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Acute Care Hospital

Lubbock Heart Hospital LP

Lubbock, Texas · Lubbock County · Emergency services listed

Summary

Lubbock Heart Hospital LP is an acute care hospital in Lubbock, Texas. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 91 services, specialties and programs. Medicare lists 134 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

Call(806) 687‑7777 Directions Website Medicare profile
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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
2 of 5 stars2 of 5 stars · Medicare rating
134Doctors and clinicians
91Services listed

Quick answers

Does Lubbock Heart Hospital LP have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Lubbock Heart Hospital LP. In a medical emergency, call 911.
Where is Lubbock Heart Hospital LP?
4810 North Loop 289, Lubbock, TX 79416, in Lubbock County, Texas.
What is the phone number of Lubbock Heart Hospital LP?
(806) 687-7777, as listed by Medicare (CMS).
What is the Medicare star rating of Lubbock Heart Hospital LP?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][6][8]

Conditions treated[7][8][9][11][12][13]

Treatments[8][9][11][12]

  • Medication for arrhythmias
  • Catheter ablation
  • Cardioversion
  • Pacemaker and defibrillator implantation
  • Coronary stents
  • Transcatheter aortic valve replacement (TAVR)
  • Venous compression stenting
  • Renal denervation
  • Aquablation therapy
  • Botox injections for overactive bladder
  • Bulkamid injections for stress incontinence
  • Kidney stone lithotripsy
  • Penile implants
  • Transurethral resection of the prostate (TURP)
  • Transvaginal taping (mid-urethral sling)
  • Bariatric surgery (weight loss surgery)
  • Endoscopic bariatric therapies
  • Physical therapy

Procedures[8][9][10][11][12][13]

  • Coronary artery bypass grafting (CABG)
  • Heart valve repair and replacement
  • Angiogram
  • Angioplasty
  • Electrophysiology studies
  • Cardiothoracic and vascular surgery
  • Arthroscopic knee surgery
  • Partial and total knee replacement
  • Total hip replacement
  • Hip arthroscopy
  • Shoulder replacement (total and reverse)
  • Rotator cuff repair
  • Discectomy
  • Laminectomy
  • Spinal fusion
  • MAKO robotic-arm assisted surgery
  • Vasectomy
  • Prostate biopsy

Emergency care (hospital website)[4][7][14]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingVisiting hours 7 a.m. to 9 p.m.; admissions 5 a.m. to 11 p.m[14]
Interpreters and languagesLanguage assistance services page is listed in the site footer[4]
Patient portalPatient Portal

Doctors and clinicians (134)

134 doctors and other clinicians list Lubbock Heart Hospital LP 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 (134)

And 110 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 →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state 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 Lubbock Heart Hospital LP 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) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1080%National average: 72%
Would definitely recommend the hospital81%National average: 71%
Nurses “always” communicated well80%National average: 80%
Doctors “always” communicated well81%National average: 80%
Staff “always” explained medicines before giving them58%National average: 62%
Were given information about recovery at home84%National average: 86%
Room and bathroom “always” clean67%National average: 74%
Area around the room “always” quiet at night60%National average: 60%
Completed surveys339Response rate: 32%

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 surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0No 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 patients11.7%
Deaths within 30 days: heart failure patients14.4%
Deaths within 30 days: pneumonia patients14.6%
Deaths within 30 days: COPD patients9.4%
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)2.7%
Serious complications (patient safety indicator PSI-90)1.31No different from the national rate
Complications after hip or knee replacementToo few cases to report

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 attack13.3%
Readmitted within 30 days: heart failure21.5%
Readmitted within 30 days: pneumonia16.9%
Readmitted within 30 days: COPD18.9%
Readmitted within 30 days: coronary bypass surgery10.6%
Readmitted within 30 days: hip or knee replacementToo few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)159 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)50%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 LubbockBest hospitals in Lubbock

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 50 common services exactly as Lubbock Heart Hospital LP 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 →

