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Acute Care Hospital

CHRISTUS Southeast Texas- St Elizabeth

Beaumont, Texas · Jefferson County · Emergency services listed

Summary

CHRISTUS Southeast Texas- St Elizabeth is an acute care hospital in Beaumont, Texas. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 47 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)
431Beds (hospital website)
47Services listed

Quick answers

Does CHRISTUS Southeast Texas- St Elizabeth have an emergency room?
Yes. Medicare (CMS) data lists emergency services at CHRISTUS Southeast Texas- St Elizabeth. In a medical emergency, call 911.
Where is CHRISTUS Southeast Texas- St Elizabeth?
2830 Calder Avenue, Beaumont, TX 77702, in Jefferson County, Texas.
What is the phone number of CHRISTUS Southeast Texas- St Elizabeth?
(409) 892-7171, as listed by Medicare (CMS).
What is the Medicare star rating of CHRISTUS Southeast Texas- St Elizabeth?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][7]

Treatments[4]

Procedures[4][7]

  • Robotic surgery (da Vinci)
  • Labor and delivery
  • Circumcision (outpatient, for babies under three months)
  • Frenotomy

Programs and centers[4][5][7]

  • Level III NICU
  • Forensic Nurse Examiner program
  • Flight For Life air transport
  • Maternal, neonatal and pediatric transport
  • Diabetes education program (ADA-accredited)
  • Fast Track emergency care
  • Workplace wellness
  • Labor and delivery
  • Neonatal intensive care unit (Level III)
  • Mother baby clinic
  • Lactation support

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

Emergency roomYes
Open 24/7Yes
Trauma designationLevel III
Stroke designationGold Plus stroke program (AHA Get With The Guidelines)

Visiting and practical information

Patient portalMyCHRISTUS

Recognition[4][5]

  • Baby Friendly designated facility (page states only one in region)
  • Texas Ten Step facility
  • AHA/ASA Get With The Guidelines recognition (stroke, coronary artery disease, heart failure)
  • ADA-accredited diabetes education program
  • Level III trauma center

Doctors and clinicians (702)

702 doctors and other clinicians list CHRISTUS Southeast Texas- St Elizabeth 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

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1065%National average: 72%
Would definitely recommend the hospital67%National average: 71%
Nurses “always” communicated well76%National average: 80%
Doctors “always” communicated well74%National average: 80%
Staff “always” explained medicines before giving them61%National average: 62%
Were given information about recovery at home82%National average: 86%
Room and bathroom “always” clean70%National average: 74%
Area around the room “always” quiet at night59%National average: 60%
Completed surveys455Response rate: 14%

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)0.132Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0Better than the national benchmark
Surgical site infections after colon surgery0.714No different from the national benchmark
Surgical site infections after abdominal hysterectomy0No different from the national benchmark
MRSA bloodstream infections0.228No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.091Better 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 patients11.6%
Deaths within 30 days: heart failure patients11.3%
Deaths within 30 days: pneumonia patients18.8%
Deaths within 30 days: COPD patients9.7%
Deaths within 30 days: stroke patients15.3%
Deaths within 30 days: coronary bypass surgery (CABG)3%
Serious complications (patient safety indicator PSI-90)0.87No 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 attack16%
Readmitted within 30 days: heart failure22%
Readmitted within 30 days: pneumonia18.6%
Readmitted within 30 days: COPD19.4%
Readmitted within 30 days: coronary bypass surgery10.5%
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)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)195 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)75%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 87 common services exactly as CHRISTUS Southeast Texas- St Elizabeth 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: HC 99203 OFC/OUTPATIENT VISIT,NEW 3 $238 $78.54 $23.80 – $1,414
New patient office visit (about 30–44 minutes): 10 of 59 insurance plan rates
  • ADV Cardiovas Specialist — MM: $119
  • Aetna — EPO: $164.22
  • Aetna — HMO: $164.22
  • Aetna — MM: $57.12
  • Aetna — New Business: $147.56
  • Aetna — POS: $164.22
  • Aetna — PPO: $164.22
  • Amerigroup — Chip KM: $28.56
  • Amerigroup — MM: $95.20
  • Amerigroup — Star Kids KM: $28.56
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 99204 OFC/OUTPATIENT VISIT,NEW 4 $326 $107.58 $32.60 – $1,414
New patient office visit (about 45–59 minutes): 10 of 59 insurance plan rates
  • ADV Cardiovas Specialist — MM: $163
  • Aetna — EPO: $224.94
  • Aetna — HMO: $224.94
  • Aetna — MM: $78.24
  • Aetna — New Business: $202.12
  • Aetna — POS: $224.94
  • Aetna — PPO: $224.94
  • Amerigroup — Chip KM: $39.12
  • Amerigroup — MM: $130.40
  • Amerigroup — Star Kids KM: $39.12
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 99205 OFC/OUTPATIENT VISIT,NEW 5 $395 $130.35 $39.50 – $1,414
New patient office visit (about 60–74 minutes): 10 of 59 insurance plan rates
  • ADV Cardiovas Specialist — MM: $197.50
  • Aetna — EPO: $272.55
  • Aetna — HMO: $272.55
  • Aetna — MM: $94.80
  • Aetna — New Business: $244.90
  • Aetna — POS: $272.55
  • Aetna — PPO: $272.55
  • Amerigroup — Chip KM: $47.40
  • Amerigroup — MM: $158
  • Amerigroup — Star Kids KM: $47.40
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 99213 OFC/OUTPATIENT VISIT, EST 3 $131 $43.23 $13.10 – $1,414
Established patient office visit (about 20–29 minutes): 10 of 59 insurance plan rates
  • ADV Cardiovas Specialist — MM: $65.50
  • Aetna — EPO: $90.39
  • Aetna — HMO: $90.39
  • Aetna — MM: $31.44
  • Aetna — New Business: $81.22
  • Aetna — POS: $90.39
  • Aetna — PPO: $90.39
  • Amerigroup — Chip KM: $15.72
  • Amerigroup — MM: $52.40
  • Amerigroup — Star Kids KM: $15.72
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 99214 OFC/OUTPATIENT VISIT, EST 4 $238 $78.54 $23.80 – $1,414
Established patient office visit (about 30–39 minutes): 10 of 59 insurance plan rates
  • ADV Cardiovas Specialist — MM: $119
  • Aetna — EPO: $164.22
  • Aetna — HMO: $164.22
  • Aetna — MM: $57.12
  • Aetna — New Business: $147.56
  • Aetna — POS: $164.22
  • Aetna — PPO: $164.22
  • Amerigroup — Chip KM: $28.56
  • Amerigroup — MM: $95.20
  • Amerigroup — Star Kids KM: $28.56
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 $274.48 – $464.17
Office consultation with a specialist (moderate): 10 of 59 insurance plan rates
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $351.29
  • Blue Cross Blue Shield Of Texas — HEB: $393.13
  • Blue Cross Blue Shield Of Texas — HMO: $393.13
  • Blue Cross Blue Shield Of Texas — PPO: $436.92
  • Blue Cross Blue Shield Of Texas — Traditional: $464.17
  • Humana — Choicecare: $274.48
  • ADV Cardiovas Specialist — MM: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 69% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 69% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 24% (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 $411.61 – $746.08
Office consultation with a specialist (moderate to high): 10 of 59 insurance plan rates
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $564.64
  • Blue Cross Blue Shield Of Texas — HEB: $631.90
  • Blue Cross Blue Shield Of Texas — HMO: $631.90
  • Blue Cross Blue Shield Of Texas — PPO: $702.28
  • Blue Cross Blue Shield Of Texas — Traditional: $746.08
  • Humana — Choicecare: $411.61
  • ADV Cardiovas Specialist — MM: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 69% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 69% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 24% (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 $293.14 – $474.47
Preventive checkup, new patient, age 18–39: 10 of 59 insurance plan rates
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $359.09
  • Blue Cross Blue Shield Of Texas — HEB: $401.86
  • Blue Cross Blue Shield Of Texas — HMO: $401.86
  • Blue Cross Blue Shield Of Texas — PPO: $446.62
  • Blue Cross Blue Shield Of Texas — Traditional: $474.47
  • Humana — Choicecare: $293.14
  • ADV Cardiovas Specialist — MM: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 69% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 69% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 24% (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 $341.25 – $577.60
Preventive checkup, new patient, age 40–64: 10 of 59 insurance plan rates
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $437.13
  • Blue Cross Blue Shield Of Texas — HEB: $489.20
  • Blue Cross Blue Shield Of Texas — HMO: $489.20
  • Blue Cross Blue Shield Of Texas — PPO: $543.69
  • Blue Cross Blue Shield Of Texas — Traditional: $577.60
  • Humana — Choicecare: $341.25
  • ADV Cardiovas Specialist — MM: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 69% (a percentage in the contract, not a dollar amount)
  • Aetna — HMO: 69% (a percentage in the contract, not a dollar amount)
  • Aetna — MM: 24% (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: HC 99283 EMERGENCY VISIT LEVEL 3 $1,953 $644.49 $55.47 – $2,478
Emergency room visit (moderate): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $554.68
  • Aetna — EPO: $2,155
  • Aetna — HMO: $2,155
  • Aetna — MM: $277.34
  • Aetna — New Business: $1,939
  • Aetna — POS: $2,155
  • Aetna — PPO: $2,155
  • Allwell — Superior Health MM: $277.34
  • American Health Medicare — Advantage MM: $305.07
  • Amerigroup — Chip KM: $234.36
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FN: 99283 BASIC SANE PT EVAL $552 $182.16 $55.47 – $2,478
Emergency room visit (moderate): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $554.68
  • Aetna — EPO: $2,155
  • Aetna — HMO: $2,155
  • Aetna — MM: $277.34
  • Aetna — New Business: $1,939
  • Aetna — POS: $2,155
  • Aetna — PPO: $2,155
  • Allwell — Superior Health MM: $277.34
  • American Health Medicare — Advantage MM: $305.07
  • Amerigroup — Chip KM: $66.24
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 99284 EMERGENCY VISIT LEVEL 4 $3,226 $1,064.58 $322.60 – $4,060
Emergency room visit (moderately high): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $853.02
  • Aetna — EPO: $2,155
  • Aetna — HMO: $2,155
  • Aetna — MM: $426.51
  • Aetna — New Business: $1,939
  • Aetna — POS: $2,155
  • Aetna — PPO: $2,155
  • Allwell — Superior Health MM: $426.51
  • American Health Medicare — Advantage MM: $469.16
  • Amerigroup — Chip KM: $387.12
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 99285 EMERGENCY VISIT LEVEL 5 $643 $212.19 $64.30 – $6,160
Emergency room visit (high): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $1,228.18
  • Aetna — EPO: $4,468
  • Aetna — HMO: $4,468
  • Aetna — MM: $614.09
  • Aetna — New Business: $4,021
  • Aetna — POS: $4,468
  • Aetna — PPO: $4,468
  • Allwell — Superior Health MM: $614.09
  • American Health Medicare — Advantage MM: $675.50
  • Amerigroup — Chip KM: $77.16
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FN: 99285 SANE FACILITY COMPREHENSIVE $552 $182.16 $55.20 – $6,160
Emergency room visit (high): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $1,228.18
  • Aetna — EPO: $4,468
  • Aetna — HMO: $4,468
  • Aetna — MM: $614.09
  • Aetna — New Business: $4,021
  • Aetna — POS: $4,468
  • Aetna — PPO: $4,468
  • Allwell — Superior Health MM: $614.09
  • American Health Medicare — Advantage MM: $675.50
  • Amerigroup — Chip KM: $66.24

