Does Graham Regional Medical Center have an emergency room?

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

Where is Graham Regional Medical Center?

1301 Montgomery Road, Graham, TX 76450, in Young County, Texas.

What is the phone number of Graham Regional Medical Center?

(940) 549-3400, as listed by Medicare (CMS).

What is the Medicare star rating of Graham Regional Medical Center?

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

Graham Regional Medical Center — Graham, TX

Quick answers

Does Graham Regional Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Graham Regional Medical Center. In a medical emergency, call 911.
Where is Graham Regional Medical Center?: 1301 Montgomery Road, Graham, TX 76450, in Young County, Texas.
What is the phone number of Graham Regional Medical Center?: (940) 549-3400, as listed by Medicare (CMS).
What is the Medicare star rating of Graham Regional Medical Center?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[5]

Orthopedics & Sports Medicine
Pain Management
General Surgery
Diagnostic Imaging
Laboratory
Cardio Pulmonary Rehab
Emergency Department & EMS
Family clinic

Treatments^[5]

IV infusion therapy
Therapy services
Transitional care

Programs and centers^[5]

Fitness Center
Young County Family Clinic

Emergency care (hospital website)^[5][7]

Emergency room	Yes
Trauma designation	Level IV

Visiting and practical information

Visiting	Visits 8 a.m.-6 p.m. for healthy visitors age 13+; page still shows COVID-era limits, so confirm by phone^[6]
Parking	Main lot north of the medical center via East Street; second lot on southwest corner via Montgomery Street, closest to patient rooms^[6]
Patient portal	Patient Portal

Recognition^[7]

DNV accredited Critical Access Hospital
DNV ISO 9001 quality management
DNV Advanced Certification for Chest Pain Readiness
Joint Commission certification in Acute Heart Attack Readiness
AHA Get With The Guidelines Rural Coronary Artery Disease NSTE-ACS: Gold
AHA Get With The Guidelines Rural Coronary Artery Disease STEMI: Silver
CMS 4-Star overall hospital quality

Doctors and clinicians (147)

147 doctors and other clinicians list Graham Regional 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

And 123 more: the button below opens the full list.

Other emergency rooms nearby

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

Hamilton Hospital21 mi · Olney, TX · Critical Access Hospital
Stephens Memorial Hospital25 mi · Breckenridge, TX · Critical Access Hospital
Faith Community Hospital29 mi · Jacksboro, TX · Acute Care Hospital
Throckmorton County Memorial Hospital32 mi · Throckmorton, TX · Critical Access Hospital
Palo Pinto General Hospital36 mi · Mineral Wells, TX · Acute Care Hospital

Other hospitals nearby

Eastland Memorial Hospital47 mi · Eastland, TX · Critical Access Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Avir at Graham4.7 mi · Graham, TX · 4 of 5 stars
Graham Oaks Care Center5.4 mi · Graham, TX · 1 of 5 stars
Olney Rehabilitation and Care Center23 mi · Olney, TX · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Beyondfaith Hospice LLC0.0 mi · Graham, TX · 5 of 5 stars

All hospice providers in the state →

Home health agencies

Beyondfaith Homecare & Rehab of Graham LLC0.0 mi · Graham, TX · 4 of 5 stars
Young County Home Health Care, Inc.0.0 mi · Graham, TX · 2 of 5 stars

All home health agencies in the state →

Dialysis facilities

Fresenius Medical Care Graham0.0 mi · Graham, TX · 4 of 5 stars

All dialysis facilities in the state →

Community care nearby

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

Clinics and urgent care

FCH Rural Health Clinic Graham0.0 mi · Graham, TX · Rural health clinic
Young County Family Clinic0.0 mi · Graham, TX · Rural health clinic
Lovett Meredith Rural Health Clinic21 mi · Olney, TX · Rural health clinic

Pharmacies

Roy Brent Jordan0.0 mi · Graham, TX · Community/retail pharmacy
United Supermarkets LLC0.0 mi · Graham, TX · Community/retail pharmacy
Us-Rx-Direct, LLC0.0 mi · Graham, TX · Pharmacy

Assisted living nearby

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

Elison Assisted Living & Memory Care of Graham0.0 mi · Graham, TX
Elison Assisted Living & Memory Care of Graham0.0 mi · Graham, TX

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	Not reported to Medicare
Overall rating of the hospital	Not reported to Medicare
Would recommend the hospital	Not reported to Medicare
Nurses communicated well	Not reported to Medicare
Doctors communicated well	Not reported to Medicare
Staff explained medicines	Not reported to Medicare
Information about recovery at home	Not reported to Medicare
Room and bathroom kept clean	Not reported to Medicare
Quiet at night	Not reported to Medicare
Rated the hospital 9 or 10 out of 10	87%National average: 72%
Would definitely recommend the hospital	88%National average: 71%
Nurses “always” communicated well	89%National average: 80%
Doctors “always” communicated well	81%National average: 80%
Staff “always” explained medicines before giving them	74%National average: 62%
Were given information about recovery at home	82%National average: 86%
Room and bathroom “always” clean	89%National average: 74%
Area around the room “always” quiet at night	82%National average: 60%
Completed surveys	42Response rate: 31%

