Does Grimes St Joseph Health Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Grimes St Joseph Health Center. In a medical emergency, call 911.

Where is Grimes St Joseph Health Center?

210 Judson St, Navasota, TX 77868, in Grimes County, Texas.

What is the phone number of Grimes St Joseph Health Center?

(936) 825-6585, as listed by Medicare (CMS).

What is the Medicare star rating of Grimes St Joseph Health 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.

Grimes St Joseph Health Center — Navasota, TX

Quick answers

Does Grimes St Joseph Health Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Grimes St Joseph Health Center. In a medical emergency, call 911.
Where is Grimes St Joseph Health Center?: 210 Judson St, Navasota, TX 77868, in Grimes County, Texas.
What is the phone number of Grimes St Joseph Health Center?: (936) 825-6585, as listed by Medicare (CMS).
What is the Medicare star rating of Grimes St Joseph Health 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^[4][5]

Emergency care
Orthopedics
Ear, nose and throat (ENT)
Cancer care
Cardiology
Geriatric medicine
Occupational medicine
Diagnostic imaging and radiology
Laboratory services
Skilled nursing
Diagnostic radiology
ENT

Conditions treated^[6]

Chest pain or heart attack symptoms
Stroke symptoms
Broken or dislocated bones
Head or eye injury
Major wounds or bleeding
Dizziness or loss of consciousness
High fever or fever with rash

Treatments^[4][5]

Programs and centers^[5]

Cardiac rehabilitation
Center for Healthy Aging

Emergency care (hospital website)^[4][5][6]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level IV
Stroke designation	certified stroke center

Visiting and practical information

Parking	Convenient parking is listed as an ER amenity; no directions or rules given^[6]
Interpreters and languages	Free interpreters in person (e.g., Spanish, ASL), by phone, and video remote ASL^[4]
Patient portal	Patient portal

Doctors and clinicians (40)

40 doctors and other clinicians list Grimes St Joseph Health 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 16 more: the button below opens the full list.

Other emergency rooms nearby

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

Baylor Scott & White Medical Center- College Stati…17 mi · College Station, TX · Acute Care Hospital
The Physicians Centre22 mi · Bryan, TX · Acute Care Hospital
CHI St Joseph Health Regional Hospital24 mi · Bryan, TX · Acute Care Hospital
Baylor Scott & White Hospital Brenham26 mi · Brenham, TX · Acute Care Hospital
Mid Coast Medical Center - Bellville33 mi · Bellville, TX · Acute Care Hospital

Other hospitals nearby

CHI St. Joseph Health Rehabilitation Hospital, An25 mi · Bryan, TX · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Navasota Nursing & Rehabilitation0.1 mi · Navasota, TX · 1 of 5 stars
Golden Creek Healthcare and Rehabilitation Center0.6 mi · Navasota, TX · 3 of 5 stars
Accel at College Station18 mi · College Station, TX · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Acara Hospice17 mi · College Station, TX · 5 of 5 stars
Accentcare Hospice & Palliative Care of Texas17 mi · College Station, TX
Allumine Hospice17 mi · College Station, TX

All hospice providers in the state →

Home health agencies

Accentcare Home Health of College Station17 mi · College Station, TX · 4 of 5 stars
Allumine Home Health17 mi · College Station, TX
Enhabit Home Health17 mi · College Station, TX

All home health agencies in the state →

Dialysis facilities

DaVita Rock Prairie Road Dialysis17 mi · College Station, TX · 3 of 5 stars
Liberty Dialysis College Station17 mi · College Station, TX · 3 of 5 stars
DaVita Clear Creek Dialysis20 mi · Hempstead, TX · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Central Texas Endoscopy Center24 mi · Bryan, TX
Texas Regional Eye Center Asc, LLC24 mi · Bryan, TX
The Heart and Vascular Surgery Center24 mi · Bryan, TX

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

HealthPoint Navasota0.6 mi · Navasota, TX · Community health center
HealthPoint ABC18 mi · College Station, TX · Community health center
HealthPoint Hempstead20 mi · Hempstead, TX · Community health center

Clinics and urgent care

Aggieland Urgent Care PLLC17 mi · College Station, TX · Urgent care center
Waller Urgent Care Inc23 mi · Waller, TX · Urgent care center
American Current Care P.A.24 mi · Bryan, TX · Urgent care center

Pharmacies

Asa Pharmacy LLC2.6 mi · Navasota, TX · Community/retail pharmacy
Brookshire Brothers Inc2.6 mi · Navasota, TX · Community/retail pharmacy
Wal-Mart Stores Texas LLC2.6 mi · Navasota, TX · Community/retail pharmacy

Assisted living nearby

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

Seasons Assisted Living Navasota2.6 mi · Navasota, 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 Grimes St Joseph Health Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Not reported to Medicare

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

Infections caught in the hospital

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

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

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

Complications and deaths

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

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

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

Return visits to the hospital (readmissions)

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

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

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	92 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; 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 71 common services exactly as Grimes St Joseph Health 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) In the file: NEW PATIENT LEVEL 3	$178	$31.15	$64.55 – $197.58
New patient office visit (about 30–44 minutes): 10 of 33 insurance plan rates Aetna — Commercial\|All Plans: $99.68 AETNA — Medicare\|All Plans: $65.86 Ambetter — Commercial\|All Plans: $95.50 AMERIVANTAGE — Medicare\|All Plans: $67.84 BCBS — Medicaid\|STARKIDS: $406.35 BCBS — Medicare\|All Plans: $65.86 BCBS-TX — Commercial\|Blue Advantage HMO: $154.19 BCBS-TX — Commercial\|Blue Premier: $178 BCBS-TX — Commercial\|HMO: $178 BCBS-TX — Commercial\|PPO: $178
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: NEW PATIENT LEVEL 3	$178	$31.15	$121.49 – $178
New patient office visit (about 30–44 minutes): rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $178 Multiplan — Commercial\|All Plans: $151.30 Wellpoint — Medicaid\|All Other Plans: $121.49 Wellpoint — Medicaid\|STAR: $121.49
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: NEW PATIENT LEVEL 4	$271	$47.43	$77 – $300.81
New patient office visit (about 45–59 minutes): 10 of 33 insurance plan rates Aetna — Commercial\|All Plans: $151.76 AETNA — Medicare\|All Plans: $100.27 Ambetter — Commercial\|All Plans: $145.40 AMERIVANTAGE — Medicare\|All Plans: $103.28 BCBS — Medicaid\|STARKIDS: $498.96 BCBS — Medicare\|All Plans: $100.27 BCBS-TX — Commercial\|Blue Advantage HMO: $261.05 BCBS-TX — Commercial\|Blue Premier: $271 BCBS-TX — Commercial\|HMO: $271 BCBS-TX — Commercial\|PPO: $271
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: NEW PATIENT LEVEL 4	$271	$47.43	$184.96 – $271
New patient office visit (about 45–59 minutes): rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $271 Multiplan — Commercial\|All Plans: $230.35 Wellpoint — Medicaid\|All Other Plans: $184.96 Wellpoint — Medicaid\|STAR: $184.96
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: NEW PATIENT LEVEL 5	$295	$51.63	$77 – $327.45
New patient office visit (about 60–74 minutes): 10 of 33 insurance plan rates Aetna — Commercial\|All Plans: $165.20 AETNA — Medicare\|All Plans: $109.15 Ambetter — Commercial\|All Plans: $158.27 AMERIVANTAGE — Medicare\|All Plans: $112.43 BCBS — Medicaid\|STARKIDS: $350.60 BCBS — Medicare\|All Plans: $109.15 BCBS-TX — Commercial\|Blue Advantage HMO: $295 BCBS-TX — Commercial\|Blue Premier: $295 BCBS-TX — Commercial\|HMO: $295 BCBS-TX — Commercial\|PPO: $295
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: NEW PATIENT LEVEL 5	$295	$51.63	$201.34 – $295
New patient office visit (about 60–74 minutes): rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $295 Multiplan — Commercial\|All Plans: $250.75 Wellpoint — Medicaid\|All Other Plans: $201.34 Wellpoint — Medicaid\|STAR: $201.34
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: ESTABLISHED PATIENT LEVEL 3	$121	$21.18	$43.88 – $152
Established patient office visit (about 20–29 minutes): 10 of 33 insurance plan rates Aetna — Commercial\|All Plans: $67.76 AETNA — Medicare\|All Plans: $44.77 Ambetter — Commercial\|All Plans: $64.92 AMERIVANTAGE — Medicare\|All Plans: $46.12 BCBS — Medicaid\|STARKIDS: $183.33 BCBS — Medicare\|All Plans: $44.77 BCBS-TX — Commercial\|Blue Advantage HMO: $103.28 BCBS-TX — Commercial\|Blue Premier: $121 BCBS-TX — Commercial\|HMO: $121 BCBS-TX — Commercial\|PPO: $121
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: ESTABLISHED PATIENT LEVEL 3	$121	$21.18	$82.59 – $121
Established patient office visit (about 20–29 minutes): rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $121 Multiplan — Commercial\|All Plans: $102.85 Wellpoint — Medicaid\|All Other Plans: $82.59 Wellpoint — Medicaid\|STAR: $82.59
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: ESTABLISHED PATIENT LEVEL 4	$178	$31.15	$64.55 – $197.58
Established patient office visit (about 30–39 minutes): 10 of 33 insurance plan rates Aetna — Commercial\|All Plans: $99.68 AETNA — Medicare\|All Plans: $65.86 Ambetter — Commercial\|All Plans: $95.50 AMERIVANTAGE — Medicare\|All Plans: $67.84 BCBS — Medicaid\|STARKIDS: $237.20 BCBS — Medicare\|All Plans: $65.86 BCBS-TX — Commercial\|Blue Advantage HMO: $159.22 BCBS-TX — Commercial\|Blue Premier: $178 BCBS-TX — Commercial\|HMO: $178 BCBS-TX — Commercial\|PPO: $178
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: ESTABLISHED PATIENT LEVEL 4	$178	$31.15	$121.49 – $178
Established patient office visit (about 30–39 minutes): rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $178 Multiplan — Commercial\|All Plans: $151.30 Wellpoint — Medicaid\|All Other Plans: $121.49 Wellpoint — Medicaid\|STAR: $121.49
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: OFFICE CONSULTATION LEVEL3	$369	$64.58	$133.80 – $451.66
Office consultation with a specialist (moderate): 10 of 31 insurance plan rates Aetna — Commercial\|All Plans: $206.64 AETNA — Medicare\|All Plans: $136.53 Ambetter — Commercial\|All Plans: $197.97 AMERIVANTAGE — Medicare\|All Plans: $140.63 BCBS — Medicaid\|STARKIDS: $174.36 BCBS — Medicare\|All Plans: $136.53 BCBS-TX — Commercial\|Blue Advantage HMO: $193.65 BCBS-TX — Commercial\|Blue Premier: $227.71 BCBS-TX — Commercial\|HMO: $241.33 BCBS-TX — Commercial\|PPO: $268.58
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: OFFICE CONSULT INTERMEDIATE	$369	$64.58	$77 – $409.59
Office consultation with a specialist (moderate): 10 of 23 insurance plan rates Aetna — Commercial\|All Plans: $206.64 AETNA — Medicare\|All Plans: $136.53 Ambetter — Commercial\|All Plans: $197.97 AMERIVANTAGE — Medicare\|All Plans: $140.63 BCBS — Medicare\|All Plans: $136.53 BCBS-TX — Commercial\|Blue Advantage HMO: $193.65 BCBS-TX — Commercial\|Blue Premier: $227.71 BCBS-TX — Commercial\|HMO: $241.33 BCBS-TX — Commercial\|PPO: $268.58 Bright Health — Commercial\|All Plans: $282.44
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) In the file: OFFICE CONSULT INTERMEDIATE	$369	$64.58	$251.85 – $369
Office consultation with a specialist (moderate): rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $369 Multiplan — Commercial\|All Plans: $313.65 Wellpoint — Medicaid\|All Other Plans: $251.85 Wellpoint — Medicaid\|STAR: $251.85
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: OFFICE CONSULTATION LEVEL4	$576	$100.80	$77 – $639.36
Office consultation with a specialist (moderate to high): 10 of 33 insurance plan rates Aetna — Commercial\|All Plans: $322.56 AETNA — Medicare\|All Plans: $213.12 Ambetter — Commercial\|All Plans: $309.03 AMERIVANTAGE — Medicare\|All Plans: $219.52 BCBS — Medicaid\|STARKIDS: $272.16 BCBS — Medicare\|All Plans: $213.12 BCBS-TX — Commercial\|Blue Advantage HMO: $311.26 BCBS-TX — Commercial\|Blue Premier: $366 BCBS-TX — Commercial\|HMO: $387.90 BCBS-TX — Commercial\|PPO: $431.69
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) In the file: OFFICE CONSULTATION LEVEL4	$576	$100.80	$393.12 – $576
Office consultation with a specialist (moderate to high): rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $576 Multiplan — Commercial\|All Plans: $489.60 Wellpoint — Medicaid\|All Other Plans: $393.12 Wellpoint — Medicaid\|STAR: $393.12
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: NEW PAT PREVENTIVE MED 40-64YR	$150	$26.25	$54.39 – $166.50
Preventive checkup, new patient, age 40–64: 10 of 23 insurance plan rates Aetna — Commercial\|All Plans: $84 AETNA — Medicare\|All Plans: $55.50 Ambetter — Commercial\|All Plans: $80.48 AMERIVANTAGE — Medicare\|All Plans: $57.17 BCBS — Medicare\|All Plans: $55.50 BCBS-TX — Commercial\|Blue Advantage HMO: $150 BCBS-TX — Commercial\|Blue Premier: $150 BCBS-TX — Commercial\|HMO: $150 BCBS-TX — Commercial\|PPO: $150 Bright Health — Commercial\|All Plans: $114.81
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) In the file: NEW PAT PREVENTIVE MED 40-64YR	$150	$26.25	$102.38 – $150
Preventive checkup, new patient, age 40–64: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $150 Multiplan — Commercial\|All Plans: $127.50 Wellpoint — Medicaid\|All Other Plans: $102.38 Wellpoint — Medicaid\|STAR: $102.38

