  • Allwell — Superior Medicare Advantage: $1,985.21
  • Amerigroup — MM: $2,144.03
  • Amerigroup — Star KM: $685.44
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $2,391.59
  • Blue Cross Blue Shield Of Texas — HEB: $4,446.59
  • Blue Cross Blue Shield Of Texas — HMO: $2,125.86
  • Blue Cross Blue Shield Of Texas — PPO: $2,303.02
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $665.86
  • Blue Cross Blue Shield Of Texas — Star KM: $665.86
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 $4,020 – $25,526.46
Prostate removal by laparoscope (radical prostatectomy): 10 of 47 insurance plan rates
  • Aetna — MM: $10,291.30
  • Allwell — Superior Medicare Advantage: $10,089.51
  • Amerigroup — MM: $10,896.67
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $11,357.70
  • Blue Cross Blue Shield Of Texas — HEB: $21,116.91
  • Blue Cross Blue Shield Of Texas — HMO: $10,095.73
  • Blue Cross Blue Shield Of Texas — PPO: $10,937.04
  • Christus Health — HIX: $14,125.31
  • Christus Health — Med Adv MM: $10,089.51
  • Cigna — Healthspring Medicare Advantage MM: $10,392.20
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 $429.66 – $7,795.64
Hysteroscopy with biopsy of the uterus lining: 10 of 47 insurance plan rates
  • Aetna — MM: $3,142.91
  • Allwell — Superior Medicare Advantage: $3,081.28
  • Amerigroup — MM: $3,327.78
  • Amerigroup — Star KM: $1,116.70
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $3,372.44
  • Blue Cross Blue Shield Of Texas — HEB: $6,270.23
  • Blue Cross Blue Shield Of Texas — HMO: $2,997.72
  • Blue Cross Blue Shield Of Texas — PPO: $3,247.53
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $1,084.79
  • Blue Cross Blue Shield Of Texas — Star KM: $1,084.79
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 $211.88 – $4,927
Spinal injection, lower back (epidural), with imaging guidance: 10 of 47 insurance plan rates
  • Aetna — MM: $684.54
  • Allwell — Superior Medicare Advantage: $671.12
  • Amerigroup — MM: $724.81
  • Amerigroup — Star KM: $276
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $843.82
  • Blue Cross Blue Shield Of Texas — HEB: $1,568.88
  • Blue Cross Blue Shield Of Texas — HMO: $750.06
  • Blue Cross Blue Shield Of Texas — PPO: $812.57
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $268.12
  • Blue Cross Blue Shield Of Texas — Star KM: $268.12
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 $279.80 – $4,927
Nerve root injection, lower back, with imaging guidance: 10 of 47 insurance plan rates
  • Aetna — MM: $880.04
  • Allwell — Superior Medicare Advantage: $862.78
  • Amerigroup — MM: $931.80
  • Amerigroup — Star KM: $357.81
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $1,096.27
  • Blue Cross Blue Shield Of Texas — HEB: $2,038.25
  • Blue Cross Blue Shield Of Texas — HMO: $974.46
  • Blue Cross Blue Shield Of Texas — PPO: $1,055.67
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $347.59
  • Blue Cross Blue Shield Of Texas — Star KM: $347.59
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 $374.64 – $6,603
Carpal tunnel release: 10 of 47 insurance plan rates
  • Aetna — MM: $1,930.28
  • Allwell — Superior Medicare Advantage: $1,892.43
  • Amerigroup — MM: $2,043.82
  • Amerigroup — Star KM: $692.94
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $2,321.12
  • Blue Cross Blue Shield Of Texas — HEB: $4,315.57
  • Blue Cross Blue Shield Of Texas — HMO: $2,063.22
  • Blue Cross Blue Shield Of Texas — PPO: $2,235.16
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $673.14
  • Blue Cross Blue Shield Of Texas — Star KM: $673.14
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 – $6,603
Laser treatment of clouding after cataract surgery: 10 of 47 insurance plan rates
  • Aetna — MM: $542.28
  • Allwell — Superior Medicare Advantage: $531.65
  • Amerigroup — MM: $574.18
  • Amerigroup — Star KM: $218.75
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $684.36
  • Blue Cross Blue Shield Of Texas — HEB: $1,272.39
  • Blue Cross Blue Shield Of Texas — HMO: $608.32
  • Blue Cross Blue Shield Of Texas — PPO: $659.01
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $212.50
  • Blue Cross Blue Shield Of Texas — Star KM: $212.50
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 – $13,847
Cataract removal with lens implant: 10 of 47 insurance plan rates
  • Aetna — MM: $2,254.47
  • Allwell — Superior Medicare Advantage: $2,210.26
  • Amerigroup — MM: $2,387.08
  • Amerigroup — Star KM: $892.44
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $2,729.51
  • Blue Cross Blue Shield Of Texas — HEB: $5,074.87
  • Blue Cross Blue Shield Of Texas — HMO: $2,426.23
  • Blue Cross Blue Shield Of Texas — PPO: $2,628.42
  • Blue Cross Blue Shield Of Texas — Star Kids KM: $866.94
  • Blue Cross Blue Shield Of Texas — Star KM: $866.94

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 $2,613.41 – $9,326
Vaginal delivery, with care before and after: 10 of 37 insurance plan rates
