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Acute Care Hospital

Connally Memorial Medical Center

Floresville, Texas · Wilson County · Emergency services listed

Summary

Connally Memorial Medical Center is an acute care hospital in Floresville, Texas. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 69 services, specialties and programs. Medicare lists 155 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
3 of 5 stars3 of 5 stars · Medicare rating
44Beds (hospital website)
69Services listed

Quick answers

Does Connally Memorial Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Connally Memorial Medical Center. In a medical emergency, call 911.
Where is Connally Memorial Medical Center?
499 10th Street, Floresville, TX 78114, in Wilson County, Texas.
What is the phone number of Connally Memorial Medical Center?
(830) 393-1300, as listed by Medicare (CMS).
What is the Medicare star rating of Connally Memorial Medical Center?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[5][6][8][9][13]

Conditions treated[11][12][14]

Treatments[11][12][13][14]

Procedures[6][8][9]

Programs and centers[4][7][15][16][17]

  • Stroke support group
  • Diabetic support classes
  • Wellness program

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

Emergency roomYes
Open 24/7Yes
Trauma designationLevel IV

Visiting and practical information

VisitingED: relatives and friends asked to wait in reception unless needed for care; minors may be accompanied by parents[5]
ParkingFree parking noted at the sleep lab; main campus is directly off Highway 181[10][14]
Patient portalCMMC Hospital Patient Portal

Recognition[6][8][13]

  • Get With The Guidelines-Stroke award (American Heart Association)
  • TMF Hospital Quality Improvement Gold Award (2018)
  • COLA Laboratory Excellence Award
  • American College of Radiology (ACR) accreditation in mammography, three-year term
  • COLA laboratory accreditation

Doctors and clinicians (155)

155 doctors and other clinicians list Connally Memorial Medical Center 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 (155)

And 131 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 Connally Memorial Medical Center 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)Not reported to Medicare
Overall rating of the hospitalNot reported to Medicare
Would recommend the hospitalNot reported to Medicare
Nurses communicated wellNot reported to Medicare
Doctors communicated wellNot reported to Medicare
Staff explained medicinesNot reported to Medicare
Information about recovery at homeNot reported to Medicare
Room and bathroom kept cleanNot reported to Medicare
Quiet at nightNot reported to Medicare
Rated the hospital 9 or 10 out of 1090%National average: 72%
Would definitely recommend the hospital81%National average: 71%
Nurses “always” communicated well92%National average: 80%
Doctors “always” communicated well93%National average: 80%
Staff “always” explained medicines before giving them81%National average: 62%
Were given information about recovery at home88%National average: 86%
Room and bathroom “always” clean77%National average: 74%
Area around the room “always” quiet at night81%National average: 60%
Completed surveys75Response rate: 33%