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANEL	$565	$98.88	$7.61 – $480.25
Basic metabolic panel (blood test): 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $316.40 AETNA — Medicare\|All Plans: $8.46 Ambetter — Commercial\|All Plans: $12.27 AMERIVANTAGE — Medicare\|All Plans: $8.71 BCBS — Medicaid\|STARKIDS: $12.17 BCBS — Medicare\|All Plans: $8.46 BCBS-TX — Commercial\|Blue Advantage HMO: $29.69 BCBS-TX — Commercial\|Blue Premier: $29.69 BCBS-TX — Commercial\|HMO: $30.29 BCBS-TX — Commercial\|PPO: $34.94
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: BASIC METABOLIC PANEL	$565	$98.88	$385.62 – $565
Basic metabolic panel (blood test): rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $565 Multiplan — Commercial\|All Plans: $480.25 Wellpoint — Medicaid\|All Other Plans: $385.62 Wellpoint — Medicaid\|STAR: $385.62
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHENSIVE METABOLIC PANEL	$776	$135.80	$9.50 – $659.60
Comprehensive metabolic panel (blood test): 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $434.56 AETNA — Medicare\|All Plans: $10.56 Ambetter — Commercial\|All Plans: $15.31 AMERIVANTAGE — Medicare\|All Plans: $10.88 BCBS — Medicaid\|STARKIDS: $15.18 BCBS — Medicare\|All Plans: $10.56 BCBS-TX — Commercial\|Blue Advantage HMO: $37.07 BCBS-TX — Commercial\|Blue Premier: $37.07 BCBS-TX — Commercial\|HMO: $37.80 BCBS-TX — Commercial\|PPO: $43.61
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: COMPREHENSIVE METABOLIC PANEL	$776	$135.80	$529.62 – $776
Comprehensive metabolic panel (blood test): rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $776 Multiplan — Commercial\|All Plans: $659.60 Wellpoint — Medicaid\|All Other Plans: $529.62 Wellpoint — Medicaid\|STAR: $529.62
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: OBSTETRIC PANEL	$911	$159.43	$43.03 – $774.35
Obstetric blood test panel: 10 of 26 insurance plan rates Aetna — Commercial\|All Plans: $510.16 AETNA — Medicare\|All Plans: $47.81 Ambetter — Commercial\|All Plans: $69.32 AMERIVANTAGE — Medicare\|All Plans: $49.24 BCBS — Medicare\|All Plans: $47.81 BCBS-TX — Commercial\|Blue Advantage HMO: $167.81 BCBS-TX — Commercial\|Blue Premier: $167.81 BCBS-TX — Commercial\|HMO: $171.16 BCBS-TX — Commercial\|PPO: $197.46 BCBS-TX — Commercial\|Ref Lab: $52.06
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) In the file: OBSTETRIC PANEL	$911	$159.43	$621.76 – $911
Obstetric blood test panel: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $911 Multiplan — Commercial\|All Plans: $774.35 Wellpoint — Medicaid\|All Other Plans: $621.76 Wellpoint — Medicaid\|STAR: $621.76
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PROFILE W/O ELECTROPHORE	$322	$56.35	$12.05 – $273.70
Cholesterol panel (lipid panel): 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $180.32 AETNA — Medicare\|All Plans: $13.39 Ambetter — Commercial\|All Plans: $19.42 AMERIVANTAGE — Medicare\|All Plans: $13.79 BCBS — Medicaid\|STARKIDS: $19.27 BCBS — Medicare\|All Plans: $13.39 BCBS-TX — Commercial\|Blue Advantage HMO: $47 BCBS-TX — Commercial\|Blue Premier: $47 BCBS-TX — Commercial\|HMO: $47.94 BCBS-TX — Commercial\|PPO: $55.30
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: LIPID PROFILE W/O ELECTROPHORE	$322	$56.35	$219.77 – $322
Cholesterol panel (lipid panel): rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $322 Multiplan — Commercial\|All Plans: $273.70 Wellpoint — Medicaid\|All Other Plans: $219.77 Wellpoint — Medicaid\|STAR: $219.77
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION	$973	$170.28	$7.81 – $827.05
Kidney function panel: 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $544.88 AETNA — Medicare\|All Plans: $8.68 Ambetter — Commercial\|All Plans: $12.59 AMERIVANTAGE — Medicare\|All Plans: $8.94 BCBS — Medicaid\|STARKIDS: $12.48 BCBS — Medicare\|All Plans: $8.68 BCBS-TX — Commercial\|Blue Advantage HMO: $30.47 BCBS-TX — Commercial\|Blue Premier: $30.47 BCBS-TX — Commercial\|HMO: $31.07 BCBS-TX — Commercial\|PPO: $35.85
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL FUNCTION	$973	$170.28	$664.08 – $973
Kidney function panel: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $973 Multiplan — Commercial\|All Plans: $827.05 Wellpoint — Medicaid\|All Other Plans: $664.08 Wellpoint — Medicaid\|STAR: $664.08
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	$635	$111.13	$7.35 – $539.75
Liver function panel: 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $355.60 AETNA — Medicare\|All Plans: $8.17 Ambetter — Commercial\|All Plans: $11.85 AMERIVANTAGE — Medicare\|All Plans: $8.42 BCBS — Medicaid\|STARKIDS: $11.75 BCBS — Medicare\|All Plans: $8.17 BCBS-TX — Commercial\|Blue Advantage HMO: $28.68 BCBS-TX — Commercial\|Blue Premier: $28.68 BCBS-TX — Commercial\|HMO: $29.25 BCBS-TX — Commercial\|PPO: $33.74
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HEPATIC FUNCTION PANEL	$635	$111.13	$433.39 – $635
Liver function panel: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $635 Multiplan — Commercial\|All Plans: $539.75 Wellpoint — Medicaid\|All Other Plans: $433.39 Wellpoint — Medicaid\|STAR: $433.39
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA COMPLETE	$333	$58.28	$2.85 – $283.05
Urine test (automated, with microscope): 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $186.48 AETNA — Medicare\|All Plans: $3.17 Ambetter — Commercial\|All Plans: $4.60 AMERIVANTAGE — Medicare\|All Plans: $3.27 BCBS — Medicaid\|STARKIDS: $4.56 BCBS — Medicare\|All Plans: $3.17 BCBS-TX — Commercial\|Blue Advantage HMO: $11.13 BCBS-TX — Commercial\|Blue Premier: $11.13 BCBS-TX — Commercial\|HMO: $11.35 BCBS-TX — Commercial\|PPO: $13.09
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: UA COMPLETE	$333	$58.28	$227.28 – $333
Urine test (automated, with microscope): rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $333 Multiplan — Commercial\|All Plans: $283.05 Wellpoint — Medicaid\|All Other Plans: $227.28 Wellpoint — Medicaid\|STAR: $227.28
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINE BY DIPSTICKNON-AUTO	$57	$9.98	$3.13 – $48.45
Urine test (manual, without microscope): 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $31.92 AETNA — Medicare\|All Plans: $3.48 Ambetter — Commercial\|All Plans: $5.05 AMERIVANTAGE — Medicare\|All Plans: $3.58 BCBS — Medicaid\|STARKIDS: $5.01 BCBS — Medicare\|All Plans: $3.48 BCBS-TX — Commercial\|Blue Advantage HMO: $12.21 BCBS-TX — Commercial\|Blue Premier: $12.21 BCBS-TX — Commercial\|HMO: $12.46 BCBS-TX — Commercial\|PPO: $14.37
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINE-NO MICRO	$18	$3.15	$3.13 – $15.30
Urine test (manual, without microscope): 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $10.08 AETNA — Medicare\|All Plans: $3.48 Ambetter — Commercial\|All Plans: $5.05 AMERIVANTAGE — Medicare\|All Plans: $3.58 BCBS — Medicaid\|STARKIDS: $5.01 BCBS — Medicare\|All Plans: $3.48 BCBS-TX — Commercial\|Blue Advantage HMO: $12.21 BCBS-TX — Commercial\|Blue Premier: $12.21 BCBS-TX — Commercial\|HMO: $12.46 BCBS-TX — Commercial\|PPO: $14.37
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: URINE BY DIPSTICKNON-AUTO	$57	$9.98	$38.91 – $57
Urine test (manual, without microscope): rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $57 Multiplan — Commercial\|All Plans: $48.45 Wellpoint — Medicaid\|All Other Plans: $38.91 Wellpoint — Medicaid\|STAR: $38.91
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA TOTAL	$292	$51.10	$16.55 – $248.20
PSA (prostate specific antigen) blood test: 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $163.52 AETNA — Medicare\|All Plans: $18.39 Ambetter — Commercial\|All Plans: $26.67 AMERIVANTAGE — Medicare\|All Plans: $18.94 BCBS — Medicaid\|STARKIDS: $26.45 BCBS — Medicare\|All Plans: $18.39 BCBS-TX — Commercial\|Blue Advantage HMO: $64.55 BCBS-TX — Commercial\|Blue Premier: $64.55 BCBS-TX — Commercial\|HMO: $65.84 BCBS-TX — Commercial\|PPO: $75.95
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: PSA TOTAL	$292	$51.10	$199.29 – $292
PSA (prostate specific antigen) blood test: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $292 Multiplan — Commercial\|All Plans: $248.20 Wellpoint — Medicaid\|All Other Plans: $199.29 Wellpoint — Medicaid\|STAR: $199.29
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH THIRD GENERATION	$42	$7.35	$15.12 – $62.61
Thyroid stimulating hormone (TSH) test: 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $23.52 AETNA — Medicare\|All Plans: $16.80 Ambetter — Commercial\|All Plans: $24.36 AMERIVANTAGE — Medicare\|All Plans: $17.30 BCBS — Medicaid\|STARKIDS: $24.17 BCBS — Medicare\|All Plans: $16.80 BCBS-TX — Commercial\|Blue Advantage HMO: $42 BCBS-TX — Commercial\|Blue Premier: $42 BCBS-TX — Commercial\|HMO: $42 BCBS-TX — Commercial\|PPO: $42
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: TSH THIRD GENERATION	$42	$7.35	$28.67 – $42
Thyroid stimulating hormone (TSH) test: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $42 Multiplan — Commercial\|All Plans: $35.70 Wellpoint — Medicaid\|All Other Plans: $28.67 Wellpoint — Medicaid\|STAR: $28.67
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC W/AUTO DIFF	$215	$37.63	$6.99 – $182.75
Complete blood count (CBC) with differential: 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $120.40 AETNA — Medicare\|All Plans: $7.77 Ambetter — Commercial\|All Plans: $11.27 AMERIVANTAGE — Medicare\|All Plans: $8 BCBS — Medicaid\|STARKIDS: $11.17 BCBS — Medicare\|All Plans: $7.77 BCBS-TX — Commercial\|Blue Advantage HMO: $27.27 BCBS-TX — Commercial\|Blue Premier: $27.27 BCBS-TX — Commercial\|HMO: $27.82 BCBS-TX — Commercial\|PPO: $32.09
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: CBC W/AUTO DIFF	$215	$37.63	$146.74 – $215
Complete blood count (CBC) with differential: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $215 Multiplan — Commercial\|All Plans: $182.75 Wellpoint — Medicaid\|All Other Plans: $146.74 Wellpoint — Medicaid\|STAR: $146.74
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HEMAGRAM & PLATELET COUNT AUTO	$242	$42.35	$5.82 – $205.70
Complete blood count (CBC), automated: 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $135.52 AETNA — Medicare\|All Plans: $6.47 Ambetter — Commercial\|All Plans: $9.38 AMERIVANTAGE — Medicare\|All Plans: $6.66 BCBS — Medicaid\|STARKIDS: $9.30 BCBS — Medicare\|All Plans: $6.47 BCBS-TX — Commercial\|Blue Advantage HMO: $22.71 BCBS-TX — Commercial\|Blue Premier: $22.71 BCBS-TX — Commercial\|HMO: $23.16 BCBS-TX — Commercial\|PPO: $26.72
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: HEMAGRAM & PLATELET COUNT AUTO	$242	$42.35	$165.17 – $242
Complete blood count (CBC), automated: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $242 Multiplan — Commercial\|All Plans: $205.70 Wellpoint — Medicaid\|All Other Plans: $165.17 Wellpoint — Medicaid\|STAR: $165.17
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PRO-TIME W/INR	$270	$47.25	$3.86 – $229.50
Blood clotting time test (prothrombin time, PT): 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $151.20 AETNA — Medicare\|All Plans: $4.29 Ambetter — Commercial\|All Plans: $6.22 AMERIVANTAGE — Medicare\|All Plans: $4.42 BCBS — Medicaid\|STARKIDS: $6.17 BCBS — Medicare\|All Plans: $4.29 BCBS-TX — Commercial\|Blue Advantage HMO: $15.06 BCBS-TX — Commercial\|Blue Premier: $15.06 BCBS-TX — Commercial\|HMO: $15.36 BCBS-TX — Commercial\|PPO: $17.72
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: PRO-TIME W/INR	$270	$47.25	$184.28 – $270
Blood clotting time test (prothrombin time, PT): rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $270 Multiplan — Commercial\|All Plans: $229.50 Wellpoint — Medicaid\|All Other Plans: $184.28 Wellpoint — Medicaid\|STAR: $184.28
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT	$305	$53.38	$5.41 – $259.25
Blood clotting test (partial thromboplastin time, PTT): 10 of 34 insurance plan rates Aetna — Commercial\|All Plans: $170.80 AETNA — Medicare\|All Plans: $6.01 Ambetter — Commercial\|All Plans: $8.71 AMERIVANTAGE — Medicare\|All Plans: $6.19 BCBS — Medicaid\|STARKIDS: $8.64 BCBS — Medicare\|All Plans: $6.01 BCBS-TX — Commercial\|Blue Advantage HMO: $21.10 BCBS-TX — Commercial\|Blue Premier: $21.10 BCBS-TX — Commercial\|HMO: $21.52 BCBS-TX — Commercial\|PPO: $24.82
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: PTT	$305	$53.38	$208.17 – $305
Blood clotting test (partial thromboplastin time, PTT): rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $305 Multiplan — Commercial\|All Plans: $259.25 Wellpoint — Medicaid\|All Other Plans: $208.17 Wellpoint — Medicaid\|STAR: $208.17

