Does Knapp Medical Center have an emergency room?

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

Where is Knapp Medical Center?

1401 East Eight Street, Weslaco, TX 78596, in Hidalgo County, Texas.

What is the phone number of Knapp Medical Center?

(956) 968-8567, as listed by Medicare (CMS).

What is the Medicare star rating of Knapp Medical Center?

5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Knapp Medical Center — Weslaco, TX

Quick answers

Does Knapp Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Knapp Medical Center. In a medical emergency, call 911.
Where is Knapp Medical Center?: 1401 East Eight Street, Weslaco, TX 78596, in Hidalgo County, Texas.
What is the phone number of Knapp Medical Center?: (956) 968-8567, as listed by Medicare (CMS).
What is the Medicare star rating of Knapp Medical Center?: 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][5][10][11][12]}

Cardiopulmonary
Critical Care/ICU
Emergency Care
Gastroenterology
Maternity Services
Neurological Care
Orthopedics
Pediatrics
Rehabilitation Services
Surgery
Women's Health Services
Wound Center
Imaging Services
Laboratory
Cardiology
Obstetrics and gynecology
Labor and delivery
Pulmonology
Pain management
Urology
Ear, nose and throat (ENT)

Conditions treated^[7][8][11]

Heart attacks
Strokes
Injuries from automobile accidents
Injuries from accidents at home or work
Violence-related injuries
Poisonings
Fractures
Osteoporosis
Arthritis
Spine and neck pain
Sports and orthopedic injuries
Shoulder, hip and knee pain
Foot, ankle, hand and wrist pain
Lung cancer

Treatments^{[5][7][11][12][13]}

Joint replacement
Robotic-arm assisted knee and hip replacement (Mako)
Partial knee resurfacing
Da Vinci robotic surgery
Minimally invasive surgery
Respiratory treatments
Airway stents and dilation
Digital imaging (radiology)
Laboratory services
Rehabilitation (physical, occupational, speech/language therapy)

Procedures^{[5][10][11][13]}

Endobronchial ultrasonography (EBUS)
Rigid bronchoscopy
Electrocardiogram (EKG)
24-hour Holter monitoring
Electroencephalography (EEG)
Pulmonary function testing
Endoscopy
Cesarean section

Programs and centers^{[4][5][8][10][14]}

Graduate medical education in Family Medicine and Internal Medicine
FastTrackCare ER arrival time reservation
Community Healthcare Program (in-home support after discharge, with Weslaco Fire/EMS)
Childbirth classes
Postpartum classes
Safe Riders Child Passenger Safety Program

Emergency care (hospital website)^[4][5][6][8]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level IV
Stroke designation	Advanced Primary Stroke Center (The Joint Commission)

Visiting and practical information

Interpreters and languages	Auxiliary aids and translation services available; ask a nurse for help^[15]
Patient portal	MyChart Patient Portal

Recognition^[5][6][8]

Advanced Primary Stroke Center (The Joint Commission)
Level IV Trauma Center (Texas Department of State Health Services designation)

Doctors and clinicians (138)

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

Main specialties

And 114 more: the button below opens the full list.

Other emergency rooms nearby

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

South Texas Health System15 mi · Edinburg, TX · Acute Care Hospital
Rio Grande Regional Hospital15 mi · McAllen, TX · Acute Care Hospital
Driscoll Children's Hospital Rio Grande Valley15 mi · Edinburg, TX · Children's Hospital
Doctors Hosptal at Renaissance16 mi · Edinburg, TX · Acute Care Hospital
Cornerstone Regional Hospital16 mi · Edinburg, TX · Acute Care Hospital

Other hospitals nearby

Weslaco Regional Rehabilitation Hospital LLC0.1 mi · Weslaco, TX · Inpatient Rehabilitation Hospital
Solara Specialty Hospital McAllen16 mi · McAllen, TX · Long-Term Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Windsor Nursing and Rehabilitation Center of Wesla0.3 mi · Weslaco, TX · 2 of 5 stars
Valley Grande Manor0.3 mi · Weslaco, TX · 1 of 5 stars
Weslaco Nursing and Rehabilitation Center0.9 mi · Weslaco, TX · 4 of 5 stars

All nursing homes in the state →

Hospice providers

A Healing Touch Hospice4.0 mi · Weslaco, TX
Angel Wings Hospice Services LLC4.0 mi · Weslaco, TX
Ims Home Health & Hospice Care, Inc4.0 mi · Weslaco, TX

All hospice providers in the state →

Home health agencies

A Beautiful Day Health Care4.0 mi · Weslaco, TX
CV Home Health LLC4.0 mi · Weslaco, TX
Ims Home Health & Hospice Care, Inc4.0 mi · Weslaco, TX · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita Weslaco Renal Center4.0 mi · Weslaco, TX · 2 of 5 stars
FKC Mid-Valley4.0 mi · Weslaco, TX · 4 of 5 stars
USRC Mid Valley Weslaco Dialysis4.0 mi · Weslaco, TX · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Palm Valley Surgery Center LLC4.0 mi · Weslaco, TX
Endoscopy Center at Medpoint17 mi · McAllen, TX
McAllen Surgical Specialty Cen17 mi · McAllen, TX

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Nuestra Clinica del Valle - Mercedes3.3 mi · Mercedes, TX · Community health center
Nuestra Clinica del Valle - Donna4.8 mi · Donna, TX · Community health center
Nuestra Clinica del Valle - Edcouch10.0 mi · Edcouch, TX · Community health center

Clinics and urgent care

Luna Pediatric and Family Clinic, LLC10 mi · Elsa, TX · Urgent care center
American Current Care P.A.13 mi · Pharr, TX · Urgent care center
RGV Urgent Care Clinic PLLC15 mi · Edinburg, TX · Urgent care center

Pharmacies

CVS Pharmacy, Inc.4.0 mi · Weslaco, TX · Pharmacy
De la Rosa Pharmacy4.0 mi · Weslaco, TX · Community/retail pharmacy
DMHC2 LLC4.0 mi · Weslaco, TX · Community/retail pharmacy

Assisted living nearby

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

John Knox Personal Care4.0 mi · Weslaco, TX
New Life Assisted Living5.1 mi · Donna, TX
New Life Assisted Living5.1 mi · Donna, TX
The Gardens at Brook Ridge13 mi · Pharr, TX