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

Infections caught in the hospital

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

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

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

Complications and deaths

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

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patientsToo few cases to report
Deaths within 30 days: pneumonia patients18.9%
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.98No 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 attackToo few cases to report
Readmitted within 30 days: heart failure21.5%
Readmitted within 30 days: pneumonia16.7%
Readmitted within 30 days: COPD19.8%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
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)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)116 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)68%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 48 common services exactly as Connally Memorial Medical Center 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 · Inpatient or outpatient In the file: WDC NEW O/P VISIT <30 $421.50 $316.13 $118.02 – $400.42
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $252.90
  • Aetna Health Inc. — Managed Medicaid: $118.02
  • Aetna Health Inc. — Medicare Advantage: $265.55
  • Blue Cross Blue Shield — Advantage HMO Network: $342.67
  • Blue Cross Blue Shield — Essentials Network: $358.25
  • Blue Cross Blue Shield — Medicaid Managed Care: $118.02
  • Blue Cross Blue Shield — PPO/POS Network: $389.40
  • Blue Cross Blue Shield — Traditional Indemnity: $389.40
  • Cigna HealthCare of Texas Inc. — Commercial: $316.13
  • Coventry — Commercial: $337.20
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: WDC NEW O/P VISIT COMP<45 $523.50 $392.63 $146.58 – $523.50
New patient office visit (about 45–59 minutes): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $314.10
  • Aetna Health Inc. — Managed Medicaid: $146.58
  • Aetna Health Inc. — Medicare Advantage: $329.81
  • Blue Cross Blue Shield — Advantage HMO Network: $523.50
  • Blue Cross Blue Shield — Essentials Network: $523.50
  • Blue Cross Blue Shield — Medicaid Managed Care: $146.58
  • Blue Cross Blue Shield — PPO/POS Network: $523.50
  • Blue Cross Blue Shield — Traditional Indemnity: $523.50
  • Cigna HealthCare of Texas Inc. — Commercial: $392.63
  • Coventry — Commercial: $418.80
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: WDC NEW O/P VISIT COMP<60 $683.50 $512.63 $191.38 – $683.50
New patient office visit (about 60–74 minutes): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $410.10
  • Aetna Health Inc. — Managed Medicaid: $191.38
  • Aetna Health Inc. — Medicare Advantage: $430.61
  • Blue Cross Blue Shield — Advantage HMO Network: $683.50
  • Blue Cross Blue Shield — Essentials Network: $683.50
  • Blue Cross Blue Shield — Medicaid Managed Care: $191.38
  • Blue Cross Blue Shield — PPO/POS Network: $683.50
  • Blue Cross Blue Shield — Traditional Indemnity: $683.50
  • Cigna HealthCare of Texas Inc. — Commercial: $512.63
  • Coventry — Commercial: $546.80
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: WDC EST O/P VISIT COMP<20 $342.50 $256.88 $95.90 – $325.38
Established patient office visit (about 20–29 minutes): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $205.50
  • Aetna Health Inc. — Managed Medicaid: $95.90
  • Aetna Health Inc. — Medicare Advantage: $215.78
  • Blue Cross Blue Shield — Advantage HMO Network: $228.98
  • Blue Cross Blue Shield — Essentials Network: $239.38
  • Blue Cross Blue Shield — Medicaid Managed Care: $95.90
  • Blue Cross Blue Shield — PPO/POS Network: $260.20
  • Blue Cross Blue Shield — Traditional Indemnity: $260.20
  • Cigna HealthCare of Texas Inc. — Commercial: $256.88
  • Coventry — Commercial: $274
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: WDC EST O/P VISIT CONT<25 $418.50 $313.88 $117.18 – $398.35
Established patient office visit (about 30–39 minutes): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $251.10
  • Aetna Health Inc. — Managed Medicaid: $117.18
  • Aetna Health Inc. — Medicare Advantage: $263.66
  • Blue Cross Blue Shield — Advantage HMO Network: $350.55
  • Blue Cross Blue Shield — Essentials Network: $366.48
  • Blue Cross Blue Shield — Medicaid Managed Care: $117.18
  • Blue Cross Blue Shield — PPO/POS Network: $398.35
  • Blue Cross Blue Shield — Traditional Indemnity: $398.35
  • Cigna HealthCare of Texas Inc. — Commercial: $313.88
  • Coventry — Commercial: $334.80
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER LEVEL 3-INTERMED $1,150.93 $863.20 $266 – $1,095.50
Emergency room visit (moderate): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $266
  • Aetna Health Inc. — Managed Medicaid: $322.26
  • Aetna Health Inc. — Medicare Advantage: $725.09
  • Blue Cross Blue Shield — Advantage HMO Network: $964.04
  • Blue Cross Blue Shield — Essentials Network: $1,007.86
  • Blue Cross Blue Shield — Medicaid Managed Care: $322.26
  • Blue Cross Blue Shield — PPO/POS Network: $1,095.50
  • Blue Cross Blue Shield — Traditional Indemnity: $1,095.50
  • Cigna HealthCare of Texas Inc. — Commercial: $863.20
  • Coventry — Commercial: $920.74
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · modifier 25 In the file: ER LEVEL 3 W/PROCEDURE $1,150.93 $863.20 $266 – $1,104.89
Emergency room visit (moderate): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $266
  • Aetna Health Inc. — Managed Medicaid: $322.26
  • Aetna Health Inc. — Medicare Advantage: $725.09
  • Blue Cross Blue Shield — Advantage HMO Network: $966.78
  • Blue Cross Blue Shield — Essentials Network: $1,012.82
  • Blue Cross Blue Shield — Medicaid Managed Care: $322.26
  • Blue Cross Blue Shield — PPO/POS Network: $1,104.89
  • Blue Cross Blue Shield — Traditional Indemnity: $1,104.89
  • Cigna HealthCare of Texas Inc. — Commercial: $863.20
  • Coventry — Commercial: $920.74
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER LEVEL 4-EXTENDED $1,867.60 $1,400.70 $522.93 – $1,777.65
Emergency room visit (moderately high): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $1,213.94
  • Aetna Health Inc. — Managed Medicaid: $522.93
  • Aetna Health Inc. — Medicare Advantage: $1,176.59
  • Blue Cross Blue Shield — Advantage HMO Network: $1,564.33
  • Blue Cross Blue Shield — Essentials Network: $1,635.44
  • Blue Cross Blue Shield — Medicaid Managed Care: $522.93
  • Blue Cross Blue Shield — PPO/POS Network: $1,777.65
  • Blue Cross Blue Shield — Traditional Indemnity: $1,777.65
  • Cigna HealthCare of Texas Inc. — Commercial: $1,400.70
  • Coventry — Commercial: $1,494.08
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier 25 In the file: ER LEVEL 4 W/PROCEDURE $1,867.60 $1,400.70 $522.93 – $1,792.90
Emergency room visit (moderately high): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $1,213.94
  • Aetna Health Inc. — Managed Medicaid: $522.93
  • Aetna Health Inc. — Medicare Advantage: $1,176.59
  • Blue Cross Blue Shield — Advantage HMO Network: $1,568.78
  • Blue Cross Blue Shield — Essentials Network: $1,643.49
  • Blue Cross Blue Shield — Medicaid Managed Care: $522.93
  • Blue Cross Blue Shield — PPO/POS Network: $1,792.90
  • Blue Cross Blue Shield — Traditional Indemnity: $1,792.90
  • Cigna HealthCare of Texas Inc. — Commercial: $1,400.70
  • Coventry — Commercial: $1,494.08
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER LEVEL 5-COMPREHENSIVE $2,736.03 $2,052.02 $650 – $2,604.25
Emergency room visit (high): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $1,778.42
  • Aetna Health Inc. — Managed Medicaid: $766.09
  • Aetna Health Inc. — Medicare Advantage: $1,723.70
  • Blue Cross Blue Shield — Advantage HMO Network: $2,291.74
  • Blue Cross Blue Shield — Essentials Network: $2,395.91
  • Blue Cross Blue Shield — Medicaid Managed Care: $766.09
  • Blue Cross Blue Shield — PPO/POS Network: $2,604.25
  • Blue Cross Blue Shield — Traditional Indemnity: $2,604.25
  • Cigna HealthCare of Texas Inc. — Commercial: $2,052.02
  • Coventry — Commercial: $2,188.82
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier 25 In the file: ER LEVEL 5 W/PROCEDURE $2,736.03 $2,052.02 $650 – $2,626.59
Emergency room visit (high): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $1,778.42
  • Aetna Health Inc. — Managed Medicaid: $766.09
  • Aetna Health Inc. — Medicare Advantage: $1,723.70
  • Blue Cross Blue Shield — Advantage HMO Network: $2,298.27
  • Blue Cross Blue Shield — Essentials Network: $2,407.71
  • Blue Cross Blue Shield — Medicaid Managed Care: $766.09
  • Blue Cross Blue Shield — PPO/POS Network: $2,626.59
  • Blue Cross Blue Shield — Traditional Indemnity: $2,626.59
  • Cigna HealthCare of Texas Inc. — Commercial: $2,052.02
  • Coventry — Commercial: $2,188.82