$ 6 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY $563.42 $563.42 $272.88 – $558.35
Emergency room visit (moderate): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $272.88
  • Blue Cross Blue Shield of TX — BAV QHP: $375.21
  • Blue Cross Blue Shield of TX — Medicare Advantage: $272.88
  • Blue Cross Blue Shield of TX — PPO/Trad: $558.35
  • Entrust — Commercial: $463.90
  • Humana ChoiceCare — Medicare Advantage: $272.88
  • Imperial Insurance Company of TX — Medicare Adv.: $272.88
  • Scott and White Health Plan — Commercial: $272.88
  • Scott and White Health Plan — Medicare Advantage: $272.88
  • Superior HealthPlan — Medicare Advantage: $272.88
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPT VISIT LOW MDM $568.50 $568.50 $272.88 – $782
Emergency room visit (moderate): 10 of 23 insurance plan rates
  • Amerigroup — Medicare Advantage: $272.88
  • Blue Cross Blue Shield of TX — Medicare Advantage: $272.88
  • Entrust — Commercial: $463.90
  • Humana ChoiceCare — Medicare Advantage: $272.88
  • Imperial Insurance Company of TX — Medicare Adv.: $272.88
  • Scott and White Health Plan — Commercial: $272.88
  • Scott and White Health Plan — Medicare Advantage: $272.88
  • Superior HealthPlan — Medicare Advantage: $272.88
  • TeamChoice — University Medical Center Employee: $440
  • United Healthcare — Commercial: $782
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 27 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY $568.50 $568.50 $272.88 – $782
Emergency room visit (moderate): 10 of 23 insurance plan rates
  • Amerigroup — Medicare Advantage: $272.88
  • Blue Cross Blue Shield of TX — Medicare Advantage: $272.88
  • Entrust — Commercial: $463.90
  • Humana ChoiceCare — Medicare Advantage: $272.88
  • Imperial Insurance Company of TX — Medicare Adv.: $272.88
  • Scott and White Health Plan — Commercial: $272.88
  • Scott and White Health Plan — Medicare Advantage: $272.88
  • Superior HealthPlan — Medicare Advantage: $272.88
  • TeamChoice — University Medical Center Employee: $440
  • United Healthcare — Commercial: $782
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY $893.70 $893.70 $417.11 – $879.48
Emergency room visit (moderately high): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $417.11
  • Blue Cross Blue Shield of TX — BAV QHP: $591.01
  • Blue Cross Blue Shield of TX — Medicare Advantage: $417.11
  • Blue Cross Blue Shield of TX — PPO/Trad: $879.48
  • Entrust — Commercial: $709.09
  • Humana ChoiceCare — Medicare Advantage: $417.11
  • Imperial Insurance Company of TX — Medicare Adv.: $417.11
  • Scott and White Health Plan — Commercial: $417.11
  • Scott and White Health Plan — Medicare Advantage: $417.11
  • Superior HealthPlan — Medicare Advantage: $417.11
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPT VISIT MOD MDM $893.70 $893.70 $417.11 – $1,189
Emergency room visit (moderately high): 10 of 23 insurance plan rates
  • Amerigroup — Medicare Advantage: $417.11
  • Blue Cross Blue Shield of TX — Medicare Advantage: $417.11
  • Entrust — Commercial: $709.09
