Does Cook Childrens Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Cook Childrens Medical Center. In a medical emergency, call 911.

Where is Cook Childrens Medical Center?

801 Seventh Avenue, Fort Worth, TX 76104, in Tarrant County, Texas.

What is the phone number of Cook Childrens Medical Center?

(682) 885-4000, as listed by Medicare (CMS).

What is the Medicare star rating of Cook Childrens Medical Center?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Cook Childrens Medical Center — Fort Worth, TX

Quick answers

Does Cook Childrens Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Cook Childrens Medical Center. In a medical emergency, call 911.
Where is Cook Childrens Medical Center?: 801 Seventh Avenue, Fort Worth, TX 76104, in Tarrant County, Texas.
What is the phone number of Cook Childrens Medical Center?: (682) 885-4000, as listed by Medicare (CMS).
What is the Medicare star rating of Cook Childrens Medical Center?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[6][7][8][9]

Emergency medicine
Pediatric trauma surgery
Pediatric surgery
Orthopedic surgery
Neurosurgery
Plastic surgery
Anesthesiology
Pediatric intensive care
Neonatology
Child abuse pediatrics

Conditions treated^[7]

Orthopedic injuries
Car accident injuries
Fall injuries
Sports injuries

Treatments^[6][7][8][9]

Emergency surgical care
Neonatal intensive care (Level IV NICU)
Pediatric trauma care
Neonatal and pediatric critical care transport
Child Life services
Nutrition services (special diets)

Programs and centers^{[5][7][8][9][10]}

Short Stay Observation Unit
Pediatric Trauma Surgery Program
Trauma Support Program
Pediatric Trauma Quality Improvement Program
National Trauma Data Bank participation
Stop the Bleed
Aim for Safety (firearm injury prevention)
Teddy Bear Transport
C.A.R.E. (Child Advocacy Resource and Evaluation) Team
Child Life
Creative Artist in Residence Program
Laughter League
Sit...Stay...Play pet visits
Parent mentors
Panda Cares Center of Hope Sibling Support Center
Sib2Sib
Hospital school program
Spiritual care
Social services
Language and interpreter services

Emergency care (hospital website)^[5]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level II

Visiting and practical information

Parking	ED visitors park in the garage at the SW corner of 6th Ave and West Terrell, across from the ED; look for the 'emergency parking' sign^[6]
Interpreters and languages	Interpreters 24/7: Spanish staff interpreters, ASL video, video interpreting in 200+ languages, phone interpreting. Call 682-885-4119^[10]

Recognition^[5][7][8]

Lantern Award (Emergency Nurses Association, 2021)
EMS-designated pediatric trauma center in Tarrant County
ACS-verified Level II Pediatric Trauma Center (since 2010)
Designated trauma center, Texas Department of State Health Services
Only EMS-designated trauma center in Tarrant County
Teddy Bear Transport neonatal team accredited by CAMTS

Doctors and clinicians (97)

97 doctors and other clinicians list Cook Childrens 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 (97)

Adam L. Stone, MDAnesthesiology
Alan Chen, MDDiagnostic Radiology
Alay R. Parikh, MDPediatric Medicine
Alejandro J. De La Torre, MDEndocrinology
Ana M. Rios, MDInfectious Disease
Anna M. Venardos, MDCardiovascular Disease (Cardiology)
Artee Gandhi, MDAnesthesiology
Asif Khan, MDAnesthesiology
Ayodele Oke, MDAnesthesiology
Badreldin M. Bedri, MDNephrology
Barry Putegnat, MDDiagnostic Radiology
Benjamin A. Olsson, DOPediatric Medicine
Blake E. Nichols, MDPediatric Medicine
Bridget M. Swanson, MDPediatric Medicine
Brittany N. Shore, CNACertified Registered Nurse Anesthetist (CRNA)
Caitlin Garman, CNACertified Registered Nurse Anesthetist (CRNA)
Caroline Hollingsworth, MDDiagnostic Radiology
Celina D. Cepeda, MDPediatric Medicine
Chad E. Hamner, MDGeneral Surgery
Chandra Reynolds, MDAnesthesiology
Charlie J. Park, CNACertified Registered Nurse Anesthetist (CRNA)
Cindy Sammons, CNACertified Registered Nurse Anesthetist (CRNA)
Corey S. Mandel, MDCardiovascular Disease (Cardiology)
Cynthia M. Roger, NPNurse Practitioner

And 73 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Texas Health Harris Methodist Fort Worth0.2 mi · Fort Worth, TX · Acute Care Hospital
Medical City Fort Worth0.2 mi · Fort Worth, TX · Acute Care Hospital
Baylor Scott and White All Saints Medical Center0.6 mi · Fort Worth, TX · Acute Care Hospital
Baylor Scott and White Surgical Hospital Fortworth…0.9 mi · Fort Worth, TX · Acute Care Hospital
JPS Health Network1.1 mi · Fort Worth, TX · Acute Care Hospital

Other hospitals nearby

Texas Health Specialty Hospital Fort Worth0.1 mi · Fort Worth, TX · Long-Term Acute Care Hospital
Texas Rehabilitation Hospital0.2 mi · Fort Worth, TX · Inpatient Rehabilitation Hospital

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

Downtown Health and Rehabilitation Center0.4 mi · Fort Worth, TX · 2 of 5 stars
Fort Worth Transitional Care Center0.4 mi · Fort Worth, TX · 1 of 5 stars
Arbor Lake Nursing & Rehabilitation, LLC0.5 mi · Fort Worth, TX · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Compassus - Fort Worth1.5 mi · Fort Worth, TX
Everycare Hospice1.5 mi · Fort Worth, TX
Luminary Hospice1.5 mi · Fort Worth, TX

All hospice providers in the state →

Home health agencies

Cook Childrens Home Health1.6 mi · Fort Worth, TX
DFW Home Health1.6 mi · Fort Worth, TX · 4 of 5 stars
Elara Caring1.6 mi · Ft Worth, TX

All home health agencies in the state →

Dialysis facilities

Cook Childrens Medical Center Dialysis Unit1.6 mi · Fort Worth, TX
DaVita Central Fort Worth Dialysis1.6 mi · Fort Worth, TX · 2 of 5 stars
Trinity Dialysis Center1.6 mi · Fort Worth, TX · 1 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Baylor Surgicare at Fort Worth1.6 mi · Fort Worth, TX
Fort Worth Endoscopy Ctr1.6 mi · Fort Worth, TX
FW Specialty Surgicare LLC1.6 mi · Fort Worth, TX

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

Southeast Community Health Center3.5 mi · Fort Worth, TX · Community health center
Northside Community Health Center5.0 mi · Fort Worth, TX · Community health center
Arlington Community Health Center13 mi · Arlington, TX · Community health center

Clinics and urgent care

American Current Care P.A.1.6 mi · Fort Worth, TX · Urgent care center
Cook Children's Medical Center1.6 mi · Fort Worth, TX · Urgent care center
Citra Physician Services PLLC2.3 mi · Fort Worth, TX · Urgent care center

Pharmacies

Sundance Apothecary, LP1.5 mi · Fort Worth, TX · Community/retail pharmacy
Walgreen Co1.5 mi · Fort Worth, TX · Pharmacy
A-Class Park Place Pharmacy LLC1.6 mi · Fort Worth, TX · Pharmacy

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

Trinity Terrace Assisted Living & Memory Support1.5 mi · Fort Worth, TX
Pathways Adult Living Inc1.6 mi · Fort Worth, TX
The Stayton at Museum Way2.3 mi · Fort Worth, TX
Brookdale Tanglewood Oaks3.7 mi · Fort Worth, TX

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 Cook Childrens 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.

Not reported to Medicare

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not 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 patients	Not reported to Medicare
Deaths within 30 days: heart failure patients	Not reported to Medicare
Deaths within 30 days: pneumonia patients	Not reported to Medicare
Deaths within 30 days: COPD patients	Not reported to Medicare
Deaths within 30 days: stroke patients	Not reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Not reported to Medicare
Readmitted within 30 days: heart failure	Not reported to Medicare
Readmitted within 30 days: pneumonia	Not reported to Medicare
Readmitted within 30 days: COPD	Not reported to Medicare
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

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

Emergency room times and sepsis care

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

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

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Fort Worth Best hospitals in Fort Worth

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 81 common services exactly as Cook Childrens 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 →

