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Acute Care Hospital

Hendrick Medical Center

Abilene, Texas · Taylor County · Emergency services listed

Hendrick Medical Center is an acute care hospital at 1900 Pine, Abilene, TX 79601. Phone: (325) 670-2000. It has an emergency department. Medicare overall rating: 3 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Hendrick Medical Center is an acute care hospital in Abilene, Texas. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 17 services, specialties and programs. Medicare lists 709 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

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

Compare

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
17Services listed

Quick answers

Does Hendrick Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Hendrick Medical Center. In a medical emergency, call 911.
Where is Hendrick Medical Center?
1900 Pine, Abilene, TX 79601, in Taylor County, Texas.
What is the phone number of Hendrick Medical Center?
(325) 670-2000, as listed by Medicare (CMS).
What is the Medicare star rating of Hendrick Medical Center?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Hendrick Medical Center for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Hendrick Medical Center under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.2106; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4]

Treatments[4]

  • Stroke care
  • Mako Robotic-Arm-Assisted Surgery

Procedures[4]

  • Mako robotic-arm-assisted surgery
  • Radiology and diagnostic imaging
  • Laboratory
  • Surgical Services

Programs and centers[4]

  • Intensive care unit
  • Inpatient acute care
  • Emergency Services
  • ICU
  • Stroke Care

Emergency care (hospital website)[4]

Emergency roomYes

Visiting and practical information

VisitingVisiting hours 6 a.m. to 10 p.m[4]
Patient portalPatient Portal

Recognition[5]

  • Joint Commission Gold Seal of Approval for Acute Myocardial Infarction
  • AACVPR certification of Pulmonary Rehabilitation program

Doctors and clinicians (709)

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

Main specialties

Doctors with a page on this site (709)

And 685 more: the button below opens the full list.

Other emergency rooms nearby

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

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Abilene

All hospitals in Abilene · Hospitals in Taylor County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 2 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment2 of 5 stars
Care Coordination2 of 5 stars
Symptoms After Stay2 of 5 stars
Rated the hospital 9 or 10 out of 1058%National average: 72%
Would definitely recommend the hospital59%National average: 71%
Nurses “always” communicated well70%National average: 80%
Doctors “always” communicated well74%National average: 80%
“Always” got help as soon as they wanted56%National average: 64%
Staff “always” explained medicines before giving them51%National average: 62%
Were given information about recovery at home86%National average: 86%
Room and bathroom “always” clean62%National average: 73%
Completed surveys364Response rate: 17%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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)1.364No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)1.002No different from the national benchmark
Surgical site infections after colon surgery1.832No different from the national benchmark
MRSA bloodstream infections0.417No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.417Better than the national benchmark
Not reported to MedicareSurgical site infections after abdominal hysterectomy

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 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 patients12.7%
Deaths within 30 days: heart failure patients13%
Deaths within 30 days: pneumonia patients18.7%
Deaths within 30 days: COPD patients8.5%
Deaths within 30 days: stroke patients11.9%
Deaths within 30 days: coronary bypass surgery (CABG)3.2%
Serious complications (patient safety indicator PSI-90)1.1No different from the national rate
Complications after hip or knee replacement4.6%

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)15.9%
Readmitted within 30 days: heart attack14.1%
Readmitted within 30 days: heart failure19.9%
Readmitted within 30 days: pneumonia16.5%
Readmitted within 30 days: COPD19.4%
Readmitted within 30 days: coronary bypass surgery12.2%
Readmitted within 30 days: hip or knee replacement5.9%

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)127 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)60%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Hendrick Medical Center, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score0.2106Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack1.0354More readmissions than expected
Heart failure0.9470Fewer readmissions than expected
Pneumonia0.8875Fewer readmissions than expected
COPD (chronic lung disease)0.9377Fewer readmissions than expected
Hip or knee replacement1.0014More readmissions than expected
Coronary bypass surgery (CABG)0.9420Fewer readmissions than expected

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score17.33 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)0.00 out of 100
Person and community engagement (patient survey)41.00 out of 100
Safety (infections and sepsis care)28.33 out of 100
Efficiency and cost reduction (Medicare spending)0.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio1.10Above the national median hospital (1.00): Medicare spent more

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 72 common services exactly as Hendrick Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Show the prices of 72 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY EVAL LEVEL 3 [SANE] $293.51 $146.76 $83.06 – $1,267
Emergency room visit (moderate): 10 of 13 insurance plan rates
  • Aetna — Commercial: $184.91
  • Baylor Scott and White Health Plan — Commercial: $83.06
  • Blue Cross Blue Shield of Texas — HMO: $1,141
  • Blue Cross Blue Shield of Texas — Marketplace: $1,078
  • Blue Cross Blue Shield of Texas — PPO: $1,267
  • Blue Cross Blue Shield of Texas — Traditional: $123.27
  • Cigna — Commercial: $1,155
  • Healthsmart — Commercial: $220.13
  • MultiPlan — Commercial: $261.22
  • Omni Networks — Commercial: $249.48
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E/M 3 TRAUMA EVALUATION W/O PREHOSP NOTIFY [HMCS/HMCB] $8,072.02 $4,036.01 $1,078 – $7,184.10
Emergency room visit (moderate): 10 of 13 insurance plan rates
  • Aetna — Commercial: $5,085.37
  • Baylor Scott and White Health Plan — Commercial: $2,284.38
  • Blue Cross Blue Shield of Texas — HMO: $1,141
  • Blue Cross Blue Shield of Texas — Marketplace: $1,078
  • Blue Cross Blue Shield of Texas — PPO: $1,267
  • Blue Cross Blue Shield of Texas — Traditional: $3,390.25
  • Cigna — Commercial: $1,155
  • Healthsmart — Commercial: $6,054.02
  • MultiPlan — Commercial: $7,184.10
  • Omni Networks — Commercial: $6,861.22
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY EVAL LEVEL 3 [OBED] $2,204.91 $1,102.46 $623.99 – $1,962.37
Emergency room visit (moderate): 10 of 13 insurance plan rates
  • Aetna — Commercial: $1,389.09
  • Baylor Scott and White Health Plan — Commercial: $623.99
  • Blue Cross Blue Shield of Texas — HMO: $1,141
  • Blue Cross Blue Shield of Texas — Marketplace: $1,078
  • Blue Cross Blue Shield of Texas — PPO: $1,267
  • Blue Cross Blue Shield of Texas — Traditional: $926.06
  • Cigna — Commercial: $1,155
  • Healthsmart — Commercial: $1,653.68
  • MultiPlan — Commercial: $1,962.37
  • Omni Networks — Commercial: $1,874.17
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY EVAL LEVEL 4 [SED] $4,389.21 $2,194.61 $1,242.15 – $3,906.40
Emergency room visit (moderately high): 10 of 13 insurance plan rates
  • Aetna — Commercial: $2,765.20
  • Baylor Scott and White Health Plan — Commercial: $1,242.15
  • Blue Cross Blue Shield of Texas — HMO: $2,240
  • Blue Cross Blue Shield of Texas — Marketplace: $2,120
  • Blue Cross Blue Shield of Texas — PPO: $2,480
  • Blue Cross Blue Shield of Texas — Traditional: $1,843.47
  • Cigna — Commercial: $2,310
  • Healthsmart — Commercial: $3,291.91
  • MultiPlan — Commercial: $3,906.40
  • Omni Networks — Commercial: $3,730.83
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E/M 4 TRAUMA PARTIAL TEAM W/O PREHOSPITAL NOTIFY [HMCN] $21,885.21 $10,942.61 $2,120 – $19,477.84
Emergency room visit (moderately high): 10 of 13 insurance plan rates
  • Aetna — Commercial: $13,787.68
  • Baylor Scott and White Health Plan — Commercial: $6,193.51
  • Blue Cross Blue Shield of Texas — HMO: $2,240
  • Blue Cross Blue Shield of Texas — Marketplace: $2,120
  • Blue Cross Blue Shield of Texas — PPO: $2,480
  • Blue Cross Blue Shield of Texas — Traditional: $9,191.79
  • Cigna — Commercial: $2,310
  • Healthsmart — Commercial: $16,413.91
  • MultiPlan — Commercial: $19,477.84
  • Omni Networks — Commercial: $18,602.43
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E/M 4 TRAUMA FULL TEAM W/O PREHOSPITAL NOTIFY [HMCN] $27,717.21 $13,858.61 $2,120 – $24,668.32
Emergency room visit (moderately high): 10 of 13 insurance plan rates
  • Aetna — Commercial: $17,461.84
  • Baylor Scott and White Health Plan — Commercial: $7,843.97
  • Blue Cross Blue Shield of Texas — HMO: $2,240
  • Blue Cross Blue Shield of Texas — Marketplace: $2,120
  • Blue Cross Blue Shield of Texas — PPO: $2,480
  • Blue Cross Blue Shield of Texas — Traditional: $11,641.23
  • Cigna — Commercial: $2,310
  • Healthsmart — Commercial: $20,787.91
  • MultiPlan — Commercial: $24,668.32
  • Omni Networks — Commercial: $23,559.63
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY EVAL LEVEL 5 [SANE] $293.51 $146.76 $83.06 – $5,000
Emergency room visit (high): 10 of 13 insurance plan rates
  • Aetna — Commercial: $184.91
  • Baylor Scott and White Health Plan — Commercial: $83.06
  • Blue Cross Blue Shield of Texas — HMO: $4,520
  • Blue Cross Blue Shield of Texas — Marketplace: $4,280
  • Blue Cross Blue Shield of Texas — PPO: $5,000
  • Blue Cross Blue Shield of Texas — Traditional: $123.27
  • Cigna — Commercial: $3,990
  • Healthsmart — Commercial: $220.13
  • MultiPlan — Commercial: $261.22
  • Omni Networks — Commercial: $249.48
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E/M 5 TRAUMA FULL TEAM W/O PREHOSP NOTIFY [HMCS/HMCB] $26,986.19 $13,493.10 $3,990 – $24,017.71
Emergency room visit (high): 10 of 13 insurance plan rates
  • Aetna — Commercial: $17,001.30
  • Baylor Scott and White Health Plan — Commercial: $7,637.09
  • Blue Cross Blue Shield of Texas — HMO: $4,520
  • Blue Cross Blue Shield of Texas — Marketplace: $4,280
  • Blue Cross Blue Shield of Texas — PPO: $5,000
  • Blue Cross Blue Shield of Texas — Traditional: $11,334.20
  • Cigna — Commercial: $3,990
  • Healthsmart — Commercial: $20,239.64
  • MultiPlan — Commercial: $24,017.71
  • Omni Networks — Commercial: $22,938.26
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY EVAL LEVEL 5 [SED] $9,604.66 $4,802.33 $2,718.12 – $8,548.15
Emergency room visit (high): 10 of 13 insurance plan rates
  • Aetna — Commercial: $6,050.94
  • Baylor Scott and White Health Plan — Commercial: $2,718.12
  • Blue Cross Blue Shield of Texas — HMO: $4,520
  • Blue Cross Blue Shield of Texas — Marketplace: $4,280
  • Blue Cross Blue Shield of Texas — PPO: $5,000
  • Blue Cross Blue Shield of Texas — Traditional: $4,033.96
  • Cigna — Commercial: $3,990
  • Healthsmart — Commercial: $7,203.50
  • MultiPlan — Commercial: $8,548.15
  • Omni Networks — Commercial: $8,163.96