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

Infections caught in the hospital

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

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

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	Not reported to Medicare
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	15%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Not reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Not reported to Medicare
Readmitted within 30 days: heart failure	Too few cases to report
Readmitted within 30 days: pneumonia	17.1%
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	131 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	93%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Texas Best hospitals in Texas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 60 common services exactly as Graham Regional Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New patient office or other outpatient visit, 30 min	$338	$338	$101 – $1,910
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $220 Amerigroup — Children's Health Insurance Program: $101 Amerigroup — Medicare Advantage: $101 Blue Cross Blue Shield — Blue Advantage: $230 Blue Cross Blue Shield — Blue Essentials: $240 Blue Cross Blue Shield — Commercial: $254 Blue Cross Blue Shield — PPO: $254 ChoiceCare Network — Commercial: $101 Cigna — Commercial: $220 Curative — Commercial: $203
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New patient office or other outpatient visit, 45 min	$571	$571	$171 – $1,910
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $371 Amerigroup — Children's Health Insurance Program: $171 Amerigroup — Medicare Advantage: $171 Blue Cross Blue Shield — Blue Advantage: $388 Blue Cross Blue Shield — Blue Essentials: $405 Blue Cross Blue Shield — Commercial: $428 Blue Cross Blue Shield — PPO: $428 ChoiceCare Network — Commercial: $171 Cigna — Commercial: $371 Curative — Commercial: $343
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New patient office or other outpatient visit, 60 min	$742	$742	$223 – $1,910
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $482 Amerigroup — Children's Health Insurance Program: $223 Amerigroup — Medicare Advantage: $223 Blue Cross Blue Shield — Blue Advantage: $505 Blue Cross Blue Shield — Blue Essentials: $527 Blue Cross Blue Shield — Commercial: $557 Blue Cross Blue Shield — PPO: $557 ChoiceCare Network — Commercial: $223 Cigna — Commercial: $482 Curative — Commercial: $445
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ggh Rad Diagnostic Rev	$224	$224	$67 – $1,910
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $146 Amerigroup — Children's Health Insurance Program: $67 Amerigroup — Medicare Advantage: $67 Blue Cross Blue Shield — Blue Advantage: $152 Blue Cross Blue Shield — Blue Essentials: $159 Blue Cross Blue Shield — Commercial: $168 Blue Cross Blue Shield — PPO: $168 ChoiceCare Network — Commercial: $67 Cigna — Commercial: $146 Curative — Commercial: $134
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ggh Rad Diagnostic Rev	$344	$344	$103 – $1,910
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $224 Amerigroup — Children's Health Insurance Program: $103 Amerigroup — Medicare Advantage: $103 Blue Cross Blue Shield — Blue Advantage: $234 Blue Cross Blue Shield — Blue Essentials: $244 Blue Cross Blue Shield — Commercial: $258 Blue Cross Blue Shield — PPO: $258 ChoiceCare Network — Commercial: $103 Cigna — Commercial: $224 Curative — Commercial: $206
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ggh E/r Revenue	$4,548	$4,548	$1,364 – $4,093
Emergency room visit (moderate): 10 of 15 insurance plan rates Aetna — Commercial: $2,956 Amerigroup — Children's Health Insurance Program: $1,364 Amerigroup — Medicare Advantage: $1,364 Blue Cross Blue Shield — Blue Advantage: $3,093 Blue Cross Blue Shield — Blue Essentials: $3,229 Blue Cross Blue Shield — Commercial: $3,411 Blue Cross Blue Shield — PPO: $3,411 ChoiceCare Network — Commercial: $1,364 Cigna — Commercial: $2,956 Health Advantage Network — Commercial: $4,093
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · both In the file: Ggh E/r Revenue	Not listed in the file	Not listed in the file	$1,100
Emergency room visit (moderate): rates for 1 insurance plan Curative — Commercial: $1,100
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: Ggh E/r Revenue	$851	$851	$255 – $1,910
Emergency room visit (moderate): 10 of 15 insurance plan rates Aetna — Commercial: $553 Amerigroup — Children's Health Insurance Program: $255 Amerigroup — Medicare Advantage: $255 Blue Cross Blue Shield — Blue Advantage: $579 Blue Cross Blue Shield — Blue Essentials: $604 Blue Cross Blue Shield — Commercial: $638 Blue Cross Blue Shield — PPO: $638 ChoiceCare Network — Commercial: $255 Cigna — Commercial: $553 Health Advantage Network — Commercial: $766
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ggh E/r Revenue	$5,117	$5,117	$1,535 – $4,605
Emergency room visit (moderately high): 10 of 15 insurance plan rates Aetna — Commercial: $3,326 Amerigroup — Children's Health Insurance Program: $1,535 Amerigroup — Medicare Advantage: $1,535 Blue Cross Blue Shield — Blue Advantage: $3,480 Blue Cross Blue Shield — Blue Essentials: $3,633 Blue Cross Blue Shield — Commercial: $3,838 Blue Cross Blue Shield — PPO: $3,838 ChoiceCare Network — Commercial: $1,535 Cigna — Commercial: $3,326 Health Advantage Network — Commercial: $4,605
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · both In the file: Ggh E/r Revenue	Not listed in the file	Not listed in the file	$3,587
Emergency room visit (moderately high): rates for 1 insurance plan Curative — Commercial: $3,587
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: Ggh E/r Revenue	$1,420	$1,420	$426 – $1,910
Emergency room visit (moderately high): 10 of 15 insurance plan rates Aetna — Commercial: $923 Amerigroup — Children's Health Insurance Program: $426 Amerigroup — Medicare Advantage: $426 Blue Cross Blue Shield — Blue Advantage: $966 Blue Cross Blue Shield — Blue Essentials: $1,008 Blue Cross Blue Shield — Commercial: $1,065 Blue Cross Blue Shield — PPO: $1,065 ChoiceCare Network — Commercial: $426 Cigna — Commercial: $923 Health Advantage Network — Commercial: $1,278
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ggh E/r Revenue	$5,807	$5,807	$1,742 – $5,226
Emergency room visit (high): 10 of 15 insurance plan rates Aetna — Commercial: $3,775 Amerigroup — Children's Health Insurance Program: $1,742 Amerigroup — Medicare Advantage: $1,742 Blue Cross Blue Shield — Blue Advantage: $3,949 Blue Cross Blue Shield — Blue Essentials: $4,123 Blue Cross Blue Shield — Commercial: $4,355 Blue Cross Blue Shield — PPO: $4,355 ChoiceCare Network — Commercial: $1,742 Cigna — Commercial: $3,775 Health Advantage Network — Commercial: $5,226
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · both In the file: Ggh E/r Revenue	Not listed in the file	Not listed in the file	$4,850
Emergency room visit (high): rates for 1 insurance plan Curative — Commercial: $4,850
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: Ggh E/r Revenue	$2,110	$2,110	$633 – $1,910
Emergency room visit (high): 10 of 15 insurance plan rates Aetna — Commercial: $1,372 Amerigroup — Children's Health Insurance Program: $633 Amerigroup — Medicare Advantage: $633 Blue Cross Blue Shield — Blue Advantage: $1,435 Blue Cross Blue Shield — Blue Essentials: $1,498 Blue Cross Blue Shield — Commercial: $1,583 Blue Cross Blue Shield — PPO: $1,583 ChoiceCare Network — Commercial: $633 Cigna — Commercial: $1,372 Health Advantage Network — Commercial: $1,899