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) In the file: CT BRAIN W/O CONTRAST	$2,918	$510.65	$131.99 – $3,289
CT scan of the head or brain, without contrast: 10 of 33 insurance plan rates Aetna — Commercial\|All Plans: $1,634.08 AETNA — Medicare\|All Plans: $1,079.66 Ambetter — Commercial\|All Plans: $1,565.51 AMERIVANTAGE — Medicare\|All Plans: $1,112.05 BCBS — Medicaid\|STARKIDS: $138.59 BCBS — Medicare\|All Plans: $1,079.66 BCBS-TX — Commercial\|Blue Advantage HMO: $316.07 BCBS-TX — Commercial\|Blue Premier: $365.38 BCBS-TX — Commercial\|HMO: $366.50 BCBS-TX — Commercial\|PPO: $430.39
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT BRAIN W/O CONTRAST	$2,918	$510.65	$1,991.54 – $2,918
CT scan of the head or brain, without contrast: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $2,918 Multiplan — Commercial\|All Plans: $2,480.30 Wellpoint — Medicaid\|All Other Plans: $1,991.54 Wellpoint — Medicaid\|STAR: $1,991.54
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN W/WO CONTRAST	$6,138	$1,074.15	$461.69 – $6,813.18
MRI of the brain, before and after contrast: 10 of 33 insurance plan rates Aetna — Commercial\|All Plans: $3,437.28 AETNA — Medicare\|All Plans: $2,271.06 Ambetter — Commercial\|All Plans: $3,293.04 AMERIVANTAGE — Medicare\|All Plans: $2,339.20 BCBS — Medicaid\|STARKIDS: $484.77 BCBS — Medicare\|All Plans: $2,271.06 BCBS-TX — Commercial\|Blue Advantage HMO: $1,076.82 BCBS-TX — Commercial\|Blue Premier: $1,244.83 BCBS-TX — Commercial\|HMO: $1,248.65 BCBS-TX — Commercial\|PPO: $1,466.30
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MRI BRAIN W/WO CONTRAST	$6,138	$1,074.15	$4,189.19 – $6,138
MRI of the brain, before and after contrast: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $6,138 Multiplan — Commercial\|All Plans: $5,217.30 Wellpoint — Medicaid\|All Other Plans: $4,189.19 Wellpoint — Medicaid\|STAR: $4,189.19
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI L-SPINE WO CONTRAST	$4,730	$827.75	$294.17 – $5,250.30
MRI of the lower back (lumbar spine), without contrast: 10 of 33 insurance plan rates Aetna — Commercial\|All Plans: $2,648.80 AETNA — Medicare\|All Plans: $1,750.10 Ambetter — Commercial\|All Plans: $2,537.65 AMERIVANTAGE — Medicare\|All Plans: $1,802.61 BCBS — Medicaid\|STARKIDS: $308.88 BCBS — Medicare\|All Plans: $1,750.10 BCBS-TX — Commercial\|Blue Advantage HMO: $657.17 BCBS-TX — Commercial\|Blue Premier: $759.71 BCBS-TX — Commercial\|HMO: $762.04 BCBS-TX — Commercial\|PPO: $894.87
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MRI L-SPINE WO CONTRAST	$4,730	$827.75	$3,228.23 – $4,730
MRI of the lower back (lumbar spine), without contrast: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $4,730 Multiplan — Commercial\|All Plans: $4,020.50 Wellpoint — Medicaid\|All Other Plans: $3,228.23 Wellpoint — Medicaid\|STAR: $3,228.23
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/CONTRAST	$3,071	$537.43	$220.58 – $3,408.81
CT scan of the pelvis, with contrast: 10 of 33 insurance plan rates Aetna — Commercial\|All Plans: $1,719.76 AETNA — Medicare\|All Plans: $1,136.27 Ambetter — Commercial\|All Plans: $1,647.60 AMERIVANTAGE — Medicare\|All Plans: $1,170.36 BCBS — Medicaid\|STARKIDS: $231.61 BCBS — Medicare\|All Plans: $1,136.27 BCBS-TX — Commercial\|Blue Advantage HMO: $513.86 BCBS-TX — Commercial\|Blue Premier: $594.04 BCBS-TX — Commercial\|HMO: $595.86 BCBS-TX — Commercial\|PPO: $699.72
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT PELVIS W/CONTRAST	$3,071	$537.43	$2,095.96 – $3,071
CT scan of the pelvis, with contrast: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $3,071 Multiplan — Commercial\|All Plans: $2,610.35 Wellpoint — Medicaid\|All Other Plans: $2,095.96 Wellpoint — Medicaid\|STAR: $2,095.96
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT TRAUMA ABDOMEN/PELVIS	$8,425	$1,474.38	$461.69 – $9,351.75
CT scan of the abdomen and pelvis, with contrast: 10 of 33 insurance plan rates Aetna — Commercial\|All Plans: $4,718 AETNA — Medicare\|All Plans: $3,117.25 Ambetter — Commercial\|All Plans: $4,520.02 AMERIVANTAGE — Medicare\|All Plans: $3,210.77 BCBS — Medicaid\|STARKIDS: $484.77 BCBS — Medicare\|All Plans: $3,117.25 BCBS-TX — Commercial\|Blue Advantage HMO: $1,076.82 BCBS-TX — Commercial\|Blue Premier: $1,244.83 BCBS-TX — Commercial\|HMO: $1,248.65 BCBS-TX — Commercial\|PPO: $1,466.30
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT TRAUMA ABDOMEN/PELVIS	$8,425	$1,474.38	$5,750.07 – $8,425
CT scan of the abdomen and pelvis, with contrast: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $8,425 Multiplan — Commercial\|All Plans: $7,161.25 Wellpoint — Medicaid\|All Other Plans: $5,750.07 Wellpoint — Medicaid\|STAR: $5,750.07
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: ABDOMINAL ECHO	$1,774	$310.45	$131.99 – $1,969.14
Ultrasound of the abdomen, complete: 10 of 33 insurance plan rates Aetna — Commercial\|All Plans: $993.44 AETNA — Medicare\|All Plans: $656.38 Ambetter — Commercial\|All Plans: $951.76 AMERIVANTAGE — Medicare\|All Plans: $676.08 BCBS — Medicaid\|STARKIDS: $138.59 BCBS — Medicare\|All Plans: $656.38 BCBS-TX — Commercial\|Blue Advantage HMO: $254.42 BCBS-TX — Commercial\|Blue Premier: $282.44 BCBS-TX — Commercial\|HMO: $300.37 BCBS-TX — Commercial\|PPO: $331.76
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: ABDOMINAL ULTRASOUND	$1,747	$305.73	$131.99 – $1,939.17
Ultrasound of the abdomen, complete: 10 of 33 insurance plan rates Aetna — Commercial\|All Plans: $978.32 AETNA — Medicare\|All Plans: $646.39 Ambetter — Commercial\|All Plans: $937.27 AMERIVANTAGE — Medicare\|All Plans: $665.79 BCBS — Medicaid\|STARKIDS: $138.59 BCBS — Medicare\|All Plans: $646.39 BCBS-TX — Commercial\|Blue Advantage HMO: $254.42 BCBS-TX — Commercial\|Blue Premier: $282.44 BCBS-TX — Commercial\|HMO: $300.37 BCBS-TX — Commercial\|PPO: $331.76
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: ABDOMINAL ECHO	$1,774	$310.45	$1,210.76 – $1,774
Ultrasound of the abdomen, complete: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $1,774 Multiplan — Commercial\|All Plans: $1,507.90 Wellpoint — Medicaid\|All Other Plans: $1,210.76 Wellpoint — Medicaid\|STAR: $1,210.76
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: COMPLETE PREGNANCY ECHO	$1,880	$329	$131.99 – $2,086.80
Pregnancy ultrasound (after the first trimester): 10 of 33 insurance plan rates Aetna — Commercial\|All Plans: $1,052.80 AETNA — Medicare\|All Plans: $695.60 Ambetter — Commercial\|All Plans: $1,008.62 AMERIVANTAGE — Medicare\|All Plans: $716.47 BCBS — Medicaid\|STARKIDS: $138.59 BCBS — Medicare\|All Plans: $695.60 BCBS-TX — Commercial\|Blue Advantage HMO: $207.80 BCBS-TX — Commercial\|Blue Premier: $230.68 BCBS-TX — Commercial\|HMO: $245.33 BCBS-TX — Commercial\|PPO: $270.96
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: COMPLETE PREGNANCY ECHO	$1,880	$329	$1,283.10 – $1,880
Pregnancy ultrasound (after the first trimester): rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $1,880 Multiplan — Commercial\|All Plans: $1,598 Wellpoint — Medicaid\|All Other Plans: $1,283.10 Wellpoint — Medicaid\|STAR: $1,283.10
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: NON-OB US TRANSVAGINAL	$1,122	$196.35	$131.99 – $1,245.42
Transvaginal ultrasound: 10 of 33 insurance plan rates Aetna — Commercial\|All Plans: $628.32 AETNA — Medicare\|All Plans: $415.14 Ambetter — Commercial\|All Plans: $601.96 AMERIVANTAGE — Medicare\|All Plans: $427.60 BCBS — Medicaid\|STARKIDS: $138.59 BCBS — Medicare\|All Plans: $415.14 BCBS-TX — Commercial\|Blue Advantage HMO: $200.44 BCBS-TX — Commercial\|Blue Premier: $222.52 BCBS-TX — Commercial\|HMO: $236.64 BCBS-TX — Commercial\|PPO: $261.37
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: NON-OB US TRANSVAGINAL	$1,122	$196.35	$765.77 – $1,122
Transvaginal ultrasound: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $1,122 Multiplan — Commercial\|All Plans: $953.70 Wellpoint — Medicaid\|All Other Plans: $765.77 Wellpoint — Medicaid\|STAR: $765.77
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MAMMO ADDL VIEWS RETURN VISIT	$577	$100.98	$158 – $640.47
Diagnostic mammogram, both breasts: 10 of 25 insurance plan rates Aetna — Commercial\|All Plans: $323.12 AETNA — Medicare\|All Plans: $213.49 Ambetter — Commercial\|All Plans: $309.57 AMERIVANTAGE — Medicare\|All Plans: $219.90 BCBS — Medicare\|All Plans: $213.49 BCBS-TX — Commercial\|Blue Advantage HMO: $273.24 BCBS-TX — Commercial\|Blue Premier: $303.33 BCBS-TX — Commercial\|HMO: $322.59 BCBS-TX — Commercial\|PPO: $356.30 Bright Health — Commercial\|All Plans: $441.64
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: MAMMO ADDL VIEWS RETURN VISIT	$577	$100.98	$393.81 – $577
Diagnostic mammogram, both breasts: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $577 Multiplan — Commercial\|All Plans: $490.45 Wellpoint — Medicaid\|All Other Plans: $393.81 Wellpoint — Medicaid\|STAR: $393.81
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MAMMO BILATERAL SCREENING DDI	$451	$78.93	$158 – $500.61
Screening mammogram, both breasts: 10 of 25 insurance plan rates Aetna — Commercial\|All Plans: $252.56 AETNA — Medicare\|All Plans: $166.87 Ambetter — Commercial\|All Plans: $241.97 AMERIVANTAGE — Medicare\|All Plans: $171.88 BCBS — Medicare\|All Plans: $166.87 BCBS-TX — Commercial\|Blue Advantage HMO: $225.80 BCBS-TX — Commercial\|Blue Premier: $250.66 BCBS-TX — Commercial\|HMO: $266.58 BCBS-TX — Commercial\|PPO: $294.43 Bright Health — Commercial\|All Plans: $345.20
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: MAMMO BILATERAL SCREENING DDI	$451	$78.93	$307.81 – $451
Screening mammogram, both breasts: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $451 Multiplan — Commercial\|All Plans: $383.35 Wellpoint — Medicaid\|All Other Plans: $307.81 Wellpoint — Medicaid\|STAR: $307.81