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PANEL $227.50 $170.63 $8.21 – $216.13
Basic metabolic panel (blood test): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $125.13
  • Aetna Health Inc. — Managed Medicaid: $8.46
  • Aetna Health Inc. — Medicare Advantage: $8.46
  • Blue Cross Blue Shield — Advantage HMO Network: $32.78
  • Blue Cross Blue Shield — Essentials Network: $34.24
  • Blue Cross Blue Shield — Medicaid Managed Care: $8.46
  • Blue Cross Blue Shield — PPO/POS Network: $37.27
  • Blue Cross Blue Shield — Traditional Indemnity: $37.27
  • Cigna HealthCare of Texas Inc. — Commercial: $170.63
  • Coventry — Commercial: $182
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMP METABOLIC PANEL $304 $228 $10.24 – $288.80
Comprehensive metabolic panel (blood test): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $167.20
  • Aetna Health Inc. — Managed Medicaid: $10.56
  • Aetna Health Inc. — Medicare Advantage: $10.56
  • Blue Cross Blue Shield — Advantage HMO Network: $40.95
  • Blue Cross Blue Shield — Essentials Network: $42.77
  • Blue Cross Blue Shield — Medicaid Managed Care: $10.56
  • Blue Cross Blue Shield — PPO/POS Network: $46.55
  • Blue Cross Blue Shield — Traditional Indemnity: $46.55
  • Cigna HealthCare of Texas Inc. — Commercial: $228
  • Coventry — Commercial: $243.20
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PROFILE $316 $237 $12.99 – $300.20
Cholesterol panel (lipid panel): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $173.80
  • Aetna Health Inc. — Managed Medicaid: $13.39
  • Aetna Health Inc. — Medicare Advantage: $13.39
  • Blue Cross Blue Shield — Advantage HMO Network: $51.90
  • Blue Cross Blue Shield — Essentials Network: $54.22
  • Blue Cross Blue Shield — Medicaid Managed Care: $13.39
  • Blue Cross Blue Shield — PPO/POS Network: $59.01
  • Blue Cross Blue Shield — Traditional Indemnity: $59.01
  • Cigna HealthCare of Texas Inc. — Commercial: $237
  • Coventry — Commercial: $252.80
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL $319 $239.25 $8.42 – $303.05
Kidney function panel: 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $175.45
  • Aetna Health Inc. — Managed Medicaid: $8.68
  • Aetna Health Inc. — Medicare Advantage: $8.68
  • Blue Cross Blue Shield — Advantage HMO Network: $33.66
  • Blue Cross Blue Shield — Essentials Network: $35.16
  • Blue Cross Blue Shield — Medicaid Managed Care: $8.68
  • Blue Cross Blue Shield — PPO/POS Network: $38.27
  • Blue Cross Blue Shield — Traditional Indemnity: $38.27
  • Cigna HealthCare of Texas Inc. — Commercial: $239.25
  • Coventry — Commercial: $255.20
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL $193.50 $145.13 $7.92 – $183.83
Liver function panel: 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $106.43
  • Aetna Health Inc. — Managed Medicaid: $8.17
  • Aetna Health Inc. — Medicare Advantage: $8.17
  • Blue Cross Blue Shield — Advantage HMO Network: $31.68
  • Blue Cross Blue Shield — Essentials Network: $33.10
  • Blue Cross Blue Shield — Medicaid Managed Care: $8.17
  • Blue Cross Blue Shield — PPO/POS Network: $36.02
  • Blue Cross Blue Shield — Traditional Indemnity: $36.02
  • Cigna HealthCare of Texas Inc. — Commercial: $145.13
  • Coventry — Commercial: $154.80
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS AUTOMATED W/MICROSC $119.50 $89.63 $3.07 – $113.52
Urine test (automated, with microscope): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $65.73
  • Aetna Health Inc. — Managed Medicaid: $3.17
  • Aetna Health Inc. — Medicare Advantage: $3.17
  • Blue Cross Blue Shield — Advantage HMO Network: $12.31
  • Blue Cross Blue Shield — Essentials Network: $12.86
  • Blue Cross Blue Shield — Medicaid Managed Care: $3.17
  • Blue Cross Blue Shield — PPO/POS Network: $13.99
  • Blue Cross Blue Shield — Traditional Indemnity: $13.99
  • Cigna HealthCare of Texas Inc. — Commercial: $89.63
  • Coventry — Commercial: $95.60
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS DIP STICK ONLY $81 $60.75 $2.18 – $76.95
Urine test (automated, without microscope): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $44.55
  • Aetna Health Inc. — Managed Medicaid: $2.25
  • Aetna Health Inc. — Medicare Advantage: $2.25
  • Blue Cross Blue Shield — Advantage HMO Network: $8.70
  • Blue Cross Blue Shield — Essentials Network: $9.09
  • Blue Cross Blue Shield — Medicaid Managed Care: $2.25
  • Blue Cross Blue Shield — PPO/POS Network: $9.89
  • Blue Cross Blue Shield — Traditional Indemnity: $9.89
  • Cigna HealthCare of Texas Inc. — Commercial: $60.75
  • Coventry — Commercial: $64.80
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA SCREENING $256 $192 $17.84 – $243.20
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $140.80
  • Aetna Health Inc. — Managed Medicaid: $18.39
  • Aetna Health Inc. — Medicare Advantage: $18.39
  • Blue Cross Blue Shield — Advantage HMO Network: $71.31
  • Blue Cross Blue Shield — Essentials Network: $74.49
  • Blue Cross Blue Shield — Medicaid Managed Care: $18.39
  • Blue Cross Blue Shield — PPO/POS Network: $81.07
  • Blue Cross Blue Shield — Traditional Indemnity: $81.07
  • Cigna HealthCare of Texas Inc. — Commercial: $192
  • Coventry — Commercial: $204.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: TSH $249 $186.75 $16.30 – $236.55
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $136.95
  • Aetna Health Inc. — Managed Medicaid: $16.80
  • Aetna Health Inc. — Medicare Advantage: $16.80
  • Blue Cross Blue Shield — Advantage HMO Network: $65.16
  • Blue Cross Blue Shield — Essentials Network: $68.06
  • Blue Cross Blue Shield — Medicaid Managed Care: $16.80
  • Blue Cross Blue Shield — PPO/POS Network: $74.08
  • Blue Cross Blue Shield — Traditional Indemnity: $74.08
  • Cigna HealthCare of Texas Inc. — Commercial: $186.75
  • Coventry — Commercial: $199.20
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC WITH AUTO DIFF $119.50 $89.63 $7.54 – $113.52
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $65.73
  • Aetna Health Inc. — Managed Medicaid: $7.77
  • Aetna Health Inc. — Medicare Advantage: $7.77
  • Blue Cross Blue Shield — Advantage HMO Network: $30.11
  • Blue Cross Blue Shield — Essentials Network: $31.46
  • Blue Cross Blue Shield — Medicaid Managed Care: $7.77
  • Blue Cross Blue Shield — PPO/POS Network: $34.24
  • Blue Cross Blue Shield — Traditional Indemnity: $34.24
  • Cigna HealthCare of Texas Inc. — Commercial: $89.63
  • Coventry — Commercial: $95.60
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC W/O DIFF $80 $60 $6.28 – $76
Complete blood count (CBC), automated: 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $44
  • Aetna Health Inc. — Managed Medicaid: $6.47
  • Aetna Health Inc. — Medicare Advantage: $6.47
  • Blue Cross Blue Shield — Advantage HMO Network: $25.06
  • Blue Cross Blue Shield — Essentials Network: $26.17
  • Blue Cross Blue Shield — Medicaid Managed Care: $6.47
  • Blue Cross Blue Shield — PPO/POS Network: $28.49
  • Blue Cross Blue Shield — Traditional Indemnity: $28.49
  • Cigna HealthCare of Texas Inc. — Commercial: $60
  • Coventry — Commercial: $64
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PRO TIME $90 $67.50 $4.16 – $85.50
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $49.50
  • Aetna Health Inc. — Managed Medicaid: $4.29
  • Aetna Health Inc. — Medicare Advantage: $4.29
  • Blue Cross Blue Shield — Advantage HMO Network: $15.23
  • Blue Cross Blue Shield — Essentials Network: $15.91
  • Blue Cross Blue Shield — Medicaid Managed Care: $4.29
  • Blue Cross Blue Shield — PPO/POS Network: $17.31
  • Blue Cross Blue Shield — Traditional Indemnity: $17.31
  • Cigna HealthCare of Texas Inc. — Commercial: $67.50
  • Coventry — Commercial: $72
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · modifier QW In the file: INR FINGERSTICK $87.50 $65.63 $4.16 – $83.13
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $48.13
  • Aetna Health Inc. — Managed Medicaid: $4.29
  • Aetna Health Inc. — Medicare Advantage: $4.29
  • Blue Cross Blue Shield — Advantage HMO Network: $15.23
  • Blue Cross Blue Shield — Essentials Network: $15.91
  • Blue Cross Blue Shield — Medicaid Managed Care: $4.29
  • Blue Cross Blue Shield — PPO/POS Network: $17.31
  • Blue Cross Blue Shield — Traditional Indemnity: $17.31
  • Cigna HealthCare of Texas Inc. — Commercial: $65.63
  • Coventry — Commercial: $70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PTT $114 $85.50 $5.83 – $108.30
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $62.70
  • Aetna Health Inc. — Managed Medicaid: $6.01
  • Aetna Health Inc. — Medicare Advantage: $6.01
  • Blue Cross Blue Shield — Advantage HMO Network: $23.30
  • Blue Cross Blue Shield — Essentials Network: $24.34
  • Blue Cross Blue Shield — Medicaid Managed Care: $6.01
  • Blue Cross Blue Shield — PPO/POS Network: $26.49
  • Blue Cross Blue Shield — Traditional Indemnity: $26.49
  • Cigna HealthCare of Texas Inc. — Commercial: $85.50
  • Coventry — Commercial: $91.20