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL.. $593.59 $296.80 $12.17 – $528.30
Basic metabolic panel (blood test): 10 of 16 insurance plan rates
  • Aetna — Commercial: $373.96
  • Baylor Scott and White Health Plan — Commercial: $167.99
  • Blue Cross Blue Shield of Texas — HMO: $33.08
  • Blue Cross Blue Shield of Texas — Marketplace: $31.30
  • Blue Cross Blue Shield of Texas — PPO: $36.80
  • Blue Cross Blue Shield of Texas — Traditional: $249.31
  • Cigna — Commercial: $356.15
  • FirstCare Star — Managed Medicaid: $12.17
  • Healthsmart — Commercial: $445.19
  • MultiPlan — Commercial: $528.30
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL.. $593.59 $296.80 $106.85 – $528.30
Basic metabolic panel (blood test): 10 of 11 insurance plan rates
  • Aetna — Commercial: $373.96
  • Baylor Scott and White Health Plan — Commercial: $167.99
  • Blue Cross Blue Shield of Texas — HMO: $118.72
  • Blue Cross Blue Shield of Texas — Marketplace: $106.85
  • Blue Cross Blue Shield of Texas — PPO: $124.65
  • Blue Cross Blue Shield of Texas — Traditional: $249.31
  • MultiPlan — Commercial: $528.30
  • Omni Networks — Commercial: $445.19
  • Private Healthcare Systems — Commercial: $385.83
  • UMR Hendrick Employee Plan — Commercial: $326.47
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRHENSIVE METABOLIC PROFILE (ALEXANDER) [] $808.33 $404.17 $15.18 – $719.41
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates
  • Aetna — Commercial: $509.25
  • Baylor Scott and White Health Plan — Commercial: $228.76
  • Blue Cross Blue Shield of Texas — HMO: $41.29
  • Blue Cross Blue Shield of Texas — Marketplace: $39.07
  • Blue Cross Blue Shield of Texas — PPO: $45.94
  • Blue Cross Blue Shield of Texas — Traditional: $339.50
  • Cigna — Commercial: $485
  • FirstCare Star — Managed Medicaid: $15.18
  • Healthsmart — Commercial: $606.25
  • MultiPlan — Commercial: $719.41
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL COMPREHENSIVE.. $808.33 $404.17 $15.18 – $719.41
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates
  • Aetna — Commercial: $509.25
  • Baylor Scott and White Health Plan — Commercial: $228.76
  • Blue Cross Blue Shield of Texas — HMO: $41.29
  • Blue Cross Blue Shield of Texas — Marketplace: $39.07
  • Blue Cross Blue Shield of Texas — PPO: $45.94
  • Blue Cross Blue Shield of Texas — Traditional: $339.50
  • Cigna — Commercial: $485
  • FirstCare Star — Managed Medicaid: $15.18
  • Healthsmart — Commercial: $606.25
  • MultiPlan — Commercial: $719.41
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PROFILE. [] $808.33 $404.17 $15.18 – $719.41
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates
  • Aetna — Commercial: $509.25
  • Baylor Scott and White Health Plan — Commercial: $228.76
  • Blue Cross Blue Shield of Texas — HMO: $41.29
  • Blue Cross Blue Shield of Texas — Marketplace: $39.07
  • Blue Cross Blue Shield of Texas — PPO: $45.94
  • Blue Cross Blue Shield of Texas — Traditional: $339.50
  • Cigna — Commercial: $485
  • FirstCare Star — Managed Medicaid: $15.18
  • Healthsmart — Commercial: $606.25
  • MultiPlan — Commercial: $719.41
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL $301.08 $150.54 $85.21 – $267.96
Obstetric blood test panel: 10 of 13 insurance plan rates
  • Aetna — Commercial: $189.68
  • Baylor Scott and White Health Plan — Commercial: $85.21
  • Blue Cross Blue Shield of Texas — HMO: $186.94
  • Blue Cross Blue Shield of Texas — Marketplace: $176.90
  • Blue Cross Blue Shield of Texas — PPO: $207.97
  • Blue Cross Blue Shield of Texas — Traditional: $126.45
  • Cigna — Commercial: $180.65
  • Healthsmart — Commercial: $225.81
  • MultiPlan — Commercial: $267.96
  • Omni Networks — Commercial: $255.92
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL $301.08 $150.54 $54.19 – $267.96
Obstetric blood test panel: 10 of 11 insurance plan rates
  • Aetna — Commercial: $189.68
  • Baylor Scott and White Health Plan — Commercial: $85.21
  • Blue Cross Blue Shield of Texas — HMO: $60.22
  • Blue Cross Blue Shield of Texas — Marketplace: $54.19
  • Blue Cross Blue Shield of Texas — PPO: $63.23
  • Blue Cross Blue Shield of Texas — Traditional: $126.45
  • MultiPlan — Commercial: $267.96
  • Omni Networks — Commercial: $225.81
  • Private Healthcare Systems — Commercial: $195.70
  • UMR Hendrick Employee Plan — Commercial: $165.59
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE $532.19 $266.10 $19.27 – $473.65
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates
  • Aetna — Commercial: $335.28
  • Baylor Scott and White Health Plan — Commercial: $150.61
  • Blue Cross Blue Shield of Texas — HMO: $52.35
  • Blue Cross Blue Shield of Texas — Marketplace: $49.54
  • Blue Cross Blue Shield of Texas — PPO: $58.25
  • Blue Cross Blue Shield of Texas — Traditional: $223.52
  • Cigna — Commercial: $319.31
  • FirstCare Star — Managed Medicaid: $19.27
  • Healthsmart — Commercial: $399.14
  • MultiPlan — Commercial: $473.65
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE** [] $532.19 $266.10 $19.27 – $473.65
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates
  • Aetna — Commercial: $335.28
  • Baylor Scott and White Health Plan — Commercial: $150.61
  • Blue Cross Blue Shield of Texas — HMO: $52.35
  • Blue Cross Blue Shield of Texas — Marketplace: $49.54
  • Blue Cross Blue Shield of Texas — PPO: $58.25
  • Blue Cross Blue Shield of Texas — Traditional: $223.52
  • Cigna — Commercial: $319.31
  • FirstCare Star — Managed Medicaid: $19.27
  • Healthsmart — Commercial: $399.14
  • MultiPlan — Commercial: $473.65
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE (ALEXANDER) [] $532.19 $266.10 $19.27 – $473.65
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates
  • Aetna — Commercial: $335.28
  • Baylor Scott and White Health Plan — Commercial: $150.61
  • Blue Cross Blue Shield of Texas — HMO: $52.35
  • Blue Cross Blue Shield of Texas — Marketplace: $49.54
  • Blue Cross Blue Shield of Texas — PPO: $58.25
  • Blue Cross Blue Shield of Texas — Traditional: $223.52
  • Cigna — Commercial: $319.31
  • FirstCare Star — Managed Medicaid: $19.27
  • Healthsmart — Commercial: $399.14
  • MultiPlan — Commercial: $473.65
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $634.09 $317.05 $12.48 – $564.34
Kidney function panel: 10 of 16 insurance plan rates
  • Aetna — Commercial: $399.48
  • Baylor Scott and White Health Plan — Commercial: $179.45
  • Blue Cross Blue Shield of Texas — HMO: $33.94
  • Blue Cross Blue Shield of Texas — Marketplace: $32.12
  • Blue Cross Blue Shield of Texas — PPO: $37.76
  • Blue Cross Blue Shield of Texas — Traditional: $266.32
  • Cigna — Commercial: $380.45
  • FirstCare Star — Managed Medicaid: $12.48
  • Healthsmart — Commercial: $475.57
  • MultiPlan — Commercial: $564.34
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $634.09 $317.05 $114.14 – $564.34
Kidney function panel: 10 of 11 insurance plan rates
  • Aetna — Commercial: $399.48
  • Baylor Scott and White Health Plan — Commercial: $179.45
  • Blue Cross Blue Shield of Texas — HMO: $126.82
  • Blue Cross Blue Shield of Texas — Marketplace: $114.14
  • Blue Cross Blue Shield of Texas — PPO: $133.16
  • Blue Cross Blue Shield of Texas — Traditional: $266.32
  • MultiPlan — Commercial: $564.34
  • Omni Networks — Commercial: $475.57
  • Private Healthcare Systems — Commercial: $412.16
  • UMR Hendrick Employee Plan — Commercial: $348.75
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL.. $624.64 $312.32 $11.75 – $555.93
Liver function panel: 10 of 16 insurance plan rates
  • Aetna — Commercial: $393.52
  • Baylor Scott and White Health Plan — Commercial: $176.77
  • Blue Cross Blue Shield of Texas — HMO: $31.94
  • Blue Cross Blue Shield of Texas — Marketplace: $30.23
  • Blue Cross Blue Shield of Texas — PPO: $35.54
  • Blue Cross Blue Shield of Texas — Traditional: $262.35
  • Cigna — Commercial: $374.78
  • FirstCare Star — Managed Medicaid: $11.75
  • Healthsmart — Commercial: $468.48
  • MultiPlan — Commercial: $555.93
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL.. $624.64 $312.32 $112.44 – $555.93
Liver function panel: 10 of 11 insurance plan rates
  • Aetna — Commercial: $393.52
  • Baylor Scott and White Health Plan — Commercial: $176.77
  • Blue Cross Blue Shield of Texas — HMO: $124.93
  • Blue Cross Blue Shield of Texas — Marketplace: $112.44
  • Blue Cross Blue Shield of Texas — PPO: $131.17
  • Blue Cross Blue Shield of Texas — Traditional: $262.35
  • MultiPlan — Commercial: $555.93
  • Omni Networks — Commercial: $468.48
  • Private Healthcare Systems — Commercial: $406.02
  • UMR Hendrick Employee Plan — Commercial: $343.55
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URIN DIP, A W MICRO $219.68 $109.84 $4.56 – $195.52
Urine test (automated, with microscope): 10 of 16 insurance plan rates
  • Aetna — Commercial: $138.40
  • Baylor Scott and White Health Plan — Commercial: $62.17
  • Blue Cross Blue Shield of Texas — HMO: $12.39
  • Blue Cross Blue Shield of Texas — Marketplace: $11.73
  • Blue Cross Blue Shield of Texas — PPO: $13.79
  • Blue Cross Blue Shield of Texas — Traditional: $92.27
  • Cigna — Commercial: $131.81
  • FirstCare Star — Managed Medicaid: $4.56
  • Healthsmart — Commercial: $164.76
  • MultiPlan — Commercial: $195.52
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URIN DIP, A W MICRO. [] $219.68 $109.84 $4.56 – $195.52
Urine test (automated, with microscope): 10 of 16 insurance plan rates
  • Aetna — Commercial: $138.40
  • Baylor Scott and White Health Plan — Commercial: $62.17
  • Blue Cross Blue Shield of Texas — HMO: $12.39
  • Blue Cross Blue Shield of Texas — Marketplace: $11.73
  • Blue Cross Blue Shield of Texas — PPO: $13.79
  • Blue Cross Blue Shield of Texas — Traditional: $92.27
  • Cigna — Commercial: $131.81
  • FirstCare Star — Managed Medicaid: $4.56
  • Healthsmart — Commercial: $164.76
  • MultiPlan — Commercial: $195.52
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URIN DIP, A W MICRO $219.68 $109.84 $39.54 – $195.52
Urine test (automated, with microscope): 10 of 11 insurance plan rates
  • Aetna — Commercial: $138.40
  • Baylor Scott and White Health Plan — Commercial: $62.17
  • Blue Cross Blue Shield of Texas — HMO: $43.94
  • Blue Cross Blue Shield of Texas — Marketplace: $39.54
  • Blue Cross Blue Shield of Texas — PPO: $46.13
  • Blue Cross Blue Shield of Texas — Traditional: $92.27
  • MultiPlan — Commercial: $195.52
  • Omni Networks — Commercial: $164.76
  • Private Healthcare Systems — Commercial: $142.79
  • UMR Hendrick Employee Plan — Commercial: $120.82
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA WO/MICRO;NON AUTOMATED $112.02 $56.01 $5.01 – $99.70
Urine test (manual, without microscope): 10 of 16 insurance plan rates
  • Aetna — Commercial: $70.57
  • Baylor Scott and White Health Plan — Commercial: $31.70
  • Blue Cross Blue Shield of Texas — HMO: $13.61
  • Blue Cross Blue Shield of Texas — Marketplace: $12.88
  • Blue Cross Blue Shield of Texas — PPO: $15.14
  • Blue Cross Blue Shield of Texas — Traditional: $47.05
  • Cigna — Commercial: $67.21
  • FirstCare Star — Managed Medicaid: $5.01
  • Healthsmart — Commercial: $84.02
  • MultiPlan — Commercial: $99.70
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA WO/MICRO;NON AUTOMATED $112.02 $56.01 $20.16 – $99.70
Urine test (manual, without microscope): 10 of 11 insurance plan rates
  • Aetna — Commercial: $70.57
  • Baylor Scott and White Health Plan — Commercial: $31.70
  • Blue Cross Blue Shield of Texas — HMO: $22.40
  • Blue Cross Blue Shield of Texas — Marketplace: $20.16
  • Blue Cross Blue Shield of Texas — PPO: $23.52
  • Blue Cross Blue Shield of Texas — Traditional: $47.05
  • MultiPlan — Commercial: $99.70
  • Omni Networks — Commercial: $84.02
  • Private Healthcare Systems — Commercial: $72.81
  • UMR Hendrick Employee Plan — Commercial: $61.61
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA CHEMICAL $152.17 $76.09 $3.23 – $135.43
Urine test (automated, without microscope): 10 of 16 insurance plan rates
  • Aetna — Commercial: $95.87
  • Baylor Scott and White Health Plan — Commercial: $43.06
  • Blue Cross Blue Shield of Texas — HMO: $8.80
  • Blue Cross Blue Shield of Texas — Marketplace: $8.33
  • Blue Cross Blue Shield of Texas — PPO: $9.79
  • Blue Cross Blue Shield of Texas — Traditional: $63.91
  • Cigna — Commercial: $91.30
  • FirstCare Star — Managed Medicaid: $3.23
  • Healthsmart — Commercial: $114.13