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HEART ONLY	$12,446	$2,178.05	$4,512.92 – $15,233.91
Left heart catheterization (diagnostic): 10 of 27 insurance plan rates Aetna — Commercial\|All Plans: $6,969.76 AETNA — Medicare\|All Plans: $4,605.02 Ambetter — Commercial\|All Plans: $6,677.28 AMERIVANTAGE — Medicare\|All Plans: $4,743.18 BCBS — Medicare\|All Plans: $4,605.02 BCBS-TX — Commercial\|Blue Advantage HMO: $8,122.36 BCBS-TX — Commercial\|Blue Premier: $9,689.83 BCBS-TX — Commercial\|HMO: $10,231.32 BCBS-TX — Commercial\|PPO: $11,399.80 Bright Health — Commercial\|All Plans: $9,526.17
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) In the file: LEFT HEART ONLY	$12,446	$2,178.05	$8,494.40 – $12,446
Left heart catheterization (diagnostic): rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $12,446 Multiplan — Commercial\|All Plans: $10,579.10 Wellpoint — Medicaid\|All Other Plans: $8,494.40 Wellpoint — Medicaid\|STAR: $8,494.40
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: A FIB ABLATION	$73,182	$12,806.85	$9,871 – $89,574.77
Heart rhythm study with ablation for atrial fibrillation: 10 of 27 insurance plan rates Aetna — Commercial\|All Plans: $40,981.92 AETNA — Medicare\|All Plans: $27,077.34 Ambetter — Commercial\|All Plans: $39,262.15 AMERIVANTAGE — Medicare\|All Plans: $27,889.67 BCBS — Medicare\|All Plans: $27,077.34 BCBS-TX — Commercial\|Blue Advantage HMO: $28,813.73 BCBS-TX — Commercial\|Blue Premier: $28,609.38 BCBS-TX — Commercial\|HMO: $30,652.91 BCBS-TX — Commercial\|PPO: $33,718.20 Bright Health — Commercial\|All Plans: $56,013.51
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) In the file: A FIB ABLATION	$73,182	$12,806.85	$49,946.72 – $73,182
Heart rhythm study with ablation for atrial fibrillation: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $73,182 Multiplan — Commercial\|All Plans: $62,204.70 Wellpoint — Medicaid\|All Other Plans: $49,946.72 Wellpoint — Medicaid\|STAR: $49,946.72
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOMNOGRAPHY4 OR MORE	$10,174	$1,780.45	$996.87 – $11,293.14
Sleep study (overnight, in a sleep lab): 10 of 25 insurance plan rates Aetna — Commercial\|All Plans: $5,697.44 AETNA — Medicare\|All Plans: $3,764.38 Ambetter — Commercial\|All Plans: $5,458.36 AMERIVANTAGE — Medicare\|All Plans: $3,877.32 BCBS — Medicare\|All Plans: $3,764.38 BCBS-TX — Commercial\|Blue Advantage HMO: $996.87 BCBS-TX — Commercial\|Blue Premier: $1,172.20 BCBS-TX — Commercial\|HMO: $1,242.33 BCBS-TX — Commercial\|PPO: $1,382.59 Bright Health — Commercial\|All Plans: $7,787.18
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: POLYSOMNOGRAPHY4 OR MORE	$10,174	$1,780.45	$6,943.76 – $10,174
Sleep study (overnight, in a sleep lab): rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $10,174 Multiplan — Commercial\|All Plans: $8,647.90 Wellpoint — Medicaid\|All Other Plans: $6,943.76 Wellpoint — Medicaid\|STAR: $6,943.76

