Does Hamilton General Hospital have an emergency room?

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

Where is Hamilton General Hospital?

400 N Brown, Building 1, Hamilton, TX 76531, in Hamilton County, Texas.

What is the phone number of Hamilton General Hospital?

(254) 386-3151, as listed by Medicare (CMS).

What is the Medicare star rating of Hamilton General Hospital?

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.

Hamilton General Hospital — Hamilton, TX

Quick answers

Does Hamilton General Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Hamilton General Hospital. In a medical emergency, call 911.
Where is Hamilton General Hospital?: 400 N Brown, Building 1, Hamilton, TX 76531, in Hamilton County, Texas.
What is the phone number of Hamilton General Hospital?: (254) 386-3151, as listed by Medicare (CMS).
What is the Medicare star rating of Hamilton General Hospital?: 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]

Emergency
Surgery
Orthopedic services
Radiology
Laboratory
Sleep medicine
Pain management
Behavioral health

Conditions treated^{[4][5][8][10][12]}

Sleep disorders in adults
Heart failure
Problematic wounds
Lung diseases and breathing problems
Chronic back pain
Diabetes

Treatments^{[4][5][8][9][10]}

Cardiac and pulmonary rehab
Infusion
Wound care
Therapy (physical, occupational, speech)
Swing bed
Diabetes education
Nutrition and weight loss
Chronic care management
Kyphoplasty or vertebral augmentation
Spinal cord stimulator
Back injections
Nerve impingement treatment
Physical therapy
Occupational therapy
Speech therapy
Nutrition counseling
Respiratory therapy
Pulmonary function studies
Arterial blood gas testing
EKG
Laboratory testing
Diagnostic imaging
CT scan
Bone density testing

Procedures^{[4][5][8][9][10]}

MRI
Digital mammography
Bone density testing
Colonoscopy
Gallbladder removal
Hernia repair
Skin cancer surgery and grafting
Breast cancer surgical options
Tonsillectomy
Knee replacement
Shoulder replacement
Rotator cuff repair
Fracture care and surgery
Sleep studies (polysomnography)
X-ray

Programs and centers^{[5][8][10][14][15]}

Heart Failure Program
Cardiac and pulmonary rehabilitation
Diabetes education
Wound Care Clinic
Chronic Care Management
Social work services
Hamilton County Hospital District Financial Assistance Program

Emergency care (hospital website)^[5][10][13]

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

Visiting and practical information

Visiting	Visiting hours are posted at the nurses' station; max two visitors at bedside at a time^[11]
Patient portal	Patient Portal

Recognition^[4][8]

2026 Women's Choice Award for ER Wait Time & Efficiency
2024 Performance Leadership Award for Patient Perspective (National Rural Health Day)
2024 Top 100 Critical Access Hospital (Chartis Center for Rural Health)
Women's Choice Award for ER Wait Time & Efficiency 2026
AACVPR-certified cardiac rehabilitation program

Doctors and clinicians (82)

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

Main specialties

Doctors with a page on this site (82)

Aaron Jackson, MDDiagnostic Radiology
Adam M. Borowski, MDDiagnostic Radiology
Adam M. Falcone, MDCardiovascular Disease (Cardiology)
Ahadu Admassie, MDInternal Medicine
Amy G. Mercer, NPNurse Practitioner
Amy R. McCourt, MDDiagnostic Radiology
Andrew K. Day, MDInterventional Cardiology
Anna I. Vanderheiden, MDEndocrinology
Anthony B. Balchunas, PAPhysician Assistant
Bohn M. Young, DPMPodiatry
Brad M. Fielder, CNACertified Registered Nurse Anesthetist (CRNA)
Bradford W. Holland, MDOtolaryngology
Bradley G. Bartels, MDFamily Practice
Carlos A. Encarnacion, MDMedical Oncology
Chad Coulter, CNACertified Registered Nurse Anesthetist (CRNA)
Charles A. Shoultz Iii, MDInterventional Cardiology
Charles F. Johnson, MDFamily Practice
Christine R. Rupcich, MDPathology
Claudius E. Robinson, MDPathology
Clay M. Barbin, MDCardiovascular Disease (Cardiology)
Crystal Dowell, NPNurse Practitioner
David Wenkert, MDEndocrinology
Dennis L. Parks, MDDiagnostic Radiology
Derek D. LeeEmergency Medicine

And 58 more: the button below opens the full list.

Other emergency rooms nearby

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

Coryell Memorial Hospital27 mi · Gatesville, TX · Critical Access Hospital
Goodall Witcher Hospital33 mi · Clifton, TX · Critical Access Hospital
Comanche County Medical Center33 mi · Comanche, TX · Critical Access Hospital
Darnall AMC (FT Cavazos)36 mi · Fort Cavazos, TX · Military Hospital (Department of Defense)
Texas Health Harris Methodist Hospital Stephenvill…36 mi · Stephenville, TX · Acute Care Hospital

Other hospitals nearby

Glen Rose Medical Center43 mi · Glen Rose, TX · Acute Care 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

Pecan Creek Healthcare Center0.4 mi · Hamilton, TX · 4 of 5 stars
Focused Care at Hamilton0.6 mi · Hamilton, TX · 5 of 5 stars
Hico Nursing and Rehabilitation20 mi · Hico, TX · 1 of 5 stars