  • Humana ChoiceCare — Medicare Advantage: $417.11
  • Imperial Insurance Company of TX — Medicare Adv.: $417.11
  • Scott and White Health Plan — Commercial: $417.11
  • Scott and White Health Plan — Medicare Advantage: $417.11
  • Superior HealthPlan — Medicare Advantage: $417.11
  • TeamChoice — University Medical Center Employee: $700
  • United Healthcare — Commercial: $1,189
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY $876.17 $876.17 $417.11 – $1,189
Emergency room visit (moderately high): 10 of 23 insurance plan rates
  • Amerigroup — Medicare Advantage: $417.11
  • Blue Cross Blue Shield of TX — Medicare Advantage: $417.11
  • Entrust — Commercial: $709.09
  • Humana ChoiceCare — Medicare Advantage: $417.11
  • Imperial Insurance Company of TX — Medicare Adv.: $417.11
  • Scott and White Health Plan — Commercial: $417.11
  • Scott and White Health Plan — Medicare Advantage: $417.11
  • Superior HealthPlan — Medicare Advantage: $417.11
  • TeamChoice — University Medical Center Employee: $700
  • United Healthcare — Commercial: $1,189
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY $1,336.69 $1,336.69 $595.31 – $1,261.28
Emergency room visit (high): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $595.31
  • Blue Cross Blue Shield of TX — BAV QHP: $847.58
  • Blue Cross Blue Shield of TX — Medicare Advantage: $595.31
  • Blue Cross Blue Shield of TX — PPO/Trad: $1,261.28
  • Entrust — Commercial: $1,012.03
  • Humana ChoiceCare — Medicare Advantage: $595.31
  • Imperial Insurance Company of TX — Medicare Adv.: $595.31
  • Scott and White Health Plan — Commercial: $595.31
  • Scott and White Health Plan — Medicare Advantage: $595.31
  • Superior HealthPlan — Medicare Advantage: $595.31
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPT VISIT HI MDM $1,323.20 $1,323.20 $595.31 – $1,578
Emergency room visit (high): 10 of 23 insurance plan rates
  • Amerigroup — Medicare Advantage: $595.31
  • Blue Cross Blue Shield of TX — Medicare Advantage: $595.31
  • Entrust — Commercial: $1,012.03
  • Humana ChoiceCare — Medicare Advantage: $595.31
  • Imperial Insurance Company of TX — Medicare Adv.: $595.31
  • Scott and White Health Plan — Commercial: $595.31
  • Scott and White Health Plan — Medicare Advantage: $595.31
  • Superior HealthPlan — Medicare Advantage: $595.31
  • TeamChoice — University Medical Center Employee: $1,030
  • United Healthcare — Commercial: $1,578
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY $1,691.92 $1,691.92 $595.31 – $1,578
Emergency room visit (high): 10 of 23 insurance plan rates
  • Amerigroup — Medicare Advantage: $595.31
  • Blue Cross Blue Shield of TX — Medicare Advantage: $595.31
  • Entrust — Commercial: $1,012.03
  • Humana ChoiceCare — Medicare Advantage: $595.31
  • Imperial Insurance Company of TX — Medicare Adv.: $595.31
  • Scott and White Health Plan — Commercial: $595.31
  • Scott and White Health Plan — Medicare Advantage: $595.31
  • Superior HealthPlan — Medicare Advantage: $595.31
  • TeamChoice — University Medical Center Employee: $1,030
  • United Healthcare — Commercial: $1,578