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD W/O CONT $2,232.50 $1,674.38 $103.15 – $2,120.88
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $1,724.50
  • Aetna Health Inc. — Managed Medicaid: $134.67
  • Aetna Health Inc. — Medicare Advantage: $106.34
  • Blue Cross Blue Shield — Advantage HMO Network: $453.26
  • Blue Cross Blue Shield — Essentials Network: $473.86
  • Blue Cross Blue Shield — Medicaid Managed Care: $134.67
  • Blue Cross Blue Shield — PPO/POS Network: $515.07
  • Blue Cross Blue Shield — Traditional Indemnity: $515.07
  • Cigna HealthCare of Texas Inc. — Commercial: $318
  • Coventry — Commercial: $1,786
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN WO/W CONT $4,610.50 $3,457.88 $346.42 – $4,379.97
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $3,366.30
  • Aetna Health Inc. — Managed Medicaid: $464.22
  • Aetna Health Inc. — Medicare Advantage: $357.13
  • Blue Cross Blue Shield — Advantage HMO Network: $1,807.23
  • Blue Cross Blue Shield — Essentials Network: $1,889.37
  • Blue Cross Blue Shield — Medicaid Managed Care: $464.22
  • Blue Cross Blue Shield — PPO/POS Network: $2,053.67
  • Blue Cross Blue Shield — Traditional Indemnity: $2,053.67
  • Cigna HealthCare of Texas Inc. — Commercial: $690
  • Coventry — Commercial: $3,688.40
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: XR CHEST 2 VIEWS $407.50 $305.63 $109.47 – $387.13
Chest X-ray, 2 views: 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $244.50
  • Aetna Health Inc. — Managed Medicaid: $109.47
  • Aetna Health Inc. — Medicare Advantage: $256.73
  • Blue Cross Blue Shield — Advantage HMO Network: $218.66
  • Blue Cross Blue Shield — Essentials Network: $228.60
  • Blue Cross Blue Shield — Medicaid Managed Care: $109.47
  • Blue Cross Blue Shield — PPO/POS Network: $248.48
  • Blue Cross Blue Shield — Traditional Indemnity: $248.48
  • Cigna HealthCare of Texas Inc. — Commercial: $305.63
  • Coventry — Commercial: $326
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: L SPINE 4 VWS + CONE VW L5/S1 $815 $611.25 $134.67 – $774.25
X-ray of the lower spine, at least 4 views: 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $489
  • Aetna Health Inc. — Managed Medicaid: $134.67
  • Aetna Health Inc. — Medicare Advantage: $513.45
  • Blue Cross Blue Shield — Advantage HMO Network: $402.90
  • Blue Cross Blue Shield — Essentials Network: $421.21
  • Blue Cross Blue Shield — Medicaid Managed Care: $134.67
  • Blue Cross Blue Shield — PPO/POS Network: $457.84
  • Blue Cross Blue Shield — Traditional Indemnity: $457.84
  • Cigna HealthCare of Texas Inc. — Commercial: $611.25
  • Coventry — Commercial: $652
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI LUMBAR SPINE W/O CONT $2,912.50 $2,184.38 $234.47 – $2,766.88
MRI of the lower back (lumbar spine), without contrast: 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $2,347.50
  • Aetna Health Inc. — Managed Medicaid: $294.24
  • Aetna Health Inc. — Medicare Advantage: $241.72
  • Blue Cross Blue Shield — Advantage HMO Network: $919.95
  • Blue Cross Blue Shield — Essentials Network: $961.76
  • Blue Cross Blue Shield — Medicaid Managed Care: $294.24
  • Blue Cross Blue Shield — PPO/POS Network: $1,045.40
  • Blue Cross Blue Shield — Traditional Indemnity: $1,045.40
  • Cigna HealthCare of Texas Inc. — Commercial: $690
  • Coventry — Commercial: $2,330
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/CONT $2,176.50 $1,632.38 $172.68 – $2,067.67
CT scan of the pelvis, with contrast: 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $1,690.90
  • Aetna Health Inc. — Managed Medicaid: $227.23
  • Aetna Health Inc. — Medicare Advantage: $178.02
  • Blue Cross Blue Shield — Advantage HMO Network: $1,000.85
  • Blue Cross Blue Shield — Essentials Network: $1,046.34
  • Blue Cross Blue Shield — Medicaid Managed Care: $227.23
  • Blue Cross Blue Shield — PPO/POS Network: $1,137.33
  • Blue Cross Blue Shield — Traditional Indemnity: $1,137.33
  • Cigna HealthCare of Texas Inc. — Commercial: $318
  • Coventry — Commercial: $1,741.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier RT In the file: MRI RT ANKLE W/O CONT $2,994.50 $2,245.88 $234.47 – $2,844.78
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $2,396.70
  • Aetna Health Inc. — Managed Medicaid: $294.24
  • Aetna Health Inc. — Medicare Advantage: $241.72
  • Blue Cross Blue Shield — Advantage HMO Network: $919.95
  • Blue Cross Blue Shield — Essentials Network: $961.76
  • Blue Cross Blue Shield — Medicaid Managed Care: $294.24
  • Blue Cross Blue Shield — PPO/POS Network: $1,045.40
  • Blue Cross Blue Shield — Traditional Indemnity: $1,045.40
  • Cigna HealthCare of Texas Inc. — Commercial: $690
  • Coventry — Commercial: $2,395.60
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier RT In the file: MRI RT HIP W/O CONT $2,994.50 $2,245.88 $234.47 – $2,844.78
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $2,396.70
  • Aetna Health Inc. — Managed Medicaid: $294.24
  • Aetna Health Inc. — Medicare Advantage: $241.72
  • Blue Cross Blue Shield — Advantage HMO Network: $919.95
  • Blue Cross Blue Shield — Essentials Network: $961.76
  • Blue Cross Blue Shield — Medicaid Managed Care: $294.24
  • Blue Cross Blue Shield — PPO/POS Network: $1,045.40
  • Blue Cross Blue Shield — Traditional Indemnity: $1,045.40
  • Cigna HealthCare of Texas Inc. — Commercial: $690
  • Coventry — Commercial: $2,395.60