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: HC 80048 METABOLIC PANEL TOTAL CA $272 $89.76 $4.23 – $231.20
Basic metabolic panel (blood test): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $16.92
  • Aetna — EPO: $187.68
  • Aetna — HMO: $187.68
  • Aetna — MM: $8.46
  • Aetna — New Business: $168.64
  • Aetna — POS: $187.68
  • Aetna — PPO: $187.68
  • Allwell — Superior Health MM: $8.46
  • American Health Medicare — Advantage MM: $9.31
  • Amerigroup — Chip KM: $8.88
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 80053 COMPREHEN METABOLIC PANEL $471 $155.43 $5.28 – $400.35
Comprehensive metabolic panel (blood test): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $21.12
  • Aetna — EPO: $324.99
  • Aetna — HMO: $324.99
  • Aetna — MM: $10.56
  • Aetna — New Business: $292.02
  • Aetna — POS: $324.99
  • Aetna — PPO: $324.99
  • Allwell — Superior Health MM: $10.56
  • American Health Medicare — Advantage MM: $11.62
  • Amerigroup — Chip KM: $11.09
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 80055 OBSTETRIC PANEL $278 $91.74 $23.91 – $284.70
Obstetric blood test panel: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $95.62
  • Aetna — EPO: $191.82
  • Aetna — HMO: $191.82
  • Aetna — MM: $47.81
  • Aetna — New Business: $172.36
  • Aetna — POS: $191.82
  • Aetna — PPO: $191.82
  • Allwell — Superior Health MM: $47.81
  • American Health Medicare — Advantage MM: $52.59
  • Amerigroup — Chip KM: $33.36
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 80061 LIPID PANEL $310 $102.30 $6.70 – $263.50
Cholesterol panel (lipid panel): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $26.78
  • Aetna — EPO: $213.90
  • Aetna — HMO: $213.90
  • Aetna — MM: $13.39
  • Aetna — New Business: $192.20
  • Aetna — POS: $213.90
  • Aetna — PPO: $213.90
  • Allwell — Superior Health MM: $13.39
  • American Health Medicare — Advantage MM: $14.73
  • Amerigroup — Chip KM: $14.06
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 80069 RENAL FUNCTION PANEL $179 $59.07 $4.34 – $152.15
Kidney function panel: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $17.36
  • Aetna — EPO: $123.51
  • Aetna — HMO: $123.51
  • Aetna — MM: $8.68
  • Aetna — New Business: $110.98
  • Aetna — POS: $123.51
  • Aetna — PPO: $123.51
  • Allwell — Superior Health MM: $8.68
  • American Health Medicare — Advantage MM: $9.55
  • Amerigroup — Chip KM: $9.11
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 80076 HEPATIC FUNCTION PANEL $343 $113.19 $4.09 – $291.55
Liver function panel: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $16.34
  • Aetna — EPO: $236.67
  • Aetna — HMO: $236.67
  • Aetna — MM: $8.17
  • Aetna — New Business: $212.66
  • Aetna — POS: $236.67
  • Aetna — PPO: $236.67
  • Allwell — Superior Health MM: $8.17
  • American Health Medicare — Advantage MM: $8.99
  • Amerigroup — Chip KM: $8.58
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 81001 URINALYSIS, AUTO W/SCOPE $558 $184.14 $1.59 – $474.30
Urine test (automated, with microscope): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $6.34
  • Aetna — EPO: $385.02
  • Aetna — HMO: $385.02
  • Aetna — MM: $3.17
  • Aetna — New Business: $345.96
  • Aetna — POS: $385.02
  • Aetna — PPO: $385.02
  • Allwell — Superior Health MM: $3.17
  • American Health Medicare — Advantage MM: $3.49
  • Amerigroup — Chip KM: $3.33
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 81002 URINALYSIS NONAUTO W/O SCOPE $19 $6.27 $1.74 – $17.75
Urine test (manual, without microscope): 10 of 73 insurance plan rates
  • ADV Cardiovas Specialist — MM: $6.96
  • Aetna — EPO: $13.11
  • Aetna — MM: $3.48
  • Aetna — POS: $13.11
  • Aetna — PPO: $13.11
  • Allwell — Superior Health MM: $3.48
  • American Health Medicare — Advantage MM: $3.83
  • Amerigroup — Chip KM: $3.65
  • Amerigroup — MM: $3.76
  • Amerigroup — Star Kids KM: $3.65
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 81003 UA AUTO W/O MICRO BILI/BLOOD $284 $93.72 $1.13 – $241.40
Urine test (automated, without microscope): 10 of 73 insurance plan rates
  • ADV Cardiovas Specialist — MM: $4.50
  • Aetna — EPO: $195.96
  • Aetna — MM: $2.25
  • Aetna — POS: $195.96
  • Aetna — PPO: $195.96
  • Allwell — Superior Health MM: $2.25
  • American Health Medicare — Advantage MM: $2.48
  • Amerigroup — Chip KM: $2.36
  • Amerigroup — MM: $2.43
  • Amerigroup — Star Kids KM: $2.36
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 81003 UA AUTO W/O MICRO KETONES $332 $109.56 $1.13 – $282.20
Urine test (automated, without microscope): 10 of 73 insurance plan rates
  • ADV Cardiovas Specialist — MM: $4.50
  • Aetna — EPO: $229.08
  • Aetna — MM: $2.25
  • Aetna — POS: $229.08
  • Aetna — PPO: $229.08
  • Allwell — Superior Health MM: $2.25
  • American Health Medicare — Advantage MM: $2.48
  • Amerigroup — Chip KM: $2.36
  • Amerigroup — MM: $2.43
  • Amerigroup — Star Kids KM: $2.36
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 81003 UA AUTO W/O MICRO PH ONLY $229 $75.57 $1.13 – $194.65
Urine test (automated, without microscope): 10 of 73 insurance plan rates
  • ADV Cardiovas Specialist — MM: $4.50
  • Aetna — EPO: $158.01
  • Aetna — MM: $2.25
  • Aetna — POS: $158.01
  • Aetna — PPO: $158.01
  • Allwell — Superior Health MM: $2.25
  • American Health Medicare — Advantage MM: $2.48
  • Amerigroup — Chip KM: $2.36
  • Amerigroup — MM: $2.43
  • Amerigroup — Star Kids KM: $2.36
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 84153 ASSAY OF PSA, TOTAL $410 $135.30 $9.20 – $348.50
PSA (prostate specific antigen) blood test: 10 of 73 insurance plan rates
  • ADV Cardiovas Specialist — MM: $36.78
  • Aetna — EPO: $282.90
  • Aetna — MM: $18.39
  • Aetna — POS: $282.90
  • Aetna — PPO: $282.90
  • Allwell — Superior Health MM: $18.39
  • American Health Medicare — Advantage MM: $20.23
  • Amerigroup — Chip KM: $19.31
  • Amerigroup — MM: $19.86
  • Amerigroup — Star Kids KM: $19.31
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 84443 ASSAY THYROID STIM HORMONE $494 $163.02 $8.40 – $419.90
Thyroid stimulating hormone (TSH) test: 10 of 73 insurance plan rates
  • ADV Cardiovas Specialist — MM: $33.60
  • Aetna — EPO: $340.86
  • Aetna — MM: $16.80
  • Aetna — POS: $340.86
  • Aetna — PPO: $340.86
  • Allwell — Superior Health MM: $16.80
  • American Health Medicare — Advantage MM: $18.48
  • Amerigroup — Chip KM: $17.64
  • Amerigroup — MM: $18.14
  • Amerigroup — Star Kids KM: $17.64
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 84443 TSH 3RD GENERATION $373 $123.09 $8.40 – $317.05
Thyroid stimulating hormone (TSH) test: 10 of 73 insurance plan rates
  • ADV Cardiovas Specialist — MM: $33.60
  • Aetna — EPO: $257.37
  • Aetna — MM: $16.80
  • Aetna — POS: $257.37
  • Aetna — PPO: $257.37
  • Allwell — Superior Health MM: $16.80
  • American Health Medicare — Advantage MM: $18.48
  • Amerigroup — Chip KM: $17.64
  • Amerigroup — MM: $18.14
  • Amerigroup — Star Kids KM: $17.64
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 85025 COMPLETE CBC W/AUTO DIFF WBC $423 $139.59 $3.89 – $359.55
Complete blood count (CBC) with differential: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $15.54
  • Aetna — EPO: $291.87
  • Aetna — HMO: $291.87
  • Aetna — MM: $7.77
  • Aetna — New Business: $262.26
  • Aetna — POS: $291.87
  • Aetna — PPO: $291.87
  • Allwell — Superior Health MM: $7.77
  • American Health Medicare — Advantage MM: $8.55
  • Amerigroup — Chip KM: $8.16
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 85027 COMPLETE CBC, AUTOMATED $332 $109.56 $3.24 – $282.20
Complete blood count (CBC), automated: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $12.94
  • Aetna — EPO: $229.08
  • Aetna — HMO: $229.08
  • Aetna — MM: $6.47
  • Aetna — New Business: $205.84
  • Aetna — POS: $229.08
  • Aetna — PPO: $229.08
  • Allwell — Superior Health MM: $6.47
  • American Health Medicare — Advantage MM: $7.12
  • Amerigroup — Chip KM: $6.79
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 85610 PROTHROMBIN TIME $239 $78.87 $2.15 – $203.15
Blood clotting time test (prothrombin time, PT): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $8.58
  • Aetna — EPO: $164.91
  • Aetna — HMO: $164.91
  • Aetna — MM: $4.29
  • Aetna — New Business: $148.18
  • Aetna — POS: $164.91
  • Aetna — PPO: $164.91
  • Allwell — Superior Health MM: $4.29
  • American Health Medicare — Advantage MM: $4.72
  • Amerigroup — Chip KM: $4.50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 85610 PROTIME (PROTHROMBIN) TIME $89 $29.37 $2.15 – $75.65
Blood clotting time test (prothrombin time, PT): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $8.58
  • Aetna — EPO: $61.41
  • Aetna — HMO: $61.41
  • Aetna — MM: $4.29
  • Aetna — New Business: $55.18
  • Aetna — POS: $61.41
  • Aetna — PPO: $61.41
  • Allwell — Superior Health MM: $4.29
  • American Health Medicare — Advantage MM: $4.72
  • Amerigroup — Chip KM: $4.50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 85610 PROTIME, POCT WAIVED $239 $78.87 $2.15 – $203.15
Blood clotting time test (prothrombin time, PT): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $8.58
  • Aetna — EPO: $164.91
  • Aetna — HMO: $164.91
  • Aetna — MM: $4.29
  • Aetna — New Business: $148.18
  • Aetna — POS: $164.91
  • Aetna — PPO: $164.91
  • Allwell — Superior Health MM: $4.29
  • American Health Medicare — Advantage MM: $4.72
  • Amerigroup — Chip KM: $4.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 85730 PTT HEPARIN NEUTRALIZED $194 $64.02 $3.01 – $164.90
Blood clotting test (partial thromboplastin time, PTT): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $12.02
  • Aetna — EPO: $133.86
  • Aetna — HMO: $133.86
  • Aetna — MM: $6.01
  • Aetna — New Business: $120.28
  • Aetna — POS: $133.86
  • Aetna — PPO: $133.86
  • Allwell — Superior Health MM: $6.01
  • American Health Medicare — Advantage MM: $6.61
  • Amerigroup — Chip KM: $6.31
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 85730 THROMBOPLASTIN TIME, PARTIAL $311 $102.63 $3.01 – $264.35
Blood clotting test (partial thromboplastin time, PTT): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $12.02
  • Aetna — EPO: $214.59
  • Aetna — HMO: $214.59
  • Aetna — MM: $6.01
  • Aetna — New Business: $192.82
  • Aetna — POS: $214.59
  • Aetna — PPO: $214.59
  • Allwell — Superior Health MM: $6.01
  • American Health Medicare — Advantage MM: $6.61
  • Amerigroup — Chip KM: $6.31

