Does Cook Childrens Medical Center Prosper have an emergency room?

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

Where is Cook Childrens Medical Center Prosper?

4100 W University Drive, Prosper, TX 75078, in Collin County, Texas.

What is the phone number of Cook Childrens Medical Center Prosper?

(945) 204-4100, as listed by Medicare (CMS).

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

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 Prosper

Quick answers

Does Cook Childrens Medical Center Prosper have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Cook Childrens Medical Center Prosper. In a medical emergency, call 911.
Where is Cook Childrens Medical Center Prosper?: 4100 W University Drive, Prosper, TX 75078, in Collin County, Texas.
What is the phone number of Cook Childrens Medical Center Prosper?: (945) 204-4100, as listed by Medicare (CMS).
What is the Medicare star rating of Cook Childrens Medical Center Prosper?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4][5]

Conditions treated^[8]

Multi-system trauma
Respiratory distress or failure
Infections
Shock

Treatments^[4][8]

Intravenous (IV) therapy
Infusion center services
Ventilation support (conventional and oscillatory)
Continuous renal replacement therapy
Dialysis
Specialty gas therapy for respiratory support
Intravenous therapy

Procedures^[4][7][9]

Surgery and minimally invasive procedures
Outpatient surgery
X-ray, ultrasound, MRI and CT imaging
Blood testing
Computed tomography (CT)
MRI
Fetal MRI
Fluoroscopy
X-ray
Transfusion services

Programs and centers^{[4][5][6][7][8]}

Neonatal intensive care unit (NICU)
Pediatric intensive care unit (PICU)
Medical/surgical inpatient unit
Urgent care
Primary care
Retail pharmacy
Ambulance, helicopter and plane transport
Emergency care
Infusion center
Sleep Center
Surgery center (outpatient)
Radiology imaging
Teddy Bear Transport
Child Life

Emergency care (hospital website)^[4][6]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Parking	Patient/visitor parking in front of the medical center; ER parking is across from the red awnings on the east side^[5]

Other emergency rooms nearby

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

Baylor Scott and White Medical Center Frisco at PG…4.3 mi · Frisco, TX · Acute Care Hospital
Texas Health Hospital Frisco4.5 mi · Frisco, TX · Acute Care Hospital
Methodist McKinney Hospital6.9 mi · McKinney, TX · Acute Care Hospital
Baylor Scott & White Emergency Hospital7.4 mi · Aubrey, TX · Acute Care Hospital
Methodist Celina Medical Center7.6 mi · Celina, TX · Acute Care Hospital

Other hospitals nearby

Encompass Health Rehabilitation Hospital of Prospe…1.7 mi · Prosper, TX · Inpatient Rehabilitation Hospital
Medical City Mental Health and Wellness Center6.4 mi · Frisco, TX · Psychiatric 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

Baybrooke Village Care and Rehab Center5.4 mi · McKinney, TX · 3 of 5 stars
Settlers Ridge Care Center7.0 mi · Celina, TX · 3 of 5 stars
Prairie Estates7.2 mi · Frisco, TX · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Archway Hospice4.3 mi · Frisco, TX
By Grace Hospice LLC5.6 mi · Frisco, TX
Good Love Hospice LLC5.6 mi · Frisco, TX

All hospice providers in the state →

Home health agencies

Enhabit Home Health0.0 mi · Prosper, TX
Prosper at Home0.0 mi · Prosper, TX
Ariel Amana Healthcare Inc4.3 mi · Dallas, TX

All home health agencies in the state →

Dialysis facilities

DaVita Prosper Dialysis0.0 mi · Prosper, TX · 4 of 5 stars
DaVita Renal Center of Frisco4.3 mi · Frisco, TX · 4 of 5 stars
FMC Frisco4.3 mi · Frisco, TX · 4 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.

Cook Childrens Pediatric Surgery Center0.0 mi · Prosper, TX
Baylor Scott and White Surgicare at Centennial5.6 mi · Frisco, TX
Baylor Scott and White Sports Surgery Center8.4 mi · Frisco, 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

Healing Hands Ministries Women's Health Center7.1 mi · Frisco, TX · Community health center
Family Health Center on Virginia11 mi · McKinney, TX · Community health center
Women's Health Center of McKinney12 mi · McKinney, TX · Community health center

Clinics and urgent care

Cook Children's Medical Center0.0 mi · Prosper, TX · Urgent care center
Prosper Primary Care and Wellness PC0.0 mi · Prosper, TX · Urgent care center
After Hours Pediatric Urgent Care PLLC4.3 mi · Frisco, TX · Urgent care center

Pharmacies

Cook Childrens Medical Center - Prosper0.0 mi · Prosper, TX · Community/retail pharmacy
Costco Wholesale Corporation0.0 mi · Prosper, TX · Community/retail pharmacy
CRB Healthcare Group Inc0.0 mi · Prosper, TX · Pharmacy

Assisted living nearby

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

Tribute Senior Living0.0 mi · Prosper, TX
Bethesda Gardens Frisco4.3 mi · Frisco, TX
Frisco Assisted Living4.3 mi · Frisco, TX
Frisco Assisted Living4.3 mi · Frisco, 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 Prosper 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 Texas Best hospitals in Texas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 77 common services exactly as Cook Childrens Medical Center Prosper lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