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYCHOTHERAPY (30 MINUTES)	$253	$44.28	$91.74 – $280.83
Psychotherapy, 30 minutes: 10 of 19 insurance plan rates Aetna — Commercial\|All Plans: $141.68 AETNA — Medicare\|All Plans: $93.61 Ambetter — Commercial\|All Plans: $135.74 AMERIVANTAGE — Medicare\|All Plans: $96.42 BCBS — Medicare\|All Plans: $93.61 Bright Health — Commercial\|All Plans: $193.65 Cigna — Commercial\|All Other Plans: $123.97 Cigna — Commercial\|Local Plus: $123.97 Ellwood — Commercial\|All Plans: $280.83 Entrust — Commercial\|All Plans: $177.10
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: PSYCHOTHERAPY (30 MINUTES)	$253	$44.28	$172.68 – $253
Psychotherapy, 30 minutes: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $253 Multiplan — Commercial\|All Plans: $215.05 Wellpoint — Medicaid\|All Other Plans: $172.68 Wellpoint — Medicaid\|STAR: $172.68
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYCHOTHERAPY (45 MINUTES)	$350	$61.25	$126.91 – $388.50
Psychotherapy, 45 minutes: 10 of 19 insurance plan rates Aetna — Commercial\|All Plans: $196 AETNA — Medicare\|All Plans: $129.50 Ambetter — Commercial\|All Plans: $187.78 AMERIVANTAGE — Medicare\|All Plans: $133.39 BCBS — Medicare\|All Plans: $129.50 Bright Health — Commercial\|All Plans: $267.89 Cigna — Commercial\|All Other Plans: $171.50 Cigna — Commercial\|Local Plus: $171.50 Ellwood — Commercial\|All Plans: $388.50 Entrust — Commercial\|All Plans: $245
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: PSYCHOTHERAPY (45 MINUTES)	$350	$61.25	$238.88 – $350
Psychotherapy, 45 minutes: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $350 Multiplan — Commercial\|All Plans: $297.50 Wellpoint — Medicaid\|All Other Plans: $238.88 Wellpoint — Medicaid\|STAR: $238.88
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYCHOTHERAPY (60 MINUTES)	$400	$70	$145.04 – $444
Psychotherapy, 60 minutes: 10 of 19 insurance plan rates Aetna — Commercial\|All Plans: $224 AETNA — Medicare\|All Plans: $148 Ambetter — Commercial\|All Plans: $214.60 AMERIVANTAGE — Medicare\|All Plans: $152.44 BCBS — Medicare\|All Plans: $148 Bright Health — Commercial\|All Plans: $306.16 Cigna — Commercial\|All Other Plans: $196 Cigna — Commercial\|Local Plus: $196 Ellwood — Commercial\|All Plans: $444 Entrust — Commercial\|All Plans: $280
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: PSYCHOTHERAPY (60 MINUTES)	$400	$70	$273 – $400
Psychotherapy, 60 minutes: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $400 Multiplan — Commercial\|All Plans: $340 Wellpoint — Medicaid\|All Other Plans: $273 Wellpoint — Medicaid\|STAR: $273
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY THERAPY W/O PATIENT	$350	$61.25	$126.91 – $388.50
Family psychotherapy, without the patient: 10 of 19 insurance plan rates Aetna — Commercial\|All Plans: $196 AETNA — Medicare\|All Plans: $129.50 Ambetter — Commercial\|All Plans: $187.78 AMERIVANTAGE — Medicare\|All Plans: $133.39 BCBS — Medicare\|All Plans: $129.50 Bright Health — Commercial\|All Plans: $267.89 Cigna — Commercial\|All Other Plans: $171.50 Cigna — Commercial\|Local Plus: $171.50 Ellwood — Commercial\|All Plans: $388.50 Entrust — Commercial\|All Plans: $245
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) In the file: FAMILY THERAPY W/O PATIENT	$350	$61.25	$238.88 – $350
Family psychotherapy, without the patient: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $350 Multiplan — Commercial\|All Plans: $297.50 Wellpoint — Medicaid\|All Other Plans: $238.88 Wellpoint — Medicaid\|STAR: $238.88
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY THERAPY W/PATIENT	$390	$68.25	$141.42 – $432.90
Family psychotherapy, with the patient: 10 of 19 insurance plan rates Aetna — Commercial\|All Plans: $218.40 AETNA — Medicare\|All Plans: $144.30 Ambetter — Commercial\|All Plans: $209.24 AMERIVANTAGE — Medicare\|All Plans: $148.63 BCBS — Medicare\|All Plans: $144.30 Bright Health — Commercial\|All Plans: $298.51 Cigna — Commercial\|All Other Plans: $191.10 Cigna — Commercial\|Local Plus: $191.10 Ellwood — Commercial\|All Plans: $432.90 Entrust — Commercial\|All Plans: $273
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) In the file: FAMILY THERAPY W/PATIENT	$390	$68.25	$266.18 – $390
Family psychotherapy, with the patient: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $390 Multiplan — Commercial\|All Plans: $331.50 Wellpoint — Medicaid\|All Other Plans: $266.18 Wellpoint — Medicaid\|STAR: $266.18
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY	$384	$67.20	$139.24 – $426.24
Group psychotherapy: 10 of 19 insurance plan rates Aetna — Commercial\|All Plans: $215.04 AETNA — Medicare\|All Plans: $142.08 Ambetter — Commercial\|All Plans: $206.02 AMERIVANTAGE — Medicare\|All Plans: $146.35 BCBS — Medicare\|All Plans: $142.08 Bright Health — Commercial\|All Plans: $293.92 Cigna — Commercial\|All Other Plans: $188.16 Cigna — Commercial\|Local Plus: $188.16 Ellwood — Commercial\|All Plans: $426.24 Entrust — Commercial\|All Plans: $268.80
Group psychotherapy CPT 90853 · Inpatient (hospital stay) In the file: GROUP PSYCHOTHERAPY	$384	$67.20	$262.08 – $384
Group psychotherapy: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $384 Multiplan — Commercial\|All Plans: $326.40 Wellpoint — Medicaid\|All Other Plans: $262.08 Wellpoint — Medicaid\|STAR: $262.08

