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Acute Care Hospital

Covenant Medical Center

Lubbock, Texas · Lubbock County · Emergency services listed

Summary

Covenant Medical Center is an acute care hospital in Lubbock, Texas. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 84 services, specialties and programs. Medicare lists 692 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(806) 725‑4431 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
692Doctors and clinicians
84Services listed

Quick answers

Does Covenant Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Covenant Medical Center. In a medical emergency, call 911.
Where is Covenant Medical Center?
3615 19th Street, Lubbock, TX 79410, in Lubbock County, Texas.
What is the phone number of Covenant Medical Center?
(806) 725-4431, as listed by Medicare (CMS).
What is the Medicare star rating of Covenant Medical Center?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][8][11][13][14][15]

Conditions treated[13][14][15][16]

Treatments[7][13][14][15]

  • Robotic surgery
  • Laparoscopic surgery
  • Hybrid operating room procedures
  • Transcatheter aortic valve replacement (TAVR)
  • WATCHMAN device implant
  • Mechanical thrombectomy
  • Carotid endarterectomy
  • Clipping and coiling of brain aneurysm
  • Craniotomy
  • Stereotactic radiosurgery
  • Spinal surgery
  • Neurostimulation
  • Pallidotomy
  • Thalamotomy

Procedures[4][9][15]

Programs and centers[4][6][9][13][14][15][16]

  • Comprehensive Stroke Center
  • Level II adult trauma center
  • Pediatric major trauma care (with Covenant Children's Hospital)
  • NIH StrokeNet clinical trials
  • Heart & Vascular Institute
  • NeuroScience Institute
  • Parkinson's Disease Information and Referral Center
  • Bariatric services program
  • Joint Ranch joint replacement program

Emergency care (hospital website)[4][6][13]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel II
Stroke designationComprehensive Stroke Center certification (The Joint Commission with AHA/American Stroke Association)

Visiting and practical information

ParkingWest garage and surface lots free; valet at main entrance Mon-Fri for a fee; patients get two 7-day passes[5]
Interpreters and languagesInterpreter services are listed among support services for stroke patients[13]
Patient portalMyChart

Recognition[4][8][12][13]

  • U.S. News High Performing Hospital 2026-27: leukemia, lymphoma and myeloma; heart failure; hip fracture
  • U.S. News & World Report High Performing Hospital in Leukemia, Lymphoma, & Myeloma 2026
  • U.S. News & World Report High Performing Hospital in Heart Failure 2026
  • U.S. News & World Report High Performing Hospital in Hip Fracture 2026
  • U.S. News & World Report High Performing Hospital in Kidney Failure 2026
  • U.S. News & World Report High Performing Hospital in Prostate Cancer Surgery 2026
  • Comprehensive Stroke Center certification (The Joint Commission with AHA/ASA)
  • College of American Pathologists laboratory accreditation

Doctors and clinicians (692)

692 doctors and other clinicians list Covenant Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (692)

And 668 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean2 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1070%National average: 72%
Would definitely recommend the hospital70%National average: 71%
Nurses “always” communicated well76%National average: 80%
Doctors “always” communicated well76%National average: 80%
Staff “always” explained medicines before giving them58%National average: 62%
Were given information about recovery at home85%National average: 86%
Room and bathroom “always” clean64%National average: 74%
Area around the room “always” quiet at night60%National average: 60%
Completed surveys868Response rate: 19%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0.418Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.367Better than the national benchmark
Surgical site infections after colon surgery2.102Worse than the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.294Better than the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.69Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients13.3%
Deaths within 30 days: heart failure patients9.7%
Deaths within 30 days: pneumonia patients15.2%
Deaths within 30 days: COPD patients13%
Deaths within 30 days: stroke patients10.3%
Deaths within 30 days: coronary bypass surgery (CABG)2.4%
Serious complications (patient safety indicator PSI-90)0.74No different from the national rate
Complications after hip or knee replacementToo few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack15%
Readmitted within 30 days: heart failure20.2%
Readmitted within 30 days: pneumonia17.7%
Readmitted within 30 days: COPD21.1%
Readmitted within 30 days: coronary bypass surgery12.2%
Readmitted within 30 days: hip or knee replacementToo few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)164 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)7%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)64%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 LubbockBest hospitals in Lubbock

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as Covenant Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

$ 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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new Not listed in the file Not listed in the file $264.21 – $496.60
New patient office visit (about 30–44 minutes): rates for 5 insurance plans
  • Aetna — Preferred Other Commercial Plan: $496.60
  • Bcbs — Blue Essentials Hmo: $264.21
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $380.43
  • Bcbs — Par Traditional: $307.60
  • Bcbs — Ppo: $403.67
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 $447.32 – $766.27
New patient office visit (about 45–59 minutes): rates for 5 insurance plans
  • Aetna — Preferred Other Commercial Plan: $766.27
  • Bcbs — Blue Essentials Hmo: $447.32
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $644.09
  • Bcbs — Par Traditional: $520.78
  • Bcbs — Ppo: $683.45
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 $583.76 – $956.84
New patient office visit (about 60–74 minutes): rates for 5 insurance plans
  • Aetna — Preferred Other Commercial Plan: $956.84
  • Bcbs — Blue Essentials Hmo: $583.76
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $840.54
  • Bcbs — Par Traditional: $679.62
  • Bcbs — Ppo: $891.90
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 $176.98 – $335.94
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans
  • Aetna — Preferred Other Commercial Plan: $335.94
  • Bcbs — Blue Essentials Hmo: $176.98
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $254.83
  • Bcbs — Par Traditional: $206.04
  • Bcbs — Ppo: $270.40
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 $272.83 – $496.71
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans
  • Aetna — Preferred Other Commercial Plan: $496.71
  • Bcbs — Blue Essentials Hmo: $272.83
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $392.85
  • Bcbs — Par Traditional: $317.64
  • Bcbs — Ppo: $416.85
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 $331.83 – $547.97
Office consultation with a specialist (moderate): rates for 5 insurance plans
  • Aetna — Preferred Other Commercial Plan: $547.97
  • Bcbs — Blue Essentials Hmo: $331.83
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $477.79
  • Bcbs — Par Traditional: $386.32
  • Bcbs — Ppo: $506.99
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 $533.36 – $814.90
Office consultation with a specialist (moderate to high): rates for 5 insurance plans
  • Aetna — Preferred Other Commercial Plan: $814.20
  • Bcbs — Blue Essentials Hmo: $533.36
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $767.97
  • Bcbs — Par Traditional: $620.95
  • Bcbs — Ppo: $814.90
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 $339.19 – $536.98
Preventive checkup, new patient, age 18–39: rates for 5 insurance plans
  • Aetna — Preferred Other Commercial Plan: $536.98
  • Bcbs — Blue Essentials Hmo: $339.19
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $488.40
  • Bcbs — Par Traditional: $394.90
  • Bcbs — Ppo: $518.24
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 $412.92 – $630.88
Preventive checkup, new patient, age 40–64: rates for 5 insurance plans
  • Aetna — Preferred Other Commercial Plan: $621.11
  • Bcbs — Blue Essentials Hmo: $412.92
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $594.55
  • Bcbs — Par Traditional: $480.73
  • Bcbs — Ppo: $630.88
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 $274.22 – $1,163.60
Emergency room visit (moderate): rates for 8 insurance plans
  • Aetna — Medicare Managed Care Plan: $274.22
  • Aetna — Preferred Other Commercial Plan: $291.71
  • Bcbs — Blue Essentials Hmo: $761.59
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $1,096.60
  • Bcbs — Par Traditional: $886.66
  • Bcbs — Ppo: $1,163.60
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $287.93
  • Unitedhealthcare — Medicare Managed Care Plan: $289.30
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED FAC E&M VISIT LEVEL 3 CDM $2,233 $937.86 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 $419.16 – $1,832.83
Emergency room visit (moderately high): rates for 8 insurance plans
  • Aetna — Medicare Managed Care Plan: $419.16
  • Aetna — Preferred Other Commercial Plan: $556.12
  • Bcbs — Blue Essentials Hmo: $1,199.60
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $1,727.29
  • Bcbs — Par Traditional: $1,396.61
  • Bcbs — Ppo: $1,832.83
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $440.12
  • Unitedhealthcare — Medicare Managed Care Plan: $442.22
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 $4,062 $1,706.04 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 $598.24 – $2,628.50
Emergency room visit (high): rates for 8 insurance plans
  • Aetna — Medicare Managed Care Plan: $598.24
  • Aetna — Preferred Other Commercial Plan: $818.23
  • Bcbs — Blue Essentials Hmo: $1,720.38
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $2,477.14
  • Bcbs — Par Traditional: $2,002.90
  • Bcbs — Ppo: $2,628.50
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $628.16
  • Unitedhealthcare — Medicare Managed Care Plan: $631.15
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED FAC E&M VISIT LEVEL 5 CDM $7,693 $3,231.06 Not listed in the file