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: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$68.51 – $97.88
New patient office visit (about 30–44 minutes): rates for 6 insurance plans Aetna — BETTER HEALTH CHIP: $97.88 Aetna — BETTER HEALTH STAR Kids: $97.88 Aetna — BETTER HEALTH STAR UHRIP: $97.88 HEALTH PLAN w. UHRIP — STAR: $68.51 HEALTH PLAN w/o UHRIP — CHIP: $68.51 HEALTH PLAN w/o UHRIP — STAR KIDS: $68.51
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$100.24 – $143.21
New patient office visit (about 45–59 minutes): rates for 6 insurance plans Aetna — BETTER HEALTH CHIP: $143.21 Aetna — BETTER HEALTH STAR Kids: $143.21 Aetna — BETTER HEALTH STAR UHRIP: $143.21 HEALTH PLAN w. UHRIP — STAR: $100.24 HEALTH PLAN w/o UHRIP — CHIP: $100.24 HEALTH PLAN w/o UHRIP — STAR KIDS: $100.24
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier FP In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$94.57 – $135.11
New patient office visit (about 45–59 minutes): rates for 6 insurance plans Aetna — BETTER HEALTH CHIP: $135.11 Aetna — BETTER HEALTH STAR Kids: $135.11 Aetna — BETTER HEALTH STAR UHRIP: $135.11 HEALTH PLAN w. UHRIP — STAR: $94.57 HEALTH PLAN w/o UHRIP — CHIP: $94.57 HEALTH PLAN w/o UHRIP — STAR KIDS: $94.57
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$124.64 – $178.05
New patient office visit (about 60–74 minutes): rates for 6 insurance plans Aetna — BETTER HEALTH CHIP: $178.05 Aetna — BETTER HEALTH STAR Kids: $178.05 Aetna — BETTER HEALTH STAR UHRIP: $178.05 HEALTH PLAN w. UHRIP — STAR: $124.64 HEALTH PLAN w/o UHRIP — CHIP: $124.64 HEALTH PLAN w/o UHRIP — STAR KIDS: $124.64
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 49 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 BCBS — BCBS TX STAR: $195.31 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $489.63 BCBS — CHIP: $195.31 BCBS — CHIP STAR KIDS: $195.31 BCBS — HMO: $424.34 BCBS — PPO: $456.99
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LACTATION CONSULT IP ONLY	$544.03	$408.02	$180.84 – $500.51
Established patient office visit (about 20–29 minutes): 10 of 18 insurance plan rates BEACON — ALL PRODUCTS: $293.78 BEACON — CHIP: $293.78 BEACON — HEALTH OPTIONS: $293.78 BEACON — STAR: $293.78 EL PASO HEALTH FIRST — CHIP: $293.78 EL PASO HEALTH FIRST — STAR: $293.78 EL PASO HEALTH FIRST — STAR MEDICAID: $293.78 FIRSTCARE — STAR: $308.47 HEALTH PLAN w/o UHRIP — CHIP: $293.78 HEALTH PLAN w/o UHRIP — STAR KIDS: $293.78
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	$58.83 – $84.05
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans Aetna — BETTER HEALTH CHIP: $84.05 Aetna — BETTER HEALTH STAR Kids: $84.05 Aetna — BETTER HEALTH STAR UHRIP: $84.05 HEALTH PLAN w. UHRIP — STAR: $58.83 HEALTH PLAN w/o UHRIP — CHIP: $58.83 HEALTH PLAN w/o UHRIP — STAR KIDS: $58.83
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier FP In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	$55.50 – $79.29
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans Aetna — BETTER HEALTH CHIP: $79.29 Aetna — BETTER HEALTH STAR Kids: $79.29 Aetna — BETTER HEALTH STAR UHRIP: $79.29 HEALTH PLAN w. UHRIP — STAR: $55.50 HEALTH PLAN w/o UHRIP — CHIP: $55.50 HEALTH PLAN w/o UHRIP — STAR KIDS: $55.50
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	$749.41 – $1,863.39
Emergency room visit (moderate): 10 of 49 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 BCBS — BCBS TX STAR: $931.69 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $1,822.88 BCBS — CHIP: $931.69 BCBS — CHIP STAR KIDS: $931.69 BCBS — HMO: $1,579.83 BCBS — PPO: $1,701.35
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ER DISCHARGE LEVEL III	$2,025.42	$1,519.07	$749.41 – $1,863.39
Emergency room visit (moderate): 10 of 18 insurance plan rates BEACON — ALL PRODUCTS: $1,093.73 BEACON — CHIP: $1,093.73 BEACON — HEALTH OPTIONS: $1,093.73 BEACON — STAR: $1,093.73 EL PASO HEALTH FIRST — CHIP: $1,093.73 EL PASO HEALTH FIRST — STAR: $1,093.73 EL PASO HEALTH FIRST — STAR MEDICAID: $1,093.73 FIRSTCARE — STAR: $1,148.41 HEALTH PLAN w/o UHRIP — CHIP: $1,093.73 HEALTH PLAN w/o UHRIP — STAR KIDS: $1,093.73
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: HC ER DISCHARGE LEVEL III	$1,575.14	$1,181.36	$582.80 – $1,449.13
Emergency room visit (moderate): 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $1,338.87 Aetna — BETTER HEALTH CHIP: $724.56 Aetna — BETTER HEALTH STAR Kids: $724.56 Aetna — BETTER HEALTH STAR UHRIP: $724.56 BCBS — BCBS TX STAR: $724.56 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $1,417.63 BCBS — CHIP: $724.56 BCBS — CHIP STAR KIDS: $724.56 BCBS — HMO: $1,228.61 BCBS — PPO: $1,323.12
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	$1,339.13 – $3,329.72
Emergency room visit (moderately high): 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $3,076.37 Aetna — BETTER HEALTH CHIP: $1,664.86 Aetna — BETTER HEALTH STAR Kids: $1,664.86 Aetna — BETTER HEALTH STAR UHRIP: $1,664.86 BCBS — BCBS TX STAR: $1,664.86 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $3,257.33 BCBS — CHIP: $1,664.86 BCBS — CHIP STAR KIDS: $1,664.86 BCBS — HMO: $2,823.02 BCBS — PPO: $3,040.18
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ER DISCHARGE LEVEL IV	$3,619.26	$2,714.45	$1,339.13 – $3,329.72
Emergency room visit (moderately high): 10 of 18 insurance plan rates BEACON — ALL PRODUCTS: $1,954.40 BEACON — CHIP: $1,954.40 BEACON — HEALTH OPTIONS: $1,954.40 BEACON — STAR: $1,954.40 EL PASO HEALTH FIRST — CHIP: $1,954.40 EL PASO HEALTH FIRST — STAR: $1,954.40 EL PASO HEALTH FIRST — STAR MEDICAID: $1,954.40 FIRSTCARE — STAR: $2,052.12 HEALTH PLAN w/o UHRIP — CHIP: $1,954.40 HEALTH PLAN w/o UHRIP — STAR KIDS: $1,954.40
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: HC ER DISCHARGE LEVEL IV	$2,814.03	$2,110.52	$1,041.19 – $2,588.91
Emergency room visit (moderately high): 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $2,391.93 Aetna — BETTER HEALTH CHIP: $1,294.45 Aetna — BETTER HEALTH STAR Kids: $1,294.45 Aetna — BETTER HEALTH STAR UHRIP: $1,294.45 BCBS — BCBS TX STAR: $1,294.45 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $2,532.63 BCBS — CHIP: $1,294.45 BCBS — CHIP STAR KIDS: $1,294.45 BCBS — HMO: $2,194.94 BCBS — PPO: $2,363.79
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	$1,981.13 – $4,926.06
Emergency room visit (high): 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $4,551.25 Aetna — BETTER HEALTH CHIP: $2,463.03 Aetna — BETTER HEALTH STAR Kids: $2,463.03 Aetna — BETTER HEALTH STAR UHRIP: $2,463.03 BCBS — BCBS TX STAR: $2,463.03 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $4,818.97 BCBS — CHIP: $2,463.03 BCBS — CHIP STAR KIDS: $2,463.03 BCBS — HMO: $4,176.44 BCBS — PPO: $4,497.70
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ER DISCHARGE LEVEL V	$5,354.41	$4,015.81	$1,981.13 – $4,926.06
Emergency room visit (high): 10 of 18 insurance plan rates BEACON — ALL PRODUCTS: $2,891.38 BEACON — CHIP: $2,891.38 BEACON — HEALTH OPTIONS: $2,891.38 BEACON — STAR: $2,891.38 EL PASO HEALTH FIRST — CHIP: $2,891.38 EL PASO HEALTH FIRST — STAR: $2,891.38 EL PASO HEALTH FIRST — STAR MEDICAID: $2,891.38 FIRSTCARE — STAR: $3,035.95 HEALTH PLAN w/o UHRIP — CHIP: $2,891.38 HEALTH PLAN w/o UHRIP — STAR KIDS: $2,891.38
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: HC ER DISCHARGE LEVEL V	$4,162.45	$3,121.84	$1,540.11 – $3,829.45
Emergency room visit (high): 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $3,538.08 Aetna — BETTER HEALTH CHIP: $1,914.73 Aetna — BETTER HEALTH STAR Kids: $1,914.73 Aetna — BETTER HEALTH STAR UHRIP: $1,914.73 BCBS — BCBS TX STAR: $1,914.73 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $3,746.21 BCBS — CHIP: $1,914.73 BCBS — CHIP STAR KIDS: $1,914.73 BCBS — HMO: $3,246.71 BCBS — PPO: $3,496.46

