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Acute Care Hospital

Hendrick Medical Center Brownwood

Brownwood, Texas · Brown County · Emergency services listed

Summary

Hendrick Medical Center Brownwood is an acute care hospital in Brownwood, Texas. Medicare data lists emergency services. CMS overall star rating: 1 of 5 stars. Its official website lists 26 services, specialties and programs. Medicare lists 328 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
1 of 5 stars1 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
188Beds (hospital website)
26Services listed

Quick answers

Does Hendrick Medical Center Brownwood have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Hendrick Medical Center Brownwood. In a medical emergency, call 911.
Where is Hendrick Medical Center Brownwood?
1501 Burnet Dr, Brownwood, TX 76801, in Brown County, Texas.
What is the phone number of Hendrick Medical Center Brownwood?
(325) 646-8541, as listed by Medicare (CMS).
What is the Medicare star rating of Hendrick Medical Center Brownwood?
1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5]

Treatments[4][5]

Procedures[4]

Programs and centers[4][5]

  • Labor and delivery / women's center
  • Level II nursery
  • Sleep lab
  • Hospitalist program
  • Walker Cancer Center
  • Stroke care
  • Cardiac rehabilitation
  • Women's center and obstetric unit

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

Emergency roomYes
Open 24/7Yes
Trauma designationLevel IV

Visiting and practical information

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

Doctors and clinicians (328)

328 doctors and other clinicians list Hendrick Medical Center Brownwood 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 (328)

And 304 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What Hendrick Medical Center Brownwood 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 hospital2 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines1 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1057%National average: 72%
Would definitely recommend the hospital54%National average: 71%
Nurses “always” communicated well72%National average: 80%
Doctors “always” communicated well71%National average: 80%
Staff “always” explained medicines before giving them51%National average: 62%
Were given information about recovery at home86%National average: 86%
Room and bathroom “always” clean65%National average: 74%
Area around the room “always” quiet at night50%National average: 60%
Completed surveys392Response rate: 16%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgery1.88No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0.48No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients14.2%
Deaths within 30 days: heart failure patients12%
Deaths within 30 days: pneumonia patients18.1%
Deaths within 30 days: COPD patients9.8%
Deaths within 30 days: stroke patients12.3%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)0.91No different from the national rate
Complications after hip or knee replacement5.2%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack14.4%
Readmitted within 30 days: heart failure21.3%
Readmitted within 30 days: pneumonia19.1%
Readmitted within 30 days: COPD18.8%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement7.4%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)180 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)60%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

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

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30-44 MIN Not listed in the file Not listed in the file $114.05 – $258.90
New patient office visit (about 30–44 minutes): rates for 2 insurance plans
  • Ambetter — Marketplace: $258.90
  • United Healthcare — Medicare Advantage: $114.05
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45-59 MIN Not listed in the file Not listed in the file $172.37 – $391.29
New patient office visit (about 45–59 minutes): rates for 2 insurance plans
  • Ambetter — Marketplace: $391.29
  • United Healthcare — Medicare Advantage: $172.37
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60-74 MIN Not listed in the file Not listed in the file $230.14 – $522.43
New patient office visit (about 60–74 minutes): rates for 2 insurance plans
  • Ambetter — Marketplace: $522.43
  • United Healthcare — Medicare Advantage: $230.14
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20-29 MIN Not listed in the file Not listed in the file $92.41 – $209.78
Established patient office visit (about 20–29 minutes): rates for 2 insurance plans
  • Ambetter — Marketplace: $209.78
  • United Healthcare — Medicare Advantage: $92.41
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30-39 MIN Not listed in the file Not listed in the file $131.75 – $299.07
Established patient office visit (about 30–39 minutes): rates for 2 insurance plans
  • Ambetter — Marketplace: $299.07
  • United Healthcare — Medicare Advantage: $131.75
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION Not listed in the file Not listed in the file $109.72 – $249.06
Office consultation with a specialist (moderate): rates for 2 insurance plans
  • Ambetter — Marketplace: $249.06
  • United Healthcare — Medicare Advantage: $109.72
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION Not listed in the file Not listed in the file $157.10 – $356.62
Office consultation with a specialist (moderate to high): rates for 2 insurance plans
  • Ambetter — Marketplace: $356.62
  • United Healthcare — Medicare Advantage: $157.10
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39 Not listed in the file Not listed in the file $130.83 – $296.98
Preventive checkup, new patient, age 18–39: rates for 2 insurance plans
  • Ambetter — Marketplace: $296.98
  • United Healthcare — Medicare Advantage: $130.83
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64 Not listed in the file Not listed in the file $151.45 – $343.79
Preventive checkup, new patient, age 40–64: rates for 2 insurance plans
  • Ambetter — Marketplace: $343.79
  • United Healthcare — Medicare Advantage: $151.45
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY EVAL LEVEL 3 [OBED] $1,861.31 $930.66 $274.22 – $1,675.18
Emergency room visit (moderate): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $1,582.11
  • Ambetter — Marketplace: $622.48
  • Blue Cross Blue Shield of Texas — HMO: $1,377.37
  • Blue Cross Blue Shield of Texas — Marketplace: $1,321.53
  • Blue Cross Blue Shield of Texas — PPO: $1,489.05
  • Blue Cross Blue Shield of Texas — Traditional: $1,563.50
  • Healthsmart — Commercial: $1,302.92
  • MultiPlan — Commercial: $1,675.18
  • Private Healthcare Systems — Commercial: $1,656.57
  • United Healthcare — Commercial: $820.84
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY EVAL LEVEL 3 [SANE] $299.70 $149.85 $132.17 – $622.48
Emergency room visit (moderate): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $254.75
  • Ambetter — Marketplace: $622.48
  • Blue Cross Blue Shield of Texas — HMO: $221.78
  • Blue Cross Blue Shield of Texas — Marketplace: $212.79
  • Blue Cross Blue Shield of Texas — PPO: $239.76
  • Blue Cross Blue Shield of Texas — Traditional: $251.75
  • Healthsmart — Commercial: $209.79
  • MultiPlan — Commercial: $269.73
  • Private Healthcare Systems — Commercial: $266.73
  • United Healthcare — Commercial: $132.17
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY EVAL LEVEL 3 [ED] $1,861.31 $930.66 $274.22 – $1,675.18
Emergency room visit (moderate): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $1,582.11
  • Ambetter — Marketplace: $622.48
  • Blue Cross Blue Shield of Texas — HMO: $1,377.37
  • Blue Cross Blue Shield of Texas — Marketplace: $1,321.53
  • Blue Cross Blue Shield of Texas — PPO: $1,489.05
  • Blue Cross Blue Shield of Texas — Traditional: $1,563.50
  • Healthsmart — Commercial: $1,302.92
  • MultiPlan — Commercial: $1,675.18
  • Private Healthcare Systems — Commercial: $1,656.57
  • United Healthcare — Commercial: $820.84
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] $19,888.82 $9,944.41 $419.16 – $17,899.94
Emergency room visit (moderately high): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $16,905.50
  • Ambetter — Marketplace: $951.50
  • Blue Cross Blue Shield of Texas — HMO: $14,717.73
  • Blue Cross Blue Shield of Texas — Marketplace: $14,121.06
  • Blue Cross Blue Shield of Texas — PPO: $15,911.06
  • Blue Cross Blue Shield of Texas — Traditional: $16,706.61
  • Healthsmart — Commercial: $13,922.17
  • MultiPlan — Commercial: $17,899.94
  • Private Healthcare Systems — Commercial: $17,701.05
  • United Healthcare — Commercial: $8,770.97
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 PREHOSP NOTIFY [HMCS/HMCB] $14,171.56 $7,085.78 $419.16 – $12,754.40
Emergency room visit (moderately high): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $12,045.83
  • Ambetter — Marketplace: $951.50
  • Blue Cross Blue Shield of Texas — HMO: $10,486.95
  • Blue Cross Blue Shield of Texas — Marketplace: $10,061.81
  • Blue Cross Blue Shield of Texas — PPO: $11,337.25
  • Blue Cross Blue Shield of Texas — Traditional: $11,904.11
  • Healthsmart — Commercial: $9,920.09
  • MultiPlan — Commercial: $12,754.40
  • Private Healthcare Systems — Commercial: $12,612.69
  • United Healthcare — Commercial: $6,249.66
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 PREHOSP NOTIFY [HMCS/HMCB] $19,404.73 $9,702.37 $419.16 – $17,464.26
Emergency room visit (moderately high): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $16,494.02
  • Ambetter — Marketplace: $951.50
  • Blue Cross Blue Shield of Texas — HMO: $14,359.50
  • Blue Cross Blue Shield of Texas — Marketplace: $13,777.36
  • Blue Cross Blue Shield of Texas — PPO: $15,523.78
  • Blue Cross Blue Shield of Texas — Traditional: $16,299.97
  • Healthsmart — Commercial: $13,583.31
  • MultiPlan — Commercial: $17,464.26
  • Private Healthcare Systems — Commercial: $17,270.21
  • United Healthcare — Commercial: $8,557.49
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY EVAL LEVEL 5 [OBED] $6,821.62 $3,410.81 $598.24 – $6,139.46
Emergency room visit (high): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $5,798.38
  • Ambetter — Marketplace: $1,358.02
  • Blue Cross Blue Shield of Texas — HMO: $5,048
  • Blue Cross Blue Shield of Texas — Marketplace: $4,843.35
  • Blue Cross Blue Shield of Texas — PPO: $5,457.30
  • Blue Cross Blue Shield of Texas — Traditional: $5,730.16
  • Healthsmart — Commercial: $4,775.13
  • MultiPlan — Commercial: $6,139.46
  • Private Healthcare Systems — Commercial: $6,071.24
  • United Healthcare — Commercial: $3,008.33
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY EVAL LEVEL 5 [SANE] $299.70 $149.85 $132.17 – $1,358.02
Emergency room visit (high): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $254.75
  • Ambetter — Marketplace: $1,358.02
  • Blue Cross Blue Shield of Texas — HMO: $221.78
  • Blue Cross Blue Shield of Texas — Marketplace: $212.79
  • Blue Cross Blue Shield of Texas — PPO: $239.76
  • Blue Cross Blue Shield of Texas — Traditional: $251.75
  • Healthsmart — Commercial: $209.79
  • MultiPlan — Commercial: $269.73
  • Private Healthcare Systems — Commercial: $266.73
  • United Healthcare — Commercial: $132.17
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY EVAL LEVEL 5 [ED] $6,821.62 $3,410.81 $598.24 – $6,139.46
Emergency room visit (high): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $5,798.38
  • Ambetter — Marketplace: $1,358.02
  • Blue Cross Blue Shield of Texas — HMO: $5,048
  • Blue Cross Blue Shield of Texas — Marketplace: $4,843.35
  • Blue Cross Blue Shield of Texas — PPO: $5,457.30
  • Blue Cross Blue Shield of Texas — Traditional: $5,730.16
  • Healthsmart — Commercial: $4,775.13
  • MultiPlan — Commercial: $6,139.46
  • Private Healthcare Systems — Commercial: $6,071.24
  • United Healthcare — Commercial: $3,008.33