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MRI LT KNEE W/O CONT $2,994.50 $2,245.88 $234.47 – $2,844.78
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $2,396.70
  • Aetna Health Inc. — Managed Medicaid: $294.24
  • Aetna Health Inc. — Medicare Advantage: $241.72
  • Blue Cross Blue Shield — Advantage HMO Network: $919.95
  • Blue Cross Blue Shield — Essentials Network: $961.76
  • Blue Cross Blue Shield — Medicaid Managed Care: $294.24
  • Blue Cross Blue Shield — PPO/POS Network: $1,045.40
  • Blue Cross Blue Shield — Traditional Indemnity: $1,045.40
  • Cigna HealthCare of Texas Inc. — Commercial: $690
  • Coventry — Commercial: $2,395.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABDOMEN & PELVIS W/CONTRAST $4,015.50 $3,011.63 $318 – $3,814.73
CT scan of the abdomen and pelvis, with contrast: 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $2,794.30
  • Aetna Health Inc. — Managed Medicaid: $464.22
  • Aetna Health Inc. — Medicare Advantage: $357.13
  • Blue Cross Blue Shield — Advantage HMO Network: $1,000.85
  • Blue Cross Blue Shield — Essentials Network: $1,046.34
  • Blue Cross Blue Shield — Medicaid Managed Care: $464.22
  • Blue Cross Blue Shield — PPO/POS Network: $1,137.33
  • Blue Cross Blue Shield — Traditional Indemnity: $1,137.33
  • Cigna HealthCare of Texas Inc. — Commercial: $318
  • Coventry — Commercial: $3,212.40
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US ABDOMEN COMPLETE $992 $744 $103.15 – $942.40
Ultrasound of the abdomen, complete: 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $595.20
  • Aetna Health Inc. — Managed Medicaid: $134.67
  • Aetna Health Inc. — Medicare Advantage: $106.34
  • Blue Cross Blue Shield — Advantage HMO Network: $402.90
  • Blue Cross Blue Shield — Essentials Network: $421.21
  • Blue Cross Blue Shield — Medicaid Managed Care: $134.67
  • Blue Cross Blue Shield — PPO/POS Network: $457.84
  • Blue Cross Blue Shield — Traditional Indemnity: $457.84
  • Cigna HealthCare of Texas Inc. — Commercial: $744
  • Coventry — Commercial: $793.60
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US OB >14 WKS $867.50 $650.63 $103.15 – $824.13
Pregnancy ultrasound (after the first trimester): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $520.50
  • Aetna Health Inc. — Managed Medicaid: $134.67
  • Aetna Health Inc. — Medicare Advantage: $106.34
  • Blue Cross Blue Shield — Advantage HMO Network: $330.99
  • Blue Cross Blue Shield — Essentials Network: $346.03
  • Blue Cross Blue Shield — Medicaid Managed Care: $134.67
  • Blue Cross Blue Shield — PPO/POS Network: $376.12
  • Blue Cross Blue Shield — Traditional Indemnity: $376.12
  • Cigna HealthCare of Texas Inc. — Commercial: $650.63
  • Coventry — Commercial: $694
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US TRANSVAGINAL NON OB $1,031 $773.25 $103.15 – $979.45
Transvaginal ultrasound: 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $618.60
  • Aetna Health Inc. — Managed Medicaid: $134.67
  • Aetna Health Inc. — Medicare Advantage: $106.34
  • Blue Cross Blue Shield — Advantage HMO Network: $314.55
  • Blue Cross Blue Shield — Essentials Network: $328.84
  • Blue Cross Blue Shield — Medicaid Managed Care: $134.67
  • Blue Cross Blue Shield — PPO/POS Network: $357.44
  • Blue Cross Blue Shield — Traditional Indemnity: $357.44
  • Cigna HealthCare of Texas Inc. — Commercial: $773.25
  • Coventry — Commercial: $824.80
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MAM DIGITAL UNI DIAG W/CAD $440.50 $330.38 $123.34 – $418.47
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $264.30
  • Aetna Health Inc. — Managed Medicaid: $123.34
  • Aetna Health Inc. — Medicare Advantage: $277.52
  • Blue Cross Blue Shield — Advantage HMO Network: $337.29
  • Blue Cross Blue Shield — Essentials Network: $352.62
  • Blue Cross Blue Shield — Medicaid Managed Care: $123.34
  • Blue Cross Blue Shield — PPO/POS Network: $383.28
  • Blue Cross Blue Shield — Traditional Indemnity: $383.28
  • Cigna HealthCare of Texas Inc. — Commercial: $330.38
  • Coventry — Commercial: $352.40
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MAM DIGITAL BIL DIAG W/CAD $550.50 $412.88 $154.14 – $522.98
Diagnostic mammogram, both breasts: 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $330.30
  • Aetna Health Inc. — Managed Medicaid: $154.14
  • Aetna Health Inc. — Medicare Advantage: $346.82
  • Blue Cross Blue Shield — Advantage HMO Network: $430.78
  • Blue Cross Blue Shield — Essentials Network: $450.36
  • Blue Cross Blue Shield — Medicaid Managed Care: $154.14
  • Blue Cross Blue Shield — PPO/POS Network: $489.52
  • Blue Cross Blue Shield — Traditional Indemnity: $489.52
  • Cigna HealthCare of Texas Inc. — Commercial: $412.88
  • Coventry — Commercial: $440.40
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MAM DIG BILAT SCREENING W/CAD $460 $345 $128.80 – $437
Screening mammogram, both breasts: 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $276
  • Aetna Health Inc. — Managed Medicaid: $128.80
  • Aetna Health Inc. — Medicare Advantage: $289.80
  • Blue Cross Blue Shield — Advantage HMO Network: $356.26
  • Blue Cross Blue Shield — Essentials Network: $372.45
  • Blue Cross Blue Shield — Medicaid Managed Care: $128.80
  • Blue Cross Blue Shield — PPO/POS Network: $404.84
  • Blue Cross Blue Shield — Traditional Indemnity: $404.84
  • Cigna HealthCare of Texas Inc. — Commercial: $345
  • Coventry — Commercial: $368