All nursing homes in the state →

Home health agencies

Lee Healthcare Inc4.5 mi · Hamilton, TX

All home health agencies 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

Family Practice Rural Health Clinic4.5 mi · Hamilton, TX · Rural health clinic
Hico Clinic17 mi · Hico, TX · Rural health clinic

Pharmacies

P&P Pharmacy Group LLC4.5 mi · Hamilton, TX · Community/retail pharmacy
Ray's City Drug, Inc.4.5 mi · Hamilton, TX · Community/retail pharmacy

Assisted living nearby

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

Dove Hill Assisted Living4.5 mi · Hamilton, 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 Hamilton General Hospital 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	84%National average: 71%
Nurses “always” communicated well	84%National average: 80%
Doctors “always” communicated well	85%National average: 80%
Staff “always” explained medicines before giving them	72%National average: 62%
Were given information about recovery at home	91%National average: 86%
Room and bathroom “always” clean	87%National average: 74%
Area around the room “always” quiet at night	70%National average: 60%
Completed surveys	97Response rate: 33%

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	1.917No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	16.9%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	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	Too few cases to report
Readmitted within 30 days: heart failure	21.5%
Readmitted within 30 days: pneumonia	16.2%
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)	113 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)	68%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 59 common services exactly as Hamilton General Hospital 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 · Inpatient (hospital stay) In the file: ""99203 Eye Clinic Office Visit New Pt, Level 3""	$163	$97.80	$65.20 – $115.73
New patient office visit (about 30–44 minutes): rates for 2 insurance plans BCBS HMO — HMO: $115.73 BCBS HMO BAV — HMO: $65.20
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: ""99203 Office Visit New Pt Level 3""	$338	$202.80	$135.20 – $239.98
New patient office visit (about 30–44 minutes): rates for 2 insurance plans BCBS HMO — HMO: $239.98 BCBS HMO BAV — HMO: $135.20
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: ""99203 TM Office Visit New Pt. Level 3""	$338	$202.80	$135.20 – $239.98
New patient office visit (about 30–44 minutes): rates for 2 insurance plans BCBS HMO — HMO: $239.98 BCBS HMO BAV — HMO: $135.20
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: ""99204 Eye Clinic Office Visit New Pt, Level 4""	$266	$159.60	$106.40 – $188.86
New patient office visit (about 45–59 minutes): rates for 2 insurance plans BCBS HMO — HMO: $188.86 BCBS HMO BAV — HMO: $106.40
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: ""99204 Office Visit New Pt Level 4""	$520	$312	$208 – $369.20
New patient office visit (about 45–59 minutes): rates for 2 insurance plans BCBS HMO — HMO: $369.20 BCBS HMO BAV — HMO: $208
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: ""99204 TM Office Visit New Pt. Level 4""	$520	$312	$208 – $369.20
New patient office visit (about 45–59 minutes): rates for 2 insurance plans BCBS HMO — HMO: $369.20 BCBS HMO BAV — HMO: $208
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: ""99205 Office Visit New Pt Level 5""	$679	$407.40	$271.60 – $482.09
New patient office visit (about 60–74 minutes): rates for 2 insurance plans BCBS HMO — HMO: $482.09 BCBS HMO BAV — HMO: $271.60
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: ""99205 TM Office Visit New Pt. Level 5""	$679	$407.40	$271.60 – $482.09
New patient office visit (about 60–74 minutes): rates for 2 insurance plans BCBS HMO — HMO: $482.09 BCBS HMO BAV — HMO: $271.60
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: ""99213 Eye Clinic Office Visit Est Pt, Level 3""	$131	$78.60	$52.40 – $93.01
Established patient office visit (about 20–29 minutes): rates for 2 insurance plans BCBS HMO — HMO: $93.01 BCBS HMO BAV — HMO: $52.40
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: ""99213 Est Level 3 Nurse Visit""	$167	$100.20	$66.80 – $118.57
Established patient office visit (about 20–29 minutes): rates for 2 insurance plans BCBS HMO — HMO: $118.57 BCBS HMO BAV — HMO: $66.80
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: ""99213 Office Visit EsUNlished Pt Level 3""	$228	$136.80	$91.20 – $161.88
Established patient office visit (about 20–29 minutes): rates for 2 insurance plans BCBS HMO — HMO: $161.88 BCBS HMO BAV — HMO: $91.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: ""99214 Eye Clinic Office Visit Est Pt, Level 4""	$193	$115.80	$77.20 – $137.03
Established patient office visit (about 30–39 minutes): rates for 2 insurance plans BCBS HMO — HMO: $137.03 BCBS HMO BAV — HMO: $77.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: ""99214 Est Level 4 Nurse Visit""	$282	$169.20	$112.80 – $200.22
Established patient office visit (about 30–39 minutes): rates for 2 insurance plans BCBS HMO — HMO: $200.22 BCBS HMO BAV — HMO: $112.80
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: ""99214 Office Visit EsUNlished Pt Level 4""	$337	$202.20	$134.80 – $239.27
Established patient office visit (about 30–39 minutes): rates for 2 insurance plans BCBS HMO — HMO: $239.27 BCBS HMO BAV — HMO: $134.80
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) In the file: ""99243 Consult OV/OP Low - 30mins""	$401	$240.60	$160.40 – $284.71
Office consultation with a specialist (moderate): rates for 2 insurance plans BCBS HMO — HMO: $284.71 BCBS HMO BAV — HMO: $160.40
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) In the file: ""99243 Office Consultation, Level 3""	$167	$100.20	$66.80 – $118.57
Office consultation with a specialist (moderate): rates for 2 insurance plans BCBS HMO — HMO: $118.57 BCBS HMO BAV — HMO: $66.80
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) In the file: ""99244 Consult OV/OP Moderate - 40mins""	$473	$283.80	$189.20 – $335.83
Office consultation with a specialist (moderate to high): rates for 2 insurance plans BCBS HMO — HMO: $335.83 BCBS HMO BAV — HMO: $189.20
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) In the file: ""99244 Office Consultation, Level 4""	$282	$169.20	$112.80 – $200.22
Office consultation with a specialist (moderate to high): rates for 2 insurance plans BCBS HMO — HMO: $200.22 BCBS HMO BAV — HMO: $112.80
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: ""99283 ER E/M Low MDM""	$400	$240	$160 – $284
Emergency room visit (moderate): rates for 2 insurance plans BCBS HMO — HMO: $284 BCBS HMO BAV — HMO: $160
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: ""99283 ED VISIT E&M PATIENT, LEV 3, REQ MED UNROP HSTRY/EXAM/LOW MDM, CC""	$1,447	$868.20	$578.80 – $1,027.37
Emergency room visit (moderate): rates for 2 insurance plans BCBS HMO — HMO: $1,027.37 BCBS HMO BAV — HMO: $578.80
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ""99283 ER E/M Low MDM""	$400	$240	$808.48 – $1,380
Emergency room visit (moderate): rates for 1 insurance plan United Healthcare Commercial — PPO/HMO: $1,380
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: ""99284 ER E/M Moderate MDM""	$478	$286.80	$191.20 – $339.38
Emergency room visit (moderately high): rates for 2 insurance plans BCBS HMO — HMO: $339.38 BCBS HMO BAV — HMO: $191.20
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: ""99284 ED VISIT E&M PATIENT, LEV 4, REQ MED UNROP HSTRY/EXAM/MODERATE MDM, CC""	$2,273	$1,363.80	$909.20 – $1,613.83
Emergency room visit (moderately high): rates for 2 insurance plans BCBS HMO — HMO: $1,613.83 BCBS HMO BAV — HMO: $909.20
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ""99284 ER E/M Moderate MDM""	$478	$286.80	$1,311.91 – $1,840
Emergency room visit (moderately high): rates for 1 insurance plan United Healthcare Commercial — PPO/HMO: $1,840
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: ""99285 ER E/M High MDM""	$564	$338.40	$225.60 – $400.44
Emergency room visit (high): rates for 2 insurance plans BCBS HMO — HMO: $400.44 BCBS HMO BAV — HMO: $225.60
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: ""99285 ED VISIT E M PATIENT, LEV 5, REQ MED UNROP HSTRY/EXAM/HIGH MDM, CC""	$3,277	$1,966.20	$1,310.80 – $2,326.67
Emergency room visit (high): rates for 2 insurance plans BCBS HMO — HMO: $2,326.67 BCBS HMO BAV — HMO: $1,310.80