  • MultiPlan — Commercial: $135.43
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTOMATED WITHOUT MICROSCOPY [] $152.17 $76.09 $3.23 – $135.43
Urine test (automated, without microscope): 10 of 16 insurance plan rates
  • Aetna — Commercial: $95.87
  • Baylor Scott and White Health Plan — Commercial: $43.06
  • Blue Cross Blue Shield of Texas — HMO: $8.80
  • Blue Cross Blue Shield of Texas — Marketplace: $8.33
  • Blue Cross Blue Shield of Texas — PPO: $9.79
  • Blue Cross Blue Shield of Texas — Traditional: $63.91
  • Cigna — Commercial: $91.30
  • FirstCare Star — Managed Medicaid: $3.23
  • Healthsmart — Commercial: $114.13
  • MultiPlan — Commercial: $135.43
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA WO/MICRO;AUTOMATED $152.17 $76.09 $3.23 – $135.43
Urine test (automated, without microscope): 10 of 16 insurance plan rates
  • Aetna — Commercial: $95.87
  • Baylor Scott and White Health Plan — Commercial: $43.06
  • Blue Cross Blue Shield of Texas — HMO: $8.80
  • Blue Cross Blue Shield of Texas — Marketplace: $8.33
  • Blue Cross Blue Shield of Texas — PPO: $9.79
  • Blue Cross Blue Shield of Texas — Traditional: $63.91
  • Cigna — Commercial: $91.30
  • FirstCare Star — Managed Medicaid: $3.23
  • Healthsmart — Commercial: $114.13
  • MultiPlan — Commercial: $135.43
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE SPECIFIC ANTIGEN. $555.68 $277.84 $26.45 – $494.56
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates
  • Aetna — Commercial: $350.08
  • Baylor Scott and White Health Plan — Commercial: $157.26
  • Blue Cross Blue Shield of Texas — HMO: $71.90
  • Blue Cross Blue Shield of Texas — Marketplace: $68.04
  • Blue Cross Blue Shield of Texas — PPO: $80
  • Blue Cross Blue Shield of Texas — Traditional: $233.39
  • Cigna — Commercial: $333.41
  • FirstCare Star — Managed Medicaid: $26.45
  • Healthsmart — Commercial: $416.76
  • MultiPlan — Commercial: $494.56
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOTAL [] $555.68 $277.84 $26.45 – $494.56
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates
  • Aetna — Commercial: $350.08
  • Baylor Scott and White Health Plan — Commercial: $157.26
  • Blue Cross Blue Shield of Texas — HMO: $71.90
  • Blue Cross Blue Shield of Texas — Marketplace: $68.04
  • Blue Cross Blue Shield of Texas — PPO: $80
  • Blue Cross Blue Shield of Texas — Traditional: $233.39
  • Cigna — Commercial: $333.41
  • FirstCare Star — Managed Medicaid: $26.45
  • Healthsmart — Commercial: $416.76
  • MultiPlan — Commercial: $494.56
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROSTATE SPECIFIC ANTIGEN. $555.68 $277.84 $100.02 – $494.56
PSA (prostate specific antigen) blood test: 10 of 11 insurance plan rates
  • Aetna — Commercial: $350.08
  • Baylor Scott and White Health Plan — Commercial: $157.26
  • Blue Cross Blue Shield of Texas — HMO: $111.14
  • Blue Cross Blue Shield of Texas — Marketplace: $100.02
  • Blue Cross Blue Shield of Texas — PPO: $116.69
  • Blue Cross Blue Shield of Texas — Traditional: $233.39
  • MultiPlan — Commercial: $494.56
  • Omni Networks — Commercial: $416.76
  • Private Healthcare Systems — Commercial: $361.19
  • UMR Hendrick Employee Plan — Commercial: $305.62
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE $586.79 $293.40 $24.17 – $522.24
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates
  • Aetna — Commercial: $369.68
  • Baylor Scott and White Health Plan — Commercial: $166.06
  • Blue Cross Blue Shield of Texas — HMO: $65.69
  • Blue Cross Blue Shield of Texas — Marketplace: $62.16
  • Blue Cross Blue Shield of Texas — PPO: $73.08
  • Blue Cross Blue Shield of Texas — Traditional: $246.45
  • Cigna — Commercial: $352.07
  • FirstCare Star — Managed Medicaid: $24.17
  • Healthsmart — Commercial: $440.09
  • MultiPlan — Commercial: $522.24
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: T.S.H. $586.79 $293.40 $24.17 – $522.24
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates
  • Aetna — Commercial: $369.68
  • Baylor Scott and White Health Plan — Commercial: $166.06
  • Blue Cross Blue Shield of Texas — HMO: $65.69
  • Blue Cross Blue Shield of Texas — Marketplace: $62.16
  • Blue Cross Blue Shield of Texas — PPO: $73.08
  • Blue Cross Blue Shield of Texas — Traditional: $246.45
  • Cigna — Commercial: $352.07
  • FirstCare Star — Managed Medicaid: $24.17
  • Healthsmart — Commercial: $440.09
  • MultiPlan — Commercial: $522.24
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH.. [] $586.79 $293.40 $24.17 – $522.24
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates
  • Aetna — Commercial: $369.68
  • Baylor Scott and White Health Plan — Commercial: $166.06
  • Blue Cross Blue Shield of Texas — HMO: $65.69
  • Blue Cross Blue Shield of Texas — Marketplace: $62.16
  • Blue Cross Blue Shield of Texas — PPO: $73.08
  • Blue Cross Blue Shield of Texas — Traditional: $246.45
  • Cigna — Commercial: $352.07
  • FirstCare Star — Managed Medicaid: $24.17
  • Healthsmart — Commercial: $440.09
  • MultiPlan — Commercial: $522.24
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/DIFFERENTIAL.. [] $285.76 $142.88 $11.17 – $254.33
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates
  • Aetna — Commercial: $180.03
  • Baylor Scott and White Health Plan — Commercial: $80.87
  • Blue Cross Blue Shield of Texas — HMO: $30.38
  • Blue Cross Blue Shield of Texas — Marketplace: $28.75
  • Blue Cross Blue Shield of Texas — PPO: $33.80
  • Blue Cross Blue Shield of Texas — Traditional: $120.02
  • Cigna — Commercial: $171.46
  • FirstCare Star — Managed Medicaid: $11.17
  • Healthsmart — Commercial: $214.32
  • MultiPlan — Commercial: $254.33
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC WITH DIFF $285.76 $142.88 $11.17 – $254.33
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates
  • Aetna — Commercial: $180.03
  • Baylor Scott and White Health Plan — Commercial: $80.87
  • Blue Cross Blue Shield of Texas — HMO: $30.38
  • Blue Cross Blue Shield of Texas — Marketplace: $28.75
  • Blue Cross Blue Shield of Texas — PPO: $33.80
  • Blue Cross Blue Shield of Texas — Traditional: $120.02
  • Cigna — Commercial: $171.46
  • FirstCare Star — Managed Medicaid: $11.17
  • Healthsmart — Commercial: $214.32
  • MultiPlan — Commercial: $254.33
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/DIFFER. $285.76 $142.88 $11.17 – $254.33
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates
  • Aetna — Commercial: $180.03
  • Baylor Scott and White Health Plan — Commercial: $80.87
  • Blue Cross Blue Shield of Texas — HMO: $30.38
  • Blue Cross Blue Shield of Texas — Marketplace: $28.75
  • Blue Cross Blue Shield of Texas — PPO: $33.80
  • Blue Cross Blue Shield of Texas — Traditional: $120.02
  • Cigna — Commercial: $171.46
  • FirstCare Star — Managed Medicaid: $11.17
  • Healthsmart — Commercial: $214.32
  • MultiPlan — Commercial: $254.33
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/DIFFERENTIAL [] $266.06 $133.03 $9.30 – $236.79
Complete blood count (CBC), automated: 10 of 16 insurance plan rates
  • Aetna — Commercial: $167.62
  • Baylor Scott and White Health Plan — Commercial: $75.29
  • Blue Cross Blue Shield of Texas — HMO: $25.30
  • Blue Cross Blue Shield of Texas — Marketplace: $23.94
  • Blue Cross Blue Shield of Texas — PPO: $28.14
  • Blue Cross Blue Shield of Texas — Traditional: $111.75
  • Cigna — Commercial: $159.64
  • FirstCare Star — Managed Medicaid: $9.30
  • Healthsmart — Commercial: $199.55
  • MultiPlan — Commercial: $236.79
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPL AUTOM CBC W PLT $266.06 $133.03 $9.30 – $236.79
Complete blood count (CBC), automated: 10 of 16 insurance plan rates
  • Aetna — Commercial: $167.62
  • Baylor Scott and White Health Plan — Commercial: $75.29
  • Blue Cross Blue Shield of Texas — HMO: $25.30
  • Blue Cross Blue Shield of Texas — Marketplace: $23.94
  • Blue Cross Blue Shield of Texas — PPO: $28.14
  • Blue Cross Blue Shield of Texas — Traditional: $111.75
  • Cigna — Commercial: $159.64
  • FirstCare Star — Managed Medicaid: $9.30
  • Healthsmart — Commercial: $199.55
  • MultiPlan — Commercial: $236.79
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC WITHOUT DIFF $266.06 $133.03 $9.30 – $236.79
Complete blood count (CBC), automated: 10 of 16 insurance plan rates
  • Aetna — Commercial: $167.62
  • Baylor Scott and White Health Plan — Commercial: $75.29
  • Blue Cross Blue Shield of Texas — HMO: $25.30
  • Blue Cross Blue Shield of Texas — Marketplace: $23.94
  • Blue Cross Blue Shield of Texas — PPO: $28.14
  • Blue Cross Blue Shield of Texas — Traditional: $111.75
  • Cigna — Commercial: $159.64
  • FirstCare Star — Managed Medicaid: $9.30
  • Healthsmart — Commercial: $199.55
  • MultiPlan — Commercial: $236.79
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME (ONC) $315.24 $157.62 $6.17 – $280.56
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates
  • Aetna — Commercial: $198.60
  • Baylor Scott and White Health Plan — Commercial: $89.21
  • Blue Cross Blue Shield of Texas — HMO: $16.77
  • Blue Cross Blue Shield of Texas — Marketplace: $15.87
  • Blue Cross Blue Shield of Texas — PPO: $18.66
  • Blue Cross Blue Shield of Texas — Traditional: $132.40
  • Cigna — Commercial: $189.14
  • FirstCare Star — Managed Medicaid: $6.17
  • Healthsmart — Commercial: $236.43
  • MultiPlan — Commercial: $280.56
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME [INF] $315.24 $157.62 $6.17 – $280.56
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates
  • Aetna — Commercial: $198.60
  • Baylor Scott and White Health Plan — Commercial: $89.21
  • Blue Cross Blue Shield of Texas — HMO: $16.77
  • Blue Cross Blue Shield of Texas — Marketplace: $15.87
  • Blue Cross Blue Shield of Texas — PPO: $18.66
  • Blue Cross Blue Shield of Texas — Traditional: $132.40
  • Cigna — Commercial: $189.14
  • FirstCare Star — Managed Medicaid: $6.17
  • Healthsmart — Commercial: $236.43
  • MultiPlan — Commercial: $280.56
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME . [] $315.24 $157.62 $6.17 – $280.56
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates
  • Aetna — Commercial: $198.60
  • Baylor Scott and White Health Plan — Commercial: $89.21
  • Blue Cross Blue Shield of Texas — HMO: $16.77
  • Blue Cross Blue Shield of Texas — Marketplace: $15.87
  • Blue Cross Blue Shield of Texas — PPO: $18.66
  • Blue Cross Blue Shield of Texas — Traditional: $132.40
  • Cigna — Commercial: $189.14
  • FirstCare Star — Managed Medicaid: $6.17
  • Healthsmart — Commercial: $236.43
  • MultiPlan — Commercial: $280.56
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME, PARTIAL. [] $385.04 $192.52 $8.64 – $342.69
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates
  • Aetna — Commercial: $242.58
  • Baylor Scott and White Health Plan — Commercial: $108.97
  • Blue Cross Blue Shield of Texas — HMO: $23.50
  • Blue Cross Blue Shield of Texas — Marketplace: $22.24
  • Blue Cross Blue Shield of Texas — PPO: $26.14
  • Blue Cross Blue Shield of Texas — Traditional: $161.72
  • Cigna — Commercial: $231.02
  • FirstCare Star — Managed Medicaid: $8.64
  • Healthsmart — Commercial: $288.78
  • MultiPlan — Commercial: $342.69
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME . [] $385.04 $192.52 $8.64 – $342.69
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates
  • Aetna — Commercial: $242.58
  • Baylor Scott and White Health Plan — Commercial: $108.97
  • Blue Cross Blue Shield of Texas — HMO: $23.50
  • Blue Cross Blue Shield of Texas — Marketplace: $22.24
  • Blue Cross Blue Shield of Texas — PPO: $26.14
  • Blue Cross Blue Shield of Texas — Traditional: $161.72
  • Cigna — Commercial: $231.02
  • FirstCare Star — Managed Medicaid: $8.64
  • Healthsmart — Commercial: $288.78
  • MultiPlan — Commercial: $342.69
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PARTIAL THROMBOPLASTIN TIME $385.04 $192.52 $8.64 – $342.69
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates
  • Aetna — Commercial: $242.58
  • Baylor Scott and White Health Plan — Commercial: $108.97
  • Blue Cross Blue Shield of Texas — HMO: $23.50
  • Blue Cross Blue Shield of Texas — Marketplace: $22.24
  • Blue Cross Blue Shield of Texas — PPO: $26.14
  • Blue Cross Blue Shield of Texas — Traditional: $161.72
  • Cigna — Commercial: $231.02
  • FirstCare Star — Managed Medicaid: $8.64
  • Healthsmart — Commercial: $288.78
  • MultiPlan — Commercial: $342.69