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.. $458.29 $229.15 $8.46 – $412.46
Basic metabolic panel (blood test): 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $389.55
  • Ambetter — Marketplace: $19.20
  • Blue Cross Blue Shield of Texas — HMO: $339.13
  • Blue Cross Blue Shield of Texas — Marketplace: $325.39
  • Blue Cross Blue Shield of Texas — PPO: $366.63
  • Blue Cross Blue Shield of Texas — Traditional: $384.96
  • FirstCare Star — Managed Medicaid: $12.17
  • Healthsmart — Commercial: $320.80
  • MultiPlan — Commercial: $412.46
  • Private Healthcare Systems — Commercial: $407.88
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL.. $458.29 $229.15 $202.11 – $412.46
Basic metabolic panel (blood test): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $389.55
  • Blue Cross Blue Shield of Texas — HMO: $339.13
  • Blue Cross Blue Shield of Texas — Marketplace: $325.39
  • Blue Cross Blue Shield of Texas — PPO: $366.63
  • Blue Cross Blue Shield of Texas — Traditional: $384.96
  • Healthsmart — Commercial: $320.80
  • MultiPlan — Commercial: $412.46
  • Private Healthcare Systems — Commercial: $407.88
  • United Healthcare — Commercial: $202.11
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL. [] $382.89 $191.45 $10.56 – $344.60
Comprehensive metabolic panel (blood test): 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $325.46
  • Ambetter — Marketplace: $23.97
  • Blue Cross Blue Shield of Texas — HMO: $283.34
  • Blue Cross Blue Shield of Texas — Marketplace: $271.85
  • Blue Cross Blue Shield of Texas — PPO: $306.31
  • Blue Cross Blue Shield of Texas — Traditional: $321.63
  • FirstCare Star — Managed Medicaid: $15.18
  • Healthsmart — Commercial: $268.02
  • MultiPlan — Commercial: $344.60
  • Private Healthcare Systems — Commercial: $340.77
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PROFILE. [] $382.89 $191.45 $10.56 – $344.60
Comprehensive metabolic panel (blood test): 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $325.46
  • Ambetter — Marketplace: $23.97
  • Blue Cross Blue Shield of Texas — HMO: $283.34
  • Blue Cross Blue Shield of Texas — Marketplace: $271.85
  • Blue Cross Blue Shield of Texas — PPO: $306.31
  • Blue Cross Blue Shield of Texas — Traditional: $321.63
  • FirstCare Star — Managed Medicaid: $15.18
  • Healthsmart — Commercial: $268.02
  • MultiPlan — Commercial: $344.60
  • Private Healthcare Systems — Commercial: $340.77
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL COMPREHENSIVE.. $230.41 $115.21 $10.56 – $207.37
Comprehensive metabolic panel (blood test): 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $195.85
  • Ambetter — Marketplace: $23.97
  • Blue Cross Blue Shield of Texas — HMO: $170.50
  • Blue Cross Blue Shield of Texas — Marketplace: $163.59
  • Blue Cross Blue Shield of Texas — PPO: $184.33
  • Blue Cross Blue Shield of Texas — Traditional: $193.54
  • FirstCare Star — Managed Medicaid: $15.18
  • Healthsmart — Commercial: $161.29
  • MultiPlan — Commercial: $207.37
  • Private Healthcare Systems — Commercial: $205.06
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL $269.43 $134.72 $47.81 – $242.49
Obstetric blood test panel: 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $229.02
  • Ambetter — Marketplace: $108.53
  • Blue Cross Blue Shield of Texas — HMO: $199.38
  • Blue Cross Blue Shield of Texas — Marketplace: $191.30
  • Blue Cross Blue Shield of Texas — PPO: $215.54
  • Blue Cross Blue Shield of Texas — Traditional: $226.32
  • Healthsmart — Commercial: $188.60
  • MultiPlan — Commercial: $242.49
  • Private Healthcare Systems — Commercial: $239.79
  • United Healthcare — Commercial: $118.82
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL $269.43 $134.72 $118.82 – $242.49
Obstetric blood test panel: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $229.02
  • Blue Cross Blue Shield of Texas — HMO: $199.38
  • Blue Cross Blue Shield of Texas — Marketplace: $191.30
  • Blue Cross Blue Shield of Texas — PPO: $215.54
  • Blue Cross Blue Shield of Texas — Traditional: $226.32
  • Healthsmart — Commercial: $188.60
  • MultiPlan — Commercial: $242.49
  • Private Healthcare Systems — Commercial: $239.79
  • United Healthcare — Commercial: $118.82
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE.... $230.41 $115.21 $13.39 – $207.37
Cholesterol panel (lipid panel): 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $195.85
  • Ambetter — Marketplace: $30.40
  • Blue Cross Blue Shield of Texas — HMO: $170.50
  • Blue Cross Blue Shield of Texas — Marketplace: $163.59
  • Blue Cross Blue Shield of Texas — PPO: $184.33
  • Blue Cross Blue Shield of Texas — Traditional: $193.54
  • FirstCare Star — Managed Medicaid: $19.27
  • Healthsmart — Commercial: $161.29
  • MultiPlan — Commercial: $207.37
  • Private Healthcare Systems — Commercial: $205.06
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE... [] $230.41 $115.21 $13.39 – $207.37
Cholesterol panel (lipid panel): 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $195.85
  • Ambetter — Marketplace: $30.40
  • Blue Cross Blue Shield of Texas — HMO: $170.50
  • Blue Cross Blue Shield of Texas — Marketplace: $163.59
  • Blue Cross Blue Shield of Texas — PPO: $184.33
  • Blue Cross Blue Shield of Texas — Traditional: $193.54
  • FirstCare Star — Managed Medicaid: $19.27
  • Healthsmart — Commercial: $161.29
  • MultiPlan — Commercial: $207.37
  • Private Healthcare Systems — Commercial: $205.06
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE** [] $230.41 $115.21 $13.39 – $207.37
Cholesterol panel (lipid panel): 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $195.85
  • Ambetter — Marketplace: $30.40
  • Blue Cross Blue Shield of Texas — HMO: $170.50
  • Blue Cross Blue Shield of Texas — Marketplace: $163.59
  • Blue Cross Blue Shield of Texas — PPO: $184.33
  • Blue Cross Blue Shield of Texas — Traditional: $193.54
  • FirstCare Star — Managed Medicaid: $19.27
  • Healthsmart — Commercial: $161.29
  • MultiPlan — Commercial: $207.37
  • Private Healthcare Systems — Commercial: $205.06
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $469.89 $234.95 $8.68 – $422.90
Kidney function panel: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $399.41
  • Ambetter — Marketplace: $19.70
  • Blue Cross Blue Shield of Texas — HMO: $347.72
  • Blue Cross Blue Shield of Texas — Marketplace: $333.62
  • Blue Cross Blue Shield of Texas — PPO: $375.91
  • Blue Cross Blue Shield of Texas — Traditional: $394.71
  • FirstCare Star — Managed Medicaid: $12.48
  • Healthsmart — Commercial: $328.92
  • MultiPlan — Commercial: $422.90
  • Private Healthcare Systems — Commercial: $418.20
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $469.89 $234.95 $207.22 – $422.90
Kidney function panel: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $399.41
  • Blue Cross Blue Shield of Texas — HMO: $347.72
  • Blue Cross Blue Shield of Texas — Marketplace: $333.62
  • Blue Cross Blue Shield of Texas — PPO: $375.91
  • Blue Cross Blue Shield of Texas — Traditional: $394.71
  • Healthsmart — Commercial: $328.92
  • MultiPlan — Commercial: $422.90
  • Private Healthcare Systems — Commercial: $418.20
  • United Healthcare — Commercial: $207.22
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL.. $442.83 $221.42 $8.17 – $398.55
Liver function panel: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $376.41
  • Ambetter — Marketplace: $18.55
  • Blue Cross Blue Shield of Texas — HMO: $327.69
  • Blue Cross Blue Shield of Texas — Marketplace: $314.41
  • Blue Cross Blue Shield of Texas — PPO: $354.26
  • Blue Cross Blue Shield of Texas — Traditional: $371.98
  • FirstCare Star — Managed Medicaid: $11.75
  • Healthsmart — Commercial: $309.98
  • MultiPlan — Commercial: $398.55
  • Private Healthcare Systems — Commercial: $394.12
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL.. $442.83 $221.42 $195.29 – $398.55
Liver function panel: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $376.41
  • Blue Cross Blue Shield of Texas — HMO: $327.69
  • Blue Cross Blue Shield of Texas — Marketplace: $314.41
  • Blue Cross Blue Shield of Texas — PPO: $354.26
  • Blue Cross Blue Shield of Texas — Traditional: $371.98
  • Healthsmart — Commercial: $309.98
  • MultiPlan — Commercial: $398.55
  • Private Healthcare Systems — Commercial: $394.12
  • United Healthcare — Commercial: $195.29
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URIN DIP, A W MICRO. [] $102.48 $51.24 $3.17 – $92.23
Urine test (automated, with microscope): 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $87.11
  • Ambetter — Marketplace: $7.20
  • Blue Cross Blue Shield of Texas — HMO: $75.84
  • Blue Cross Blue Shield of Texas — Marketplace: $72.76
  • Blue Cross Blue Shield of Texas — PPO: $81.98
  • Blue Cross Blue Shield of Texas — Traditional: $86.08
  • FirstCare Star — Managed Medicaid: $4.56
  • Healthsmart — Commercial: $71.74
  • MultiPlan — Commercial: $92.23
  • Private Healthcare Systems — Commercial: $91.21
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URIN DIP, A W MICRO $102.48 $51.24 $3.17 – $92.23
Urine test (automated, with microscope): 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $87.11
  • Ambetter — Marketplace: $7.20
  • Blue Cross Blue Shield of Texas — HMO: $75.84
  • Blue Cross Blue Shield of Texas — Marketplace: $72.76
  • Blue Cross Blue Shield of Texas — PPO: $81.98
  • Blue Cross Blue Shield of Texas — Traditional: $86.08
  • FirstCare Star — Managed Medicaid: $4.56
  • Healthsmart — Commercial: $71.74
  • MultiPlan — Commercial: $92.23
  • Private Healthcare Systems — Commercial: $91.21
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URIN DIP, A W MICRO. [] $102.48 $51.24 $45.19 – $92.23
Urine test (automated, with microscope): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $87.11
  • Blue Cross Blue Shield of Texas — HMO: $75.84
  • Blue Cross Blue Shield of Texas — Marketplace: $72.76
  • Blue Cross Blue Shield of Texas — PPO: $81.98
  • Blue Cross Blue Shield of Texas — Traditional: $86.08
  • Healthsmart — Commercial: $71.74
  • MultiPlan — Commercial: $92.23
  • Private Healthcare Systems — Commercial: $91.21
  • United Healthcare — Commercial: $45.19
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA WO/MICRO;NON AUTOMATED $102.48 $51.24 $3.48 – $92.23
Urine test (manual, without microscope): 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $87.11
  • Ambetter — Marketplace: $7.90
  • Blue Cross Blue Shield of Texas — HMO: $75.84
  • Blue Cross Blue Shield of Texas — Marketplace: $72.76
  • Blue Cross Blue Shield of Texas — PPO: $81.98
  • Blue Cross Blue Shield of Texas — Traditional: $86.08
  • FirstCare Star — Managed Medicaid: $5.01
  • Healthsmart — Commercial: $71.74
  • MultiPlan — Commercial: $92.23
  • Private Healthcare Systems — Commercial: $91.21
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA WO/MICRO;NON AUTOMATED $102.48 $51.24 $45.19 – $92.23
Urine test (manual, without microscope): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $87.11
  • Blue Cross Blue Shield of Texas — HMO: $75.84
  • Blue Cross Blue Shield of Texas — Marketplace: $72.76
  • Blue Cross Blue Shield of Texas — PPO: $81.98
  • Blue Cross Blue Shield of Texas — Traditional: $86.08
  • Healthsmart — Commercial: $71.74
  • MultiPlan — Commercial: $92.23
  • Private Healthcare Systems — Commercial: $91.21
  • United Healthcare — Commercial: $45.19
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA CHEMICAL $73.48 $36.74 $2.25 – $66.13
Urine test (automated, without microscope): 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $62.46
  • Ambetter — Marketplace: $5.11
  • Blue Cross Blue Shield of Texas — HMO: $54.38
  • Blue Cross Blue Shield of Texas — Marketplace: $52.17
  • Blue Cross Blue Shield of Texas — PPO: $58.78
  • Blue Cross Blue Shield of Texas — Traditional: $61.72
  • FirstCare Star — Managed Medicaid: $3.23
  • Healthsmart — Commercial: $51.44
  • MultiPlan — Commercial: $66.13
  • Private Healthcare Systems — Commercial: $65.40
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA WO/MICRO;AUTOMATED $73.48 $36.74 $2.25 – $66.13
Urine test (automated, without microscope): 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $62.46
  • Ambetter — Marketplace: $5.11
  • Blue Cross Blue Shield of Texas — HMO: $54.38
  • Blue Cross Blue Shield of Texas — Marketplace: $52.17
  • Blue Cross Blue Shield of Texas — PPO: $58.78
  • Blue Cross Blue Shield of Texas — Traditional: $61.72
  • FirstCare Star — Managed Medicaid: $3.23
  • Healthsmart — Commercial: $51.44
  • MultiPlan — Commercial: $66.13
  • Private Healthcare Systems — Commercial: $65.40
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTOMATED WITHOUT MICROSCOPY [] $73.48 $36.74 $2.25 – $66.13
Urine test (automated, without microscope): 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $62.46
  • Ambetter — Marketplace: $5.11
  • Blue Cross Blue Shield of Texas — HMO: $54.38
  • Blue Cross Blue Shield of Texas — Marketplace: $52.17
  • Blue Cross Blue Shield of Texas — PPO: $58.78
  • Blue Cross Blue Shield of Texas — Traditional: $61.72
  • FirstCare Star — Managed Medicaid: $3.23
  • Healthsmart — Commercial: $51.44
  • MultiPlan — Commercial: $66.13
  • Private Healthcare Systems — Commercial: $65.40
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE SPECIFIC ANTIGEN. $357.72 $178.86 $18.39 – $321.95
PSA (prostate specific antigen) blood test: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $304.06
  • Ambetter — Marketplace: $41.75
  • Blue Cross Blue Shield of Texas — HMO: $264.71
  • Blue Cross Blue Shield of Texas — Marketplace: $253.98
  • Blue Cross Blue Shield of Texas — PPO: $286.18
  • Blue Cross Blue Shield of Texas — Traditional: $300.48
  • FirstCare Star — Managed Medicaid: $26.45
  • Healthsmart — Commercial: $250.40
  • MultiPlan — Commercial: $321.95
  • Private Healthcare Systems — Commercial: $318.37
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOTAL [] $460.41 $230.21 $18.39 – $414.37
PSA (prostate specific antigen) blood test: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $391.35
  • Ambetter — Marketplace: $41.75
  • Blue Cross Blue Shield of Texas — HMO: $340.70
  • Blue Cross Blue Shield of Texas — Marketplace: $326.89
  • Blue Cross Blue Shield of Texas — PPO: $368.33
  • Blue Cross Blue Shield of Texas — Traditional: $386.74
  • FirstCare Star — Managed Medicaid: $26.45
  • Healthsmart — Commercial: $322.29
  • MultiPlan — Commercial: $414.37
  • Private Healthcare Systems — Commercial: $409.76
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROSTATE SPECIFIC ANTIGEN. $357.72 $178.86 $157.75 – $321.95
PSA (prostate specific antigen) blood test: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $304.06
  • Blue Cross Blue Shield of Texas — HMO: $264.71
  • Blue Cross Blue Shield of Texas — Marketplace: $253.98
  • Blue Cross Blue Shield of Texas — PPO: $286.18
  • Blue Cross Blue Shield of Texas — Traditional: $300.48
  • Healthsmart — Commercial: $250.40
  • MultiPlan — Commercial: $321.95
  • Private Healthcare Systems — Commercial: $318.37
  • United Healthcare — Commercial: $157.75
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: T.S.H. $486.17 $243.09 $16.80 – $437.55
Thyroid stimulating hormone (TSH) test: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $413.24
  • Ambetter — Marketplace: $38.14
  • Blue Cross Blue Shield of Texas — HMO: $359.77
  • Blue Cross Blue Shield of Texas — Marketplace: $345.18
  • Blue Cross Blue Shield of Texas — PPO: $388.94
  • Blue Cross Blue Shield of Texas — Traditional: $408.38
  • FirstCare Star — Managed Medicaid: $24.17
  • Healthsmart — Commercial: $340.32
  • MultiPlan — Commercial: $437.55
  • Private Healthcare Systems — Commercial: $432.69
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH (ALEXANDER) [] $486.17 $243.09 $16.80 – $437.55
Thyroid stimulating hormone (TSH) test: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $413.24
  • Ambetter — Marketplace: $38.14
  • Blue Cross Blue Shield of Texas — HMO: $359.77
  • Blue Cross Blue Shield of Texas — Marketplace: $345.18
  • Blue Cross Blue Shield of Texas — PPO: $388.94
  • Blue Cross Blue Shield of Texas — Traditional: $408.38
  • FirstCare Star — Managed Medicaid: $24.17
  • Healthsmart — Commercial: $340.32
  • MultiPlan — Commercial: $437.55
  • Private Healthcare Systems — Commercial: $432.69
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE $326.80 $163.40 $16.80 – $294.12
Thyroid stimulating hormone (TSH) test: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $277.78
  • Ambetter — Marketplace: $38.14
  • Blue Cross Blue Shield of Texas — HMO: $241.83
  • Blue Cross Blue Shield of Texas — Marketplace: $232.03
  • Blue Cross Blue Shield of Texas — PPO: $261.44
  • Blue Cross Blue Shield of Texas — Traditional: $274.51
  • FirstCare Star — Managed Medicaid: $24.17
  • Healthsmart — Commercial: $228.76
  • MultiPlan — Commercial: $294.12
  • Private Healthcare Systems — Commercial: $290.85
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/DIFFER. $236.76 $118.38 $7.77 – $213.08
Complete blood count (CBC) with differential: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $201.25
  • Ambetter — Marketplace: $17.64
  • Blue Cross Blue Shield of Texas — HMO: $175.20
  • Blue Cross Blue Shield of Texas — Marketplace: $168.10
  • Blue Cross Blue Shield of Texas — PPO: $189.41
  • Blue Cross Blue Shield of Texas — Traditional: $198.88
  • FirstCare Star — Managed Medicaid: $11.17
  • Healthsmart — Commercial: $165.73
  • MultiPlan — Commercial: $213.08
  • Private Healthcare Systems — Commercial: $210.72
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP. METABOLIC PROFILE $236.76 $118.38 $7.77 – $213.08
Complete blood count (CBC) with differential: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $201.25
  • Ambetter — Marketplace: $17.64
  • Blue Cross Blue Shield of Texas — HMO: $175.20
  • Blue Cross Blue Shield of Texas — Marketplace: $168.10
  • Blue Cross Blue Shield of Texas — PPO: $189.41
  • Blue Cross Blue Shield of Texas — Traditional: $198.88
  • FirstCare Star — Managed Medicaid: $11.17
  • Healthsmart — Commercial: $165.73
  • MultiPlan — Commercial: $213.08
  • Private Healthcare Systems — Commercial: $210.72
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/ DIFF [] $236.76 $118.38 $7.77 – $213.08
Complete blood count (CBC) with differential: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $201.25
  • Ambetter — Marketplace: $17.64
  • Blue Cross Blue Shield of Texas — HMO: $175.20
  • Blue Cross Blue Shield of Texas — Marketplace: $168.10
  • Blue Cross Blue Shield of Texas — PPO: $189.41
  • Blue Cross Blue Shield of Texas — Traditional: $198.88
  • FirstCare Star — Managed Medicaid: $11.17
  • Healthsmart — Commercial: $165.73
  • MultiPlan — Commercial: $213.08
  • Private Healthcare Systems — Commercial: $210.72
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPL AUTOM CBC W PLT $220.44 $110.22 $6.47 – $198.40
Complete blood count (CBC), automated: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $187.37
  • Ambetter — Marketplace: $14.69
  • Blue Cross Blue Shield of Texas — HMO: $163.13
  • Blue Cross Blue Shield of Texas — Marketplace: $156.51
  • Blue Cross Blue Shield of Texas — PPO: $176.35
  • Blue Cross Blue Shield of Texas — Traditional: $185.17
  • FirstCare Star — Managed Medicaid: $9.30
  • Healthsmart — Commercial: $154.31
  • MultiPlan — Commercial: $198.40
  • Private Healthcare Systems — Commercial: $196.19
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/DIFFERENTIAL [] $220.44 $110.22 $6.47 – $198.40
Complete blood count (CBC), automated: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $187.37
  • Ambetter — Marketplace: $14.69
  • Blue Cross Blue Shield of Texas — HMO: $163.13
  • Blue Cross Blue Shield of Texas — Marketplace: $156.51
  • Blue Cross Blue Shield of Texas — PPO: $176.35
  • Blue Cross Blue Shield of Texas — Traditional: $185.17
  • FirstCare Star — Managed Medicaid: $9.30
  • Healthsmart — Commercial: $154.31
  • MultiPlan — Commercial: $198.40
  • Private Healthcare Systems — Commercial: $196.19
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC WITHOUT DIFF $110.23 $55.12 $6.47 – $99.21
Complete blood count (CBC), automated: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $93.70
  • Ambetter — Marketplace: $14.69
  • Blue Cross Blue Shield of Texas — HMO: $81.57
  • Blue Cross Blue Shield of Texas — Marketplace: $78.26
  • Blue Cross Blue Shield of Texas — PPO: $88.18
  • Blue Cross Blue Shield of Texas — Traditional: $92.59
  • FirstCare Star — Managed Medicaid: $9.30
  • Healthsmart — Commercial: $77.16
  • MultiPlan — Commercial: $99.21
  • Private Healthcare Systems — Commercial: $98.10
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME [INF] $261.18 $130.59 $4.29 – $235.06
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $222
  • Ambetter — Marketplace: $9.74
  • Blue Cross Blue Shield of Texas — HMO: $193.27
  • Blue Cross Blue Shield of Texas — Marketplace: $185.44
  • Blue Cross Blue Shield of Texas — PPO: $208.94
  • Blue Cross Blue Shield of Texas — Traditional: $219.39
  • FirstCare Star — Managed Medicaid: $6.17
  • Healthsmart — Commercial: $182.83
  • MultiPlan — Commercial: $235.06
  • Private Healthcare Systems — Commercial: $232.45
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $129.55 $64.78 $4.29 – $116.60
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $110.12
  • Ambetter — Marketplace: $9.74
  • Blue Cross Blue Shield of Texas — HMO: $95.87
  • Blue Cross Blue Shield of Texas — Marketplace: $91.98
  • Blue Cross Blue Shield of Texas — PPO: $103.64
  • Blue Cross Blue Shield of Texas — Traditional: $108.82
  • FirstCare Star — Managed Medicaid: $6.17
  • Healthsmart — Commercial: $90.69
  • MultiPlan — Commercial: $116.60
  • Private Healthcare Systems — Commercial: $115.30
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POINT OF CARE PROTHROMBIN TIME $233.20 $116.60 $4.29 – $209.88
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $198.22
  • Ambetter — Marketplace: $9.74
  • Blue Cross Blue Shield of Texas — HMO: $172.57
  • Blue Cross Blue Shield of Texas — Marketplace: $165.57
  • Blue Cross Blue Shield of Texas — PPO: $186.56
  • Blue Cross Blue Shield of Texas — Traditional: $195.89
  • FirstCare Star — Managed Medicaid: $6.17
  • Healthsmart — Commercial: $163.24
  • MultiPlan — Commercial: $209.88
  • Private Healthcare Systems — Commercial: $207.55
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME, PARTIAL. [] $319.03 $159.52 $6.01 – $287.13
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $271.18
  • Ambetter — Marketplace: $13.64
  • Blue Cross Blue Shield of Texas — HMO: $236.08
  • Blue Cross Blue Shield of Texas — Marketplace: $226.51
  • Blue Cross Blue Shield of Texas — PPO: $255.22
  • Blue Cross Blue Shield of Texas — Traditional: $267.99
  • FirstCare Star — Managed Medicaid: $8.64
  • Healthsmart — Commercial: $223.32
  • MultiPlan — Commercial: $287.13
  • Private Healthcare Systems — Commercial: $283.94
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT; PLASMA OR WHOLE BLOOD $319.03 $159.52 $6.01 – $287.13
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $271.18
  • Ambetter — Marketplace: $13.64
  • Blue Cross Blue Shield of Texas — HMO: $236.08
  • Blue Cross Blue Shield of Texas — Marketplace: $226.51
  • Blue Cross Blue Shield of Texas — PPO: $255.22
  • Blue Cross Blue Shield of Texas — Traditional: $267.99
  • FirstCare Star — Managed Medicaid: $8.64
  • Healthsmart — Commercial: $223.32
  • MultiPlan — Commercial: $287.13
  • Private Healthcare Systems — Commercial: $283.94
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME . [] $319.03 $159.52 $6.01 – $287.13
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $271.18
  • Ambetter — Marketplace: $13.64
  • Blue Cross Blue Shield of Texas — HMO: $236.08
  • Blue Cross Blue Shield of Texas — Marketplace: $226.51
  • Blue Cross Blue Shield of Texas — PPO: $255.22
  • Blue Cross Blue Shield of Texas — Traditional: $267.99
  • FirstCare Star — Managed Medicaid: $8.64
  • Healthsmart — Commercial: $223.32
  • MultiPlan — Commercial: $287.13
  • Private Healthcare Systems — Commercial: $283.94