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: ""Basic MeUNolic Panel""	$276	$165.60	$110.40 – $195.96
Basic metabolic panel (blood test): rates for 2 insurance plans BCBS HMO — HMO: $195.96 BCBS HMO BAV — HMO: $110.40
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: ""i-Stat Basic MeUNolic Panel""	$276	$165.60	$110.40 – $195.96
Basic metabolic panel (blood test): rates for 2 insurance plans BCBS HMO — HMO: $195.96 BCBS HMO BAV — HMO: $110.40
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: ""iSTAT BMP""	$276	$165.60	$110.40 – $195.96
Basic metabolic panel (blood test): rates for 2 insurance plans BCBS HMO — HMO: $195.96 BCBS HMO BAV — HMO: $110.40
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: ""CMP (14) LC""	$326	$195.60	$130.40 – $231.46
Comprehensive metabolic panel (blood test): rates for 2 insurance plans BCBS HMO — HMO: $231.46 BCBS HMO BAV — HMO: $130.40
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: ""Comprehensive MeUNolic Panel""	$326	$195.60	$130.40 – $231.46
Comprehensive metabolic panel (blood test): rates for 2 insurance plans BCBS HMO — HMO: $231.46 BCBS HMO BAV — HMO: $130.40
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: ""CMP (14) LC""	$326	$195.60	$19.56 – $100
Comprehensive metabolic panel (blood test): rates for 1 insurance plan United Healthcare Commercial — PPO/HMO: $100
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: ""LIPID PROFILE [HGHO]""	$219	$131.40	$87.60 – $155.49
Cholesterol panel (lipid panel): rates for 2 insurance plans BCBS HMO — HMO: $155.49 BCBS HMO BAV — HMO: $87.60
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: ""Lipid Panel""	$219	$131.40	$87.60 – $155.49
Cholesterol panel (lipid panel): rates for 2 insurance plans BCBS HMO — HMO: $155.49 BCBS HMO BAV — HMO: $87.60
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: ""Lipid Pnl LC""	$219	$131.40	$87.60 – $155.49
Cholesterol panel (lipid panel): rates for 2 insurance plans BCBS HMO — HMO: $155.49 BCBS HMO BAV — HMO: $87.60
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: ""Renal Function Panel""	$221	$132.60	$88.40 – $156.91
Kidney function panel: rates for 2 insurance plans BCBS HMO — HMO: $156.91 BCBS HMO BAV — HMO: $88.40
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: ""Renal Function Panel""	$221	$132.60	$16.08 – $100
Kidney function panel: rates for 1 insurance plan United Healthcare Commercial — PPO/HMO: $100
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: ""Hepatic Function Panel""	$235	$141	$94 – $166.85
Liver function panel: rates for 2 insurance plans BCBS HMO — HMO: $166.85 BCBS HMO BAV — HMO: $94
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: ""Hepatic Function Panel""	$235	$141	$15.14 – $100
Liver function panel: rates for 1 insurance plan United Healthcare Commercial — PPO/HMO: $100
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: ""Urinalysis Dipstick Only""	$71	$42.60	$28.40 – $50.41
Urine test (automated, without microscope): rates for 2 insurance plans BCBS HMO — HMO: $50.41 BCBS HMO BAV — HMO: $28.40
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: ""Urinalysis with Culture if Indicated""	$71	$42.60	$28.40 – $50.41
Urine test (automated, without microscope): rates for 2 insurance plans BCBS HMO — HMO: $50.41 BCBS HMO BAV — HMO: $28.40
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: ""pH Urine""	$71	$42.60	$28.40 – $50.41
Urine test (automated, without microscope): rates for 2 insurance plans BCBS HMO — HMO: $50.41 BCBS HMO BAV — HMO: $28.40
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: ""PSA, DIAGNOSTIC [HGHO]""	$216	$129.60	$86.40 – $153.36
PSA (prostate specific antigen) blood test: rates for 2 insurance plans BCBS HMO — HMO: $153.36 BCBS HMO BAV — HMO: $86.40
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: ""PSA Diagnostic""	$216	$129.60	$86.40 – $153.36
PSA (prostate specific antigen) blood test: rates for 2 insurance plans BCBS HMO — HMO: $153.36 BCBS HMO BAV — HMO: $86.40
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: ""PSA Total (Reflex To Free) LC""	$216	$129.60	$86.40 – $153.36
PSA (prostate specific antigen) blood test: rates for 2 insurance plans BCBS HMO — HMO: $153.36 BCBS HMO BAV — HMO: $86.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: ""Thyroid Stimulating Hormone""	$240	$144	$96 – $170.40
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans BCBS HMO — HMO: $170.40 BCBS HMO BAV — HMO: $96
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: ""Thyroid Stimulating Hormone.""	$240	$144	$96 – $170.40
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans BCBS HMO — HMO: $170.40 BCBS HMO BAV — HMO: $96
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: ""Thyroid Stimulating Hormone""	$240	$144	$31.13 – $100
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan United Healthcare Commercial — PPO/HMO: $100
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: ""CBC w/ Differential""	$201	$120.60	$80.40 – $142.71
Complete blood count (CBC) with differential: rates for 2 insurance plans BCBS HMO — HMO: $142.71 BCBS HMO BAV — HMO: $80.40
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: ""CBC w/ Differential""	$201	$120.60	$14.39 – $100
Complete blood count (CBC) with differential: rates for 1 insurance plan United Healthcare Commercial — PPO/HMO: $100
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: ""CBC w/ Manual Differential""	$151	$90.60	$60.40 – $107.21
Complete blood count (CBC), automated: rates for 2 insurance plans BCBS HMO — HMO: $107.21 BCBS HMO BAV — HMO: $60.40
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: ""CBC without Differential""	$151	$90.60	$60.40 – $107.21
Complete blood count (CBC), automated: rates for 2 insurance plans BCBS HMO — HMO: $107.21 BCBS HMO BAV — HMO: $60.40
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: ""CBC w/ Manual Differential""	$151	$90.60	$11.97 – $100
Complete blood count (CBC), automated: rates for 1 insurance plan United Healthcare Commercial — PPO/HMO: $100
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: ""PROTHROMBIN TIME [HGHO]""	$265	$159	$106 – $188.15
Blood clotting time test (prothrombin time, PT): rates for 2 insurance plans BCBS HMO — HMO: $188.15 BCBS HMO BAV — HMO: $106
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: ""PT(INR)""	$265	$159	$106 – $188.15
Blood clotting time test (prothrombin time, PT): rates for 2 insurance plans BCBS HMO — HMO: $188.15 BCBS HMO BAV — HMO: $106
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: ""Prothrombin Time and INR""	$265	$159	$106 – $188.15
Blood clotting time test (prothrombin time, PT): rates for 2 insurance plans BCBS HMO — HMO: $188.15 BCBS HMO BAV — HMO: $106
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: ""PTT [HGHO]""	$278	$166.80	$111.20 – $197.38
Blood clotting test (partial thromboplastin time, PTT): rates for 2 insurance plans BCBS HMO — HMO: $197.38 BCBS HMO BAV — HMO: $111.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: ""PTT, Activated""	$278	$166.80	$111.20 – $197.38
Blood clotting test (partial thromboplastin time, PTT): rates for 2 insurance plans BCBS HMO — HMO: $197.38 BCBS HMO BAV — HMO: $111.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: ""Partial Thromboplastin Time""	$278	$166.80	$111.20 – $197.38
Blood clotting test (partial thromboplastin time, PTT): rates for 2 insurance plans BCBS HMO — HMO: $197.38 BCBS HMO BAV — HMO: $111.20

