Does Covenant Hospital Plainview have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Covenant Hospital Plainview. In a medical emergency, call 911.

Where is Covenant Hospital Plainview?

2601 Dimmitt Rd, Plainview, TX 79072, in Hale County, Texas.

What is the phone number of Covenant Hospital Plainview?

(806) 296-5531, as listed by Medicare (CMS).

What is the Medicare star rating of Covenant Hospital Plainview?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Covenant Hospital Plainview — Plainview, TX

Quick answers

Does Covenant Hospital Plainview have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Covenant Hospital Plainview. In a medical emergency, call 911.
Where is Covenant Hospital Plainview?: 2601 Dimmitt Rd, Plainview, TX 79072, in Hale County, Texas.
What is the phone number of Covenant Hospital Plainview?: (806) 296-5531, as listed by Medicare (CMS).
What is the Medicare star rating of Covenant Hospital Plainview?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][7]

Treatments^[4][8]

Procedures^[4]

Endoscopy

Programs and centers^[4][8]

Corporate wellness services
Acute care rehabilitation
Outpatient rehabilitation
Sports therapy
Pediatric rehabilitation
Orthopedic rehabilitation

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

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

Visiting and practical information

Patient portal	MyChart

Doctors and clinicians (154)

154 doctors and other clinicians list Covenant Hospital Plainview 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 (154)

Abeselom A. Ashenafi, MDInternal Medicine
Achankeng Afiadata, MDUrology
Alejandro A. Verdugo, MDOrthopedic Surgery
Alyssa Sutton, NPNurse Practitioner
Amanda P. Hector, NPNurse Practitioner
Amber M. Hernandez, CNACertified Registered Nurse Anesthetist (CRNA)
Amelia R. Josserand, PAPhysician Assistant
Amy M. Stovall, NPNurse Practitioner
Andrea Griego, CNACertified Registered Nurse Anesthetist (CRNA)
Anitra T. Buckley, NPNurse Practitioner
Ariwan Rakvit, MDGastroenterology
Ashraf Khan, MDPathology
Ashref Mohamed, MDInternal Medicine
Autumn A. Beasley, NPNurse Practitioner
Bhupala R. Kallepalli, MDPsychiatry
Bradley H. Hough, MDFamily Practice
Brent R. Paulger, MDDermatology
Brian E. Nicholson, MDUrology
Brian J. Norkiewicz, MDGeneral Surgery
Carl D. Scales, NPNurse Practitioner
Carla C. Gibbs, PAPhysician Assistant
Carlos A. Flores, MDFamily Practice
Christy M. Beard, NPNurse Practitioner
Clarence J. Wheeler Iii, MDInternal Medicine

And 130 more: the button below opens the full list.

Other emergency rooms nearby

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

W J Mangold Memorial Hospital17 mi · Lockney, TX · Critical Access Hospital
Swisher Memorial Hospital23 mi · Tulia, TX · Critical Access Hospital
Lamb Healthcare Center41 mi · Littlefield, TX · Acute Care Hospital
Plains Memorial Hospital41 mi · Dimmitt, TX · Critical Access Hospital
Lubbock Heart Hospital LP43 mi · Lubbock, TX · Acute Care Hospital

Other hospitals nearby

Allegiance Behavioral Health Center of Plainview0.0 mi · Plainview, TX · Psychiatric Hospital
Oceans Behavioral Hospital of Lubbock42 mi · Lubbock, 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

Plainview Healthcare Center0.1 mi · Plainview, TX · 2 of 5 stars
Prairie House Living Center1.4 mi · Plainview, TX · 3 of 5 stars
Runningwater Draw Care Center, Inc.23 mi · Olton, TX · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Vitalcaring Group2.5 mi · Plainview, TX

All hospice providers in the state →

Home health agencies

Calvert Home Health Care, Ltd2.5 mi · Plainview, TX · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

FMC Dialysis Services Plainview2.5 mi · Plainview, TX · 2 of 5 stars

All dialysis facilities 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

Regence Health Network, Inc. RDA - PLNV1.4 mi · Plainview, TX · Community health center
Regence Health Network, Inc. RMDA - PCS1.6 mi · Plainview, TX · Community health center

Clinics and urgent care

Covenant Family Medical Clinic2.5 mi · Plainview, TX · Rural health clinic
Covenant Healthcare Center Plainview2.5 mi · Plainview, TX · Rural health clinic
Covenant Plainview Medical Clinic2.5 mi · Plainview, TX · Rural health clinic

Pharmacies

Agp Pharmacy LLC2.5 mi · Plainview, TX · Pharmacy
CVS Pharmacy Inc2.5 mi · Plainview, TX · Pharmacy
United Supermarkets LLC2.5 mi · Plainview, TX · Community/retail pharmacy

Assisted living nearby

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

Beehive Homes of Plainview2.5 mi · Plainview, TX
Santa Fe Terrace2.5 mi · Plainview, 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 Covenant Hospital Plainview reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	71%National average: 72%
Would definitely recommend the hospital	71%National average: 71%
Nurses “always” communicated well	80%National average: 80%
Doctors “always” communicated well	81%National average: 80%
Staff “always” explained medicines before giving them	61%National average: 62%
Were given information about recovery at home	85%National average: 86%
Room and bathroom “always” clean	75%National average: 74%
Area around the room “always” quiet at night	65%National average: 60%
Completed surveys	144Response rate: 16%

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	0No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	Not reported to Medicare
Deaths within 30 days: heart failure patients	10.7%
Deaths within 30 days: pneumonia patients	14.2%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.93No different from the national rate
Complications after hip or knee replacement	Too few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	21%
Readmitted within 30 days: pneumonia	16.3%
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	156 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	61%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

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 82 common services exactly as Covenant Hospital Plainview lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