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL BREAST LESION	$704	$123.20	$255.28 – $8,788
Removal of breast growth (open surgery): 10 of 33 insurance plan rates Aetna — Commercial\|All Plans: $394.24 AETNA — Medicare\|All Plans: $260.48 Ambetter — Commercial\|All Plans: $377.70 AMERIVANTAGE — Medicare\|All Plans: $268.30 BCBS — Medicaid\|STARKIDS: $1,064.46 BCBS — Medicare\|All Plans: $260.48 BCBS-TX — Commercial\|Blue Advantage HMO: $4,271.67 BCBS-TX — Commercial\|Blue Premier: $4,241.37 BCBS-TX — Commercial\|HMO: $4,544.33 BCBS-TX — Commercial\|PPO: $4,998.76
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) In the file: REMOVAL BREAST LESION	$704	$123.20	$480.48 – $704
Removal of breast growth (open surgery): rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $704 Multiplan — Commercial\|All Plans: $598.40 Wellpoint — Medicaid\|All Other Plans: $480.48 Wellpoint — Medicaid\|STAR: $480.48
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$7,783 – $19,636.17
Total hip replacement: 10 of 23 insurance plan rates BCBS-TX — Commercial\|Blue Advantage HMO: $16,780 BCBS-TX — Commercial\|Blue Premier: $16,660.99 BCBS-TX — Commercial\|HMO: $17,851.07 BCBS-TX — Commercial\|PPO: $19,636.17 United — Commercial\|All Other Plans: $15,273 United — Commercial\|Exchange: $7,783 Aetna — Commercial\|All Plans: 56% (a percentage in the contract, not a dollar amount) AETNA — Medicare\|All Plans: 37% (a percentage in the contract, not a dollar amount) Ambetter — Commercial\|All Plans: 53.65% (a percentage in the contract, not a dollar amount) AMERIVANTAGE — Medicare\|All Plans: 38.11% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$7,783 – $19,636.17
Total knee replacement: 10 of 23 insurance plan rates BCBS-TX — Commercial\|Blue Advantage HMO: $16,780 BCBS-TX — Commercial\|Blue Premier: $16,660.99 BCBS-TX — Commercial\|HMO: $17,851.07 BCBS-TX — Commercial\|PPO: $19,636.17 United — Commercial\|All Other Plans: $15,273 United — Commercial\|Exchange: $7,783 Aetna — Commercial\|All Plans: 56% (a percentage in the contract, not a dollar amount) AETNA — Medicare\|All Plans: 37% (a percentage in the contract, not a dollar amount) Ambetter — Commercial\|All Plans: 53.65% (a percentage in the contract, not a dollar amount) AMERIVANTAGE — Medicare\|All Plans: 38.11% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$1,508 – $5,066
Shoulder arthroscopy: shaving of shoulder bone: 10 of 21 insurance plan rates Cigna — Commercial\|All Other Plans: $5,066 Cigna — Commercial\|Local Plus: $3,711 United — Commercial\|All Other Plans: $2,960 United — Commercial\|Exchange: $1,508 Aetna — Commercial\|All Plans: 56% (a percentage in the contract, not a dollar amount) AETNA — Medicare\|All Plans: 37% (a percentage in the contract, not a dollar amount) Ambetter — Commercial\|All Plans: 53.65% (a percentage in the contract, not a dollar amount) AMERIVANTAGE — Medicare\|All Plans: 38.11% (a percentage in the contract, not a dollar amount) BCBS — Medicare\|All Plans: 37% (a percentage in the contract, not a dollar amount) Bright Health — Commercial\|All Plans: 76.54% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$1,144.86 – $11,861
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 33 insurance plan rates BCBS — Medicaid\|STARKIDS: $1,202.10 BCBS-TX — Commercial\|Blue Advantage HMO: $3,859.80 BCBS-TX — Commercial\|Blue Premier: $3,832.43 BCBS-TX — Commercial\|HMO: $4,106.18 BCBS-TX — Commercial\|PPO: $4,516.79 Cigna — Commercial\|All Other Plans: $5,896 Cigna — Commercial\|Local Plus: $4,319 SUPERIOR — Medicaid\|All Other Plans: $1,202.10 SUPERIOR — Medicaid\|CHIP: $1,144.86 SUPERIOR — Medicaid\|STAR: $1,431.08
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS	$374	$65.45	$135.62 – $8,788
Removal of tonsils and adenoids (under age 12): 10 of 33 insurance plan rates Aetna — Commercial\|All Plans: $209.44 AETNA — Medicare\|All Plans: $138.38 Ambetter — Commercial\|All Plans: $200.66 AMERIVANTAGE — Medicare\|All Plans: $142.54 BCBS — Medicaid\|STARKIDS: $2,158.63 BCBS — Medicare\|All Plans: $138.38 BCBS-TX — Commercial\|Blue Advantage HMO: $6,839.25 BCBS-TX — Commercial\|Blue Premier: $6,790.74 BCBS-TX — Commercial\|HMO: $7,275.80 BCBS-TX — Commercial\|PPO: $8,003.37
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) In the file: REMOVE TONSILS AND ADENOIDS	$374	$65.45	$255.26 – $374
Removal of tonsils and adenoids (under age 12): rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $374 Multiplan — Commercial\|All Plans: $317.90 Wellpoint — Medicaid\|All Other Plans: $255.26 Wellpoint — Medicaid\|STAR: $255.26
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: UPPR GI ENDOSCOPY DIAGNOSIS	$2,250	$393.75	$352.37 – $4,168
Upper GI endoscopy (diagnostic): 10 of 33 insurance plan rates Aetna — Commercial\|All Plans: $1,260 AETNA — Medicare\|All Plans: $832.50 Ambetter — Commercial\|All Plans: $1,207.13 AMERIVANTAGE — Medicare\|All Plans: $857.48 BCBS — Medicaid\|STARKIDS: $369.99 BCBS — Medicare\|All Plans: $832.50 BCBS-TX — Commercial\|Blue Advantage HMO: $1,108.15 BCBS-TX — Commercial\|Blue Premier: $1,100.29 BCBS-TX — Commercial\|HMO: $1,178.88 BCBS-TX — Commercial\|PPO: $1,296.77
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: UPPR GI ENDOSCOPY DIAGNOSIS	$2,250	$393.75	$1,535.63 – $2,250
Upper GI endoscopy (diagnostic): rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $2,250 Multiplan — Commercial\|All Plans: $1,912.50 Wellpoint — Medicaid\|All Other Plans: $1,535.63 Wellpoint — Medicaid\|STAR: $1,535.63
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$352.37 – $4,568
Upper GI endoscopy with biopsy: 10 of 33 insurance plan rates BCBS — Medicaid\|STARKIDS: $369.99 BCBS-TX — Commercial\|Blue Advantage HMO: $1,108.15 BCBS-TX — Commercial\|Blue Premier: $1,100.29 BCBS-TX — Commercial\|HMO: $1,178.88 BCBS-TX — Commercial\|PPO: $1,296.77 Cigna — Commercial\|All Other Plans: $4,568 Cigna — Commercial\|Local Plus: $3,346 SUPERIOR — Medicaid\|All Other Plans: $369.99 SUPERIOR — Medicaid\|CHIP: $352.37 SUPERIOR — Medicaid\|STAR: $440.46
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$345.58 – $4,568
Colonoscopy (diagnostic): 10 of 33 insurance plan rates BCBS — Medicaid\|STARKIDS: $362.86 BCBS-TX — Commercial\|Blue Advantage HMO: $1,077.07 BCBS-TX — Commercial\|Blue Premier: $1,069.43 BCBS-TX — Commercial\|HMO: $1,145.82 BCBS-TX — Commercial\|PPO: $1,260.40 Cigna — Commercial\|All Other Plans: $4,568 Cigna — Commercial\|Local Plus: $3,346 SUPERIOR — Medicaid\|All Other Plans: $362.86 SUPERIOR — Medicaid\|CHIP: $345.58 SUPERIOR — Medicaid\|STAR: $431.98
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY	$556	$97.30	$201.61 – $4,568
Colonoscopy with biopsy: 10 of 33 insurance plan rates Aetna — Commercial\|All Plans: $311.36 AETNA — Medicare\|All Plans: $205.72 Ambetter — Commercial\|All Plans: $298.30 AMERIVANTAGE — Medicare\|All Plans: $211.90 BCBS — Medicaid\|STARKIDS: $474.16 BCBS — Medicare\|All Plans: $205.72 BCBS-TX — Commercial\|Blue Advantage HMO: $1,415.95 BCBS-TX — Commercial\|Blue Premier: $1,405.91 BCBS-TX — Commercial\|HMO: $1,506.33 BCBS-TX — Commercial\|PPO: $1,656.96
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: COLONOSCOPY AND BIOPSY	$556	$97.30	$379.47 – $556
Colonoscopy with biopsy: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $556 Multiplan — Commercial\|All Plans: $472.60 Wellpoint — Medicaid\|All Other Plans: $379.47 Wellpoint — Medicaid\|STAR: $379.47
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$451.58 – $4,568