$ 1 amount is marked with “!”: it is more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. It is shown exactly as listed; ask the hospital before relying on it.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC E&M, INITIAL LEVEL III	$298.82	$224.12	$71.72 – $274.91
New patient office visit (about 30–44 minutes): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $254 Aetna — BETTER HEALTH CHIP: $97.88 Aetna — BETTER HEALTH STAR Kids: $97.88 Aetna — BETTER HEALTH STAR UHRIP: $97.88 Aetna — EMPLOYEE: $179.29 BCBS — BCBS TX STAR: $107.96 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $268.94 BCBS — CHIP: $107.96 BCBS — CHIP STAR KIDS: $107.96 BCBS — HMO: $233.08
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URGENT CARE LVL 3-INITIAL	$283.15	$212.36	$67.96 – $260.50
New patient office visit (about 30–44 minutes): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $240.68 Aetna — BETTER HEALTH CHIP: $97.88 Aetna — BETTER HEALTH STAR Kids: $97.88 Aetna — BETTER HEALTH STAR UHRIP: $97.88 Aetna — EMPLOYEE: $169.89 BCBS — BCBS TX STAR: $102.30 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $254.84 BCBS — CHIP: $102.30 BCBS — CHIP STAR KIDS: $102.30 BCBS — HMO: $220.86
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NEW PATIENT LVL 3	$385.62	$289.22	$68.51 – $97.88
New patient office visit (about 30–44 minutes): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $327.78 Aetna — BETTER HEALTH CHIP: $97.88 Aetna — BETTER HEALTH STAR Kids: $97.88 Aetna — BETTER HEALTH STAR UHRIP: $97.88 Aetna — EMPLOYEE: $231.37 BCBS — BCBS TX STAR: $139.32 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $347.06 BCBS — CHIP: $139.32 BCBS — CHIP STAR KIDS: $139.32 BCBS — HMO: $300.78
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC E&M, INITIAL LEVEL IV	$463.34	$347.51	$100.24 – $143.21
New patient office visit (about 45–59 minutes): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $393.84 Aetna — BETTER HEALTH CHIP: $143.21 Aetna — BETTER HEALTH STAR Kids: $143.21 Aetna — BETTER HEALTH STAR UHRIP: $143.21 Aetna — EMPLOYEE: $278 BCBS — BCBS TX STAR: $167.40 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $417.01 BCBS — CHIP: $167.40 BCBS — CHIP STAR KIDS: $167.40 BCBS — HMO: $361.41
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URGENT CARE LVL 4-INITIAL	$403.65	$302.74	$100.24 – $143.21
New patient office visit (about 45–59 minutes): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $343.10 Aetna — BETTER HEALTH CHIP: $143.21 Aetna — BETTER HEALTH STAR Kids: $143.21 Aetna — BETTER HEALTH STAR UHRIP: $143.21 Aetna — EMPLOYEE: $242.19 BCBS — BCBS TX STAR: $145.84 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $363.29 BCBS — CHIP: $145.84 BCBS — CHIP STAR KIDS: $145.84 BCBS — HMO: $314.85
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NEW PATIENT LVL 4	$594.56	$445.92	$100.24 – $143.21
New patient office visit (about 45–59 minutes): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $505.38 Aetna — BETTER HEALTH CHIP: $143.21 Aetna — BETTER HEALTH STAR Kids: $143.21 Aetna — BETTER HEALTH STAR UHRIP: $143.21 Aetna — EMPLOYEE: $356.74 BCBS — BCBS TX STAR: $214.81 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $535.10 BCBS — CHIP: $214.81 BCBS — CHIP STAR KIDS: $214.81 BCBS — HMO: $463.76
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC E&M, INITIAL LEVEL V	$585.04	$438.78	$124.64 – $178.05
New patient office visit (about 60–74 minutes): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $497.28 Aetna — BETTER HEALTH CHIP: $178.05 Aetna — BETTER HEALTH STAR Kids: $178.05 Aetna — BETTER HEALTH STAR UHRIP: $178.05 Aetna — EMPLOYEE: $351.02 BCBS — BCBS TX STAR: $211.37 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $526.54 BCBS — CHIP: $211.37 BCBS — CHIP STAR KIDS: $211.37 BCBS — HMO: $456.33
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URGENT CARE LVL 5-INITIAL	$488.20	$366.15	$124.64 – $178.05
New patient office visit (about 60–74 minutes): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $414.97 Aetna — BETTER HEALTH CHIP: $178.05 Aetna — BETTER HEALTH STAR Kids: $178.05 Aetna — BETTER HEALTH STAR UHRIP: $178.05 Aetna — EMPLOYEE: $292.92 BCBS — BCBS TX STAR: $176.39 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $439.38 BCBS — CHIP: $176.39 BCBS — CHIP STAR KIDS: $176.39 BCBS — HMO: $380.80
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NEW PATIENT LVL 5	$750.84	$563.13	$124.64 – $178.05
New patient office visit (about 60–74 minutes): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $638.21 Aetna — BETTER HEALTH CHIP: $178.05 Aetna — BETTER HEALTH STAR Kids: $178.05 Aetna — BETTER HEALTH STAR UHRIP: $178.05 Aetna — EMPLOYEE: $450.50 BCBS — BCBS TX STAR: $271.28 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $675.76 BCBS — CHIP: $271.28 BCBS — CHIP STAR KIDS: $271.28 BCBS — HMO: $585.66
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC E&M, ESTABLISHED LEVEL III	$200.37	$150.28	$41.90 – $59.85
Established patient office visit (about 20–29 minutes): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $170.31 Aetna — BETTER HEALTH CHIP: $59.85 Aetna — BETTER HEALTH STAR Kids: $59.85 Aetna — BETTER HEALTH STAR UHRIP: $59.85 Aetna — EMPLOYEE: $120.22 BCBS — BCBS TX STAR: $72.39 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $180.33 BCBS — CHIP: $72.39 BCBS — CHIP STAR KIDS: $72.39 BCBS — HMO: $156.29
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URGENT CARE LVL 3 ESTAB	$181.80	$136.35	$41.90 – $59.85
Established patient office visit (about 20–29 minutes): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $154.53 Aetna — BETTER HEALTH CHIP: $59.85 Aetna — BETTER HEALTH STAR Kids: $59.85 Aetna — BETTER HEALTH STAR UHRIP: $59.85 Aetna — EMPLOYEE: $109.08 BCBS — BCBS TX STAR: $65.68 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $163.62 BCBS — CHIP: $65.68 BCBS — CHIP STAR KIDS: $65.68 BCBS — HMO: $141.80
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LACTATION CONSULT IP ONLY	$544.03	$408.02	$41.90 – $59.85
Established patient office visit (about 20–29 minutes): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $462.43 Aetna — BETTER HEALTH CHIP: $59.85 Aetna — BETTER HEALTH STAR Kids: $59.85 Aetna — BETTER HEALTH STAR UHRIP: $59.85 Aetna — EMPLOYEE: $326.42 BCBS — BCBS TX STAR: $196.56 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $489.63 BCBS — CHIP: $196.56 BCBS — CHIP STAR KIDS: $196.56 BCBS — HMO: $424.34
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC E&M, ESTABLISHED LEVEL IV	$300.59	$225.44	$58.83 – $84.05
Established patient office visit (about 30–39 minutes): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $255.50 Aetna — BETTER HEALTH CHIP: $84.05 Aetna — BETTER HEALTH STAR Kids: $84.05 Aetna — BETTER HEALTH STAR UHRIP: $84.05 Aetna — EMPLOYEE: $180.35 BCBS — BCBS TX STAR: $108.60 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $270.53 BCBS — CHIP: $108.60 BCBS — CHIP STAR KIDS: $108.60 BCBS — HMO: $234.46
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URGENT CARE LVL 4 ESTAB	$272.65	$204.49	$58.83 – $84.05
Established patient office visit (about 30–39 minutes): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $231.75 Aetna — BETTER HEALTH CHIP: $84.05 Aetna — BETTER HEALTH STAR Kids: $84.05 Aetna — BETTER HEALTH STAR UHRIP: $84.05 Aetna — EMPLOYEE: $163.59 BCBS — BCBS TX STAR: $98.51 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $245.39 BCBS — CHIP: $98.51 BCBS — CHIP STAR KIDS: $98.51 BCBS — HMO: $212.67
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC E&M ESTISHED PT(EXTENDED)OPLV4	$1,067.53	$800.65	$58.83 – $84.05
Established patient office visit (about 30–39 minutes): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $907.40 Aetna — BETTER HEALTH CHIP: $84.05 Aetna — BETTER HEALTH STAR Kids: $84.05 Aetna — BETTER HEALTH STAR UHRIP: $84.05 Aetna — EMPLOYEE: $640.52 BCBS — BCBS TX STAR: $385.70 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $960.78 BCBS — CHIP: $385.70 BCBS — CHIP STAR KIDS: $385.70 BCBS — HMO: $832.67
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CONSULTATION FEE LEVEL 3	$1,026.36	$769.77	$246.33 – $944.25
Office consultation with a specialist (moderate): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $872.41 Aetna — BETTER HEALTH CHIP: $496.76 Aetna — BETTER HEALTH STAR Kids: $496.76 Aetna — BETTER HEALTH STAR UHRIP: $496.76 Aetna — EMPLOYEE: $615.82 BCBS — BCBS TX STAR: $370.82 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $923.72 BCBS — CHIP: $370.82 BCBS — CHIP STAR KIDS: $370.82 BCBS — HMO: $800.56
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CONSULTATION FEE LEVEL 3	$1,026.36	$769.77	$246.33 – $944.25
Office consultation with a specialist (moderate): 10 of 12 insurance plan rates Aetna — EMPLOYEE: $513.18 BEACON — ALL PRODUCTS: $246.33 BEACON — CHIP: $246.33 BEACON — HEALTH OPTIONS: $246.33 BEACON — STAR: $246.33 FIRSTCARE — STAR: $246.33 HEALTH PLAN w. UHRIP — STAR: $390.22 HEALTH PLAN w/o UHRIP — CHIP: $246.33 HEALTH PLAN w/o UHRIP — STAR KIDS: $246.33 Optum — ALL PRODUCTS: $595.29
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CONSULTATION FEE LEVEL 4	$1,455.22	$1,091.42	$349.25 – $1,338.80
Office consultation with a specialist (moderate to high): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $1,236.94 Aetna — BETTER HEALTH CHIP: $704.33 Aetna — BETTER HEALTH STAR Kids: $704.33 Aetna — BETTER HEALTH STAR UHRIP: $704.33 Aetna — EMPLOYEE: $873.13 BCBS — BCBS TX STAR: $525.77 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $1,309.70 BCBS — CHIP: $525.77 BCBS — CHIP STAR KIDS: $525.77 BCBS — HMO: $1,135.07
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CONSULTATION FEE LEVEL 4	$1,455.22	$1,091.42	$349.25 – $1,338.80
Office consultation with a specialist (moderate to high): 10 of 12 insurance plan rates Aetna — EMPLOYEE: $727.61 BEACON — ALL PRODUCTS: $349.25 BEACON — CHIP: $349.25 BEACON — HEALTH OPTIONS: $349.25 BEACON — STAR: $349.25 FIRSTCARE — STAR: $349.25 HEALTH PLAN w. UHRIP — STAR: $553.27 HEALTH PLAN w/o UHRIP — CHIP: $349.25 HEALTH PLAN w/o UHRIP — STAR KIDS: $349.25 Optum — ALL PRODUCTS: $844.03
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC WELL CHECK, INITIAL 18YR - 39YRS	$346.96	$260.22	$83.27 – $319.20
Preventive checkup, new patient, age 18–39: 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $294.92 Aetna — BETTER HEALTH CHIP: $167.93 Aetna — BETTER HEALTH STAR Kids: $167.93 Aetna — BETTER HEALTH STAR UHRIP: $167.93 Aetna — EMPLOYEE: $208.18 BCBS — BCBS TX STAR: $125.36 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $312.26 BCBS — CHIP: $125.36 BCBS — CHIP STAR KIDS: $125.36 BCBS — HMO: $270.63
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC WELL CHECK, INITIAL 18YR - 39YRS	$346.96	$260.22	$83.27 – $319.20
Preventive checkup, new patient, age 18–39: 10 of 12 insurance plan rates Aetna — EMPLOYEE: $173.48 BEACON — ALL PRODUCTS: $83.27 BEACON — CHIP: $83.27 BEACON — HEALTH OPTIONS: $83.27 BEACON — STAR: $83.27 FIRSTCARE — STAR: $83.27 HEALTH PLAN w. UHRIP — STAR: $131.91 HEALTH PLAN w/o UHRIP — CHIP: $83.27 HEALTH PLAN w/o UHRIP — STAR KIDS: $83.27 Optum — ALL PRODUCTS: $201.24
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER DISCHARGE LEVEL III	$2,025.42	$1,519.07	$486.10 – $1,863.39
Emergency room visit (moderate): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $1,721.61 Aetna — BETTER HEALTH CHIP: $931.69 Aetna — BETTER HEALTH STAR Kids: $931.69 Aetna — BETTER HEALTH STAR UHRIP: $931.69 Aetna — EMPLOYEE: $1,215.25 BCBS — BCBS TX STAR: $731.78 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $1,822.88 BCBS — CHIP: $731.78 BCBS — CHIP STAR KIDS: $731.78 BCBS — HMO: $1,579.83
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SANE EXAMINER FEE (LVL 3)	$233	$174.75	$55.92 – $214.36
Emergency room visit (moderate): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $198.05 Aetna — BETTER HEALTH CHIP: $107.18 Aetna — BETTER HEALTH STAR Kids: $107.18 Aetna — BETTER HEALTH STAR UHRIP: $107.18 Aetna — EMPLOYEE: $139.80 BCBS — BCBS TX STAR: $84.18 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $209.70 BCBS — CHIP: $84.18 BCBS — CHIP STAR KIDS: $84.18 BCBS — HMO: $181.74
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DISCHG LVL III CARE TEAM	$1,145.19	$858.89	$274.85 – $1,053.57
Emergency room visit (moderate): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $973.41 Aetna — BETTER HEALTH CHIP: $526.79 Aetna — BETTER HEALTH STAR Kids: $526.79 Aetna — BETTER HEALTH STAR UHRIP: $526.79 Aetna — EMPLOYEE: $687.11 BCBS — BCBS TX STAR: $413.76 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $1,030.67 BCBS — CHIP: $413.76 BCBS — CHIP STAR KIDS: $413.76 BCBS — HMO: $893.25
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER DISCHARGE LEVEL IV	$3,619.26	$2,714.45	$143.21
Emergency room visit (moderately high): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $3,076.37 Aetna — BETTER HEALTH CHIP: $143.21 Aetna — BETTER HEALTH STAR Kids: $143.21 Aetna — BETTER HEALTH STAR UHRIP: $143.21 Aetna — EMPLOYEE: $2,171.56 BCBS — BCBS TX STAR: $1,307.64 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $3,257.33 BCBS — CHIP: $1,307.64 BCBS — CHIP STAR KIDS: $1,307.64 BCBS — HMO: $2,823.02
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SANE EXAMINER FEE	$233	$174.75	$143.21
Emergency room visit (moderately high): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $198.05 Aetna — BETTER HEALTH CHIP: $143.21 Aetna — BETTER HEALTH STAR Kids: $143.21 Aetna — BETTER HEALTH STAR UHRIP: $143.21 Aetna — EMPLOYEE: $139.80 BCBS — BCBS TX STAR: $84.18 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $209.70 BCBS — CHIP: $84.18 BCBS — CHIP STAR KIDS: $84.18 BCBS — HMO: $181.74
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DISCHG LVL IV CARE TEAM	$1,969.48	$1,477.11	$143.21
Emergency room visit (moderately high): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $1,674.06 Aetna — BETTER HEALTH CHIP: $143.21 Aetna — BETTER HEALTH STAR Kids: $143.21 Aetna — BETTER HEALTH STAR UHRIP: $143.21 Aetna — EMPLOYEE: $1,181.69 BCBS — BCBS TX STAR: $711.57 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $1,772.53 BCBS — CHIP: $711.57 BCBS — CHIP STAR KIDS: $711.57 BCBS — HMO: $1,536.19
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER DISCHARGE LEVEL V	$5,354.41	$4,015.81	$178.05
Emergency room visit (high): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $4,551.25 Aetna — BETTER HEALTH CHIP: $178.05 Aetna — BETTER HEALTH STAR Kids: $178.05 Aetna — BETTER HEALTH STAR UHRIP: $178.05 Aetna — EMPLOYEE: $3,212.65 BCBS — BCBS TX STAR: $1,934.55 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $4,818.97 BCBS — CHIP: $1,934.55 BCBS — CHIP STAR KIDS: $1,934.55 BCBS — HMO: $4,176.44
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SANE EXAMINER FEE (LVL 5)	$233	$174.75	$178.05
Emergency room visit (high): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $198.05 Aetna — BETTER HEALTH CHIP: $178.05 Aetna — BETTER HEALTH STAR Kids: $178.05 Aetna — BETTER HEALTH STAR UHRIP: $178.05 Aetna — EMPLOYEE: $139.80 BCBS — BCBS TX STAR: $84.18 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $209.70 BCBS — CHIP: $84.18 BCBS — CHIP STAR KIDS: $84.18 BCBS — HMO: $181.74
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DISCHG LVL V-CARE TEAM	$3,712.40	$2,784.30	$178.05
Emergency room visit (high): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $3,155.54 Aetna — BETTER HEALTH CHIP: $178.05 Aetna — BETTER HEALTH STAR Kids: $178.05 Aetna — BETTER HEALTH STAR UHRIP: $178.05 Aetna — EMPLOYEE: $2,227.44 BCBS — BCBS TX STAR: $1,341.29 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $3,341.16 BCBS — CHIP: $1,341.29 BCBS — CHIP STAR KIDS: $1,341.29 BCBS — HMO: $2,895.67