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 · Inpatient (hospital stay) In the file: ""CT Brain/Head Stroke Protocol""	$1,997	$1,198.20	$798.80 – $1,417.87
CT scan of the head or brain, without contrast: rates for 2 insurance plans BCBS HMO — HMO: $1,417.87 BCBS HMO BAV — HMO: $798.80
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: ""CT Head w/o Contrast""	$1,997	$1,198.20	$798.80 – $1,417.87
CT scan of the head or brain, without contrast: rates for 2 insurance plans BCBS HMO — HMO: $1,417.87 BCBS HMO BAV — HMO: $798.80
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: ""MRI Brain and IAC w/ + w/o Contrast""	$4,401	$2,640.60	$1,760.40 – $3,124.71
MRI of the brain, before and after contrast: rates for 2 insurance plans BCBS HMO — HMO: $3,124.71 BCBS HMO BAV — HMO: $1,760.40
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: ""MRI Brain w/ + w/o Contrast""	$4,401	$2,640.60	$1,760.40 – $3,124.71
MRI of the brain, before and after contrast: rates for 2 insurance plans BCBS HMO — HMO: $3,124.71 BCBS HMO BAV — HMO: $1,760.40
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: ""MRI Brain w/ Pituitary w/ + w/o Contrast""	$4,401	$2,640.60	$1,760.40 – $3,124.71
MRI of the brain, before and after contrast: rates for 2 insurance plans BCBS HMO — HMO: $3,124.71 BCBS HMO BAV — HMO: $1,760.40
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: ""XR Chest 2 Views""	$441	$264.60	$176.40 – $313.11
Chest X-ray, 2 views: rates for 2 insurance plans BCBS HMO — HMO: $313.11 BCBS HMO BAV — HMO: $176.40
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: ""XR Spine Lumbosacral 4plus Views - Report""	$50	$30	$20 – $35.50
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans BCBS HMO — HMO: $35.50 BCBS HMO BAV — HMO: $20
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: ""XR Spine Lumbosacral 4plus Views""	$974	$584.40	$389.60 – $691.54
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans BCBS HMO — HMO: $691.54 BCBS HMO BAV — HMO: $389.60
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: ""MRI Spine Lumbar w/o Contrast""	$3,208	$1,924.80	$1,283.20 – $2,277.68
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans BCBS HMO — HMO: $2,277.68 BCBS HMO BAV — HMO: $1,283.20
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: ""CT Pelvis w/ Contrast""	$2,200	$1,320	$880 – $1,562
CT scan of the pelvis, with contrast: rates for 2 insurance plans BCBS HMO — HMO: $1,562 BCBS HMO BAV — HMO: $880
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: ""MRI Ankle w/o Contrast Left""	$3,155	$1,893	$1,262 – $2,240.05
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans BCBS HMO — HMO: $2,240.05 BCBS HMO BAV — HMO: $1,262
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: ""MRI Ankle w/o Contrast Right""	$3,155	$1,893	$1,262 – $2,240.05
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans BCBS HMO — HMO: $2,240.05 BCBS HMO BAV — HMO: $1,262
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: ""MRI Hip w/o Contrast Left""	$3,155	$1,893	$1,262 – $2,240.05
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans BCBS HMO — HMO: $2,240.05 BCBS HMO BAV — HMO: $1,262
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: ""CT Abdomen and Pelvis w/ Contrast""	$4,047	$2,428.20	$1,618.80 – $2,873.37
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans BCBS HMO — HMO: $2,873.37 BCBS HMO BAV — HMO: $1,618.80
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: ""CT Abdomen and Pelvis w/ Contrast No PO""	$4,047	$2,428.20	$1,618.80 – $2,873.37
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans BCBS HMO — HMO: $2,873.37 BCBS HMO BAV — HMO: $1,618.80
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: ""CT Venogram Abdomen and Pelvis""	$4,047	$2,428.20	$1,618.80 – $2,873.37
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans BCBS HMO — HMO: $2,873.37 BCBS HMO BAV — HMO: $1,618.80
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: ""US Abdomen Complete""	$1,194	$716.40	$477.60 – $847.74
Ultrasound of the abdomen, complete: rates for 2 insurance plans BCBS HMO — HMO: $847.74 BCBS HMO BAV — HMO: $477.60
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: ""US OB > 14 Weeks Limited""	$818	$490.80	$327.20 – $580.78
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans BCBS HMO — HMO: $580.78 BCBS HMO BAV — HMO: $327.20
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: ""US OB Comp 2nd Trimester Survey""	$818	$490.80	$327.20 – $580.78
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans BCBS HMO — HMO: $580.78 BCBS HMO BAV — HMO: $327.20
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: ""US OB Greater Than 14 Weeks""	$818	$490.80	$327.20 – $580.78
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans BCBS HMO — HMO: $580.78 BCBS HMO BAV — HMO: $327.20
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: ""US Transvaginal Non-OB""	$858	$514.80	$343.20 – $609.18
Transvaginal ultrasound: rates for 2 insurance plans BCBS HMO — HMO: $609.18 BCBS HMO BAV — HMO: $343.20
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) In the file: ""DX Mammo w/CAD LT [HGHO]""	$586	$351.60	$234.40 – $416.06
Diagnostic mammogram, one breast: rates for 2 insurance plans BCBS HMO — HMO: $416.06 BCBS HMO BAV — HMO: $234.40
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) In the file: ""DX Mammo w/CAD RT [HGHO]""	$586	$351.60	$234.40 – $416.06
Diagnostic mammogram, one breast: rates for 2 insurance plans BCBS HMO — HMO: $416.06 BCBS HMO BAV — HMO: $234.40
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) In the file: ""MG Mammo Diagnostic Left""	$586	$351.60	$234.40 – $416.06
Diagnostic mammogram, one breast: rates for 2 insurance plans BCBS HMO — HMO: $416.06 BCBS HMO BAV — HMO: $234.40
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: ""DX Mammo w/CAD Bilat [HGHO]""	$586	$351.60	$234.40 – $416.06
Diagnostic mammogram, both breasts: rates for 2 insurance plans BCBS HMO — HMO: $416.06 BCBS HMO BAV — HMO: $234.40
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: ""MG Mammo Diagnostic Bilateral""	$586	$351.60	$234.40 – $416.06
Diagnostic mammogram, both breasts: rates for 2 insurance plans BCBS HMO — HMO: $416.06 BCBS HMO BAV — HMO: $234.40
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: ""Screening Mammo Bilat [HGHO]""	$541	$324.60	$216.40 – $384.11
Screening mammogram, both breasts: rates for 2 insurance plans BCBS HMO — HMO: $384.11 BCBS HMO BAV — HMO: $216.40
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: ""Screening Reduced LT [HGHO]""	$405	$243	$162 – $287.55
Screening mammogram, both breasts: rates for 2 insurance plans BCBS HMO — HMO: $287.55 BCBS HMO BAV — HMO: $162
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: ""Screening Reduced RT [HGHO]""	$405	$243	$162 – $287.55
Screening mammogram, both breasts: rates for 2 insurance plans BCBS HMO — HMO: $287.55 BCBS HMO BAV — HMO: $162