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

Office and emergency visits

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/outpatient visit new	Not listed in the file	Not listed in the file	$163.48 – $256.46
New patient office visit (about 30–44 minutes): rates for 7 insurance plans Baylor Scott And White — Group Bsw Plus All Commercial Plans: $209.59 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $203.88 Baylor Scott And White — Individual Bsw Premier Exchange: $168.54 Bcbs — Ers Hmo: $180.53 Bcbs — Hmo: $163.48 Bcbs — Par Traditional: $224.69 Bcbs — Ppo: $256.46
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99203 OFFICE OUTPATIENT NEW RHC	$208	$87.36	Not listed in the file
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99203 NEW PT VISIT - LEVEL 3	$182	$76.44	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new	Not listed in the file	Not listed in the file	$276.79 – $434.21
New patient office visit (about 45–59 minutes): rates for 7 insurance plans Baylor Scott And White — Group Bsw Plus All Commercial Plans: $354.45 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $344.79 Baylor Scott And White — Individual Bsw Premier Exchange: $285.03 Bcbs — Ers Hmo: $305.65 Bcbs — Hmo: $276.79 Bcbs — Par Traditional: $380.42 Bcbs — Ppo: $434.21
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99204 OFFICE OUTPATIENT NEW RHC	$283	$118.86	Not listed in the file
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99204 NEW PT VISIT - LEVEL 4	$272	$114.24	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new	Not listed in the file	Not listed in the file	$361.21 – $566.64
New patient office visit (about 60–74 minutes): rates for 7 insurance plans Baylor Scott And White — Group Bsw Plus All Commercial Plans: $460.67 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $448.12 Baylor Scott And White — Individual Bsw Premier Exchange: $370.45 Bcbs — Ers Hmo: $398.87 Bcbs — Hmo: $361.21 Bcbs — Par Traditional: $496.45 Bcbs — Ppo: $566.64
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99205 OFFICE OUTPATIENT NEW RHC	$350	$147	Not listed in the file
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99205 NEW PT VISIT - LEVEL 5	$336	$141.12	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est	Not listed in the file	Not listed in the file	$109.51 – $171.79
Established patient office visit (about 20–29 minutes): rates for 7 insurance plans Baylor Scott And White — Group Bsw Plus All Commercial Plans: $138.12 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $134.36 Baylor Scott And White — Individual Bsw Premier Exchange: $111.07 Bcbs — Ers Hmo: $120.93 Bcbs — Hmo: $109.51 Bcbs — Par Traditional: $150.51 Bcbs — Ppo: $171.79
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99213 OFFICE OUTPATIENT VISIT RHC	$167	$70.14	Not listed in the file
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99213 ESTAB PT VISIT - LEVEL 3	$119	$49.98	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est	Not listed in the file	Not listed in the file	$168.82 – $264.83
Established patient office visit (about 30–39 minutes): rates for 7 insurance plans Baylor Scott And White — Group Bsw Plus All Commercial Plans: $213.44 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $207.63 Baylor Scott And White — Individual Bsw Premier Exchange: $171.64 Bcbs — Ers Hmo: $186.42 Bcbs — Hmo: $168.82 Bcbs — Par Traditional: $232.03 Bcbs — Ppo: $264.83
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99214 OFFICE OUTPATIENT VISIT RHC	$208	$87.36	Not listed in the file
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99214 ESTAB PT VISIT - LEVEL 4	$175	$73.50	Not listed in the file
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office consultation	Not listed in the file	Not listed in the file	$205.32 – $322.10
Office consultation with a specialist (moderate): rates for 7 insurance plans Baylor Scott And White — Group Bsw Plus All Commercial Plans: $266.56 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $259.30 Baylor Scott And White — Individual Bsw Premier Exchange: $214.35 Bcbs — Ers Hmo: $226.73 Bcbs — Hmo: $205.32 Bcbs — Par Traditional: $282.20 Bcbs — Ppo: $322.10
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99243 OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES CDM	$179	$75.18	Not listed in the file
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office consultation	Not listed in the file	Not listed in the file	$330.03 – $517.72
Office consultation with a specialist (moderate to high): rates for 7 insurance plans Baylor Scott And White — Group Bsw Plus All Commercial Plans: $422.06 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $410.57 Baylor Scott And White — Individual Bsw Premier Exchange: $339.41 Bcbs — Ers Hmo: $364.44 Bcbs — Hmo: $330.03 Bcbs — Par Traditional: $453.59 Bcbs — Ppo: $517.72
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99244 OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES CDM	$254	$106.68	Not listed in the file
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 18-39	Not listed in the file	Not listed in the file	$209.88 – $329.25
Preventive checkup, new patient, age 18–39: rates for 7 insurance plans Baylor Scott And White — Group Bsw Plus All Commercial Plans: $269.47 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $262.13 Baylor Scott And White — Individual Bsw Premier Exchange: $216.69 Bcbs — Ers Hmo: $231.77 Bcbs — Hmo: $209.88 Bcbs — Par Traditional: $288.46 Bcbs — Ppo: $329.25
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99385 INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS RHC	$246	$103.32	Not listed in the file
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 40-64	Not listed in the file	Not listed in the file	$255.50 – $400.81
Preventive checkup, new patient, age 40–64: rates for 7 insurance plans Baylor Scott And White — Group Bsw Plus All Commercial Plans: $326.43 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $317.54 Baylor Scott And White — Individual Bsw Premier Exchange: $262.51 Bcbs — Ers Hmo: $282.14 Bcbs — Hmo: $255.50 Bcbs — Par Traditional: $351.16 Bcbs — Ppo: $400.81
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 99386 PREVENTIVE VISIT NEW 40-64 RHC	$289	$121.38	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$265.99 – $739.26
Emergency room visit (moderate): 10 of 11 insurance plan rates Aetna — Medicare Managed Care Plan: $274.22 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $534.86 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $520.30 Baylor Scott And White — Individual Bsw Premier Exchange: $430.12 Bcbs — Ers Hmo: $520.38 Bcbs — Hmo: $471.25 Bcbs — Par Traditional: $647.69 Bcbs — Ppo: $739.26 Bcbs — Vapc3 Government: $265.99 Superior — Wellcare Medicare Managed Care Plan: $287.93
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED FAC E&M VISIT LEVEL 3 CDM	$1,382	$580.44	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$406.59 – $1,164.42
Emergency room visit (moderately high): 10 of 11 insurance plan rates Aetna — Medicare Managed Care Plan: $419.16 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $899.93 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $875.42 Baylor Scott And White — Individual Bsw Premier Exchange: $723.69 Bcbs — Ers Hmo: $819.67 Bcbs — Hmo: $742.28 Bcbs — Par Traditional: $1,020.19 Bcbs — Ppo: $1,164.42 Bcbs — Vapc3 Government: $406.59 Superior — Wellcare Medicare Managed Care Plan: $440.12
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED SEXUAL ASSAULT EXAM CDM	$1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$0.42 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED FAC E&M VISIT LEVEL 4 CDM	$2,170	$911.40	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$580.30 – $1,669.93
Emergency room visit (high): 10 of 11 insurance plan rates Aetna — Medicare Managed Care Plan: $598.24 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $1,328.30 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $1,292.12 Baylor Scott And White — Individual Bsw Premier Exchange: $1,068.17 Bcbs — Ers Hmo: $1,175.51 Bcbs — Hmo: $1,064.52 Bcbs — Par Traditional: $1,463.08 Bcbs — Ppo: $1,669.93 Bcbs — Vapc3 Government: $580.30 Superior — Wellcare Medicare Managed Care Plan: $628.16
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED FAC E&M VISIT LEVEL 5 CDM	$3,115	$1,308.30	Not listed in the file