Colonoscopy with removal of polyps (snare): 10 of 33 insurance plan rates BCBS — Medicaid\|STARKIDS: $474.16 BCBS-TX — Commercial\|Blue Advantage HMO: $1,415.95 BCBS-TX — Commercial\|Blue Premier: $1,405.91 BCBS-TX — Commercial\|HMO: $1,506.33 BCBS-TX — Commercial\|PPO: $1,656.96 Cigna — Commercial\|All Other Plans: $4,568 Cigna — Commercial\|Local Plus: $3,346 SUPERIOR — Medicaid\|All Other Plans: $474.16 SUPERIOR — Medicaid\|CHIP: $451.58 SUPERIOR — Medicaid\|STAR: $564.48
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$451.58 – $4,568
Ultrasound of the lower bowel by endoscope: 10 of 33 insurance plan rates BCBS — Medicaid\|STARKIDS: $474.16 BCBS-TX — Commercial\|Blue Advantage HMO: $1,415.95 BCBS-TX — Commercial\|Blue Premier: $1,405.91 BCBS-TX — Commercial\|HMO: $1,506.33 BCBS-TX — Commercial\|PPO: $1,656.96 Cigna — Commercial\|All Other Plans: $4,568 Cigna — Commercial\|Local Plus: $3,346 SUPERIOR — Medicaid\|All Other Plans: $474.16 SUPERIOR — Medicaid\|CHIP: $451.58 SUPERIOR — Medicaid\|STAR: $564.48
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$1,987.07 – $18,403
Gallbladder removal by laparoscope: 10 of 33 insurance plan rates BCBS — Medicaid\|STARKIDS: $2,086.42 BCBS-TX — Commercial\|Blue Advantage HMO: $6,815.53 BCBS-TX — Commercial\|Blue Premier: $6,767.19 BCBS-TX — Commercial\|HMO: $7,250.57 BCBS-TX — Commercial\|PPO: $7,975.62 Cigna — Commercial\|All Other Plans: $10,723 Cigna — Commercial\|Local Plus: $7,855 SUPERIOR — Medicaid\|All Other Plans: $2,086.42 SUPERIOR — Medicaid\|CHIP: $1,987.07 SUPERIOR — Medicaid\|STAR: $2,483.84
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$1,211.42 – $11,861
Groin (inguinal) hernia repair, age 5 or older: 10 of 33 insurance plan rates BCBS — Medicaid\|STARKIDS: $1,271.99 BCBS-TX — Commercial\|Blue Advantage HMO: $4,384.17 BCBS-TX — Commercial\|Blue Premier: $4,353.08 BCBS-TX — Commercial\|HMO: $4,664.01 BCBS-TX — Commercial\|PPO: $5,130.41 Cigna — Commercial\|All Other Plans: $5,896 Cigna — Commercial\|Local Plus: $4,319 SUPERIOR — Medicaid\|All Other Plans: $1,271.99 SUPERIOR — Medicaid\|CHIP: $1,211.42 SUPERIOR — Medicaid\|STAR: $1,514.28
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE	$444	$77.70	$161 – $4,568
Prostate biopsy: 10 of 33 insurance plan rates Aetna — Commercial\|All Plans: $248.64 AETNA — Medicare\|All Plans: $164.28 Ambetter — Commercial\|All Plans: $238.21 AMERIVANTAGE — Medicare\|All Plans: $169.21 BCBS — Medicaid\|STARKIDS: $721.09 BCBS — Medicare\|All Plans: $164.28 BCBS-TX — Commercial\|Blue Advantage HMO: $2,497.89 BCBS-TX — Commercial\|Blue Premier: $2,480.17 BCBS-TX — Commercial\|HMO: $2,657.33 BCBS-TX — Commercial\|PPO: $2,923.06
Prostate biopsy CPT 55700 · Inpatient (hospital stay) In the file: BIOPSY OF PROSTATE	$444	$77.70	$303.03 – $444
Prostate biopsy: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $444 Multiplan — Commercial\|All Plans: $377.40 Wellpoint — Medicaid\|All Other Plans: $303.03 Wellpoint — Medicaid\|STAR: $303.03
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPARO RADICAL PROSTATECTOMY	Not listed in the file	Not listed in the file	$7,783 – $15,273
Prostate removal by laparoscope (radical prostatectomy): 10 of 23 insurance plan rates BCBS-TX — Commercial\|Blue Advantage HMO: $11,862.49 BCBS-TX — Commercial\|Blue Premier: $11,778.35 BCBS-TX — Commercial\|HMO: $12,619.67 BCBS-TX — Commercial\|PPO: $13,881.63 United — Commercial\|All Other Plans: $15,273 United — Commercial\|Exchange: $7,783 Aetna — Commercial\|All Plans: 56% (a percentage in the contract, not a dollar amount) AETNA — Medicare\|All Plans: 37% (a percentage in the contract, not a dollar amount) Ambetter — Commercial\|All Plans: 53.65% (a percentage in the contract, not a dollar amount) AMERIVANTAGE — Medicare\|All Plans: 38.11% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$1,118.82 – $8,788
Hysteroscopy with biopsy of the uterus lining: 10 of 33 insurance plan rates BCBS — Medicaid\|STARKIDS: $1,174.76 BCBS-TX — Commercial\|Blue Advantage HMO: $3,522.32 BCBS-TX — Commercial\|Blue Premier: $3,497.34 BCBS-TX — Commercial\|HMO: $3,747.15 BCBS-TX — Commercial\|PPO: $4,121.87 Cigna — Commercial\|All Other Plans: $5,066 Cigna — Commercial\|Local Plus: $3,711 SUPERIOR — Medicaid\|All Other Plans: $1,174.76 SUPERIOR — Medicaid\|CHIP: $1,118.82 SUPERIOR — Medicaid\|STAR: $1,398.53
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: INJ LUMBAR W IMAGING	$2,563	$448.53	$276.53 – $3,943
Spinal injection, lower back (epidural), with imaging guidance: 10 of 33 insurance plan rates Aetna — Commercial\|All Plans: $1,435.28 AETNA — Medicare\|All Plans: $948.31 Ambetter — Commercial\|All Plans: $1,375.05 AMERIVANTAGE — Medicare\|All Plans: $976.76 BCBS — Medicaid\|STARKIDS: $290.36 BCBS — Medicare\|All Plans: $948.31 BCBS-TX — Commercial\|Blue Advantage HMO: $881.32 BCBS-TX — Commercial\|Blue Premier: $875.07 BCBS-TX — Commercial\|HMO: $937.58 BCBS-TX — Commercial\|PPO: $1,031.33
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: INJ LUMBAR W IMAGING	$2,563	$448.53	$1,749.25 – $2,563
Spinal injection, lower back (epidural), with imaging guidance: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $2,563 Multiplan — Commercial\|All Plans: $2,178.55 Wellpoint — Medicaid\|All Other Plans: $1,749.25 Wellpoint — Medicaid\|STAR: $1,749.25
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: INJ FORAMEN EPIDURAL L/S	$3,033	$530.78	$358.49 – $3,943
Nerve root injection, lower back, with imaging guidance: 10 of 33 insurance plan rates Aetna — Commercial\|All Plans: $1,698.48 AETNA — Medicare\|All Plans: $1,122.21 Ambetter — Commercial\|All Plans: $1,627.21 AMERIVANTAGE — Medicare\|All Plans: $1,155.88 BCBS — Medicaid\|STARKIDS: $376.41 BCBS — Medicare\|All Plans: $1,122.21 BCBS-TX — Commercial\|Blue Advantage HMO: $1,144.99 BCBS-TX — Commercial\|Blue Premier: $1,136.87 BCBS-TX — Commercial\|HMO: $1,218.08 BCBS-TX — Commercial\|PPO: $1,339.88
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: INJ FORAMEN EPIDURAL L/S	$3,033	$530.78	$2,070.03 – $3,033
Nerve root injection, lower back, with imaging guidance: rates for 4 insurance plans BCBS-TX — Commercial\|Ref Lab: $3,033 Multiplan — Commercial\|All Plans: $2,578.05 Wellpoint — Medicaid\|All Other Plans: $2,070.03 Wellpoint — Medicaid\|STAR: $2,070.03
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$694.26 – $8,788
Carpal tunnel release: 10 of 33 insurance plan rates BCBS — Medicaid\|STARKIDS: $728.97 BCBS-TX — Commercial\|Blue Advantage HMO: $2,424.28 BCBS-TX — Commercial\|Blue Premier: $2,407.09 BCBS-TX — Commercial\|HMO: $2,579.03 BCBS-TX — Commercial\|PPO: $2,836.93 Cigna — Commercial\|All Other Plans: $4,568 Cigna — Commercial\|Local Plus: $3,346 SUPERIOR — Medicaid\|All Other Plans: $728.97 SUPERIOR — Medicaid\|CHIP: $694.26 SUPERIOR — Medicaid\|STAR: $867.83
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$219.16 – $4,568
Laser treatment of clouding after cataract surgery: 10 of 33 insurance plan rates BCBS — Medicaid\|STARKIDS: $230.12 BCBS-TX — Commercial\|Blue Advantage HMO: $714.77 BCBS-TX — Commercial\|Blue Premier: $709.70 BCBS-TX — Commercial\|HMO: $760.40 BCBS-TX — Commercial\|PPO: $836.43 Cigna — Commercial\|All Other Plans: $4,568 Cigna — Commercial\|Local Plus: $3,346 SUPERIOR — Medicaid\|All Other Plans: $230.12 SUPERIOR — Medicaid\|CHIP: $219.16 SUPERIOR — Medicaid\|STAR: $273.95
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$894.14 – $8,788
Cataract removal with lens implant: 10 of 33 insurance plan rates BCBS — Medicaid\|STARKIDS: $938.85 BCBS-TX — Commercial\|Blue Advantage HMO: $2,850.82 BCBS-TX — Commercial\|Blue Premier: $2,830.60 BCBS-TX — Commercial\|HMO: $3,032.79 BCBS-TX — Commercial\|PPO: $3,336.07 Cigna — Commercial\|All Other Plans: $4,452 Cigna — Commercial\|Local Plus: $3,261 SUPERIOR — Medicaid\|All Other Plans: $938.85 SUPERIOR — Medicaid\|CHIP: $894.14 SUPERIOR — Medicaid\|STAR: $1,117.67