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: BASELINE SLEEP STAGE $4,259 $3,194.25 $1,192.52 – $4,046.05
Sleep study (overnight, in a sleep lab): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $2,555.40
  • Aetna Health Inc. — Managed Medicaid: $1,192.52
  • Aetna Health Inc. — Medicare Advantage: $2,683.17
  • Blue Cross Blue Shield — Advantage HMO Network: $2,256.54
  • Blue Cross Blue Shield — Essentials Network: $2,359.11
  • Blue Cross Blue Shield — Medicaid Managed Care: $1,192.52
  • Blue Cross Blue Shield — PPO/POS Network: $2,564.25
  • Blue Cross Blue Shield — Traditional Indemnity: $2,564.25
  • Cigna HealthCare of Texas Inc. — Commercial: $3,194.25
  • Coventry — Commercial: $3,407.20

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GP In the file: PT-THER EXER 15 MIN SUPER $164 $123 $37.13 – $156.10
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $90.20
  • Aetna Health Inc. — Managed Medicaid: $37.13
  • Aetna Health Inc. — Medicare Advantage: $103.32
  • Blue Cross Blue Shield — Advantage HMO Network: $137.37
  • Blue Cross Blue Shield — Essentials Network: $143.61
  • Blue Cross Blue Shield — Medicaid Managed Care: $37.13
  • Blue Cross Blue Shield — PPO/POS Network: $156.10
  • Blue Cross Blue Shield — Traditional Indemnity: $156.10
  • Cigna HealthCare of Texas Inc. — Commercial: $123
  • Coventry — Commercial: $131.20
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · modifier GO In the file: OT-THER EXER 15 MIN SUPER $164 $123 $37.13 – $156.10
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $90.20
  • Aetna Health Inc. — Managed Medicaid: $37.13
  • Aetna Health Inc. — Medicare Advantage: $103.32
  • Blue Cross Blue Shield — Advantage HMO Network: $137.37
  • Blue Cross Blue Shield — Essentials Network: $143.61
  • Blue Cross Blue Shield — Medicaid Managed Care: $37.13
  • Blue Cross Blue Shield — PPO/POS Network: $156.10
  • Blue Cross Blue Shield — Traditional Indemnity: $156.10
  • Cigna HealthCare of Texas Inc. — Commercial: $123
  • Coventry — Commercial: $131.20
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · modifier GP In the file: PT EVAL LOW COMPLEXITY $448.71 $336.53 $116.19 – $427.10
Physical therapy evaluation (low complexity): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $246.79
  • Aetna Health Inc. — Managed Medicaid: $116.19
  • Aetna Health Inc. — Medicare Advantage: $282.69
  • Blue Cross Blue Shield — Advantage HMO Network: $375.85
  • Blue Cross Blue Shield — Essentials Network: $392.93
  • Blue Cross Blue Shield — Medicaid Managed Care: $116.19
  • Blue Cross Blue Shield — PPO/POS Network: $427.10
  • Blue Cross Blue Shield — Traditional Indemnity: $427.10
  • Cigna HealthCare of Texas Inc. — Commercial: $336.53
  • Coventry — Commercial: $358.97
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · modifier GP In the file: PT EVAL MODERATE COMPLEXITY $448.71 $336.53 $116.19 – $427.10
Physical therapy evaluation (moderate complexity): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $246.79
  • Aetna Health Inc. — Managed Medicaid: $116.19
  • Aetna Health Inc. — Medicare Advantage: $282.69
  • Blue Cross Blue Shield — Advantage HMO Network: $375.85
  • Blue Cross Blue Shield — Essentials Network: $392.93
  • Blue Cross Blue Shield — Medicaid Managed Care: $116.19
  • Blue Cross Blue Shield — PPO/POS Network: $427.10
  • Blue Cross Blue Shield — Traditional Indemnity: $427.10
  • Cigna HealthCare of Texas Inc. — Commercial: $336.53
  • Coventry — Commercial: $358.97
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · modifier GP In the file: PT EVAL HIGH COMPLEXITY $448.71 $336.53 $116.19 – $427.10
Physical therapy evaluation (high complexity): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $246.79
  • Aetna Health Inc. — Managed Medicaid: $116.19
  • Aetna Health Inc. — Medicare Advantage: $282.69
  • Blue Cross Blue Shield — Advantage HMO Network: $375.85
  • Blue Cross Blue Shield — Essentials Network: $392.93
  • Blue Cross Blue Shield — Medicaid Managed Care: $116.19
  • Blue Cross Blue Shield — PPO/POS Network: $427.10
  • Blue Cross Blue Shield — Traditional Indemnity: $427.10
  • Cigna HealthCare of Texas Inc. — Commercial: $336.53
  • Coventry — Commercial: $358.97