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic metabolic panel	$110	$25	$33 – $176
Basic metabolic panel (blood test): 10 of 15 insurance plan rates Aetna — Commercial: $72 Amerigroup — Children's Health Insurance Program: $33 Amerigroup — Medicare Advantage: $33 Blue Cross Blue Shield — Blue Advantage: $75 Blue Cross Blue Shield — Blue Essentials: $78 Blue Cross Blue Shield — Commercial: $83 Blue Cross Blue Shield — PPO: $83 ChoiceCare Network — Commercial: $33 Cigna — Commercial: $72 Curative — Commercial: $176
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: Basic metabolic panel	$110	$25	$33 – $176
Basic metabolic panel (blood test): 10 of 15 insurance plan rates Aetna — Commercial: $72 Amerigroup — Children's Health Insurance Program: $33 Amerigroup — Medicare Advantage: $33 Blue Cross Blue Shield — Blue Advantage: $75 Blue Cross Blue Shield — Blue Essentials: $78 Blue Cross Blue Shield — Commercial: $83 Blue Cross Blue Shield — PPO: $83 ChoiceCare Network — Commercial: $33 Cigna — Commercial: $72 Curative — Commercial: $176
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood test, comprehensive group of blood chemicals	$145	$45	$44 – $232
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates Aetna — Commercial: $94 Amerigroup — Children's Health Insurance Program: $44 Amerigroup — Medicare Advantage: $44 Blue Cross Blue Shield — Blue Advantage: $99 Blue Cross Blue Shield — Blue Essentials: $103 Blue Cross Blue Shield — Commercial: $109 Blue Cross Blue Shield — PPO: $109 ChoiceCare Network — Commercial: $44 Cigna — Commercial: $94 Curative — Commercial: $232
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric blood test panel	$283	$269	$85 – $453
Obstetric blood test panel: 10 of 15 insurance plan rates Aetna — Commercial: $184 Amerigroup — Children's Health Insurance Program: $85 Amerigroup — Medicare Advantage: $85 Blue Cross Blue Shield — Blue Advantage: $192 Blue Cross Blue Shield — Blue Essentials: $201 Blue Cross Blue Shield — Commercial: $212 Blue Cross Blue Shield — PPO: $212 ChoiceCare Network — Commercial: $85 Cigna — Commercial: $184 Curative — Commercial: $453
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood test, lipids	$128	$40	$38 – $205
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates Aetna — Commercial: $83 Amerigroup — Children's Health Insurance Program: $38 Amerigroup — Medicare Advantage: $38 Blue Cross Blue Shield — Blue Advantage: $87 Blue Cross Blue Shield — Blue Essentials: $91 Blue Cross Blue Shield — Commercial: $96 Blue Cross Blue Shield — PPO: $96 ChoiceCare Network — Commercial: $38 Cigna — Commercial: $83 Curative — Commercial: $205
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Kidney function panel test	$196	$196	$59 – $314
Kidney function panel: 10 of 15 insurance plan rates Aetna — Commercial: $127 Amerigroup — Children's Health Insurance Program: $59 Amerigroup — Medicare Advantage: $59 Blue Cross Blue Shield — Blue Advantage: $133 Blue Cross Blue Shield — Blue Essentials: $139 Blue Cross Blue Shield — Commercial: $147 Blue Cross Blue Shield — PPO: $147 ChoiceCare Network — Commercial: $59 Cigna — Commercial: $127 Curative — Commercial: $314
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Liver function blood test	$80	$25	$24 – $128
Liver function panel: 10 of 15 insurance plan rates Aetna — Commercial: $52 Amerigroup — Children's Health Insurance Program: $24 Amerigroup — Medicare Advantage: $24 Blue Cross Blue Shield — Blue Advantage: $54 Blue Cross Blue Shield — Blue Essentials: $57 Blue Cross Blue Shield — Commercial: $60 Blue Cross Blue Shield — PPO: $60 ChoiceCare Network — Commercial: $24 Cigna — Commercial: $52 Curative — Commercial: $128
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis test using microscope	$50	$23	$15 – $80
Urine test (automated, with microscope): 10 of 15 insurance plan rates Aetna — Commercial: $33 Amerigroup — Children's Health Insurance Program: $15 Amerigroup — Medicare Advantage: $15 Blue Cross Blue Shield — Blue Advantage: $34 Blue Cross Blue Shield — Blue Essentials: $36 Blue Cross Blue Shield — Commercial: $38 Blue Cross Blue Shield — PPO: $38 ChoiceCare Network — Commercial: $15 Cigna — Commercial: $33 Curative — Commercial: $80
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis test	$62	$62	$19 – $99
Urine test (manual, without microscope): 10 of 15 insurance plan rates Aetna — Commercial: $40 Amerigroup — Children's Health Insurance Program: $19 Amerigroup — Medicare Advantage: $19 Blue Cross Blue Shield — Blue Advantage: $42 Blue Cross Blue Shield — Blue Essentials: $44 Blue Cross Blue Shield — Commercial: $47 Blue Cross Blue Shield — PPO: $47 ChoiceCare Network — Commercial: $19 Cigna — Commercial: $40 Curative — Commercial: $99
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis test	$11	$11	$3 – $18
Urine test (automated, without microscope): 10 of 15 insurance plan rates Aetna — Commercial: $7 Amerigroup — Children's Health Insurance Program: $3 Amerigroup — Medicare Advantage: $3 Blue Cross Blue Shield — Blue Advantage: $7 Blue Cross Blue Shield — Blue Essentials: $8 Blue Cross Blue Shield — Commercial: $8 Blue Cross Blue Shield — PPO: $8 ChoiceCare Network — Commercial: $3 Cigna — Commercial: $7 Curative — Commercial: $18
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total prostate-specific antigen (PSA) test	$187	$56	$56 – $299
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates Aetna — Commercial: $122 Amerigroup — Children's Health Insurance Program: $56 Amerigroup — Medicare Advantage: $56 Blue Cross Blue Shield — Blue Advantage: $127 Blue Cross Blue Shield — Blue Essentials: $133 Blue Cross Blue Shield — Commercial: $140 Blue Cross Blue Shield — PPO: $140 ChoiceCare Network — Commercial: $56 Cigna — Commercial: $122 Curative — Commercial: $299
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood test, thyroid stimulating hormone (TSH)	$123	$53	$37 – $197
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates Aetna — Commercial: $80 Amerigroup — Children's Health Insurance Program: $37 Amerigroup — Medicare Advantage: $37 Blue Cross Blue Shield — Blue Advantage: $84 Blue Cross Blue Shield — Blue Essentials: $87 Blue Cross Blue Shield — Commercial: $92 Blue Cross Blue Shield — PPO: $92 ChoiceCare Network — Commercial: $37 Cigna — Commercial: $80 Curative — Commercial: $197
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete blood cell count (CBC), with differential white blood cells, automated	$57	$55	$17 – $91
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates Aetna — Commercial: $37 Amerigroup — Children's Health Insurance Program: $17 Amerigroup — Medicare Advantage: $17 Blue Cross Blue Shield — Blue Advantage: $39 Blue Cross Blue Shield — Blue Essentials: $40 Blue Cross Blue Shield — Commercial: $43 Blue Cross Blue Shield — PPO: $43 ChoiceCare Network — Commercial: $17 Cigna — Commercial: $37 Curative — Commercial: $91
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete blood cell count (CBC), automated	$55	$19	$17 – $88
Complete blood count (CBC), automated: 10 of 15 insurance plan rates Aetna — Commercial: $36 Amerigroup — Children's Health Insurance Program: $17 Amerigroup — Medicare Advantage: $17 Blue Cross Blue Shield — Blue Advantage: $37 Blue Cross Blue Shield — Blue Essentials: $39 Blue Cross Blue Shield — Commercial: $41 Blue Cross Blue Shield — PPO: $41 ChoiceCare Network — Commercial: $17 Cigna — Commercial: $36 Curative — Commercial: $88
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Blood test, clotting time	$49	$49	$15 – $78
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates Aetna — Commercial: $32 Amerigroup — Children's Health Insurance Program: $15 Amerigroup — Medicare Advantage: $15 Blue Cross Blue Shield — Blue Advantage: $33 Blue Cross Blue Shield — Blue Essentials: $35 Blue Cross Blue Shield — Commercial: $37 Blue Cross Blue Shield — PPO: $37 ChoiceCare Network — Commercial: $15 Cigna — Commercial: $32 Curative — Commercial: $78
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Coagulation assessment blood test	$59	$18	$18 – $94
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates Aetna — Commercial: $38 Amerigroup — Children's Health Insurance Program: $18 Amerigroup — Medicare Advantage: $18 Blue Cross Blue Shield — Blue Advantage: $40 Blue Cross Blue Shield — Blue Essentials: $42 Blue Cross Blue Shield — Commercial: $44 Blue Cross Blue Shield — PPO: $44 ChoiceCare Network — Commercial: $18 Cigna — Commercial: $38 Curative — Commercial: $94