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca Not listed in the file Not listed in the file $8.46 – $56.30
Basic metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $8.46
  • Aetna — Preferred Other Commercial Plan: $56.30
  • Bcbs — Blue Essentials Hmo: $41.54
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $41.54
  • Bcbs — Par Traditional: $36.89
  • Bcbs — Ppo: $40.44
  • Cigna — New Buisness Other Commercial Plan: $16.84
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $8.88
  • Unitedhealthcare — All Commercial Plans: $13.92
  • Unitedhealthcare — Medicare Managed Care Plan: $8.93
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL $123 $51.66 Not listed in the file
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL $1,099 $461.58 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 $10.56 – $70.32
Comprehensive metabolic panel (blood test): rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $10.56
  • Aetna — Preferred Other Commercial Plan: $70.32
  • Bcbs — Blue Essentials Hmo: $51.85
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $51.85
  • Bcbs — Par Traditional: $46.04
  • Bcbs — Ppo: $50.48
  • Cigna — New Buisness Other Commercial Plan: $21
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $11.09
  • Unitedhealthcare — All Commercial Plans: $17.39
  • Unitedhealthcare — Medicare Managed Care Plan: $11.14
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHEN METABOLIC PANEL $154 $64.68 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPREHEN METABOLIC PANEL $1,236 $519.12 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 $47.81 – $244.95
Obstetric blood test panel: rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $47.81
  • Aetna — Preferred Other Commercial Plan: $181.01
  • Bcbs — Blue Essentials Hmo: $234.75
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $234.75
  • Bcbs — Par Traditional: $208.45
  • Bcbs — Ppo: $228.53
  • Cigna — New Buisness Other Commercial Plan: $95.10
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $50.20
  • Unitedhealthcare — All Commercial Plans: $78.70
  • 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 $13.39 – $89.13
Cholesterol panel (lipid panel): rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $13.39
  • Aetna — Preferred Other Commercial Plan: $89.13
  • Bcbs — Blue Essentials Hmo: $65.74
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $65.74
  • Bcbs — Par Traditional: $58.38
  • Bcbs — Ppo: $64
  • Cigna — New Buisness Other Commercial Plan: $26.63
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $14.06
  • Unitedhealthcare — All Commercial Plans: $22.04
  • Unitedhealthcare — Medicare Managed Care Plan: $14.13
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PROFILE $195 $81.90 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LIPID PROFILE $2,494 $1,047.48 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 $8.68 – $57.74
Kidney function panel: rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $8.68
  • Aetna — Preferred Other Commercial Plan: $57.74
  • Bcbs — Blue Essentials Hmo: $42.62
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $42.62
  • Bcbs — Par Traditional: $37.84
  • Bcbs — Ppo: $41.49
  • Cigna — New Buisness Other Commercial Plan: $17.26
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $9.11
  • Unitedhealthcare — All Commercial Plans: $14.29
  • Unitedhealthcare — Medicare Managed Care Plan: $9.16
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL CDM $126 $52.92 Not listed in the file
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL CDM $1,054 $442.68 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 $8.17 – $54.34
Liver function panel: rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $8.17
  • Aetna — Preferred Other Commercial Plan: $54.34
  • Bcbs — Blue Essentials Hmo: $40.11
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $40.11
  • Bcbs — Par Traditional: $35.62
  • Bcbs — Ppo: $39.05
  • Cigna — New Buisness Other Commercial Plan: $16.25
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $8.58
  • Unitedhealthcare — All Commercial Plans: $13.45
  • Unitedhealthcare — Medicare Managed Care Plan: $8.62
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL CDM $119 $49.98 Not listed in the file
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL CDM $1,110 $466.20 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 $3.17 – $21.09
Urine test (automated, with microscope): rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $3.17
  • Aetna — Preferred Other Commercial Plan: $21.09
  • Bcbs — Blue Essentials Hmo: $15.56
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $15.56
  • Bcbs — Par Traditional: $13.82
  • Bcbs — Ppo: $15.15
  • Cigna — New Buisness Other Commercial Plan: $6.31
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $3.33
  • Unitedhealthcare — All Commercial Plans: $5.22
  • Unitedhealthcare — Medicare Managed Care Plan: $3.34
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB $57 $23.94 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 LAB $354 $148.68 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 $3.48 – $17.09
Urine test (manual, without microscope): rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $3.48
  • Aetna — Preferred Other Commercial Plan: $17
  • Bcbs — Blue Essentials Hmo: $17.09
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $17.09
  • Bcbs — Par Traditional: $15.17
  • Bcbs — Ppo: $16.63
  • Cigna — New Buisness Other Commercial Plan: $6.92
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $3.65
  • Unitedhealthcare — All Commercial Plans: $4.20
  • 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 CDM $253 $106.26 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP LAB $63 $26.46 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 $2.25 – $14.96
Urine test (automated, without microscope): rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $2.25
  • Aetna — Preferred Other Commercial Plan: $14.96
  • Bcbs — Blue Essentials Hmo: $11.05
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $11.05
  • Bcbs — Par Traditional: $9.81
  • Bcbs — Ppo: $10.76
  • Cigna — New Buisness Other Commercial Plan: $4.47
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $2.36
  • Unitedhealthcare — All Commercial Plans: $3.70
  • Unitedhealthcare — Medicare Managed Care Plan: $2.37
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB $41 $17.22 Not listed in the file
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 $264 $110.88 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 $18.39 – $122.35
PSA (prostate specific antigen) blood test: rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $18.39
  • Aetna — Preferred Other Commercial Plan: $122.35
  • Bcbs — Blue Essentials Hmo: $90.29
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $90.29
  • Bcbs — Par Traditional: $80.18
  • Bcbs — Ppo: $87.90
  • Cigna — New Buisness Other Commercial Plan: $36.56
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $19.31
  • Unitedhealthcare — All Commercial Plans: $30.28
  • Unitedhealthcare — Medicare Managed Care Plan: $19.40
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM $230 $96.60 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 CDM $686 $288.12 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 $16.80 – $111.76
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $16.80
  • Aetna — Preferred Other Commercial Plan: $111.76
  • Bcbs — Blue Essentials Hmo: $82.49
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $82.49
  • Bcbs — Par Traditional: $73.25
  • Bcbs — Ppo: $80.30
  • Cigna — New Buisness Other Commercial Plan: $33.42
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $17.64
  • Unitedhealthcare — All Commercial Plans: $27.66
  • Unitedhealthcare — Medicare Managed Care Plan: $17.72
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB $210 $88.20 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB $575 $241.50 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 $7.77 – $51.74
Complete blood count (CBC) with differential: rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $7.77
  • Aetna — Preferred Other Commercial Plan: $51.74
  • Bcbs — Blue Essentials Hmo: $38.15
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $38.15
  • Bcbs — Par Traditional: $33.88
  • Bcbs — Ppo: $37.14
  • Cigna — New Buisness Other Commercial Plan: $15.46
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $8.16
  • Unitedhealthcare — All Commercial Plans: $12.79
  • Unitedhealthcare — Medicare Managed Care Plan: $8.20
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC WITH DIFF AUTO $105 $44.10 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CBC WITH DIFF AUTO $541 $227.22 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 $6.47 – $43.06
Complete blood count (CBC), automated: rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $6.47
  • Aetna — Preferred Other Commercial Plan: $43.06
  • Bcbs — Blue Essentials Hmo: $31.77
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $31.77
  • Bcbs — Par Traditional: $28.21
  • Bcbs — Ppo: $30.93
  • Cigna — New Buisness Other Commercial Plan: $12.89
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $6.79
  • Unitedhealthcare — All Commercial Plans: $10.64
  • Unitedhealthcare — Medicare Managed Care Plan: $6.83
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTOMATED $87 $36.54 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 $521 $218.82 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 $4.29 – $26.10
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $4.29
  • Aetna — Preferred Other Commercial Plan: $26.10
  • Bcbs — Blue Essentials Hmo: $21.06
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $21.06
  • Bcbs — Par Traditional: $18.70
  • Bcbs — Ppo: $20.51
  • Cigna — New Buisness Other Commercial Plan: $8.53
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $4.50
  • Unitedhealthcare — All Commercial Plans: $6.47
  • Unitedhealthcare — Medicare Managed Care Plan: $4.53
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME LAB $58 $24.36 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 $286 $120.12 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 $6.01 – $39.95
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans
  • Aetna — Medicare Managed Care Plan: $6.01
  • Aetna — Preferred Other Commercial Plan: $39.95
  • Bcbs — Blue Essentials Hmo: $29.51
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $29.51
  • Bcbs — Par Traditional: $26.20
  • Bcbs — Ppo: $28.73
  • Cigna — New Buisness Other Commercial Plan: $11.96
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $6.31
  • Unitedhealthcare — All Commercial Plans: $9.89
  • Unitedhealthcare — Medicare Managed Care Plan: $6.34
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB $81 $34.02 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 PLASMA/WHOLE BLOOD LAB $208 $87.36 Not listed in the file