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: HC 70450 CT BRAIN LAB W/O CONTRAST $1,265 $417.45 $53.26 – $1,996
CT scan of the head or brain, without contrast: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $213.02
  • Aetna — EPO: $940
  • Aetna — HMO: $940
  • Aetna — MM: $106.51
  • Aetna — New Business: $847
  • Aetna — POS: $940
  • Aetna — PPO: $940
  • Allwell — Superior Health MM: $106.51
  • American Health Medicare — Advantage MM: $117.16
  • Amerigroup — Chip KM: $141.40
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 70450 CT HEAD/BRAIN W/O CONTRAST $1,265 $417.45 $53.26 – $1,996
CT scan of the head or brain, without contrast: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $213.02
  • Aetna — EPO: $940
  • Aetna — HMO: $940
  • Aetna — MM: $106.51
  • Aetna — New Business: $847
  • Aetna — POS: $940
  • Aetna — PPO: $940
  • Allwell — Superior Health MM: $106.51
  • American Health Medicare — Advantage MM: $117.16
  • Amerigroup — Chip KM: $141.40
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 70553 MRI BRAIN W/O & W CONTRAST $2,416 $797.28 $178.86 – $2,372
MRI of the brain, before and after contrast: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $715.42
  • Aetna — EPO: $1,364
  • Aetna — HMO: $1,364
  • Aetna — MM: $357.71
  • Aetna — New Business: $1,228
  • Aetna — POS: $1,364
  • Aetna — PPO: $1,364
  • Allwell — Superior Health MM: $357.71
  • American Health Medicare — Advantage MM: $393.48
  • Amerigroup — Chip KM: $487.43
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 71046 DX- CHEST 2VWS $1,043 $344.19 $28.74 – $886.55
Chest X-ray, 2 views: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $176.38
  • Aetna — EPO: $719.67
  • Aetna — HMO: $719.67
  • Aetna — MM: $88.19
  • Aetna — New Business: $646.66
  • Aetna — POS: $719.67
  • Aetna — PPO: $719.67
  • Allwell — Superior Health MM: $88.19
  • American Health Medicare — Advantage MM: $97.01
  • Amerigroup — Chip KM: $114.94
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 72110 DX- L-SPINE MIN 4VW $671 $221.43 $46.11 – $570.35
X-ray of the lower spine, at least 4 views: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $213.02
  • Aetna — EPO: $462.99
  • Aetna — HMO: $462.99
  • Aetna — MM: $106.51
  • Aetna — New Business: $416.02
  • Aetna — POS: $462.99
  • Aetna — PPO: $462.99
  • Allwell — Superior Health MM: $106.51
  • American Health Medicare — Advantage MM: $117.16
  • Amerigroup — Chip KM: $141.40
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 72148 MRI L-SPINE W/O CONTRAST $5,131 $1,693.23 $121.06 – $4,361.35
MRI of the lower back (lumbar spine), without contrast: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $484.22
  • Aetna — EPO: $1,364
  • Aetna — HMO: $1,364
  • Aetna — MM: $242.11
  • Aetna — New Business: $1,228
  • Aetna — POS: $1,364
  • Aetna — PPO: $1,364
  • Allwell — Superior Health MM: $242.11
  • American Health Medicare — Advantage MM: $266.32
  • Amerigroup — Chip KM: $308.95
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 72193 CT PELVIS W CONTRAST $1,213 $400.29 $89.16 – $1,996
CT scan of the pelvis, with contrast: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $356.62
  • Aetna — EPO: $940
  • Aetna — HMO: $940
  • Aetna — MM: $178.31
  • Aetna — New Business: $847
  • Aetna — POS: $940
  • Aetna — PPO: $940
  • Allwell — Superior Health MM: $178.31
  • American Health Medicare — Advantage MM: $196.14
  • Amerigroup — Chip KM: $238.59
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 73721 MRI ANKLE WO CONTRAST $2,501 $825.33 $121.06 – $2,372
MRI of a leg joint (such as the knee), without contrast: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $484.22
  • Aetna — EPO: $1,364
  • Aetna — HMO: $1,364
  • Aetna — MM: $242.11
  • Aetna — New Business: $1,228
  • Aetna — POS: $1,364
  • Aetna — PPO: $1,364
  • Allwell — Superior Health MM: $242.11
  • American Health Medicare — Advantage MM: $266.32
  • Amerigroup — Chip KM: $308.95
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 73721 MRI LWR EXTR,JNT W/O CONTRAST $2,501 $825.33 $121.06 – $2,372
MRI of a leg joint (such as the knee), without contrast: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $484.22
  • Aetna — EPO: $1,364
  • Aetna — HMO: $1,364
  • Aetna — MM: $242.11
  • Aetna — New Business: $1,228
  • Aetna — POS: $1,364
  • Aetna — PPO: $1,364
  • Allwell — Superior Health MM: $242.11
  • American Health Medicare — Advantage MM: $266.32
  • Amerigroup — Chip KM: $308.95
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 74177 CT ABD/PELVIS W CONTRAST $2,293 $756.69 $178.86 – $2,310.19
CT scan of the abdomen and pelvis, with contrast: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $715.42
  • Aetna — EPO: $940
  • Aetna — HMO: $940
  • Aetna — MM: $357.71
  • Aetna — New Business: $847
  • Aetna — POS: $940
  • Aetna — PPO: $940
  • Allwell — Superior Health MM: $357.71
  • American Health Medicare — Advantage MM: $393.48
  • Amerigroup — Chip KM: $487.43
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 76700 US ABDOMINAL R-T W/IMAGE DOCUMENTATION $1,845 $608.85 $53.26 – $1,568.25
Ultrasound of the abdomen, complete: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $213.02
  • Aetna — EPO: $1,273.05
  • Aetna — HMO: $1,273.05
  • Aetna — MM: $106.51
  • Aetna — New Business: $1,143.90
  • Aetna — POS: $1,273.05
  • Aetna — PPO: $1,273.05
  • Allwell — Superior Health MM: $106.51
  • American Health Medicare — Advantage MM: $117.16
  • Amerigroup — Chip KM: $141.40
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 76805 US PG UTER F&MAT AFTER 1ST TRI 1/1ST GESTATION $2,000 $660 $53.26 – $1,700
Pregnancy ultrasound (after the first trimester): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $213.02
  • Aetna — EPO: $1,380
  • Aetna — HMO: $1,380
  • Aetna — MM: $106.51
  • Aetna — New Business: $1,240
  • Aetna — POS: $1,380
  • Aetna — PPO: $1,380
  • Allwell — Superior Health MM: $106.51
  • American Health Medicare — Advantage MM: $117.16
  • Amerigroup — Chip KM: $141.40
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 76830 US TRVG $1,472 $485.76 $53.26 – $1,251.20
Transvaginal ultrasound: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $213.02
  • Aetna — EPO: $1,015.68
  • Aetna — HMO: $1,015.68
  • Aetna — MM: $106.51
  • Aetna — New Business: $912.64
  • Aetna — POS: $1,015.68
  • Aetna — PPO: $1,015.68
  • Allwell — Superior Health MM: $106.51
  • American Health Medicare — Advantage MM: $117.16
  • Amerigroup — Chip KM: $141.40
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 77065 DX UNILATERAL MG INCL CAD $823 $271.59 $39 – $699.55
Diagnostic mammogram, one breast: 10 of 59 insurance plan rates
  • ADV Cardiovas Specialist — MM: $411.50
  • Aetna — EPO: $567.87
  • Aetna — HMO: $567.87
  • Aetna — MM: $197.52
  • Aetna — New Business: $510.26
  • Aetna — POS: $567.87
  • Aetna — PPO: $567.87
  • Amerigroup — Chip KM: $98.76
  • Amerigroup — MM: $329.20
  • Amerigroup — Star Kids KM: $98.76
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 77066 DX BILATERAL MG INCL CAD $1,000 $330 $39 – $850
Diagnostic mammogram, both breasts: 10 of 59 insurance plan rates
  • ADV Cardiovas Specialist — MM: $500
  • Aetna — EPO: $690
  • Aetna — HMO: $690
  • Aetna — MM: $240
  • Aetna — New Business: $620
  • Aetna — POS: $690
  • Aetna — PPO: $690
  • Amerigroup — Chip KM: $120
  • Amerigroup — MM: $400
  • Amerigroup — Star Kids KM: $120
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 77067 SCRN BILATERAL MG INCL CAD $670 $221.10 $39 – $569.50
Screening mammogram, both breasts: 10 of 59 insurance plan rates
  • ADV Cardiovas Specialist — MM: $335
  • Aetna — EPO: $462.30
  • Aetna — HMO: $462.30
  • Aetna — MM: $160.80
  • Aetna — New Business: $415.40
  • Aetna — POS: $462.30
  • Aetna — PPO: $462.30
  • Amerigroup — Chip KM: $80.40
  • Amerigroup — MM: $268
  • Amerigroup — Star Kids KM: $80.40
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 77067 SCRN BILATERAL MG W/IMPLT INCL CAD $670 $221.10 $39 – $569.50
Screening mammogram, both breasts: 10 of 59 insurance plan rates
  • ADV Cardiovas Specialist — MM: $335
  • Aetna — EPO: $462.30
  • Aetna — HMO: $462.30
  • Aetna — MM: $160.80
  • Aetna — New Business: $415.40
  • Aetna — POS: $462.30
  • Aetna — PPO: $462.30
  • Amerigroup — Chip KM: $80.40
  • Amerigroup — MM: $268
  • Amerigroup — Star Kids KM: $80.40
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 77067 SCRN UNILAT LEFT MG INCL CAD $670 $221.10 Not listed in the file