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$3,048.98 – $3,593.44
Vaginal delivery, with care before and after: 10 of 21 insurance plan rates BCBS-TX — Commercial\|Blue Advantage HMO: $3,070.75 BCBS-TX — Commercial\|Blue Premier: $3,048.98 BCBS-TX — Commercial\|HMO: $3,266.76 BCBS-TX — Commercial\|PPO: $3,593.44 Aetna — Commercial\|All Plans: 56% (a percentage in the contract, not a dollar amount) AETNA — Medicare\|All Plans: 37% (a percentage in the contract, not a dollar amount) Ambetter — Commercial\|All Plans: 53.65% (a percentage in the contract, not a dollar amount) AMERIVANTAGE — Medicare\|All Plans: 38.11% (a percentage in the contract, not a dollar amount) BCBS — Medicare\|All Plans: 37% (a percentage in the contract, not a dollar amount) Bright Health — Commercial\|All Plans: 76.54% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$3,380.47 – $3,984.12
Cesarean delivery (C-section), with care before and after: 10 of 21 insurance plan rates BCBS-TX — Commercial\|Blue Advantage HMO: $3,404.61 BCBS-TX — Commercial\|Blue Premier: $3,380.47 BCBS-TX — Commercial\|HMO: $3,621.93 BCBS-TX — Commercial\|PPO: $3,984.12 Aetna — Commercial\|All Plans: 56% (a percentage in the contract, not a dollar amount) AETNA — Medicare\|All Plans: 37% (a percentage in the contract, not a dollar amount) Ambetter — Commercial\|All Plans: 53.65% (a percentage in the contract, not a dollar amount) AMERIVANTAGE — Medicare\|All Plans: 38.11% (a percentage in the contract, not a dollar amount) BCBS — Medicare\|All Plans: 37% (a percentage in the contract, not a dollar amount) Bright Health — Commercial\|All Plans: 76.54% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$3,199.34 – $3,770.65
Vaginal delivery after a previous C-section, with care before and after: 10 of 21 insurance plan rates BCBS-TX — Commercial\|Blue Advantage HMO: $3,222.19 BCBS-TX — Commercial\|Blue Premier: $3,199.34 BCBS-TX — Commercial\|HMO: $3,427.86 BCBS-TX — Commercial\|PPO: $3,770.65 Aetna — Commercial\|All Plans: 56% (a percentage in the contract, not a dollar amount) AETNA — Medicare\|All Plans: 37% (a percentage in the contract, not a dollar amount) Ambetter — Commercial\|All Plans: 53.65% (a percentage in the contract, not a dollar amount) AMERIVANTAGE — Medicare\|All Plans: 38.11% (a percentage in the contract, not a dollar amount) BCBS — Medicare\|All Plans: 37% (a percentage in the contract, not a dollar amount) Bright Health — Commercial\|All Plans: 76.54% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) 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	$58,949 – $138,128
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 21 insurance plan rates AETNA — Medicare\|All Plans: $6,057 Ambetter — Commercial\|All Plans: $8,783 AMERIVANTAGE — Medicare\|All Plans: $6,239 BCBS — Medicare\|All Plans: $6,057 Bright Health — Commercial\|All Plans: $138,128 Ellwood — Commercial\|All Plans: $18,171 Entrust — Commercial\|All Plans: $18,884 Health Smart — Commercial\|All Plans: $6,000 PGT — Medicare\|All Plans: $5,936 SCANHealth — Medicare\|All Plans: $6,481
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: NO ACTIVE CODE DESCRIPTION	Not listed in the file	Not listed in the file	$53,397
Spinal fusion (not neck), without major complications: 10 of 15 insurance plan rates AETNA — Medicare\|All Plans: $6,057 Ambetter — Commercial\|All Plans: $8,783 AMERIVANTAGE — Medicare\|All Plans: $6,239 BCBS — Medicare\|All Plans: $6,057 Bright Health — Commercial\|All Plans: $53,397 Ellwood — Commercial\|All Plans: $18,171 Entrust — Commercial\|All Plans: $18,884 PGT — Medicare\|All Plans: $5,936 SCANHealth — Medicare\|All Plans: $6,481 UNITED — Medicare\|All Plans: $6,179
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) 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	$11,517 – $27,108
Hip or knee replacement (major joint of the leg), without major complications: 10 of 17 insurance plan rates AETNA — Medicare\|All Plans: $6,057 Ambetter — Commercial\|All Plans: $8,783 AMERIVANTAGE — Medicare\|All Plans: $6,239 BCBS — Medicare\|All Plans: $6,057 Bright Health — Commercial\|All Plans: $27,108 Ellwood — Commercial\|All Plans: $18,171 Entrust — Commercial\|All Plans: $18,884 PGT — Medicare\|All Plans: $5,936 SCANHealth — Medicare\|All Plans: $6,481 United — Commercial\|All Other Plans: $22,600
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$14,460 – $35,945
Neck (cervical) spinal fusion, without complications: 10 of 17 insurance plan rates AETNA — Medicare\|All Plans: $6,057 Ambetter — Commercial\|All Plans: $8,783 AMERIVANTAGE — Medicare\|All Plans: $6,239 BCBS — Medicare\|All Plans: $6,057 Bright Health — Commercial\|All Plans: $35,945 Ellwood — Commercial\|All Plans: $18,171 Entrust — Commercial\|All Plans: $18,884 PGT — Medicare\|All Plans: $5,936 SCANHealth — Medicare\|All Plans: $6,481 United — Commercial\|All Other Plans: $28,376
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$7,322 – $16,598
Uterus and ovary surgery (not for cancer), without complications: 10 of 17 insurance plan rates AETNA — Medicare\|All Plans: $6,057 Ambetter — Commercial\|All Plans: $8,783 AMERIVANTAGE — Medicare\|All Plans: $6,239 BCBS — Medicare\|All Plans: $6,057 Bright Health — Commercial\|All Plans: $16,598 Ellwood — Commercial\|All Plans: $18,171 Entrust — Commercial\|All Plans: $18,884 PGT — Medicare\|All Plans: $5,936 SCANHealth — Medicare\|All Plans: $6,481 United — Commercial\|All Other Plans: $14,368

Source: Grimes St Joseph Health Center’s standard charges file (commonspirit.org, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 28, 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	210 Judson St, Navasota, TX 77868
County	Grimes County
State	Texas
Phone	(936) 825‑6585
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	451322
Name in Medicare records	GRIMES ST JOSEPH HEALTH CENTER
Profile level	Medicare data + hospital website
Name on the hospital’s website	St. Joseph Hospital - Grimes County (CommonSpirit)
Official website	commonspirit.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

CommonSpirit - St. Joseph Hospital - Grimes County — commonspirit.org
CommonSpirit - St. Joseph Hospital - Grimes County - Navasota, TX | CommonSpirit Health — commonspirit.org
Emergency Room at St. Joseph Health - Grimes Hospital - Navasota, TX, TX | CommonSpirit Health — commonspirit.org

Grimes St Joseph Health Center

Summary

Profile from official sources

At a glance