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 $3,377.79 $1,688.90 $105.02 – $3,040.01
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $2,871.12
  • Ambetter — Marketplace: $238.40
  • Blue Cross Blue Shield of Texas — HMO: $2,499.56
  • Blue Cross Blue Shield of Texas — Marketplace: $2,398.23
  • Blue Cross Blue Shield of Texas — PPO: $2,702.23
  • Blue Cross Blue Shield of Texas — Traditional: $2,837.34
  • FirstCare Star — Managed Medicaid: $109.99
  • Healthsmart — Commercial: $2,364.45
  • MultiPlan — Commercial: $3,040.01
  • Private Healthcare Systems — Commercial: $3,006.23
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 $3,377.79 $1,688.90 $1,489.61 – $3,040.01
CT scan of the head or brain, without contrast: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $2,871.12
  • Blue Cross Blue Shield of Texas — HMO: $2,499.56
  • Blue Cross Blue Shield of Texas — Marketplace: $2,398.23
  • Blue Cross Blue Shield of Texas — PPO: $2,702.23
  • Blue Cross Blue Shield of Texas — Traditional: $2,837.34
  • Healthsmart — Commercial: $2,364.45
  • MultiPlan — Commercial: $3,040.01
  • Private Healthcare Systems — Commercial: $3,006.23
  • United Healthcare — Commercial: $1,489.61
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 $7,129.66 $3,564.83 $344.52 – $6,416.69
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $6,060.21
  • Ambetter — Marketplace: $795.55
  • Blue Cross Blue Shield of Texas — HMO: $5,275.95
  • Blue Cross Blue Shield of Texas — Marketplace: $5,062.06
  • Blue Cross Blue Shield of Texas — PPO: $5,703.73
  • Blue Cross Blue Shield of Texas — Traditional: $5,988.91
  • FirstCare Star — Managed Medicaid: $344.52
  • Healthsmart — Commercial: $4,990.76
  • MultiPlan — Commercial: $6,416.69
  • Private Healthcare Systems — Commercial: $6,345.40
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 $7,129.66 $3,564.83 $344.52 – $6,416.69
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $6,060.21
  • Ambetter — Marketplace: $795.55
  • Blue Cross Blue Shield of Texas — HMO: $5,275.95
  • Blue Cross Blue Shield of Texas — Marketplace: $5,062.06
  • Blue Cross Blue Shield of Texas — PPO: $5,703.73
  • Blue Cross Blue Shield of Texas — Traditional: $5,988.91
  • FirstCare Star — Managed Medicaid: $344.52
  • Healthsmart — Commercial: $4,990.76
  • MultiPlan — Commercial: $6,416.69
  • Private Healthcare Systems — Commercial: $6,345.40
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 $7,129.66 $3,564.83 $344.52 – $6,416.69
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $6,060.21
  • Ambetter — Marketplace: $795.55
  • Blue Cross Blue Shield of Texas — HMO: $5,275.95
  • Blue Cross Blue Shield of Texas — Marketplace: $5,062.06
  • Blue Cross Blue Shield of Texas — PPO: $5,703.73
  • Blue Cross Blue Shield of Texas — Traditional: $5,988.91
  • FirstCare Star — Managed Medicaid: $344.52
  • Healthsmart — Commercial: $4,990.76
  • MultiPlan — Commercial: $6,416.69
  • Private Healthcare Systems — Commercial: $6,345.40
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST2 VIEWS $1,002.84 $501.42 $35.44 – $902.56
Chest X-ray, 2 views: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $852.41
  • Ambetter — Marketplace: $198.45
  • Blue Cross Blue Shield of Texas — HMO: $742.10
  • Blue Cross Blue Shield of Texas — Marketplace: $712.02
  • Blue Cross Blue Shield of Texas — PPO: $802.27
  • Blue Cross Blue Shield of Texas — Traditional: $842.39
  • FirstCare Star — Managed Medicaid: $35.44
  • Healthsmart — Commercial: $701.99
  • MultiPlan — Commercial: $902.56
  • Private Healthcare Systems — Commercial: $892.53
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST2 VIEWS $1,002.84 $501.42 $442.25 – $902.56
Chest X-ray, 2 views: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $852.41
  • Blue Cross Blue Shield of Texas — HMO: $742.10
  • Blue Cross Blue Shield of Texas — Marketplace: $712.02
  • Blue Cross Blue Shield of Texas — PPO: $802.27
  • Blue Cross Blue Shield of Texas — Traditional: $842.39
  • Healthsmart — Commercial: $701.99
  • MultiPlan — Commercial: $902.56
  • Private Healthcare Systems — Commercial: $892.53
  • United Healthcare — Commercial: $442.25
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 $1,668.24 $834.12 $54.74 – $1,501.42
X-ray of the lower spine, at least 4 views: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $1,418
  • Ambetter — Marketplace: $238.40
  • Blue Cross Blue Shield of Texas — HMO: $1,234.50
  • Blue Cross Blue Shield of Texas — Marketplace: $1,184.45
  • Blue Cross Blue Shield of Texas — PPO: $1,334.59
  • Blue Cross Blue Shield of Texas — Traditional: $1,401.32
  • FirstCare Star — Managed Medicaid: $54.74
  • Healthsmart — Commercial: $1,167.77
  • MultiPlan — Commercial: $1,501.42
  • Private Healthcare Systems — Commercial: $1,484.73
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 $1,668.24 $834.12 $735.69 – $1,501.42
X-ray of the lower spine, at least 4 views: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $1,418
  • Blue Cross Blue Shield of Texas — HMO: $1,234.50
  • Blue Cross Blue Shield of Texas — Marketplace: $1,184.45
  • Blue Cross Blue Shield of Texas — PPO: $1,334.59
  • Blue Cross Blue Shield of Texas — Traditional: $1,401.32
  • Healthsmart — Commercial: $1,167.77
  • MultiPlan — Commercial: $1,501.42
  • Private Healthcare Systems — Commercial: $1,484.73
  • United Healthcare — Commercial: $735.69
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 $3,670.54 $1,835.27 $207 – $3,303.49
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $3,119.96
  • Ambetter — Marketplace: $544.09
  • Blue Cross Blue Shield of Texas — HMO: $2,716.20
  • Blue Cross Blue Shield of Texas — Marketplace: $2,606.08
  • Blue Cross Blue Shield of Texas — PPO: $2,936.43
  • Blue Cross Blue Shield of Texas — Traditional: $3,083.25
  • FirstCare Star — Managed Medicaid: $207
  • Healthsmart — Commercial: $2,569.38
  • MultiPlan — Commercial: $3,303.49
  • Private Healthcare Systems — Commercial: $3,266.78
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 $3,670.54 $1,835.27 $1,618.71 – $3,303.49
MRI of the lower back (lumbar spine), without contrast: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $3,119.96
  • Blue Cross Blue Shield of Texas — HMO: $2,716.20
  • Blue Cross Blue Shield of Texas — Marketplace: $2,606.08
  • Blue Cross Blue Shield of Texas — PPO: $2,936.43
  • Blue Cross Blue Shield of Texas — Traditional: $3,083.25
  • Healthsmart — Commercial: $2,569.38
  • MultiPlan — Commercial: $3,303.49
  • Private Healthcare Systems — Commercial: $3,266.78
  • United Healthcare — Commercial: $1,618.71
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CAT PELVIS W/CNTRST COMPLETE $4,884.79 $2,442.40 $176.20 – $4,396.31
CT scan of the pelvis, with contrast: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $4,152.07
  • Ambetter — Marketplace: $399.97
  • Blue Cross Blue Shield of Texas — HMO: $3,614.74
  • Blue Cross Blue Shield of Texas — Marketplace: $3,468.20
  • Blue Cross Blue Shield of Texas — PPO: $3,907.83
  • Blue Cross Blue Shield of Texas — Traditional: $4,103.22
  • FirstCare Star — Managed Medicaid: $183.81
  • Healthsmart — Commercial: $3,419.35
  • MultiPlan — Commercial: $4,396.31
  • Private Healthcare Systems — Commercial: $4,347.46
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CAT PELVIS W/CNTRST COMPLETE $4,884.79 $2,442.40 $2,154.19 – $4,396.31
CT scan of the pelvis, with contrast: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $4,152.07
  • Blue Cross Blue Shield of Texas — HMO: $3,614.74
  • Blue Cross Blue Shield of Texas — Marketplace: $3,468.20
  • Blue Cross Blue Shield of Texas — PPO: $3,907.83
  • Blue Cross Blue Shield of Texas — Traditional: $4,103.22
  • Healthsmart — Commercial: $3,419.35
  • MultiPlan — Commercial: $4,396.31
  • Private Healthcare Systems — Commercial: $4,347.46
  • United Healthcare — Commercial: $2,154.19
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 $3,137.42 $1,568.71 $219.28 – $2,823.68
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $2,666.81
  • Ambetter — Marketplace: $544.09
  • Blue Cross Blue Shield of Texas — HMO: $2,321.69
  • Blue Cross Blue Shield of Texas — Marketplace: $2,227.57
  • Blue Cross Blue Shield of Texas — PPO: $2,509.94
  • Blue Cross Blue Shield of Texas — Traditional: $2,635.43
  • FirstCare Star — Managed Medicaid: $219.28
  • Healthsmart — Commercial: $2,196.19
  • MultiPlan — Commercial: $2,823.68
  • Private Healthcare Systems — Commercial: $2,792.30
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 $3,137.42 $1,568.71 $1,383.60 – $2,823.68
MRI of a leg joint (such as the knee), without contrast: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $2,666.81
  • Blue Cross Blue Shield of Texas — HMO: $2,321.69
  • Blue Cross Blue Shield of Texas — Marketplace: $2,227.57
  • Blue Cross Blue Shield of Texas — PPO: $2,509.94
  • Blue Cross Blue Shield of Texas — Traditional: $2,635.43
  • Healthsmart — Commercial: $2,196.19
  • MultiPlan — Commercial: $2,823.68
  • Private Healthcare Systems — Commercial: $2,792.30
  • United Healthcare — Commercial: $1,383.60
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 $9,773.28 $4,886.64 $327.68 – $8,795.95
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $8,307.29
  • Ambetter — Marketplace: $795.55
  • Blue Cross Blue Shield of Texas — HMO: $7,232.23
  • Blue Cross Blue Shield of Texas — Marketplace: $6,939.03
  • Blue Cross Blue Shield of Texas — PPO: $7,818.62
  • Blue Cross Blue Shield of Texas — Traditional: $8,209.56
  • FirstCare Star — Managed Medicaid: $327.68
  • Healthsmart — Commercial: $6,841.30
  • MultiPlan — Commercial: $8,795.95
  • Private Healthcare Systems — Commercial: $8,698.22
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 $9,773.28 $4,886.64 $4,310.02 – $8,795.95
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $8,307.29
  • Blue Cross Blue Shield of Texas — HMO: $7,232.23
  • Blue Cross Blue Shield of Texas — Marketplace: $6,939.03
  • Blue Cross Blue Shield of Texas — PPO: $7,818.62
  • Blue Cross Blue Shield of Texas — Traditional: $8,209.56
  • Healthsmart — Commercial: $6,841.30
  • MultiPlan — Commercial: $8,795.95
  • Private Healthcare Systems — Commercial: $8,698.22
  • United Healthcare — Commercial: $4,310.02
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SONOGRAM, ABDOMEN AT BEDSIDE [SED] $1,905.83 $952.92 $105.02 – $1,715.25
Ultrasound of the abdomen, complete: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $1,619.96
  • Ambetter — Marketplace: $238.40
  • Blue Cross Blue Shield of Texas — HMO: $1,410.31
  • Blue Cross Blue Shield of Texas — Marketplace: $1,353.14
  • Blue Cross Blue Shield of Texas — PPO: $1,524.66
  • Blue Cross Blue Shield of Texas — Traditional: $1,600.90
  • FirstCare Star — Managed Medicaid: $109.99
  • Healthsmart — Commercial: $1,334.08
  • MultiPlan — Commercial: $1,715.25
  • Private Healthcare Systems — Commercial: $1,696.19
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SONOGRAM, ABDOMEN AT BEDSIDE $1,905.83 $952.92 $105.02 – $1,715.25
Ultrasound of the abdomen, complete: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $1,619.96
  • Ambetter — Marketplace: $238.40
  • Blue Cross Blue Shield of Texas — HMO: $1,410.31
  • Blue Cross Blue Shield of Texas — Marketplace: $1,353.14
  • Blue Cross Blue Shield of Texas — PPO: $1,524.66
  • Blue Cross Blue Shield of Texas — Traditional: $1,600.90
  • FirstCare Star — Managed Medicaid: $109.99
  • Healthsmart — Commercial: $1,334.08
  • MultiPlan — Commercial: $1,715.25
  • Private Healthcare Systems — Commercial: $1,696.19
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND ABDOMINAL $1,905.83 $952.92 $105.02 – $1,715.25
Ultrasound of the abdomen, complete: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $1,619.96
  • Ambetter — Marketplace: $238.40
  • Blue Cross Blue Shield of Texas — HMO: $1,410.31
  • Blue Cross Blue Shield of Texas — Marketplace: $1,353.14
  • Blue Cross Blue Shield of Texas — PPO: $1,524.66
  • Blue Cross Blue Shield of Texas — Traditional: $1,600.90
  • FirstCare Star — Managed Medicaid: $109.99
  • Healthsmart — Commercial: $1,334.08
  • MultiPlan — Commercial: $1,715.25
  • Private Healthcare Systems — Commercial: $1,696.19
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 [L&D] $1,905.83 $952.92 $105.02 – $1,715.25
Pregnancy ultrasound (after the first trimester): 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $1,619.96
  • Ambetter — Marketplace: $238.40
  • Blue Cross Blue Shield of Texas — HMO: $1,410.31
  • Blue Cross Blue Shield of Texas — Marketplace: $1,353.14
  • Blue Cross Blue Shield of Texas — PPO: $1,524.66
  • Blue Cross Blue Shield of Texas — Traditional: $1,600.90
  • FirstCare Star — Managed Medicaid: $109.99
  • Healthsmart — Commercial: $1,334.08
  • MultiPlan — Commercial: $1,715.25
  • Private Healthcare Systems — Commercial: $1,696.19
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] $1,905.83 $952.92 $105.02 – $1,715.25
Pregnancy ultrasound (after the first trimester): 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $1,619.96
  • Ambetter — Marketplace: $238.40
  • Blue Cross Blue Shield of Texas — HMO: $1,410.31
  • Blue Cross Blue Shield of Texas — Marketplace: $1,353.14
  • Blue Cross Blue Shield of Texas — PPO: $1,524.66
  • Blue Cross Blue Shield of Texas — Traditional: $1,600.90
  • FirstCare Star — Managed Medicaid: $109.99
  • Healthsmart — Commercial: $1,334.08
  • MultiPlan — Commercial: $1,715.25
  • Private Healthcare Systems — Commercial: $1,696.19
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND PREGNANCY COMPLETE $1,905.83 $952.92 $105.02 – $1,715.25
Pregnancy ultrasound (after the first trimester): 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $1,619.96
  • Ambetter — Marketplace: $238.40
  • Blue Cross Blue Shield of Texas — HMO: $1,410.31
  • Blue Cross Blue Shield of Texas — Marketplace: $1,353.14
  • Blue Cross Blue Shield of Texas — PPO: $1,524.66
  • Blue Cross Blue Shield of Texas — Traditional: $1,600.90
  • FirstCare Star — Managed Medicaid: $109.99
  • Healthsmart — Commercial: $1,334.08
  • MultiPlan — Commercial: $1,715.25
  • Private Healthcare Systems — Commercial: $1,696.19
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND ENDOVAGINAL $1,905.84 $952.92 $105.02 – $1,715.26
Transvaginal ultrasound: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $1,619.96
  • Ambetter — Marketplace: $238.40
  • Blue Cross Blue Shield of Texas — HMO: $1,410.32
  • Blue Cross Blue Shield of Texas — Marketplace: $1,353.15
  • Blue Cross Blue Shield of Texas — PPO: $1,524.67
  • Blue Cross Blue Shield of Texas — Traditional: $1,600.91
  • FirstCare Star — Managed Medicaid: $109.99
  • Healthsmart — Commercial: $1,334.09
  • MultiPlan — Commercial: $1,715.26
  • Private Healthcare Systems — Commercial: $1,696.20
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NON-OB TRANSVAGINAL US (OBED) $1,905.84 $952.92 $105.02 – $1,715.26
Transvaginal ultrasound: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $1,619.96
  • Ambetter — Marketplace: $238.40
  • Blue Cross Blue Shield of Texas — HMO: $1,410.32
  • Blue Cross Blue Shield of Texas — Marketplace: $1,353.15
  • Blue Cross Blue Shield of Texas — PPO: $1,524.67
  • Blue Cross Blue Shield of Texas — Traditional: $1,600.91
  • FirstCare Star — Managed Medicaid: $109.99
  • Healthsmart — Commercial: $1,334.09
  • MultiPlan — Commercial: $1,715.26
  • Private Healthcare Systems — Commercial: $1,696.20
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GYN TRANSVAGINAL (A-T) $1,905.84 $952.92 $105.02 – $1,715.26
Transvaginal ultrasound: 10 of 14 insurance plan rates
  • Aetna — HMO/PPO/POS: $1,619.96
  • Ambetter — Marketplace: $238.40
  • Blue Cross Blue Shield of Texas — HMO: $1,410.32
  • Blue Cross Blue Shield of Texas — Marketplace: $1,353.15
  • Blue Cross Blue Shield of Texas — PPO: $1,524.67
  • Blue Cross Blue Shield of Texas — Traditional: $1,600.91
  • FirstCare Star — Managed Medicaid: $109.99
  • Healthsmart — Commercial: $1,334.09
  • MultiPlan — Commercial: $1,715.26
  • Private Healthcare Systems — Commercial: $1,696.20
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI $730.28 $365.14 $118.85 – $657.25
Diagnostic mammogram, one breast: 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $620.74
  • Ambetter — Marketplace: $269.79
  • Blue Cross Blue Shield of Texas — HMO: $540.41
  • Blue Cross Blue Shield of Texas — Marketplace: $518.50
  • Blue Cross Blue Shield of Texas — PPO: $584.22
  • Blue Cross Blue Shield of Texas — Traditional: $613.44
  • Healthsmart — Commercial: $511.20
  • MultiPlan — Commercial: $657.25
  • Private Healthcare Systems — Commercial: $649.95
  • United Healthcare — Commercial: $322.05
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI $730.28 $365.14 $322.05 – $657.25
Diagnostic mammogram, one breast: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $620.74
  • Blue Cross Blue Shield of Texas — HMO: $540.41
  • Blue Cross Blue Shield of Texas — Marketplace: $518.50
  • Blue Cross Blue Shield of Texas — PPO: $584.22
  • Blue Cross Blue Shield of Texas — Traditional: $613.44
  • Healthsmart — Commercial: $511.20
  • MultiPlan — Commercial: $657.25
  • Private Healthcare Systems — Commercial: $649.95
  • United Healthcare — Commercial: $322.05
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI $925.14 $462.57 $150.52 – $832.63
Diagnostic mammogram, both breasts: 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $786.37
  • Ambetter — Marketplace: $341.69
  • Blue Cross Blue Shield of Texas — HMO: $684.60
  • Blue Cross Blue Shield of Texas — Marketplace: $656.85
  • Blue Cross Blue Shield of Texas — PPO: $740.11
  • Blue Cross Blue Shield of Texas — Traditional: $777.12
  • Healthsmart — Commercial: $647.60
  • MultiPlan — Commercial: $832.63
  • Private Healthcare Systems — Commercial: $823.37
  • United Healthcare — Commercial: $407.99
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI $925.14 $462.57 $407.99 – $832.63
Diagnostic mammogram, both breasts: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $786.37
  • Blue Cross Blue Shield of Texas — HMO: $684.60
  • Blue Cross Blue Shield of Texas — Marketplace: $656.85
  • Blue Cross Blue Shield of Texas — PPO: $740.11
  • Blue Cross Blue Shield of Texas — Traditional: $777.12
  • Healthsmart — Commercial: $647.60
  • MultiPlan — Commercial: $832.63
  • Private Healthcare Systems — Commercial: $823.37
  • United Healthcare — Commercial: $407.99
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD $759.39 $379.70 $121 – $683.45
Screening mammogram, both breasts: 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $645.48
  • Ambetter — Marketplace: $274.67
  • Blue Cross Blue Shield of Texas — HMO: $561.95
  • Blue Cross Blue Shield of Texas — Marketplace: $539.17
  • Blue Cross Blue Shield of Texas — PPO: $607.51
  • Blue Cross Blue Shield of Texas — Traditional: $637.89
  • Healthsmart — Commercial: $531.57
  • MultiPlan — Commercial: $683.45
  • Private Healthcare Systems — Commercial: $675.86
  • United Healthcare — Commercial: $334.89
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD $759.39 $379.70 $334.89 – $683.45
Screening mammogram, both breasts: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $645.48
  • Blue Cross Blue Shield of Texas — HMO: $561.95
  • Blue Cross Blue Shield of Texas — Marketplace: $539.17
  • Blue Cross Blue Shield of Texas — PPO: $607.51
  • Blue Cross Blue Shield of Texas — Traditional: $637.89
  • Healthsmart — Commercial: $531.57
  • MultiPlan — Commercial: $683.45
  • Private Healthcare Systems — Commercial: $675.86
  • United Healthcare — Commercial: $334.89