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$752.74	$564.56	$7.11 – $9.31
Basic metabolic panel (blood test): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $639.83 Aetna — BETTER HEALTH CHIP: $8.46 Aetna — BETTER HEALTH STAR Kids: $8.46 Aetna — BETTER HEALTH STAR UHRIP: $8.46 Aetna — EMPLOYEE: $451.64 BCBS — BCBS TX STAR: $9.14 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $677.47 BCBS — CHIP: $9.14 BCBS — CHIP STAR KIDS: $9.14 BCBS — HMO: $587.14
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$752.74	$564.56	$180.66 – $692.52
Basic metabolic panel (blood test): 10 of 12 insurance plan rates Aetna — EMPLOYEE: $376.37 BEACON — ALL PRODUCTS: $180.66 BEACON — CHIP: $180.66 BEACON — HEALTH OPTIONS: $180.66 BEACON — STAR: $180.66 FIRSTCARE — STAR: $180.66 HEALTH PLAN w. UHRIP — STAR: $286.19 HEALTH PLAN w/o UHRIP — CHIP: $180.66 HEALTH PLAN w/o UHRIP — STAR KIDS: $180.66 Optum — ALL PRODUCTS: $436.59
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$1,216.64	$912.48	$291.99 – $1,119.31
Comprehensive metabolic panel (blood test): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $1,034.14 Aetna — BETTER HEALTH CHIP: $10.56 Aetna — BETTER HEALTH STAR Kids: $10.56 Aetna — BETTER HEALTH STAR UHRIP: $10.56 Aetna — EMPLOYEE: $729.98 BCBS — BCBS TX STAR: $11.40 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $1,094.98 BCBS — CHIP: $11.40 BCBS — CHIP STAR KIDS: $11.40 BCBS — HMO: $948.98
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$1,216.64	$912.48	$291.99 – $1,119.31
Comprehensive metabolic panel (blood test): 10 of 12 insurance plan rates Aetna — EMPLOYEE: $608.32 BEACON — ALL PRODUCTS: $291.99 BEACON — CHIP: $291.99 BEACON — HEALTH OPTIONS: $291.99 BEACON — STAR: $291.99 FIRSTCARE — STAR: $291.99 HEALTH PLAN w. UHRIP — STAR: $462.57 HEALTH PLAN w/o UHRIP — CHIP: $291.99 HEALTH PLAN w/o UHRIP — STAR KIDS: $291.99 Optum — ALL PRODUCTS: $705.65
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL	$517.77	$388.33	$124.26 – $476.35
Cholesterol panel (lipid panel): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $440.10 Aetna — BETTER HEALTH CHIP: $13.39 Aetna — BETTER HEALTH STAR Kids: $13.39 Aetna — BETTER HEALTH STAR UHRIP: $13.39 Aetna — EMPLOYEE: $310.66 BCBS — BCBS TX STAR: $14.46 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $465.99 BCBS — CHIP: $14.46 BCBS — CHIP STAR KIDS: $14.46 BCBS — HMO: $403.86
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POC LIPID PANEL - PBBC	$62.03	$46.52	$14.89 – $57.07
Cholesterol panel (lipid panel): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $52.73 Aetna — BETTER HEALTH CHIP: $13.39 Aetna — BETTER HEALTH STAR Kids: $13.39 Aetna — BETTER HEALTH STAR UHRIP: $13.39 Aetna — EMPLOYEE: $37.22 BCBS — BCBS TX STAR: $14.46 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $55.83 BCBS — CHIP: $14.46 BCBS — CHIP STAR KIDS: $14.46 BCBS — HMO: $48.38
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PANEL	$517.77	$388.33	$124.26 – $476.35
Cholesterol panel (lipid panel): 10 of 12 insurance plan rates Aetna — EMPLOYEE: $258.89 BEACON — ALL PRODUCTS: $124.26 BEACON — CHIP: $124.26 BEACON — HEALTH OPTIONS: $124.26 BEACON — STAR: $124.26 FIRSTCARE — STAR: $124.26 HEALTH PLAN w. UHRIP — STAR: $196.86 HEALTH PLAN w/o UHRIP — CHIP: $124.26 HEALTH PLAN w/o UHRIP — STAR KIDS: $124.26 Optum — ALL PRODUCTS: $300.31
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$710.91	$533.18	$170.62 – $654.04
Kidney function panel: 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $604.27 Aetna — BETTER HEALTH CHIP: $8.68 Aetna — BETTER HEALTH STAR Kids: $8.68 Aetna — BETTER HEALTH STAR UHRIP: $8.68 Aetna — EMPLOYEE: $426.55 BCBS — BCBS TX STAR: $9.37 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $639.82 BCBS — CHIP: $9.37 BCBS — CHIP STAR KIDS: $9.37 BCBS — HMO: $554.51
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$710.91	$533.18	$170.62 – $654.04
Kidney function panel: 10 of 12 insurance plan rates Aetna — EMPLOYEE: $355.46 BEACON — ALL PRODUCTS: $170.62 BEACON — CHIP: $170.62 BEACON — HEALTH OPTIONS: $170.62 BEACON — STAR: $170.62 FIRSTCARE — STAR: $170.62 HEALTH PLAN w. UHRIP — STAR: $270.29 HEALTH PLAN w/o UHRIP — CHIP: $170.62 HEALTH PLAN w/o UHRIP — STAR KIDS: $170.62 Optum — ALL PRODUCTS: $412.33
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL	$614.81	$461.11	$147.55 – $565.63
Liver function panel: 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $522.59 Aetna — BETTER HEALTH CHIP: $8.17 Aetna — BETTER HEALTH STAR Kids: $8.17 Aetna — BETTER HEALTH STAR UHRIP: $8.17 Aetna — EMPLOYEE: $368.89 BCBS — BCBS TX STAR: $8.82 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $553.33 BCBS — CHIP: $8.82 BCBS — CHIP STAR KIDS: $8.82 BCBS — HMO: $479.55
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL	$614.81	$461.11	$147.55 – $565.63
Liver function panel: 10 of 12 insurance plan rates Aetna — EMPLOYEE: $307.41 BEACON — ALL PRODUCTS: $147.55 BEACON — CHIP: $147.55 BEACON — HEALTH OPTIONS: $147.55 BEACON — STAR: $147.55 FIRSTCARE — STAR: $147.55 HEALTH PLAN w. UHRIP — STAR: $233.75 HEALTH PLAN w/o UHRIP — CHIP: $147.55 HEALTH PLAN w/o UHRIP — STAR KIDS: $147.55 Optum — ALL PRODUCTS: $356.59
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UA; WITH MICROSCOPY	$252.95	$189.71	$2.66 – $3.49
Urine test (automated, with microscope): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $215.01 Aetna — BETTER HEALTH CHIP: $3.17 Aetna — BETTER HEALTH STAR Kids: $3.17 Aetna — BETTER HEALTH STAR UHRIP: $3.17 Aetna — EMPLOYEE: $151.77 BCBS — BCBS TX STAR: $3.42 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $227.66 BCBS — CHIP: $3.42 BCBS — CHIP STAR KIDS: $3.42 BCBS — HMO: $197.30
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC UA; WITH MICROSCOPY	$252.95	$189.71	$60.71 – $232.71
Urine test (automated, with microscope): 10 of 12 insurance plan rates Aetna — EMPLOYEE: $126.48 BEACON — ALL PRODUCTS: $60.71 BEACON — CHIP: $60.71 BEACON — HEALTH OPTIONS: $60.71 BEACON — STAR: $60.71 FIRSTCARE — STAR: $60.71 HEALTH PLAN w. UHRIP — STAR: $96.17 HEALTH PLAN w/o UHRIP — CHIP: $60.71 HEALTH PLAN w/o UHRIP — STAR KIDS: $60.71 Optum — ALL PRODUCTS: $146.71
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINE SCREEN, DIPSTICK	$59.02	$44.27	$2.92 – $3.83
Urine test (manual, without microscope): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $50.17 Aetna — BETTER HEALTH CHIP: $3.48 Aetna — BETTER HEALTH STAR Kids: $3.48 Aetna — BETTER HEALTH STAR UHRIP: $3.48 Aetna — EMPLOYEE: $35.41 BCBS — BCBS TX STAR: $3.76 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $53.12 BCBS — CHIP: $3.76 BCBS — CHIP STAR KIDS: $3.76 BCBS — HMO: $46.04
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS POC	$17.90	$13.43	$2.92 – $3.83
Urine test (manual, without microscope): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $15.22 Aetna — BETTER HEALTH CHIP: $3.48 Aetna — BETTER HEALTH STAR Kids: $3.48 Aetna — BETTER HEALTH STAR UHRIP: $3.48 Aetna — EMPLOYEE: $10.74 BCBS — BCBS TX STAR: $3.76 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $16.11 BCBS — CHIP: $3.76 BCBS — CHIP STAR KIDS: $3.76 BCBS — HMO: $13.96
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POC URINE KETONES	$16.25	$12.19	$2.92 – $3.83
Urine test (manual, without microscope): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $13.81 Aetna — BETTER HEALTH CHIP: $3.48 Aetna — BETTER HEALTH STAR Kids: $3.48 Aetna — BETTER HEALTH STAR UHRIP: $3.48 Aetna — EMPLOYEE: $9.75 BCBS — BCBS TX STAR: $3.76 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $14.63 BCBS — CHIP: $3.76 BCBS — CHIP STAR KIDS: $3.76 BCBS — HMO: $12.68
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SPECIFIC GRAVITY, URINE	$90.53	$67.90	$1.89 – $2.48
Urine test (automated, without microscope): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $76.95 Aetna — BETTER HEALTH CHIP: $2.25 Aetna — BETTER HEALTH STAR Kids: $2.25 Aetna — BETTER HEALTH STAR UHRIP: $2.25 Aetna — EMPLOYEE: $54.32 BCBS — BCBS TX STAR: $2.43 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $81.48 BCBS — CHIP: $2.43 BCBS — CHIP STAR KIDS: $2.43 BCBS — HMO: $70.61