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAT HEAD WO/CONTRAST COMPLETE $6,178.12 $3,089.06 $109.99 – $5,498.53
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates
  • Aetna — Commercial: $3,892.22
  • Baylor Scott and White Health Plan — Commercial: $1,748.41
  • Blue Cross Blue Shield of Texas — HMO: $377.71
  • Blue Cross Blue Shield of Texas — Marketplace: $356.41
  • Blue Cross Blue Shield of Texas — PPO: $419.18
  • Blue Cross Blue Shield of Texas — Traditional: $2,594.81
  • Cigna — Commercial: $3,397.97
  • FirstCare Star — Managed Medicaid: $109.99
  • Healthsmart — Commercial: $4,633.59
  • MultiPlan — Commercial: $5,498.53
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CAT HEAD WO/CONTRAST COMPLETE $6,178.12 $3,089.06 $1,112.06 – $5,498.53
CT scan of the head or brain, without contrast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $3,892.22
  • Baylor Scott and White Health Plan — Commercial: $1,748.41
  • Blue Cross Blue Shield of Texas — HMO: $1,235.62
  • Blue Cross Blue Shield of Texas — Marketplace: $1,112.06
  • Blue Cross Blue Shield of Texas — PPO: $1,297.41
  • Blue Cross Blue Shield of Texas — Traditional: $2,594.81
  • MultiPlan — Commercial: $5,498.53
  • Omni Networks — Commercial: $4,633.59
  • Private Healthcare Systems — Commercial: $4,015.78
  • UMR Hendrick Employee Plan — Commercial: $3,397.97
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI PITUITARY W&WO/CONTRAST $13,236.89 $6,618.45 $344.52 – $11,780.83
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates
  • Aetna — Commercial: $8,339.24
  • Baylor Scott and White Health Plan — Commercial: $3,746.04
  • Blue Cross Blue Shield of Texas — HMO: $1,286.83
  • Blue Cross Blue Shield of Texas — Marketplace: $1,214.28
  • Blue Cross Blue Shield of Texas — PPO: $1,428.12
  • Blue Cross Blue Shield of Texas — Traditional: $5,559.49
  • Cigna — Commercial: $7,280.29
  • FirstCare Star — Managed Medicaid: $344.52
  • Healthsmart — Commercial: $9,927.67
  • MultiPlan — Commercial: $11,780.83
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN W&WO/CONTRAST $13,236.89 $6,618.45 $344.52 – $11,780.83
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates
  • Aetna — Commercial: $8,339.24
  • Baylor Scott and White Health Plan — Commercial: $3,746.04
  • Blue Cross Blue Shield of Texas — HMO: $1,286.83
  • Blue Cross Blue Shield of Texas — Marketplace: $1,214.28
  • Blue Cross Blue Shield of Texas — PPO: $1,428.12
  • Blue Cross Blue Shield of Texas — Traditional: $5,559.49
  • Cigna — Commercial: $7,280.29
  • FirstCare Star — Managed Medicaid: $344.52
  • Healthsmart — Commercial: $9,927.67
  • MultiPlan — Commercial: $11,780.83
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI INTERAUDITORY CANAL W&WO/C $13,236.89 $6,618.45 $344.52 – $11,780.83
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates
  • Aetna — Commercial: $8,339.24
  • Baylor Scott and White Health Plan — Commercial: $3,746.04
  • Blue Cross Blue Shield of Texas — HMO: $1,286.83
  • Blue Cross Blue Shield of Texas — Marketplace: $1,214.28
  • Blue Cross Blue Shield of Texas — PPO: $1,428.12
  • Blue Cross Blue Shield of Texas — Traditional: $5,559.49
  • Cigna — Commercial: $7,280.29
  • FirstCare Star — Managed Medicaid: $344.52
  • Healthsmart — Commercial: $9,927.67
  • MultiPlan — Commercial: $11,780.83
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST2 VIEWS $946.34 $473.17 $35.44 – $842.24
Chest X-ray, 2 views: 10 of 16 insurance plan rates
  • Aetna — Commercial: $596.19
  • Baylor Scott and White Health Plan — Commercial: $267.81
  • Blue Cross Blue Shield of Texas — HMO: $209.90
  • Blue Cross Blue Shield of Texas — Marketplace: $197.93
  • Blue Cross Blue Shield of Texas — PPO: $233.05
  • Blue Cross Blue Shield of Texas — Traditional: $397.46
  • Cigna — Commercial: $567.80
  • FirstCare Star — Managed Medicaid: $35.44
  • Healthsmart — Commercial: $709.76
  • MultiPlan — Commercial: $842.24
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST2 VIEWS $946.34 $473.17 $170.34 – $842.24
Chest X-ray, 2 views: 10 of 11 insurance plan rates
  • Aetna — Commercial: $596.19
  • Baylor Scott and White Health Plan — Commercial: $267.81
  • Blue Cross Blue Shield of Texas — HMO: $189.27
  • Blue Cross Blue Shield of Texas — Marketplace: $170.34
  • Blue Cross Blue Shield of Texas — PPO: $198.73
  • Blue Cross Blue Shield of Texas — Traditional: $397.46
  • MultiPlan — Commercial: $842.24
  • Omni Networks — Commercial: $709.76
  • Private Healthcare Systems — Commercial: $615.12
  • UMR Hendrick Employee Plan — Commercial: $520.49
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SPINE L-S COMPLETE W/OBLIQUES $1,498.96 $749.48 $54.74 – $1,334.07
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates
  • Aetna — Commercial: $944.34
  • Baylor Scott and White Health Plan — Commercial: $424.21
  • Blue Cross Blue Shield of Texas — HMO: $294.77
  • Blue Cross Blue Shield of Texas — Marketplace: $277.96
  • Blue Cross Blue Shield of Texas — PPO: $327.27
  • Blue Cross Blue Shield of Texas — Traditional: $629.56
  • Cigna — Commercial: $899.38
  • FirstCare Star — Managed Medicaid: $54.74
  • Healthsmart — Commercial: $1,124.22
  • MultiPlan — Commercial: $1,334.07
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINE L-S COMPLETE W/OBLIQUES $1,498.96 $749.48 $269.81 – $1,334.07
X-ray of the lower spine, at least 4 views: 10 of 11 insurance plan rates
  • Aetna — Commercial: $944.34
  • Baylor Scott and White Health Plan — Commercial: $424.21
  • Blue Cross Blue Shield of Texas — HMO: $299.79
  • Blue Cross Blue Shield of Texas — Marketplace: $269.81
  • Blue Cross Blue Shield of Texas — PPO: $314.78
  • Blue Cross Blue Shield of Texas — Traditional: $629.56
  • MultiPlan — Commercial: $1,334.07
  • Omni Networks — Commercial: $1,124.22
  • Private Healthcare Systems — Commercial: $974.32
  • UMR Hendrick Employee Plan — Commercial: $824.43
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SPINE LUMBAR WO/CONTRAST $9,280.35 $4,640.18 $207 – $8,259.51
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates
  • Aetna — Commercial: $5,846.62
  • Baylor Scott and White Health Plan — Commercial: $2,626.34
  • Blue Cross Blue Shield of Texas — HMO: $785.34
  • Blue Cross Blue Shield of Texas — Marketplace: $741.07
  • Blue Cross Blue Shield of Texas — PPO: $871.57
  • Blue Cross Blue Shield of Texas — Traditional: $3,897.75
  • Cigna — Commercial: $5,104.19
  • FirstCare Star — Managed Medicaid: $207
  • Healthsmart — Commercial: $6,960.26
  • MultiPlan — Commercial: $8,259.51
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI SPINE LUMBAR WO/CONTRAST $9,280.35 $4,640.18 $1,670.46 – $8,259.51
MRI of the lower back (lumbar spine), without contrast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $5,846.62
  • Baylor Scott and White Health Plan — Commercial: $2,626.34
  • Blue Cross Blue Shield of Texas — HMO: $1,856.07
  • Blue Cross Blue Shield of Texas — Marketplace: $1,670.46
  • Blue Cross Blue Shield of Texas — PPO: $1,948.87
  • Blue Cross Blue Shield of Texas — Traditional: $3,897.75
  • MultiPlan — Commercial: $8,259.51
  • Omni Networks — Commercial: $6,960.26
  • Private Healthcare Systems — Commercial: $6,032.23
  • UMR Hendrick Employee Plan — Commercial: $5,104.19
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAT PELVIS W/CNTRST COMPLETE $7,484.36 $3,742.18 $183.81 – $6,661.08
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates
  • Aetna — Commercial: $4,715.15
  • Baylor Scott and White Health Plan — Commercial: $2,118.07
  • Blue Cross Blue Shield of Texas — HMO: $614.08
  • Blue Cross Blue Shield of Texas — Marketplace: $579.46
  • Blue Cross Blue Shield of Texas — PPO: $681.50
  • Blue Cross Blue Shield of Texas — Traditional: $3,143.43
  • Cigna — Commercial: $4,116.40
  • FirstCare Star — Managed Medicaid: $183.81
  • Healthsmart — Commercial: $5,613.27
  • MultiPlan — Commercial: $6,661.08
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CAT PELVIS W/CNTRST COMPLETE $7,484.36 $3,742.18 $1,347.18 – $6,661.08
CT scan of the pelvis, with contrast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $4,715.15
  • Baylor Scott and White Health Plan — Commercial: $2,118.07
  • Blue Cross Blue Shield of Texas — HMO: $1,496.87
  • Blue Cross Blue Shield of Texas — Marketplace: $1,347.18
  • Blue Cross Blue Shield of Texas — PPO: $1,571.72
  • Blue Cross Blue Shield of Texas — Traditional: $3,143.43
  • MultiPlan — Commercial: $6,661.08
  • Omni Networks — Commercial: $5,613.27
  • Private Healthcare Systems — Commercial: $4,864.83
  • UMR Hendrick Employee Plan — Commercial: $4,116.40
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LEG ANY JOINT WO/CONTRAST $8,952.89 $4,476.45 $219.28 – $7,968.07
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates
  • Aetna — Commercial: $5,640.32
  • Baylor Scott and White Health Plan — Commercial: $2,533.67
  • Blue Cross Blue Shield of Texas — HMO: $785.34
  • Blue Cross Blue Shield of Texas — Marketplace: $741.07
  • Blue Cross Blue Shield of Texas — PPO: $871.57
  • Blue Cross Blue Shield of Texas — Traditional: $3,760.21
  • Cigna — Commercial: $4,924.09
  • FirstCare Star — Managed Medicaid: $219.28
  • Healthsmart — Commercial: $6,714.67
  • MultiPlan — Commercial: $7,968.07
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LEG ANY JOINT WO/CONTRAST $8,952.89 $4,476.45 $1,611.52 – $7,968.07
MRI of a leg joint (such as the knee), without contrast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $5,640.32
  • Baylor Scott and White Health Plan — Commercial: $2,533.67
  • Blue Cross Blue Shield of Texas — HMO: $1,790.58
  • Blue Cross Blue Shield of Texas — Marketplace: $1,611.52
  • Blue Cross Blue Shield of Texas — PPO: $1,880.11
  • Blue Cross Blue Shield of Texas — Traditional: $3,760.21
  • MultiPlan — Commercial: $7,968.07
  • Omni Networks — Commercial: $6,714.67
  • Private Healthcare Systems — Commercial: $5,819.38
  • UMR Hendrick Employee Plan — Commercial: $4,924.09
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABDOMEN - PELVIS W/CONTRAST $11,982.29 $5,991.15 $327.68 – $10,664.24
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates
  • Aetna — Commercial: $7,548.84
  • Baylor Scott and White Health Plan — Commercial: $3,390.99
  • Blue Cross Blue Shield of Texas — HMO: $1,286.83
  • Blue Cross Blue Shield of Texas — Marketplace: $1,214.28
  • Blue Cross Blue Shield of Texas — PPO: $1,428.12
  • Blue Cross Blue Shield of Texas — Traditional: $5,032.56
  • Cigna — Commercial: $6,590.26
  • FirstCare Star — Managed Medicaid: $327.68
  • Healthsmart — Commercial: $8,986.72
  • MultiPlan — Commercial: $10,664.24
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABDOMEN - PELVIS W/CONTRAST $11,982.29 $5,991.15 $2,156.81 – $10,664.24
CT scan of the abdomen and pelvis, with contrast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $7,548.84
  • Baylor Scott and White Health Plan — Commercial: $3,390.99
  • Blue Cross Blue Shield of Texas — HMO: $2,396.46
  • Blue Cross Blue Shield of Texas — Marketplace: $2,156.81
  • Blue Cross Blue Shield of Texas — PPO: $2,516.28
  • Blue Cross Blue Shield of Texas — Traditional: $5,032.56
  • MultiPlan — Commercial: $10,664.24
  • Omni Networks — Commercial: $8,986.72
  • Private Healthcare Systems — Commercial: $7,788.49
  • UMR Hendrick Employee Plan — Commercial: $6,590.26
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND ABDOMINAL. $2,490.56 $1,245.28 $109.99 – $2,216.60
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates
  • Aetna — Commercial: $1,569.05
  • Baylor Scott and White Health Plan — Commercial: $704.83
  • Blue Cross Blue Shield of Texas — HMO: $294.77
  • Blue Cross Blue Shield of Texas — Marketplace: $277.96
  • Blue Cross Blue Shield of Texas — PPO: $327.27
  • Blue Cross Blue Shield of Texas — Traditional: $1,046.04
  • Cigna — Commercial: $1,494.34
  • FirstCare Star — Managed Medicaid: $109.99
  • Healthsmart — Commercial: $1,867.92
  • MultiPlan — Commercial: $2,216.60
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: U/S ABDOMEN TC $2,490.56 $1,245.28 $109.99 – $2,216.60
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates
  • Aetna — Commercial: $1,569.05
  • Baylor Scott and White Health Plan — Commercial: $704.83
  • Blue Cross Blue Shield of Texas — HMO: $294.77
  • Blue Cross Blue Shield of Texas — Marketplace: $277.96
  • Blue Cross Blue Shield of Texas — PPO: $327.27
  • Blue Cross Blue Shield of Texas — Traditional: $1,046.04
  • Cigna — Commercial: $1,494.34
  • FirstCare Star — Managed Medicaid: $109.99
  • Healthsmart — Commercial: $1,867.92
  • MultiPlan — Commercial: $2,216.60
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: U/S ABDOMEN [SED] $2,490.56 $1,245.28 $109.99 – $2,216.60
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates
  • Aetna — Commercial: $1,569.05
  • Baylor Scott and White Health Plan — Commercial: $704.83
  • Blue Cross Blue Shield of Texas — HMO: $294.77
  • Blue Cross Blue Shield of Texas — Marketplace: $277.96
  • Blue Cross Blue Shield of Texas — PPO: $327.27
  • Blue Cross Blue Shield of Texas — Traditional: $1,046.04
  • Cigna — Commercial: $1,494.34
  • FirstCare Star — Managed Medicaid: $109.99
  • Healthsmart — Commercial: $1,867.92
  • MultiPlan — Commercial: $2,216.60
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND PREGNANCY COMPLETE. $2,252.19 $1,126.10 $109.99 – $2,004.45
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates
  • Aetna — Commercial: $1,418.88
  • Baylor Scott and White Health Plan — Commercial: $637.37
  • Blue Cross Blue Shield of Texas — HMO: $240.75
  • Blue Cross Blue Shield of Texas — Marketplace: $227.02
  • Blue Cross Blue Shield of Texas — PPO: $267.30
  • Blue Cross Blue Shield of Texas — Traditional: $945.92
  • Cigna — Commercial: $1,351.31
  • FirstCare Star — Managed Medicaid: $109.99
  • Healthsmart — Commercial: $1,689.14
  • MultiPlan — Commercial: $2,004.45
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US 14 WKS OR GRTR SNGL OR 1ST FETUS [ANT] $2,252.19 $1,126.10 $109.99 – $2,004.45
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates
  • Aetna — Commercial: $1,418.88
  • Baylor Scott and White Health Plan — Commercial: $637.37
  • Blue Cross Blue Shield of Texas — HMO: $240.75
  • Blue Cross Blue Shield of Texas — Marketplace: $227.02
  • Blue Cross Blue Shield of Texas — PPO: $267.30
  • Blue Cross Blue Shield of Texas — Traditional: $945.92
  • Cigna — Commercial: $1,351.31
  • FirstCare Star — Managed Medicaid: $109.99
  • Healthsmart — Commercial: $1,689.14
  • MultiPlan — Commercial: $2,004.45
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND PREGNANCY COMPLETE $2,252.19 $1,126.10 $109.99 – $2,004.45
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates
  • Aetna — Commercial: $1,418.88
  • Baylor Scott and White Health Plan — Commercial: $637.37
  • Blue Cross Blue Shield of Texas — HMO: $240.75
  • Blue Cross Blue Shield of Texas — Marketplace: $227.02
  • Blue Cross Blue Shield of Texas — PPO: $267.30
  • Blue Cross Blue Shield of Texas — Traditional: $945.92
  • Cigna — Commercial: $1,351.31
  • FirstCare Star — Managed Medicaid: $109.99
  • Healthsmart — Commercial: $1,689.14
  • MultiPlan — Commercial: $2,004.45
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND ENDOVAGINAL. $1,792.95 $896.48 $109.99 – $1,595.73
Transvaginal ultrasound: 10 of 16 insurance plan rates
  • Aetna — Commercial: $1,129.56
  • Baylor Scott and White Health Plan — Commercial: $507.40
  • Blue Cross Blue Shield of Texas — HMO: $232.23
  • Blue Cross Blue Shield of Texas — Marketplace: $218.98
  • Blue Cross Blue Shield of Texas — PPO: $257.84
  • Blue Cross Blue Shield of Texas — Traditional: $753.04
  • Cigna — Commercial: $1,075.77
  • FirstCare Star — Managed Medicaid: $109.99
  • Healthsmart — Commercial: $1,344.71
  • MultiPlan — Commercial: $1,595.73
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NON-OB TRANSVAGINAL US (OBED) $1,792.95 $896.48 $109.99 – $1,595.73
Transvaginal ultrasound: 10 of 16 insurance plan rates
  • Aetna — Commercial: $1,129.56
  • Baylor Scott and White Health Plan — Commercial: $507.40
  • Blue Cross Blue Shield of Texas — HMO: $232.23
  • Blue Cross Blue Shield of Texas — Marketplace: $218.98
  • Blue Cross Blue Shield of Texas — PPO: $257.84
  • Blue Cross Blue Shield of Texas — Traditional: $753.04
  • Cigna — Commercial: $1,075.77
  • FirstCare Star — Managed Medicaid: $109.99
  • Healthsmart — Commercial: $1,344.71
  • MultiPlan — Commercial: $1,595.73
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GYN TRANSVAGINAL (A-T) $1,792.95 $896.48 $109.99 – $1,595.73
Transvaginal ultrasound: 10 of 16 insurance plan rates
  • Aetna — Commercial: $1,129.56
  • Baylor Scott and White Health Plan — Commercial: $507.40
  • Blue Cross Blue Shield of Texas — HMO: $232.23
  • Blue Cross Blue Shield of Texas — Marketplace: $218.98
  • Blue Cross Blue Shield of Texas — PPO: $257.84
  • Blue Cross Blue Shield of Texas — Traditional: $753.04
  • Cigna — Commercial: $1,075.77
  • FirstCare Star — Managed Medicaid: $109.99
  • Healthsmart — Commercial: $1,344.71
  • MultiPlan — Commercial: $1,595.73
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI $839.86 $419.93 $233.27 – $747.48
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates
  • Aetna — Commercial: $529.11
  • Baylor Scott and White Health Plan — Commercial: $237.68
  • Blue Cross Blue Shield of Texas — HMO: $247.38
  • Blue Cross Blue Shield of Texas — Marketplace: $233.27
  • Blue Cross Blue Shield of Texas — PPO: $274.66
  • Blue Cross Blue Shield of Texas — Traditional: $352.74
  • Cigna — Commercial: $503.92
  • Healthsmart — Commercial: $629.90
  • MultiPlan — Commercial: $747.48
  • Omni Networks — Commercial: $713.88
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI $839.86 $419.93 $151.17 – $747.48
Diagnostic mammogram, one breast: 10 of 11 insurance plan rates
  • Aetna — Commercial: $529.11
  • Baylor Scott and White Health Plan — Commercial: $237.68
  • Blue Cross Blue Shield of Texas — HMO: $167.97
  • Blue Cross Blue Shield of Texas — Marketplace: $151.17
  • Blue Cross Blue Shield of Texas — PPO: $176.37
  • Blue Cross Blue Shield of Texas — Traditional: $352.74
  • MultiPlan — Commercial: $747.48
  • Omni Networks — Commercial: $629.90
  • Private Healthcare Systems — Commercial: $545.91
  • UMR Hendrick Employee Plan — Commercial: $461.92
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI $1,027.64 $513.82 $290.82 – $914.60
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates
  • Aetna — Commercial: $647.41
  • Baylor Scott and White Health Plan — Commercial: $290.82
  • Blue Cross Blue Shield of Texas — HMO: $316.57
  • Blue Cross Blue Shield of Texas — Marketplace: $298.52
  • Blue Cross Blue Shield of Texas — PPO: $351.48
  • Blue Cross Blue Shield of Texas — Traditional: $431.61
  • Cigna — Commercial: $616.58
  • Healthsmart — Commercial: $770.73
  • MultiPlan — Commercial: $914.60
  • Omni Networks — Commercial: $873.49
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI $1,027.64 $513.82 $184.98 – $914.60
Diagnostic mammogram, both breasts: 10 of 11 insurance plan rates
  • Aetna — Commercial: $647.41
  • Baylor Scott and White Health Plan — Commercial: $290.82
  • Blue Cross Blue Shield of Texas — HMO: $205.53
  • Blue Cross Blue Shield of Texas — Marketplace: $184.98
  • Blue Cross Blue Shield of Texas — PPO: $215.80
  • Blue Cross Blue Shield of Texas — Traditional: $431.61
  • MultiPlan — Commercial: $914.60
  • Omni Networks — Commercial: $770.73
  • Private Healthcare Systems — Commercial: $667.97
  • UMR Hendrick Employee Plan — Commercial: $565.20
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD $822.34 $411.17 $232.72 – $731.88
Screening mammogram, both breasts: 10 of 13 insurance plan rates
  • Aetna — Commercial: $518.07
  • Baylor Scott and White Health Plan — Commercial: $232.72
  • Blue Cross Blue Shield of Texas — HMO: $261.61
  • Blue Cross Blue Shield of Texas — Marketplace: $246.69
  • Blue Cross Blue Shield of Texas — PPO: $290.45
  • Blue Cross Blue Shield of Texas — Traditional: $345.38
  • Cigna — Commercial: $493.40
  • Healthsmart — Commercial: $616.76
  • MultiPlan — Commercial: $731.88
  • Omni Networks — Commercial: $698.99
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD $822.34 $411.17 $148.02 – $731.88
Screening mammogram, both breasts: 10 of 11 insurance plan rates
  • Aetna — Commercial: $518.07
  • Baylor Scott and White Health Plan — Commercial: $232.72
  • Blue Cross Blue Shield of Texas — HMO: $164.47
  • Blue Cross Blue Shield of Texas — Marketplace: $148.02
  • Blue Cross Blue Shield of Texas — PPO: $172.69
  • Blue Cross Blue Shield of Texas — Traditional: $345.38
  • MultiPlan — Commercial: $731.88
  • Omni Networks — Commercial: $616.76
  • Private Healthcare Systems — Commercial: $534.52
  • UMR Hendrick Employee Plan — Commercial: $452.29