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 $14.84 – $33.69
Electrocardiogram (ECG/EKG) with reading: rates for 2 insurance plans
  • Ambetter — Marketplace: $33.69
  • United Healthcare — Medicare Advantage: $14.84
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HEART CATH W/LVG $13,326.28 $6,663.14 $3,256.70 – $11,993.65
Left heart catheterization (diagnostic): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $11,327.34
  • Ambetter — Marketplace: $7,392.72
  • Blue Cross Blue Shield of Texas — HMO: $9,861.45
  • Blue Cross Blue Shield of Texas — Marketplace: $9,461.66
  • Blue Cross Blue Shield of Texas — PPO: $10,661.02
  • Blue Cross Blue Shield of Texas — Traditional: $11,194.08
  • Healthsmart — Commercial: $9,328.40
  • MultiPlan — Commercial: $11,993.65
  • Private Healthcare Systems — Commercial: $11,860.39
  • United Healthcare — Commercial: $5,876.89
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEFT HEART CATH W/LVG $13,326.28 $6,663.14 $5,876.89 – $11,993.65
Left heart catheterization (diagnostic): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $11,327.34
  • Blue Cross Blue Shield of Texas — HMO: $9,861.45
  • Blue Cross Blue Shield of Texas — Marketplace: $9,461.66
  • Blue Cross Blue Shield of Texas — PPO: $10,661.02
  • Blue Cross Blue Shield of Texas — Traditional: $11,194.08
  • Healthsmart — Commercial: $9,328.40
  • MultiPlan — Commercial: $11,993.65
  • Private Healthcare Systems — Commercial: $11,860.39
  • United Healthcare — Commercial: $5,876.89
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EP STUDY WITHOUT INDUCTION (EP) $36,100.91 $18,050.46 $7,835.21 – $32,490.82
Heart rhythm study (electrophysiology evaluation): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $30,685.77
  • Ambetter — Marketplace: $17,785.92
  • Blue Cross Blue Shield of Texas — HMO: $26,714.67
  • Blue Cross Blue Shield of Texas — Marketplace: $25,631.65
  • Blue Cross Blue Shield of Texas — PPO: $28,880.73
  • Blue Cross Blue Shield of Texas — Traditional: $30,324.76
  • Healthsmart — Commercial: $25,270.64
  • MultiPlan — Commercial: $32,490.82
  • Private Healthcare Systems — Commercial: $32,129.81
  • United Healthcare — Commercial: $15,920.50
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EP STUDY WITHOUT INDUCTION (EP) $36,100.91 $18,050.46 $15,920.50 – $32,490.82
Heart rhythm study (electrophysiology evaluation): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $30,685.77
  • Blue Cross Blue Shield of Texas — HMO: $26,714.67
  • Blue Cross Blue Shield of Texas — Marketplace: $25,631.65
  • Blue Cross Blue Shield of Texas — PPO: $28,880.73
  • Blue Cross Blue Shield of Texas — Traditional: $30,324.76
  • Healthsmart — Commercial: $25,270.64
  • MultiPlan — Commercial: $32,490.82
  • Private Healthcare Systems — Commercial: $32,129.81
  • United Healthcare — Commercial: $15,920.50
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] $96,464.31 $48,232.16 $26,256.97 – $86,817.88
Heart rhythm study with ablation for atrial fibrillation: 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $81,994.66
  • Ambetter — Marketplace: $59,603.31
  • Blue Cross Blue Shield of Texas — HMO: $71,383.59
  • Blue Cross Blue Shield of Texas — Marketplace: $68,489.66
  • Blue Cross Blue Shield of Texas — PPO: $77,171.45
  • Blue Cross Blue Shield of Texas — Traditional: $81,030.02
  • Healthsmart — Commercial: $67,525.02
  • MultiPlan — Commercial: $86,817.88
  • Private Healthcare Systems — Commercial: $85,853.24
  • United Healthcare — Commercial: $42,540.76
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] $96,464.31 $48,232.16 $42,540.76 – $86,817.88
Heart rhythm study with ablation for atrial fibrillation: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $81,994.66
  • Blue Cross Blue Shield of Texas — HMO: $71,383.59
  • Blue Cross Blue Shield of Texas — Marketplace: $68,489.66
  • Blue Cross Blue Shield of Texas — PPO: $77,171.45
  • Blue Cross Blue Shield of Texas — Traditional: $81,030.02
  • Healthsmart — Commercial: $67,525.02
  • MultiPlan — Commercial: $86,817.88
  • Private Healthcare Systems — Commercial: $85,853.24
  • United Healthcare — Commercial: $42,540.76
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 $10,999.75 $5,499.88 $862.65 – $9,899.78
Sleep study (overnight, in a sleep lab): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $9,349.79
  • Ambetter — Marketplace: $1,958.22
  • Blue Cross Blue Shield of Texas — HMO: $8,139.82
  • Blue Cross Blue Shield of Texas — Marketplace: $7,809.82
  • Blue Cross Blue Shield of Texas — PPO: $8,799.80
  • Blue Cross Blue Shield of Texas — Traditional: $9,239.79
  • Healthsmart — Commercial: $7,699.83
  • MultiPlan — Commercial: $9,899.78
  • Private Healthcare Systems — Commercial: $9,789.78
  • United Healthcare — Commercial: $4,850.89
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 $10,999.75 $5,499.88 $4,850.89 – $9,899.78
Sleep study (overnight, in a sleep lab): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $9,349.79
  • Blue Cross Blue Shield of Texas — HMO: $8,139.82
  • Blue Cross Blue Shield of Texas — Marketplace: $7,809.82
  • Blue Cross Blue Shield of Texas — PPO: $8,799.80
  • Blue Cross Blue Shield of Texas — Traditional: $9,239.79
  • Healthsmart — Commercial: $7,699.83
  • MultiPlan — Commercial: $9,899.78
  • Private Healthcare Systems — Commercial: $9,789.78
  • United Healthcare — Commercial: $4,850.89