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PH URINE	$51.98	$38.99	$12.48 – $47.82
Urine test (automated, without microscope): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $44.18 Aetna — BETTER HEALTH CHIP: $2.25 Aetna — BETTER HEALTH STAR Kids: $2.25 Aetna — BETTER HEALTH STAR UHRIP: $2.25 Aetna — EMPLOYEE: $31.19 BCBS — BCBS TX STAR: $2.43 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $46.78 BCBS — CHIP: $2.43 BCBS — CHIP STAR KIDS: $2.43 BCBS — HMO: $40.54
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC KETONE URINE	$85.02	$63.77	$20.40 – $78.22
Urine test (automated, without microscope): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $72.27 Aetna — BETTER HEALTH CHIP: $2.25 Aetna — BETTER HEALTH STAR Kids: $2.25 Aetna — BETTER HEALTH STAR UHRIP: $2.25 Aetna — EMPLOYEE: $51.01 BCBS — BCBS TX STAR: $2.43 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $76.52 BCBS — CHIP: $2.43 BCBS — CHIP STAR KIDS: $2.43 BCBS — HMO: $66.32
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN (PSA), TOTAL	$445.66	$334.25	$15.45 – $20.23
PSA (prostate specific antigen) blood test: 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $378.81 Aetna — BETTER HEALTH CHIP: $18.39 Aetna — BETTER HEALTH STAR Kids: $18.39 Aetna — BETTER HEALTH STAR UHRIP: $18.39 Aetna — EMPLOYEE: $267.40 BCBS — BCBS TX STAR: $19.86 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $401.09 BCBS — CHIP: $19.86 BCBS — CHIP STAR KIDS: $19.86 BCBS — HMO: $347.61
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN (PSA), TOTAL	$445.66	$334.25	$106.96 – $410.01
PSA (prostate specific antigen) blood test: 10 of 12 insurance plan rates Aetna — EMPLOYEE: $222.83 BEACON — ALL PRODUCTS: $106.96 BEACON — CHIP: $106.96 BEACON — HEALTH OPTIONS: $106.96 BEACON — STAR: $106.96 FIRSTCARE — STAR: $106.96 HEALTH PLAN w. UHRIP — STAR: $169.44 HEALTH PLAN w/o UHRIP — CHIP: $106.96 HEALTH PLAN w/o UHRIP — STAR KIDS: $106.96 Optum — ALL PRODUCTS: $258.48
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH	$184.40	$138.30	$44.26 – $169.65
Thyroid stimulating hormone (TSH) test: 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $156.74 Aetna — BETTER HEALTH CHIP: $16.80 Aetna — BETTER HEALTH STAR Kids: $16.80 Aetna — BETTER HEALTH STAR UHRIP: $16.80 Aetna — EMPLOYEE: $110.64 BCBS — BCBS TX STAR: $18.14 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $165.96 BCBS — CHIP: $18.14 BCBS — CHIP STAR KIDS: $18.14 BCBS — HMO: $143.83
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC TSH	$184.40	$138.30	$44.26 – $169.65
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates Aetna — EMPLOYEE: $92.20 BEACON — ALL PRODUCTS: $44.26 BEACON — CHIP: $44.26 BEACON — HEALTH OPTIONS: $44.26 BEACON — STAR: $44.26 FIRSTCARE — STAR: $44.26 HEALTH PLAN w. UHRIP — STAR: $70.11 HEALTH PLAN w/o UHRIP — CHIP: $44.26 HEALTH PLAN w/o UHRIP — STAR KIDS: $44.26 Optum — ALL PRODUCTS: $106.95
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC WITH AUTO DIFF	$257.90	$193.43	$6.53 – $8.55
Complete blood count (CBC) with differential: 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $219.22 Aetna — BETTER HEALTH CHIP: $7.77 Aetna — BETTER HEALTH STAR Kids: $7.77 Aetna — BETTER HEALTH STAR UHRIP: $7.77 Aetna — EMPLOYEE: $154.74 BCBS — BCBS TX STAR: $8.39 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $232.11 BCBS — CHIP: $8.39 BCBS — CHIP STAR KIDS: $8.39 BCBS — HMO: $201.16
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC WITH AUTO DIFF	$257.90	$193.43	$61.90 – $237.27
Complete blood count (CBC) with differential: 10 of 12 insurance plan rates Aetna — EMPLOYEE: $128.95 BEACON — ALL PRODUCTS: $61.90 BEACON — CHIP: $61.90 BEACON — HEALTH OPTIONS: $61.90 BEACON — STAR: $61.90 FIRSTCARE — STAR: $61.90 HEALTH PLAN w. UHRIP — STAR: $98.05 HEALTH PLAN w/o UHRIP — CHIP: $61.90 HEALTH PLAN w/o UHRIP — STAR KIDS: $61.90 Optum — ALL PRODUCTS: $149.58
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC W MAN DIFF	$178.85	$134.14	$5.43 – $7.12
Complete blood count (CBC), automated: 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $152.02 Aetna — BETTER HEALTH CHIP: $6.47 Aetna — BETTER HEALTH STAR Kids: $6.47 Aetna — BETTER HEALTH STAR UHRIP: $6.47 Aetna — EMPLOYEE: $107.31 BCBS — BCBS TX STAR: $6.99 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $160.97 BCBS — CHIP: $6.99 BCBS — CHIP STAR KIDS: $6.99 BCBS — HMO: $139.50
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC W MAN DIFF	$178.85	$134.14	$42.92 – $164.54
Complete blood count (CBC), automated: 10 of 12 insurance plan rates Aetna — EMPLOYEE: $89.43 BEACON — ALL PRODUCTS: $42.92 BEACON — CHIP: $42.92 BEACON — HEALTH OPTIONS: $42.92 BEACON — STAR: $42.92 FIRSTCARE — STAR: $42.92 HEALTH PLAN w. UHRIP — STAR: $68 HEALTH PLAN w/o UHRIP — CHIP: $42.92 HEALTH PLAN w/o UHRIP — STAR KIDS: $42.92 Optum — ALL PRODUCTS: $103.73
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT	$185.13	$138.85	$44.43 – $170.32
Blood clotting time test (prothrombin time, PT): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $157.36 Aetna — BETTER HEALTH CHIP: $4.29 Aetna — BETTER HEALTH STAR Kids: $4.29 Aetna — BETTER HEALTH STAR UHRIP: $4.29 Aetna — EMPLOYEE: $111.08 BCBS — BCBS TX STAR: $4.63 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $166.62 BCBS — CHIP: $4.63 BCBS — CHIP STAR KIDS: $4.63 BCBS — HMO: $144.40
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME (PT)	$153.04	$114.78	$36.73 – $140.80
Blood clotting time test (prothrombin time, PT): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $130.08 Aetna — BETTER HEALTH CHIP: $4.29 Aetna — BETTER HEALTH STAR Kids: $4.29 Aetna — BETTER HEALTH STAR UHRIP: $4.29 Aetna — EMPLOYEE: $91.82 BCBS — BCBS TX STAR: $4.63 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $137.74 BCBS — CHIP: $4.63 BCBS — CHIP STAR KIDS: $4.63 BCBS — HMO: $119.37
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LUPUS-PT	$88.63	$66.47	$21.27 – $81.54
Blood clotting time test (prothrombin time, PT): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $75.34 Aetna — BETTER HEALTH CHIP: $4.29 Aetna — BETTER HEALTH STAR Kids: $4.29 Aetna — BETTER HEALTH STAR UHRIP: $4.29 Aetna — EMPLOYEE: $53.18 BCBS — BCBS TX STAR: $4.63 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $79.77 BCBS — CHIP: $4.63 BCBS — CHIP STAR KIDS: $4.63 BCBS — HMO: $69.13
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PTT	$283.75	$212.81	$68.10 – $261.05
Blood clotting test (partial thromboplastin time, PTT): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $241.19 Aetna — BETTER HEALTH CHIP: $6.01 Aetna — BETTER HEALTH STAR Kids: $6.01 Aetna — BETTER HEALTH STAR UHRIP: $6.01 Aetna — EMPLOYEE: $170.25 BCBS — BCBS TX STAR: $6.49 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $255.38 BCBS — CHIP: $6.49 BCBS — CHIP STAR KIDS: $6.49 BCBS — HMO: $221.33
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME, PART	$285.65	$214.24	$68.56 – $262.80
Blood clotting test (partial thromboplastin time, PTT): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $242.80 Aetna — BETTER HEALTH CHIP: $6.01 Aetna — BETTER HEALTH STAR Kids: $6.01 Aetna — BETTER HEALTH STAR UHRIP: $6.01 Aetna — EMPLOYEE: $171.39 BCBS — BCBS TX STAR: $6.49 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $257.09 BCBS — CHIP: $6.49 BCBS — CHIP STAR KIDS: $6.49 BCBS — HMO: $222.81
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LUPUS-PTT	$182.48	$136.86	$43.80 – $167.88
Blood clotting test (partial thromboplastin time, PTT): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $155.11 Aetna — BETTER HEALTH CHIP: $6.01 Aetna — BETTER HEALTH STAR Kids: $6.01 Aetna — BETTER HEALTH STAR UHRIP: $6.01 Aetna — EMPLOYEE: $109.49 BCBS — BCBS TX STAR: $6.49 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $164.23 BCBS — CHIP: $6.49 BCBS — CHIP STAR KIDS: $6.49 BCBS — HMO: $142.33