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT scan	$1,220	$325	$366 – $3,050
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates Aetna — Commercial: $793 Amerigroup — Children's Health Insurance Program: $366 Amerigroup — Medicare Advantage: $366 Blue Cross Blue Shield — Blue Advantage: $830 Blue Cross Blue Shield — Blue Essentials: $866 Blue Cross Blue Shield — Commercial: $915 Blue Cross Blue Shield — PPO: $915 ChoiceCare Network — Commercial: $366 Cigna — Commercial: $793 Curative — Commercial: $3,050
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Scan	$2,480	$1,098	$744 – $6,200
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates Aetna — Commercial: $1,612 Amerigroup — Children's Health Insurance Program: $744 Amerigroup — Medicare Advantage: $744 Blue Cross Blue Shield — Blue Advantage: $1,686 Blue Cross Blue Shield — Blue Essentials: $1,761 Blue Cross Blue Shield — Commercial: $1,860 Blue Cross Blue Shield — PPO: $1,860 ChoiceCare Network — Commercial: $744 Cigna — Commercial: $1,612 Curative — Commercial: $6,200
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ggh Rad Diagnostic Rev	$304	$229	$91 – $532
Chest X-ray, 2 views: 10 of 16 insurance plan rates Aetna — Commercial: $198 Amerigroup — Children's Health Insurance Program: $91 Amerigroup — Medicare Advantage: $91 Blue Cross Blue Shield — Blue Advantage: $207 Blue Cross Blue Shield — Blue Essentials: $216 Blue Cross Blue Shield — Commercial: $228 Blue Cross Blue Shield — PPO: $228 ChoiceCare Network — Commercial: $91 Cigna — Commercial: $198 Curative — Commercial: $532
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-Ray of lower back	$332	$332	$100 – $581
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates Aetna — Commercial: $216 Amerigroup — Children's Health Insurance Program: $100 Amerigroup — Medicare Advantage: $100 Blue Cross Blue Shield — Blue Advantage: $226 Blue Cross Blue Shield — Blue Essentials: $236 Blue Cross Blue Shield — Commercial: $249 Blue Cross Blue Shield — PPO: $249 ChoiceCare Network — Commercial: $100 Cigna — Commercial: $216 Curative — Commercial: $581
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI scan of lower spinal canal	$1,792	$670	$538 – $4,480
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates Aetna — Commercial: $1,165 Amerigroup — Children's Health Insurance Program: $538 Amerigroup — Medicare Advantage: $538 Blue Cross Blue Shield — Blue Advantage: $1,219 Blue Cross Blue Shield — Blue Essentials: $1,272 Blue Cross Blue Shield — Commercial: $1,344 Blue Cross Blue Shield — PPO: $1,344 ChoiceCare Network — Commercial: $538 Cigna — Commercial: $1,165 Curative — Commercial: $4,480
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT scan of pelvis with contrast	$1,462	$524	$439 – $3,655
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates Aetna — Commercial: $950 Amerigroup — Children's Health Insurance Program: $439 Amerigroup — Medicare Advantage: $439 Blue Cross Blue Shield — Blue Advantage: $994 Blue Cross Blue Shield — Blue Essentials: $1,038 Blue Cross Blue Shield — Commercial: $1,097 Blue Cross Blue Shield — PPO: $1,097 ChoiceCare Network — Commercial: $439 Cigna — Commercial: $950 Curative — Commercial: $3,655
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: MRI scan of leg joint	$2,350	$670	$705 – $5,875
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates Aetna — Commercial: $1,528 Amerigroup — Children's Health Insurance Program: $705 Amerigroup — Medicare Advantage: $705 Blue Cross Blue Shield — Blue Advantage: $1,598 Blue Cross Blue Shield — Blue Essentials: $1,669 Blue Cross Blue Shield — Commercial: $1,763 Blue Cross Blue Shield — PPO: $1,763 ChoiceCare Network — Commercial: $705 Cigna — Commercial: $1,528 Curative — Commercial: $5,875
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MRI scan of leg joint	$1,175	$670	$353 – $2,938
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates Aetna — Commercial: $764 Amerigroup — Children's Health Insurance Program: $353 Amerigroup — Medicare Advantage: $353 Blue Cross Blue Shield — Blue Advantage: $799 Blue Cross Blue Shield — Blue Essentials: $834 Blue Cross Blue Shield — Commercial: $881 Blue Cross Blue Shield — PPO: $881 ChoiceCare Network — Commercial: $353 Cigna — Commercial: $764 Curative — Commercial: $2,938
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: MRI scan of leg joint	$1,175	$670	$353 – $2,938
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates Aetna — Commercial: $764 Amerigroup — Children's Health Insurance Program: $353 Amerigroup — Medicare Advantage: $353 Blue Cross Blue Shield — Blue Advantage: $799 Blue Cross Blue Shield — Blue Essentials: $834 Blue Cross Blue Shield — Commercial: $881 Blue Cross Blue Shield — PPO: $881 ChoiceCare Network — Commercial: $353 Cigna — Commercial: $764 Curative — Commercial: $2,938
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT scan of abdomen and pelvis with contrast	$1,676	$1,098	$503 – $4,190
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates Aetna — Commercial: $1,089 Amerigroup — Children's Health Insurance Program: $503 Amerigroup — Medicare Advantage: $503 Blue Cross Blue Shield — Blue Advantage: $1,140 Blue Cross Blue Shield — Blue Essentials: $1,190 Blue Cross Blue Shield — Commercial: $1,257 Blue Cross Blue Shield — PPO: $1,257 ChoiceCare Network — Commercial: $503 Cigna — Commercial: $1,089 Curative — Commercial: $4,190