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye Not listed in the file Not listed in the file $105.02 – $849.89
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $105.02
  • Aetna — Preferred Other Commercial Plan: $849.89
  • Bcbs — Blue Essentials Hmo: $550.31
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $550.31
  • Bcbs — Par Traditional: $273.48
  • Bcbs — Ppo: $530.14
  • Scott And White — Group Bsw Plus All Commercial Plans: $323.58
  • Scott And White — Group Bsw Premier/Covenant Preferred Other Commercial Plan: $232.30
  • Scott And White — Individual Bsw Premier Exchange: $192.03
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $110.27
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN WO CONTRAST $994 $140 Not listed in the file
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 $5,765 $140 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 $350.46 – $2,332.73
MRI of the brain, before and after contrast: 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $350.46
  • Aetna — Preferred Other Commercial Plan: $2,332.73
  • Bcbs — Blue Essentials Hmo: $1,874.88
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $1,874.88
  • Bcbs — Par Traditional: $931.71
  • Bcbs — Ppo: $1,806.15
  • Scott And White — Group Bsw Plus All Commercial Plans: $1,302.39
  • Scott And White — Group Bsw Premier/Covenant Preferred Other Commercial Plan: $934.99
  • Scott And White — Individual Bsw Premier Exchange: $772.93
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $367.99
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN W/O & W/DYE $5,456 $2,291.52 Not listed in the file
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 $9,970 $4,187.40 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 $87.42 – $438.96
Chest X-ray, 2 views: rates for 8 insurance plans
  • Aetna — Medicare Managed Care Plan: $87.42
  • Bcbs — Blue Essentials Hmo: $391.87
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $391.87
  • Bcbs — Par Traditional: $347.97
  • Bcbs — Ppo: $438.96
  • Cigna — New Buisness Other Commercial Plan: $225.81
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $91.79
  • Unitedhealthcare — Medicare Managed Care Plan: $92.23
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS $423 $177.66 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC XR CHEST 2 VIEWS $1,247 $523.74 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 $105.02 – $616.44
X-ray of the lower spine, at least 4 views: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $105.02
  • Aetna — Preferred Other Commercial Plan: $302.55
  • Bcbs — Blue Essentials Hmo: $550.31
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $550.31
  • Bcbs — Par Traditional: $488.67
  • Bcbs — Ppo: $616.44
  • Cigna — New Buisness Other Commercial Plan: $304.15
  • Superior Healthplan — 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 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SPINE LUMBOSACRAL MIN 4 VIEWS $913 $383.46 Not listed in the file
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 $2,303 $967.26 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 $239.69 – $1,522.84
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $239.69
  • Aetna — Preferred Other Commercial Plan: $1,522.84
  • Bcbs — Blue Essentials Hmo: $1,144.23
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $1,144.23
  • Bcbs — Par Traditional: $568.62
  • Bcbs — Ppo: $1,102.28
  • Scott And White — Group Bsw Plus All Commercial Plans: $772.17
  • Scott And White — Group Bsw Premier/Covenant Preferred Other Commercial Plan: $554.34
  • Scott And White — Individual Bsw Premier Exchange: $458.26
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $251.67
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O DYE $1,784 $281.18 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 $14,530 $281.18 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 $176.20 – $1,294.11
CT scan of the pelvis, with contrast: 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $176.20
  • Aetna — Preferred Other Commercial Plan: $1,294.11
  • Bcbs — Blue Essentials Hmo: $894.70
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $894.70
  • Bcbs — Par Traditional: $444.62
  • Bcbs — Ppo: $861.90
  • Scott And White — Group Bsw Plus All Commercial Plans: $649.53
  • Scott And White — Group Bsw Premier/Covenant Preferred Other Commercial Plan: $466.29
  • Scott And White — Individual Bsw Premier Exchange: $385.47
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $185.01
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST $1,792 $752.64 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST $7,069 $2,968.98 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 $239.69 – $1,522.84
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $239.69
  • Aetna — Preferred Other Commercial Plan: $1,522.84
  • Bcbs — Blue Essentials Hmo: $1,144.23
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $1,144.23
  • Bcbs — Par Traditional: $568.62
  • Bcbs — Ppo: $1,102.28
  • Scott And White — Group Bsw Plus All Commercial Plans: $772.17
  • Scott And White — Group Bsw Premier/Covenant Preferred Other Commercial Plan: $554.34
  • Scott And White — Individual Bsw Premier Exchange: $458.26
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $251.67
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 LOWER EXTREMITY JOINT WO CONTRAST $1,784 $749.28 Not listed in the file
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 $7,446 $3,127.32 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 $350.46 – $1,874.88
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $350.46
  • Aetna — Preferred Other Commercial Plan: $1,306.22
  • Bcbs — Blue Essentials Hmo: $1,874.88
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $1,874.88
  • Bcbs — Par Traditional: $931.71
  • Bcbs — Ppo: $1,806.15
  • Scott And White — Group Bsw Plus All Commercial Plans: $1,012.54
  • Scott And White — Group Bsw Premier/Covenant Preferred Other Commercial Plan: $726.90
  • Scott And White — Individual Bsw Premier Exchange: $600.91
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $367.99
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABDOMEN & PELVIS W CONTRAST $3,694 $460 Not listed in the file
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 $14,197 $460 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 $105.02 – $642.77
Ultrasound of the abdomen, complete: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $105.02
  • Aetna — Preferred Other Commercial Plan: $391.27
  • Bcbs — Blue Essentials Hmo: $550.31
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $550.31
  • Bcbs — Par Traditional: $488.67
  • Bcbs — Ppo: $616.44
  • Cigna — New Buisness Other Commercial Plan: $304.15
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $110.27
  • Unitedhealthcare — Medicare Managed Care Plan: $110.80
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US EXAM ABDOMEN COMPLETE $1,093 $459.06 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US EXAM ABDOMEN COMPLETE $2,999 $1,259.58 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 $105.02 – $667.71
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $105.02
  • Aetna — Preferred Other Commercial Plan: $370.08
  • Bcbs — Blue Essentials Hmo: $449.46
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $449.46
  • Bcbs — Par Traditional: $399.11
  • Bcbs — Ppo: $503.47
  • Cigna — New Buisness Other Commercial Plan: $304.15
  • Superior Healthplan — 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 $2,049 $860.58 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 $105.02 – $574.67
Transvaginal ultrasound: rates for 9 insurance plans
  • Aetna — Medicare Managed Care Plan: $105.02
  • Aetna — Preferred Other Commercial Plan: $332.31
  • Bcbs — Blue Essentials Hmo: $433.55
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $433.55
  • Bcbs — Par Traditional: $384.99
  • Bcbs — Ppo: $485.65
  • Cigna — New Buisness Other Commercial Plan: $304.15
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $110.27
  • Unitedhealthcare — Medicare Managed Care Plan: $110.80
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON-OB $1,093 $459.06 Not listed in the file
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US TRANSVAGINAL NON-OB $2,920 $1,226.40 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 $266.77 – $517.33
Diagnostic mammogram, one breast: rates for 5 insurance plans
  • Bcbs — Blue Essentials Hmo: $461.83
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $461.83
  • Bcbs — Par Traditional: $410.10
  • Bcbs — Ppo: $517.33
  • Cigna — New Buisness Other Commercial Plan: $266.77
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO DIAG UNI W CAD $750 $315 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO DIAG UNI W CAD $753 $316.26 Not listed in the file
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 $341.20 – $662.04
Diagnostic mammogram, both breasts: rates for 5 insurance plans
  • Bcbs — Blue Essentials Hmo: $591.02
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $591.02
  • Bcbs — Par Traditional: $524.81
  • Bcbs — Ppo: $662.04
  • Cigna — New Buisness Other Commercial Plan: $341.20
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO DIAG BIL W CAD $801 $336.42 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO DIAG BIL W CAD $1,003 $421.26 Not listed in the file
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 $282.05 – $547.09
Screening mammogram, both breasts: rates for 5 insurance plans
  • Bcbs — Blue Essentials Hmo: $488.40
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $488.40
  • Bcbs — Par Traditional: $433.69
  • Bcbs — Ppo: $547.09
  • Cigna — New Buisness Other Commercial Plan: $282.05
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MAMMO SCREEN BIL W CAD $802 $336.84 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 $802 $336.84 Not listed in the file