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE Not listed in the file Not listed in the file $64.01 – $75.26
Electrocardiogram (ECG/EKG) with reading: rates for 3 insurance plans
  • Blue Cross Blue Shield of Texas — HMO: $67.64
  • Blue Cross Blue Shield of Texas — Marketplace: $64.01
  • Blue Cross Blue Shield of Texas — PPO: $75.26
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HEART CATH W/LVG $29,699.70 $14,849.85 $6,041.89 – $26,432.73
Left heart catheterization (diagnostic): 10 of 13 insurance plan rates
  • Aetna — Commercial: $18,710.81
  • Baylor Scott and White Health Plan — Commercial: $8,405.02
  • Blue Cross Blue Shield of Texas — HMO: $6,412.39
  • Blue Cross Blue Shield of Texas — Marketplace: $6,041.89
  • Blue Cross Blue Shield of Texas — PPO: $7,124.88
  • Blue Cross Blue Shield of Texas — Traditional: $12,473.87
  • Cigna — Commercial: $15,750
  • Healthsmart — Commercial: $22,274.78
  • MultiPlan — Commercial: $26,432.73
  • Omni Networks — Commercial: $25,244.75
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEFT HEART CATH W/LVG $29,699.70 $14,849.85 $5,345.95 – $26,432.73
Left heart catheterization (diagnostic): 10 of 11 insurance plan rates
  • Aetna — Commercial: $18,710.81
  • Baylor Scott and White Health Plan — Commercial: $8,405.02
  • Blue Cross Blue Shield of Texas — HMO: $5,939.94
  • Blue Cross Blue Shield of Texas — Marketplace: $5,345.95
  • Blue Cross Blue Shield of Texas — PPO: $6,236.94
  • Blue Cross Blue Shield of Texas — Traditional: $12,473.87
  • MultiPlan — Commercial: $26,432.73
  • Omni Networks — Commercial: $22,274.78
  • Private Healthcare Systems — Commercial: $19,304.81
  • UMR Hendrick Employee Plan — Commercial: $16,334.84
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EP STUDY WITHOUT INDUCTION (EP) $40,483.94 $20,241.97 $7,287.11 – $36,030.71
Heart rhythm study (electrophysiology evaluation): 10 of 13 insurance plan rates
  • Aetna — Commercial: $25,504.88
  • Baylor Scott and White Health Plan — Commercial: $11,456.96
  • Blue Cross Blue Shield of Texas — HMO: $7,691.95
  • Blue Cross Blue Shield of Texas — Marketplace: $7,287.11
  • Blue Cross Blue Shield of Texas — PPO: $8,096.79
  • Blue Cross Blue Shield of Texas — Traditional: $17,003.25
  • Cigna — Commercial: $15,750
  • Healthsmart — Commercial: $30,362.96
  • MultiPlan — Commercial: $36,030.71
  • Omni Networks — Commercial: $34,411.35
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EP STUDY WITHOUT INDUCTION (EP) $40,483.94 $20,241.97 $7,287.11 – $36,030.71
Heart rhythm study (electrophysiology evaluation): 10 of 11 insurance plan rates
  • Aetna — Commercial: $25,504.88
  • Baylor Scott and White Health Plan — Commercial: $11,456.96
  • Blue Cross Blue Shield of Texas — HMO: $8,096.79
  • Blue Cross Blue Shield of Texas — Marketplace: $7,287.11
  • Blue Cross Blue Shield of Texas — PPO: $8,501.63
  • Blue Cross Blue Shield of Texas — Traditional: $17,003.25
  • MultiPlan — Commercial: $36,030.71
  • Omni Networks — Commercial: $30,362.96
  • Private Healthcare Systems — Commercial: $26,314.56
  • UMR Hendrick Employee Plan — Commercial: $22,266.17
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TX ATRIAL FIB PULM VEIN ISOL [EP] $125,441.81 $62,720.91 $15,750 – $111,643.21
Heart rhythm study with ablation for atrial fibrillation: 10 of 13 insurance plan rates
  • Aetna — Commercial: $79,028.34
  • Baylor Scott and White Health Plan — Commercial: $35,500.03
  • Blue Cross Blue Shield of Texas — HMO: $45,979.36
  • Blue Cross Blue Shield of Texas — Marketplace: $43,322.77
  • Blue Cross Blue Shield of Texas — PPO: $51,088.18
  • Blue Cross Blue Shield of Texas — Traditional: $52,685.56
  • Cigna — Commercial: $15,750
  • Healthsmart — Commercial: $94,081.36
  • MultiPlan — Commercial: $111,643.21
  • Omni Networks — Commercial: $106,625.54
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TX ATRIAL FIB PULM VEIN ISOL [EP] $125,441.81 $62,720.91 $22,579.53 – $111,643.21
Heart rhythm study with ablation for atrial fibrillation: 10 of 11 insurance plan rates
  • Aetna — Commercial: $79,028.34
  • Baylor Scott and White Health Plan — Commercial: $35,500.03
  • Blue Cross Blue Shield of Texas — HMO: $25,088.36
  • Blue Cross Blue Shield of Texas — Marketplace: $22,579.53
  • Blue Cross Blue Shield of Texas — PPO: $26,342.78
  • Blue Cross Blue Shield of Texas — Traditional: $52,685.56
  • MultiPlan — Commercial: $111,643.21
  • Omni Networks — Commercial: $94,081.36
  • Private Healthcare Systems — Commercial: $81,537.18
  • UMR Hendrick Employee Plan — Commercial: $68,993
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6 YRS AND OLDER; 4 OR MORE PARAMTRS $13,032.23 $6,516.12 $2,345.80 – $11,598.68
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates
  • Aetna — Commercial: $8,210.30
  • Baylor Scott and White Health Plan — Commercial: $3,688.12
  • Blue Cross Blue Shield of Texas — HMO: $2,476.12
  • Blue Cross Blue Shield of Texas — Marketplace: $2,345.80
  • Blue Cross Blue Shield of Texas — PPO: $2,606.45
  • Blue Cross Blue Shield of Texas — Traditional: $5,473.54
  • Cigna — Commercial: $7,819.34
  • Healthsmart — Commercial: $9,774.17
  • MultiPlan — Commercial: $11,598.68
  • Omni Networks — Commercial: $11,077.40
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POLYSOM 6 YRS AND OLDER; 4 OR MORE PARAMTRS $13,032.23 $6,516.12 $2,345.80 – $11,598.68
Sleep study (overnight, in a sleep lab): 10 of 11 insurance plan rates
  • Aetna — Commercial: $8,210.30
  • Baylor Scott and White Health Plan — Commercial: $3,688.12
  • Blue Cross Blue Shield of Texas — HMO: $2,606.45
  • Blue Cross Blue Shield of Texas — Marketplace: $2,345.80
  • Blue Cross Blue Shield of Texas — PPO: $2,736.77
  • Blue Cross Blue Shield of Texas — Traditional: $5,473.54
  • MultiPlan — Commercial: $11,598.68
  • Omni Networks — Commercial: $9,774.17
  • Private Healthcare Systems — Commercial: $8,470.95
  • UMR Hendrick Employee Plan — Commercial: $7,167.73