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: BASIC METABOLIC PNL TOTAL CA	Not listed in the file	Not listed in the file	$8.46 – $9.31
Basic metabolic panel (blood test): 10 of 30 insurance plan rates Aetna — BETTER HEALTH CHIP: $9.31 Aetna — BETTER HEALTH STAR Kids: $9.31 Aetna — BETTER HEALTH STAR UHRIP: $9.31 BCBS — BCBS TX STAR: $9.14 BCBS — CHIP: $9.14 BCBS — CHIP STAR KIDS: $9.14 BEACON — ALL PRODUCTS: $8.46 BEACON — CHIP: $8.46 BEACON — HEALTH OPTIONS: $8.46 BEACON — STAR: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$10.56 – $11.62
Comprehensive metabolic panel (blood test): 10 of 30 insurance plan rates Aetna — BETTER HEALTH CHIP: $11.62 Aetna — BETTER HEALTH STAR Kids: $11.62 Aetna — BETTER HEALTH STAR UHRIP: $11.62 BCBS — BCBS TX STAR: $11.40 BCBS — CHIP: $11.40 BCBS — CHIP STAR KIDS: $11.40 BEACON — ALL PRODUCTS: $10.56 BEACON — CHIP: $10.56 BEACON — HEALTH OPTIONS: $10.56 BEACON — STAR: $10.56
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	Not listed in the file	Not listed in the file	$13.39 – $14.73
Cholesterol panel (lipid panel): 10 of 30 insurance plan rates Aetna — BETTER HEALTH CHIP: $14.73 Aetna — BETTER HEALTH STAR Kids: $14.73 Aetna — BETTER HEALTH STAR UHRIP: $14.73 BCBS — BCBS TX STAR: $14.46 BCBS — CHIP: $14.46 BCBS — CHIP STAR KIDS: $14.46 BEACON — ALL PRODUCTS: $13.39 BEACON — CHIP: $13.39 BEACON — HEALTH OPTIONS: $13.39 BEACON — STAR: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$8.68 – $9.55
Kidney function panel: 10 of 30 insurance plan rates Aetna — BETTER HEALTH CHIP: $9.55 Aetna — BETTER HEALTH STAR Kids: $9.55 Aetna — BETTER HEALTH STAR UHRIP: $9.55 BCBS — BCBS TX STAR: $9.37 BCBS — CHIP: $9.37 BCBS — CHIP STAR KIDS: $9.37 BEACON — ALL PRODUCTS: $8.68 BEACON — CHIP: $8.68 BEACON — HEALTH OPTIONS: $8.68 BEACON — STAR: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$8.17 – $8.99
Liver function panel: 10 of 30 insurance plan rates Aetna — BETTER HEALTH CHIP: $8.99 Aetna — BETTER HEALTH STAR Kids: $8.99 Aetna — BETTER HEALTH STAR UHRIP: $8.99 BCBS — BCBS TX STAR: $8.82 BCBS — CHIP: $8.82 BCBS — CHIP STAR KIDS: $8.82 BEACON — ALL PRODUCTS: $8.17 BEACON — CHIP: $8.17 BEACON — HEALTH OPTIONS: $8.17 BEACON — STAR: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$3.17 – $3.49
Urine test (automated, with microscope): 10 of 30 insurance plan rates Aetna — BETTER HEALTH CHIP: $3.49 Aetna — BETTER HEALTH STAR Kids: $3.49 Aetna — BETTER HEALTH STAR UHRIP: $3.49 BCBS — BCBS TX STAR: $3.42 BCBS — CHIP: $3.42 BCBS — CHIP STAR KIDS: $3.42 BEACON — ALL PRODUCTS: $3.17 BEACON — CHIP: $3.17 BEACON — HEALTH OPTIONS: $3.17 BEACON — STAR: $3.17
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	$3.48 – $3.83
Urine test (manual, without microscope): 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $50.17 Aetna — BETTER HEALTH CHIP: $3.83 Aetna — BETTER HEALTH STAR Kids: $3.83 Aetna — BETTER HEALTH STAR UHRIP: $3.83 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 BCBS — PPO: $49.58
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINE SCREEN, DIPSTICK	$59.02	$44.27	$21.84 – $54.30
Urine test (manual, without microscope): 10 of 18 insurance plan rates BEACON — ALL PRODUCTS: $31.87 BEACON — CHIP: $31.87 BEACON — HEALTH OPTIONS: $31.87 BEACON — STAR: $31.87 EL PASO HEALTH FIRST — CHIP: $31.87 EL PASO HEALTH FIRST — STAR: $31.87 EL PASO HEALTH FIRST — STAR MEDICAID: $31.87 FIRSTCARE — STAR: $33.46 HEALTH PLAN w/o UHRIP — CHIP: $31.87 HEALTH PLAN w/o UHRIP — STAR KIDS: $31.87
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS POC	$56.04	$42.03	$2.25 – $2.48
Urine test (automated, without microscope): 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $47.63 Aetna — BETTER HEALTH CHIP: $2.48 Aetna — BETTER HEALTH STAR Kids: $2.48 Aetna — BETTER HEALTH STAR UHRIP: $2.48 BCBS — BCBS TX STAR: $2.43 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $50.44 BCBS — CHIP: $2.43 BCBS — CHIP STAR KIDS: $2.43 BCBS — HMO: $43.71 BCBS — PPO: $47.07
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS POC	$56.04	$42.03	$20.73 – $51.56
Urine test (automated, without microscope): 10 of 18 insurance plan rates BEACON — ALL PRODUCTS: $30.26 BEACON — CHIP: $30.26 BEACON — HEALTH OPTIONS: $30.26 BEACON — STAR: $30.26 EL PASO HEALTH FIRST — CHIP: $30.26 EL PASO HEALTH FIRST — STAR: $30.26 EL PASO HEALTH FIRST — STAR MEDICAID: $30.26 FIRSTCARE — STAR: $31.77 HEALTH PLAN w/o UHRIP — CHIP: $30.26 HEALTH PLAN w/o UHRIP — STAR KIDS: $30.26
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$18.39 – $20.23
PSA (prostate specific antigen) blood test: 10 of 30 insurance plan rates Aetna — BETTER HEALTH CHIP: $20.23 Aetna — BETTER HEALTH STAR Kids: $20.23 Aetna — BETTER HEALTH STAR UHRIP: $20.23 BCBS — BCBS TX STAR: $19.86 BCBS — CHIP: $19.86 BCBS — CHIP STAR KIDS: $19.86 BEACON — ALL PRODUCTS: $18.39 BEACON — CHIP: $18.39 BEACON — HEALTH OPTIONS: $18.39 BEACON — STAR: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE	Not listed in the file	Not listed in the file	$16.80 – $18.48
Thyroid stimulating hormone (TSH) test: 10 of 30 insurance plan rates Aetna — BETTER HEALTH CHIP: $18.48 Aetna — BETTER HEALTH STAR Kids: $18.48 Aetna — BETTER HEALTH STAR UHRIP: $18.48 BCBS — BCBS TX STAR: $18.14 BCBS — CHIP: $18.14 BCBS — CHIP STAR KIDS: $18.14 BEACON — ALL PRODUCTS: $16.80 BEACON — CHIP: $16.80 BEACON — HEALTH OPTIONS: $16.80 BEACON — STAR: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$7.77 – $8.55
Complete blood count (CBC) with differential: 10 of 30 insurance plan rates Aetna — BETTER HEALTH CHIP: $8.55 Aetna — BETTER HEALTH STAR Kids: $8.55 Aetna — BETTER HEALTH STAR UHRIP: $8.55 BCBS — BCBS TX STAR: $8.39 BCBS — CHIP: $8.39 BCBS — CHIP STAR KIDS: $8.39 BEACON — ALL PRODUCTS: $7.77 BEACON — CHIP: $7.77 BEACON — HEALTH OPTIONS: $7.77 BEACON — STAR: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$6.47 – $7.12
Complete blood count (CBC), automated: 10 of 30 insurance plan rates Aetna — BETTER HEALTH CHIP: $7.12 Aetna — BETTER HEALTH STAR Kids: $7.12 Aetna — BETTER HEALTH STAR UHRIP: $7.12 BCBS — BCBS TX STAR: $6.99 BCBS — CHIP: $6.99 BCBS — CHIP STAR KIDS: $6.99 BEACON — ALL PRODUCTS: $6.47 BEACON — CHIP: $6.47 BEACON — HEALTH OPTIONS: $6.47 BEACON — STAR: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	Not listed in the file	Not listed in the file	$4.29 – $4.72
Blood clotting time test (prothrombin time, PT): 10 of 30 insurance plan rates Aetna — BETTER HEALTH CHIP: $4.72 Aetna — BETTER HEALTH STAR Kids: $4.72 Aetna — BETTER HEALTH STAR UHRIP: $4.72 BCBS — BCBS TX STAR: $4.63 BCBS — CHIP: $4.63 BCBS — CHIP STAR KIDS: $4.63 BEACON — ALL PRODUCTS: $4.29 BEACON — CHIP: $4.29 BEACON — HEALTH OPTIONS: $4.29 BEACON — STAR: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL	Not listed in the file	Not listed in the file	$6.01 – $6.61
Blood clotting test (partial thromboplastin time, PTT): 10 of 30 insurance plan rates Aetna — BETTER HEALTH CHIP: $6.61 Aetna — BETTER HEALTH STAR Kids: $6.61 Aetna — BETTER HEALTH STAR UHRIP: $6.61 BCBS — BCBS TX STAR: $6.49 BCBS — CHIP: $6.49 BCBS — CHIP STAR KIDS: $6.49 BEACON — ALL PRODUCTS: $6.01 BEACON — CHIP: $6.01 BEACON — HEALTH OPTIONS: $6.01 BEACON — STAR: $6.01