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 $37.61 – $224
Electrocardiogram (ECG/EKG) with reading: 10 of 59 insurance plan rates
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $66.61
  • Blue Cross Blue Shield Of Texas — HEB: $74.56
  • Blue Cross Blue Shield Of Texas — HMO: $74.56
  • Blue Cross Blue Shield Of Texas — PPO: $82.87
  • Blue Cross Blue Shield Of Texas — Traditional: $88.23
  • Humana — Choicecare: $37.61
  • United Healthcare — All Payer: $224
  • United Healthcare — HIX: $78
  • ADV Cardiovas Specialist — MM: 50% (a percentage in the contract, not a dollar amount)
  • Aetna — EPO: 69% (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: HC 93452 LEFT HEART CATH (NO COR) $5,988 $1,976.04 $598.80 – $20,567
Left heart catheterization (diagnostic): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $6,443.24
  • Aetna — EPO: $9,830
  • Aetna — HMO: $9,830
  • Aetna — MM: $3,221.62
  • Aetna — New Business: $8,848
  • Aetna — POS: $9,830
  • Aetna — PPO: $9,830
  • Allwell — Superior Health MM: $3,221.62
  • American Health Medicare — Advantage MM: $3,543.78
  • Amerigroup — Chip KM: $718.56
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 93619 DIAGNOSTIC EP $12,179 $4,019.07 $1,217.90 – $15,219
Heart rhythm study (electrophysiology evaluation): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $15,200.78
  • Aetna — EPO: $4,527
  • Aetna — HMO: $4,527
  • Aetna — MM: $7,600.39
  • Aetna — New Business: $4,075
  • Aetna — POS: $4,527
  • Aetna — PPO: $4,527
  • Allwell — Superior Health MM: $7,600.39
  • American Health Medicare — Advantage MM: $8,360.43
  • Amerigroup — Chip KM: $1,461.48
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 93656 TX ATRIAL FIB PULM VEIN ISOL $19,758 $6,520.14 $1,975.80 – $49,144.08
Heart rhythm study with ablation for atrial fibrillation: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $49,144.08
  • Aetna — EPO: $4,527
  • Aetna — HMO: $4,527
  • Aetna — MM: $24,572.04
  • Aetna — New Business: $4,075
  • Aetna — POS: $4,527
  • Aetna — PPO: $4,527
  • Allwell — Superior Health MM: $24,572.04
  • American Health Medicare — Advantage MM: $27,029.24
  • Amerigroup — Chip KM: $2,370.96
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 $1,019.04 – $4,702
Sleep study (overnight, in a sleep lab): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $2,038.08
  • Aetna — EPO: $4,702
  • Aetna — HMO: $4,702
  • Aetna — MM: $1,019.04
  • Aetna — New Business: $4,232
  • Aetna — POS: $4,702
  • Aetna — PPO: $4,702
  • Allwell — Superior Health MM: $1,019.04
  • American Health Medicare — Advantage MM: $1,120.94
  • Amerigroup — MM: $1,100.56