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: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) $155.50 $155.50 $8.46 – $34.60
Basic metabolic panel (blood test): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $8.46
  • Blue Cross Blue Shield of TX — BAV QHP: $34.60
  • Blue Cross Blue Shield of TX — HMO POS: $20.13
  • Blue Cross Blue Shield of TX — Medicare Advantage: $8.46
  • Blue Cross Blue Shield of TX — PPO/Trad: $21.15
  • Entrust — Commercial: $14.38
  • Humana ChoiceCare — Medicare Advantage: $8.46
  • Imperial Insurance Company of TX — Medicare Adv.: $8.46
  • Scott and White Health Plan — Commercial: $8.46
  • Scott and White Health Plan — Medicare Advantage: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA $163.30 $163.30 $8.46 – $34.60
Basic metabolic panel (blood test): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $8.46
  • Blue Cross Blue Shield of TX — BAV QHP: $34.60
  • Blue Cross Blue Shield of TX — HMO POS: $20.13
  • Blue Cross Blue Shield of TX — Medicare Advantage: $8.46
  • Blue Cross Blue Shield of TX — PPO/Trad: $21.15
  • Entrust — Commercial: $14.38
  • Humana ChoiceCare — Medicare Advantage: $8.46
  • Imperial Insurance Company of TX — Medicare Adv.: $8.46
  • Scott and White Health Plan — Commercial: $8.46
  • Scott and White Health Plan — Medicare Advantage: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) $155.50 $155.50 $8.46 – $14.38
Basic metabolic panel (blood test): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $8.46
  • Blue Cross Blue Shield of TX — Medicare Advantage: $8.46
  • Entrust — Commercial: $14.38
  • Humana ChoiceCare — Medicare Advantage: $8.46
  • Imperial Insurance Company of TX — Medicare Adv.: $8.46
  • Scott and White Health Plan — Commercial: $8.46
  • Scott and White Health Plan — Medicare Advantage: $8.46
  • Superior HealthPlan — Medicare Advantage: $8.46
  • United Healthcare — Medicare Advantage: $8.46
  • Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS $232.70 $232.70 $10.56 – $43.19
Comprehensive metabolic panel (blood test): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $10.56
  • Blue Cross Blue Shield of TX — BAV QHP: $43.19
  • Blue Cross Blue Shield of TX — HMO POS: $25.13
  • Blue Cross Blue Shield of TX — Medicare Advantage: $10.56
  • Blue Cross Blue Shield of TX — PPO/Trad: $26.40
  • Entrust — Commercial: $17.95
  • Humana ChoiceCare — Medicare Advantage: $10.56
  • Imperial Insurance Company of TX — Medicare Adv.: $10.56
  • Scott and White Health Plan — Commercial: $10.56
  • Scott and White Health Plan — Medicare Advantage: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL $244.30 $244.30 $10.56 – $43.19
Comprehensive metabolic panel (blood test): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $10.56
  • Blue Cross Blue Shield of TX — BAV QHP: $43.19
  • Blue Cross Blue Shield of TX — HMO POS: $25.13
  • Blue Cross Blue Shield of TX — Medicare Advantage: $10.56
  • Blue Cross Blue Shield of TX — PPO/Trad: $26.40
  • Entrust — Commercial: $17.95
  • Humana ChoiceCare — Medicare Advantage: $10.56
  • Imperial Insurance Company of TX — Medicare Adv.: $10.56
  • Scott and White Health Plan — Commercial: $10.56
  • Scott and White Health Plan — Medicare Advantage: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS $232.70 $232.70 $10.56 – $17.95
Comprehensive metabolic panel (blood test): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $10.56
  • Blue Cross Blue Shield of TX — Medicare Advantage: $10.56
  • Entrust — Commercial: $17.95
  • Humana ChoiceCare — Medicare Advantage: $10.56
  • Imperial Insurance Company of TX — Medicare Adv.: $10.56
  • Scott and White Health Plan — Commercial: $10.56
  • Scott and White Health Plan — Medicare Advantage: $10.56
  • Superior HealthPlan — Medicare Advantage: $10.56
  • United Healthcare — Medicare Advantage: $10.56
  • Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) $232.70 $232.70 $13.39 – $54.77