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: TONSILLECTOMY & ADENOID $23,600 $17,700 $335.84 – $22,420
Removal of tonsils and adenoids (under age 12): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $14,160
  • Aetna Health Inc. — Managed Medicaid: $335.84
  • Aetna Health Inc. — Medicare Advantage: $2,917.35
  • Blue Cross Blue Shield — Advantage HMO Network: $18,700.18
  • Blue Cross Blue Shield — Essentials Network: $19,567.94
  • Blue Cross Blue Shield — Medicaid Managed Care: $335.84
  • Blue Cross Blue Shield — PPO/POS Network: $21,260.07
  • Blue Cross Blue Shield — Traditional Indemnity: $21,260.07
  • Cigna HealthCare of Texas Inc. — Commercial: $17,700
  • Coventry — Commercial: $18,880
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: UPPER GI DIAG $3,982.50 $2,986.88 $250.81 – $3,783.38
Upper GI endoscopy (diagnostic): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $2,389.50
  • Aetna Health Inc. — Managed Medicaid: $250.81
  • Aetna Health Inc. — Medicare Advantage: $503.39
  • Blue Cross Blue Shield — Advantage HMO Network: $3,204.44
  • Blue Cross Blue Shield — Essentials Network: $3,353.14
  • Blue Cross Blue Shield — Medicaid Managed Care: $250.81
  • Blue Cross Blue Shield — PPO/POS Network: $3,643.10
  • Blue Cross Blue Shield — Traditional Indemnity: $3,643.10
  • Cigna HealthCare of Texas Inc. — Commercial: $2,986.88
  • Coventry — Commercial: $3,186
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: UPPER GI-BIOPSY $3,982.50 $2,986.88 $335.84 – $3,783.38
Upper GI endoscopy with biopsy: 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $2,389.50
  • Aetna Health Inc. — Managed Medicaid: $335.84
  • Aetna Health Inc. — Medicare Advantage: $503.39
  • Blue Cross Blue Shield — Advantage HMO Network: $3,204.44
  • Blue Cross Blue Shield — Essentials Network: $3,353.14
  • Blue Cross Blue Shield — Medicaid Managed Care: $335.84
  • Blue Cross Blue Shield — PPO/POS Network: $3,643.10
  • Blue Cross Blue Shield — Traditional Indemnity: $3,643.10
  • Cigna HealthCare of Texas Inc. — Commercial: $2,986.88
  • Coventry — Commercial: $3,186
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: COLONOSCOPY-DIAG $3,803 $2,852.25 $335.84 – $3,612.85
Colonoscopy (diagnostic): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $2,281.80
  • Aetna Health Inc. — Managed Medicaid: $335.84
  • Aetna Health Inc. — Medicare Advantage: $489.47
  • Blue Cross Blue Shield — Advantage HMO Network: $3,060.01
  • Blue Cross Blue Shield — Essentials Network: $3,202.01
  • Blue Cross Blue Shield — Medicaid Managed Care: $335.84
  • Blue Cross Blue Shield — PPO/POS Network: $3,478.90
  • Blue Cross Blue Shield — Traditional Indemnity: $3,478.90
  • Cigna HealthCare of Texas Inc. — Commercial: $2,852.25
  • Coventry — Commercial: $3,042.40
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLONOSCOPY-BIOPSY $5,015.50 $3,761.63 $335.84 – $4,764.72
Colonoscopy with biopsy: 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $3,009.30
  • Aetna Health Inc. — Managed Medicaid: $335.84
  • Aetna Health Inc. — Medicare Advantage: $632.96
  • Blue Cross Blue Shield — Advantage HMO Network: $4,035.84
  • Blue Cross Blue Shield — Essentials Network: $4,223.12
  • Blue Cross Blue Shield — Medicaid Managed Care: $335.84
  • Blue Cross Blue Shield — PPO/POS Network: $4,588.31
  • Blue Cross Blue Shield — Traditional Indemnity: $4,588.31
  • Cigna HealthCare of Texas Inc. — Commercial: $3,761.63
  • Coventry — Commercial: $4,012.40
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY-REM LESION SNARE $3,372 $2,529 $335.84 – $3,372
Colonoscopy with removal of polyps (snare): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $2,023.20
  • Aetna Health Inc. — Managed Medicaid: $335.84
  • Aetna Health Inc. — Medicare Advantage: $632.96
  • Blue Cross Blue Shield — Advantage HMO Network: $3,372
  • Blue Cross Blue Shield — Essentials Network: $3,372
  • Blue Cross Blue Shield — Medicaid Managed Care: $335.84
  • Blue Cross Blue Shield — PPO/POS Network: $3,372
  • Blue Cross Blue Shield — Traditional Indemnity: $3,372
  • Cigna HealthCare of Texas Inc. — Commercial: $2,529
  • Coventry — Commercial: $2,697.60
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: COLONOSCOPY NOT HIGH RISK $2,905 $2,178.75 $250.81 – $2,905
Screening colonoscopy (not high risk): 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $1,743
  • Aetna Health Inc. — Managed Medicaid: $250.81
  • Aetna Health Inc. — Medicare Advantage: $489.47
  • Blue Cross Blue Shield — Advantage HMO Network: $2,905
  • Blue Cross Blue Shield — Essentials Network: $2,905
  • Blue Cross Blue Shield — Medicaid Managed Care: $250.81
  • Blue Cross Blue Shield — PPO/POS Network: $2,905
  • Blue Cross Blue Shield — Traditional Indemnity: $2,905
  • Cigna HealthCare of Texas Inc. — Commercial: $2,178.75
  • Coventry — Commercial: $2,324
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: CAPSULOTOMY / YAG LASER $2,808 $2,106 $285.68 – $2,667.60
Laser treatment of clouding after cataract surgery: 10 of 17 insurance plan rates
  • Aetna Health Inc. — Commercial: $1,684.80
  • Aetna Health Inc. — Managed Medicaid: $335.84
  • Aetna Health Inc. — Medicare Advantage: $294.52
  • Blue Cross Blue Shield — Advantage HMO Network: $2,103.19
  • Blue Cross Blue Shield — Essentials Network: $2,200.79
  • Blue Cross Blue Shield — Medicaid Managed Care: $335.84
  • Blue Cross Blue Shield — PPO/POS Network: $2,391.10
  • Blue Cross Blue Shield — Traditional Indemnity: $2,391.10
  • Cigna HealthCare of Texas Inc. — Commercial: $2,106
  • Coventry — Commercial: $2,246.40