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound of abdomen	$667	$667	$200 – $1,167
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates Aetna — Commercial: $434 Amerigroup — Children's Health Insurance Program: $200 Amerigroup — Medicare Advantage: $200 Blue Cross Blue Shield — Blue Advantage: $454 Blue Cross Blue Shield — Blue Essentials: $474 Blue Cross Blue Shield — Commercial: $500 Blue Cross Blue Shield — PPO: $500 ChoiceCare Network — Commercial: $200 Cigna — Commercial: $434 Curative — Commercial: $1,167
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Abdomial ultrasound of pregnant uterus	$469	$382	$141 – $821
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates Aetna — Commercial: $305 Amerigroup — Children's Health Insurance Program: $141 Amerigroup — Medicare Advantage: $141 Blue Cross Blue Shield — Blue Advantage: $319 Blue Cross Blue Shield — Blue Essentials: $333 Blue Cross Blue Shield — Commercial: $352 Blue Cross Blue Shield — PPO: $352 ChoiceCare Network — Commercial: $141 Cigna — Commercial: $305 Curative — Commercial: $821
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ultrasound pelvis through vagina	$524	$453	$157 – $917
Transvaginal ultrasound: 10 of 16 insurance plan rates Aetna — Commercial: $341 Amerigroup — Children's Health Insurance Program: $157 Amerigroup — Medicare Advantage: $157 Blue Cross Blue Shield — Blue Advantage: $356 Blue Cross Blue Shield — Blue Essentials: $372 Blue Cross Blue Shield — Commercial: $393 Blue Cross Blue Shield — PPO: $393 ChoiceCare Network — Commercial: $157 Cigna — Commercial: $341 Curative — Commercial: $917
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mammography of one breast	$430	$354	$129 – $753
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates Aetna — Commercial: $280 Amerigroup — Children's Health Insurance Program: $129 Amerigroup — Medicare Advantage: $129 Blue Cross Blue Shield — Blue Advantage: $292 Blue Cross Blue Shield — Blue Essentials: $305 Blue Cross Blue Shield — Commercial: $323 Blue Cross Blue Shield — PPO: $323 ChoiceCare Network — Commercial: $129 Cigna — Commercial: $280 Curative — Commercial: $753
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: Mammography of one breast	$230	$354	$69 – $403
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates Aetna — Commercial: $150 Amerigroup — Children's Health Insurance Program: $69 Amerigroup — Medicare Advantage: $69 Blue Cross Blue Shield — Blue Advantage: $156 Blue Cross Blue Shield — Blue Essentials: $163 Blue Cross Blue Shield — Commercial: $173 Blue Cross Blue Shield — PPO: $173 ChoiceCare Network — Commercial: $69 Cigna — Commercial: $150 Curative — Commercial: $403
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: Mammography of one breast	$230	$354	$69 – $403
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates Aetna — Commercial: $150 Amerigroup — Children's Health Insurance Program: $69 Amerigroup — Medicare Advantage: $69 Blue Cross Blue Shield — Blue Advantage: $156 Blue Cross Blue Shield — Blue Essentials: $163 Blue Cross Blue Shield — Commercial: $173 Blue Cross Blue Shield — PPO: $173 ChoiceCare Network — Commercial: $69 Cigna — Commercial: $150 Curative — Commercial: $403
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mammography of both breasts	$774	$425	$225 – $1,355
Diagnostic mammogram, both breasts: 10 of 16 insurance plan rates Aetna — Commercial: $503 Amerigroup — Children's Health Insurance Program: $232 Amerigroup — Medicare Advantage: $232 Blue Cross Blue Shield — Blue Advantage: $526 Blue Cross Blue Shield — Blue Essentials: $550 Blue Cross Blue Shield — Commercial: $581 Blue Cross Blue Shield — PPO: $581 ChoiceCare Network — Commercial: $232 Cigna — Commercial: $503 Curative — Commercial: $1,355
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mammography, screening, bilateral	$748	$361	$224 – $1,309
Screening mammogram, both breasts: 10 of 16 insurance plan rates Aetna — Commercial: $486 Amerigroup — Children's Health Insurance Program: $224 Amerigroup — Medicare Advantage: $224 Blue Cross Blue Shield — Blue Advantage: $509 Blue Cross Blue Shield — Blue Essentials: $531 Blue Cross Blue Shield — Commercial: $561 Blue Cross Blue Shield — PPO: $561 ChoiceCare Network — Commercial: $224 Cigna — Commercial: $486 Curative — Commercial: $1,309
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: Mammography, screening, bilateral	$301	$361	$90 – $527
Screening mammogram, both breasts: 10 of 16 insurance plan rates Aetna — Commercial: $196 Amerigroup — Children's Health Insurance Program: $90 Amerigroup — Medicare Advantage: $90 Blue Cross Blue Shield — Blue Advantage: $205 Blue Cross Blue Shield — Blue Essentials: $214 Blue Cross Blue Shield — Commercial: $226 Blue Cross Blue Shield — PPO: $226 ChoiceCare Network — Commercial: $90 Cigna — Commercial: $196 Curative — Commercial: $527
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: Mammography, screening, bilateral	$447	$361	$134 – $782
Screening mammogram, both breasts: 10 of 16 insurance plan rates Aetna — Commercial: $291 Amerigroup — Children's Health Insurance Program: $134 Amerigroup — Medicare Advantage: $134 Blue Cross Blue Shield — Blue Advantage: $304 Blue Cross Blue Shield — Blue Essentials: $317 Blue Cross Blue Shield — Commercial: $335 Blue Cross Blue Shield — PPO: $335 ChoiceCare Network — Commercial: $134 Cigna — Commercial: $291 Curative — Commercial: $782