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC PROCEDURE EA 15 MINS [HBO] $346.19 $173.10 $62.31 – $308.11
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates
  • Aetna — Commercial: $218.10
  • Baylor Scott and White Health Plan — Commercial: $97.97
  • Blue Cross Blue Shield of Texas — HMO: $65.78
  • Blue Cross Blue Shield of Texas — Marketplace: $62.31
  • Blue Cross Blue Shield of Texas — PPO: $69.24
  • Blue Cross Blue Shield of Texas — Traditional: $145.40
  • Cigna — Commercial: $207.71
  • Healthsmart — Commercial: $259.64
  • MultiPlan — Commercial: $308.11
  • Omni Networks — Commercial: $294.26
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC PROCEDURE EA 15 MINS $346.19 $173.10 $62.31 – $308.11
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates
  • Aetna — Commercial: $218.10
  • Baylor Scott and White Health Plan — Commercial: $97.97
  • Blue Cross Blue Shield of Texas — HMO: $65.78
  • Blue Cross Blue Shield of Texas — Marketplace: $62.31
  • Blue Cross Blue Shield of Texas — PPO: $69.24
  • Blue Cross Blue Shield of Texas — Traditional: $145.40
  • Cigna — Commercial: $207.71
  • Healthsmart — Commercial: $259.64
  • MultiPlan — Commercial: $308.11
  • Omni Networks — Commercial: $294.26
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC PROCEDURE EACH 15 MINS $346.19 $173.10 $62.31 – $308.11
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates
  • Aetna — Commercial: $218.10
  • Baylor Scott and White Health Plan — Commercial: $97.97
  • Blue Cross Blue Shield of Texas — HMO: $65.78
  • Blue Cross Blue Shield of Texas — Marketplace: $62.31
  • Blue Cross Blue Shield of Texas — PPO: $69.24
  • Blue Cross Blue Shield of Texas — Traditional: $145.40
  • Cigna — Commercial: $207.71
  • Healthsmart — Commercial: $259.64
  • MultiPlan — Commercial: $308.11
  • Omni Networks — Commercial: $294.26
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY [OPPTSTH1] $807.99 $404 $145.44 – $719.11
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates
  • Aetna — Commercial: $509.03
  • Baylor Scott and White Health Plan — Commercial: $228.66
  • Blue Cross Blue Shield of Texas — HMO: $153.52
  • Blue Cross Blue Shield of Texas — Marketplace: $145.44
  • Blue Cross Blue Shield of Texas — PPO: $161.60
  • Blue Cross Blue Shield of Texas — Traditional: $339.36
  • Cigna — Commercial: $484.79
  • Healthsmart — Commercial: $605.99
  • MultiPlan — Commercial: $719.11
  • Omni Networks — Commercial: $686.79
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY [VSPORTS1] $807.99 $404 $145.44 – $719.11
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates
  • Aetna — Commercial: $509.03
  • Baylor Scott and White Health Plan — Commercial: $228.66
  • Blue Cross Blue Shield of Texas — HMO: $153.52
  • Blue Cross Blue Shield of Texas — Marketplace: $145.44
  • Blue Cross Blue Shield of Texas — PPO: $161.60
  • Blue Cross Blue Shield of Texas — Traditional: $339.36
  • Cigna — Commercial: $484.79
  • Healthsmart — Commercial: $605.99
  • MultiPlan — Commercial: $719.11
  • Omni Networks — Commercial: $686.79
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX [AWC1] $807.99 $404 $145.44 – $719.11
Physical therapy evaluation (low complexity): 10 of 13 insurance plan rates
  • Aetna — Commercial: $509.03
  • Baylor Scott and White Health Plan — Commercial: $228.66
  • Blue Cross Blue Shield of Texas — HMO: $153.52
  • Blue Cross Blue Shield of Texas — Marketplace: $145.44
  • Blue Cross Blue Shield of Texas — PPO: $161.60
  • Blue Cross Blue Shield of Texas — Traditional: $339.36
  • Cigna — Commercial: $484.79
  • Healthsmart — Commercial: $605.99
  • MultiPlan — Commercial: $719.11
  • Omni Networks — Commercial: $686.79
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEXITY [OPT-PPH2] $807.99 $404 $145.44 – $719.11
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates
  • Aetna — Commercial: $509.03
  • Baylor Scott and White Health Plan — Commercial: $228.66
  • Blue Cross Blue Shield of Texas — HMO: $153.52
  • Blue Cross Blue Shield of Texas — Marketplace: $145.44
  • Blue Cross Blue Shield of Texas — PPO: $161.60
  • Blue Cross Blue Shield of Texas — Traditional: $339.36
  • Cigna — Commercial: $484.79
  • Healthsmart — Commercial: $605.99
  • MultiPlan — Commercial: $719.11
  • Omni Networks — Commercial: $686.79
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEXITY [OPT-VE2] $807.99 $404 $145.44 – $719.11
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates
  • Aetna — Commercial: $509.03
  • Baylor Scott and White Health Plan — Commercial: $228.66
  • Blue Cross Blue Shield of Texas — HMO: $153.52
  • Blue Cross Blue Shield of Texas — Marketplace: $145.44
  • Blue Cross Blue Shield of Texas — PPO: $161.60
  • Blue Cross Blue Shield of Texas — Traditional: $339.36
  • Cigna — Commercial: $484.79
  • Healthsmart — Commercial: $605.99
  • MultiPlan — Commercial: $719.11
  • Omni Networks — Commercial: $686.79
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX [APT2] $807.99 $404 $145.44 – $719.11
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates
  • Aetna — Commercial: $509.03
  • Baylor Scott and White Health Plan — Commercial: $228.66
  • Blue Cross Blue Shield of Texas — HMO: $153.52
  • Blue Cross Blue Shield of Texas — Marketplace: $145.44
  • Blue Cross Blue Shield of Texas — PPO: $161.60
  • Blue Cross Blue Shield of Texas — Traditional: $339.36
  • Cigna — Commercial: $484.79
  • Healthsmart — Commercial: $605.99
  • MultiPlan — Commercial: $719.11
  • Omni Networks — Commercial: $686.79
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEXITY [VSPORTS3] $807.99 $404 $145.44 – $719.11
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates
  • Aetna — Commercial: $509.03
  • Baylor Scott and White Health Plan — Commercial: $228.66
  • Blue Cross Blue Shield of Texas — HMO: $153.52
  • Blue Cross Blue Shield of Texas — Marketplace: $145.44
  • Blue Cross Blue Shield of Texas — PPO: $161.60
  • Blue Cross Blue Shield of Texas — Traditional: $339.36
  • Cigna — Commercial: $484.79
  • Healthsmart — Commercial: $605.99
  • MultiPlan — Commercial: $719.11
  • Omni Networks — Commercial: $686.79
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX [AWC3] $807.99 $404 $145.44 – $719.11
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates
  • Aetna — Commercial: $509.03
  • Baylor Scott and White Health Plan — Commercial: $228.66
  • Blue Cross Blue Shield of Texas — HMO: $153.52
  • Blue Cross Blue Shield of Texas — Marketplace: $145.44
  • Blue Cross Blue Shield of Texas — PPO: $161.60
  • Blue Cross Blue Shield of Texas — Traditional: $339.36
  • Cigna — Commercial: $484.79
  • Healthsmart — Commercial: $605.99
  • MultiPlan — Commercial: $719.11
  • Omni Networks — Commercial: $686.79
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEXITY [OPPTSTH3] $807.99 $404 $145.44 – $719.11
Physical therapy evaluation (high complexity): 10 of 13 insurance plan rates
  • Aetna — Commercial: $509.03
  • Baylor Scott and White Health Plan — Commercial: $228.66
  • Blue Cross Blue Shield of Texas — HMO: $153.52
  • Blue Cross Blue Shield of Texas — Marketplace: $145.44
  • Blue Cross Blue Shield of Texas — PPO: $161.60
  • Blue Cross Blue Shield of Texas — Traditional: $339.36
  • Cigna — Commercial: $484.79
  • Healthsmart — Commercial: $605.99
  • MultiPlan — Commercial: $719.11
  • Omni Networks — Commercial: $686.79