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	63%National average: 72%
Would definitely recommend the hospital	63%National average: 71%
Nurses “always” communicated well	71%National average: 80%
Doctors “always” communicated well	74%National average: 80%
Staff “always” explained medicines before giving them	56%National average: 62%
Were given information about recovery at home	83%National average: 86%
Room and bathroom “always” clean	80%National average: 74%
Area around the room “always” quiet at night	49%National average: 60%
Completed surveys	418Response rate: 31%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.47No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0Better than the national benchmark
Surgical site infections after colon surgery	0.865No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.169Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	7.4%
Deaths within 30 days: pneumonia patients	14.5%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	15.2%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.87No different from the national rate
Complications after hip or knee replacement	4.2%

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 attack	Too few cases to report
Readmitted within 30 days: heart failure	20.3%
Readmitted within 30 days: pneumonia	17.4%
Readmitted within 30 days: COPD	19.7%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.6%

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)	133 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	69%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Texas Best hospitals in Texas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 56 common services exactly as Knapp Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Hc Ed Level 3	$1,694.15	$272	$51.36 – $1,660.27
Emergency room visit (moderate): 10 of 62 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $264.69 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $545.76 BCBS Medicaid — BCBS Medicaid: $51.36 BCBS TX — BCBS HMO: $707.99 BCBS TX — BCBS HMO Advantage: $569.52 BCBS TX — BCBS Medicare Advantage HMO/PPO: $272.88 BCBS TX — BCBS PPO: $786.16 BCBS TX — BCBS Traditional: $786.16 BCBS TX — BCBS TriWest: $272.88 Cigna — Cigna Healthspring - Medicare Advantage: $272.88
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Hc Ed Level 4	$2,660.76	$417	$153.26 – $2,607.54
Emergency room visit (moderately high): 10 of 60 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $404.60 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $834.22 BCBS TX — BCBS HMO: $1,115.17 BCBS TX — BCBS HMO Advantage: $897.06 BCBS TX — BCBS Medicare Advantage HMO/PPO: $417.11 BCBS TX — BCBS PPO: $1,238.30 BCBS TX — BCBS Traditional: $1,238.30 BCBS TX — BCBS TriWest: $417.11 Cigna — Cigna Healthspring - Medicare Advantage: $417.11 Cigna — Cigna Healthspring - Medicare Advantage PPO: $429.62
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Hc Ed Level 5	$4,180	$595	$200 – $4,096.40
Emergency room visit (high): 10 of 59 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $577.45 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $1,190.62 BCBS TX — BCBS HMO: $1,599.30 BCBS TX — BCBS HMO Advantage: $1,286.50 BCBS TX — BCBS Medicare Advantage HMO/PPO: $595.31 BCBS TX — BCBS PPO: $1,775.88 BCBS TX — BCBS Traditional: $1,775.88 BCBS TX — BCBS TriWest: $595.31 Cigna — Cigna Healthspring - Medicare Advantage: $595.31 Cigna — Cigna Healthspring - Medicare Advantage PPO: $613.17