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: ""RT Polysomnography CHARGE""	$4,460	$2,676	$1,784 – $3,166.60
Sleep study (overnight, in a sleep lab): rates for 2 insurance plans BCBS HMO — HMO: $3,166.60 BCBS HMO BAV — HMO: $1,784
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: ""RT Polysomnography CHARGE""	$4,460	$2,676	$450 – $769.28
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan United Healthcare Commercial — PPO/HMO: $450

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: ""PT Therapeutic Exercise Assit Units""	$190	$114	$76 – $134.90
Physical therapy: therapeutic exercise (each 15 minutes): rates for 2 insurance plans BCBS HMO — HMO: $134.90 BCBS HMO BAV — HMO: $76
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: ""PT Therapeutic Exercise Units""	$190	$114	$76 – $134.90
Physical therapy: therapeutic exercise (each 15 minutes): rates for 2 insurance plans BCBS HMO — HMO: $134.90 BCBS HMO BAV — HMO: $76
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: ""Therapeutic Exercise Charges""	$190	$114	$76 – $134.90
Physical therapy: therapeutic exercise (each 15 minutes): rates for 2 insurance plans BCBS HMO — HMO: $134.90 BCBS HMO BAV — HMO: $76
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: ""PT Evaluation Units, Low Complexity""	$339	$203.40	$135.60 – $240.69
Physical therapy evaluation (low complexity): rates for 2 insurance plans BCBS HMO — HMO: $240.69 BCBS HMO BAV — HMO: $135.60
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: ""PT Low Complex Units""	$339	$203.40	$135.60 – $240.69
Physical therapy evaluation (low complexity): rates for 2 insurance plans BCBS HMO — HMO: $240.69 BCBS HMO BAV — HMO: $135.60
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: ""PT Evaluation Units, Low Complexity""	$339	$203.40	$125 – $128.13
Physical therapy evaluation (low complexity): rates for 1 insurance plan United Healthcare Commercial — PPO/HMO: $125
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: ""PT Evaluation Units, Moderate Complexity""	$339	$203.40	$135.60 – $240.69
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans BCBS HMO — HMO: $240.69 BCBS HMO BAV — HMO: $135.60
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: ""PT Moderate Complex Units""	$339	$203.40	$135.60 – $240.69
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans BCBS HMO — HMO: $240.69 BCBS HMO BAV — HMO: $135.60
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: ""PT Evaluation Units, Moderate Complexity""	$339	$203.40	$125 – $128.13
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan United Healthcare Commercial — PPO/HMO: $125
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: ""PT Evaluation Units, High Complexity""	$339	$203.40	$135.60 – $240.69
Physical therapy evaluation (high complexity): rates for 2 insurance plans BCBS HMO — HMO: $240.69 BCBS HMO BAV — HMO: $135.60
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: ""PT High Complex Units""	$339	$203.40	$135.60 – $240.69
Physical therapy evaluation (high complexity): rates for 2 insurance plans BCBS HMO — HMO: $240.69 BCBS HMO BAV — HMO: $135.60
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: ""PT Evaluation Units, High Complexity""	$339	$203.40	$125 – $128.13
Physical therapy evaluation (high complexity): rates for 1 insurance plan United Healthcare Commercial — PPO/HMO: $125