Cholesterol panel (lipid panel): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $13.39
  • Blue Cross Blue Shield of TX — BAV QHP: $54.77
  • Blue Cross Blue Shield of TX — HMO POS: $31.87
  • Blue Cross Blue Shield of TX — Medicare Advantage: $13.39
  • Blue Cross Blue Shield of TX — PPO/Trad: $33.48
  • Entrust — Commercial: $22.76
  • Humana ChoiceCare — Medicare Advantage: $13.39
  • Imperial Insurance Company of TX — Medicare Adv.: $13.39
  • Scott and White Health Plan — Commercial: $13.39
  • Scott and White Health Plan — Medicare Advantage: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $244.30 $244.30 $13.39 – $54.77
Cholesterol panel (lipid panel): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $13.39
  • Blue Cross Blue Shield of TX — BAV QHP: $54.77
  • Blue Cross Blue Shield of TX — HMO POS: $31.87
  • Blue Cross Blue Shield of TX — Medicare Advantage: $13.39
  • Blue Cross Blue Shield of TX — PPO/Trad: $33.48
  • Entrust — Commercial: $22.76
  • Humana ChoiceCare — Medicare Advantage: $13.39
  • Imperial Insurance Company of TX — Medicare Adv.: $13.39
  • Scott and White Health Plan — Commercial: $13.39
  • Scott and White Health Plan — Medicare Advantage: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KIDNEY FUNCTION BLOOD TEST PANEL $155.50 $155.50 $8.68 – $35.50
Kidney function panel: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $8.68
  • Blue Cross Blue Shield of TX — BAV QHP: $35.50
  • Blue Cross Blue Shield of TX — HMO POS: $20.66
  • Blue Cross Blue Shield of TX — Medicare Advantage: $8.68
  • Blue Cross Blue Shield of TX — PPO/Trad: $21.70
  • Entrust — Commercial: $14.76
  • Humana ChoiceCare — Medicare Advantage: $8.68
  • Imperial Insurance Company of TX — Medicare Adv.: $8.68
  • Scott and White Health Plan — Commercial: $8.68
  • Scott and White Health Plan — Medicare Advantage: $8.68
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $163.30 $163.30 $8.68 – $35.50
Kidney function panel: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $8.68
  • Blue Cross Blue Shield of TX — BAV QHP: $35.50
  • Blue Cross Blue Shield of TX — HMO POS: $20.66
  • Blue Cross Blue Shield of TX — Medicare Advantage: $8.68
  • Blue Cross Blue Shield of TX — PPO/Trad: $21.70
  • Entrust — Commercial: $14.76
  • Humana ChoiceCare — Medicare Advantage: $8.68
  • Imperial Insurance Company of TX — Medicare Adv.: $8.68
  • Scott and White Health Plan — Commercial: $8.68
  • Scott and White Health Plan — Medicare Advantage: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER FUNCTION BLOOD TEST PANEL $178.60 $178.60 $8.17 – $33.42
Liver function panel: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $8.17
  • Blue Cross Blue Shield of TX — BAV QHP: $33.42
  • Blue Cross Blue Shield of TX — HMO POS: $19.44
  • Blue Cross Blue Shield of TX — Medicare Advantage: $8.17
  • Blue Cross Blue Shield of TX — PPO/Trad: $20.43
  • Entrust — Commercial: $13.89
  • Humana ChoiceCare — Medicare Advantage: $8.17
  • Imperial Insurance Company of TX — Medicare Adv.: $8.17
  • Scott and White Health Plan — Commercial: $8.17
  • Scott and White Health Plan — Medicare Advantage: $8.17
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $187.50 $187.50 $8.17 – $33.42
Liver function panel: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $8.17
  • Blue Cross Blue Shield of TX — BAV QHP: $33.42
  • Blue Cross Blue Shield of TX — HMO POS: $19.44
  • Blue Cross Blue Shield of TX — Medicare Advantage: $8.17
  • Blue Cross Blue Shield of TX — PPO/Trad: $20.43
  • Entrust — Commercial: $13.89
  • Humana ChoiceCare — Medicare Advantage: $8.17
  • Imperial Insurance Company of TX — Medicare Adv.: $8.17
  • Scott and White Health Plan — Commercial: $8.17
  • Scott and White Health Plan — Medicare Advantage: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED $100.40 $100.40 $3.17 – $12.97