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Hc Basic Metabolic Panel Calcium Total	$352.17	$8	$5.92 – $345.13
Basic metabolic panel (blood test): 10 of 62 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $8.21 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $16.92 BCBS Medicaid — BCBS Medicaid: $13.72 BCBS TX — BCBS HMO: $24.70 BCBS TX — BCBS HMO Advantage: $30.54 BCBS TX — BCBS Medicare Advantage HMO/PPO: $8.46 BCBS TX — BCBS PPO: $27.41 BCBS TX — BCBS Traditional: $27.41 BCBS TX — BCBS TriWest: $8.46 Cigna — Cigna Healthspring - Medicare Advantage: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Hc Metabolic Panel,Comprehensive	$403.37	$10	$7.39 – $403.37
Comprehensive metabolic panel (blood test): 10 of 62 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $10.24 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $21.12 BCBS Medicaid — BCBS Medicaid: $17.12 BCBS TX — BCBS HMO: $30.84 BCBS TX — BCBS HMO Advantage: $38.12 BCBS TX — BCBS Medicare Advantage HMO/PPO: $10.56 BCBS TX — BCBS PPO: $34.21 BCBS TX — BCBS Traditional: $34.21 BCBS TX — BCBS TriWest: $10.56 Cigna — Cigna Healthspring - Medicare Advantage: $10.56
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Hc Lipid Panel	$321.86	$13	$9.37 – $321.86
Cholesterol panel (lipid panel): 10 of 61 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $12.99 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $26.78 BCBS Medicaid — BCBS Medicaid: $21.71 BCBS TX — BCBS HMO: $39.10 BCBS TX — BCBS HMO Advantage: $48.34 BCBS TX — BCBS Medicare Advantage HMO/PPO: $13.39 BCBS TX — BCBS PPO: $43.38 BCBS TX — BCBS Traditional: $43.38 BCBS TX — BCBS TriWest: $13.39 Cigna — Cigna Healthspring - Medicare Advantage: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Hc Renal Function Panel	$365.75	$8	$6.08 – $358.44
Kidney function panel: 10 of 61 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $8.42 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $17.36 BCBS Medicaid — BCBS Medicaid: $14.07 BCBS TX — BCBS HMO: $25.35 BCBS TX — BCBS HMO Advantage: $31.33 BCBS TX — BCBS Medicare Advantage HMO/PPO: $8.68 BCBS TX — BCBS PPO: $28.12 BCBS TX — BCBS Traditional: $28.12 BCBS TX — BCBS TriWest: $8.68 Cigna — Cigna Healthspring - Medicare Advantage: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hc Hepatic Function Panel	$288.42	$8	$5.72 – $282.65
Liver function panel: 10 of 61 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $7.92 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $16.34 BCBS Medicaid — BCBS Medicaid: $13.24 BCBS TX — BCBS HMO: $23.86 BCBS TX — BCBS HMO Advantage: $29.49 BCBS TX — BCBS Medicare Advantage HMO/PPO: $8.17 BCBS TX — BCBS PPO: $26.47 BCBS TX — BCBS Traditional: $26.47 BCBS TX — BCBS TriWest: $8.17 Cigna — Cigna Healthspring - Medicare Advantage: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Hc Urinalysis, Auto, W/Scope	$247.58	$3	$2.22 – $242.63
Urine test (automated, with microscope): 10 of 62 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $3.07 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $6.34 BCBS Medicaid — BCBS Medicaid: $5.13 BCBS TX — BCBS HMO: $9.26 BCBS TX — BCBS HMO Advantage: $11.44 BCBS TX — BCBS Medicare Advantage HMO/PPO: $3.17 BCBS TX — BCBS PPO: $10.27 BCBS TX — BCBS Traditional: $10.27 BCBS TX — BCBS TriWest: $3.17 Cigna — Cigna Healthspring - Medicare Advantage: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Hc Urinalysis Nonauto W/O Scope	$29.26	$3	$2.44 – $29.26
Urine test (manual, without microscope): 10 of 60 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $3.38 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $6.96 BCBS Medicaid — BCBS Medicaid: $5.64 BCBS TX — BCBS HMO: $10.16 BCBS TX — BCBS HMO Advantage: $12.56 BCBS TX — BCBS Medicare Advantage HMO/PPO: $3.48 BCBS TX — BCBS PPO: $11.28 BCBS TX — BCBS Traditional: $11.28 BCBS TX — BCBS TriWest: $3.48 Cigna — Cigna Healthspring - Medicare Advantage: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Hc Urinalysis, Auto, W/O Scope	$71.06	$2	$1.57 – $71.06
Urine test (automated, without microscope): 10 of 62 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $2.18 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $4.50 BCBS Medicaid — BCBS Medicaid: $3.65 BCBS TX — BCBS HMO: $6.57 BCBS TX — BCBS HMO Advantage: $8.12 BCBS TX — BCBS Medicare Advantage HMO/PPO: $2.25 BCBS TX — BCBS PPO: $7.29 BCBS TX — BCBS Traditional: $7.29 BCBS TX — BCBS TriWest: $2.25 Cigna — Cigna Healthspring - Medicare Advantage: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Hc Assay Of Prostate Specific Antigen Total - 84153 - 30100312	$96.09	$18	$12.87 – $96.09
PSA (prostate specific antigen) blood test: 10 of 60 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $17.84 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $36.78 BCBS Medicaid — BCBS Medicaid: $29.82 BCBS TX — BCBS HMO: $53.70 BCBS TX — BCBS HMO Advantage: $66.39 BCBS TX — BCBS Medicare Advantage HMO/PPO: $18.39 BCBS TX — BCBS PPO: $59.58 BCBS TX — BCBS Traditional: $59.58 BCBS TX — BCBS TriWest: $18.39 Cigna — Cigna Healthspring - Medicare Advantage: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Hc Assay Thyroid Stim Hormone	$87.78	$16	$11.76 – $87.78
Thyroid stimulating hormone (TSH) test: 10 of 61 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $16.30 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $33.60 BCBS Medicaid — BCBS Medicaid: $27.23 BCBS TX — BCBS HMO: $49.06 BCBS TX — BCBS HMO Advantage: $60.65 BCBS TX — BCBS Medicare Advantage HMO/PPO: $16.80 BCBS TX — BCBS PPO: $54.43 BCBS TX — BCBS Traditional: $54.43 BCBS TX — BCBS TriWest: $16.80 Cigna — Cigna Healthspring - Medicare Advantage: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Hc Complete Cbc & Auto Diff Wbc	$156.75	$7	$5.44 – $153.62
Complete blood count (CBC) with differential: 10 of 61 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $7.54 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $15.54 BCBS Medicaid — BCBS Medicaid: $12.60 BCBS TX — BCBS HMO: $22.69 BCBS TX — BCBS HMO Advantage: $28.05 BCBS TX — BCBS Medicare Advantage HMO/PPO: $7.77 BCBS TX — BCBS PPO: $25.17 BCBS TX — BCBS Traditional: $25.17 BCBS TX — BCBS TriWest: $7.77 Cigna — Cigna Healthspring - Medicare Advantage: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Hc Complete Cbc	$118.09	$6	$4.53 – $118.09
Complete blood count (CBC), automated: 10 of 61 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $6.28 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $12.94 BCBS Medicaid — BCBS Medicaid: $10.48 BCBS TX — BCBS HMO: $18.89 BCBS TX — BCBS HMO Advantage: $23.36 BCBS TX — BCBS Medicare Advantage HMO/PPO: $6.47 BCBS TX — BCBS PPO: $20.96 BCBS TX — BCBS Traditional: $20.96 BCBS TX — BCBS TriWest: $6.47 Cigna — Cigna Healthspring - Medicare Advantage: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Hc Prothrombin Time	$93.01	$4	$3 – $93.01
Blood clotting time test (prothrombin time, PT): 10 of 61 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $4.16 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $8.58 BCBS Medicaid — BCBS Medicaid: $6.95 BCBS TX — BCBS HMO: $12.53 BCBS TX — BCBS HMO Advantage: $15.49 BCBS TX — BCBS Medicare Advantage HMO/PPO: $4.29 BCBS TX — BCBS PPO: $13.90 BCBS TX — BCBS Traditional: $13.90 BCBS TX — BCBS TriWest: $4.29 Cigna — Cigna Healthspring - Medicare Advantage: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Hc Thromboplas Time Partial	$112.86	$6	$4.21 – $112.86
Blood clotting test (partial thromboplastin time, PTT): 10 of 61 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $5.83 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $12.02 BCBS Medicaid — BCBS Medicaid: $9.75 BCBS TX — BCBS HMO: $17.55 BCBS TX — BCBS HMO Advantage: $21.70 BCBS TX — BCBS Medicare Advantage HMO/PPO: $6.01 BCBS TX — BCBS PPO: $19.47 BCBS TX — BCBS Traditional: $19.47 BCBS TX — BCBS TriWest: $6.01 Cigna — Cigna Healthspring - Medicare Advantage: $6.01