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

Service	Hospital charge	Cash price	Insurance 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 CT HEAD	$3,791.41	$2,843.56	$96.96 – $148.14
CT scan of the head or brain, without contrast: 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $3,222.70 Aetna — BETTER HEALTH CHIP: $138.51 Aetna — BETTER HEALTH STAR Kids: $138.51 Aetna — BETTER HEALTH STAR UHRIP: $138.51 Aetna — EMPLOYEE: $2,274.85 BCBS — BCBS TX STAR: $1,369.84 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $3,412.27 BCBS — CHIP: $1,369.84 BCBS — CHIP STAR KIDS: $1,369.84 BCBS — HMO: $2,957.30
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD	$3,791.41	$2,843.56	$909.94 – $3,488.10
CT scan of the head or brain, without contrast: 10 of 12 insurance plan rates Aetna — EMPLOYEE: $1,895.71 BEACON — ALL PRODUCTS: $909.94 BEACON — CHIP: $909.94 BEACON — HEALTH OPTIONS: $909.94 BEACON — STAR: $909.94 FIRSTCARE — STAR: $909.94 HEALTH PLAN w. UHRIP — STAR: $1,441.49 HEALTH PLAN w/o UHRIP — CHIP: $909.94 HEALTH PLAN w/o UHRIP — STAR KIDS: $909.94 Optum — ALL PRODUCTS: $2,199.02
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI IAC W & WO CONTRAST	$4,034.41	$3,025.81	$293.53 – $510.64
MRI of the brain, before and after contrast: 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $3,429.25 Aetna — BETTER HEALTH CHIP: $419.33 Aetna — BETTER HEALTH STAR Kids: $419.33 Aetna — BETTER HEALTH STAR UHRIP: $419.33 Aetna — EMPLOYEE: $2,420.65 BCBS — BCBS TX STAR: $1,457.63 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $3,630.97 BCBS — CHIP: $1,457.63 BCBS — CHIP STAR KIDS: $1,457.63 BCBS — HMO: $3,146.84
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI PITUITARY W & WO CONTRAST	$4,034.41	$3,025.81	$293.53 – $510.64
MRI of the brain, before and after contrast: 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $3,429.25 Aetna — BETTER HEALTH CHIP: $419.33 Aetna — BETTER HEALTH STAR Kids: $419.33 Aetna — BETTER HEALTH STAR UHRIP: $419.33 Aetna — EMPLOYEE: $2,420.65 BCBS — BCBS TX STAR: $1,457.63 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $3,630.97 BCBS — CHIP: $1,457.63 BCBS — CHIP STAR KIDS: $1,457.63 BCBS — HMO: $3,146.84
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN W & WO CONTRAST	$4,034.41	$3,025.81	$293.53 – $510.64
MRI of the brain, before and after contrast: 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $3,429.25 Aetna — BETTER HEALTH CHIP: $419.33 Aetna — BETTER HEALTH STAR Kids: $419.33 Aetna — BETTER HEALTH STAR UHRIP: $419.33 Aetna — EMPLOYEE: $2,420.65 BCBS — BCBS TX STAR: $1,457.63 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $3,630.97 BCBS — CHIP: $1,457.63 BCBS — CHIP STAR KIDS: $1,457.63 BCBS — HMO: $3,146.84
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CHEST 2 VIEWS	$667.35	$500.51	$160.16 – $613.96
Chest X-ray, 2 views: 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $567.25 Aetna — BETTER HEALTH CHIP: $42.53 Aetna — BETTER HEALTH STAR Kids: $42.53 Aetna — BETTER HEALTH STAR UHRIP: $42.53 Aetna — EMPLOYEE: $400.41 BCBS — BCBS TX STAR: $241.11 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $600.62 BCBS — CHIP: $241.11 BCBS — CHIP STAR KIDS: $241.11 BCBS — HMO: $520.53
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CHEST 2 VIEWS	$667.35	$500.51	$160.16 – $613.96
Chest X-ray, 2 views: 10 of 12 insurance plan rates Aetna — EMPLOYEE: $333.68 BEACON — ALL PRODUCTS: $160.16 BEACON — CHIP: $160.16 BEACON — HEALTH OPTIONS: $160.16 BEACON — STAR: $160.16 FIRSTCARE — STAR: $160.16 HEALTH PLAN w. UHRIP — STAR: $253.73 HEALTH PLAN w/o UHRIP — CHIP: $160.16 HEALTH PLAN w/o UHRIP — STAR KIDS: $160.16 Optum — ALL PRODUCTS: $387.06
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SPINE LUMBO-SACRAL COMPLETE	$1,037.57	$778.18	$249.02 – $954.56
X-ray of the lower spine, at least 4 views: 10 of 37 insurance plan rates Aetna — EMPLOYEE: $518.79 BCBS — BDCT - Blue Distinction Centers for Transplant: $788.55 BCBS — HMO: $809.30 BCBS — PPO: $871.56 BEACON — ALL PRODUCTS: $249.02 BEACON — CHIP: $249.02 BEACON — HEALTH OPTIONS: $249.02 BEACON — STAR: $249.02 CIGNA — CIGNA-MGD: $881.93 EL PASO HEALTH FIRST — CHIP: $456.53
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR	$3,283.50	$2,462.63	$175.64 – $323.66
MRI of the lower back (lumbar spine), without contrast: 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $2,790.98 Aetna — BETTER HEALTH CHIP: $250.92 Aetna — BETTER HEALTH STAR Kids: $250.92 Aetna — BETTER HEALTH STAR UHRIP: $250.92 Aetna — EMPLOYEE: $1,970.10 BCBS — BCBS TX STAR: $1,186.33 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $2,955.15 BCBS — CHIP: $1,186.33 BCBS — CHIP STAR KIDS: $1,186.33 BCBS — HMO: $2,561.13
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LUMBAR	$3,283.50	$2,462.63	$788.04 – $3,020.82
MRI of the lower back (lumbar spine), without contrast: 10 of 12 insurance plan rates Aetna — EMPLOYEE: $1,641.75 BEACON — ALL PRODUCTS: $788.04 BEACON — CHIP: $788.04 BEACON — HEALTH OPTIONS: $788.04 BEACON — STAR: $788.04 FIRSTCARE — STAR: $788.04 HEALTH PLAN w. UHRIP — STAR: $1,248.39 HEALTH PLAN w/o UHRIP — CHIP: $788.04 HEALTH PLAN w/o UHRIP — STAR KIDS: $788.04 Optum — ALL PRODUCTS: $1,904.43
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST	$4,228.12	$3,171.09	$1,014.75 – $3,889.87
CT scan of the pelvis, with contrast: 10 of 37 insurance plan rates Aetna — EMPLOYEE: $2,114.06 BCBS — BDCT - Blue Distinction Centers for Transplant: $3,213.37 BCBS — HMO: $3,297.93 BCBS — PPO: $3,551.62 BEACON — ALL PRODUCTS: $1,014.75 BEACON — CHIP: $1,014.75 BEACON — HEALTH OPTIONS: $1,014.75 BEACON — STAR: $1,014.75 CIGNA — CIGNA-MGD: $3,593.90 EL PASO HEALTH FIRST — CHIP: $1,860.37
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI ANKLE	$2,992.06	$2,244.05	$718.09 – $2,752.70
MRI of a leg joint (such as the knee), without contrast: 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $2,543.25 Aetna — BETTER HEALTH CHIP: $265.65 Aetna — BETTER HEALTH STAR Kids: $265.65 Aetna — BETTER HEALTH STAR UHRIP: $265.65 Aetna — EMPLOYEE: $1,795.24 BCBS — BCBS TX STAR: $1,081.03 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $2,692.85 BCBS — CHIP: $1,081.03 BCBS — CHIP STAR KIDS: $1,081.03 BCBS — HMO: $2,333.81
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI HIP	$2,992.06	$2,244.05	$185.96 – $323.66
MRI of a leg joint (such as the knee), without contrast: 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $2,543.25 Aetna — BETTER HEALTH CHIP: $265.65 Aetna — BETTER HEALTH STAR Kids: $265.65 Aetna — BETTER HEALTH STAR UHRIP: $265.65 Aetna — EMPLOYEE: $1,795.24 BCBS — BCBS TX STAR: $1,081.03 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $2,692.85 BCBS — CHIP: $1,081.03 BCBS — CHIP STAR KIDS: $1,081.03 BCBS — HMO: $2,333.81
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI KNEE	$2,992.06	$2,244.05	$185.96 – $323.66
MRI of a leg joint (such as the knee), without contrast: 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $2,543.25 Aetna — BETTER HEALTH CHIP: $265.65 Aetna — BETTER HEALTH STAR Kids: $265.65 Aetna — BETTER HEALTH STAR UHRIP: $265.65 Aetna — EMPLOYEE: $1,795.24 BCBS — BCBS TX STAR: $1,081.03 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $2,692.85 BCBS — CHIP: $1,081.03 BCBS — CHIP STAR KIDS: $1,081.03 BCBS — HMO: $2,333.81
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABD & PEL WITH	$8,302.42	$6,226.82	$1,992.58 – $7,638.23
CT scan of the abdomen and pelvis, with contrast: 10 of 37 insurance plan rates Aetna — EMPLOYEE: $4,151.21 BCBS — BDCT - Blue Distinction Centers for Transplant: $6,309.84 BCBS — HMO: $6,475.89 BCBS — PPO: $6,974.03 BEACON — ALL PRODUCTS: $1,992.58 BEACON — CHIP: $1,992.58 BEACON — HEALTH OPTIONS: $1,992.58 BEACON — STAR: $1,992.58 CIGNA — CIGNA-MGD: $7,057.06 EL PASO HEALTH FIRST — CHIP: $3,653.06
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SONO ABDOMEN COMPLETE	$1,345.56	$1,009.17	$322.93 – $1,237.92
Ultrasound of the abdomen, complete: 10 of 37 insurance plan rates Aetna — EMPLOYEE: $672.78 BCBS — BDCT - Blue Distinction Centers for Transplant: $1,022.63 BCBS — HMO: $1,049.54 BCBS — PPO: $1,130.27 BEACON — ALL PRODUCTS: $322.93 BEACON — CHIP: $322.93 BEACON — HEALTH OPTIONS: $322.93 BEACON — STAR: $322.93 CIGNA — CIGNA-MGD: $1,143.73 EL PASO HEALTH FIRST — CHIP: $592.05
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >/= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$114.46 – $148.14
Pregnancy ultrasound (after the first trimester): 10 of 35 insurance plan rates Aetna — BETTER HEALTH CHIP: $125.91 Aetna — BETTER HEALTH STAR Kids: $125.91 Aetna — BETTER HEALTH STAR UHRIP: $125.91 BCBS — BCBS TX STAR: $145.44 BCBS — CHIP: $145.44 BCBS — CHIP STAR KIDS: $145.44 BEACON — ALL PRODUCTS: $134.67 BEACON — CHIP: $134.67 BEACON — HEALTH OPTIONS: $134.67 BEACON — STAR: $134.67
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$111.45 – $148.14
Transvaginal ultrasound: 10 of 35 insurance plan rates Aetna — BETTER HEALTH CHIP: $125.91 Aetna — BETTER HEALTH STAR Kids: $125.91 Aetna — BETTER HEALTH STAR UHRIP: $125.91 BCBS — BCBS TX STAR: $145.44 BCBS — CHIP: $145.44 BCBS — CHIP STAR KIDS: $145.44 BEACON — ALL PRODUCTS: $134.67 BEACON — CHIP: $134.67 BEACON — HEALTH OPTIONS: $134.67 BEACON — STAR: $134.67
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$110.81 – $158.30
Diagnostic mammogram, one breast: rates for 8 insurance plans Aetna — BETTER HEALTH CHIP: $158.30 Aetna — BETTER HEALTH STAR Kids: $158.30 Aetna — BETTER HEALTH STAR UHRIP: $158.30 HEALTH PLAN w. UHRIP — STAR: $110.81 HEALTH PLAN w/o UHRIP — CHIP: $110.81 HEALTH PLAN w/o UHRIP — STAR KIDS: $110.81 RIGHTCARE — MDC S&W: $116.08 RIGHTCARE — STAR: $116.08
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$139.69 – $199.56
Diagnostic mammogram, both breasts: rates for 8 insurance plans Aetna — BETTER HEALTH CHIP: $199.56 Aetna — BETTER HEALTH STAR Kids: $199.56 Aetna — BETTER HEALTH STAR UHRIP: $199.56 HEALTH PLAN w. UHRIP — STAR: $139.69 HEALTH PLAN w/o UHRIP — CHIP: $139.69 HEALTH PLAN w/o UHRIP — STAR KIDS: $139.69 RIGHTCARE — MDC S&W: $146.34 RIGHTCARE — STAR: $146.34
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$113.46 – $162.09
Screening mammogram, both breasts: rates for 8 insurance plans Aetna — BETTER HEALTH CHIP: $162.09 Aetna — BETTER HEALTH STAR Kids: $162.09 Aetna — BETTER HEALTH STAR UHRIP: $162.09 HEALTH PLAN w. UHRIP — STAR: $113.46 HEALTH PLAN w/o UHRIP — CHIP: $113.46 HEALTH PLAN w/o UHRIP — STAR KIDS: $113.46 RIGHTCARE — MDC S&W: $118.87 RIGHTCARE — STAR: $118.87

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EKG W INTERP	$657.32	$492.99	$157.76 – $604.73
Electrocardiogram (ECG/EKG) with reading: 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $558.72 Aetna — BETTER HEALTH CHIP: $318.14 Aetna — BETTER HEALTH STAR Kids: $318.14 Aetna — BETTER HEALTH STAR UHRIP: $318.14 Aetna — EMPLOYEE: $394.39 BCBS — BCBS TX STAR: $237.49 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $591.59 BCBS — CHIP: $237.49 BCBS — CHIP STAR KIDS: $237.49 BCBS — HMO: $512.71
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EKG W INTERP	$657.32	$492.99	$157.76 – $604.73
Electrocardiogram (ECG/EKG) with reading: 10 of 12 insurance plan rates Aetna — EMPLOYEE: $328.66 BEACON — ALL PRODUCTS: $157.76 BEACON — CHIP: $157.76 BEACON — HEALTH OPTIONS: $157.76 BEACON — STAR: $157.76 FIRSTCARE — STAR: $157.76 HEALTH PLAN w. UHRIP — STAR: $249.91 HEALTH PLAN w/o UHRIP — CHIP: $157.76 HEALTH PLAN w/o UHRIP — STAR KIDS: $157.76 Optum — ALL PRODUCTS: $381.25
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$795.70 – $1,136.72
Left heart catheterization (diagnostic): rates for 8 insurance plans Aetna — BETTER HEALTH CHIP: $1,136.72 Aetna — BETTER HEALTH STAR Kids: $1,136.72 Aetna — BETTER HEALTH STAR UHRIP: $1,136.72 HEALTH PLAN w. UHRIP — STAR: $795.70 HEALTH PLAN w/o UHRIP — CHIP: $795.70 HEALTH PLAN w/o UHRIP — STAR KIDS: $795.70 RIGHTCARE — MDC S&W: $833.59 RIGHTCARE — STAR: $833.59
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$639.36 – $913.37
Heart rhythm study (electrophysiology evaluation): rates for 8 insurance plans Aetna — BETTER HEALTH CHIP: $913.37 Aetna — BETTER HEALTH STAR Kids: $913.37 Aetna — BETTER HEALTH STAR UHRIP: $913.37 HEALTH PLAN w. UHRIP — STAR: $639.36 HEALTH PLAN w/o UHRIP — CHIP: $639.36 HEALTH PLAN w/o UHRIP — STAR KIDS: $639.36 RIGHTCARE — MDC S&W: $669.80 RIGHTCARE — STAR: $669.80
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$825.47 – $1,179.24
Heart rhythm study with ablation for atrial fibrillation: rates for 8 insurance plans Aetna — BETTER HEALTH CHIP: $1,179.24 Aetna — BETTER HEALTH STAR Kids: $1,179.24 Aetna — BETTER HEALTH STAR UHRIP: $1,179.24 HEALTH PLAN w. UHRIP — STAR: $825.47 HEALTH PLAN w/o UHRIP — CHIP: $825.47 HEALTH PLAN w/o UHRIP — STAR KIDS: $825.47 RIGHTCARE — MDC S&W: $864.78 RIGHTCARE — STAR: $864.78
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOMOGRPHY SLEEP 4 OR MOR>6	$11,015.46	$8,261.60	$2,643.71 – $10,134.22
Sleep study (overnight, in a sleep lab): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $9,363.14 Aetna — BETTER HEALTH CHIP: $5,331.48 Aetna — BETTER HEALTH STAR Kids: $5,331.48 Aetna — BETTER HEALTH STAR UHRIP: $5,331.48 Aetna — EMPLOYEE: $6,609.28 BCBS — BCBS TX STAR: $3,979.89 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $9,913.91 BCBS — CHIP: $3,979.89 BCBS — CHIP STAR KIDS: $3,979.89 BCBS — HMO: $8,592.06
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOMPHY SLEEP 4 OR M INPT>6	$8,974.70	$6,731.03	$2,153.93 – $8,256.72
Sleep study (overnight, in a sleep lab): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $7,628.50 Aetna — BETTER HEALTH CHIP: $4,343.75 Aetna — BETTER HEALTH STAR Kids: $4,343.75 Aetna — BETTER HEALTH STAR UHRIP: $4,343.75 Aetna — EMPLOYEE: $5,384.82 BCBS — BCBS TX STAR: $3,242.56 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $8,077.23 BCBS — CHIP: $3,242.56 BCBS — CHIP STAR KIDS: $3,242.56 BCBS — HMO: $7,000.27
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC POLYSOMOGRPHY SLEEP 4 OR MOR>6	$11,015.46	$8,261.60	$2,643.71 – $10,134.22
Sleep study (overnight, in a sleep lab): 10 of 12 insurance plan rates Aetna — EMPLOYEE: $5,507.73 BEACON — ALL PRODUCTS: $2,643.71 BEACON — CHIP: $2,643.71 BEACON — HEALTH OPTIONS: $2,643.71 BEACON — STAR: $2,643.71 FIRSTCARE — STAR: $2,643.71 HEALTH PLAN w. UHRIP — STAR: $4,188.08 HEALTH PLAN w/o UHRIP — CHIP: $2,643.71 HEALTH PLAN w/o UHRIP — STAR KIDS: $2,643.71 Optum — ALL PRODUCTS: $6,388.97