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram complete Not listed in the file Not listed in the file $75.43 – $92.20
Electrocardiogram (ECG/EKG) with reading: rates for 5 insurance plans
  • Aetna — Preferred Other Commercial Plan: $92.20
  • Bcbs — Blue Essentials Hmo: $84.94
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $84.94
  • Bcbs — Par Traditional: $75.43
  • Bcbs — Ppo: $82.69
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 $3,256.70 – $11,520
Left heart catheterization (diagnostic): 10 of 14 insurance plan rates
  • Aetna — All Commercial Plans: $8,144
  • Aetna — Medicare Managed Care Plan: $3,256.70
  • Aetna — New Business Tier 1 Other Commercial Plan: $5,129
  • Aetna — Preferred Other Commercial Plan: $3,970.42
  • Bcbs — Blue Essentials Hmo: $4,360.42
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $5,785.40
  • Bcbs — Par Traditional: $5,044.41
  • Bcbs — Ppo: $6,041.89
  • Scott And White — Group Bsw Plus All Commercial Plans: $5,788.68
  • Scott And White — Group Bsw Premier/Covenant Preferred Other Commercial Plan: $4,063.94
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: HC LEFT HRT CATH W/VENTRCLGRPHY $34,883 $14,650.86 Not listed in the file
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 $3,323.42 – $30,664.55
Heart rhythm study (electrophysiology evaluation): 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $8,144
  • Aetna — Medicare Managed Care Plan: $7,835.21
  • Aetna — New Business Tier 1 Other Commercial Plan: $5,129
  • Aetna — Preferred Other Commercial Plan: $16,402.31
  • Bcbs — Blue Essentials Hmo: $20,070.27
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $28,898.84
  • Bcbs — Par Traditional: $23,366.27
  • Bcbs — Ppo: $30,664.55
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $8,226.97
  • Unitedhealthcare — All Commercial Plans: $13,293
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION $20,980 $8,811.60 Not listed in the file
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 $5,129 – $106,467.76
Heart rhythm study with ablation for atrial fibrillation: 10 of 14 insurance plan rates
  • Aetna — All Commercial Plans: $8,144
  • Aetna — Medicare Managed Care Plan: $26,256.97
  • Aetna — New Business Tier 1 Other Commercial Plan: $5,129
  • Aetna — Preferred Other Commercial Plan: $5,317.80
  • Bcbs — Blue Essentials Hmo: $69,684.27
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $41,483.60
  • Bcbs — Par Traditional: $36,170.43
  • Bcbs — Ppo: $106,467.76
  • Scott And White — Group Bsw Plus All Commercial Plans: $28,550.86
  • Scott And White — Group Bsw Premier/Covenant Preferred Other Commercial Plan: $20,848.27
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION $71,606 $30,074.52 Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: HC COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION $85,881 $36,070.02 Not listed in the file
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 $862.65 – $2,778.61
Sleep study (overnight, in a sleep lab): rates for 8 insurance plans
  • Aetna — Medicare Managed Care Plan: $862.65
  • Aetna — Preferred Other Commercial Plan: $2,711.90
  • Bcbs — Blue Essentials Hmo: $1,708.21
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $2,459.62
  • Bcbs — Par Traditional: $1,988.73
  • Bcbs — Ppo: $2,609.90
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $905.79
  • Unitedhealthcare — Medicare Managed Care Plan: $910.10
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOMNOGRAPHY 4 OR MORE $7,502 $850 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: HC POLYSOMNOGRAPHY 4 OR MORE $20,789 $850 Not listed in the file