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 $74 – $396
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 59 insurance plan rates
  • Aetna — EPO: $396
  • Aetna — HMO: $377
  • Aetna — New Business: $339
  • Aetna — POS: $396
  • Aetna — PPO: $396
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $113.17
  • Blue Cross Blue Shield Of Texas — HEB: $126.65
  • Blue Cross Blue Shield Of Texas — HMO: $126.65
  • Blue Cross Blue Shield Of Texas — PPO: $140.76
  • Blue Cross Blue Shield Of Texas — Traditional: $149.54
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 97110 THER PROC STR FLEX.ROM 15(OT) $334 $110.22 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 97110 THER PROC.STR.,FLEX,ROM EA.15'(PT) $334 $110.22 Not listed in the file
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 $74 – $412.56
Physical therapy evaluation (low complexity): 10 of 59 insurance plan rates
  • Aetna — EPO: $396
  • Aetna — HMO: $377
  • Aetna — New Business: $339
  • Aetna — POS: $396
  • Aetna — PPO: $396
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $312.23
  • Blue Cross Blue Shield Of Texas — HEB: $349.42
  • Blue Cross Blue Shield Of Texas — HMO: $349.42
  • Blue Cross Blue Shield Of Texas — PPO: $388.34
  • Blue Cross Blue Shield Of Texas — Traditional: $412.56
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 97161 PT EVAL LOW COMPLEXITY(PT) $371 $122.43 Not listed in the file
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 $74 – $412.56
Physical therapy evaluation (moderate complexity): 10 of 59 insurance plan rates
  • Aetna — EPO: $396
  • Aetna — HMO: $377
  • Aetna — New Business: $339
  • Aetna — POS: $396
  • Aetna — PPO: $396
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $312.23
  • Blue Cross Blue Shield Of Texas — HEB: $349.42
  • Blue Cross Blue Shield Of Texas — HMO: $349.42
  • Blue Cross Blue Shield Of Texas — PPO: $388.34
  • Blue Cross Blue Shield Of Texas — Traditional: $412.56
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 97162 PT EVAL MODERATE COMPLEXITY(PT) $473 $156.09 Not listed in the file
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 $74 – $412.56
Physical therapy evaluation (high complexity): 10 of 59 insurance plan rates
  • Aetna — EPO: $396
  • Aetna — HMO: $377
  • Aetna — New Business: $339
  • Aetna — POS: $396
  • Aetna — PPO: $396
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $312.23
  • Blue Cross Blue Shield Of Texas — HEB: $349.42
  • Blue Cross Blue Shield Of Texas — HMO: $349.42
  • Blue Cross Blue Shield Of Texas — PPO: $388.34
  • Blue Cross Blue Shield Of Texas — Traditional: $412.56
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 97163 PT EVAL HIGH COMPLEXITY(PT) $599 $197.67 Not listed in the file
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 $145.57 – $321.86
Psychotherapy, 30 minutes: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $321.86
  • Aetna — MM: $160.93
  • Allwell — Superior Health MM: $160.93
  • American Health Medicare — Advantage MM: $177.02
  • Amerigroup — MM: $173.80
  • Arcadian Health Plan — MM: $160.93
  • Blue Cross Blue Shield of Texas — MM: $160.93
  • Christus Health — HIX: $225.30
  • Christus Health — Med Adv MM: $160.93
  • Community Health Choice — Dual MM: $160.93
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 $160.93 – $321.86
Psychotherapy, 45 minutes: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $321.86
  • Aetna — MM: $160.93
  • Allwell — Superior Health MM: $160.93
  • American Health Medicare — Advantage MM: $177.02
  • Amerigroup — MM: $173.80
  • Arcadian Health Plan — MM: $160.93
  • Blue Cross Blue Shield of Texas — MM: $160.93
  • Christus Health — HIX: $225.30
  • Christus Health — Med Adv MM: $160.93
  • Community Health Choice — Dual MM: $160.93
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 $160.93 – $321.86
Psychotherapy, 60 minutes: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $321.86
  • Aetna — MM: $160.93
  • Allwell — Superior Health MM: $160.93
  • American Health Medicare — Advantage MM: $177.02
  • Amerigroup — MM: $173.80
  • Arcadian Health Plan — MM: $160.93
  • Blue Cross Blue Shield of Texas — MM: $160.93
  • Christus Health — HIX: $225.30
  • Christus Health — Med Adv MM: $160.93
  • Community Health Choice — Dual MM: $160.93
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 $160.93 – $321.86
Family psychotherapy, without the patient: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $321.86
  • Aetna — MM: $160.93
  • Allwell — Superior Health MM: $160.93
  • American Health Medicare — Advantage MM: $177.02
  • Amerigroup — MM: $173.80
  • Arcadian Health Plan — MM: $160.93
  • Blue Cross Blue Shield of Texas — MM: $160.93
  • Christus Health — HIX: $225.30
  • Christus Health — Med Adv MM: $160.93
  • Community Health Choice — Dual MM: $160.93
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 $160.93 – $321.86
Family psychotherapy, with the patient: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $321.86
  • Aetna — MM: $160.93
  • Allwell — Superior Health MM: $160.93
  • American Health Medicare — Advantage MM: $177.02
  • Amerigroup — MM: $173.80
  • Arcadian Health Plan — MM: $160.93
  • Blue Cross Blue Shield of Texas — MM: $160.93
  • Christus Health — HIX: $225.30
  • Christus Health — Med Adv MM: $160.93
  • Community Health Choice — Dual MM: $160.93
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 $58.47 – $185.30
Group psychotherapy: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $185.30
  • Aetna — MM: $92.65
  • Allwell — Superior Health MM: $92.65
  • American Health Medicare — Advantage MM: $101.92
  • Amerigroup — MM: $100.06
  • Arcadian Health Plan — MM: $92.65
  • Blue Cross Blue Shield of Texas — MM: $92.65
  • Christus Health — HIX: $129.71
  • Christus Health — Med Adv MM: $92.65
  • Community Health Choice — Dual MM: $92.65