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: Metabolic panel total ca	Not listed in the file	Not listed in the file	$8.21 – $35.96
Basic metabolic panel (blood test): rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $8.46 Bcbs — Ers Hmo: $32.23 Bcbs — Hmo: $31.81 Bcbs — Par Traditional: $31.30 Bcbs — Ppo: $35.96 Bcbs — Vapc3 Government: $8.21 Superior — Wellcare Medicare Managed Care Plan: $8.88 Unitedhealthcare — Medicare Managed Care Plan: $8.93
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL	$254	$106.68	Not listed in the file
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	$10.24 – $44.88
Comprehensive metabolic panel (blood test): rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $10.56 Bcbs — Ers Hmo: $40.23 Bcbs — Hmo: $39.71 Bcbs — Par Traditional: $39.07 Bcbs — Ppo: $44.88 Bcbs — Vapc3 Government: $10.24 Superior — Wellcare Medicare Managed Care Plan: $11.09 Unitedhealthcare — Medicare Managed Care Plan: $11.14
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPREHEN METABOLIC PANEL	$317	$133.14	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$46.38 – $203.19
Obstetric blood test panel: rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $47.81 Bcbs — Ers Hmo: $182.16 Bcbs — Hmo: $179.77 Bcbs — Par Traditional: $176.90 Bcbs — Ppo: $203.19 Bcbs — Vapc3 Government: $46.38 Superior — Wellcare Medicare Managed Care Plan: $50.20 Unitedhealthcare — Medicare Managed Care Plan: $50.44
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$12.99 – $56.91
Cholesterol panel (lipid panel): rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $13.39 Bcbs — Ers Hmo: $51.02 Bcbs — Hmo: $50.35 Bcbs — Par Traditional: $49.54 Bcbs — Ppo: $56.91 Bcbs — Vapc3 Government: $12.99 Superior — Wellcare Medicare Managed Care Plan: $14.06 Unitedhealthcare — Medicare Managed Care Plan: $14.13
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LIPID PROFILE	$402	$168.84	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LIPID PANEL LAB	$402	$168.84	Not listed in the file
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	$8.42 – $36.89
Kidney function panel: rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $8.68 Bcbs — Ers Hmo: $33.07 Bcbs — Hmo: $32.64 Bcbs — Par Traditional: $32.12 Bcbs — Ppo: $36.89 Bcbs — Vapc3 Government: $8.42 Superior — Wellcare Medicare Managed Care Plan: $9.11 Unitedhealthcare — Medicare Managed Care Plan: $9.16
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL CDM	$261	$109.62	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$7.92 – $34.72
Liver function panel: rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $8.17 Bcbs — Ers Hmo: $31.13 Bcbs — Hmo: $30.72 Bcbs — Par Traditional: $30.23 Bcbs — Ppo: $34.72 Bcbs — Vapc3 Government: $7.92 Superior — Wellcare Medicare Managed Care Plan: $8.58 Unitedhealthcare — Medicare Managed Care Plan: $8.62
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL CDM	$246	$103.32	Not listed in the file
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	$3.07 – $13.47
Urine test (automated, with microscope): rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $3.17 Bcbs — Ers Hmo: $12.08 Bcbs — Hmo: $11.92 Bcbs — Par Traditional: $11.73 Bcbs — Ppo: $13.47 Bcbs — Vapc3 Government: $3.07 Superior — Wellcare Medicare Managed Care Plan: $3.33 Unitedhealthcare — Medicare Managed Care Plan: $3.34
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB	$111	$46.62	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM	$111	$46.62	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$3.38 – $14.79
Urine test (manual, without microscope): rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $3.48 Bcbs — Ers Hmo: $13.26 Bcbs — Hmo: $13.08 Bcbs — Par Traditional: $12.88 Bcbs — Ppo: $14.79 Bcbs — Vapc3 Government: $3.38 Superior — Wellcare Medicare Managed Care Plan: $3.65 Unitedhealthcare — Medicare Managed Care Plan: $3.67
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP	$122	$51.24	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM	$122	$51.24	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$2.18 – $9.56
Urine test (automated, without microscope): rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $2.25 Bcbs — Ers Hmo: $8.57 Bcbs — Hmo: $8.46 Bcbs — Par Traditional: $8.33 Bcbs — Ppo: $9.56 Bcbs — Vapc3 Government: $2.18 Superior — Wellcare Medicare Managed Care Plan: $2.36 Unitedhealthcare — Medicare Managed Care Plan: $2.37
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB	$79	$33.18	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/O SCOPE	$79	$33.18	Not listed in the file
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	$17.84 – $78.16
PSA (prostate specific antigen) blood test: rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $18.39 Bcbs — Ers Hmo: $70.07 Bcbs — Hmo: $69.15 Bcbs — Par Traditional: $68.04 Bcbs — Ppo: $78.16 Bcbs — Vapc3 Government: $17.84 Superior — Wellcare Medicare Managed Care Plan: $19.31 Unitedhealthcare — Medicare Managed Care Plan: $19.40
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM	$259	$108.78	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB	$259	$108.78	Not listed in the file
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	$16.30 – $71.40
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $16.80 Bcbs — Ers Hmo: $64.01 Bcbs — Hmo: $63.17 Bcbs — Par Traditional: $62.16 Bcbs — Ppo: $71.40 Bcbs — Vapc3 Government: $16.30 Superior — Wellcare Medicare Managed Care Plan: $17.64 Unitedhealthcare — Medicare Managed Care Plan: $17.72
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB	$237	$99.54	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC TSH	$237	$99.54	Not listed in the file
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	$7.54 – $33.02
Complete blood count (CBC) with differential: rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $7.77 Bcbs — Ers Hmo: $29.60 Bcbs — Hmo: $29.22 Bcbs — Par Traditional: $28.75 Bcbs — Ppo: $33.02 Bcbs — Vapc3 Government: $7.54 Superior — Wellcare Medicare Managed Care Plan: $8.16 Unitedhealthcare — Medicare Managed Care Plan: $8.20
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CBC WITH DIFF AUTO	$177	$74.34	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC	$177	$74.34	Not listed in the file
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	$6.28 – $27.50
Complete blood count (CBC), automated: rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $6.47 Bcbs — Ers Hmo: $24.65 Bcbs — Hmo: $24.33 Bcbs — Par Traditional: $23.94 Bcbs — Ppo: $27.50 Bcbs — Vapc3 Government: $6.28 Superior — Wellcare Medicare Managed Care Plan: $6.79 Unitedhealthcare — Medicare Managed Care Plan: $6.83
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTOMATED	$147	$61.74	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTOMATED LAB	$147	$61.74	Not listed in the file
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	$4.16 – $18.23
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $4.29 Bcbs — Ers Hmo: $16.34 Bcbs — Hmo: $16.13 Bcbs — Par Traditional: $15.87 Bcbs — Ppo: $18.23 Bcbs — Vapc3 Government: $4.16 Superior — Wellcare Medicare Managed Care Plan: $4.50 Unitedhealthcare — Medicare Managed Care Plan: $4.53
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROTHROMBIN TIME 85610	$95	$39.90	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PROTHROMBIN TIME LAB	$95	$39.90	Not listed in the file
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	$5.83 – $25.54
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $6.01 Bcbs — Ers Hmo: $22.90 Bcbs — Hmo: $22.60 Bcbs — Par Traditional: $22.24 Bcbs — Ppo: $25.54 Bcbs — Vapc3 Government: $5.83 Superior — Wellcare Medicare Managed Care Plan: $6.31 Unitedhealthcare — Medicare Managed Care Plan: $6.34
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB	$137	$57.54	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME PARTIAL	$137	$57.54	Not listed in the file