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Hc Ct Scan,Head/Brain,W/O Contrast Matl	$2,923.91	$104	$73.16 – $2,865.43
CT scan of the head or brain, without contrast: 10 of 62 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $101.37 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $209.02 BCBS Medicaid — BCBS Medicaid: $202.17 BCBS TX — BCBS HMO: $327.27 BCBS TX — BCBS HMO Advantage: $404.61 BCBS TX — BCBS Medicare Advantage HMO/PPO: $104.51 BCBS TX — BCBS PPO: $363.14 BCBS TX — BCBS Traditional: $363.14 BCBS TX — BCBS TriWest: $104.51 Cigna — Cigna Healthspring - Medicare Advantage: $104.51
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Hc Mri Brain Combo	$4,956.44	$348	$244.12 – $4,857.31
MRI of the brain, before and after contrast: 10 of 61 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $338.28 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $697.48 BCBS Medicaid — BCBS Medicaid: $633.25 BCBS TX — BCBS HMO: $1,115 BCBS TX — BCBS HMO Advantage: $1,378.48 BCBS TX — BCBS Medicare Advantage HMO/PPO: $348.74 BCBS TX — BCBS PPO: $1,237.19 BCBS TX — BCBS Traditional: $1,237.19 BCBS TX — BCBS TriWest: $348.74 Cigna — Cigna Healthspring - Medicare Advantage: $348.74
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Hc Chest X-Ray 2 Vw	$557.53	$86	$33.75 – $546.38
Chest X-ray, 2 views: 10 of 62 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $84.38 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $173.98 BCBS Medicaid — BCBS Medicaid: $65.14 BCBS TX — BCBS HMO: $233.05 BCBS TX — BCBS HMO Advantage: $288.11 BCBS TX — BCBS Medicare Advantage HMO/PPO: $86.99 BCBS TX — BCBS PPO: $258.58 BCBS TX — BCBS Traditional: $258.58 BCBS TX — BCBS TriWest: $86.99 Cigna — Cigna Healthspring - Medicare Advantage: $86.99
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Hc X-Ray Lumbar Spine 4 Vw	$930.05	$104	$52.13 – $911.45
X-ray of the lower spine, at least 4 views: 10 of 62 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $101.37 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $209.02 BCBS Medicaid — BCBS Medicaid: $100.61 BCBS TX — BCBS HMO: $327.27 BCBS TX — BCBS HMO Advantage: $404.61 BCBS TX — BCBS Medicare Advantage HMO/PPO: $104.51 BCBS TX — BCBS PPO: $363.14 BCBS TX — BCBS Traditional: $363.14 BCBS TX — BCBS TriWest: $104.51 Cigna — Cigna Healthspring - Medicare Advantage: $104.51
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Hc Mri, Lumbar Spine	$4,339.89	$238	$166.96 – $4,253.09
MRI of the lower back (lumbar spine), without contrast: 10 of 61 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $231.35 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $477.02 BCBS Medicaid — BCBS Medicaid: $380.48 BCBS TX — BCBS HMO: $680.48 BCBS TX — BCBS HMO Advantage: $841.27 BCBS TX — BCBS Medicare Advantage HMO/PPO: $238.51 BCBS TX — BCBS PPO: $755.05 BCBS TX — BCBS Traditional: $755.05 BCBS TX — BCBS TriWest: $238.51 Cigna — Cigna Healthspring - Medicare Advantage: $238.51
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Hc Ct Scan Of Pelvis Contrast	$3,513.29	$175	$122.74 – $3,443.02
CT scan of the pelvis, with contrast: 10 of 60 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $170.08 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $350.68 BCBS Medicaid — BCBS Medicaid: $337.87 BCBS TX — BCBS HMO: $532.08 BCBS TX — BCBS HMO Advantage: $657.81 BCBS TX — BCBS Medicare Advantage HMO/PPO: $175.34 BCBS TX — BCBS PPO: $590.39 BCBS TX — BCBS Traditional: $590.39 BCBS TX — BCBS TriWest: $175.34 Cigna — Cigna Healthspring - Medicare Advantage: $175.34
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Hc Mri Lower Extrem Jt, W/O Contrast	$4,282.41	$238	$166.96 – $4,196.76
MRI of a leg joint (such as the knee), without contrast: 10 of 61 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $231.35 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $477.02 BCBS Medicaid — BCBS Medicaid: $403.06 BCBS TX — BCBS HMO: $680.48 BCBS TX — BCBS HMO Advantage: $841.27 BCBS TX — BCBS Medicare Advantage HMO/PPO: $238.51 BCBS TX — BCBS PPO: $755.05 BCBS TX — BCBS Traditional: $755.05 BCBS TX — BCBS TriWest: $238.51 Cigna — Cigna Healthspring - Medicare Advantage: $238.51
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Hc Ct Scan Abdomen/Pelvis W Contrast	$6,331.66	$348	$244.12 – $6,205.03
CT scan of the abdomen and pelvis, with contrast: 10 of 62 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $338.28 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $697.48 BCBS Medicaid — BCBS Medicaid: $602.31 BCBS TX — BCBS HMO: $1,115 BCBS TX — BCBS HMO Advantage: $1,378.48 BCBS TX — BCBS Medicare Advantage HMO/PPO: $348.74 BCBS TX — BCBS PPO: $1,237.19 BCBS TX — BCBS Traditional: $1,237.19 BCBS TX — BCBS TriWest: $348.74 Cigna — Cigna Healthspring - Medicare Advantage: $348.74
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Hc Us, Abdom,B-Scan &/Or Real Time,Complete	$1,618.71	$104	$73.16 – $1,586.34
Ultrasound of the abdomen, complete: 10 of 62 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $101.37 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $209.02 BCBS Medicaid — BCBS Medicaid: $202.17 BCBS TX — BCBS HMO: $327.27 BCBS TX — BCBS HMO Advantage: $404.61 BCBS TX — BCBS Medicare Advantage HMO/PPO: $104.51 BCBS TX — BCBS PPO: $363.14 BCBS TX — BCBS Traditional: $363.14 BCBS TX — BCBS TriWest: $104.51 Cigna — Cigna Healthspring - Medicare Advantage: $104.51
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Hc Us, Ob >/= 14 Wks, Sngl Fetus	$1,549.74	$104	$73.16 – $1,518.75
Pregnancy ultrasound (after the first trimester): 10 of 62 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $101.37 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $209.02 BCBS Medicaid — BCBS Medicaid: $202.17 BCBS TX — BCBS HMO: $267.30 BCBS TX — BCBS HMO Advantage: $330.46 BCBS TX — BCBS Medicare Advantage HMO/PPO: $104.51 BCBS TX — BCBS PPO: $296.59 BCBS TX — BCBS Traditional: $296.59 BCBS TX — BCBS TriWest: $104.51 Cigna — Cigna Healthspring - Medicare Advantage: $104.51
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Hc Ultrasound,Transvaginal	$1,032.92	$104	$73.16 – $1,032.92
Transvaginal ultrasound: 10 of 61 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $101.37 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $209.02 BCBS Medicaid — BCBS Medicaid: $202.17 BCBS TX — BCBS HMO: $257.84 BCBS TX — BCBS HMO Advantage: $318.76 BCBS TX — BCBS Medicare Advantage HMO/PPO: $104.51 BCBS TX — BCBS PPO: $286.09 BCBS TX — BCBS Traditional: $286.09 BCBS TX — BCBS TriWest: $104.51 Cigna — Cigna Healthspring - Medicare Advantage: $104.51
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Hc Mammography; Unilateral	$641.32	$81	$36.94 – $641.32
Diagnostic mammogram, one breast: 10 of 48 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $79.31 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $163.52 BCBS TX — BCBS HMO: $274.66 BCBS TX — BCBS HMO Advantage: $339.56 BCBS TX — BCBS Medicare Advantage HMO/PPO: $81.76 BCBS TX — BCBS PPO: $304.75 BCBS TX — BCBS Traditional: $304.75 BCBS TX — BCBS TriWest: $81.76 Cigna — Cigna Healthspring - Medicare Advantage: $81.76 Cigna — Cigna Healthspring - Medicare Advantage PPO: $84.21
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Hc Mammography; Bilateral	$788.98	$104	$45.45 – $788.98
Diagnostic mammogram, both breasts: 10 of 50 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $101.74 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $209.78 BCBS TX — BCBS HMO: $351.48 BCBS TX — BCBS HMO Advantage: $434.54 BCBS TX — BCBS Medicare Advantage HMO/PPO: $104.89 BCBS TX — BCBS PPO: $390 BCBS TX — BCBS Traditional: $390 BCBS TX — BCBS TriWest: $104.89 Cigna — Cigna Healthspring - Medicare Advantage: $104.89 Cigna — Cigna Healthspring - Medicare Advantage PPO: $108.04
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Hc Mammogram, Screening	$616.55	$86	$35.51 – $616.55
Screening mammogram, both breasts: 10 of 53 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $83.92 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $173.04 BCBS TX — BCBS HMO: $290.45 BCBS TX — BCBS HMO Advantage: $359.09 BCBS TX — BCBS Medicare Advantage HMO/PPO: $86.52 BCBS TX — BCBS PPO: $322.28 BCBS TX — BCBS Traditional: $322.28 BCBS TX — BCBS TriWest: $86.52 Cigna — Cigna Healthspring - Medicare Advantage: $86.52 Cigna — Cigna Healthspring - Medicare Advantage PPO: $89.12