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 $456.36 – $7,833
Removal of breast growth (open surgery): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $7,670.96
  • Aetna — EPO: $2,492
  • Aetna — HMO: $2,492
  • Aetna — MM: $3,835.48
  • Aetna — New Business: $2,242
  • Aetna — POS: $2,492
  • Aetna — PPO: $2,492
  • Allwell — Superior Health MM: $3,835.48
  • American Health Medicare — Advantage MM: $4,219.03
  • Amerigroup — 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 $3,719 – $25,775.32
Total hip replacement: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $25,775.32
  • Aetna — EPO: $4,132
  • Aetna — HMO: $4,132
  • Aetna — MM: $12,887.66
  • Aetna — New Business: $3,719
  • Aetna — POS: $4,132
  • Aetna — PPO: $4,132
  • Allwell — Superior Health MM: $12,887.66
  • American Health Medicare — Advantage MM: $14,176.43
  • Amerigroup — MM: $13,918.67
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 $3,719 – $25,775.32
Total knee replacement: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $25,775.32
  • Aetna — EPO: $4,132
  • Aetna — HMO: $4,132
  • Aetna — MM: $12,887.66
  • Aetna — New Business: $3,719
  • Aetna — POS: $4,132
  • Aetna — PPO: $4,132
  • Allwell — Superior Health MM: $12,887.66
  • American Health Medicare — Advantage MM: $14,176.43
  • Amerigroup — MM: $13,918.67
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 $599 – $10,210
Shoulder arthroscopy: shaving of shoulder bone: 10 of 54 insurance plan rates
  • Aetna — EPO: $6,783
  • Aetna — HMO: $6,783
  • Aetna — New Business: $6,105
  • Aetna — POS: $6,783
  • Aetna — PPO: $6,783
  • Cigna — New Business: $7,965
  • Cigna — PPO: $10,150
  • Five Point Credit Union — PPO: $4,020
  • Humana — Choicecare: $7,307
  • MCT Credit Union — All Plans: $10,210
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 $562.14 – $10,210
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $6,499.74
  • Aetna — EPO: $6,783
  • Aetna — HMO: $6,783
  • Aetna — MM: $3,249.87
  • Aetna — New Business: $6,105
  • Aetna — POS: $6,783
  • Aetna — PPO: $6,783
  • Allwell — Superior Health MM: $3,249.87
  • American Health Medicare — Advantage MM: $3,574.86
  • Amerigroup — 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 $397.93 – $11,850.48
Removal of tonsils and adenoids (under age 12): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $11,850.48
  • Aetna — EPO: $2,492
  • Aetna — HMO: $2,492
  • Aetna — MM: $5,925.24
  • Aetna — New Business: $2,242
  • Aetna — POS: $2,492
  • Aetna — PPO: $2,492
  • Allwell — Superior Health MM: $5,925.24
  • American Health Medicare — Advantage MM: $6,517.76
  • Amerigroup — Chip KM: $2,051.93
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 43235 EGD FLXORL SCOPE FOR DIAGNOSIS $1,201 $396.33 $297.19 – $5,088
Upper GI endoscopy (diagnostic): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $1,878.16
  • Aetna — EPO: $1,934
  • Aetna — HMO: $1,934
  • Aetna — MM: $939.08
  • Aetna — New Business: $1,741
  • Aetna — POS: $1,934
  • Aetna — PPO: $1,934
  • Allwell — Superior Health MM: $939.08
  • American Health Medicare — Advantage MM: $1,032.99
  • Amerigroup — Chip KM: $351.70
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 43239 EGD FLXORL SCOPE FOR BIOPSY(S) $1,502 $495.66 $334.95 – $7,171
Upper GI endoscopy with biopsy: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $1,878.16
  • Aetna — EPO: $2,151
  • Aetna — HMO: $2,151
  • Aetna — MM: $939.08
  • Aetna — New Business: $1,935
  • Aetna — POS: $2,151
  • Aetna — PPO: $2,151
  • Allwell — Superior Health MM: $939.08
  • American Health Medicare — Advantage MM: $1,032.99
  • Amerigroup — Chip KM: $351.70
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 45378 SCOPE OF COLON FOR DIAGNOSIS $3,027 $998.91 $328.50 – $7,171
Colonoscopy (diagnostic): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $1,826.38
  • Aetna — EPO: $2,151
  • Aetna — HMO: $2,151
  • Aetna — MM: $913.19
  • Aetna — New Business: $1,935
  • Aetna — POS: $2,151
  • Aetna — PPO: $2,151
  • Allwell — Superior Health MM: $913.19
  • American Health Medicare — Advantage MM: $1,004.51
  • Amerigroup — Chip KM: $344.93
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 45380 SCOPE OF COLON WITH BIOPSY $3,130 $1,032.90 $397.93 – $7,171
Colonoscopy with biopsy: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $2,361.98
  • Aetna — EPO: $2,151
  • Aetna — HMO: $2,151
  • Aetna — MM: $1,180.99
  • Aetna — New Business: $1,935
  • Aetna — POS: $2,151
  • Aetna — PPO: $2,151
  • Allwell — Superior Health MM: $1,180.99
  • American Health Medicare — Advantage MM: $1,299.09
  • Amerigroup — Chip KM: $450.72
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 45385 COLSC FLX PROX SPLENIC FLXR RMVL LES SNARE TQ $3,027 $998.91 $397.93 – $7,171
Colonoscopy with removal of polyps (snare): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $2,361.98
  • Aetna — EPO: $2,151
  • Aetna — HMO: $2,151
  • Aetna — MM: $1,180.99
  • Aetna — New Business: $1,935
  • Aetna — POS: $2,151
  • Aetna — PPO: $2,151
  • Allwell — Superior Health MM: $1,180.99
  • American Health Medicare — Advantage MM: $1,299.09
  • Amerigroup — Chip KM: $450.72
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 $397.93 – $7,171
Ultrasound of the lower bowel by endoscope: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $2,361.98
  • Aetna — EPO: $2,151
  • Aetna — HMO: $2,151
  • Aetna — MM: $1,180.99
  • Aetna — New Business: $1,935
  • Aetna — POS: $2,151
  • Aetna — PPO: $2,151
  • Allwell — Superior Health MM: $1,180.99
  • American Health Medicare — Advantage MM: $1,299.09
  • Amerigroup — Chip KM: $450.72
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC G0121 COLORECTAL SCRN; NOT HI RISK IND $3,064 $1,011.12 $297.19 – $7,171
Screening colonoscopy (not high risk): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $1,826.38
  • Aetna — EPO: $2,151
  • Aetna — HMO: $2,151
  • Aetna — MM: $913.19
  • Aetna — New Business: $1,935
  • Aetna — POS: $2,151
  • Aetna — PPO: $2,151
  • Allwell — Superior Health MM: $913.19
  • American Health Medicare — Advantage MM: $1,004.51
  • Amerigroup — Chip KM: $344.93
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 $815.77 – $15,219
Gallbladder removal by laparoscope: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $11,687.62
  • Aetna — EPO: $6,783