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) In the file: ""19120 EX CYST BREAST [HGHO]""	$1,250	$750	$500 – $887.50
Removal of breast growth (open surgery): rates for 2 insurance plans BCBS HMO — HMO: $887.50 BCBS HMO BAV — HMO: $500
Total knee replacement CPT 27447 · Inpatient (hospital stay) In the file: ""Total Knee Arthroplasty""	$4,356	$2,613.60	$1,742.40 – $3,092.76
Total knee replacement: rates for 2 insurance plans BCBS HMO — HMO: $3,092.76 BCBS HMO BAV — HMO: $1,742.40
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) In the file: ""29826 SHOULDERARTHROSCOPY/ [HGHO]""	$3,002	$1,801.20	$1,200.80 – $2,131.42
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans BCBS HMO — HMO: $2,131.42 BCBS HMO BAV — HMO: $1,200.80
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) In the file: ""29881 KNEE ARTHRO/MENIS [HGHO]""	$3,057	$1,834.20	$1,222.80 – $2,170.47
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 2 insurance plans BCBS HMO — HMO: $2,170.47 BCBS HMO BAV — HMO: $1,222.80
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) In the file: ""42820 T & A UNDER AGE 12 [HGHO]""	$1,051	$630.60	$420.40 – $746.21
Removal of tonsils and adenoids (under age 12): rates for 2 insurance plans BCBS HMO — HMO: $746.21 BCBS HMO BAV — HMO: $420.40
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: ""Esophagogastroduodenoscopy (EGD)""	$907	$544.20	$362.80 – $643.97
Upper GI endoscopy (diagnostic): rates for 2 insurance plans BCBS HMO — HMO: $643.97 BCBS HMO BAV — HMO: $362.80
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: ""Esophagogastroduodenoscopy""	$4,071	$2,442.60	$1,628.40 – $2,890.41
Upper GI endoscopy (diagnostic): rates for 2 insurance plans BCBS HMO — HMO: $2,890.41 BCBS HMO BAV — HMO: $1,628.40
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: ""43235 Esophagogastroduodenoscopy, flexible, transoral; diagnostic, collection of specimen brsh/floss""	$907	$544.20	$362.80 – $643.97
Upper GI endoscopy (diagnostic): rates for 2 insurance plans BCBS HMO — HMO: $643.97 BCBS HMO BAV — HMO: $362.80
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: ""Esophagogastroduodenoscopy Biopsy""	$1,126	$675.60	$450.40 – $799.46
Upper GI endoscopy with biopsy: rates for 2 insurance plans BCBS HMO — HMO: $799.46 BCBS HMO BAV — HMO: $450.40
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: ""43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple""	$1,126	$675.60	$450.40 – $799.46
Upper GI endoscopy with biopsy: rates for 2 insurance plans BCBS HMO — HMO: $799.46 BCBS HMO BAV — HMO: $450.40
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: ""Colonoscopy""	$595	$357	$238 – $422.45
Colonoscopy (diagnostic): rates for 2 insurance plans BCBS HMO — HMO: $422.45 BCBS HMO BAV — HMO: $238
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: ""45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing""	$595	$357	$238 – $422.45
Colonoscopy (diagnostic): rates for 2 insurance plans BCBS HMO — HMO: $422.45 BCBS HMO BAV — HMO: $238
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: ""Colonoscopy Biopsy""	$684	$410.40	$273.60 – $485.64
Colonoscopy with biopsy: rates for 2 insurance plans BCBS HMO — HMO: $485.64 BCBS HMO BAV — HMO: $273.60
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) In the file: ""Colonoscopy with Polypectomy""	$911	$546.60	$364.40 – $646.81
Colonoscopy with removal of polyps (snare): rates for 2 insurance plans BCBS HMO — HMO: $646.81 BCBS HMO BAV — HMO: $364.40
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) In the file: ""45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare techniq""	$911	$546.60	$364.40 – $646.81
Colonoscopy with removal of polyps (snare): rates for 2 insurance plans BCBS HMO — HMO: $646.81 BCBS HMO BAV — HMO: $364.40
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) In the file: ""G0121 COLON CANCER SCREEN [HGHO]""	$1,002	$601.20	$400.80 – $711.42
Screening colonoscopy (not high risk): rates for 2 insurance plans BCBS HMO — HMO: $711.42 BCBS HMO BAV — HMO: $400.80