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: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$101.87 – $427.02
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates Aetna — Medicare Managed Care Plan: $105.02 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $323.58 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $314.76 Baylor Scott And White — Individual Bsw Premier Exchange: $260.21 Bcbs — Ers Hmo: $427.02 Bcbs — Hmo: $257.78 Bcbs — Par Traditional: $285.80 Bcbs — Ppo: $284.68 Bcbs — Vapc3 Government: $101.87 Superior — Wellcare Medicare Managed Care Plan: $110.27
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT HEAD/BRAIN WO CONTRAST	$2,284	$959.28	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$339.95 – $1,454.85
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates Aetna — Medicare Managed Care Plan: $350.46 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $1,302.39 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $1,266.92 Baylor Scott And White — Individual Bsw Premier Exchange: $1,047.33 Bcbs — Ers Hmo: $1,454.85 Bcbs — Hmo: $878.26 Bcbs — Par Traditional: $973.72 Bcbs — Ppo: $969.90 Bcbs — Vapc3 Government: $339.95 Superior — Wellcare Medicare Managed Care Plan: $367.99
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI BRAIN W/O & W/DYE	$6,124	$2,572.08	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$84.80 – $304.08
Chest X-ray, 2 views: rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $87.42 Bcbs — Ers Hmo: $304.08 Bcbs — Hmo: $268.16 Bcbs — Par Traditional: $283.33 Bcbs — Ppo: $285.72 Bcbs — Vapc3 Government: $84.80 Superior — Wellcare Medicare Managed Care Plan: $91.79 Unitedhealthcare — Medicare Managed Care Plan: $92.23
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS	$369	$154.98	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$101.87 – $427.02
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $105.02 Bcbs — Ers Hmo: $427.02 Bcbs — Hmo: $376.59 Bcbs — Par Traditional: $397.88 Bcbs — Ppo: $401.25 Bcbs — Vapc3 Government: $101.87 Superior — Wellcare Medicare Managed Care Plan: $110.27 Unitedhealthcare — Medicare Managed Care Plan: $110.80
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC SPINE LUMBOSACRAL MIN 4 VIEWS	$576	$241.92	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$232.50 – $887.88
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates Aetna — Medicare Managed Care Plan: $239.69 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $772.17 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $751.14 Baylor Scott And White — Individual Bsw Premier Exchange: $620.95 Bcbs — Ers Hmo: $887.88 Bcbs — Hmo: $535.99 Bcbs — Par Traditional: $594.25 Bcbs — Ppo: $591.92 Bcbs — Vapc3 Government: $232.50 Superior — Wellcare Medicare Managed Care Plan: $251.67
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O DYE	$3,740	$1,570.80	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O DYE LIMITED	$2,805	$1,178.10	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$170.91 – $694.26
CT scan of the pelvis, with contrast: 10 of 11 insurance plan rates Aetna — Medicare Managed Care Plan: $176.20 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $649.53 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $631.83 Baylor Scott And White — Individual Bsw Premier Exchange: $522.32 Bcbs — Ers Hmo: $694.26 Bcbs — Hmo: $419.11 Bcbs — Par Traditional: $464.66 Bcbs — Ppo: $462.84 Bcbs — Vapc3 Government: $170.91 Superior — Wellcare Medicare Managed Care Plan: $185.01
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST	$2,933	$1,231.86	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$232.50 – $887.88
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates Aetna — Medicare Managed Care Plan: $239.69 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $772.17 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $751.14 Baylor Scott And White — Individual Bsw Premier Exchange: $620.95 Bcbs — Ers Hmo: $887.88 Bcbs — Hmo: $535.99 Bcbs — Par Traditional: $594.25 Bcbs — Ppo: $591.92 Bcbs — Vapc3 Government: $232.50 Superior — Wellcare Medicare Managed Care Plan: $251.67
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JOINT WO CONTRAST	$3,740	$1,570.80	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$339.95 – $1,454.85
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates Aetna — Medicare Managed Care Plan: $350.46 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $1,012.54 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $984.97 Baylor Scott And White — Individual Bsw Premier Exchange: $814.25 Bcbs — Ers Hmo: $1,454.85 Bcbs — Hmo: $878.26 Bcbs — Par Traditional: $973.72 Bcbs — Ppo: $969.90 Bcbs — Vapc3 Government: $339.95 Superior — Wellcare Medicare Managed Care Plan: $367.99
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT ABDOMEN & PELVIS W CONTRAST	$6,047	$2,539.74	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$101.87 – $427.02
Ultrasound of the abdomen, complete: rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $105.02 Bcbs — Ers Hmo: $427.02 Bcbs — Hmo: $376.59 Bcbs — Par Traditional: $397.88 Bcbs — Ppo: $401.25 Bcbs — Vapc3 Government: $101.87 Superior — Wellcare Medicare Managed Care Plan: $110.27 Unitedhealthcare — Medicare Managed Care Plan: $110.80
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US EXAM ABDOMEN COMPLETE	$893	$375.06	Not listed in the file
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	$101.87 – $348.77
Pregnancy ultrasound (after the first trimester): rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $105.02 Bcbs — Ers Hmo: $348.77 Bcbs — Hmo: $307.57 Bcbs — Par Traditional: $324.97 Bcbs — Ppo: $327.71 Bcbs — Vapc3 Government: $101.87 Superior — Wellcare Medicare Managed Care Plan: $110.27 Unitedhealthcare — Medicare Managed Care Plan: $110.80
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US OB AFTER 1ST TRIMEST 1/1ST FETUS	$893	$375.06	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 76805 US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION RHC	$328	$137.76	Not listed in the file
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	$101.87 – $336.42
Transvaginal ultrasound: rates for 8 insurance plans Aetna — Medicare Managed Care Plan: $105.02 Bcbs — Ers Hmo: $336.42 Bcbs — Hmo: $296.69 Bcbs — Par Traditional: $313.47 Bcbs — Ppo: $316.11 Bcbs — Vapc3 Government: $101.87 Superior — Wellcare Medicare Managed Care Plan: $110.27 Unitedhealthcare — Medicare Managed Care Plan: $110.80
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON-OB	$893	$375.06	Not listed in the file
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 76830 TRANSVAGINAL US NON-OB RHC	$269	$112.98	Not listed in the file
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	$316.04 – $358.37
Diagnostic mammogram, one breast: rates for 4 insurance plans Bcbs — Ers Hmo: $358.37 Bcbs — Hmo: $316.04 Bcbs — Par Traditional: $333.91 Bcbs — Ppo: $336.73
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO DIAG UNI W CAD	$473	$198.66	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$82.77 – $90.02
Diagnostic mammogram, one breast: rates for 4 insurance plans Aetna — Medicare Managed Care Plan: $85.33 Bcbs — Vapc3 Government: $82.77 Superior — Wellcare Medicare Managed Care Plan: $89.60 Unitedhealthcare — Medicare Managed Care Plan: $90.02
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	$404.44 – $458.61
Diagnostic mammogram, both breasts: rates for 4 insurance plans Bcbs — Ers Hmo: $458.61 Bcbs — Hmo: $404.44 Bcbs — Par Traditional: $427.31 Bcbs — Ppo: $430.92
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO DIAG BIL W CAD	$605	$254.10	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$101.74 – $110.66
Diagnostic mammogram, both breasts: rates for 4 insurance plans Aetna — Medicare Managed Care Plan: $104.89 Bcbs — Vapc3 Government: $101.74 Superior — Wellcare Medicare Managed Care Plan: $110.13 Unitedhealthcare — Medicare Managed Care Plan: $110.66
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	$334.22 – $378.98
Screening mammogram, both breasts: rates for 4 insurance plans Bcbs — Ers Hmo: $378.98 Bcbs — Hmo: $334.22 Bcbs — Par Traditional: $353.12 Bcbs — Ppo: $356.10
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO SCREEN BIL W CAD	$375	$157.50	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO SCREEN UNIL/BIL W CAD	$375	$157.50	Not listed in the file