  • Aetna — HMO: $6,783
  • Aetna — MM: $5,843.81
  • Aetna — New Business: $6,105
  • Aetna — POS: $6,783
  • Aetna — PPO: $6,783
  • Allwell — Superior Health MM: $5,843.81
  • American Health Medicare — Advantage MM: $6,428.19
  • Amerigroup — 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 $562.14 – $9,668
Groin (inguinal) hernia repair, age 5 or older: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $7,069.56
  • Aetna — EPO: $2,942
  • Aetna — HMO: $2,942
  • Aetna — MM: $3,534.78
  • Aetna — New Business: $2,647
  • Aetna — POS: $2,942
  • Aetna — PPO: $2,942
  • Allwell — Superior Health MM: $3,534.78
  • American Health Medicare — Advantage MM: $3,888.26
  • Amerigroup — Chip KM: $1,209.12
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 55700 PROSTATE NEEDLE BIOPSY, ANY APPROACH $8,773 $2,895.09 $397.93 – $7,457.05
Prostate biopsy: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $4,103.66
  • Aetna — EPO: $2,151
  • Aetna — HMO: $2,151
  • Aetna — MM: $2,051.83
  • Aetna — New Business: $1,935
  • Aetna — POS: $2,151
  • Aetna — PPO: $2,151
  • Allwell — Superior Health MM: $2,051.83
  • American Health Medicare — Advantage MM: $2,257.01
  • Amerigroup — 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 $4,020 – $24,986
Prostate removal by laparoscope (radical prostatectomy): 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $20,856.18
  • Aetna — EPO: $6,783
  • Aetna — HMO: $6,783
  • Aetna — MM: $10,428.09
  • Aetna — New Business: $6,105
  • Aetna — POS: $6,783
  • Aetna — PPO: $6,783
  • Allwell — Superior Health MM: $10,428.09
  • American Health Medicare — Advantage MM: $11,470.90
  • Amerigroup — MM: $11,262.34
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 $456.36 – $7,833
Hysteroscopy with biopsy of the uterus lining: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $6,369.36
  • Aetna — EPO: $2,492
  • Aetna — HMO: $2,492
  • Aetna — MM: $3,184.68
  • Aetna — New Business: $2,242
  • Aetna — POS: $2,492
  • Aetna — PPO: $2,492
  • Allwell — Superior Health MM: $3,184.68
  • American Health Medicare — Advantage MM: $3,503.15
  • Amerigroup — 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: HC 62323 NJX C-DX/THER SBST EDRL/SARACH LMBR SAC $3,006 $991.98 $220.03 – $5,088
Spinal injection, lower back (epidural), with imaging guidance: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $1,387.28
  • Aetna — EPO: $1,934
  • Aetna — HMO: $1,934
  • Aetna — MM: $693.64
  • Aetna — New Business: $1,741
  • Aetna — POS: $1,934
  • Aetna — PPO: $1,934
  • Allwell — Superior Health MM: $693.64
  • American Health Medicare — Advantage MM: $763
  • Amerigroup — Chip KM: $276
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC 64483 NJX ANES&/STRD TFRML EDRL LMBR/SAC 1 LVL $2,535 $836.55 $297.19 – $5,088
Nerve root injection, lower back, with imaging guidance: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $1,783.46
  • Aetna — EPO: $1,934
  • Aetna — HMO: $1,934
  • Aetna — MM: $891.73
  • Aetna — New Business: $1,741
  • Aetna — POS: $1,934
  • Aetna — PPO: $1,934
  • Allwell — Superior Health MM: $891.73
  • American Health Medicare — Advantage MM: $980.90
  • Amerigroup — 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 $397.93 – $7,171
Carpal tunnel release: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $3,911.86
  • Aetna — EPO: $2,151
  • Aetna — HMO: $2,151
  • Aetna — MM: $1,955.93
  • Aetna — New Business: $1,935
  • Aetna — POS: $2,151
  • Aetna — PPO: $2,151
  • Allwell — Superior Health MM: $1,955.93
  • American Health Medicare — Advantage MM: $2,151.52
  • Amerigroup — 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 – $7,171
Laser treatment of clouding after cataract surgery: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $1,098.98
  • Aetna — EPO: $2,151
  • Aetna — HMO: $2,151
  • Aetna — MM: $549.49
  • Aetna — New Business: $1,935
  • Aetna — POS: $2,151
  • Aetna — PPO: $2,151
  • Allwell — Superior Health MM: $549.49
  • American Health Medicare — Advantage MM: $604.44
  • Amerigroup — 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 – $11,967
Cataract removal with lens implant: 10 of 75 insurance plan rates
  • ADV Cardiovas Specialist — MM: $4,568.84
  • Aetna — EPO: $3,398
  • Aetna — HMO: $3,398
  • Aetna — MM: $2,284.42
  • Aetna — New Business: $3,058
  • Aetna — POS: $3,398
  • Aetna — PPO: $3,398
  • Allwell — Superior Health MM: $2,284.42
  • American Health Medicare — Advantage MM: $2,512.86
  • Amerigroup — 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 $2,885 – $7,722
Vaginal delivery, with care before and after: 10 of 59 insurance plan rates
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $3,027.20
  • Blue Cross Blue Shield Of Texas — HEB: $3,353.87
  • Blue Cross Blue Shield Of Texas — HMO: $3,027.20
  • Blue Cross Blue Shield Of Texas — PPO: $3,593.44
  • Blue Cross Blue Shield Of Texas — Traditional: $3,724.11
  • Cigna — New Business: $5,960
  • Cigna — PPO: $7,722
  • Five Point Credit Union — PPO: $4,020
  • Humana — Choicecare: $2,885
  • MCT Credit Union — All Plans: $3,829
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 $2,885 – $7,722
Cesarean delivery (C-section), with care before and after: 10 of 59 insurance plan rates
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $3,356.32
  • Blue Cross Blue Shield Of Texas — HEB: $3,718.51
  • Blue Cross Blue Shield Of Texas — HMO: $3,356.32
  • Blue Cross Blue Shield Of Texas — PPO: $3,984.12
  • Blue Cross Blue Shield Of Texas — Traditional: $4,129
  • Cigna — New Business: $5,960
  • Cigna — PPO: $7,722
  • Five Point Credit Union — PPO: $4,020
  • Humana — Choicecare: $2,885
  • MCT Credit Union — All Plans: $3,829
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 $2,885 – $7,722
Vaginal delivery after a previous C-section, with care before and after: 10 of 59 insurance plan rates
  • Blue Cross Blue Shield Of Texas — Blue Advantage HMO: $3,176.48
  • Blue Cross Blue Shield Of Texas — HEB: $3,519.27
  • Blue Cross Blue Shield Of Texas — HMO: $3,176.48
  • Blue Cross Blue Shield Of Texas — PPO: $3,770.65
  • Blue Cross Blue Shield Of Texas — Traditional: $3,907.76
  • Cigna — New Business: $5,960
  • Cigna — PPO: $7,722
  • Five Point Credit Union — PPO: $4,020
  • Humana — Choicecare: $2,885
  • MCT Credit Union — All Plans: $3,829