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $4,200 – $7,573.88
Removal of breast growth (open surgery): rates for 4 insurance plans
  • Blue Cross Blue Shield of Texas — HMO: $6,816.49
  • Blue Cross Blue Shield of Texas — Marketplace: $6,422.65
  • Blue Cross Blue Shield of Texas — PPO: $7,573.88
  • Cigna — Commercial: $4,200
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $25,229.51 – $29,751.77
Total hip replacement: rates for 3 insurance plans
  • Blue Cross Blue Shield of Texas — HMO: $26,776.60
  • Blue Cross Blue Shield of Texas — Marketplace: $25,229.51
  • Blue Cross Blue Shield of Texas — PPO: $29,751.77
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $25,229.51 – $29,751.77
Total knee replacement: rates for 3 insurance plans
  • Blue Cross Blue Shield of Texas — HMO: $26,776.60
  • Blue Cross Blue Shield of Texas — Marketplace: $25,229.51
  • Blue Cross Blue Shield of Texas — PPO: $29,751.77
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $4,200
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan
  • Cigna — Commercial: $4,200
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $5,803.39 – $7,875
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 4 insurance plans
  • Blue Cross Blue Shield of Texas — HMO: $6,159.26
  • Blue Cross Blue Shield of Texas — Marketplace: $5,803.39
  • Blue Cross Blue Shield of Texas — PPO: $6,843.62
  • Cigna — Commercial: $7,875
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $4,200 – $12,126.32
Removal of tonsils and adenoids (under age 12): rates for 4 insurance plans
  • Blue Cross Blue Shield of Texas — HMO: $10,913.69
  • Blue Cross Blue Shield of Texas — Marketplace: $10,283.12
  • Blue Cross Blue Shield of Texas — PPO: $12,126.32
  • Cigna — Commercial: $4,200
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E G DUODENOSCOPY [GI CTR] $7,453.87 $3,726.94 $1,666.15 – $6,633.94
Upper GI endoscopy (diagnostic): 10 of 13 insurance plan rates
  • Aetna — Commercial: $4,695.94
  • Baylor Scott and White Health Plan — Commercial: $2,109.45
  • Blue Cross Blue Shield of Texas — HMO: $1,768.32
  • Blue Cross Blue Shield of Texas — Marketplace: $1,666.15
  • Blue Cross Blue Shield of Texas — PPO: $1,964.80
  • Blue Cross Blue Shield of Texas — Traditional: $3,130.63
  • Cigna — Commercial: $4,200
  • Healthsmart — Commercial: $5,590.40
  • MultiPlan — Commercial: $6,633.94
  • Omni Networks — Commercial: $6,335.79
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E G DUODENOSCOPY [GI] $7,453.87 $3,726.94 $1,666.15 – $6,633.94
Upper GI endoscopy (diagnostic): 10 of 13 insurance plan rates
  • Aetna — Commercial: $4,695.94
  • Baylor Scott and White Health Plan — Commercial: $2,109.45
  • Blue Cross Blue Shield of Texas — HMO: $1,768.32
  • Blue Cross Blue Shield of Texas — Marketplace: $1,666.15
  • Blue Cross Blue Shield of Texas — PPO: $1,964.80
  • Blue Cross Blue Shield of Texas — Traditional: $3,130.63
  • Cigna — Commercial: $4,200
  • Healthsmart — Commercial: $5,590.40
  • MultiPlan — Commercial: $6,633.94
  • Omni Networks — Commercial: $6,335.79
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: E G DUODENOSCOPY [GI CTR] $7,453.87 $3,726.94 $1,341.70 – $6,633.94
Upper GI endoscopy (diagnostic): 10 of 11 insurance plan rates
  • Aetna — Commercial: $4,695.94
  • Baylor Scott and White Health Plan — Commercial: $2,109.45
  • Blue Cross Blue Shield of Texas — HMO: $1,490.77
  • Blue Cross Blue Shield of Texas — Marketplace: $1,341.70
  • Blue Cross Blue Shield of Texas — PPO: $1,565.31
  • Blue Cross Blue Shield of Texas — Traditional: $3,130.63
  • MultiPlan — Commercial: $6,633.94
  • Omni Networks — Commercial: $5,590.40
  • Private Healthcare Systems — Commercial: $4,845.02
  • UMR Hendrick Employee Plan — Commercial: $4,099.63
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD W/BIOPSY--GI $9,101.31 $4,550.66 $1,666.15 – $8,100.17
Upper GI endoscopy with biopsy: 10 of 13 insurance plan rates
  • Aetna — Commercial: $5,733.83
  • Baylor Scott and White Health Plan — Commercial: $2,575.67
  • Blue Cross Blue Shield of Texas — HMO: $1,768.32
  • Blue Cross Blue Shield of Texas — Marketplace: $1,666.15
  • Blue Cross Blue Shield of Texas — PPO: $1,964.80
  • Blue Cross Blue Shield of Texas — Traditional: $3,822.55
  • Cigna — Commercial: $4,200
  • Healthsmart — Commercial: $6,825.98
  • MultiPlan — Commercial: $8,100.17
  • Omni Networks — Commercial: $7,736.11
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD W/ BX, SGL/MULTI [GI CTR] $9,101.31 $4,550.66 $1,666.15 – $8,100.17
Upper GI endoscopy with biopsy: 10 of 13 insurance plan rates
  • Aetna — Commercial: $5,733.83
  • Baylor Scott and White Health Plan — Commercial: $2,575.67
  • Blue Cross Blue Shield of Texas — HMO: $1,768.32
  • Blue Cross Blue Shield of Texas — Marketplace: $1,666.15
  • Blue Cross Blue Shield of Texas — PPO: $1,964.80
  • Blue Cross Blue Shield of Texas — Traditional: $3,822.55
  • Cigna — Commercial: $4,200
  • Healthsmart — Commercial: $6,825.98
  • MultiPlan — Commercial: $8,100.17
  • Omni Networks — Commercial: $7,736.11
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD W/ BX, SGL/MULTI [GI CTR] $9,101.31 $4,550.66 $1,638.24 – $8,100.17
Upper GI endoscopy with biopsy: 10 of 11 insurance plan rates
  • Aetna — Commercial: $5,733.83
  • Baylor Scott and White Health Plan — Commercial: $2,575.67
  • Blue Cross Blue Shield of Texas — HMO: $1,820.26
  • Blue Cross Blue Shield of Texas — Marketplace: $1,638.24
  • Blue Cross Blue Shield of Texas — PPO: $1,911.28
  • Blue Cross Blue Shield of Texas — Traditional: $3,822.55
  • MultiPlan — Commercial: $8,100.17
  • Omni Networks — Commercial: $6,825.98
  • Private Healthcare Systems — Commercial: $5,915.85
  • UMR Hendrick Employee Plan — Commercial: $5,005.72
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY--GI $7,646.19 $3,823.10 $1,619.43 – $6,805.11
Colonoscopy (diagnostic): 10 of 13 insurance plan rates
  • Aetna — Commercial: $4,817.10
  • Baylor Scott and White Health Plan — Commercial: $2,163.87
  • Blue Cross Blue Shield of Texas — HMO: $1,718.73
  • Blue Cross Blue Shield of Texas — Marketplace: $1,619.43
  • Blue Cross Blue Shield of Texas — PPO: $1,909.70
  • Blue Cross Blue Shield of Texas — Traditional: $3,211.40
  • Cigna — Commercial: $4,200
  • Healthsmart — Commercial: $5,734.64
  • MultiPlan — Commercial: $6,805.11
  • Omni Networks — Commercial: $6,499.26
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY, DIAGNOSTIC [GI CTR] $7,646.19 $3,823.10 $1,619.43 – $6,805.11
Colonoscopy (diagnostic): 10 of 13 insurance plan rates
  • Aetna — Commercial: $4,817.10
  • Baylor Scott and White Health Plan — Commercial: $2,163.87
  • Blue Cross Blue Shield of Texas — HMO: $1,718.73
  • Blue Cross Blue Shield of Texas — Marketplace: $1,619.43
  • Blue Cross Blue Shield of Texas — PPO: $1,909.70
  • Blue Cross Blue Shield of Texas — Traditional: $3,211.40
  • Cigna — Commercial: $4,200
  • Healthsmart — Commercial: $5,734.64
  • MultiPlan — Commercial: $6,805.11
  • Omni Networks — Commercial: $6,499.26
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY--GI $7,646.19 $3,823.10 $1,376.31 – $6,805.11
Colonoscopy (diagnostic): 10 of 11 insurance plan rates
  • Aetna — Commercial: $4,817.10
  • Baylor Scott and White Health Plan — Commercial: $2,163.87
  • Blue Cross Blue Shield of Texas — HMO: $1,529.24
  • Blue Cross Blue Shield of Texas — Marketplace: $1,376.31
  • Blue Cross Blue Shield of Texas — PPO: $1,605.70
  • Blue Cross Blue Shield of Texas — Traditional: $3,211.40
  • MultiPlan — Commercial: $6,805.11
  • Omni Networks — Commercial: $5,734.64
  • Private Healthcare Systems — Commercial: $4,970.02
  • UMR Hendrick Employee Plan — Commercial: $4,205.40
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY,FLEXIBLE W/BIOPSY--GI $10,491.67 $5,245.84 $2,128.95 – $9,337.59
Colonoscopy with biopsy: 10 of 13 insurance plan rates
  • Aetna — Commercial: $6,609.75
  • Baylor Scott and White Health Plan — Commercial: $2,969.14
  • Blue Cross Blue Shield of Texas — HMO: $2,259.50
  • Blue Cross Blue Shield of Texas — Marketplace: $2,128.95
  • Blue Cross Blue Shield of Texas — PPO: $2,510.55
  • Blue Cross Blue Shield of Texas — Traditional: $4,406.50
  • Cigna — Commercial: $4,200
  • Healthsmart — Commercial: $7,868.75
  • MultiPlan — Commercial: $9,337.59
  • Omni Networks — Commercial: $8,917.92
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ BX, SGL/MULTI [GI CTR] $10,491.67 $5,245.84 $2,128.95 – $9,337.59
Colonoscopy with biopsy: 10 of 13 insurance plan rates
  • Aetna — Commercial: $6,609.75
  • Baylor Scott and White Health Plan — Commercial: $2,969.14
  • Blue Cross Blue Shield of Texas — HMO: $2,259.50
  • Blue Cross Blue Shield of Texas — Marketplace: $2,128.95
  • Blue Cross Blue Shield of Texas — PPO: $2,510.55
  • Blue Cross Blue Shield of Texas — Traditional: $4,406.50
  • Cigna — Commercial: $4,200
  • Healthsmart — Commercial: $7,868.75
  • MultiPlan — Commercial: $9,337.59
  • Omni Networks — Commercial: $8,917.92
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY,FLEXIBLE W/BIOPSY--GI $10,491.67 $5,245.84 $1,888.50 – $9,337.59
Colonoscopy with biopsy: 10 of 11 insurance plan rates
  • Aetna — Commercial: $6,609.75
  • Baylor Scott and White Health Plan — Commercial: $2,969.14
  • Blue Cross Blue Shield of Texas — HMO: $2,098.33
  • Blue Cross Blue Shield of Texas — Marketplace: $1,888.50
  • Blue Cross Blue Shield of Texas — PPO: $2,203.25
  • Blue Cross Blue Shield of Texas — Traditional: $4,406.50
  • MultiPlan — Commercial: $9,337.59
  • Omni Networks — Commercial: $7,868.75
  • Private Healthcare Systems — Commercial: $6,819.59
  • UMR Hendrick Employee Plan — Commercial: $5,770.42
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/TUMOR REMOVAL,FLEXIBLE--GI $11,453.55 $5,726.78 $2,128.95 – $10,193.66
Colonoscopy with removal of polyps (snare): 10 of 13 insurance plan rates
  • Aetna — Commercial: $7,215.74
  • Baylor Scott and White Health Plan — Commercial: $3,241.35
  • Blue Cross Blue Shield of Texas — HMO: $2,259.50
  • Blue Cross Blue Shield of Texas — Marketplace: $2,128.95
  • Blue Cross Blue Shield of Texas — PPO: $2,510.55
  • Blue Cross Blue Shield of Texas — Traditional: $4,810.49
  • Cigna — Commercial: $4,200
  • Healthsmart — Commercial: $8,590.16
  • MultiPlan — Commercial: $10,193.66
  • Omni Networks — Commercial: $9,735.52
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ TUMOR REMOVAL, SNARE [GI CTR] $11,453.55 $5,726.78 $2,128.95 – $10,193.66
Colonoscopy with removal of polyps (snare): 10 of 13 insurance plan rates
  • Aetna — Commercial: $7,215.74
  • Baylor Scott and White Health Plan — Commercial: $3,241.35
  • Blue Cross Blue Shield of Texas — HMO: $2,259.50
  • Blue Cross Blue Shield of Texas — Marketplace: $2,128.95
  • Blue Cross Blue Shield of Texas — PPO: $2,510.55
  • Blue Cross Blue Shield of Texas — Traditional: $4,810.49
  • Cigna — Commercial: $4,200
  • Healthsmart — Commercial: $8,590.16
  • MultiPlan — Commercial: $10,193.66
  • Omni Networks — Commercial: $9,735.52
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ TUMOR REMOVAL, SNARE [GI CTR] $11,453.55 $5,726.78 $2,061.64 – $10,193.66
Colonoscopy with removal of polyps (snare): 10 of 11 insurance plan rates
  • Aetna — Commercial: $7,215.74
  • Baylor Scott and White Health Plan — Commercial: $3,241.35
  • Blue Cross Blue Shield of Texas — HMO: $2,290.71
  • Blue Cross Blue Shield of Texas — Marketplace: $2,061.64
  • Blue Cross Blue Shield of Texas — PPO: $2,405.25
  • Blue Cross Blue Shield of Texas — Traditional: $4,810.49
  • MultiPlan — Commercial: $10,193.66
  • Omni Networks — Commercial: $8,590.16
  • Private Healthcare Systems — Commercial: $7,444.81
  • UMR Hendrick Employee Plan — Commercial: $6,299.45
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY LWR LG BOWEL W/ENDOSCOPE US [OR] $6,442.28 $3,221.14 $1,823.17 – $5,733.63
Ultrasound of the lower bowel by endoscope: 10 of 13 insurance plan rates
  • Aetna — Commercial: $4,058.64
  • Baylor Scott and White Health Plan — Commercial: $1,823.17
  • Blue Cross Blue Shield of Texas — HMO: $2,259.50
  • Blue Cross Blue Shield of Texas — Marketplace: $2,128.95
  • Blue Cross Blue Shield of Texas — PPO: $2,510.55
  • Blue Cross Blue Shield of Texas — Traditional: $2,705.76
  • Cigna — Commercial: $4,200
  • Healthsmart — Commercial: $4,831.71
  • MultiPlan — Commercial: $5,733.63
  • Omni Networks — Commercial: $5,475.94
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY LWR LG BOWEL W/ENDOSCOPE US [OR] $6,442.28 $3,221.14 $1,159.61 – $5,733.63
Ultrasound of the lower bowel by endoscope: 10 of 11 insurance plan rates
  • Aetna — Commercial: $4,058.64
  • Baylor Scott and White Health Plan — Commercial: $1,823.17
  • Blue Cross Blue Shield of Texas — HMO: $1,288.46
  • Blue Cross Blue Shield of Texas — Marketplace: $1,159.61
  • Blue Cross Blue Shield of Texas — PPO: $1,352.88
  • Blue Cross Blue Shield of Texas — Traditional: $2,705.76
  • MultiPlan — Commercial: $5,733.63
  • Omni Networks — Commercial: $4,831.71
  • Private Healthcare Systems — Commercial: $4,187.48
  • UMR Hendrick Employee Plan — Commercial: $3,543.25
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCRN COLONOSCOPY PT NOT HI RISK [GI CTR] $7,525.73 $3,762.87 $1,619.43 – $6,697.90
Screening colonoscopy (not high risk): 10 of 13 insurance plan rates
  • Aetna — Commercial: $4,741.21
  • Baylor Scott and White Health Plan — Commercial: $2,129.78
  • Blue Cross Blue Shield of Texas — HMO: $1,718.73
  • Blue Cross Blue Shield of Texas — Marketplace: $1,619.43
  • Blue Cross Blue Shield of Texas — PPO: $1,909.70
  • Blue Cross Blue Shield of Texas — Traditional: $3,160.81
  • Cigna — Commercial: $4,200
  • Healthsmart — Commercial: $5,644.30
  • MultiPlan — Commercial: $6,697.90
  • Omni Networks — Commercial: $6,396.87
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCRN COLONOSCOPY PT NOT HI RISK--GI $7,525.73 $3,762.87 $1,619.43 – $6,697.90
Screening colonoscopy (not high risk): 10 of 13 insurance plan rates
  • Aetna — Commercial: $4,741.21
  • Baylor Scott and White Health Plan — Commercial: $2,129.78
  • Blue Cross Blue Shield of Texas — HMO: $1,718.73
  • Blue Cross Blue Shield of Texas — Marketplace: $1,619.43
  • Blue Cross Blue Shield of Texas — PPO: $1,909.70
  • Blue Cross Blue Shield of Texas — Traditional: $3,160.81
  • Cigna — Commercial: $4,200
  • Healthsmart — Commercial: $5,644.30
  • MultiPlan — Commercial: $6,697.90
  • Omni Networks — Commercial: $6,396.87
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SCRN COLONOSCOPY PT NOT HI RISK [GI CTR] $7,525.73 $3,762.87 $1,354.63 – $6,697.90
Screening colonoscopy (not high risk): 10 of 11 insurance plan rates
  • Aetna — Commercial: $4,741.21
  • Baylor Scott and White Health Plan — Commercial: $2,129.78
  • Blue Cross Blue Shield of Texas — HMO: $1,505.15
  • Blue Cross Blue Shield of Texas — Marketplace: $1,354.63
  • Blue Cross Blue Shield of Texas — PPO: $1,580.40
  • Blue Cross Blue Shield of Texas — Traditional: $3,160.81
  • MultiPlan — Commercial: $6,697.90
  • Omni Networks — Commercial: $5,644.30
  • Private Healthcare Systems — Commercial: $4,891.72
  • UMR Hendrick Employee Plan — Commercial: $4,139.15
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $10,247.47 – $12,084.28
Gallbladder removal by laparoscope: rates for 3 insurance plans
  • Blue Cross Blue Shield of Texas — HMO: $10,875.85
  • Blue Cross Blue Shield of Texas — Marketplace: $10,247.47
  • Blue Cross Blue Shield of Texas — PPO: $12,084.28
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $6,591.80 – $7,875
Groin (inguinal) hernia repair, age 5 or older: rates for 4 insurance plans
  • Blue Cross Blue Shield of Texas — HMO: $6,996.02
  • Blue Cross Blue Shield of Texas — Marketplace: $6,591.80
  • Blue Cross Blue Shield of Texas — PPO: $7,773.35
  • Cigna — Commercial: $7,875
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $3,755.69 – $4,428.88
Prostate biopsy: rates for 4 insurance plans
  • Blue Cross Blue Shield of Texas — HMO: $3,985.99
  • Blue Cross Blue Shield of Texas — Marketplace: $3,755.69
  • Blue Cross Blue Shield of Texas — PPO: $4,428.88
  • Cigna — Commercial: $4,200
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPARO RADICAL PROSTATECTOMY Not listed in the file Not listed in the file $17,835.79 – $21,032.78
Prostate removal by laparoscope (radical prostatectomy): rates for 3 insurance plans
  • Blue Cross Blue Shield of Texas — HMO: $18,929.50
  • Blue Cross Blue Shield of Texas — Marketplace: $17,835.79
  • Blue Cross Blue Shield of Texas — PPO: $21,032.78
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $4,200 – $6,245.25
Hysteroscopy with biopsy of the uterus lining: rates for 4 insurance plans
  • Blue Cross Blue Shield of Texas — HMO: $5,620.72
  • Blue Cross Blue Shield of Texas — Marketplace: $5,295.97
  • Blue Cross Blue Shield of Texas — PPO: $6,245.25
  • Cigna — Commercial: $4,200
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC [PLZARAD] $4,472.47 $2,236.24 $1,265.71 – $3,980.50
Spinal injection, lower back (epidural), with imaging guidance: 10 of 13 insurance plan rates
  • Aetna — Commercial: $2,817.66
  • Baylor Scott and White Health Plan — Commercial: $1,265.71
  • Blue Cross Blue Shield of Texas — HMO: $1,406.36
  • Blue Cross Blue Shield of Texas — Marketplace: $1,325.11
  • Blue Cross Blue Shield of Texas — PPO: $1,562.62
  • Blue Cross Blue Shield of Texas — Traditional: $1,878.44
  • Cigna — Commercial: $2,683.48
  • Healthsmart — Commercial: $3,354.35
  • MultiPlan — Commercial: $3,980.50
  • Omni Networks — Commercial: $3,801.60
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC W-IMAGE GUIDNC [INTV RAD] $4,472.47 $2,236.24 $1,265.71 – $3,980.50
Spinal injection, lower back (epidural), with imaging guidance: 10 of 13 insurance plan rates
  • Aetna — Commercial: $2,817.66
  • Baylor Scott and White Health Plan — Commercial: $1,265.71
  • Blue Cross Blue Shield of Texas — HMO: $1,406.36
  • Blue Cross Blue Shield of Texas — Marketplace: $1,325.11
  • Blue Cross Blue Shield of Texas — PPO: $1,562.62
  • Blue Cross Blue Shield of Texas — Traditional: $1,878.44
  • Cigna — Commercial: $2,683.48
  • Healthsmart — Commercial: $3,354.35
  • MultiPlan — Commercial: $3,980.50
  • Omni Networks — Commercial: $3,801.60
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC [DXRAD] $4,472.47 $2,236.24 $1,265.71 – $3,980.50
Spinal injection, lower back (epidural), with imaging guidance: 10 of 13 insurance plan rates
  • Aetna — Commercial: $2,817.66
  • Baylor Scott and White Health Plan — Commercial: $1,265.71
  • Blue Cross Blue Shield of Texas — HMO: $1,406.36
  • Blue Cross Blue Shield of Texas — Marketplace: $1,325.11
  • Blue Cross Blue Shield of Texas — PPO: $1,562.62
  • Blue Cross Blue Shield of Texas — Traditional: $1,878.44
  • Cigna — Commercial: $2,683.48
  • Healthsmart — Commercial: $3,354.35
  • MultiPlan — Commercial: $3,980.50
  • Omni Networks — Commercial: $3,801.60
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ FORAMEN EPIDURAL L/S [DXRAD] $5,045.67 $2,522.84 $1,427.92 – $4,490.65
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates
  • Aetna — Commercial: $3,178.77
  • Baylor Scott and White Health Plan — Commercial: $1,427.92
  • Blue Cross Blue Shield of Texas — HMO: $1,827.11
  • Blue Cross Blue Shield of Texas — Marketplace: $1,721.55
  • Blue Cross Blue Shield of Texas — PPO: $2,030.12
  • Blue Cross Blue Shield of Texas — Traditional: $2,119.18
  • Cigna — Commercial: $4,200
  • Healthsmart — Commercial: $3,784.25
  • MultiPlan — Commercial: $4,490.65
  • Omni Networks — Commercial: $4,288.82
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ FORAMEN EPIDURAL L/S [PLZARAD] $5,045.67 $2,522.84 $1,427.92 – $4,490.65
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates
  • Aetna — Commercial: $3,178.77
  • Baylor Scott and White Health Plan — Commercial: $1,427.92
  • Blue Cross Blue Shield of Texas — HMO: $1,827.11
  • Blue Cross Blue Shield of Texas — Marketplace: $1,721.55
  • Blue Cross Blue Shield of Texas — PPO: $2,030.12
  • Blue Cross Blue Shield of Texas — Traditional: $2,119.18
  • Cigna — Commercial: $4,200
  • Healthsmart — Commercial: $3,784.25
  • MultiPlan — Commercial: $4,490.65
  • Omni Networks — Commercial: $4,288.82
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ FORAMEN EPIDURAL L/S [INTV RAD] $5,045.67 $2,522.84 $1,427.92 – $4,490.65
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates
  • Aetna — Commercial: $3,178.77
  • Baylor Scott and White Health Plan — Commercial: $1,427.92
  • Blue Cross Blue Shield of Texas — HMO: $1,827.11
  • Blue Cross Blue Shield of Texas — Marketplace: $1,721.55
  • Blue Cross Blue Shield of Texas — PPO: $2,030.12
  • Blue Cross Blue Shield of Texas — Traditional: $2,119.18
  • Cigna — Commercial: $4,200
  • Healthsmart — Commercial: $3,784.25
  • MultiPlan — Commercial: $4,490.65
  • Omni Networks — Commercial: $4,288.82
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $3,645.02 – $4,298.38
Carpal tunnel release: rates for 4 insurance plans
  • Blue Cross Blue Shield of Texas — HMO: $3,868.54
  • Blue Cross Blue Shield of Texas — Marketplace: $3,645.02
  • Blue Cross Blue Shield of Texas — PPO: $4,298.38
  • Cigna — Commercial: $4,200
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $1,074.69 – $4,200
Laser treatment of clouding after cataract surgery: rates for 4 insurance plans
  • Blue Cross Blue Shield of Texas — HMO: $1,140.59
  • Blue Cross Blue Shield of Texas — Marketplace: $1,074.69
  • Blue Cross Blue Shield of Texas — PPO: $1,267.32
  • Cigna — Commercial: $4,200
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $4,286.34 – $7,875
Cataract removal with lens implant: rates for 4 insurance plans
  • Blue Cross Blue Shield of Texas — HMO: $4,549.18
  • Blue Cross Blue Shield of Texas — Marketplace: $4,286.34
  • Blue Cross Blue Shield of Texas — PPO: $5,054.65
  • Cigna — Commercial: $7,875