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises Not listed in the file Not listed in the file $28.96 – $163.33
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans
  • Aetna — Medicare Managed Care Plan: $28.96
  • Aetna — Preferred Other Commercial Plan: $138.94
  • Bcbs — Blue Essentials Hmo: $106.90
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $153.93
  • Bcbs — Par Traditional: $124.46
  • Bcbs — Ppo: $163.33
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $30.41
  • Unitedhealthcare — Medicare Managed Care Plan: $30.55
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN $162 $125 Not listed in the file
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 $450 $125 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 $97.90 – $450.61
Physical therapy evaluation (low complexity): rates for 7 insurance plans
  • Aetna — Medicare Managed Care Plan: $97.90
  • Bcbs — Blue Essentials Hmo: $294.93
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $424.67
  • Bcbs — Par Traditional: $343.37
  • Bcbs — Ppo: $450.61
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $102.80
  • Unitedhealthcare — Medicare Managed Care Plan: $103.28
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVALUATION LOW COMPLEX CDM $592 $175 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 $98.08 – $450.61
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans
  • Aetna — Medicare Managed Care Plan: $98.08
  • Bcbs — Blue Essentials Hmo: $294.93
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $424.67
  • Bcbs — Par Traditional: $343.37
  • Bcbs — Ppo: $450.61
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $102.98
  • Unitedhealthcare — Medicare Managed Care Plan: $103.47
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION MOD COMPLEX CDM $546 $175 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVALUATION MOD COMPLEX CDM $707 $175 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 $98.08 – $450.61
Physical therapy evaluation (high complexity): rates for 7 insurance plans
  • Aetna — Medicare Managed Care Plan: $98.08
  • Bcbs — Blue Essentials Hmo: $294.93
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $424.67
  • Bcbs — Par Traditional: $343.37
  • Bcbs — Ppo: $450.61
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $102.98
  • Unitedhealthcare — Medicare Managed Care Plan: $103.47
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVALUATION HIGH COMPLEX $560 $235.20 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: HC PT EVALUATION HIGH COMPLEX $1,061 $445.62 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes Not listed in the file Not listed in the file $178.30 – $307.36
Psychotherapy, 30 minutes: rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $178.30
  • Aetna — Preferred Other Commercial Plan: $307.36
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $187.22
  • Unitedhealthcare — Medicare Managed Care Plan: $188.11
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 90832 PSYTX W PT 30 MIN RHC $185 $77.70 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYTX W PT 30 MIN PHP/IOP CDM $224 $94.08 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes Not listed in the file Not listed in the file $178.30 – $407.75
Psychotherapy, 45 minutes: rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $178.30
  • Aetna — Preferred Other Commercial Plan: $407.75
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $187.22
  • Unitedhealthcare — Medicare Managed Care Plan: $188.11
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 90834 PSYTX W PT 45 MIN RHC $185 $77.70 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYTX W PT 45 MIN PHP/IOP CDM $224 $94.08 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes Not listed in the file Not listed in the file $178.30 – $610.17
Psychotherapy, 60 minutes: rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $178.30
  • Aetna — Preferred Other Commercial Plan: $610.17
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $187.22
  • Unitedhealthcare — Medicare Managed Care Plan: $188.11
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 90837 PSYTX W PT 60 MIN RHC $185 $77.70 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYTX W PT 60 MIN PHP/IOP CDM $224 $94.08 Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min Not listed in the file Not listed in the file $178.30 – $494.13
Family psychotherapy, without the patient: rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $178.30
  • Aetna — Preferred Other Commercial Plan: $494.13
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $187.22
  • Unitedhealthcare — Medicare Managed Care Plan: $188.11
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 90846 PSYTX FAMILY WO PT 50 MIN RHC $185 $77.70 Not listed in the file
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYTX FAMILY WO PT 50 MIN PHP/IOP CDM $224 $94.08 Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min Not listed in the file Not listed in the file $178.30 – $509.84
Family psychotherapy, with the patient: rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $178.30
  • Aetna — Preferred Other Commercial Plan: $509.84
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $187.22
  • Unitedhealthcare — Medicare Managed Care Plan: $188.11
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PR 90847 PSYTX FAMILY W PT 50 MIN RHC $185 $77.70 Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CD PHP TX FAMILY W PATIENT $224 $94.08 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 $102.05 – $125.26
Group psychotherapy: rates for 4 insurance plans
  • Aetna — Medicare Managed Care Plan: $102.05
  • Aetna — Preferred Other Commercial Plan: $125.26
  • Superior Healthplan — Wellcare Medicare Managed Care Plan: $107.16
  • Unitedhealthcare — Medicare Managed Care Plan: $107.67
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSY TX GROUP NON PHP $117 $49.14 Not listed in the file
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CD PHP TX GROUP $117 $49.14 Not listed in the file