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 $1,570 – $173,771.88
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 55 insurance plan rates
  • ADV Cardiovas Specialist — MM: $127,725.74
  • Aetna — EPO: $104,147
  • Aetna — HMO: $104,147
  • Aetna — MM: $63,862.87
  • Aetna — New Business: $93,732
  • Aetna — POS: $3,725
  • Aetna — PPO: $104,147
  • Allwell — Superior Health MM: $63,862.87
  • American Health Medicare — Advantage MM: $70,249.16
  • Amerigroup — MM: $68,971.90
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 $1,570 – $28,485
Spinal fusion (not neck), without major complications: rates for 1 insurance plan
  • Verity HealthNet — PPO: $1,570
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 $1,500 – $34,263.05
Hip or knee replacement (major joint of the leg), without major complications: 10 of 55 insurance plan rates
  • ADV Cardiovas Specialist — MM: $24,953.32
  • Aetna — EPO: $4,121
  • Aetna — HMO: $4,121
  • Aetna — MM: $12,476.66
  • Aetna — New Business: $3,710
  • Aetna — POS: $4,121
  • Aetna — PPO: $4,121
  • Allwell — Superior Health MM: $12,476.66
  • American Health Medicare — Advantage MM: $13,724.33
  • Amerigroup — MM: $13,474.79
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 $1,570 – $43,364.81
Neck (cervical) spinal fusion, without complications: 10 of 55 insurance plan rates
  • ADV Cardiovas Specialist — MM: $31,330.92
  • Aetna — EPO: $4,121
  • Aetna — HMO: $4,121
  • Aetna — MM: $15,665.46
  • Aetna — New Business: $3,710
  • Aetna — POS: $4,121
  • Aetna — PPO: $4,121
  • Allwell — Superior Health MM: $15,665.46
  • American Health Medicare — Advantage MM: $17,232.01
  • Amerigroup — MM: $16,918.70
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 $1,500 – $22,038.55
Uterus and ovary surgery (not for cancer), without complications: 10 of 55 insurance plan rates
  • ADV Cardiovas Specialist — MM: $15,863.98
  • Aetna — EPO: $10,385
  • Aetna — HMO: $3,725
  • Aetna — MM: $7,931.99
  • Aetna — New Business: $9,346
  • Aetna — POS: $3,725
  • Aetna — PPO: $3,725
  • Allwell — Superior Health MM: $7,931.99
  • American Health Medicare — Advantage MM: $8,725.19
  • Amerigroup — MM: $8,566.55

Source: CHRISTUS Southeast Texas- St Elizabeth’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
Address2830 Calder Avenue, Beaumont, TX 77702
CountyJefferson County
StateTexas
Phone(409) 892‑7171
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number450034
Name in Medicare recordsCHRISTUS SOUTHEAST TEXAS- ST ELIZABETH
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 Southeast Texas St. Elizabeth — christushealth.org
  2. CHRISTUS St. Elizabeth Emergency Room — christushealth.org
  3. Labor and Delivery in Beaumont, TX | CHRISTUS Health — christushealth.org