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $4,617.02 – $5,444.60
Vaginal delivery, with care before and after: rates for 3 insurance plans
  • Blue Cross Blue Shield of Texas — HMO: $4,900.14
  • Blue Cross Blue Shield of Texas — Marketplace: $4,617.02
  • Blue Cross Blue Shield of Texas — PPO: $5,444.60
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $5,118.99 – $6,036.55
Cesarean delivery (C-section), with care before and after: rates for 3 insurance plans
  • Blue Cross Blue Shield of Texas — HMO: $5,432.89
  • Blue Cross Blue Shield of Texas — Marketplace: $5,118.99
  • Blue Cross Blue Shield of Texas — PPO: $6,036.55
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $4,844.71 – $5,713.10
Vaginal delivery after a previous C-section, with care before and after: rates for 3 insurance plans
  • Blue Cross Blue Shield of Texas — HMO: $5,141.79
  • Blue Cross Blue Shield of Texas — Marketplace: $4,844.71
  • Blue Cross Blue Shield of Texas — PPO: $5,713.10

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $81,246.15 – $231,275.35
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 5 insurance plans
  • Blue Cross Blue Shield of Texas — HMO: $208,144.81
  • Blue Cross Blue Shield of Texas — Marketplace: $196,579.53
  • Blue Cross Blue Shield of Texas — PPO: $231,275.35
  • Cigna — Commercial: $97,974.74
  • Healthsmart — Commercial: $81,246.15
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $67,054 – $78,887
Spinal fusion (not neck), without major complications: rates for 3 insurance plans
  • Blue Cross Blue Shield of Texas — HMO: $70,998
  • Blue Cross Blue Shield of Texas — Marketplace: $67,054
  • Blue Cross Blue Shield of Texas — PPO: $78,887
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $16,019.51 – $41,936
Hip or knee replacement (major joint of the leg), without major complications: rates for 5 insurance plans
  • Blue Cross Blue Shield of Texas — HMO: $37,742
  • Blue Cross Blue Shield of Texas — Marketplace: $35,646
  • Blue Cross Blue Shield of Texas — PPO: $41,936
  • Cigna — Commercial: $19,317.93
  • Healthsmart — Commercial: $16,019.51
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $20,275 – $50,955.19
Neck (cervical) spinal fusion, without complications: rates for 5 insurance plans
  • Blue Cross Blue Shield of Texas — HMO: $45,859.42
  • Blue Cross Blue Shield of Texas — Marketplace: $43,312.80
  • Blue Cross Blue Shield of Texas — PPO: $50,955.19
  • Cigna — Commercial: $24,449.62
  • Healthsmart — Commercial: $20,275
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $10,304.01 – $16,044.98
Uterus and ovary surgery (not for cancer), without complications: rates for 5 insurance plans
  • Blue Cross Blue Shield of Texas — HMO: $14,439.80
  • Blue Cross Blue Shield of Texas — Marketplace: $13,637.78
  • Blue Cross Blue Shield of Texas — PPO: $16,044.98
  • Cigna — Commercial: $12,425.61
  • Healthsmart — Commercial: $10,304.01

Source: Hendrick Medical Center’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on October 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address1900 Pine, Abilene, TX 79601
CountyTaylor County
StateTexas
Phone(325) 670‑2000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number450229
Name in Medicare recordsHENDRICK MEDICAL CENTER
Profile levelMedicare data + hospital website
Official websitehendrickhealth.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. Hendrick Medical Center (Hendrick Health) — hendrickhealth.org
  2. Awards & Recognition | Hendrick Health — hendrickhealth.org