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 EACH 15 MINS $269.67 $134.84 $28.33 – $242.70
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $229.22
  • Ambetter — Marketplace: $64.30
  • Blue Cross Blue Shield of Texas — HMO: $199.56
  • Blue Cross Blue Shield of Texas — Marketplace: $191.47
  • Blue Cross Blue Shield of Texas — PPO: $215.74
  • Blue Cross Blue Shield of Texas — Traditional: $226.52
  • Healthsmart — Commercial: $188.77
  • MultiPlan — Commercial: $242.70
  • Private Healthcare Systems — Commercial: $240.01
  • United Healthcare — Commercial: $118.92
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC PROCEDURE 15MIN. [OPT/PTA] $269.67 $134.84 $28.33 – $242.70
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $229.22
  • Ambetter — Marketplace: $64.30
  • Blue Cross Blue Shield of Texas — HMO: $199.56
  • Blue Cross Blue Shield of Texas — Marketplace: $191.47
  • Blue Cross Blue Shield of Texas — PPO: $215.74
  • Blue Cross Blue Shield of Texas — Traditional: $226.52
  • Healthsmart — Commercial: $188.77
  • MultiPlan — Commercial: $242.70
  • Private Healthcare Systems — Commercial: $240.01
  • United Healthcare — Commercial: $118.92
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-PT] $269.67 $134.84 $28.33 – $242.70
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $229.22
  • Ambetter — Marketplace: $64.30
  • Blue Cross Blue Shield of Texas — HMO: $199.56
  • Blue Cross Blue Shield of Texas — Marketplace: $191.47
  • Blue Cross Blue Shield of Texas — PPO: $215.74
  • Blue Cross Blue Shield of Texas — Traditional: $226.52
  • Healthsmart — Commercial: $188.77
  • MultiPlan — Commercial: $242.70
  • Private Healthcare Systems — Commercial: $240.01
  • United Healthcare — Commercial: $118.92
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX [APT1] $687.49 $343.75 $95.48 – $618.74
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $584.37
  • Ambetter — Marketplace: $216.74
  • Blue Cross Blue Shield of Texas — HMO: $508.74
  • Blue Cross Blue Shield of Texas — Marketplace: $488.12
  • Blue Cross Blue Shield of Texas — PPO: $549.99
  • Blue Cross Blue Shield of Texas — Traditional: $577.49
  • Healthsmart — Commercial: $481.24
  • MultiPlan — Commercial: $618.74
  • Private Healthcare Systems — Commercial: $611.87
  • United Healthcare — Commercial: $303.18
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY [OPT1] $687.49 $343.75 $95.48 – $618.74
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $584.37
  • Ambetter — Marketplace: $216.74
  • Blue Cross Blue Shield of Texas — HMO: $508.74
  • Blue Cross Blue Shield of Texas — Marketplace: $488.12
  • Blue Cross Blue Shield of Texas — PPO: $549.99
  • Blue Cross Blue Shield of Texas — Traditional: $577.49
  • Healthsmart — Commercial: $481.24
  • MultiPlan — Commercial: $618.74
  • Private Healthcare Systems — Commercial: $611.87
  • United Healthcare — Commercial: $303.18
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY [OPT-PPH1] $687.49 $343.75 $95.48 – $618.74
Physical therapy evaluation (low complexity): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $584.37
  • Ambetter — Marketplace: $216.74
  • Blue Cross Blue Shield of Texas — HMO: $508.74
  • Blue Cross Blue Shield of Texas — Marketplace: $488.12
  • Blue Cross Blue Shield of Texas — PPO: $549.99
  • Blue Cross Blue Shield of Texas — Traditional: $577.49
  • Healthsmart — Commercial: $481.24
  • MultiPlan — Commercial: $618.74
  • Private Healthcare Systems — Commercial: $611.87
  • United Healthcare — Commercial: $303.18
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN [HBO-PT] $687.49 $343.75 $95.48 – $618.74
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $584.37
  • Ambetter — Marketplace: $216.74
  • Blue Cross Blue Shield of Texas — HMO: $508.74
  • Blue Cross Blue Shield of Texas — Marketplace: $488.12
  • Blue Cross Blue Shield of Texas — PPO: $549.99
  • Blue Cross Blue Shield of Texas — Traditional: $577.49
  • Healthsmart — Commercial: $481.24
  • MultiPlan — Commercial: $618.74
  • Private Healthcare Systems — Commercial: $611.87
  • United Healthcare — Commercial: $303.18
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX [APT2] $687.49 $343.75 $95.48 – $618.74
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $584.37
  • Ambetter — Marketplace: $216.74
  • Blue Cross Blue Shield of Texas — HMO: $508.74
  • Blue Cross Blue Shield of Texas — Marketplace: $488.12
  • Blue Cross Blue Shield of Texas — PPO: $549.99
  • Blue Cross Blue Shield of Texas — Traditional: $577.49
  • Healthsmart — Commercial: $481.24
  • MultiPlan — Commercial: $618.74
  • Private Healthcare Systems — Commercial: $611.87
  • United Healthcare — Commercial: $303.18
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX [WC-IPT2] $687.49 $343.75 $95.48 – $618.74
Physical therapy evaluation (moderate complexity): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $584.37
  • Ambetter — Marketplace: $216.74
  • Blue Cross Blue Shield of Texas — HMO: $508.74
  • Blue Cross Blue Shield of Texas — Marketplace: $488.12
  • Blue Cross Blue Shield of Texas — PPO: $549.99
  • Blue Cross Blue Shield of Texas — Traditional: $577.49
  • Healthsmart — Commercial: $481.24
  • MultiPlan — Commercial: $618.74
  • Private Healthcare Systems — Commercial: $611.87
  • United Healthcare — Commercial: $303.18
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX [APT4] $687.49 $343.75 $95.48 – $618.74
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $584.37
  • Ambetter — Marketplace: $216.74
  • Blue Cross Blue Shield of Texas — HMO: $508.74
  • Blue Cross Blue Shield of Texas — Marketplace: $488.12
  • Blue Cross Blue Shield of Texas — PPO: $549.99
  • Blue Cross Blue Shield of Texas — Traditional: $577.49
  • Healthsmart — Commercial: $481.24
  • MultiPlan — Commercial: $618.74
  • Private Healthcare Systems — Commercial: $611.87
  • United Healthcare — Commercial: $303.18
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX [IPT3] $687.49 $343.75 $95.48 – $618.74
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $584.37
  • Ambetter — Marketplace: $216.74
  • Blue Cross Blue Shield of Texas — HMO: $508.74
  • Blue Cross Blue Shield of Texas — Marketplace: $488.12
  • Blue Cross Blue Shield of Texas — PPO: $549.99
  • Blue Cross Blue Shield of Texas — Traditional: $577.49
  • Healthsmart — Commercial: $481.24
  • MultiPlan — Commercial: $618.74
  • Private Healthcare Systems — Commercial: $611.87
  • United Healthcare — Commercial: $303.18
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX [WC-IPT4] $687.49 $343.75 $95.48 – $618.74
Physical therapy evaluation (high complexity): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $584.37
  • Ambetter — Marketplace: $216.74
  • Blue Cross Blue Shield of Texas — HMO: $508.74
  • Blue Cross Blue Shield of Texas — Marketplace: $488.12
  • Blue Cross Blue Shield of Texas — PPO: $549.99
  • Blue Cross Blue Shield of Texas — Traditional: $577.49
  • Healthsmart — Commercial: $481.24
  • MultiPlan — Commercial: $618.74
  • Private Healthcare Systems — Commercial: $611.87
  • United Healthcare — Commercial: $303.18
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES Not listed in the file Not listed in the file $178.30 – $404.75
Psychotherapy, 30 minutes: rates for 2 insurance plans
  • Ambetter — Marketplace: $404.75
  • United Healthcare — Medicare Advantage: $178.30
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES Not listed in the file Not listed in the file $178.30 – $404.75
Psychotherapy, 45 minutes: rates for 2 insurance plans
  • Ambetter — Marketplace: $404.75
  • United Healthcare — Medicare Advantage: $178.30
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES Not listed in the file Not listed in the file $178.30 – $404.75
Psychotherapy, 60 minutes: rates for 2 insurance plans
  • Ambetter — Marketplace: $404.75
  • United Healthcare — Medicare Advantage: $178.30
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file Not listed in the file $178.30 – $404.75
Family psychotherapy, without the patient: rates for 2 insurance plans
  • Ambetter — Marketplace: $404.75
  • United Healthcare — Medicare Advantage: $178.30
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN Not listed in the file Not listed in the file $178.30 – $404.75
Family psychotherapy, with the patient: rates for 2 insurance plans
  • Ambetter — Marketplace: $404.75
  • United Healthcare — Medicare Advantage: $178.30
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY Not listed in the file Not listed in the file $102.05 – $231.66
Group psychotherapy: rates for 2 insurance plans
  • Ambetter — Marketplace: $231.66
  • United Healthcare — Medicare Advantage: $102.05