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion Not listed in the file Not listed in the file $2,300 – $10,027.66
Removal of breast growth (open surgery): 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $5,305
  • Aetna — Medicare Managed Care Plan: $3,933.28
  • Aetna — New Business Tier 1 Other Commercial Plan: $3,340
  • Aetna — Preferred Other Commercial Plan: $2,688.90
  • Bcbs — Blue Essentials Hmo: $4,635.21
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $6,149.99
  • Bcbs — Par Traditional: $5,362.30
  • Bcbs — Ppo: $6,422.65
  • Capstar — All Commercial Plans: $10,027.66
  • Cigna — New Buisness Other Commercial Plan: $6,381
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 $1,684.25 – $28,561.70
Total hip replacement: 10 of 14 insurance plan rates
  • Aetna — All Commercial Plans: $7,398
  • Aetna — Medicare Managed Care Plan: $12,897.19
  • Aetna — New Business Tier 1 Other Commercial Plan: $4,659
  • Aetna — Preferred Other Commercial Plan: $8,177.75
  • Bcbs — Blue Essentials Hmo: $21,421.28
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $21,421.28
  • Bcbs — Par Traditional: $21,421.28
  • Bcbs — Ppo: $28,561.70
  • Scott And White — Group Bsw Plus All Commercial Plans: $2,790.11
  • Scott And White — Group Bsw Premier/Covenant Preferred Other Commercial Plan: $2,037.38
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 $1,683.82 – $28,561.70
Total knee replacement: 10 of 14 insurance plan rates
  • Aetna — All Commercial Plans: $7,398
  • Aetna — Medicare Managed Care Plan: $12,897.19
  • Aetna — New Business Tier 1 Other Commercial Plan: $4,659
  • Aetna — Preferred Other Commercial Plan: $8,173.95
  • Bcbs — Blue Essentials Hmo: $21,421.28
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $21,421.28
  • Bcbs — Par Traditional: $21,421.28
  • Bcbs — Ppo: $28,561.70
  • Scott And White — Group Bsw Plus All Commercial Plans: $2,789.40
  • Scott And White — Group Bsw Premier/Covenant Preferred Other Commercial Plan: $2,036.86
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 $1,069.18 – $10,027.66
Shoulder arthroscopy: shaving of shoulder bone: rates for 9 insurance plans
  • Aetna — All Commercial Plans: $5,305
  • Aetna — New Business Tier 1 Other Commercial Plan: $3,340
  • Aetna — Preferred Other Commercial Plan: $1,069.18
  • Capstar — All Commercial Plans: $10,027.66
  • Cigna — New Buisness Other Commercial Plan: $6,381
  • Cigna — Oap: $5,769
  • Covenant Preferred — All Commercial Plans: $5,098
  • Phcs — All Commercial Plans: $2,300
  • Unitedhealthcare — All Commercial Plans: $2,688
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 $2,581.90 – $14,074.93
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $6,415
  • Aetna — Medicare Managed Care Plan: $3,286.91
  • Aetna — New Business Tier 1 Other Commercial Plan: $4,039
  • Aetna — Preferred Other Commercial Plan: $3,231.83
  • Bcbs — Blue Essentials Hmo: $4,188.30
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $5,557.02
  • Bcbs — Par Traditional: $4,845.29
  • Bcbs — Ppo: $5,803.39
  • Capstar — All Commercial Plans: $14,074.93
  • Cigna — New Buisness Other Commercial Plan: $7,790
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 $1,691.90 – $10,283.12
Removal of tonsils and adenoids (under age 12): 10 of 17 insurance plan rates
  • Aetna — All Commercial Plans: $5,305
  • Aetna — Medicare Managed Care Plan: $5,946.81
  • Aetna — New Business Tier 1 Other Commercial Plan: $3,340
  • Aetna — Preferred Other Commercial Plan: $1,691.90
  • Bcbs — Blue Essentials Hmo: $7,421.31
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $9,846.58
  • Bcbs — Par Traditional: $8,585.44
  • Bcbs — Ppo: $10,283.12
  • Cigna — New Buisness Other Commercial Plan: $6,381
  • Cigna — Oap: $5,769
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 $894.72 – $4,554
Upper GI endoscopy (diagnostic): 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $2,467
  • Aetna — Medicare Managed Care Plan: $911.12
  • Aetna — New Business Tier 1 Other Commercial Plan: $1,553
  • Aetna — Preferred Other Commercial Plan: $1,748.36
  • Bcbs — Blue Essentials Hmo: $1,202.46
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $1,595.42
  • Bcbs — Par Traditional: $1,391.08
  • Bcbs — Ppo: $1,666.15
  • Capstar — All Commercial Plans: $4,121.53
  • Cigna — New Buisness Other Commercial Plan: $2,994
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC CDM $2,477 $1,040.34 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 $894.72 – $6,330.82
Upper GI endoscopy with biopsy: 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $4,566
  • Aetna — Medicare Managed Care Plan: $911.12
  • Aetna — New Business Tier 1 Other Commercial Plan: $2,875
  • Aetna — Preferred Other Commercial Plan: $2,227.64
  • Bcbs — Blue Essentials Hmo: $1,202.46
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $1,595.42
  • Bcbs — Par Traditional: $1,391.08
  • Bcbs — Ppo: $1,666.15
  • Capstar — All Commercial Plans: $6,330.82
  • Cigna — New Buisness Other Commercial Plan: $4,574
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED EGD TRANSORAL BIOPSY SINGLE/MULTIPLE CDM $2,477 $1,040.34 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 $934.20 – $6,330.82
Colonoscopy (diagnostic): 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $4,566
  • Aetna — Medicare Managed Care Plan: $934.20
  • Aetna — New Business Tier 1 Other Commercial Plan: $2,875
  • Aetna — Preferred Other Commercial Plan: $2,188.55
  • Bcbs — Blue Essentials Hmo: $1,168.74
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $1,550.68
  • Bcbs — Par Traditional: $1,352.07
  • Bcbs — Ppo: $1,619.43
  • Capstar — All Commercial Plans: $6,330.82
  • Cigna — New Buisness Other Commercial Plan: $4,574
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD CDM $2,493 $1,047.06 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 $947.84 – $6,330.82
Colonoscopy with biopsy: 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $4,566
  • Aetna — Medicare Managed Care Plan: $1,202.09
  • Aetna — New Business Tier 1 Other Commercial Plan: $2,875
  • Aetna — Preferred Other Commercial Plan: $2,606.43
  • Bcbs — Blue Essentials Hmo: $1,536.46
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $2,038.57
  • Bcbs — Par Traditional: $1,777.47
  • Bcbs — Ppo: $2,128.95
  • Capstar — All Commercial Plans: $6,330.82
  • Cigna — New Buisness Other Commercial Plan: $4,574
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 $947.84 – $6,330.82
Colonoscopy with removal of polyps (snare): 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $4,566
  • Aetna — Medicare Managed Care Plan: $1,202.09
  • Aetna — New Business Tier 1 Other Commercial Plan: $2,875
  • Aetna — Preferred Other Commercial Plan: $2,946.23
  • Bcbs — Blue Essentials Hmo: $1,536.46
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $2,038.57
  • Bcbs — Par Traditional: $1,777.47
  • Bcbs — Ppo: $2,128.95
  • Capstar — All Commercial Plans: $6,330.82
  • Cigna — New Buisness Other Commercial Plan: $4,574
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 $947.84 – $4,711
Ultrasound of the lower bowel by endoscope: 10 of 17 insurance plan rates
  • Aetna — All Commercial Plans: $4,566
  • Aetna — Medicare Managed Care Plan: $1,202.09
  • Aetna — New Business Tier 1 Other Commercial Plan: $2,875
  • Aetna — Preferred Other Commercial Plan: $1,703.32
  • Bcbs — Blue Essentials Hmo: $1,536.46
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $2,038.57
  • Bcbs — Par Traditional: $1,777.47
  • Bcbs — Ppo: $2,128.95
  • Cigna — New Buisness Other Commercial Plan: $4,574
  • Cigna — Oap: $4,711
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 $786.05 – $4,711
Screening colonoscopy (not high risk): 10 of 17 insurance plan rates
  • Aetna — All Commercial Plans: $4,566
  • Aetna — Medicare Managed Care Plan: $934.20
  • Aetna — New Business Tier 1 Other Commercial Plan: $2,875
  • Aetna — Preferred Other Commercial Plan: $1,870.19
  • Bcbs — Blue Essentials Hmo: $1,168.74
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $1,550.68
  • Bcbs — Par Traditional: $1,352.07
  • Bcbs — Ppo: $1,619.43
  • Cigna — New Buisness Other Commercial Plan: $4,574
  • Cigna — Oap: $4,711
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 $3,758.72 – $16,711
Gallbladder removal by laparoscope: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $6,782
  • Aetna — Medicare Managed Care Plan: $6,073.08
  • Aetna — New Business Tier 1 Other Commercial Plan: $4,272
  • Aetna — Preferred Other Commercial Plan: $3,758.72
  • Bcbs — Blue Essentials Hmo: $7,395.58
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $9,812.43
  • Bcbs — Par Traditional: $8,555.67
  • Bcbs — Ppo: $10,247.47
  • Cigna — New Buisness Other Commercial Plan: $16,711
  • Cigna — Oap: $16,636
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 – $14,074.93
Groin (inguinal) hernia repair, age 5 or older: 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $6,415
  • Aetna — Medicare Managed Care Plan: $3,596.72
  • Aetna — New Business Tier 1 Other Commercial Plan: $4,039
  • Aetna — Preferred Other Commercial Plan: $2,966.45
  • Bcbs — Blue Essentials Hmo: $4,757.29
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $6,311.96
  • Bcbs — Par Traditional: $5,503.53
  • Bcbs — Ppo: $6,591.80
  • Capstar — All Commercial Plans: $14,074.93
  • Cigna — New Buisness Other Commercial Plan: $7,790
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 $11,879 $4,989.18 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 $1,276.70 – $6,330.82
Prostate biopsy: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $4,566
  • Aetna — New Business Tier 1 Other Commercial Plan: $2,875
  • Aetna — Preferred Other Commercial Plan: $1,276.70
  • Bcbs — Blue Essentials Hmo: $2,710.47
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $3,596.25
  • Bcbs — Par Traditional: $3,135.64
  • Bcbs — Ppo: $3,755.69
  • Capstar — All Commercial Plans: $6,330.82
  • Cigna — New Buisness Other Commercial Plan: $4,574
  • Cigna — Oap: $4,711
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 $2,139.49 – $17,835.79
Prostate removal by laparoscope (radical prostatectomy): 10 of 14 insurance plan rates
  • Aetna — All Commercial Plans: $6,782
  • Aetna — Medicare Managed Care Plan: $10,678.27
  • Aetna — New Business Tier 1 Other Commercial Plan: $4,272
  • Aetna — Preferred Other Commercial Plan: $10,499.50
  • Bcbs — Blue Essentials Hmo: $12,872.06
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $17,078.61
  • Bcbs — Par Traditional: $14,891.20
  • Bcbs — Ppo: $17,835.79
  • Scott And White — Group Bsw Plus All Commercial Plans: $3,544.25
  • Scott And White — Group Bsw Premier/Covenant Preferred Other Commercial Plan: $2,588.06
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 $2,215.45 – $7,215
Hysteroscopy with biopsy of the uterus lining: 10 of 17 insurance plan rates
  • Aetna — All Commercial Plans: $5,305
  • Aetna — Medicare Managed Care Plan: $3,251.88
  • Aetna — New Business Tier 1 Other Commercial Plan: $3,340
  • Aetna — Preferred Other Commercial Plan: $2,359.50
  • Bcbs — Blue Essentials Hmo: $3,822.09
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $5,071.14
  • Bcbs — Par Traditional: $4,421.64
  • Bcbs — Ppo: $5,295.97
  • Cigna — New Buisness Other Commercial Plan: $6,381
  • Cigna — Oap: $5,769
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 $608.38 – $2,994
Spinal injection, lower back (epidural), with imaging guidance: 10 of 16 insurance plan rates
  • Aetna — All Commercial Plans: $2,467
  • Aetna — Medicare Managed Care Plan: $709.10
  • Aetna — New Business Tier 1 Other Commercial Plan: $1,553
  • Aetna — Preferred Other Commercial Plan: $2,471
  • Bcbs — Blue Essentials Hmo: $956.33
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $1,268.85
  • Bcbs — Par Traditional: $1,106.34
  • Bcbs — Ppo: $1,325.11
  • Cigna — New Buisness Other Commercial Plan: $2,994
  • Cigna — Oap: $2,681
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC INJ W/NDL OR CATH PLCMNT EPIDRL L/S W/IMG $2,161 $907.62 Not listed in the file
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 $2,161 $907.62 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 $806.48 – $2,994
Nerve root injection, lower back, with imaging guidance: 10 of 17 insurance plan rates
  • Aetna — All Commercial Plans: $2,467
  • Aetna — Medicare Managed Care Plan: $888.50
  • Aetna — New Business Tier 1 Other Commercial Plan: $1,553
  • Aetna — Preferred Other Commercial Plan: $1,418.15
  • Bcbs — Blue Essentials Hmo: $1,242.44
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $1,648.46
  • Bcbs — Par Traditional: $1,437.33
  • Bcbs — Ppo: $1,721.55
  • Cigna — New Buisness Other Commercial Plan: $2,994
  • Cigna — Oap: $2,681
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 $1,660.89 – $7,215
Carpal tunnel release: 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $4,566
  • Aetna — Medicare Managed Care Plan: $1,961.62
  • Aetna — New Business Tier 1 Other Commercial Plan: $2,875
  • Aetna — Preferred Other Commercial Plan: $2,754.37
  • Bcbs — Blue Essentials Hmo: $2,630.61
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $3,490.28
  • Bcbs — Par Traditional: $3,043.25
  • Bcbs — Ppo: $3,645.02
  • Capstar — All Commercial Plans: $6,330.82
  • Cigna — New Buisness Other Commercial Plan: $4,574
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED NEUROPLASTY MEDIAN NERVE AT CARP TUNNEL CDM $6,029 $2,532.18 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 $532.36 – $6,330.82
Laser treatment of clouding after cataract surgery: 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $4,566
  • Aetna — Medicare Managed Care Plan: $552.50
  • Aetna — New Business Tier 1 Other Commercial Plan: $2,875
  • Aetna — Preferred Other Commercial Plan: $1,900.27
  • Bcbs — Blue Essentials Hmo: $775.60
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $1,029.07
  • Bcbs — Par Traditional: $897.27
  • Bcbs — Ppo: $1,074.69
  • Capstar — All Commercial Plans: $6,330.82
  • Cigna — New Buisness Other Commercial Plan: $4,574
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 $2,103.15 – $18,565.45
Cataract removal with lens implant: 10 of 19 insurance plan rates
  • Aetna — All Commercial Plans: $6,782
  • Aetna — Medicare Managed Care Plan: $2,318.34
  • Aetna — New Business Tier 1 Other Commercial Plan: $4,272
  • Aetna — Preferred Other Commercial Plan: $3,760.97
  • Bcbs — Blue Essentials Hmo: $3,093.45
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $4,104.38
  • Bcbs — Par Traditional: $3,578.69
  • Bcbs — Ppo: $4,286.34
  • Capstar — All Commercial Plans: $18,565.45
  • Cigna — New Buisness Other Commercial Plan: $8,986