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Physical therapy, therapeutic exercise	$290	$290	$87 – $508
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $189 Amerigroup — Children's Health Insurance Program: $87 Amerigroup — Medicare Advantage: $87 Blue Cross Blue Shield — Blue Advantage: $197 Blue Cross Blue Shield — Blue Essentials: $206 Blue Cross Blue Shield — Commercial: $218 Blue Cross Blue Shield — PPO: $218 ChoiceCare Network — Commercial: $87 Cigna — Commercial: $189 Curative — Commercial: $508
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: Physical therapy, therapeutic exercise	$290	$290	$87 – $508
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $189 Amerigroup — Children's Health Insurance Program: $87 Amerigroup — Medicare Advantage: $87 Blue Cross Blue Shield — Blue Advantage: $197 Blue Cross Blue Shield — Blue Essentials: $206 Blue Cross Blue Shield — Commercial: $218 Blue Cross Blue Shield — PPO: $218 ChoiceCare Network — Commercial: $87 Cigna — Commercial: $189 Curative — Commercial: $508
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Physical therapy, therapeutic exercise	$290	$290	$87 – $508
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates Aetna — Commercial: $189 Amerigroup — Children's Health Insurance Program: $87 Amerigroup — Medicare Advantage: $87 Blue Cross Blue Shield — Blue Advantage: $197 Blue Cross Blue Shield — Blue Essentials: $206 Blue Cross Blue Shield — Commercial: $218 Blue Cross Blue Shield — PPO: $218 ChoiceCare Network — Commercial: $87 Cigna — Commercial: $189 Curative — Commercial: $508
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Ggh Physical Therapy Rev	$383	$383	$115 – $670
Physical therapy evaluation (low complexity): 10 of 16 insurance plan rates Aetna — Commercial: $249 Amerigroup — Children's Health Insurance Program: $115 Amerigroup — Medicare Advantage: $115 Blue Cross Blue Shield — Blue Advantage: $260 Blue Cross Blue Shield — Blue Essentials: $272 Blue Cross Blue Shield — Commercial: $287 Blue Cross Blue Shield — PPO: $287 ChoiceCare Network — Commercial: $115 Cigna — Commercial: $249 Curative — Commercial: $670
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Ggh Physical Therapy Rev	$383	$383	$115 – $670
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates Aetna — Commercial: $249 Amerigroup — Children's Health Insurance Program: $115 Amerigroup — Medicare Advantage: $115 Blue Cross Blue Shield — Blue Advantage: $260 Blue Cross Blue Shield — Blue Essentials: $272 Blue Cross Blue Shield — Commercial: $287 Blue Cross Blue Shield — PPO: $287 ChoiceCare Network — Commercial: $115 Cigna — Commercial: $249 Curative — Commercial: $670
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Ggh Physical Therapy Rev	$383	$383	$115 – $670
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates Aetna — Commercial: $249 Amerigroup — Children's Health Insurance Program: $115 Amerigroup — Medicare Advantage: $115 Blue Cross Blue Shield — Blue Advantage: $260 Blue Cross Blue Shield — Blue Essentials: $272 Blue Cross Blue Shield — Commercial: $287 Blue Cross Blue Shield — PPO: $287 ChoiceCare Network — Commercial: $115 Cigna — Commercial: $249 Curative — Commercial: $670