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $2,685 – $8,928.54
Removal of breast growth (open surgery): rates for 6 insurance plans
  • Ambetter — Marketplace: $8,928.54
  • Blue Cross Blue Shield of Texas — HMO: $2,685
  • Blue Cross Blue Shield of Texas — Marketplace: $2,685
  • Blue Cross Blue Shield of Texas — PPO: $2,685
  • Blue Cross Blue Shield of Texas — Traditional: $2,685
  • United Healthcare — Medicare Advantage: $3,933.28
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 $4,353 – $29,276.61
Total hip replacement: rates for 6 insurance plans
  • Ambetter — Marketplace: $29,276.61
  • Blue Cross Blue Shield of Texas — HMO: $4,353
  • Blue Cross Blue Shield of Texas — Marketplace: $4,353
  • Blue Cross Blue Shield of Texas — PPO: $4,353
  • Blue Cross Blue Shield of Texas — Traditional: $4,353
  • United Healthcare — Medicare Advantage: $12,897.19
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 $4,353 – $29,276.61
Total knee replacement: rates for 6 insurance plans
  • Ambetter — Marketplace: $29,276.61
  • Blue Cross Blue Shield of Texas — HMO: $4,353
  • Blue Cross Blue Shield of Texas — Marketplace: $4,353
  • Blue Cross Blue Shield of Texas — PPO: $4,353
  • Blue Cross Blue Shield of Texas — Traditional: $4,353
  • United Healthcare — Medicare Advantage: $12,897.19
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 $144.20 – $2,685
Shoulder arthroscopy: shaving of shoulder bone: rates for 6 insurance plans
  • Ambetter — Marketplace: $327.34
  • Blue Cross Blue Shield of Texas — HMO: $2,685
  • Blue Cross Blue Shield of Texas — Marketplace: $2,685
  • Blue Cross Blue Shield of Texas — PPO: $2,685
  • Blue Cross Blue Shield of Texas — Traditional: $2,685
  • United Healthcare — Medicare Advantage: $144.20
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 $3,286.91 – $7,461.29
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 6 insurance plans
  • Ambetter — Marketplace: $7,461.29
  • Blue Cross Blue Shield of Texas — HMO: $3,317
  • Blue Cross Blue Shield of Texas — Marketplace: $3,317
  • Blue Cross Blue Shield of Texas — PPO: $3,317
  • Blue Cross Blue Shield of Texas — Traditional: $3,317
  • United Healthcare — Medicare Advantage: $3,286.91
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 $2,685 – $13,499.25
Removal of tonsils and adenoids (under age 12): rates for 6 insurance plans
  • Ambetter — Marketplace: $13,499.25
  • Blue Cross Blue Shield of Texas — HMO: $2,685
  • Blue Cross Blue Shield of Texas — Marketplace: $2,685
  • Blue Cross Blue Shield of Texas — PPO: $2,685
  • Blue Cross Blue Shield of Texas — Traditional: $2,685
  • United Healthcare — Medicare Advantage: $5,946.81
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E G DUODENOSCOPY [GI] $6,136.83 $3,068.42 $911.12 – $5,523.15
Upper GI endoscopy (diagnostic): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $5,216.31
  • Ambetter — Marketplace: $2,068.24
  • Blue Cross Blue Shield of Texas — HMO: $1,753
  • Blue Cross Blue Shield of Texas — Marketplace: $1,753
  • Blue Cross Blue Shield of Texas — PPO: $1,753
  • Blue Cross Blue Shield of Texas — Traditional: $1,753
  • Healthsmart — Commercial: $4,295.78
  • MultiPlan — Commercial: $5,523.15
  • Private Healthcare Systems — Commercial: $5,461.78
  • United Healthcare — Commercial: $2,706.34
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: E G DUODENOSCOPY [GI] $6,136.83 $3,068.42 $2,706.34 – $5,523.15
Upper GI endoscopy (diagnostic): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $5,216.31
  • Blue Cross Blue Shield of Texas — HMO: $4,541.25
  • Blue Cross Blue Shield of Texas — Marketplace: $4,357.15
  • Blue Cross Blue Shield of Texas — PPO: $4,909.46
  • Blue Cross Blue Shield of Texas — Traditional: $5,154.94
  • Healthsmart — Commercial: $4,295.78
  • MultiPlan — Commercial: $5,523.15
  • Private Healthcare Systems — Commercial: $5,461.78
  • United Healthcare — Commercial: $2,706.34
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD W/BIOPSY--GI $6,136.83 $3,068.42 $911.12 – $5,523.15
Upper GI endoscopy with biopsy: 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $5,216.31
  • Ambetter — Marketplace: $2,068.24
  • Blue Cross Blue Shield of Texas — HMO: $2,348
  • Blue Cross Blue Shield of Texas — Marketplace: $2,348
  • Blue Cross Blue Shield of Texas — PPO: $2,348
  • Blue Cross Blue Shield of Texas — Traditional: $2,348
  • Healthsmart — Commercial: $4,295.78
  • MultiPlan — Commercial: $5,523.15
  • Private Healthcare Systems — Commercial: $5,461.78
  • United Healthcare — Commercial: $2,706.34
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD W/BIOPSY--GI $6,136.83 $3,068.42 $2,706.34 – $5,523.15
Upper GI endoscopy with biopsy: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $5,216.31
  • Blue Cross Blue Shield of Texas — HMO: $4,541.25
  • Blue Cross Blue Shield of Texas — Marketplace: $4,357.15
  • Blue Cross Blue Shield of Texas — PPO: $4,909.46
  • Blue Cross Blue Shield of Texas — Traditional: $5,154.94
  • Healthsmart — Commercial: $4,295.78
  • MultiPlan — Commercial: $5,523.15
  • Private Healthcare Systems — Commercial: $5,461.78
  • United Healthcare — Commercial: $2,706.34
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY--GI $3,887.48 $1,943.74 $934.20 – $3,498.73
Colonoscopy (diagnostic): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $3,304.36
  • Ambetter — Marketplace: $2,120.62
  • Blue Cross Blue Shield of Texas — HMO: $2,348
  • Blue Cross Blue Shield of Texas — Marketplace: $2,348
  • Blue Cross Blue Shield of Texas — PPO: $2,348
  • Blue Cross Blue Shield of Texas — Traditional: $2,348
  • Healthsmart — Commercial: $2,721.24
  • MultiPlan — Commercial: $3,498.73
  • Private Healthcare Systems — Commercial: $3,459.86
  • United Healthcare — Commercial: $1,714.38
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY--GI $3,887.48 $1,943.74 $1,714.38 – $3,498.73
Colonoscopy (diagnostic): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $3,304.36
  • Blue Cross Blue Shield of Texas — HMO: $2,876.74
  • Blue Cross Blue Shield of Texas — Marketplace: $2,760.11
  • Blue Cross Blue Shield of Texas — PPO: $3,109.98
  • Blue Cross Blue Shield of Texas — Traditional: $3,265.48
  • Healthsmart — Commercial: $2,721.24
  • MultiPlan — Commercial: $3,498.73
  • Private Healthcare Systems — Commercial: $3,459.86
  • United Healthcare — Commercial: $1,714.38
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY,FLEXIBLE W/BIOPSY--GI $5,079.27 $2,539.64 $1,202.09 – $4,571.34
Colonoscopy with biopsy: 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $4,317.38
  • Ambetter — Marketplace: $2,728.75
  • Blue Cross Blue Shield of Texas — HMO: $2,348
  • Blue Cross Blue Shield of Texas — Marketplace: $2,348
  • Blue Cross Blue Shield of Texas — PPO: $2,348
  • Blue Cross Blue Shield of Texas — Traditional: $2,348
  • Healthsmart — Commercial: $3,555.49
  • MultiPlan — Commercial: $4,571.34
  • Private Healthcare Systems — Commercial: $4,520.55
  • United Healthcare — Commercial: $2,239.96
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY,FLEXIBLE W/BIOPSY--GI $5,079.27 $2,539.64 $2,239.96 – $4,571.34
Colonoscopy with biopsy: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $4,317.38
  • Blue Cross Blue Shield of Texas — HMO: $3,758.66
  • Blue Cross Blue Shield of Texas — Marketplace: $3,606.28
  • Blue Cross Blue Shield of Texas — PPO: $4,063.42
  • Blue Cross Blue Shield of Texas — Traditional: $4,266.59
  • Healthsmart — Commercial: $3,555.49
  • MultiPlan — Commercial: $4,571.34
  • Private Healthcare Systems — Commercial: $4,520.55
  • United Healthcare — Commercial: $2,239.96
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/TUMOR REMOVAL,FLEXIBLE--GI $5,079.27 $2,539.64 $1,202.09 – $4,571.34
Colonoscopy with removal of polyps (snare): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $4,317.38
  • Ambetter — Marketplace: $2,728.75
  • Blue Cross Blue Shield of Texas — HMO: $2,348
  • Blue Cross Blue Shield of Texas — Marketplace: $2,348
  • Blue Cross Blue Shield of Texas — PPO: $2,348
  • Blue Cross Blue Shield of Texas — Traditional: $2,348
  • Healthsmart — Commercial: $3,555.49
  • MultiPlan — Commercial: $4,571.34
  • Private Healthcare Systems — Commercial: $4,520.55
  • United Healthcare — Commercial: $2,239.96
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY W/TUMOR REMOVAL,FLEXIBLE--GI $5,079.27 $2,539.64 $2,239.96 – $4,571.34
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $4,317.38
  • Blue Cross Blue Shield of Texas — HMO: $3,758.66
  • Blue Cross Blue Shield of Texas — Marketplace: $3,606.28
  • Blue Cross Blue Shield of Texas — PPO: $4,063.42
  • Blue Cross Blue Shield of Texas — Traditional: $4,266.59
  • Healthsmart — Commercial: $3,555.49
  • MultiPlan — Commercial: $4,571.34
  • Private Healthcare Systems — Commercial: $4,520.55
  • United Healthcare — Commercial: $2,239.96
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] $5,079.27 $2,539.64 $1,202.09 – $4,571.34
Ultrasound of the lower bowel by endoscope: 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $4,317.38
  • Ambetter — Marketplace: $2,728.75
  • Blue Cross Blue Shield of Texas — HMO: $2,348
  • Blue Cross Blue Shield of Texas — Marketplace: $2,348
  • Blue Cross Blue Shield of Texas — PPO: $2,348
  • Blue Cross Blue Shield of Texas — Traditional: $2,348
  • Healthsmart — Commercial: $3,555.49
  • MultiPlan — Commercial: $4,571.34
  • Private Healthcare Systems — Commercial: $4,520.55
  • United Healthcare — Commercial: $2,239.96
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] $5,079.27 $2,539.64 $2,239.96 – $4,571.34
Ultrasound of the lower bowel by endoscope: rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $4,317.38
  • Blue Cross Blue Shield of Texas — HMO: $3,758.66
  • Blue Cross Blue Shield of Texas — Marketplace: $3,606.28
  • Blue Cross Blue Shield of Texas — PPO: $4,063.42
  • Blue Cross Blue Shield of Texas — Traditional: $4,266.59
  • Healthsmart — Commercial: $3,555.49
  • MultiPlan — Commercial: $4,571.34
  • Private Healthcare Systems — Commercial: $4,520.55
  • United Healthcare — Commercial: $2,239.96
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCRN COLONOSCOPY PT NOT HI RISK--GI $5,641.14 $2,820.57 $934.20 – $5,077.03
Screening colonoscopy (not high risk): 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $4,794.97
  • Ambetter — Marketplace: $2,120.62
  • Blue Cross Blue Shield of Texas — HMO: $2,348
  • Blue Cross Blue Shield of Texas — Marketplace: $2,348
  • Blue Cross Blue Shield of Texas — PPO: $2,348
  • Blue Cross Blue Shield of Texas — Traditional: $2,348
  • Healthsmart — Commercial: $3,948.80
  • MultiPlan — Commercial: $5,077.03
  • Private Healthcare Systems — Commercial: $5,020.61
  • United Healthcare — Commercial: $2,487.74
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SCRN COLONOSCOPY PT NOT HI RISK--GI $5,641.14 $2,820.57 $2,487.74 – $5,077.03
Screening colonoscopy (not high risk): rates for 9 insurance plans
  • Aetna — HMO/PPO/POS: $4,794.97
  • Blue Cross Blue Shield of Texas — HMO: $4,174.44
  • Blue Cross Blue Shield of Texas — Marketplace: $4,005.21
  • Blue Cross Blue Shield of Texas — PPO: $4,512.91
  • Blue Cross Blue Shield of Texas — Traditional: $4,738.56
  • Healthsmart — Commercial: $3,948.80
  • MultiPlan — Commercial: $5,077.03
  • Private Healthcare Systems — Commercial: $5,020.61
  • United Healthcare — Commercial: $2,487.74
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 $4,353 – $13,785.88
Gallbladder removal by laparoscope: rates for 6 insurance plans
  • Ambetter — Marketplace: $13,785.88
  • Blue Cross Blue Shield of Texas — HMO: $4,353
  • Blue Cross Blue Shield of Texas — Marketplace: $4,353
  • Blue Cross Blue Shield of Texas — PPO: $4,353
  • Blue Cross Blue Shield of Texas — Traditional: $4,353
  • United Healthcare — Medicare Advantage: $6,073.08
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 $3,317 – $8,164.55
Groin (inguinal) hernia repair, age 5 or older: rates for 6 insurance plans
  • Ambetter — Marketplace: $8,164.55
  • Blue Cross Blue Shield of Texas — HMO: $3,317
  • Blue Cross Blue Shield of Texas — Marketplace: $3,317
  • Blue Cross Blue Shield of Texas — PPO: $3,317
  • Blue Cross Blue Shield of Texas — Traditional: $3,317
  • United Healthcare — Medicare Advantage: $3,596.72
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 $2,348
Prostate biopsy: rates for 4 insurance plans
  • Blue Cross Blue Shield of Texas — HMO: $2,348
  • Blue Cross Blue Shield of Texas — Marketplace: $2,348
  • Blue Cross Blue Shield of Texas — PPO: $2,348
  • Blue Cross Blue Shield of Texas — Traditional: $2,348
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 $4,353 – $24,239.68
Prostate removal by laparoscope (radical prostatectomy): rates for 6 insurance plans
  • Ambetter — Marketplace: $24,239.68
  • Blue Cross Blue Shield of Texas — HMO: $4,353
  • Blue Cross Blue Shield of Texas — Marketplace: $4,353
  • Blue Cross Blue Shield of Texas — PPO: $4,353
  • Blue Cross Blue Shield of Texas — Traditional: $4,353
  • United Healthcare — Medicare Advantage: $10,678.27
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $2,685 – $7,381.76
Hysteroscopy with biopsy of the uterus lining: rates for 6 insurance plans
  • Ambetter — Marketplace: $7,381.76
  • Blue Cross Blue Shield of Texas — HMO: $2,685
  • Blue Cross Blue Shield of Texas — Marketplace: $2,685
  • Blue Cross Blue Shield of Texas — PPO: $2,685
  • Blue Cross Blue Shield of Texas — Traditional: $2,685
  • United Healthcare — Medicare Advantage: $3,251.88
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] $4,291.15 $2,145.58 $709.10 – $4,353
Spinal injection, lower back (epidural), with imaging guidance: 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $3,647.48
  • Ambetter — Marketplace: $1,609.65
  • Blue Cross Blue Shield of Texas — HMO: $4,353
  • Blue Cross Blue Shield of Texas — Marketplace: $4,353
  • Blue Cross Blue Shield of Texas — PPO: $4,353
  • Blue Cross Blue Shield of Texas — Traditional: $4,353
  • Healthsmart — Commercial: $3,003.81
  • MultiPlan — Commercial: $3,862.04
  • Private Healthcare Systems — Commercial: $3,819.12
  • United Healthcare — Commercial: $1,892.40
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] $4,291.15 $2,145.58 $709.10 – $4,353
Spinal injection, lower back (epidural), with imaging guidance: 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $3,647.48
  • Ambetter — Marketplace: $1,609.65
  • Blue Cross Blue Shield of Texas — HMO: $4,353
  • Blue Cross Blue Shield of Texas — Marketplace: $4,353
  • Blue Cross Blue Shield of Texas — PPO: $4,353
  • Blue Cross Blue Shield of Texas — Traditional: $4,353
  • Healthsmart — Commercial: $3,003.81
  • MultiPlan — Commercial: $3,862.04
  • Private Healthcare Systems — Commercial: $3,819.12
  • United Healthcare — Commercial: $1,892.40
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] $4,291.15 $2,145.58 $709.10 – $4,353
Spinal injection, lower back (epidural), with imaging guidance: 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $3,647.48
  • Ambetter — Marketplace: $1,609.65
  • Blue Cross Blue Shield of Texas — HMO: $4,353
  • Blue Cross Blue Shield of Texas — Marketplace: $4,353
  • Blue Cross Blue Shield of Texas — PPO: $4,353
  • Blue Cross Blue Shield of Texas — Traditional: $4,353
  • Healthsmart — Commercial: $3,003.81
  • MultiPlan — Commercial: $3,862.04
  • Private Healthcare Systems — Commercial: $3,819.12
  • United Healthcare — Commercial: $1,892.40
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] $5,561.54 $2,780.77 $888.50 – $5,005.39
Nerve root injection, lower back, with imaging guidance: 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $4,727.31
  • Ambetter — Marketplace: $2,016.90
  • Blue Cross Blue Shield of Texas — HMO: $1,753
  • Blue Cross Blue Shield of Texas — Marketplace: $1,753
  • Blue Cross Blue Shield of Texas — PPO: $1,753
  • Blue Cross Blue Shield of Texas — Traditional: $1,753
  • Healthsmart — Commercial: $3,893.08
  • MultiPlan — Commercial: $5,005.39
  • Private Healthcare Systems — Commercial: $4,949.77
  • United Healthcare — Commercial: $2,452.64
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] $5,561.54 $2,780.77 $888.50 – $5,005.39
Nerve root injection, lower back, with imaging guidance: 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $4,727.31
  • Ambetter — Marketplace: $2,016.90
  • Blue Cross Blue Shield of Texas — HMO: $1,753
  • Blue Cross Blue Shield of Texas — Marketplace: $1,753
  • Blue Cross Blue Shield of Texas — PPO: $1,753
  • Blue Cross Blue Shield of Texas — Traditional: $1,753
  • Healthsmart — Commercial: $3,893.08
  • MultiPlan — Commercial: $5,005.39
  • Private Healthcare Systems — Commercial: $4,949.77
  • United Healthcare — Commercial: $2,452.64
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] $5,561.54 $2,780.77 $888.50 – $5,005.39
Nerve root injection, lower back, with imaging guidance: 10 of 11 insurance plan rates
  • Aetna — HMO/PPO/POS: $4,727.31
  • Ambetter — Marketplace: $2,016.90
  • Blue Cross Blue Shield of Texas — HMO: $1,753
  • Blue Cross Blue Shield of Texas — Marketplace: $1,753
  • Blue Cross Blue Shield of Texas — PPO: $1,753
  • Blue Cross Blue Shield of Texas — Traditional: $1,753
  • Healthsmart — Commercial: $3,893.08
  • MultiPlan — Commercial: $5,005.39
  • Private Healthcare Systems — Commercial: $4,949.77
  • United Healthcare — Commercial: $2,452.64
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $1,961.62 – $4,452.89
Carpal tunnel release: rates for 6 insurance plans
  • Ambetter — Marketplace: $4,452.89
  • Blue Cross Blue Shield of Texas — HMO: $2,348
  • Blue Cross Blue Shield of Texas — Marketplace: $2,348
  • Blue Cross Blue Shield of Texas — PPO: $2,348
  • Blue Cross Blue Shield of Texas — Traditional: $2,348
  • United Healthcare — Medicare Advantage: $1,961.62
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 $552.50 – $2,348
Laser treatment of clouding after cataract surgery: rates for 6 insurance plans
  • Ambetter — Marketplace: $1,254.18
  • Blue Cross Blue Shield of Texas — HMO: $2,348
  • Blue Cross Blue Shield of Texas — Marketplace: $2,348
  • Blue Cross Blue Shield of Texas — PPO: $2,348
  • Blue Cross Blue Shield of Texas — Traditional: $2,348
  • United Healthcare — Medicare Advantage: $552.50
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 $2,318.34 – $5,262.63
Cataract removal with lens implant: rates for 6 insurance plans
  • Ambetter — Marketplace: $5,262.63
  • Blue Cross Blue Shield of Texas — HMO: $5,127
  • Blue Cross Blue Shield of Texas — Marketplace: $5,127
  • Blue Cross Blue Shield of Texas — PPO: $5,127
  • Blue Cross Blue Shield of Texas — Traditional: $5,127
  • United Healthcare — Medicare Advantage: $2,318.34