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care Not listed in the file Not listed in the file $2,605.91 – $12,279.55
Vaginal delivery, with care before and after: rates for 8 insurance plans
  • Aetna — Preferred Other Commercial Plan: $12,279.55
  • Bcbs — Blue Essentials Hmo: $3,332.10
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $4,421.02
  • Bcbs — Par Traditional: $3,854.78
  • Bcbs — Ppo: $4,617.02
  • Scott And White — Group Bsw Plus All Commercial Plans: $4,316.91
  • Scott And White — Group Bsw Premier/Covenant Preferred Other Commercial Plan: $3,152.27
  • Scott And White — Individual Bsw Premier Exchange: $2,605.91
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery Not listed in the file Not listed in the file $2,878.87 – $12,279.55
Cesarean delivery (C-section), with care before and after: rates for 8 insurance plans
  • Aetna — Preferred Other Commercial Plan: $12,279.55
  • Bcbs — Blue Essentials Hmo: $3,694.37
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $4,901.68
  • Bcbs — Par Traditional: $4,273.88
  • Bcbs — Ppo: $5,118.99
  • Scott And White — Group Bsw Plus All Commercial Plans: $4,769.10
  • Scott And White — Group Bsw Premier/Covenant Preferred Other Commercial Plan: $3,482.47
  • Scott And White — Individual Bsw Premier Exchange: $2,878.87
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery Not listed in the file Not listed in the file $2,730.15 – $12,279.55
Vaginal delivery after a previous C-section, with care before and after: rates for 8 insurance plans
  • Aetna — Preferred Other Commercial Plan: $12,279.55
  • Bcbs — Blue Essentials Hmo: $3,496.42
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $4,639.04
  • Bcbs — Par Traditional: $4,044.87
  • Bcbs — Ppo: $4,844.71
  • Scott And White — Group Bsw Plus All Commercial Plans: $4,522.72
  • Scott And White — Group Bsw Premier/Covenant Preferred Other Commercial Plan: $3,302.56
  • Scott And White — Individual Bsw Premier Exchange: $2,730.15