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of one or more breast growth, open procedure	$13,545	$13,545	$4,064 – $40,635
Removal of breast growth (open surgery): 10 of 15 insurance plan rates Aetna — Commercial: $8,804 Amerigroup — Children's Health Insurance Program: $4,064 Amerigroup — Medicare Advantage: $4,064 Blue Cross Blue Shield — Blue Advantage: $9,211 Blue Cross Blue Shield — Blue Essentials: $9,617 Blue Cross Blue Shield — Commercial: $10,159 Blue Cross Blue Shield — PPO: $10,159 ChoiceCare Network — Commercial: $4,064 Cigna — Commercial: $8,804 Curative — Commercial: $40,635
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ggh Surgical Services Re	$43,838	$19,000	$13,151 – $131,514
Total hip replacement: 10 of 15 insurance plan rates Aetna — Commercial: $28,495 Amerigroup — Children's Health Insurance Program: $13,151 Amerigroup — Medicare Advantage: $13,151 Blue Cross Blue Shield — Blue Advantage: $29,810 Blue Cross Blue Shield — Blue Essentials: $31,125 Blue Cross Blue Shield — Commercial: $32,879 Blue Cross Blue Shield — PPO: $32,879 ChoiceCare Network — Commercial: $13,151 Cigna — Commercial: $28,495 Curative — Commercial: $131,514
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ggh Surgical Services Re	$62,479	$19,000	$18,744 – $187,437
Total knee replacement: 10 of 15 insurance plan rates Aetna — Commercial: $40,611 Amerigroup — Children's Health Insurance Program: $18,744 Amerigroup — Medicare Advantage: $18,744 Blue Cross Blue Shield — Blue Advantage: $42,486 Blue Cross Blue Shield — Blue Essentials: $44,360 Blue Cross Blue Shield — Commercial: $46,859 Blue Cross Blue Shield — PPO: $46,859 ChoiceCare Network — Commercial: $18,744 Cigna — Commercial: $40,611 Curative — Commercial: $187,437
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shaving of shoulder bone using endoscope	$5,011	$5,011	$1,503 – $15,033
Shoulder arthroscopy: shaving of shoulder bone: 10 of 15 insurance plan rates Aetna — Commercial: $3,257 Amerigroup — Children's Health Insurance Program: $1,503 Amerigroup — Medicare Advantage: $1,503 Blue Cross Blue Shield — Blue Advantage: $3,407 Blue Cross Blue Shield — Blue Essentials: $3,558 Blue Cross Blue Shield — Commercial: $3,758 Blue Cross Blue Shield — PPO: $3,758 ChoiceCare Network — Commercial: $1,503 Cigna — Commercial: $3,257 Curative — Commercial: $15,033
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of one knee cartilage using an endoscope	$10,133	$10,133	$3,040 – $30,399
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 15 insurance plan rates Aetna — Commercial: $6,586 Amerigroup — Children's Health Insurance Program: $3,040 Amerigroup — Medicare Advantage: $3,040 Blue Cross Blue Shield — Blue Advantage: $6,890 Blue Cross Blue Shield — Blue Essentials: $7,194 Blue Cross Blue Shield — Commercial: $7,600 Blue Cross Blue Shield — PPO: $7,600 ChoiceCare Network — Commercial: $3,040 Cigna — Commercial: $6,586 Curative — Commercial: $30,399
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic exam of esophagus, stomach or small bowel using an endoscope	$2,813	$2,813	$844 – $8,439
Upper GI endoscopy (diagnostic): 10 of 15 insurance plan rates Aetna — Commercial: $1,828 Amerigroup — Children's Health Insurance Program: $844 Amerigroup — Medicare Advantage: $844 Blue Cross Blue Shield — Blue Advantage: $1,913 Blue Cross Blue Shield — Blue Essentials: $1,997 Blue Cross Blue Shield — Commercial: $2,110 Blue Cross Blue Shield — PPO: $2,110 ChoiceCare Network — Commercial: $844 Cigna — Commercial: $1,828 Curative — Commercial: $8,439
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy exam of esophagus, stomach or small bowel using an endoscope	$3,192	$3,192	$958 – $9,576
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates Aetna — Commercial: $2,075 Amerigroup — Children's Health Insurance Program: $958 Amerigroup — Medicare Advantage: $958 Blue Cross Blue Shield — Blue Advantage: $2,171 Blue Cross Blue Shield — Blue Essentials: $2,266 Blue Cross Blue Shield — Commercial: $2,394 Blue Cross Blue Shield — PPO: $2,394 ChoiceCare Network — Commercial: $958 Cigna — Commercial: $2,075 Curative — Commercial: $9,576
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic exam of large bowel using an endoscope	$4,010	$1,800	$1,203 – $12,030
Colonoscopy (diagnostic): 10 of 15 insurance plan rates Aetna — Commercial: $2,607 Amerigroup — Children's Health Insurance Program: $1,203 Amerigroup — Medicare Advantage: $1,203 Blue Cross Blue Shield — Blue Advantage: $2,727 Blue Cross Blue Shield — Blue Essentials: $2,847 Blue Cross Blue Shield — Commercial: $3,008 Blue Cross Blue Shield — PPO: $3,008 ChoiceCare Network — Commercial: $1,203 Cigna — Commercial: $2,607 Curative — Commercial: $12,030
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy exam of large bowel using an endoscope	$4,166	$4,166	$1,250 – $12,498
Colonoscopy with biopsy: 10 of 15 insurance plan rates Aetna — Commercial: $2,708 Amerigroup — Children's Health Insurance Program: $1,250 Amerigroup — Medicare Advantage: $1,250 Blue Cross Blue Shield — Blue Advantage: $2,833 Blue Cross Blue Shield — Blue Essentials: $2,958 Blue Cross Blue Shield — Commercial: $3,125 Blue Cross Blue Shield — PPO: $3,125 ChoiceCare Network — Commercial: $1,250 Cigna — Commercial: $2,708 Curative — Commercial: $12,498
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of polyps or growths of large bowel using an endoscope	$3,585	$3,585	$1,076 – $10,755
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates Aetna — Commercial: $2,330 Amerigroup — Children's Health Insurance Program: $1,076 Amerigroup — Medicare Advantage: $1,076 Blue Cross Blue Shield — Blue Advantage: $2,438 Blue Cross Blue Shield — Blue Essentials: $2,545 Blue Cross Blue Shield — Commercial: $2,689 Blue Cross Blue Shield — PPO: $2,689 ChoiceCare Network — Commercial: $1,076 Cigna — Commercial: $2,330 Curative — Commercial: $10,755
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ggh Endoscopy Rev	$3,221	$3,221	$966 – $9,663