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	$120.56 – $148.14
CT scan of the head or brain, without contrast: 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $3,222.70 Aetna — BETTER HEALTH CHIP: $120.56 Aetna — BETTER HEALTH STAR Kids: $120.56 Aetna — BETTER HEALTH STAR UHRIP: $120.56 BCBS — BCBS TX STAR: $145.44 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $3,412.27 BCBS — CHIP: $145.44 BCBS — CHIP STAR KIDS: $145.44 BCBS — HMO: $2,957.30 BCBS — PPO: $3,184.78
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	$1,402.82 – $3,488.10
CT scan of the head or brain, without contrast: 10 of 18 insurance plan rates BEACON — ALL PRODUCTS: $2,047.36 BEACON — CHIP: $2,047.36 BEACON — HEALTH OPTIONS: $2,047.36 BEACON — STAR: $2,047.36 EL PASO HEALTH FIRST — CHIP: $2,047.36 EL PASO HEALTH FIRST — STAR: $2,047.36 EL PASO HEALTH FIRST — STAR MEDICAID: $2,047.36 FIRSTCARE — STAR: $2,149.73 HEALTH PLAN w/o UHRIP — CHIP: $2,047.36 HEALTH PLAN w/o UHRIP — STAR KIDS: $2,047.36
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	$393.64 – $510.64
MRI of the brain, before and after contrast: 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $3,429.25 Aetna — BETTER HEALTH CHIP: $393.64 Aetna — BETTER HEALTH STAR Kids: $393.64 Aetna — BETTER HEALTH STAR UHRIP: $393.64 BCBS — BCBS TX STAR: $501.36 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $3,630.97 BCBS — CHIP: $501.36 BCBS — CHIP STAR KIDS: $501.36 BCBS — HMO: $3,146.84 BCBS — PPO: $3,388.90
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI BRAIN W & WO CONTRAST	$4,034.41	$3,025.81	$1,492.73 – $3,711.66
MRI of the brain, before and after contrast: 10 of 18 insurance plan rates BEACON — ALL PRODUCTS: $2,178.58 BEACON — CHIP: $2,178.58 BEACON — HEALTH OPTIONS: $2,178.58 BEACON — STAR: $2,178.58 EL PASO HEALTH FIRST — CHIP: $2,178.58 EL PASO HEALTH FIRST — STAR: $2,178.58 EL PASO HEALTH FIRST — STAR MEDICAID: $2,178.58 FIRSTCARE — STAR: $2,287.51 HEALTH PLAN w/o UHRIP — CHIP: $2,178.58 HEALTH PLAN w/o UHRIP — STAR KIDS: $2,178.58
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	$31.61 – $120.42
Chest X-ray, 2 views: 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $567.25 Aetna — BETTER HEALTH CHIP: $31.61 Aetna — BETTER HEALTH STAR Kids: $31.61 Aetna — BETTER HEALTH STAR UHRIP: $31.61 BCBS — BCBS TX STAR: $118.23 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $600.62 BCBS — CHIP: $118.23 BCBS — CHIP STAR KIDS: $118.23 BCBS — HMO: $520.53 BCBS — PPO: $560.57
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CHEST 2 VIEWS	$667.35	$500.51	$246.92 – $613.96
Chest X-ray, 2 views: 10 of 18 insurance plan rates BEACON — ALL PRODUCTS: $360.37 BEACON — CHIP: $360.37 BEACON — HEALTH OPTIONS: $360.37 BEACON — STAR: $360.37 EL PASO HEALTH FIRST — CHIP: $360.37 EL PASO HEALTH FIRST — STAR: $360.37 EL PASO HEALTH FIRST — STAR MEDICAID: $360.37 FIRSTCARE — STAR: $378.39 HEALTH PLAN w/o UHRIP — CHIP: $360.37 HEALTH PLAN w/o UHRIP — STAR KIDS: $360.37
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SPINE LUMBO-SACRAL COMPLETE	$1,037.57	$778.18	$383.90 – $954.56
X-ray of the lower spine, at least 4 views: 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $881.93 Aetna — BETTER HEALTH CHIP: $50.72 Aetna — BETTER HEALTH STAR Kids: $50.72 Aetna — BETTER HEALTH STAR UHRIP: $50.72 BCBS — BCBS TX STAR: $145.44 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $933.81 BCBS — CHIP: $145.44 BCBS — CHIP STAR KIDS: $145.44 BCBS — HMO: $809.30 BCBS — PPO: $871.56
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	$383.90 – $954.56
X-ray of the lower spine, at least 4 views: 10 of 18 insurance plan rates BEACON — ALL PRODUCTS: $560.29 BEACON — CHIP: $560.29 BEACON — HEALTH OPTIONS: $560.29 BEACON — STAR: $560.29 EL PASO HEALTH FIRST — CHIP: $560.29 EL PASO HEALTH FIRST — STAR: $560.29 EL PASO HEALTH FIRST — STAR MEDICAID: $560.29 FIRSTCARE — STAR: $588.30 HEALTH PLAN w/o UHRIP — CHIP: $560.29 HEALTH PLAN w/o UHRIP — STAR KIDS: $560.29
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	$234.12 – $323.66
MRI of the lower back (lumbar spine), without contrast: 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $2,790.98 Aetna — BETTER HEALTH CHIP: $234.12 Aetna — BETTER HEALTH STAR Kids: $234.12 Aetna — BETTER HEALTH STAR UHRIP: $234.12 BCBS — BCBS TX STAR: $317.78 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $2,955.15 BCBS — CHIP: $317.78 BCBS — CHIP STAR KIDS: $317.78 BCBS — HMO: $2,561.13 BCBS — PPO: $2,758.14
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	$1,214.90 – $3,020.82
MRI of the lower back (lumbar spine), without contrast: 10 of 18 insurance plan rates BEACON — ALL PRODUCTS: $1,773.09 BEACON — CHIP: $1,773.09 BEACON — HEALTH OPTIONS: $1,773.09 BEACON — STAR: $1,773.09 EL PASO HEALTH FIRST — CHIP: $1,773.09 EL PASO HEALTH FIRST — STAR: $1,773.09 EL PASO HEALTH FIRST — STAR MEDICAID: $1,773.09 FIRSTCARE — STAR: $1,861.74 HEALTH PLAN w/o UHRIP — CHIP: $1,773.09 HEALTH PLAN w/o UHRIP — STAR KIDS: $1,773.09
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST	$4,228.12	$3,171.09	$227.23 – $249.95
CT scan of the pelvis, with contrast: 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $3,593.90 Aetna — BETTER HEALTH CHIP: $234.86 Aetna — BETTER HEALTH STAR Kids: $234.86 Aetna — BETTER HEALTH STAR UHRIP: $234.86 BCBS — BCBS TX STAR: $245.41 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $3,805.31 BCBS — CHIP: $245.41 BCBS — CHIP STAR KIDS: $245.41 BCBS — HMO: $3,297.93 BCBS — PPO: $3,551.62
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	$1,564.40 – $3,889.87
CT scan of the pelvis, with contrast: 10 of 18 insurance plan rates BEACON — ALL PRODUCTS: $2,283.18 BEACON — CHIP: $2,283.18 BEACON — HEALTH OPTIONS: $2,283.18 BEACON — STAR: $2,283.18 EL PASO HEALTH FIRST — CHIP: $2,283.18 EL PASO HEALTH FIRST — STAR: $2,283.18 EL PASO HEALTH FIRST — STAR MEDICAID: $2,283.18 FIRSTCARE — STAR: $2,397.34 HEALTH PLAN w/o UHRIP — CHIP: $2,283.18 HEALTH PLAN w/o UHRIP — STAR KIDS: $2,283.18
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	$1,107.06 – $2,752.70
MRI of a leg joint (such as the knee), without contrast: 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $2,543.25 Aetna — BETTER HEALTH CHIP: $247.37 Aetna — BETTER HEALTH STAR Kids: $247.37 Aetna — BETTER HEALTH STAR UHRIP: $247.37 BCBS — BCBS TX STAR: $317.78 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $2,692.85 BCBS — CHIP: $317.78 BCBS — CHIP STAR KIDS: $317.78 BCBS — HMO: $2,333.81 BCBS — PPO: $2,513.33
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	$1,107.06 – $2,752.70
MRI of a leg joint (such as the knee), without contrast: 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $2,543.25 Aetna — BETTER HEALTH CHIP: $247.37 Aetna — BETTER HEALTH STAR Kids: $247.37 Aetna — BETTER HEALTH STAR UHRIP: $247.37 BCBS — BCBS TX STAR: $317.78 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $2,692.85 BCBS — CHIP: $317.78 BCBS — CHIP STAR KIDS: $317.78 BCBS — HMO: $2,333.81 BCBS — PPO: $2,513.33
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	$1,107.06 – $2,752.70
MRI of a leg joint (such as the knee), without contrast: 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $2,543.25 Aetna — BETTER HEALTH CHIP: $247.37 Aetna — BETTER HEALTH STAR Kids: $247.37 Aetna — BETTER HEALTH STAR UHRIP: $247.37 BCBS — BCBS TX STAR: $317.78 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $2,692.85 BCBS — CHIP: $317.78 BCBS — CHIP STAR KIDS: $317.78 BCBS — HMO: $2,333.81 BCBS — PPO: $2,513.33
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABD & PEL WITH	$8,302.42	$6,226.82	$278.01 – $510.64
CT scan of the abdomen and pelvis, with contrast: 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $7,057.06 Aetna — BETTER HEALTH CHIP: $278.01 Aetna — BETTER HEALTH STAR Kids: $278.01 Aetna — BETTER HEALTH STAR UHRIP: $278.01 BCBS — BCBS TX STAR: $501.36 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $7,472.18 BCBS — CHIP: $501.36 BCBS — CHIP STAR KIDS: $501.36 BCBS — HMO: $6,475.89 BCBS — PPO: $6,974.03
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	$3,071.90 – $7,638.23
CT scan of the abdomen and pelvis, with contrast: 10 of 18 insurance plan rates BEACON — ALL PRODUCTS: $4,483.31 BEACON — CHIP: $4,483.31 BEACON — HEALTH OPTIONS: $4,483.31 BEACON — STAR: $4,483.31 EL PASO HEALTH FIRST — CHIP: $4,483.31 EL PASO HEALTH FIRST — STAR: $4,483.31 EL PASO HEALTH FIRST — STAR MEDICAID: $4,483.31 FIRSTCARE — STAR: $4,707.47 HEALTH PLAN w/o UHRIP — CHIP: $4,483.31 HEALTH PLAN w/o UHRIP — STAR KIDS: $4,483.31
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SONO ABDOMEN COMPLETE	$1,345.56	$1,009.17	$125.91 – $148.14
Ultrasound of the abdomen, complete: 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $1,143.73 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 — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $1,211 BCBS — CHIP: $145.44 BCBS — CHIP STAR KIDS: $145.44 BCBS — HMO: $1,049.54 BCBS — PPO: $1,130.27
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	$497.86 – $1,237.92
Ultrasound of the abdomen, complete: 10 of 18 insurance plan rates BEACON — ALL PRODUCTS: $726.60 BEACON — CHIP: $726.60 BEACON — HEALTH OPTIONS: $726.60 BEACON — STAR: $726.60 EL PASO HEALTH FIRST — CHIP: $726.60 EL PASO HEALTH FIRST — STAR: $726.60 EL PASO HEALTH FIRST — STAR MEDICAID: $726.60 FIRSTCARE — STAR: $762.93 HEALTH PLAN w/o UHRIP — CHIP: $726.60 HEALTH PLAN w/o UHRIP — STAR KIDS: $726.60
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	$125.91 – $148.14
Pregnancy ultrasound (after the first trimester): 10 of 30 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	$125.91 – $148.14
Transvaginal ultrasound: 10 of 30 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 6 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
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 6 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
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 6 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