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: Electrocardiogram complete	Not listed in the file	Not listed in the file	$64.01 – $73.53
Electrocardiogram (ECG/EKG) with reading: rates for 4 insurance plans Bcbs — Ers Hmo: $65.91 Bcbs — Hmo: $65.05 Bcbs — Par Traditional: $64.01 Bcbs — Ppo: $73.53
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 93000 ECG ROUTINE ECG W/LEAST 12 LDS W/I&R RHC	$63	$26.46	Not listed in the file
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$3,159 – $8,859.80
Left heart catheterization (diagnostic): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $8,624 Aetna — Medicare Managed Care Plan: $3,256.70 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $8,859.80 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $8,175.58 Baylor Scott And White — Individual Bsw Premier Exchange: $6,758.55 Bcbs — Ers Hmo: $5,728.40 Bcbs — Hmo: $7,466.87 Bcbs — Par Traditional: $8,207.86 Bcbs — Ppo: $8,293.35 Bcbs — Vapc3 Government: $3,159
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$922.65 – $19,481.70
Heart rhythm study (electrophysiology evaluation): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $8,624 Aetna — Medicare Managed Care Plan: $7,835.21 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $1,147.35 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $1,116.10 Baylor Scott And White — Individual Bsw Premier Exchange: $922.65 Bcbs — Ers Hmo: $13,713.70 Bcbs — Hmo: $12,418.85 Bcbs — Par Traditional: $17,068.56 Bcbs — Ppo: $19,481.70 Bcbs — Vapc3 Government: $7,600.15
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol	Not listed in the file	Not listed in the file	$2,550.51 – $67,640.74
Heart rhythm study with ablation for atrial fibrillation: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $8,624 Aetna — Medicare Managed Care Plan: $26,256.97 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $49,390.46 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $45,576.17 Baylor Scott And White — Individual Bsw Premier Exchange: $2,550.51 Bcbs — Ers Hmo: $47,614.18 Bcbs — Hmo: $53,540.41 Bcbs — Par Traditional: $58,853.58 Bcbs — Ppo: $59,466.64 Bcbs — Vapc3 Government: $25,469.26
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$836.77 – $1,658.11
Sleep study (overnight, in a sleep lab): 10 of 11 insurance plan rates Aetna — Medicare Managed Care Plan: $862.65 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $1,357.91 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $1,320.92 Baylor Scott And White — Individual Bsw Premier Exchange: $1,091.97 Bcbs — Ers Hmo: $1,167.19 Bcbs — Hmo: $1,056.98 Bcbs — Par Traditional: $1,452.73 Bcbs — Ppo: $1,658.11 Bcbs — Vapc3 Government: $836.77 Superior — Wellcare Medicare Managed Care Plan: $905.79
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POLYSOMNOGRAPHY 4 OR MORE	$10,268	$4,312.56	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POLYSOMNOGRAM REDUCED SERVICE	$10,268	$4,312.56	Not listed in the file