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates Aetna — Commercial: $2,094 Amerigroup — Children's Health Insurance Program: $966 Amerigroup — Medicare Advantage: $966 Blue Cross Blue Shield — Blue Advantage: $2,190 Blue Cross Blue Shield — Blue Essentials: $2,287 Blue Cross Blue Shield — Commercial: $2,416 Blue Cross Blue Shield — PPO: $2,416 ChoiceCare Network — Commercial: $966 Cigna — Commercial: $2,094 Curative — Commercial: $9,663
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of gallbladder using an endoscope	$20,475	$9,000	$6,143 – $61,425
Gallbladder removal by laparoscope: 10 of 15 insurance plan rates Aetna — Commercial: $13,309 Amerigroup — Children's Health Insurance Program: $6,143 Amerigroup — Medicare Advantage: $6,143 Blue Cross Blue Shield — Blue Advantage: $13,923 Blue Cross Blue Shield — Blue Essentials: $14,537 Blue Cross Blue Shield — Commercial: $15,356 Blue Cross Blue Shield — PPO: $15,356 ChoiceCare Network — Commercial: $6,143 Cigna — Commercial: $13,309 Curative — Commercial: $61,425
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Repair of groin hernia patient age 5 years or older	$11,550	$11,550	$3,465 – $34,650
Groin (inguinal) hernia repair, age 5 or older: 10 of 15 insurance plan rates Aetna — Commercial: $7,508 Amerigroup — Children's Health Insurance Program: $3,465 Amerigroup — Medicare Advantage: $3,465 Blue Cross Blue Shield — Blue Advantage: $7,854 Blue Cross Blue Shield — Blue Essentials: $8,201 Blue Cross Blue Shield — Commercial: $8,663 Blue Cross Blue Shield — PPO: $8,663 ChoiceCare Network — Commercial: $3,465 Cigna — Commercial: $7,508 Curative — Commercial: $34,650
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ggh Surgical Services Re	$13,115	$13,115	$3,935 – $39,345
Hysteroscopy with biopsy of the uterus lining: 10 of 15 insurance plan rates Aetna — Commercial: $8,525 Amerigroup — Children's Health Insurance Program: $3,935 Amerigroup — Medicare Advantage: $3,935 Blue Cross Blue Shield — Blue Advantage: $8,918 Blue Cross Blue Shield — Blue Essentials: $9,312 Blue Cross Blue Shield — Commercial: $9,836 Blue Cross Blue Shield — PPO: $9,836 ChoiceCare Network — Commercial: $3,935 Cigna — Commercial: $8,525 Curative — Commercial: $39,345
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection(s) of therapeutic substance	$3,282	$2,516	$985 – $9,846
Spinal injection, lower back (epidural), with imaging guidance: 10 of 15 insurance plan rates Aetna — Commercial: $2,133 Amerigroup — Children's Health Insurance Program: $985 Amerigroup — Medicare Advantage: $985 Blue Cross Blue Shield — Blue Advantage: $2,232 Blue Cross Blue Shield — Blue Essentials: $2,330 Blue Cross Blue Shield — Commercial: $2,462 Blue Cross Blue Shield — PPO: $2,462 ChoiceCare Network — Commercial: $985 Cigna — Commercial: $2,133 Curative — Commercial: $9,846
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection(s) of anesthetic into lower spine using imaging guidance	$3,201	$3,201	$960 – $9,603
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates Aetna — Commercial: $2,081 Amerigroup — Children's Health Insurance Program: $960 Amerigroup — Medicare Advantage: $960 Blue Cross Blue Shield — Blue Advantage: $2,177 Blue Cross Blue Shield — Blue Essentials: $2,273 Blue Cross Blue Shield — Commercial: $2,401 Blue Cross Blue Shield — PPO: $2,401 ChoiceCare Network — Commercial: $960 Cigna — Commercial: $2,081 Curative — Commercial: $9,603
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ggh Surgical Services Re	$7,532	$3,950	$2,260 – $22,596
Carpal tunnel release: 10 of 15 insurance plan rates Aetna — Commercial: $4,896 Amerigroup — Children's Health Insurance Program: $2,260 Amerigroup — Medicare Advantage: $2,260 Blue Cross Blue Shield — Blue Advantage: $5,122 Blue Cross Blue Shield — Blue Essentials: $5,348 Blue Cross Blue Shield — Commercial: $5,649 Blue Cross Blue Shield — PPO: $5,649 ChoiceCare Network — Commercial: $2,260 Cigna — Commercial: $4,896 Curative — Commercial: $22,596
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of recurring cataract in lens capsule using laser	$2,159	$1,400	$648 – $6,477
Laser treatment of clouding after cataract surgery: 10 of 15 insurance plan rates Aetna — Commercial: $1,403 Amerigroup — Children's Health Insurance Program: $648 Amerigroup — Medicare Advantage: $648 Blue Cross Blue Shield — Blue Advantage: $1,468 Blue Cross Blue Shield — Blue Essentials: $1,533 Blue Cross Blue Shield — Commercial: $1,619 Blue Cross Blue Shield — PPO: $1,619 ChoiceCare Network — Commercial: $648 Cigna — Commercial: $1,403 Curative — Commercial: $6,477
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of cataract with insertion of lens	$8,908	$4,500	$2,672 – $26,724
Cataract removal with lens implant: 10 of 15 insurance plan rates Aetna — Commercial: $5,790 Amerigroup — Children's Health Insurance Program: $2,672 Amerigroup — Medicare Advantage: $2,672 Blue Cross Blue Shield — Blue Advantage: $6,057 Blue Cross Blue Shield — Blue Essentials: $6,325 Blue Cross Blue Shield — Commercial: $6,681 Blue Cross Blue Shield — PPO: $6,681 ChoiceCare Network — Commercial: $2,672 Cigna — Commercial: $5,790 Curative — Commercial: $26,724

Source: Graham Regional Medical Center’s standard charges file (secure.claraprice.net, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on October 8, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Critical Access Hospital
Address	1301 Montgomery Road, Graham, TX 76450
County	Young County
State	Texas
Phone	(940) 549‑3400
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	Not rated by CMS
CMS Certification Number	671300
Name in Medicare records	GRAHAM REGIONAL MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	grahamrmc.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

Services — grahamrmc.com
Visiting Hours & Policies — grahamrmc.com
Quality & Accreditations — grahamrmc.com

Graham Regional Medical Center

Summary

Profile from official sources

At a glance