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT THER EX 15 MIN COMPLEX	$144.38	$108.29	$34.65 – $132.83
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $122.72 Aetna — BETTER HEALTH CHIP: $69.88 Aetna — BETTER HEALTH STAR Kids: $69.88 Aetna — BETTER HEALTH STAR UHRIP: $69.88 Aetna — EMPLOYEE: $86.63 BCBS — BCBS TX STAR: $52.16 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $129.94 BCBS — CHIP: $52.16 BCBS — CHIP STAR KIDS: $52.16 BCBS — HMO: $112.62
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OT EXERCISE EACH 15 MIN	$92.16	$69.12	$22.12 – $84.79
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $78.34 Aetna — BETTER HEALTH CHIP: $44.61 Aetna — BETTER HEALTH STAR Kids: $44.61 Aetna — BETTER HEALTH STAR UHRIP: $44.61 Aetna — EMPLOYEE: $55.30 BCBS — BCBS TX STAR: $33.30 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $82.94 BCBS — CHIP: $33.30 BCBS — CHIP STAR KIDS: $33.30 BCBS — HMO: $71.88
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC WR PT THER EX - EA UNIT	$69.41	$52.06	$16.66 – $63.86
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 37 insurance plan rates Aetna — EMPLOYEE: $34.71 BCBS — BDCT - Blue Distinction Centers for Transplant: $52.75 BCBS — HMO: $54.14 BCBS — PPO: $58.30 BEACON — ALL PRODUCTS: $16.66 BEACON — CHIP: $16.66 BEACON — HEALTH OPTIONS: $16.66 BEACON — STAR: $16.66 CIGNA — CIGNA-MGD: $59 EL PASO HEALTH FIRST — CHIP: $30.54
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEXITY	$311.28	$233.46	$122 – $174.29
Physical therapy evaluation (low complexity): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $264.59 Aetna — BETTER HEALTH CHIP: $174.29 Aetna — BETTER HEALTH STAR Kids: $174.29 Aetna — BETTER HEALTH STAR UHRIP: $174.29 Aetna — EMPLOYEE: $186.77 BCBS — BCBS TX STAR: $112.47 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $280.15 BCBS — CHIP: $112.47 BCBS — CHIP STAR KIDS: $112.47 BCBS — HMO: $242.80
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION, LOW COMP,EA ENC	$703.94	$527.96	$122 – $174.29
Physical therapy evaluation (low complexity): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $598.35 Aetna — BETTER HEALTH CHIP: $174.29 Aetna — BETTER HEALTH STAR Kids: $174.29 Aetna — BETTER HEALTH STAR UHRIP: $174.29 Aetna — EMPLOYEE: $422.36 BCBS — BCBS TX STAR: $254.33 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $633.55 BCBS — CHIP: $254.33 BCBS — CHIP STAR KIDS: $254.33 BCBS — HMO: $549.07
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC WR PT EVAL LOW COMPLEXITY	$194.35	$145.76	$122 – $174.29
Physical therapy evaluation (low complexity): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $165.20 Aetna — BETTER HEALTH CHIP: $174.29 Aetna — BETTER HEALTH STAR Kids: $174.29 Aetna — BETTER HEALTH STAR UHRIP: $174.29 Aetna — EMPLOYEE: $116.61 BCBS — BCBS TX STAR: $70.22 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $174.92 BCBS — CHIP: $70.22 BCBS — CHIP STAR KIDS: $70.22 BCBS — HMO: $151.59
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL MODCOMPLEXITY	$466.93	$350.20	$112.06 – $429.58
Physical therapy evaluation (moderate complexity): 10 of 12 insurance plan rates Aetna — EMPLOYEE: $233.47 BEACON — ALL PRODUCTS: $112.06 BEACON — CHIP: $112.06 BEACON — HEALTH OPTIONS: $112.06 BEACON — STAR: $112.06 FIRSTCARE — STAR: $112.06 HEALTH PLAN w. UHRIP — STAR: $177.53 HEALTH PLAN w/o UHRIP — CHIP: $112.06 HEALTH PLAN w/o UHRIP — STAR KIDS: $112.06 Optum — ALL PRODUCTS: $270.82
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	$122 – $174.29
Physical therapy evaluation (moderate complexity): rates for 8 insurance plans Aetna — BETTER HEALTH CHIP: $174.29 Aetna — BETTER HEALTH STAR Kids: $174.29 Aetna — BETTER HEALTH STAR UHRIP: $174.29 HEALTH PLAN w. UHRIP — STAR: $122 HEALTH PLAN w/o UHRIP — CHIP: $122 HEALTH PLAN w/o UHRIP — STAR KIDS: $122 RIGHTCARE — MDC S&W: $127.81 RIGHTCARE — STAR: $127.81
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVAL MODCOMPLEXITY	$466.93	$350.20	$112.06 – $429.58
Physical therapy evaluation (moderate complexity): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $396.89 Aetna — BETTER HEALTH CHIP: $225.99 Aetna — BETTER HEALTH STAR Kids: $225.99 Aetna — BETTER HEALTH STAR UHRIP: $225.99 Aetna — EMPLOYEE: $280.16 BCBS — BCBS TX STAR: $168.70 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $420.24 BCBS — CHIP: $168.70 BCBS — CHIP STAR KIDS: $168.70 BCBS — HMO: $364.21
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC WR PT EVAL MOD COMPLEXITY	$169.79	$127.34	$122 – $174.29
Physical therapy evaluation (high complexity): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $144.32 Aetna — BETTER HEALTH CHIP: $174.29 Aetna — BETTER HEALTH STAR Kids: $174.29 Aetna — BETTER HEALTH STAR UHRIP: $174.29 Aetna — EMPLOYEE: $101.87 BCBS — BCBS TX STAR: $61.35 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $152.81 BCBS — CHIP: $61.35 BCBS — CHIP STAR KIDS: $61.35 BCBS — HMO: $132.44
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEXITY	$703.94	$527.96	$122 – $174.29
Physical therapy evaluation (high complexity): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $598.35 Aetna — BETTER HEALTH CHIP: $174.29 Aetna — BETTER HEALTH STAR Kids: $174.29 Aetna — BETTER HEALTH STAR UHRIP: $174.29 Aetna — EMPLOYEE: $422.36 BCBS — BCBS TX STAR: $254.33 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $633.55 BCBS — CHIP: $254.33 BCBS — CHIP STAR KIDS: $254.33 BCBS — HMO: $549.07
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION, HIGH COMP,EA EN	$703.94	$527.96	$122 – $174.29
Physical therapy evaluation (high complexity): 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $598.35 Aetna — BETTER HEALTH CHIP: $174.29 Aetna — BETTER HEALTH STAR Kids: $174.29 Aetna — BETTER HEALTH STAR UHRIP: $174.29 Aetna — EMPLOYEE: $422.36 BCBS — BCBS TX STAR: $254.33 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $633.55 BCBS — CHIP: $254.33 BCBS — CHIP STAR KIDS: $254.33 BCBS — HMO: $549.07
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC IND PSYCH-THERP MA 16-37 MN	$325.14	$243.86	$78.03 – $299.13
Psychotherapy, 30 minutes: 10 of 12 insurance plan rates Aetna — EMPLOYEE: $162.57 BEACON — ALL PRODUCTS: $78.03 BEACON — CHIP: $78.03 BEACON — HEALTH OPTIONS: $78.03 BEACON — STAR: $78.03 FIRSTCARE — STAR: $78.03 HEALTH PLAN w. UHRIP — STAR: $123.62 HEALTH PLAN w/o UHRIP — CHIP: $78.03 HEALTH PLAN w/o UHRIP — STAR KIDS: $78.03 Optum — ALL PRODUCTS: $188.58
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC IND PSYCH-THERP PHD 16-37 MIN	$452	$339	$108.48 – $415.84
Psychotherapy, 30 minutes: 10 of 12 insurance plan rates Aetna — EMPLOYEE: $226 BEACON — ALL PRODUCTS: $108.48 BEACON — CHIP: $108.48 BEACON — HEALTH OPTIONS: $108.48 BEACON — STAR: $108.48 FIRSTCARE — STAR: $108.48 HEALTH PLAN w. UHRIP — STAR: $171.85 HEALTH PLAN w/o UHRIP — CHIP: $108.48 HEALTH PLAN w/o UHRIP — STAR KIDS: $108.48 Optum — ALL PRODUCTS: $262.16
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	$58.05 – $82.94
Psychotherapy, 30 minutes: rates for 8 insurance plans Aetna — BETTER HEALTH CHIP: $82.94 Aetna — BETTER HEALTH STAR Kids: $82.94 Aetna — BETTER HEALTH STAR UHRIP: $82.94 HEALTH PLAN w. UHRIP — STAR: $58.05 HEALTH PLAN w/o UHRIP — CHIP: $58.05 HEALTH PLAN w/o UHRIP — STAR KIDS: $58.05 RIGHTCARE — MDC S&W: $60.82 RIGHTCARE — STAR: $60.82
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC IND PSYCH-THERP MA 38-52 MN	$644.99	$483.74	$154.80 – $593.39
Psychotherapy, 45 minutes: 10 of 12 insurance plan rates Aetna — EMPLOYEE: $322.50 BEACON — ALL PRODUCTS: $154.80 BEACON — CHIP: $154.80 BEACON — HEALTH OPTIONS: $154.80 BEACON — STAR: $154.80 FIRSTCARE — STAR: $154.80 HEALTH PLAN w. UHRIP — STAR: $245.23 HEALTH PLAN w/o UHRIP — CHIP: $154.80 HEALTH PLAN w/o UHRIP — STAR KIDS: $154.80 Optum — ALL PRODUCTS: $374.09
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC IND PSYCH-THERP PHD 38-52 MN	$800.77	$600.58	$192.18 – $736.71
Psychotherapy, 45 minutes: 10 of 12 insurance plan rates Aetna — EMPLOYEE: $400.39 BEACON — ALL PRODUCTS: $192.18 BEACON — CHIP: $192.18 BEACON — HEALTH OPTIONS: $192.18 BEACON — STAR: $192.18 FIRSTCARE — STAR: $192.18 HEALTH PLAN w. UHRIP — STAR: $304.45 HEALTH PLAN w/o UHRIP — CHIP: $192.18 HEALTH PLAN w/o UHRIP — STAR KIDS: $192.18 Optum — ALL PRODUCTS: $464.45
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	$76.92 – $109.89
Psychotherapy, 45 minutes: rates for 8 insurance plans Aetna — BETTER HEALTH CHIP: $109.89 Aetna — BETTER HEALTH STAR Kids: $109.89 Aetna — BETTER HEALTH STAR UHRIP: $109.89 HEALTH PLAN w. UHRIP — STAR: $76.92 HEALTH PLAN w/o UHRIP — CHIP: $76.92 HEALTH PLAN w/o UHRIP — STAR KIDS: $76.92 RIGHTCARE — MDC S&W: $80.59 RIGHTCARE — STAR: $80.59
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC IND PSYCH-THERP MA >53 MIN	$733.76	$550.32	$176.10 – $675.06
Psychotherapy, 60 minutes: 10 of 12 insurance plan rates Aetna — EMPLOYEE: $366.88 BEACON — ALL PRODUCTS: $176.10 BEACON — CHIP: $176.10 BEACON — HEALTH OPTIONS: $176.10 BEACON — STAR: $176.10 FIRSTCARE — STAR: $176.10 HEALTH PLAN w. UHRIP — STAR: $278.98 HEALTH PLAN w/o UHRIP — CHIP: $176.10 HEALTH PLAN w/o UHRIP — STAR KIDS: $176.10 Optum — ALL PRODUCTS: $425.58
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC IND PSYCH-THERP PHD >53 MIN	$905.08	$678.81	$217.22 – $832.67
Psychotherapy, 60 minutes: 10 of 12 insurance plan rates Aetna — EMPLOYEE: $452.54 BEACON — ALL PRODUCTS: $217.22 BEACON — CHIP: $217.22 BEACON — HEALTH OPTIONS: $217.22 BEACON — STAR: $217.22 FIRSTCARE — STAR: $217.22 HEALTH PLAN w. UHRIP — STAR: $344.11 HEALTH PLAN w/o UHRIP — CHIP: $217.22 HEALTH PLAN w/o UHRIP — STAR KIDS: $217.22 Optum — ALL PRODUCTS: $524.95
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	$113.76 – $162.51
Psychotherapy, 60 minutes: rates for 8 insurance plans Aetna — BETTER HEALTH CHIP: $162.51 Aetna — BETTER HEALTH STAR Kids: $162.51 Aetna — BETTER HEALTH STAR UHRIP: $162.51 HEALTH PLAN w. UHRIP — STAR: $113.76 HEALTH PLAN w/o UHRIP — CHIP: $113.76 HEALTH PLAN w/o UHRIP — STAR KIDS: $113.76 RIGHTCARE — MDC S&W: $119.17 RIGHTCARE — STAR: $119.17
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY THERAPY-MA- W/O PATIENT	$644.99	$483.74	$154.80 – $593.39
Family psychotherapy, without the patient: 10 of 12 insurance plan rates Aetna — EMPLOYEE: $322.50 BEACON — ALL PRODUCTS: $154.80 BEACON — CHIP: $154.80 BEACON — HEALTH OPTIONS: $154.80 BEACON — STAR: $154.80 FIRSTCARE — STAR: $154.80 HEALTH PLAN w. UHRIP — STAR: $245.23 HEALTH PLAN w/o UHRIP — CHIP: $154.80 HEALTH PLAN w/o UHRIP — STAR KIDS: $154.80 Optum — ALL PRODUCTS: $374.09
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY THERAPY-PHD W/O PATIENT	$901.75	$676.31	$216.42 – $829.61
Family psychotherapy, without the patient: 10 of 12 insurance plan rates Aetna — EMPLOYEE: $450.88 BEACON — ALL PRODUCTS: $216.42 BEACON — CHIP: $216.42 BEACON — HEALTH OPTIONS: $216.42 BEACON — STAR: $216.42 FIRSTCARE — STAR: $216.42 HEALTH PLAN w. UHRIP — STAR: $342.85 HEALTH PLAN w/o UHRIP — CHIP: $216.42 HEALTH PLAN w/o UHRIP — STAR KIDS: $216.42 Optum — ALL PRODUCTS: $523.02
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	$82.81 – $118.31
Family psychotherapy, without the patient: rates for 8 insurance plans Aetna — BETTER HEALTH CHIP: $118.31 Aetna — BETTER HEALTH STAR Kids: $118.31 Aetna — BETTER HEALTH STAR UHRIP: $118.31 HEALTH PLAN w. UHRIP — STAR: $82.81 HEALTH PLAN w/o UHRIP — CHIP: $82.81 HEALTH PLAN w/o UHRIP — STAR KIDS: $82.81 RIGHTCARE — MDC S&W: $86.76 RIGHTCARE — STAR: $86.76
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY THERAPY-MA- W/PATIENT	$644.99	$483.74	$154.80 – $593.39
Family psychotherapy, with the patient: 10 of 12 insurance plan rates Aetna — EMPLOYEE: $322.50 BEACON — ALL PRODUCTS: $154.80 BEACON — CHIP: $154.80 BEACON — HEALTH OPTIONS: $154.80 BEACON — STAR: $154.80 FIRSTCARE — STAR: $154.80 HEALTH PLAN w. UHRIP — STAR: $245.23 HEALTH PLAN w/o UHRIP — CHIP: $154.80 HEALTH PLAN w/o UHRIP — STAR KIDS: $154.80 Optum — ALL PRODUCTS: $374.09
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY THERAPY-PHD- W/PATIENT	$901.75	$676.31	$216.42 – $829.61
Family psychotherapy, with the patient: 10 of 12 insurance plan rates Aetna — EMPLOYEE: $450.88 BEACON — ALL PRODUCTS: $216.42 BEACON — CHIP: $216.42 BEACON — HEALTH OPTIONS: $216.42 BEACON — STAR: $216.42 FIRSTCARE — STAR: $216.42 HEALTH PLAN w. UHRIP — STAR: $342.85 HEALTH PLAN w/o UHRIP — CHIP: $216.42 HEALTH PLAN w/o UHRIP — STAR KIDS: $216.42 Optum — ALL PRODUCTS: $523.02
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	$86.35 – $123.36
Family psychotherapy, with the patient: rates for 8 insurance plans Aetna — BETTER HEALTH CHIP: $123.36 Aetna — BETTER HEALTH STAR Kids: $123.36 Aetna — BETTER HEALTH STAR UHRIP: $123.36 HEALTH PLAN w. UHRIP — STAR: $86.35 HEALTH PLAN w/o UHRIP — CHIP: $86.35 HEALTH PLAN w/o UHRIP — STAR KIDS: $86.35 RIGHTCARE — MDC S&W: $90.46 RIGHTCARE — STAR: $90.46
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PARTIAL HOSPITAL PHP	$2,905.57	$2,179.18	$20.34 – $29.06
Group psychotherapy: 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $2,469.73 Aetna — BETTER HEALTH CHIP: $29.06 Aetna — BETTER HEALTH STAR Kids: $29.06 Aetna — BETTER HEALTH STAR UHRIP: $29.06 Aetna — EMPLOYEE: $1,743.34 BCBS — BCBS TX STAR: $1,049.78 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $2,615.01 BCBS — CHIP: $1,049.78 BCBS — CHIP STAR KIDS: $1,049.78 BCBS — HMO: $2,266.34
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY	$219.41	$164.56	$1.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $29.06
Group psychotherapy: 10 of 55 insurance plan rates Aetna — ALL PRODUCTS: $186.50 Aetna — BETTER HEALTH CHIP: $29.06 Aetna — BETTER HEALTH STAR Kids: $29.06 Aetna — BETTER HEALTH STAR UHRIP: $29.06 Aetna — EMPLOYEE: $131.65 BCBS — BCBS TX STAR: $79.27 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $197.47 BCBS — CHIP: $79.27 BCBS — CHIP STAR KIDS: $79.27 BCBS — HMO: $171.14
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PARTIAL HOSPITAL PHP	$2,905.57	$2,179.18	$697.34 – $2,673.12
Group psychotherapy: 10 of 12 insurance plan rates Aetna — EMPLOYEE: $1,452.79 BEACON — ALL PRODUCTS: $697.34 BEACON — CHIP: $697.34 BEACON — HEALTH OPTIONS: $697.34 BEACON — STAR: $697.34 FIRSTCARE — STAR: $697.34 HEALTH PLAN w. UHRIP — STAR: $1,104.70 HEALTH PLAN w/o UHRIP — CHIP: $697.34 HEALTH PLAN w/o UHRIP — STAR KIDS: $697.34 Optum — ALL PRODUCTS: $1,685.23