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: Therapeutic exercises	Not listed in the file	Not listed in the file	$28.09 – $103.77
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates Aetna — Medicare Managed Care Plan: $28.96 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $87.89 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $85.50 Baylor Scott And White — Individual Bsw Premier Exchange: $70.68 Bcbs — Ers Hmo: $73.05 Bcbs — Hmo: $66.15 Bcbs — Par Traditional: $90.92 Bcbs — Ppo: $103.77 Bcbs — Vapc3 Government: $28.09 Superior — Wellcare Medicare Managed Care Plan: $30.41
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN	$128	$53.76	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$94.96 – $286.28
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates Aetna — Medicare Managed Care Plan: $97.90 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $219.78 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $213.79 Baylor Scott And White — Individual Bsw Premier Exchange: $176.74 Bcbs — Ers Hmo: $201.52 Bcbs — Hmo: $182.49 Bcbs — Par Traditional: $250.82 Bcbs — Ppo: $286.28 Bcbs — Vapc3 Government: $94.96 Superior — Wellcare Medicare Managed Care Plan: $102.80
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVALUATION LOW COMPLEX CDM	$429	$180.18	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$95.14 – $286.28
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates Aetna — Medicare Managed Care Plan: $98.08 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $219.78 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $213.79 Baylor Scott And White — Individual Bsw Premier Exchange: $176.74 Bcbs — Ers Hmo: $201.52 Bcbs — Hmo: $182.49 Bcbs — Par Traditional: $250.82 Bcbs — Ppo: $286.28 Bcbs — Vapc3 Government: $95.14 Superior — Wellcare Medicare Managed Care Plan: $102.98
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVALUATION MOD COMPLEX CDM	$429	$180.18	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$95.14 – $286.28
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates Aetna — Medicare Managed Care Plan: $98.08 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $219.78 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $213.79 Baylor Scott And White — Individual Bsw Premier Exchange: $176.74 Bcbs — Ers Hmo: $201.52 Bcbs — Hmo: $182.49 Bcbs — Par Traditional: $250.82 Bcbs — Ppo: $286.28 Bcbs — Vapc3 Government: $95.14 Superior — Wellcare Medicare Managed Care Plan: $102.98
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVALUATION HIGH COMPLEX	$429	$180.18	Not listed in the file
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	$98.99 – $107.67
Group psychotherapy: rates for 4 insurance plans Aetna — Medicare Managed Care Plan: $102.05 Bcbs — Vapc3 Government: $98.99 Superior — Wellcare Medicare Managed Care Plan: $107.16 Unitedhealthcare — Medicare Managed Care Plan: $107.67