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $2,940.08
  • Blue Cross Blue Shield Of Texas — HEB: $5,466.38
  • Blue Cross Blue Shield Of Texas — HMO: $2,613.41
  • Blue Cross Blue Shield Of Texas — PPO: $2,831.19
  • Cigna — New Business: $7,347
  • Cigna — PPO: $9,326
  • Five Point Credit Union — PPO: $4,020
  • Humana — Choicecare: $6,989
  • Aetna — HMO: 42% (a percentage in the contract, not a dollar amount)
  • Aetna — New Business: 37% (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 $2,897.54 – $9,326
Cesarean delivery (C-section), with care before and after: 10 of 37 insurance plan rates
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $3,259.74
  • Blue Cross Blue Shield Of Texas — HEB: $6,060.70
  • Blue Cross Blue Shield Of Texas — HMO: $2,897.54
  • Blue Cross Blue Shield Of Texas — PPO: $3,139.01
  • Cigna — New Business: $7,347
  • Cigna — PPO: $9,326
  • Five Point Credit Union — PPO: $4,020
  • Humana — Choicecare: $6,989
  • Aetna — HMO: 42% (a percentage in the contract, not a dollar amount)
  • Aetna — New Business: 37% (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 $2,742.29 – $9,326
Vaginal delivery after a previous C-section, with care before and after: 10 of 37 insurance plan rates
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $3,085.07
  • Blue Cross Blue Shield Of Texas — HEB: $5,735.95
  • Blue Cross Blue Shield Of Texas — HMO: $2,742.29
  • Blue Cross Blue Shield Of Texas — PPO: $2,970.81
  • Cigna — New Business: $7,347
  • Cigna — PPO: $9,326
  • Five Point Credit Union — PPO: $4,020
  • Humana — Choicecare: $6,989
  • Aetna — HMO: 42% (a percentage in the contract, not a dollar amount)
  • Aetna — New Business: 37% (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 $1,200 – $168,730.18
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 37 insurance plan rates
  • Aetna — MM: $62,954.63
  • Allwell — Superior Medicare Advantage: $61,720.23
  • Amerigroup — MM: $66,657.85
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $90,170.23
  • Blue Cross Blue Shield Of Texas — HEB: $83,742.59
  • Blue Cross Blue Shield Of Texas — HMO: $105,669.89
  • Blue Cross Blue Shield Of Texas — PPO: $115,687.74
  • Christus Health — HIX: $86,408.32
  • Christus Health — Med Adv MM: $58,634.22
  • Cigna — Healthspring Medicare Advantage MM: $63,571.84
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 $1,200 – $32,964.20
Hip or knee replacement (major joint of the leg), without major complications: 10 of 37 insurance plan rates
  • Aetna — MM: $12,299.22
  • Allwell — Superior Medicare Advantage: $12,058.06
  • Amerigroup — MM: $13,022.70
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $17,616.23
  • Blue Cross Blue Shield Of Texas — HEB: $16,360.48
  • Blue Cross Blue Shield Of Texas — HMO: $20,644.34
  • Blue Cross Blue Shield Of Texas — PPO: $22,601.49
  • Christus Health — HIX: $16,881.28
  • Christus Health — Med Adv MM: $11,455.16
  • Cigna — Healthspring Medicare Advantage MM: $12,419.80
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 $1,200 – $41,389.25
Neck (cervical) spinal fusion, without complications: 10 of 37 insurance plan rates
  • Aetna — MM: $15,442.68
  • Allwell — Superior Medicare Advantage: $15,139.88
  • Amerigroup — MM: $16,351.07
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $22,118.62
  • Blue Cross Blue Shield Of Texas — HEB: $20,541.93
  • Blue Cross Blue Shield Of Texas — HMO: $25,920.66
  • Blue Cross Blue Shield Of Texas — PPO: $28,378.02
  • Christus Health — HIX: $21,195.83
  • Christus Health — Med Adv MM: $14,382.89
  • Cigna — Healthspring Medicare Advantage MM: $15,594.08
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 $1,200 – $20,956.87
Uterus and ovary surgery (not for cancer), without complications: 10 of 37 insurance plan rates
  • Aetna — MM: $7,819.19
  • Allwell — Superior Medicare Advantage: $7,665.87
  • Amerigroup — MM: $8,279.14
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $11,199.45
  • Blue Cross Blue Shield Of Texas — HEB: $10,401.12
  • Blue Cross Blue Shield Of Texas — HMO: $13,124.57
  • Blue Cross Blue Shield Of Texas — PPO: $14,368.82
  • Christus Health — HIX: $10,732.22
  • Christus Health — Med Adv MM: $7,282.58
  • Cigna — Healthspring Medicare Advantage MM: $7,895.85

Source: CHRISTUS Santa Rosa Hospital-San Marcos’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 13, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address1301 Wonder World Drive, San Marcos, TX 78666
CountyHays County
StateTexas
Phone(512) 753‑3511
Emergency servicesYes
OwnershipVoluntary non-profit - Church
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number450272
Name in Medicare recordsCHRISTUS SANTA ROSA HOSPITAL-SAN MARCOS
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(512) 353‑8979[4]
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 Santa Rosa Hospital - San Marcos | General Hospital | San Marcos, Texas — christushealth.org