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	$218.49 – $604.73
Electrocardiogram (ECG/EKG) with reading: 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $558.72 Aetna — BETTER HEALTH CHIP: $240.32 Aetna — BETTER HEALTH STAR Kids: $240.32 Aetna — BETTER HEALTH STAR UHRIP: $240.32 BCBS — BCBS TX STAR: $235.98 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $591.59 BCBS — CHIP: $235.98 BCBS — CHIP STAR KIDS: $235.98 BCBS — HMO: $512.71 BCBS — PPO: $552.15
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EKG W INTERP	$657.32	$492.99	$218.49 – $604.73
Electrocardiogram (ECG/EKG) with reading: 10 of 18 insurance plan rates BEACON — ALL PRODUCTS: $354.95 BEACON — CHIP: $354.95 BEACON — HEALTH OPTIONS: $354.95 BEACON — STAR: $354.95 EL PASO HEALTH FIRST — CHIP: $354.95 EL PASO HEALTH FIRST — STAR: $354.95 EL PASO HEALTH FIRST — STAR MEDICAID: $354.95 FIRSTCARE — STAR: $372.70 HEALTH PLAN w/o UHRIP — CHIP: $354.95 HEALTH PLAN w/o UHRIP — STAR KIDS: $354.95
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 6 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
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 6 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
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 6 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