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	$2,300 – $8,815.99
Removal of breast growth (open surgery): 10 of 13 insurance plan rates Aetna — All Commercial Plans: $5,619 Aetna — Medicare Managed Care Plan: $3,933.28 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $7,454.32 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $6,878.65 Baylor Scott And White — Individual Bsw Premier Exchange: $5,686.41 Bcbs — Ers Hmo: $6,089.40 Bcbs — Hmo: $7,937.42 Bcbs — Par Traditional: $8,725.10 Bcbs — Ppo: $8,815.99 Bcbs — Vapc3 Government: $3,815.28
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$3,681.93 – $18,922.13
Total hip replacement: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $7,837 Aetna — Medicare Managed Care Plan: $12,897.19 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $4,826.65 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $4,453.90 Baylor Scott And White — Individual Bsw Premier Exchange: $3,681.93 Bcbs — Ers Hmo: $18,922.13 Bcbs — Hmo: $12,733.76 Bcbs — Par Traditional: $12,733.76 Bcbs — Ppo: $12,852.77 Bcbs — Vapc3 Government: $12,510.27
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$3,680.99 – $18,922.13
Total knee replacement: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $7,837 Aetna — Medicare Managed Care Plan: $12,897.19 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $4,825.42 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $4,452.76 Baylor Scott And White — Individual Bsw Premier Exchange: $3,680.99 Bcbs — Ers Hmo: $18,922.13 Bcbs — Hmo: $12,733.76 Bcbs — Par Traditional: $12,733.76 Bcbs — Ppo: $12,852.77 Bcbs — Vapc3 Government: $12,510.27
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$2,300 – $5,619
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans Aetna — All Commercial Plans: $5,619 Phcs — All Commercial Plans: $2,300
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$2,600 – $7,965.98
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 13 insurance plan rates Aetna — All Commercial Plans: $6,794 Aetna — Medicare Managed Care Plan: $3,286.91 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $7,399.06 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $6,827.65 Baylor Scott And White — Individual Bsw Premier Exchange: $5,644.25 Bcbs — Ers Hmo: $5,502.27 Bcbs — Hmo: $7,172.12 Bcbs — Par Traditional: $7,883.86 Bcbs — Ppo: $7,965.98 Bcbs — Vapc3 Government: $3,188.30
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	$2,300 – $14,115.04
Removal of tonsils and adenoids (under age 12): 10 of 13 insurance plan rates Aetna — All Commercial Plans: $5,619 Aetna — Medicare Managed Care Plan: $5,946.81 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $6,692.80 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $6,175.94 Baylor Scott And White — Individual Bsw Premier Exchange: $5,105.49 Bcbs — Ers Hmo: $9,749.57 Bcbs — Hmo: $12,708.39 Bcbs — Par Traditional: $13,969.53 Bcbs — Ppo: $14,115.04 Bcbs — Vapc3 Government: $5,768.40
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	$883.78 – $2,613
Upper GI endoscopy (diagnostic): 10 of 13 insurance plan rates Aetna — All Commercial Plans: $2,613 Aetna — Medicare Managed Care Plan: $911.12 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $2,564.05 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $2,366.03 Baylor Scott And White — Individual Bsw Premier Exchange: $1,955.94 Bcbs — Ers Hmo: $1,579.70 Bcbs — Hmo: $2,059.11 Bcbs — Par Traditional: $2,263.45 Bcbs — Ppo: $2,287.03 Bcbs — Vapc3 Government: $883.78
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM	$2,279	$957.18	Not listed in the file
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	$883.78 – $4,837
Upper GI endoscopy with biopsy: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $4,837 Aetna — Medicare Managed Care Plan: $911.12 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $2,564.05 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $2,366.03 Baylor Scott And White — Individual Bsw Premier Exchange: $1,955.94 Bcbs — Ers Hmo: $1,579.70 Bcbs — Hmo: $2,059.11 Bcbs — Par Traditional: $2,263.45 Bcbs — Ppo: $2,287.03 Bcbs — Vapc3 Government: $883.78
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM	$2,279	$957.18	Not listed in the file
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	$906.17 – $4,837
Colonoscopy (diagnostic): 10 of 13 insurance plan rates Aetna — All Commercial Plans: $4,837 Aetna — Medicare Managed Care Plan: $934.20 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $2,716.26 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $2,506.49 Baylor Scott And White — Individual Bsw Premier Exchange: $2,072.05 Bcbs — Ers Hmo: $1,535.40 Bcbs — Hmo: $2,001.37 Bcbs — Par Traditional: $2,199.97 Bcbs — Ppo: $2,222.89 Bcbs — Vapc3 Government: $906.17
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM	$2,294	$963.48	Not listed in the file
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	$1,166.03 – $4,837
Colonoscopy with biopsy: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $4,837 Aetna — Medicare Managed Care Plan: $1,202.09 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $2,716.26 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $2,506.49 Baylor Scott And White — Individual Bsw Premier Exchange: $2,072.05 Bcbs — Ers Hmo: $2,018.48 Bcbs — Hmo: $2,631.06 Bcbs — Par Traditional: $2,892.15 Bcbs — Ppo: $2,922.28 Bcbs — Vapc3 Government: $1,166.03
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	$1,166.03 – $4,837
Colonoscopy with removal of polyps (snare): 10 of 13 insurance plan rates Aetna — All Commercial Plans: $4,837 Aetna — Medicare Managed Care Plan: $1,202.09 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $2,716.26 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $2,506.49 Baylor Scott And White — Individual Bsw Premier Exchange: $2,072.05 Bcbs — Ers Hmo: $2,018.48 Bcbs — Hmo: $2,631.06 Bcbs — Par Traditional: $2,892.15 Bcbs — Ppo: $2,922.28 Bcbs — Vapc3 Government: $1,166.03
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	$1,166.03 – $4,837
Ultrasound of the lower bowel by endoscope: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $4,837 Aetna — Medicare Managed Care Plan: $1,202.09 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $2,716.26 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $2,506.49 Baylor Scott And White — Individual Bsw Premier Exchange: $2,072.05 Bcbs — Ers Hmo: $2,018.48 Bcbs — Hmo: $2,631.06 Bcbs — Par Traditional: $2,892.15 Bcbs — Ppo: $2,922.28 Bcbs — Vapc3 Government: $1,166.03
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	$906.17 – $4,837
Screening colonoscopy (not high risk): 10 of 13 insurance plan rates Aetna — All Commercial Plans: $4,837 Aetna — Medicare Managed Care Plan: $934.20 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $2,252.63 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $2,078.66 Baylor Scott And White — Individual Bsw Premier Exchange: $1,718.38 Bcbs — Ers Hmo: $1,535.40 Bcbs — Hmo: $2,001.37 Bcbs — Par Traditional: $2,199.97 Bcbs — Ppo: $2,222.89 Bcbs — Vapc3 Government: $906.17
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	$5,890.88 – $14,066.10
Gallbladder removal by laparoscope: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $7,187 Aetna — Medicare Managed Care Plan: $6,073.08 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $12,997.02 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $11,993.30 Baylor Scott And White — Individual Bsw Premier Exchange: $9,914.56 Bcbs — Ers Hmo: $9,715.76 Bcbs — Hmo: $12,664.32 Bcbs — Par Traditional: $13,921.08 Bcbs — Ppo: $14,066.10 Bcbs — Vapc3 Government: $5,890.88
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	$2,600 – $9,200.57
Groin (inguinal) hernia repair, age 5 or older: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $6,794 Aetna — Medicare Managed Care Plan: $3,596.72 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $9,200.57 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $8,490.03 Baylor Scott And White — Individual Bsw Premier Exchange: $7,018.50 Bcbs — Ers Hmo: $6,249.77 Bcbs — Hmo: $8,146.47 Bcbs — Par Traditional: $8,954.90 Bcbs — Ppo: $9,048.18 Bcbs — Vapc3 Government: $3,488.81
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED RPR 1ST INGUN HRNA AGE 5 YRS OR MORE REDUCIBLE CDM	$11,244	$4,722.48	Not listed in the file
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	$2,150 – $5,155.21
Prostate biopsy: rates for 9 insurance plans Aetna — All Commercial Plans: $4,837 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $5,028.72 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $4,640.37 Baylor Scott And White — Individual Bsw Premier Exchange: $3,836.08 Bcbs — Ers Hmo: $3,560.82 Bcbs — Hmo: $4,641.46 Bcbs — Par Traditional: $5,102.06 Bcbs — Ppo: $5,155.21 Phcs — All Commercial Plans: $2,150
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$4,677.11 – $24,482.15
Prostate removal by laparoscope (radical prostatectomy): 10 of 12 insurance plan rates Aetna — All Commercial Plans: $7,187 Aetna — Medicare Managed Care Plan: $10,678.27 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $6,131.24 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $5,657.74 Baylor Scott And White — Individual Bsw Premier Exchange: $4,677.11 Bcbs — Ers Hmo: $16,910.35 Bcbs — Hmo: $22,042.35 Bcbs — Par Traditional: $24,229.76 Bcbs — Ppo: $24,482.15 Bcbs — Vapc3 Government: $10,357.92
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	$2,300 – $7,269.47
Hysteroscopy with biopsy of the uterus lining: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $5,619 Aetna — Medicare Managed Care Plan: $3,251.88 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $6,348.91 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $5,858.60 Baylor Scott And White — Individual Bsw Premier Exchange: $4,843.16 Bcbs — Ers Hmo: $5,021.18 Bcbs — Hmo: $6,545.02 Bcbs — Par Traditional: $7,194.53 Bcbs — Ppo: $7,269.47 Bcbs — Vapc3 Government: $3,154.32
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	$687.82 – $2,613
Spinal injection, lower back (epidural), with imaging guidance: 10 of 12 insurance plan rates Aetna — All Commercial Plans: $2,613 Aetna — Medicare Managed Care Plan: $709.10 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $1,743.46 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $1,608.81 Baylor Scott And White — Individual Bsw Premier Exchange: $1,329.97 Bcbs — Ers Hmo: $1,256.35 Bcbs — Hmo: $1,637.63 Bcbs — Par Traditional: $1,800.14 Bcbs — Ppo: $1,818.90 Bcbs — Vapc3 Government: $687.82
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED INJ EPI LUMB/SACRAL W IMAGING CDM	$2,046	$859.32	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$861.85 – $2,613
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $2,613 Aetna — Medicare Managed Care Plan: $888.50 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $2,311.16 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $2,132.68 Baylor Scott And White — Individual Bsw Premier Exchange: $1,763.03 Bcbs — Ers Hmo: $1,632.22 Bcbs — Hmo: $2,127.57 Bcbs — Par Traditional: $2,338.70 Bcbs — Ppo: $2,363.07 Bcbs — Vapc3 Government: $861.85
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 64483 NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL RHC	$483	$202.86	Not listed in the file
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	$1,902.77 – $5,003.31
Carpal tunnel release: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $4,837 Aetna — Medicare Managed Care Plan: $1,961.62 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $4,759.69 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $4,392.12 Baylor Scott And White — Individual Bsw Premier Exchange: $3,630.85 Bcbs — Ers Hmo: $3,455.89 Bcbs — Hmo: $4,504.70 Bcbs — Par Traditional: $4,951.73 Bcbs — Ppo: $5,003.31 Bcbs — Vapc3 Government: $1,902.77
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED NEUROPLASTY MEDIAN NERVE AT CARP TUNNEL CDM	$5,707	$2,396.94	Not listed in the file
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	$535.93 – $4,837
Laser treatment of clouding after cataract surgery: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $4,837 Aetna — Medicare Managed Care Plan: $552.50 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $1,525.60 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $1,407.78 Baylor Scott And White — Individual Bsw Premier Exchange: $1,163.78 Bcbs — Ers Hmo: $1,018.93 Bcbs — Hmo: $1,328.16 Bcbs — Par Traditional: $1,459.96 Bcbs — Ppo: $1,475.17 Bcbs — Vapc3 Government: $535.93
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 66821 POST-CATARACT LASER SURGERY CDM	$551	$231.42	Not listed in the file
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$2,248.79 – $7,187
Cataract removal with lens implant: 10 of 13 insurance plan rates Aetna — All Commercial Plans: $7,187 Aetna — Medicare Managed Care Plan: $2,318.34 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $6,027.10 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $5,561.65 Baylor Scott And White — Individual Bsw Premier Exchange: $4,597.68 Bcbs — Ers Hmo: $4,063.94 Bcbs — Hmo: $5,297.27 Bcbs — Par Traditional: $5,822.96 Bcbs — Ppo: $5,883.61 Bcbs — Vapc3 Government: $2,248.79
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PR 66984 XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP CDM	$1,400	$588	Not listed in the file