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Hc Left Heart Cath Inj Vetriculography, Rs/I	$14,052	$3,240	$809.40 – $13,770.96
Left heart catheterization (diagnostic): 10 of 45 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $3,143.52 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $6,481.48 BCBS TX — BCBS HMO: $5,414.91 BCBS TX — BCBS HMO Advantage: $4,274.93 BCBS TX — BCBS Medicare Advantage HMO/PPO: $3,240.74 BCBS TX — BCBS PPO: $6,013.39 BCBS TX — BCBS Traditional: $6,013.39 BCBS TX — BCBS TriWest: $3,240.74 Cigna — Cigna Healthspring - Medicare Advantage: $3,240.74 Cigna — Cigna Healthspring - Medicare Advantage PPO: $3,337.96

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Hc Phys Thrp Eval, Low Complexity, 20 Min	$487.45	$95	$28.08 – $477.70
Physical therapy evaluation (low complexity): 10 of 47 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $92.62 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $190.96 BCBS TX — BCBS HMO: $252.55 BCBS TX — BCBS HMO Advantage: $312.23 BCBS TX — BCBS Medicare Advantage HMO/PPO: $95.48 BCBS TX — BCBS PPO: $280.23 BCBS TX — BCBS Traditional: $280.23 BCBS TX — BCBS TriWest: $95.48 Cigna — Cigna Healthspring - Medicare Advantage: $95.48 Cigna — Cigna Healthspring - Medicare Advantage PPO: $98.34
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Hc Phys Thrp Eval, Moderate Complexity, 30 Min	$487.50	$95	$28.08 – $477.75
Physical therapy evaluation (moderate complexity): 10 of 49 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $92.63 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $190.98 BCBS TX — BCBS HMO: $252.55 BCBS TX — BCBS HMO Advantage: $312.23 BCBS TX — BCBS Medicare Advantage HMO/PPO: $95.49 BCBS TX — BCBS PPO: $280.23 BCBS TX — BCBS Traditional: $280.23 BCBS TX — BCBS TriWest: $95.49 Cigna — Cigna Healthspring - Medicare Advantage: $95.49 Cigna — Cigna Healthspring - Medicare Advantage PPO: $98.35
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Hc Phys Thrp Eval, High Complexity, 45 Min	$522.50	$95	$30.10 – $512.05
Physical therapy evaluation (high complexity): 10 of 49 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $92.64 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $191 BCBS TX — BCBS HMO: $252.55 BCBS TX — BCBS HMO Advantage: $312.23 BCBS TX — BCBS Medicare Advantage HMO/PPO: $95.50 BCBS TX — BCBS PPO: $280.23 BCBS TX — BCBS Traditional: $280.23 BCBS TX — BCBS TriWest: $95.50 Cigna — Cigna Healthspring - Medicare Advantage: $95.50 Cigna — Cigna Healthspring - Medicare Advantage PPO: $98.37