Source: Connally Memorial Medical Center’s standard charges file (app.box.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on August 1, 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
Address499 10th Street, Floresville, TX 78114
CountyWilson County
StateTexas
Phone(830) 393‑1300
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall rating3 of 5 stars
CMS Certification Number450108
Name in Medicare recordsCONNALLY MEMORIAL MEDICAL CENTER
Profile levelMedicare data + hospital website
Official websiteconnallymmc.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. Connally Memorial Medical Center — connallymmc.org
  2. Emergency Department | Connally Memorial Medical Center — connallymmc.org
  3. About Us | Connally Memorial Medical Center — connallymmc.org
  4. Stroke Support Group | Connally Memorial Medical Center — connallymmc.org
  5. Imaging | Connally Memorial Medical Center — connallymmc.org
  6. Surgery | Connally Memorial Medical Center — connallymmc.org
  7. Our Locations | Connally Memorial Medical Center — connallymmc.org
  8. Infusion Center | Connally Memorial Medical Center — connallymmc.org
  9. Rehabilitation | Connally Memorial Medical Center — connallymmc.org
  10. Laboratory Testing | Connally Memorial Medical Center — connallymmc.org
  11. Sleep Lab | Connally Memorial Medical Center — connallymmc.org
  12. Support Programs | Connally Memorial Medical Center — connallymmc.org
  13. Diabetic Support Classes | Connally Memorial Medical Center — connallymmc.org
  14. Wellness Program | Connally Memorial Medical Center — connallymmc.org