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 - EA UNIT	$92.16	$69.12	$30.63 – $84.79
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $78.34 Aetna — BETTER HEALTH CHIP: $33.69 Aetna — BETTER HEALTH STAR Kids: $33.69 Aetna — BETTER HEALTH STAR UHRIP: $33.69 BCBS — BCBS TX STAR: $33.09 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $82.94 BCBS — CHIP: $33.09 BCBS — CHIP STAR KIDS: $33.09 BCBS — HMO: $71.88 BCBS — PPO: $77.41
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	$47.99 – $132.83
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $122.72 Aetna — BETTER HEALTH CHIP: $52.79 Aetna — BETTER HEALTH STAR Kids: $52.79 Aetna — BETTER HEALTH STAR UHRIP: $52.79 BCBS — BCBS TX STAR: $51.83 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $129.94 BCBS — CHIP: $51.83 BCBS — CHIP STAR KIDS: $51.83 BCBS — HMO: $112.62 BCBS — PPO: $121.28
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	$30.63 – $84.79
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $78.34 Aetna — BETTER HEALTH CHIP: $33.69 Aetna — BETTER HEALTH STAR Kids: $33.69 Aetna — BETTER HEALTH STAR UHRIP: $33.69 BCBS — BCBS TX STAR: $33.09 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $82.94 BCBS — CHIP: $33.09 BCBS — CHIP STAR KIDS: $33.09 BCBS — HMO: $71.88 BCBS — PPO: $77.41
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	$103.47 – $286.38
Physical therapy evaluation (low complexity): 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $264.59 Aetna — BETTER HEALTH CHIP: $113.80 Aetna — BETTER HEALTH STAR Kids: $113.80 Aetna — BETTER HEALTH STAR UHRIP: $113.80 BCBS — BCBS TX STAR: $111.75 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $280.15 BCBS — CHIP: $111.75 BCBS — CHIP STAR KIDS: $111.75 BCBS — HMO: $242.80 BCBS — PPO: $261.48
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEXITY	$311.28	$233.46	$103.47 – $286.38
Physical therapy evaluation (low complexity): 10 of 18 insurance plan rates BEACON — ALL PRODUCTS: $168.09 BEACON — CHIP: $168.09 BEACON — HEALTH OPTIONS: $168.09 BEACON — STAR: $168.09 EL PASO HEALTH FIRST — CHIP: $168.09 EL PASO HEALTH FIRST — STAR: $168.09 EL PASO HEALTH FIRST — STAR MEDICAID: $168.09 FIRSTCARE — STAR: $176.50 HEALTH PLAN w/o UHRIP — CHIP: $168.09 HEALTH PLAN w/o UHRIP — STAR KIDS: $168.09
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL MODCOMPLEXITY	$466.93	$350.20	$155.21 – $429.58
Physical therapy evaluation (moderate complexity): 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $396.89 Aetna — BETTER HEALTH CHIP: $170.71 Aetna — BETTER HEALTH STAR Kids: $170.71 Aetna — BETTER HEALTH STAR UHRIP: $170.71 BCBS — BCBS TX STAR: $167.63 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $420.24 BCBS — CHIP: $167.63 BCBS — CHIP STAR KIDS: $167.63 BCBS — HMO: $364.21 BCBS — PPO: $392.22
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL MODCOMPLEXITY	$466.93	$350.20	$155.21 – $429.58
Physical therapy evaluation (moderate complexity): 10 of 18 insurance plan rates BEACON — ALL PRODUCTS: $252.14 BEACON — CHIP: $252.14 BEACON — HEALTH OPTIONS: $252.14 BEACON — STAR: $252.14 EL PASO HEALTH FIRST — CHIP: $252.14 EL PASO HEALTH FIRST — STAR: $252.14 EL PASO HEALTH FIRST — STAR MEDICAID: $252.14 FIRSTCARE — STAR: $264.75 HEALTH PLAN w/o UHRIP — CHIP: $252.14 HEALTH PLAN w/o UHRIP — STAR KIDS: $252.14
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	$233.99 – $647.62
Physical therapy evaluation (high complexity): 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $598.35 Aetna — BETTER HEALTH CHIP: $257.36 Aetna — BETTER HEALTH STAR Kids: $257.36 Aetna — BETTER HEALTH STAR UHRIP: $257.36 BCBS — BCBS TX STAR: $252.71 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $633.55 BCBS — CHIP: $252.71 BCBS — CHIP STAR KIDS: $252.71 BCBS — HMO: $549.07 BCBS — PPO: $591.31
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEXITY	$703.94	$527.96	$233.99 – $647.62
Physical therapy evaluation (high complexity): 10 of 18 insurance plan rates BEACON — ALL PRODUCTS: $380.13 BEACON — CHIP: $380.13 BEACON — HEALTH OPTIONS: $380.13 BEACON — STAR: $380.13 EL PASO HEALTH FIRST — CHIP: $380.13 EL PASO HEALTH FIRST — STAR: $380.13 EL PASO HEALTH FIRST — STAR MEDICAID: $380.13 FIRSTCARE — STAR: $399.13 HEALTH PLAN w/o UHRIP — CHIP: $380.13 HEALTH PLAN w/o UHRIP — STAR KIDS: $380.13
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC IND PSYCH-THERP MA 16-37 MN	$325.14	$243.86	$108.08 – $299.13
Psychotherapy, 30 minutes: 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $276.37 Aetna — BETTER HEALTH CHIP: $82.94 Aetna — BETTER HEALTH STAR Kids: $82.94 Aetna — BETTER HEALTH STAR UHRIP: $82.94 BCBS — BCBS TX STAR: $116.73 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $292.63 BCBS — CHIP: $116.73 BCBS — CHIP STAR KIDS: $116.73 BCBS — HMO: $253.61 BCBS — PPO: $273.12
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC IND PSYCH-THERP PHD 16-37 MIN	$452	$339	$150.24 – $415.84
Psychotherapy, 30 minutes: 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $384.20 Aetna — BETTER HEALTH CHIP: $82.94 Aetna — BETTER HEALTH STAR Kids: $82.94 Aetna — BETTER HEALTH STAR UHRIP: $82.94 BCBS — BCBS TX STAR: $162.27 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $406.80 BCBS — CHIP: $162.27 BCBS — CHIP STAR KIDS: $162.27 BCBS — HMO: $352.56 BCBS — PPO: $379.68
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	$108.08 – $299.13
Psychotherapy, 30 minutes: 10 of 18 insurance plan rates BEACON — ALL PRODUCTS: $175.58 BEACON — CHIP: $175.58 BEACON — HEALTH OPTIONS: $175.58 BEACON — STAR: $175.58 EL PASO HEALTH FIRST — CHIP: $175.58 EL PASO HEALTH FIRST — STAR: $175.58 EL PASO HEALTH FIRST — STAR MEDICAID: $175.58 FIRSTCARE — STAR: $184.35 HEALTH PLAN w/o UHRIP — CHIP: $175.58 HEALTH PLAN w/o UHRIP — STAR KIDS: $175.58
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC IND PSYCH-THERP MA 38-52 MN	$644.99	$483.74	$214.39 – $593.39