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) In the file: ""G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk""	$1,002	$601.20	$400.80 – $711.42
Screening colonoscopy (not high risk): rates for 2 insurance plans BCBS HMO — HMO: $711.42 BCBS HMO BAV — HMO: $400.80
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) In the file: ""Cholecystectomy Laparoscopy""	$3,392	$2,035.20	$1,356.80 – $2,408.32
Gallbladder removal by laparoscope: rates for 2 insurance plans BCBS HMO — HMO: $2,408.32 BCBS HMO BAV — HMO: $1,356.80
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) In the file: ""Cholecystectomy Laparoscopy with Cholangiogram""	$3,392	$2,035.20	$1,356.80 – $2,408.32
Gallbladder removal by laparoscope: rates for 2 insurance plans BCBS HMO — HMO: $2,408.32 BCBS HMO BAV — HMO: $1,356.80
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) In the file: ""47562 Laparoscopy, surgical; cholecystectomy""	$3,392	$2,035.20	$1,356.80 – $2,408.32
Gallbladder removal by laparoscope: rates for 2 insurance plans BCBS HMO — HMO: $2,408.32 BCBS HMO BAV — HMO: $1,356.80
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) In the file: ""49505 INGHERNIAREPAIR5&OVE [HGHO]""	$1,716	$1,029.60	$686.40 – $1,218.36
Groin (inguinal) hernia repair, age 5 or older: rates for 2 insurance plans BCBS HMO — HMO: $1,218.36 BCBS HMO BAV — HMO: $686.40
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) In the file: ""49505 INGHERNIAREPAIR5&OVER, BILATERAL [HGHO]""	$2,574	$1,544.40	$1,029.60 – $1,827.54
Groin (inguinal) hernia repair, age 5 or older: rates for 2 insurance plans BCBS HMO — HMO: $1,827.54 BCBS HMO BAV — HMO: $1,029.60
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: ""62323 INJ DIAGNOSTIC THERA [HGHO]""	$376	$225.60	$150.40 – $266.96
Spinal injection, lower back (epidural), with imaging guidance: rates for 2 insurance plans BCBS HMO — HMO: $266.96 BCBS HMO BAV — HMO: $150.40
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: ""Epidural Steriod Injection""	$4,431	$2,658.60	$1,772.40 – $3,146.01
Nerve root injection, lower back, with imaging guidance: rates for 2 insurance plans BCBS HMO — HMO: $3,146.01 BCBS HMO BAV — HMO: $1,772.40
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: ""Injection Steroid Epidural""	$4,431	$2,658.60	$1,772.40 – $3,146.01
Nerve root injection, lower back, with imaging guidance: rates for 2 insurance plans BCBS HMO — HMO: $3,146.01 BCBS HMO BAV — HMO: $1,772.40
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: ""Transforaminal Epidural Steroid Injection""	$4,431	$2,658.60	$1,772.40 – $3,146.01
Nerve root injection, lower back, with imaging guidance: rates for 2 insurance plans BCBS HMO — HMO: $3,146.01 BCBS HMO BAV — HMO: $1,772.40
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) In the file: ""Carpal Tunnel Release""	$1,956	$1,173.60	$782.40 – $1,388.76
Carpal tunnel release: rates for 2 insurance plans BCBS HMO — HMO: $1,388.76 BCBS HMO BAV — HMO: $782.40
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) In the file: ""YAG Laser Procedure""	$2,928	$1,756.80	$1,171.20 – $2,078.88
Laser treatment of clouding after cataract surgery: rates for 2 insurance plans BCBS HMO — HMO: $2,078.88 BCBS HMO BAV — HMO: $1,171.20
Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) In the file: ""Cataract""	$1,883	$1,129.80	$753.20 – $1,336.93
Cataract removal with lens implant: rates for 2 insurance plans BCBS HMO — HMO: $1,336.93 BCBS HMO BAV — HMO: $753.20
Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) In the file: ""Cataract Extraction with IOL""	$1,883	$1,129.80	$753.20 – $1,336.93
Cataract removal with lens implant: rates for 2 insurance plans BCBS HMO — HMO: $1,336.93 BCBS HMO BAV — HMO: $753.20
Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) In the file: ""Cataract Phacoemulsification with Intraocular Lens Implantation""	$1,883	$1,129.80	$753.20 – $1,336.93
Cataract removal with lens implant: rates for 2 insurance plans BCBS HMO — HMO: $1,336.93 BCBS HMO BAV — HMO: $753.20