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $2,148.37 – $4,876.81
Vaginal delivery, with care before and after: rates for 6 insurance plans
  • Ambetter — Marketplace: $4,876.81
  • Blue Cross Blue Shield of Texas — HMO: $4,353
  • Blue Cross Blue Shield of Texas — Marketplace: $4,353
  • Blue Cross Blue Shield of Texas — PPO: $4,353
  • Blue Cross Blue Shield of Texas — Traditional: $4,353
  • United Healthcare — Medicare Advantage: $2,148.37
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $2,397.15 – $5,441.53
Cesarean delivery (C-section), with care before and after: rates for 6 insurance plans
  • Ambetter — Marketplace: $5,441.53
  • Blue Cross Blue Shield of Texas — HMO: $4,353
  • Blue Cross Blue Shield of Texas — Marketplace: $4,353
  • Blue Cross Blue Shield of Texas — PPO: $4,353
  • Blue Cross Blue Shield of Texas — Traditional: $4,353
  • United Healthcare — Medicare Advantage: $2,397.15
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $2,258.68 – $5,127.19
Vaginal delivery after a previous C-section, with care before and after: rates for 6 insurance plans
  • Ambetter — Marketplace: $5,127.19
  • Blue Cross Blue Shield of Texas — HMO: $4,353
  • Blue Cross Blue Shield of Texas — Marketplace: $4,353
  • Blue Cross Blue Shield of Texas — PPO: $4,353
  • Blue Cross Blue Shield of Texas — Traditional: $4,353
  • United Healthcare — Medicare Advantage: $2,258.68