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc Not listed in the file Not listed in the file $70,455.88 – $218,967.58
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 24 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $70,455.88
  • Amerigroup — Medicare Managed Care Plan: $70,455.88
  • Bcbs — Blue Essentials Hmo: $181,615.28
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $172,152.61
  • Bcbs — Medicare Managed Care Plan: $70,455.88
  • Bcbs — Par Traditional: $181,246.48
  • Bcbs — Ppo: $189,010.72
  • Bcbs — Va Pccc Government: $70,455.88
  • Capstar — All Commercial Plans: $218,967.58
  • Cigna — New Buisness Other Commercial Plan: $154,811.72
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 $66,017.78 – $77,540.16
Spinal fusion (not neck), without major complications: rates for 5 insurance plans
  • Bcbs — Blue Essentials Hmo: $77,540.16
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $66,017.78
  • Bcbs — Par Traditional: $73,717.66
  • Bcbs — Ppo: $69,445.23
  • Cigna — Ppo: 65% (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 $13,891.97 – $83,903.12
Hip or knee replacement (major joint of the leg), without major complications: 10 of 24 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $13,891.97
  • Amerigroup — Medicare Managed Care Plan: $13,891.97
  • Bcbs — Blue Essentials Hmo: $42,298.73
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $45,273.70
  • Bcbs — Medicare Managed Care Plan: $13,891.97
  • Bcbs — Par Traditional: $43,518.08
  • Bcbs — Ppo: $83,903.12
  • Bcbs — Va Pccc Government: $13,891.97
  • Capstar — All Commercial Plans: $42,782
  • Cigna — New Buisness Other Commercial Plan: $30,247.19
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 $17,582.28 – $53,711.77
Neck (cervical) spinal fusion, without complications: 10 of 24 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $17,582.28
  • Amerigroup — Medicare Managed Care Plan: $17,582.28
  • Bcbs — Blue Essentials Hmo: $46,045.21
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $43,646.12
  • Bcbs — Medicare Managed Care Plan: $17,582.28
  • Bcbs — Par Traditional: $45,951.71
  • Bcbs — Ppo: $47,920.19
  • Bcbs — Va Pccc Government: $17,582.28
  • Capstar — All Commercial Plans: $53,711.77
  • Cigna — New Buisness Other Commercial Plan: $37,974.62
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 $8,935.54 – $27,196.23
Uterus and ovary surgery (not for cancer), without complications: 10 of 24 insurance plan rates
  • Aetna — Medicare Managed Care Plan: $8,935.54
  • Amerigroup — Medicare Managed Care Plan: $8,935.54
  • Bcbs — Blue Essentials Hmo: $24,632.08
  • Bcbs — Ers Blue Essentials For Healthselect Members Hmo: $20,971.78
  • Bcbs — Medicare Managed Care Plan: $8,935.54
  • Bcbs — Par Traditional: $23,417.79
  • Bcbs — Ppo: $22,060.57
  • Bcbs — Va Pccc Government: $8,935.54
  • Capstar — All Commercial Plans: $27,196.23
  • Cigna — New Buisness Other Commercial Plan: $19,227.94

Source: Covenant Medical Center’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 typeAcute Care Hospital
Address3615 19th Street, Lubbock, TX 79410
CountyLubbock County
StateTexas
Phone(806) 725‑4431
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating3 of 5 stars
CMS Certification Number450040
Name in Medicare recordsCOVENANT MEDICAL CENTER
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(806) 725‑0000[4]
Official websiteprovidence.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Covenant Medical Center — providence.org
  2. Maps and Parking | Covenant Medical Center | Covenant Health | Providence — providence.org
  3. Emergency Department | Covenant Medical Center | Providence — providence.org
  4. Surgical Services | Covenant Medical Center | Providence — providence.org
  5. Laboratory Services | Providence — providence.org
  6. Bariatric Services | Covenant Medical Center | Lubbock, TX | Providence — providence.org
  7. Departments | Covenant Medical Center | Providence — providence.org
  8. Recognition | Covenant Medical Center | Providence — providence.org
  9. Comprehensive Stroke Center | Covenant Medical Center | Providence — providence.org
  10. Heart and Vascular Institute | Covenant Medical Center | Lubbock, TX | Providence — providence.org
  11. NeuroScience Institute | Covenant Medical Center | Providence — providence.org
  12. Orthopedics | Covenant Medical Center | Providence — providence.org