Source: Hamilton General Hospital’s standard charges file (hamiltonhospital.slicedhealth.io, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 25, 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	400 N Brown, Building 1, Hamilton, TX 76531
County	Hamilton County
State	Texas
Phone	(254) 386‑3151
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	Not rated by CMS
CMS Certification Number	451392
Name in Medicare records	HAMILTON GENERAL HOSPITAL
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(254) 386‑1600^[4]
Name on the hospital’s website	Hamilton General Hospital (Hamilton Healthcare System)
Official website	hamiltonhospital.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.

Hamilton Healthcare System (Hamilton General Hospital) — hamiltonhospital.org
Services — hamiltonhospital.org
About Us — hamiltonhospital.org
Outpatient Services - Hamilton Healthcare System — hamiltonhospital.org
Surgery - Hamilton Healthcare System — hamiltonhospital.org
Patient Services - Hamilton Healthcare System — hamiltonhospital.org
Patient & Visitor Information - Hamilton Healthcare System — hamiltonhospital.org
Heart Failure Program - Hamilton Healthcare System — hamiltonhospital.org
Emergency - Hamilton Healthcare System — hamiltonhospital.org
Social Services - Hamilton Healthcare System — hamiltonhospital.org
Assistance Programs - Hamilton Healthcare System — hamiltonhospital.org

Hamilton General Hospital

Summary

Profile from official sources

At a glance