Psychotherapy, 45 minutes: 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $548.24 Aetna — BETTER HEALTH CHIP: $109.89 Aetna — BETTER HEALTH STAR Kids: $109.89 Aetna — BETTER HEALTH STAR UHRIP: $109.89 BCBS — BCBS TX STAR: $231.55 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $580.49 BCBS — CHIP: $231.55 BCBS — CHIP STAR KIDS: $231.55 BCBS — HMO: $503.09 BCBS — PPO: $541.79
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC IND PSYCH-THERP PHD 38-52 MN	$800.77	$600.58	$266.18 – $736.71
Psychotherapy, 45 minutes: 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $680.65 Aetna — BETTER HEALTH CHIP: $109.89 Aetna — BETTER HEALTH STAR Kids: $109.89 Aetna — BETTER HEALTH STAR UHRIP: $109.89 BCBS — BCBS TX STAR: $287.48 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $720.69 BCBS — CHIP: $287.48 BCBS — CHIP STAR KIDS: $287.48 BCBS — HMO: $624.60 BCBS — PPO: $672.65
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	$214.39 – $593.39
Psychotherapy, 45 minutes: 10 of 18 insurance plan rates BEACON — ALL PRODUCTS: $348.29 BEACON — CHIP: $348.29 BEACON — HEALTH OPTIONS: $348.29 BEACON — STAR: $348.29 EL PASO HEALTH FIRST — CHIP: $348.29 EL PASO HEALTH FIRST — STAR: $348.29 EL PASO HEALTH FIRST — STAR MEDICAID: $348.29 FIRSTCARE — STAR: $365.71 HEALTH PLAN w/o UHRIP — CHIP: $348.29 HEALTH PLAN w/o UHRIP — STAR KIDS: $348.29
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC IND PSYCH-THERP MA >53 MIN	$733.76	$550.32	$243.90 – $675.06
Psychotherapy, 60 minutes: 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $623.70 Aetna — BETTER HEALTH CHIP: $162.51 Aetna — BETTER HEALTH STAR Kids: $162.51 Aetna — BETTER HEALTH STAR UHRIP: $162.51 BCBS — BCBS TX STAR: $263.42 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $660.38 BCBS — CHIP: $263.42 BCBS — CHIP STAR KIDS: $263.42 BCBS — HMO: $572.33 BCBS — PPO: $616.36
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC IND PSYCH-THERP PHD >53 MIN	$905.08	$678.81	$300.85 – $832.67
Psychotherapy, 60 minutes: 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $769.32 Aetna — BETTER HEALTH CHIP: $162.51 Aetna — BETTER HEALTH STAR Kids: $162.51 Aetna — BETTER HEALTH STAR UHRIP: $162.51 BCBS — BCBS TX STAR: $324.92 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $814.57 BCBS — CHIP: $324.92 BCBS — CHIP STAR KIDS: $324.92 BCBS — HMO: $705.96 BCBS — PPO: $760.27
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	$243.90 – $675.06
Psychotherapy, 60 minutes: 10 of 18 insurance plan rates BEACON — ALL PRODUCTS: $396.23 BEACON — CHIP: $396.23 BEACON — HEALTH OPTIONS: $396.23 BEACON — STAR: $396.23 EL PASO HEALTH FIRST — CHIP: $396.23 EL PASO HEALTH FIRST — STAR: $396.23 EL PASO HEALTH FIRST — STAR MEDICAID: $396.23 FIRSTCARE — STAR: $416.04 HEALTH PLAN w/o UHRIP — CHIP: $396.23 HEALTH PLAN w/o UHRIP — STAR KIDS: $396.23
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY THERAPY-MA- W/O PATIENT	$644.99	$483.74	$214.39 – $593.39
Family psychotherapy, without the patient: 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $548.24 Aetna — BETTER HEALTH CHIP: $118.31 Aetna — BETTER HEALTH STAR Kids: $118.31 Aetna — BETTER HEALTH STAR UHRIP: $118.31 BCBS — BCBS TX STAR: $231.55 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $580.49 BCBS — CHIP: $231.55 BCBS — CHIP STAR KIDS: $231.55 BCBS — HMO: $503.09 BCBS — PPO: $541.79
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY THERAPY-PHD W/O PATIENT	$901.75	$676.31	$299.74 – $829.61
Family psychotherapy, without the patient: 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $766.49 Aetna — BETTER HEALTH CHIP: $118.31 Aetna — BETTER HEALTH STAR Kids: $118.31 Aetna — BETTER HEALTH STAR UHRIP: $118.31 BCBS — BCBS TX STAR: $323.73 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $811.58 BCBS — CHIP: $323.73 BCBS — CHIP STAR KIDS: $323.73 BCBS — HMO: $703.37 BCBS — PPO: $757.47
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	$214.39 – $593.39
Family psychotherapy, without the patient: 10 of 18 insurance plan rates BEACON — ALL PRODUCTS: $348.29 BEACON — CHIP: $348.29 BEACON — HEALTH OPTIONS: $348.29 BEACON — STAR: $348.29 EL PASO HEALTH FIRST — CHIP: $348.29 EL PASO HEALTH FIRST — STAR: $348.29 EL PASO HEALTH FIRST — STAR MEDICAID: $348.29 FIRSTCARE — STAR: $365.71 HEALTH PLAN w/o UHRIP — CHIP: $348.29 HEALTH PLAN w/o UHRIP — STAR KIDS: $348.29
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY THERAPY-MA- W/PATIENT	$644.99	$483.74	$214.39 – $593.39
Family psychotherapy, with the patient: 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $548.24 Aetna — BETTER HEALTH CHIP: $123.36 Aetna — BETTER HEALTH STAR Kids: $123.36 Aetna — BETTER HEALTH STAR UHRIP: $123.36 BCBS — BCBS TX STAR: $231.55 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $580.49 BCBS — CHIP: $231.55 BCBS — CHIP STAR KIDS: $231.55 BCBS — HMO: $503.09 BCBS — PPO: $541.79
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY THERAPY-PHD- W/PATIENT	$901.75	$676.31	$299.74 – $829.61
Family psychotherapy, with the patient: 10 of 49 insurance plan rates Aetna — ALL PRODUCTS: $766.49 Aetna — BETTER HEALTH CHIP: $123.36 Aetna — BETTER HEALTH STAR Kids: $123.36 Aetna — BETTER HEALTH STAR UHRIP: $123.36 BCBS — BCBS TX STAR: $323.73 BCBS — Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity: $811.58 BCBS — CHIP: $323.73 BCBS — CHIP STAR KIDS: $323.73 BCBS — HMO: $703.37 BCBS — PPO: $757.47
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	$214.39 – $593.39
Family psychotherapy, with the patient: 10 of 18 insurance plan rates BEACON — ALL PRODUCTS: $348.29 BEACON — CHIP: $348.29 BEACON — HEALTH OPTIONS: $348.29 BEACON — STAR: $348.29 EL PASO HEALTH FIRST — CHIP: $348.29 EL PASO HEALTH FIRST — STAR: $348.29 EL PASO HEALTH FIRST — STAR MEDICAID: $348.29 FIRSTCARE — STAR: $365.71 HEALTH PLAN w/o UHRIP — CHIP: $348.29 HEALTH PLAN w/o UHRIP — STAR KIDS: $348.29
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$20.34 – $29.06
Group psychotherapy: rates for 6 insurance plans Aetna — BETTER HEALTH CHIP: $29.06 Aetna — BETTER HEALTH STAR Kids: $29.06 Aetna — BETTER HEALTH STAR UHRIP: $29.06 HEALTH PLAN w. UHRIP — STAR: $20.34 HEALTH PLAN w/o UHRIP — CHIP: $20.34 HEALTH PLAN w/o UHRIP — STAR KIDS: $20.34