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal Of Breast Lesion	$10,344.50	$3,914	$595.84 – $10,137.61
Removal of breast growth (open surgery): 10 of 45 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $3,796.58 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $7,828 BCBS TX — BCBS HMO: $3,544.57 BCBS TX — BCBS HMO Advantage: $3,362.80 BCBS TX — BCBS Medicare Advantage HMO/PPO: $3,914 BCBS TX — BCBS PPO: $3,938.42 BCBS TX — BCBS Traditional: $3,938.42 BCBS TX — BCBS TriWest: $3,914 Cigna — Cigna Healthspring - Medicare Advantage: $3,914 Cigna — Cigna Healthspring - Medicare Advantage PPO: $4,031.42
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Hc Total Hip Arthroplasty	$62,966.40	$12,833	$1,500 – $61,707.07
Total hip replacement: 10 of 45 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $12,448.96 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $25,667.96 BCBS TX — BCBS HMO: $13,923.83 BCBS TX — BCBS HMO Advantage: $13,209.79 BCBS TX — BCBS Medicare Advantage HMO/PPO: $12,833.98 BCBS TX — BCBS PPO: $15,470.92 BCBS TX — BCBS Traditional: $15,470.92 BCBS TX — BCBS TriWest: $12,833.98 Cigna — Cigna Healthspring - Medicare Advantage: $12,833.98 Cigna — Cigna Healthspring - Medicare Advantage PPO: $13,219
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Total Hip Arthroplasty	$48,195.40	$12,833	$1,500 – $61,707.07
Total hip replacement: 10 of 45 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $12,448.96 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $25,667.96 BCBS TX — BCBS HMO: $13,923.83 BCBS TX — BCBS HMO Advantage: $13,209.79 BCBS TX — BCBS Medicare Advantage HMO/PPO: $12,833.98 BCBS TX — BCBS PPO: $15,470.92 BCBS TX — BCBS Traditional: $15,470.92 BCBS TX — BCBS TriWest: $12,833.98 Cigna — Cigna Healthspring - Medicare Advantage: $12,833.98 Cigna — Cigna Healthspring - Medicare Advantage PPO: $13,219
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Hc Total Knee Arthroplasty	$62,966.40	$12,833	$1,500 – $61,707.07
Total knee replacement: 10 of 45 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $12,448.96 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $25,667.96 BCBS TX — BCBS HMO: $13,923.83 BCBS TX — BCBS HMO Advantage: $13,209.79 BCBS TX — BCBS Medicare Advantage HMO/PPO: $12,833.98 BCBS TX — BCBS PPO: $15,470.92 BCBS TX — BCBS Traditional: $15,470.92 BCBS TX — BCBS TriWest: $12,833.98 Cigna — Cigna Healthspring - Medicare Advantage: $12,833.98 Cigna — Cigna Healthspring - Medicare Advantage PPO: $13,219
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Total Knee Arthroplasty	$37,614.80	$12,833	$1,500 – $61,707.07
Total knee replacement: 10 of 45 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $12,448.96 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $25,667.96 BCBS TX — BCBS HMO: $13,923.83 BCBS TX — BCBS HMO Advantage: $13,209.79 BCBS TX — BCBS Medicare Advantage HMO/PPO: $12,833.98 BCBS TX — BCBS PPO: $15,470.92 BCBS TX — BCBS Traditional: $15,470.92 BCBS TX — BCBS TriWest: $12,833.98 Cigna — Cigna Healthspring - Medicare Advantage: $12,833.98 Cigna — Cigna Healthspring - Medicare Advantage PPO: $13,219
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Knee Arthroscopy/Surgery - 29881 - OR36029881	$17,376.80	$3,270	$1,000.90 – $17,029.26
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 45 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $3,172.68 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $6,541.60 BCBS TX — BCBS HMO: $3,202.82 BCBS TX — BCBS HMO Advantage: $3,038.57 BCBS TX — BCBS Medicare Advantage HMO/PPO: $3,270.80 BCBS TX — BCBS PPO: $3,558.69 BCBS TX — BCBS Traditional: $3,558.69 BCBS TX — BCBS TriWest: $3,270.80 Cigna — Cigna Healthspring - Medicare Advantage: $3,270.80 Cigna — Cigna Healthspring - Medicare Advantage PPO: $3,368.92
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Hc Egd Transoral Diagnostic	$4,230.16	$906	$243.66 – $4,145.56
Upper GI endoscopy (diagnostic): 10 of 45 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $879.45 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $1,813.30 BCBS TX — BCBS HMO: $919.53 BCBS TX — BCBS HMO Advantage: $872.37 BCBS TX — BCBS Medicare Advantage HMO/PPO: $906.65 BCBS TX — BCBS PPO: $1,021.70 BCBS TX — BCBS Traditional: $1,021.70 BCBS TX — BCBS TriWest: $906.65 Cigna — Cigna Healthspring - Medicare Advantage: $906.65 Cigna — Cigna Healthspring - Medicare Advantage PPO: $933.85
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Hc Egd Transoral Biopsy Single/Multiple	$4,230.16	$906	$243.66 – $12,325.46
Upper GI endoscopy with biopsy: 10 of 46 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $879.45 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $1,813.30 BCBS TX — BCBS HMO: $919.53 BCBS TX — BCBS HMO Advantage: $872.37 BCBS TX — BCBS Medicare Advantage HMO/PPO: $906.65 BCBS TX — BCBS PPO: $1,021.70 BCBS TX — BCBS Traditional: $1,021.70 BCBS TX — BCBS TriWest: $906.65 Cigna — Cigna Healthspring - Medicare Advantage: $906.65 Cigna — Cigna Healthspring - Medicare Advantage PPO: $933.85
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd Biopsy Single/Multiple	$12,577	$906	$243.66 – $12,325.46
Upper GI endoscopy with biopsy: 10 of 45 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $879.45 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $1,813.30 BCBS TX — BCBS HMO: $919.53 BCBS TX — BCBS HMO Advantage: $872.37 BCBS TX — BCBS Medicare Advantage HMO/PPO: $906.65 BCBS TX — BCBS PPO: $1,021.70 BCBS TX — BCBS Traditional: $1,021.70 BCBS TX — BCBS TriWest: $906.65 Cigna — Cigna Healthspring - Medicare Advantage: $906.65 Cigna — Cigna Healthspring - Medicare Advantage PPO: $933.85
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Hc Colorectal Cancer Scrn, Colonoscopy Not High Risk - 45378 - 75000071	$5,448.87	$929	$232.10 – $12,325.46
Colonoscopy (diagnostic): 10 of 46 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $901.72 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $1,859.22 BCBS TX — BCBS HMO: $893.74 BCBS TX — BCBS HMO Advantage: $847.91 BCBS TX — BCBS Medicare Advantage HMO/PPO: $929.61 BCBS TX — BCBS PPO: $993.04 BCBS TX — BCBS Traditional: $993.04 BCBS TX — BCBS TriWest: $929.61 Cigna — Cigna Healthspring - Medicare Advantage: $929.61 Cigna — Cigna Healthspring - Medicare Advantage PPO: $957.50
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Hc Colonoscopy,Diagnostic	$4,029.55	$929	$232.10 – $12,325.46
Colonoscopy (diagnostic): 10 of 46 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $901.72 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $1,859.22 BCBS TX — BCBS HMO: $893.74 BCBS TX — BCBS HMO Advantage: $847.91 BCBS TX — BCBS Medicare Advantage HMO/PPO: $929.61 BCBS TX — BCBS PPO: $993.04 BCBS TX — BCBS Traditional: $993.04 BCBS TX — BCBS TriWest: $929.61 Cigna — Cigna Healthspring - Medicare Advantage: $929.61 Cigna — Cigna Healthspring - Medicare Advantage PPO: $957.50
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Hc Colorectal Cancer Screen, Colonoscopy High Risk - 45378 - 75000068	$4,029.55	$929	$232.10 – $12,325.46
Colonoscopy (diagnostic): 10 of 46 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $901.72 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $1,859.22 BCBS TX — BCBS HMO: $893.74 BCBS TX — BCBS HMO Advantage: $847.91 BCBS TX — BCBS Medicare Advantage HMO/PPO: $929.61 BCBS TX — BCBS PPO: $993.04 BCBS TX — BCBS Traditional: $993.04 BCBS TX — BCBS TriWest: $929.61 Cigna — Cigna Healthspring - Medicare Advantage: $929.61 Cigna — Cigna Healthspring - Medicare Advantage PPO: $957.50
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Hc Colonoscopy,Biopsy	$7,167.16	$1,196	$412.83 – $7,023.82
Colonoscopy with biopsy: 10 of 45 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $1,160.31 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $2,392.40 BCBS TX — BCBS HMO: $1,174.94 BCBS TX — BCBS HMO Advantage: $1,114.68 BCBS TX — BCBS Medicare Advantage HMO/PPO: $1,196.20 BCBS TX — BCBS PPO: $1,305.49 BCBS TX — BCBS Traditional: $1,305.49 BCBS TX — BCBS TriWest: $1,196.20 Cigna — Cigna Healthspring - Medicare Advantage: $1,196.20 Cigna — Cigna Healthspring - Medicare Advantage PPO: $1,232.09
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Hc Colonoscopy,Remv Lesn,Snare	$5,202.85	$1,196	$299.68 – $5,098.79
Colonoscopy with removal of polyps (snare): 10 of 46 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $1,160.31 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $2,392.40 BCBS TX — BCBS HMO: $1,174.94 BCBS TX — BCBS HMO Advantage: $1,114.68 BCBS TX — BCBS Medicare Advantage HMO/PPO: $1,196.20 BCBS TX — BCBS PPO: $1,305.49 BCBS TX — BCBS Traditional: $1,305.49 BCBS TX — BCBS TriWest: $1,196.20 Cigna — Cigna Healthspring - Medicare Advantage: $1,196.20 Cigna — Cigna Healthspring - Medicare Advantage PPO: $1,232.09
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Hc Colonoscopy Flex Endoscope Us	$4,898.95	$1,196	$282.18 – $4,800.97
Ultrasound of the lower bowel by endoscope: 10 of 45 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $1,160.31 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $2,392.40 BCBS TX — BCBS HMO: $1,174.94 BCBS TX — BCBS HMO Advantage: $1,114.68 BCBS TX — BCBS Medicare Advantage HMO/PPO: $1,196.20 BCBS TX — BCBS PPO: $1,305.49 BCBS TX — BCBS Traditional: $1,305.49 BCBS TX — BCBS TriWest: $1,196.20 Cigna — Cigna Healthspring - Medicare Advantage: $1,196.20 Cigna — Cigna Healthspring - Medicare Advantage PPO: $1,232.09
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Hc Colorectal Cancer Scrn, Colonoscopy Not High Risk - G0121 - 75000071	$5,448.87	$929	$313.85 – $5,339.89
Screening colonoscopy (not high risk): 10 of 45 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $901.72 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $1,859.22 BCBS TX — BCBS HMO: $893.74 BCBS TX — BCBS HMO Advantage: $847.91 BCBS TX — BCBS Medicare Advantage HMO/PPO: $929.61 BCBS TX — BCBS PPO: $993.04 BCBS TX — BCBS Traditional: $993.04 BCBS TX — BCBS TriWest: $929.61 Cigna — Cigna Healthspring - Medicare Advantage: $929.61 Cigna — Cigna Healthspring - Medicare Advantage PPO: $957.50
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic Cholecystectomy	$17,251.60	$6,043	$993.69 – $16,906.57
Gallbladder removal by laparoscope: 10 of 50 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $5,862.01 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $12,086.62 BCBS TX — BCBS HMO: $5,655.44 BCBS TX — BCBS HMO Advantage: $5,365.42 BCBS TX — BCBS Medicare Advantage HMO/PPO: $6,043.31 BCBS TX — BCBS PPO: $6,283.82 BCBS TX — BCBS Traditional: $6,283.82 BCBS TX — BCBS TriWest: $6,043.31 Cigna — Cigna Healthspring - Medicare Advantage: $6,043.31 Cigna — Cigna Healthspring - Medicare Advantage PPO: $6,224.61
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp I/Hern Init Reduc >5 Yr	$28,298.30	$3,579	$1,500 – $27,732.33
Groin (inguinal) hernia repair, age 5 or older: 10 of 45 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $3,471.72 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $7,158.18 BCBS TX — BCBS HMO: $3,637.93 BCBS TX — BCBS HMO Advantage: $3,451.37 BCBS TX — BCBS Medicare Advantage HMO/PPO: $3,579.09 BCBS TX — BCBS PPO: $4,042.14 BCBS TX — BCBS Traditional: $4,042.14 BCBS TX — BCBS TriWest: $3,579.09 Cigna — Cigna Healthspring - Medicare Advantage: $3,579.09 Cigna — Cigna Healthspring - Medicare Advantage PPO: $3,686.46
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy Of Prostate	$11,832.80	$2,004	$517.26 – $11,596.14
Prostate biopsy: 10 of 45 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $1,944.21 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $4,008.68 BCBS TX — BCBS HMO: $2,072.71 BCBS TX — BCBS HMO Advantage: $1,966.42 BCBS TX — BCBS Medicare Advantage HMO/PPO: $2,004.34 BCBS TX — BCBS PPO: $2,303.02 BCBS TX — BCBS Traditional: $2,303.02 BCBS TX — BCBS TriWest: $2,004.34 Cigna — Cigna Healthspring - Medicare Advantage: $2,004.34 Cigna — Cigna Healthspring - Medicare Advantage PPO: $2,064.47
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Hc Biopsy Of Prostate,Needle/Punch	$8,980.20	$2,004	$517.26 – $11,596.14
Prostate biopsy: 10 of 45 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $1,944.21 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $4,008.68 BCBS TX — BCBS HMO: $2,072.71 BCBS TX — BCBS HMO Advantage: $1,966.42 BCBS TX — BCBS Medicare Advantage HMO/PPO: $2,004.34 BCBS TX — BCBS PPO: $2,303.02 BCBS TX — BCBS Traditional: $2,303.02 BCBS TX — BCBS TriWest: $2,004.34 Cigna — Cigna Healthspring - Medicare Advantage: $2,004.34 Cigna — Cigna Healthspring - Medicare Advantage PPO: $2,064.47
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy Biopsy	$13,377	$3,235	$770.52 – $13,109.46
Hysteroscopy with biopsy of the uterus lining: 10 of 46 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $3,138.86 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $6,471.88 BCBS TX — BCBS HMO: $2,922.78 BCBS TX — BCBS HMO Advantage: $2,772.89 BCBS TX — BCBS Medicare Advantage HMO/PPO: $3,235.94 BCBS TX — BCBS PPO: $3,247.53 BCBS TX — BCBS Traditional: $3,247.53 BCBS TX — BCBS TriWest: $3,235.94 Cigna — Cigna Healthspring - Medicare Advantage: $3,235.94 Cigna — Cigna Healthspring - Medicare Advantage PPO: $3,333.02
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Carpal Tunnel Surgery	$12,063.10	$1,952	$694.83 – $11,821.84
Carpal tunnel release: 10 of 45 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $1,893.45 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $3,904.02 BCBS TX — BCBS HMO: $2,011.64 BCBS TX — BCBS HMO Advantage: $1,908.48 BCBS TX — BCBS Medicare Advantage HMO/PPO: $1,952.01 BCBS TX — BCBS PPO: $2,235.16 BCBS TX — BCBS Traditional: $2,235.16 BCBS TX — BCBS TriWest: $1,952.01 Cigna — Cigna Healthspring - Medicare Advantage: $1,952.01 Cigna — Cigna Healthspring - Medicare Advantage PPO: $2,010.57