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care	Not listed in the file	Not listed in the file	$4,377.46 – $7,467.86
Vaginal delivery, with care before and after: rates for 7 insurance plans Baylor Scott And White — Group Bsw Plus All Commercial Plans: $7,467.86 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $6,891.14 Baylor Scott And White — Individual Bsw Premier Exchange: $5,696.74 Bcbs — Ers Hmo: $4,377.46 Bcbs — Hmo: $5,705.94 Bcbs — Par Traditional: $6,272.18 Bcbs — Ppo: $6,337.51
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery	Not listed in the file	Not listed in the file	$4,853.39 – $8,250.12
Cesarean delivery (C-section), with care before and after: rates for 7 insurance plans Baylor Scott And White — Group Bsw Plus All Commercial Plans: $8,250.12 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $7,612.98 Baylor Scott And White — Individual Bsw Premier Exchange: $6,293.47 Bcbs — Ers Hmo: $4,853.39 Bcbs — Hmo: $6,326.30 Bcbs — Par Traditional: $6,954.11 Bcbs — Ppo: $7,026.54
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery	Not listed in the file	Not listed in the file	$4,593.33 – $7,823.90
Vaginal delivery after a previous C-section, with care before and after: rates for 7 insurance plans Baylor Scott And White — Group Bsw Plus All Commercial Plans: $7,823.90 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $7,219.69 Baylor Scott And White — Individual Bsw Premier Exchange: $5,968.34 Bcbs — Ers Hmo: $4,593.33 Bcbs — Hmo: $5,987.33 Bcbs — Par Traditional: $6,581.49 Bcbs — Ppo: $6,650.05

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	$8,628 – $199,113.33
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 22 insurance plan rates Aetna — All Commercial Plans: $8,628 Aetna — Medicare Managed Care Plan: $78,485.63 Amerigroup — Medicare Managed Care Plan: $78,485.63 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $199,113.33 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $187,286.76 Baylor Scott And White — Individual Bsw Premier Exchange: $154,825.42 Baylor Scott And White — Medicare Managed Care Plan: $78,485.63 Bcbs — Ers Hmo: $151,258.36 Bcbs — Hmo: $182,962.37 Bcbs — Medicare Managed Care Plan: $78,485.63
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc	Not listed in the file	Not listed in the file	$53,618.28 – $67,509.27
Spinal fusion (not neck), without major complications: rates for 7 insurance plans Bcbs — Ers Hmo: $53,618.28 Bcbs — Hmo: $67,509.27 Bcbs — Par Traditional: $67,279.92 Bcbs — Ppo: $60,548.49 Capstar — All Commercial Plans: 72% (a percentage in the contract, not a dollar amount) Cigna — Oap Other Commercial Plan: 65% (a percentage in the contract, not a dollar amount) Omni — All Commercial Plans: 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 Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	Not listed in the file	Not listed in the file	$12,598.91 – $43,140.33
Hip or knee replacement (major joint of the leg), without major complications: 10 of 21 insurance plan rates Aetna — Medicare Managed Care Plan: $20,555.19 Amerigroup — Medicare Managed Care Plan: $20,555.19 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $35,306.40 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $33,378.03 Baylor Scott And White — Individual Bsw Premier Exchange: $27,592.78 Baylor Scott And White — Medicare Managed Care Plan: $20,555.19 Bcbs — Ers Hmo: $40,344.15 Bcbs — Hmo: $43,140.33 Bcbs — Medicare Managed Care Plan: $20,555.19 Bcbs — Par Traditional: $39,828.96
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	$15,817.63 – $46,386.74
Neck (cervical) spinal fusion, without complications: 10 of 21 insurance plan rates Aetna — Medicare Managed Care Plan: $24,334.66 Amerigroup — Medicare Managed Care Plan: $24,334.66 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $44,326.34 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $41,905.31 Baylor Scott And White — Individual Bsw Premier Exchange: $34,642.08 Baylor Scott And White — Medicare Managed Care Plan: $24,334.66 Bcbs — Ers Hmo: $38,348.77 Bcbs — Hmo: $46,386.74 Bcbs — Medicare Managed Care Plan: $24,334.66 Bcbs — Par Traditional: $41,259.51
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	$8,009.05 – $24,730.29
Uterus and ovary surgery (not for cancer), without complications: 10 of 21 insurance plan rates Aetna — Medicare Managed Care Plan: $15,479.02 Amerigroup — Medicare Managed Care Plan: $15,479.02 Baylor Scott And White — Group Bsw Plus All Commercial Plans: $24,730.29 Baylor Scott And White — Group Bsw Premier/Covenant Preferred All Commercial Plans: $23,261.41 Baylor Scott And White — Individual Bsw Premier Exchange: $19,229.64 Baylor Scott And White — Medicare Managed Care Plan: $15,479.02 Bcbs — Ers Hmo: $17,032.85 Bcbs — Hmo: $21,445.58 Bcbs — Medicare Managed Care Plan: $15,479.02 Bcbs — Par Traditional: $21,372.72

Source: Covenant Hospital Plainview’s standard charges file (pricetransparency.providence.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 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	Acute Care Hospital
Address	2601 Dimmitt Rd, Plainview, TX 79072
County	Hale County
State	Texas
Phone	(806) 296‑5531
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	450539
Name in Medicare records	COVENANT HOSPITAL PLAINVIEW
Profile level	Medicare data + hospital website
Name on the hospital’s website	Covenant Health Plainview
Official website	providence.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 2026-10-30.

Covenant Health Plainview — providence.org
Emergency Services | Covenant Health Plainview | Providence — providence.org
Surgical Services | Covenant Health Plainview | Providence — providence.org
Rehabilitation Services | Covenant Health Plainview | Providence — providence.org

Covenant Hospital Plainview

Summary

Profile from official sources

At a glance