Procedures and surgery

Service	Hospital charge	Cash price	Insurance 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	$366.32 – $1,445.49
Removal of breast growth (open surgery): 10 of 35 insurance plan rates Aetna — BETTER HEALTH CHIP: $523.32 Aetna — BETTER HEALTH STAR Kids: $523.32 Aetna — BETTER HEALTH STAR UHRIP: $523.32 BCBS — BCBS TX STAR: $1,445.49 BCBS — CHIP: $1,445.49 BCBS — CHIP STAR KIDS: $1,445.49 BEACON — ALL PRODUCTS: $963.66 BEACON — CHIP: $963.66 BEACON — HEALTH OPTIONS: $963.66 BEACON — STAR: $963.66
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	$1,131.38 – $1,616.25
Total hip replacement: rates for 8 insurance plans Aetna — BETTER HEALTH CHIP: $1,616.25 Aetna — BETTER HEALTH STAR Kids: $1,616.25 Aetna — BETTER HEALTH STAR UHRIP: $1,616.25 HEALTH PLAN w. UHRIP — STAR: $1,131.38 HEALTH PLAN w/o UHRIP — CHIP: $1,131.38 HEALTH PLAN w/o UHRIP — STAR KIDS: $1,131.38 RIGHTCARE — MDC S&W: $1,185.25 RIGHTCARE — STAR: $1,185.25
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	$1,130.20 – $1,614.57
Total knee replacement: rates for 8 insurance plans Aetna — BETTER HEALTH CHIP: $1,614.57 Aetna — BETTER HEALTH STAR Kids: $1,614.57 Aetna — BETTER HEALTH STAR UHRIP: $1,614.57 HEALTH PLAN w. UHRIP — STAR: $1,130.20 HEALTH PLAN w/o UHRIP — CHIP: $1,130.20 HEALTH PLAN w/o UHRIP — STAR KIDS: $1,130.20 RIGHTCARE — MDC S&W: $1,184.02 RIGHTCARE — STAR: $1,184.02
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	$150.59 – $215.13
Shoulder arthroscopy: shaving of shoulder bone: rates for 8 insurance plans Aetna — BETTER HEALTH CHIP: $215.13 Aetna — BETTER HEALTH STAR Kids: $215.13 Aetna — BETTER HEALTH STAR UHRIP: $215.13 HEALTH PLAN w. UHRIP — STAR: $150.59 HEALTH PLAN w/o UHRIP — CHIP: $150.59 HEALTH PLAN w/o UHRIP — STAR KIDS: $150.59 RIGHTCARE — MDC S&W: $157.76 RIGHTCARE — STAR: $157.76
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$481.26 – $1,632.41
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 35 insurance plan rates Aetna — BETTER HEALTH CHIP: $687.51 Aetna — BETTER HEALTH STAR Kids: $687.51 Aetna — BETTER HEALTH STAR UHRIP: $687.51 BCBS — BCBS TX STAR: $1,632.41 BCBS — CHIP: $1,632.41 BCBS — CHIP STAR KIDS: $1,632.41 BEACON — ALL PRODUCTS: $1,088.27 BEACON — CHIP: $1,088.27 BEACON — HEALTH OPTIONS: $1,088.27 BEACON — STAR: $1,088.27
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	$260.81 – $2,931.33
Removal of tonsils and adenoids (under age 12): 10 of 35 insurance plan rates Aetna — BETTER HEALTH CHIP: $372.59 Aetna — BETTER HEALTH STAR Kids: $372.59 Aetna — BETTER HEALTH STAR UHRIP: $372.59 BCBS — BCBS TX STAR: $2,931.33 BCBS — CHIP: $2,931.33 BCBS — CHIP STAR KIDS: $2,931.33 BEACON — ALL PRODUCTS: $1,954.22 BEACON — CHIP: $1,954.22 BEACON — HEALTH OPTIONS: $1,954.22 BEACON — STAR: $1,954.22
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$106.97 – $502.43
Upper GI endoscopy (diagnostic): 10 of 35 insurance plan rates Aetna — BETTER HEALTH CHIP: $152.82 Aetna — BETTER HEALTH STAR Kids: $152.82 Aetna — BETTER HEALTH STAR UHRIP: $152.82 BCBS — BCBS TX STAR: $502.43 BCBS — CHIP: $502.43 BCBS — CHIP STAR KIDS: $502.43 BEACON — ALL PRODUCTS: $334.95 BEACON — CHIP: $334.95 BEACON — HEALTH OPTIONS: $334.95 BEACON — STAR: $334.95
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$120.83 – $502.43
Upper GI endoscopy with biopsy: 10 of 35 insurance plan rates Aetna — BETTER HEALTH CHIP: $172.62 Aetna — BETTER HEALTH STAR Kids: $172.62 Aetna — BETTER HEALTH STAR UHRIP: $172.62 BCBS — BCBS TX STAR: $502.43 BCBS — CHIP: $502.43 BCBS — CHIP STAR KIDS: $502.43 BEACON — ALL PRODUCTS: $334.95 BEACON — CHIP: $334.95 BEACON — HEALTH OPTIONS: $334.95 BEACON — STAR: $334.95
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$160.62 – $492.75
Colonoscopy (diagnostic): 10 of 35 insurance plan rates Aetna — BETTER HEALTH CHIP: $229.46 Aetna — BETTER HEALTH STAR Kids: $229.46 Aetna — BETTER HEALTH STAR UHRIP: $229.46 BCBS — BCBS TX STAR: $492.75 BCBS — CHIP: $492.75 BCBS — CHIP STAR KIDS: $492.75 BEACON — ALL PRODUCTS: $328.50 BEACON — CHIP: $328.50 BEACON — HEALTH OPTIONS: $328.50 BEACON — STAR: $328.50
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$174.47 – $643.89
Colonoscopy with biopsy: 10 of 35 insurance plan rates Aetna — BETTER HEALTH CHIP: $249.24 Aetna — BETTER HEALTH STAR Kids: $249.24 Aetna — BETTER HEALTH STAR UHRIP: $249.24 BCBS — BCBS TX STAR: $643.89 BCBS — CHIP: $643.89 BCBS — CHIP STAR KIDS: $643.89 BEACON — ALL PRODUCTS: $429.26 BEACON — CHIP: $429.26 BEACON — HEALTH OPTIONS: $429.26 BEACON — STAR: $429.26
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$220.73 – $643.89
Colonoscopy with removal of polyps (snare): 10 of 35 insurance plan rates Aetna — BETTER HEALTH CHIP: $315.33 Aetna — BETTER HEALTH STAR Kids: $315.33 Aetna — BETTER HEALTH STAR UHRIP: $315.33 BCBS — BCBS TX STAR: $643.89 BCBS — CHIP: $643.89 BCBS — CHIP STAR KIDS: $643.89 BEACON — ALL PRODUCTS: $429.26 BEACON — CHIP: $429.26 BEACON — HEALTH OPTIONS: $429.26 BEACON — STAR: $429.26
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	$223.68 – $643.89
Ultrasound of the lower bowel by endoscope: 10 of 35 insurance plan rates Aetna — BETTER HEALTH CHIP: $319.55 Aetna — BETTER HEALTH STAR Kids: $319.55 Aetna — BETTER HEALTH STAR UHRIP: $319.55 BCBS — BCBS TX STAR: $643.89 BCBS — CHIP: $643.89 BCBS — CHIP STAR KIDS: $643.89 BEACON — ALL PRODUCTS: $429.26 BEACON — CHIP: $429.26 BEACON — HEALTH OPTIONS: $429.26 BEACON — STAR: $429.26
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$292.37 – $492.75
Screening colonoscopy (not high risk): 10 of 35 insurance plan rates Aetna — BETTER HEALTH CHIP: $492.75 Aetna — BETTER HEALTH STAR Kids: $492.75 Aetna — BETTER HEALTH STAR UHRIP: $492.75 BCBS — BCBS TX STAR: $492.75 BCBS — CHIP: $492.75 BCBS — CHIP STAR KIDS: $492.75 BEACON — ALL PRODUCTS: $328.50 BEACON — CHIP: $328.50 BEACON — HEALTH OPTIONS: $328.50 BEACON — STAR: $328.50
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	$587.06 – $2,833.28
Gallbladder removal by laparoscope: 10 of 35 insurance plan rates Aetna — BETTER HEALTH CHIP: $838.65 Aetna — BETTER HEALTH STAR Kids: $838.65 Aetna — BETTER HEALTH STAR UHRIP: $838.65 BCBS — BCBS TX STAR: $2,833.28 BCBS — CHIP: $2,833.28 BCBS — CHIP STAR KIDS: $2,833.28 BEACON — ALL PRODUCTS: $1,888.85 BEACON — CHIP: $1,888.85 BEACON — HEALTH OPTIONS: $1,888.85 BEACON — STAR: $1,888.85
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	$923.49 – $1,727.31
Groin (inguinal) hernia repair, age 5 or older: 10 of 35 insurance plan rates Aetna — BETTER HEALTH CHIP: $1,727.31 Aetna — BETTER HEALTH STAR Kids: $1,727.31 Aetna — BETTER HEALTH STAR UHRIP: $1,727.31 BCBS — BCBS TX STAR: $1,727.31 BCBS — CHIP: $1,727.31 BCBS — CHIP STAR KIDS: $1,727.31 BEACON — ALL PRODUCTS: $1,151.54 BEACON — CHIP: $1,151.54 BEACON — HEALTH OPTIONS: $1,151.54 BEACON — STAR: $1,151.54
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$112.29 – $979.20
Prostate biopsy: 10 of 35 insurance plan rates Aetna — BETTER HEALTH CHIP: $160.41 Aetna — BETTER HEALTH STAR Kids: $160.41 Aetna — BETTER HEALTH STAR UHRIP: $160.41 BCBS — BCBS TX STAR: $979.20 BCBS — CHIP: $979.20 BCBS — CHIP STAR KIDS: $979.20 BEACON — ALL PRODUCTS: $652.80 BEACON — CHIP: $652.80 BEACON — HEALTH OPTIONS: $652.80 BEACON — STAR: $652.80
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	$1,036.77 – $1,481.10
Prostate removal by laparoscope (radical prostatectomy): rates for 8 insurance plans Aetna — BETTER HEALTH CHIP: $1,481.10 Aetna — BETTER HEALTH STAR Kids: $1,481.10 Aetna — BETTER HEALTH STAR UHRIP: $1,481.10 HEALTH PLAN w. UHRIP — STAR: $1,036.77 HEALTH PLAN w/o UHRIP — CHIP: $1,036.77 HEALTH PLAN w/o UHRIP — STAR KIDS: $1,036.77 RIGHTCARE — MDC S&W: $1,086.14 RIGHTCARE — STAR: $1,086.14
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	$231.74 – $1,595.28