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	$86,448	$48,150 – $151,284.37
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 42 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $83,854.76 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $151,284.37 BCBS TX — BCBS HMO: $111,195.30 BCBS TX — BCBS HMO Advantage: $94,757.46 BCBS TX — BCBS Medicare Advantage HMO/PPO: $76,926.50 BCBS TX — BCBS TriWest: $86,448.21 Cigna — Cigna Healthspring - Medicare Advantage: $76,926.50 Cigna — Cigna Healthspring - Medicare Advantage PPO: $79,234.30 Cigna — Cigna Healthspring - MMP Dual: $76,926.50 Corporate Remedies (WC) — Corporate Remedies Worker Comp: $86,448.21
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	Not listed in the file	Not listed in the file	$35,728.58 – $46,582.83
Spinal fusion (not neck), without major complications: rates for 2 insurance plans BCBS TX — BCBS HMO: $41,926.51 BCBS TX — BCBS HMO Advantage: $35,728.58
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	$19,239	$7,650 – $33,668.69
Hip or knee replacement (major joint of the leg), without major complications: 10 of 42 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $18,662.07 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $33,668.69 BCBS TX — BCBS HMO: $20,254.83 BCBS TX — BCBS HMO Advantage: $17,260.59 BCBS TX — BCBS Medicare Advantage HMO/PPO: $17,361.80 BCBS TX — BCBS TriWest: $19,239.25 Cigna — Cigna Healthspring - Medicare Advantage: $17,361.80 Cigna — Cigna Healthspring - Medicare Advantage PPO: $17,882.65 Cigna — Cigna Healthspring - MMP Dual: $17,361.80 Corporate Remedies (WC) — Corporate Remedies Worker Comp: $19,239.25
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CCMCC	Not listed in the file	$23,624	$7,200 – $41,342.11
Neck (cervical) spinal fusion, without complications: 10 of 42 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $22,915.34 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $41,342.11 BCBS TX — BCBS HMO: $27,081.07 BCBS TX — BCBS HMO Advantage: $23,077.72 BCBS TX — BCBS Medicare Advantage HMO/PPO: $21,247.90 BCBS TX — BCBS TriWest: $23,624.06 Cigna — Cigna Healthspring - Medicare Advantage: $21,247.90 Cigna — Cigna Healthspring - Medicare Advantage PPO: $21,885.34 Cigna — Cigna Healthspring - MMP Dual: $21,247.90 Corporate Remedies (WC) — Corporate Remedies Worker Comp: $23,624.06
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CCMCC	Not listed in the file	$13,350	$6,750 – $23,362.59
Uterus and ovary surgery (not for cancer), without complications: 10 of 43 insurance plan rates AMERICAS CHOICE PROVIDER NETWORK (ACPN) — Americas Choice Provider Network ACPN Worker Compensation: $12,949.55 BAKER BENEFITS ADMINISTRATORS — BAKER BENEFITS ADMINISTRATORS COMMERCIAL: $23,362.59 BCBS TX — BCBS HMO: $12,071.45 BCBS TX — BCBS HMO Advantage: $10,286.95 BCBS TX — BCBS Medicare Advantage HMO/PPO: $12,142.50 BCBS TX — BCBS TriWest: $13,350.05 Cigna — Cigna Healthspring - Medicare Advantage: $12,142.50 Cigna — Cigna Healthspring - Medicare Advantage PPO: $12,506.78 Cigna — Cigna Healthspring - MMP Dual: $12,142.50 Corporate Remedies (WC) — Corporate Remedies Worker Comp: $13,350.05