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 $60,594.08 – $163,397.57
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 6 insurance plans
  • Ambetter — Marketplace: $163,397.57
  • Blue Cross Blue Shield of Texas — HMO: $60,594.08
  • Blue Cross Blue Shield of Texas — Marketplace: $60,594.08
  • Blue Cross Blue Shield of Texas — PPO: $60,594.08
  • Blue Cross Blue Shield of Texas — Traditional: $63,895.85
  • United Healthcare — Medicare Advantage: $71,981.31
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 $21,263.66 – $22,422.32
Spinal fusion (not neck), without major complications: rates for 4 insurance plans
  • Blue Cross Blue Shield of Texas — HMO: $21,263.66
  • Blue Cross Blue Shield of Texas — Marketplace: $21,263.66
  • Blue Cross Blue Shield of Texas — PPO: $21,263.66
  • Blue Cross Blue Shield of Texas — Traditional: $22,422.32
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 $12,784 – $35,250.22
Hip or knee replacement (major joint of the leg), without major complications: rates for 6 insurance plans
  • Ambetter — Marketplace: $35,250.22
  • Blue Cross Blue Shield of Texas — HMO: $12,784
  • Blue Cross Blue Shield of Texas — Marketplace: $12,784
  • Blue Cross Blue Shield of Texas — PPO: $12,784
  • Blue Cross Blue Shield of Texas — Traditional: $13,480.60
  • United Healthcare — Medicare Advantage: $15,528.73
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 $11,533.89 – $43,610.74
Neck (cervical) spinal fusion, without complications: rates for 6 insurance plans
  • Ambetter — Marketplace: $43,610.74
  • Blue Cross Blue Shield of Texas — HMO: $11,533.89
  • Blue Cross Blue Shield of Texas — Marketplace: $11,533.89
  • Blue Cross Blue Shield of Texas — PPO: $11,533.89
  • Blue Cross Blue Shield of Texas — Traditional: $12,162.37
  • United Healthcare — Medicare Advantage: $19,211.78
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 $6,081.21 – $24,021.28
Uterus and ovary surgery (not for cancer), without complications: rates for 6 insurance plans
  • Ambetter — Marketplace: $24,021.28
  • Blue Cross Blue Shield of Texas — HMO: $6,081.21
  • Blue Cross Blue Shield of Texas — Marketplace: $6,081.21
  • Blue Cross Blue Shield of Texas — PPO: $6,081.21
  • Blue Cross Blue Shield of Texas — Traditional: $6,412.58
  • United Healthcare — Medicare Advantage: $10,582.06

Source: Hendrick Medical Center Brownwood’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
Address1501 Burnet Dr, Brownwood, TX 76801
CountyBrown County
StateTexas
Phone(325) 646‑8541
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating1 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number450587
Name in Medicare recordsHENDRICK MEDICAL CENTER BROWNWOOD
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 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. About This Location - Hendrick Medical Center Brownwood — hendrickhealth.org
  2. Hendrick Medical Center Brownwood | Hendrick Health — hendrickhealth.org