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 – $1,686.41
Removal of breast growth (open surgery): 10 of 30 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 6 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
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 6 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
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 6 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
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 – $1,904.47
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 30 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 – $3,419.89
Removal of tonsils and adenoids (under age 12): 10 of 30 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 – $586.16
Upper GI endoscopy (diagnostic): 10 of 30 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 – $586.16
Upper GI endoscopy with biopsy: 10 of 30 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 – $574.88
Colonoscopy (diagnostic): 10 of 30 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 – $751.21
Colonoscopy with biopsy: 10 of 30 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 – $751.21
Colonoscopy with removal of polyps (snare): 10 of 30 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 – $751.21
Ultrasound of the lower bowel by endoscope: 10 of 30 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	$328.50 – $574.88
Screening colonoscopy (not high risk): 10 of 30 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 – $3,305.49
Gallbladder removal by laparoscope: 10 of 30 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	$1,151.54 – $2,015.20
Groin (inguinal) hernia repair, age 5 or older: 10 of 30 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 – $1,142.40
Prostate biopsy: 10 of 30 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 6 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
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 – $1,861.16
Hysteroscopy with biopsy of the uterus lining: 10 of 30 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 – $460.01
Spinal injection, lower back (epidural), with imaging guidance: 10 of 30 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 – $596.35
Nerve root injection, lower back, with imaging guidance: 10 of 30 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 – $1,154.90
Carpal tunnel release: 10 of 30 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 30 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 – $1,487.40
Cataract removal with lens implant: 10 of 30 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 37 insurance plan rates Aetna — ALL PRODUCTS: 85% (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: 54% (a percentage in the contract, not a dollar amount) BEACON — CHIP: 54% (a percentage in the contract, not a dollar amount) BEACON — HEALTH OPTIONS: 54% (a percentage in the contract, not a dollar amount) BEACON — STAR: 54% (a percentage in the contract, not a dollar amount) CIGNA — CIGNA-MGD: 85% (a percentage in the contract, not a dollar amount) EL PASO HEALTH FIRST — CHIP: 54% (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 37 insurance plan rates Aetna — ALL PRODUCTS: 85% (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: 54% (a percentage in the contract, not a dollar amount) BEACON — CHIP: 54% (a percentage in the contract, not a dollar amount) BEACON — HEALTH OPTIONS: 54% (a percentage in the contract, not a dollar amount) BEACON — STAR: 54% (a percentage in the contract, not a dollar amount) CIGNA — CIGNA-MGD: 85% (a percentage in the contract, not a dollar amount) EL PASO HEALTH FIRST — CHIP: 54% (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 37 insurance plan rates Aetna — ALL PRODUCTS: 85% (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: 54% (a percentage in the contract, not a dollar amount) BEACON — CHIP: 54% (a percentage in the contract, not a dollar amount) BEACON — HEALTH OPTIONS: 54% (a percentage in the contract, not a dollar amount) BEACON — STAR: 54% (a percentage in the contract, not a dollar amount) CIGNA — CIGNA-MGD: 85% (a percentage in the contract, not a dollar amount) EL PASO HEALTH FIRST — CHIP: 54% (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 37 insurance plan rates Aetna — ALL PRODUCTS: 85% (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: 54% (a percentage in the contract, not a dollar amount) BEACON — CHIP: 54% (a percentage in the contract, not a dollar amount) BEACON — HEALTH OPTIONS: 54% (a percentage in the contract, not a dollar amount) BEACON — STAR: 54% (a percentage in the contract, not a dollar amount) CIGNA — CIGNA-MGD: 85% (a percentage in the contract, not a dollar amount) EL PASO HEALTH FIRST — CHIP: 54% (a percentage in the contract, not a dollar amount)

Source: Cook Childrens Medical Center Prosper’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	4100 W University Drive, Prosper, TX 75078
County	Collin County
State	Texas
Phone	(945) 204‑4100
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	453317
Name in Medicare records	COOK CHILDRENS MEDICAL CENTER PROSPER
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 ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

Medical Services - Cook Children's Medical Center Prosper — cookchildrens.org
Cook Children's Medical Center at Prosper Texas — cookchildrens.org
Emergency Services | Cook Children's Medical Center – Prosper — cookchildrens.org
Radiology Services | Cook Children's Medical Center – Prosper — cookchildrens.org
Pediatric Intensive Care Unit (PICU) — cookchildrens.org
Laboratory Services | Cook Children's Medical Center – Prosper — cookchildrens.org