Source: Knapp Medical Center’s standard charges file (knappmed.org, JSON, CMS template 3.0; it can be a very large file), last updated by the hospital on September 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 type	Acute Care Hospital
Address	1401 East Eight Street, Weslaco, TX 78596
County	Hidalgo County
State	Texas
Phone	(956) 968‑8567
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	5 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	450128
Name in Medicare records	KNAPP MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	knappmed.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Our Services - Knapp Medical Center — knappmed.org
Knapp Medical Center | Acute Care Hospital | KMC — knappmed.org
Awards and Accreditations Recognizing Healthcare Excellence — knappmed.org
Advanced Orthopedic Care With Robotic Joint Replacement Tech — knappmed.org
24/7 Emergency Care Trauma and Stroke Treatment Services RGV — knappmed.org
Womens Health and Maternity Services | Quality Care in TX — knappmed.org
Advanced Pulmonary Diagnostics with EBUS and Bronchoscopy TX — knappmed.org
Advanced Surgical Services | Robotic and Specialty Care Plus — knappmed.org
Convenient Outpatient Diagnostic and Rehab Services Weslaco — knappmed.org
Weslaco Patients Benefit from New Community Healthcare Program - Knapp Medical Center — knappmed.org
Patient Services | Knapp Medical Center Support — knappmed.org

Knapp Medical Center

Summary

Profile from official sources

At a glance