Hysteroscopy with biopsy of the uterus lining: 10 of 35 insurance plan rates Aetna — BETTER HEALTH CHIP: $331.05 Aetna — BETTER HEALTH STAR Kids: $331.05 Aetna — BETTER HEALTH STAR UHRIP: $331.05 BCBS — BCBS TX STAR: $1,595.28 BCBS — CHIP: $1,595.28 BCBS — CHIP STAR KIDS: $1,595.28 BEACON — ALL PRODUCTS: $1,063.52 BEACON — CHIP: $1,063.52 BEACON — HEALTH OPTIONS: $1,063.52 BEACON — STAR: $1,063.52
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$85.76 – $394.29
Spinal injection, lower back (epidural), with imaging guidance: 10 of 35 insurance plan rates Aetna — BETTER HEALTH CHIP: $122.52 Aetna — BETTER HEALTH STAR Kids: $122.52 Aetna — BETTER HEALTH STAR UHRIP: $122.52 BCBS — BCBS TX STAR: $394.29 BCBS — CHIP: $394.29 BCBS — CHIP STAR KIDS: $394.29 BEACON — ALL PRODUCTS: $262.86 BEACON — CHIP: $262.86 BEACON — HEALTH OPTIONS: $262.86 BEACON — STAR: $262.86
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$96.08 – $511.16
Nerve root injection, lower back, with imaging guidance: 10 of 35 insurance plan rates Aetna — BETTER HEALTH CHIP: $137.25 Aetna — BETTER HEALTH STAR Kids: $137.25 Aetna — BETTER HEALTH STAR UHRIP: $137.25 BCBS — BCBS TX STAR: $511.16 BCBS — CHIP: $511.16 BCBS — CHIP STAR KIDS: $511.16 BEACON — ALL PRODUCTS: $340.77 BEACON — CHIP: $340.77 BEACON — HEALTH OPTIONS: $340.77 BEACON — STAR: $340.77
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$382.23 – $989.91
Carpal tunnel release: 10 of 35 insurance plan rates Aetna — BETTER HEALTH CHIP: $546.05 Aetna — BETTER HEALTH STAR Kids: $546.05 Aetna — BETTER HEALTH STAR UHRIP: $546.05 BCBS — BCBS TX STAR: $989.91 BCBS — CHIP: $989.91 BCBS — CHIP STAR KIDS: $989.91 BEACON — ALL PRODUCTS: $659.94 BEACON — CHIP: $659.94 BEACON — HEALTH OPTIONS: $659.94 BEACON — STAR: $659.94
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 – $391.11
Laser treatment of clouding after cataract surgery: 10 of 35 insurance plan rates Aetna — BETTER HEALTH CHIP: $391.11 Aetna — BETTER HEALTH STAR Kids: $391.11 Aetna — BETTER HEALTH STAR UHRIP: $391.11 BCBS — BCBS TX STAR: $312.50 BCBS — CHIP: $312.50 BCBS — CHIP STAR KIDS: $312.50 BEACON — ALL PRODUCTS: $208.33 BEACON — CHIP: $208.33 BEACON — HEALTH OPTIONS: $208.33 BEACON — STAR: $208.33
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	$641.33 – $1,274.91
Cataract removal with lens implant: 10 of 35 insurance plan rates Aetna — BETTER HEALTH CHIP: $916.19 Aetna — BETTER HEALTH STAR Kids: $916.19 Aetna — BETTER HEALTH STAR UHRIP: $916.19 BCBS — BCBS TX STAR: $1,274.91 BCBS — CHIP: $1,274.91 BCBS — CHIP STAR KIDS: $1,274.91 BEACON — ALL PRODUCTS: $849.94 BEACON — CHIP: $849.94 BEACON — HEALTH OPTIONS: $849.94 BEACON — STAR: $849.94

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance 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	Not listed in the file
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 39 insurance plan rates Aetna — ALL PRODUCTS: 85% (a percentage in the contract, not a dollar amount) Aetna — EMPLOYEE: 50% (a percentage in the contract, not a dollar amount) BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: 90% (a percentage in the contract, not a dollar amount) BCBS — HMO: 78% (a percentage in the contract, not a dollar amount) BCBS — PPO: 84% (a percentage in the contract, not a dollar amount) BEACON — ALL PRODUCTS: 24% (a percentage in the contract, not a dollar amount) BEACON — CHIP: 24% (a percentage in the contract, not a dollar amount) BEACON — HEALTH OPTIONS: 24% (a percentage in the contract, not a dollar amount) BEACON — STAR: 24% (a percentage in the contract, not a dollar amount) CIGNA — CIGNA-MGD: 85% (a percentage in the contract, not a dollar amount)
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 joint replacement or reattachment of lower extremity w/o MCC	Not listed in the file	Not listed in the file	Not listed in the file
Hip or knee replacement (major joint of the leg), without major complications: 10 of 39 insurance plan rates Aetna — ALL PRODUCTS: 85% (a percentage in the contract, not a dollar amount) Aetna — EMPLOYEE: 50% (a percentage in the contract, not a dollar amount) BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: 90% (a percentage in the contract, not a dollar amount) BCBS — HMO: 78% (a percentage in the contract, not a dollar amount) BCBS — PPO: 84% (a percentage in the contract, not a dollar amount) BEACON — ALL PRODUCTS: 24% (a percentage in the contract, not a dollar amount) BEACON — CHIP: 24% (a percentage in the contract, not a dollar amount) BEACON — HEALTH OPTIONS: 24% (a percentage in the contract, not a dollar amount) BEACON — STAR: 24% (a percentage in the contract, not a dollar amount) CIGNA — CIGNA-MGD: 85% (a percentage in the contract, not a dollar amount)
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	Not listed in the file
Neck (cervical) spinal fusion, without complications: 10 of 39 insurance plan rates Aetna — ALL PRODUCTS: 85% (a percentage in the contract, not a dollar amount) Aetna — EMPLOYEE: 50% (a percentage in the contract, not a dollar amount) BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: 90% (a percentage in the contract, not a dollar amount) BCBS — HMO: 78% (a percentage in the contract, not a dollar amount) BCBS — PPO: 84% (a percentage in the contract, not a dollar amount) BEACON — ALL PRODUCTS: 24% (a percentage in the contract, not a dollar amount) BEACON — CHIP: 24% (a percentage in the contract, not a dollar amount) BEACON — HEALTH OPTIONS: 24% (a percentage in the contract, not a dollar amount) BEACON — STAR: 24% (a percentage in the contract, not a dollar amount) CIGNA — CIGNA-MGD: 85% (a percentage in the contract, not a dollar amount)
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	Not listed in the file
Uterus and ovary surgery (not for cancer), without complications: 10 of 39 insurance plan rates Aetna — ALL PRODUCTS: 85% (a percentage in the contract, not a dollar amount) Aetna — EMPLOYEE: 50% (a percentage in the contract, not a dollar amount) BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: 90% (a percentage in the contract, not a dollar amount) BCBS — HMO: 78% (a percentage in the contract, not a dollar amount) BCBS — PPO: 84% (a percentage in the contract, not a dollar amount) BEACON — ALL PRODUCTS: 24% (a percentage in the contract, not a dollar amount) BEACON — CHIP: 24% (a percentage in the contract, not a dollar amount) BEACON — HEALTH OPTIONS: 24% (a percentage in the contract, not a dollar amount) BEACON — STAR: 24% (a percentage in the contract, not a dollar amount) CIGNA — CIGNA-MGD: 85% (a percentage in the contract, not a dollar amount)

Source: Cook Childrens Medical Center’s standard charges file (cookchildrens.pt.panaceainc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 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 type	Children's Hospital
Address	801 Seventh Avenue, Fort Worth, TX 76104
County	Tarrant County
State	Texas
Phone	(682) 885‑4000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	453300
Name in Medicare records	COOK CHILDRENS MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	cookchildrens.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

Numbers match the citations above. Checked 2026-10-29.

Cook Children's Medical Center — cookchildrens.org
Cook Children's Emergency Department — cookchildrens.org
Emergency Department | Fort Worth | Cook Children's — cookchildrens.org
Expert Pediatric Trauma Surgery in Texas | Cook Children's — cookchildrens.org
Network of Care | Cook Children's — cookchildrens.org
Family Support and Resources | Cook Children's — cookchildrens.org
Language and Interpreter Services | Family Support and Resources | Cook Children's — cookchildrens.org

Cook Childrens Medical Center

Summary

Profile from official sources

At a glance