Urine test (automated, with microscope): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $3.17
  • Blue Cross Blue Shield of TX — BAV QHP: $12.97
  • Blue Cross Blue Shield of TX — HMO POS: $7.54
  • Blue Cross Blue Shield of TX — Medicare Advantage: $3.17
  • Blue Cross Blue Shield of TX — PPO/Trad: $7.93
  • Entrust — Commercial: $5.39
  • Humana ChoiceCare — Medicare Advantage: $3.17
  • Imperial Insurance Company of TX — Medicare Adv.: $3.17
  • Scott and White Health Plan — Commercial: $3.17
  • Scott and White Health Plan — Medicare Advantage: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE $105.40 $105.40 $3.17 – $12.97
Urine test (automated, with microscope): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $3.17
  • Blue Cross Blue Shield of TX — BAV QHP: $12.97
  • Blue Cross Blue Shield of TX — HMO POS: $7.54
  • Blue Cross Blue Shield of TX — Medicare Advantage: $3.17
  • Blue Cross Blue Shield of TX — PPO/Trad: $7.93
  • Entrust — Commercial: $5.39
  • Humana ChoiceCare — Medicare Advantage: $3.17
  • Imperial Insurance Company of TX — Medicare Adv.: $3.17
  • Scott and White Health Plan — Commercial: $3.17
  • Scott and White Health Plan — Medicare Advantage: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED $100.40 $100.40 $3.17 – $5.39
Urine test (automated, with microscope): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $3.17
  • Blue Cross Blue Shield of TX — Medicare Advantage: $3.17
  • Entrust — Commercial: $5.39
  • Humana ChoiceCare — Medicare Advantage: $3.17
  • Imperial Insurance Company of TX — Medicare Adv.: $3.17
  • Scott and White Health Plan — Commercial: $3.17
  • Scott and White Health Plan — Medicare Advantage: $3.17
  • Superior HealthPlan — Medicare Advantage: $3.17
  • United Healthcare — Medicare Advantage: $3.17
  • Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOMATED URINALYSIS TEST $77.20 $77.20 $2.25 – $9.20
Urine test (automated, without microscope): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $2.25
  • Blue Cross Blue Shield of TX — BAV QHP: $9.20
  • Blue Cross Blue Shield of TX — HMO POS: $5.36
  • Blue Cross Blue Shield of TX — Medicare Advantage: $2.25
  • Blue Cross Blue Shield of TX — PPO/Trad: $5.63
  • Entrust — Commercial: $3.82
  • Humana ChoiceCare — Medicare Advantage: $2.25
  • Imperial Insurance Company of TX — Medicare Adv.: $2.25
  • Scott and White Health Plan — Commercial: $2.25
  • Scott and White Health Plan — Medicare Advantage: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE $81.10 $81.10 $2.25 – $9.20
Urine test (automated, without microscope): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $2.25
  • Blue Cross Blue Shield of TX — BAV QHP: $9.20
  • Blue Cross Blue Shield of TX — HMO POS: $5.36
  • Blue Cross Blue Shield of TX — Medicare Advantage: $2.25
  • Blue Cross Blue Shield of TX — PPO/Trad: $5.63
  • Entrust — Commercial: $3.83
  • Humana ChoiceCare — Medicare Advantage: $2.25
  • Imperial Insurance Company of TX — Medicare Adv.: $2.25
  • Scott and White Health Plan — Commercial: $2.25
  • Scott and White Health Plan — Medicare Advantage: $2.25
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: AUTOMATED URINALYSIS TEST $77.20 $77.20 $2.25 – $3.82
Urine test (automated, without microscope): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $2.25
  • Blue Cross Blue Shield of TX — Medicare Advantage: $2.25
  • Entrust — Commercial: $3.82
  • Humana ChoiceCare — Medicare Advantage: $2.25
  • Imperial Insurance Company of TX — Medicare Adv.: $2.25
  • Scott and White Health Plan — Commercial: $2.25
  • Scott and White Health Plan — Medicare Advantage: $2.25
  • Superior HealthPlan — Medicare Advantage: $2.25
  • United Healthcare — Medicare Advantage: $2.25
  • Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL $151.10 $151.10 $18.39 – $75.22
PSA (prostate specific antigen) blood test: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $18.39
  • Blue Cross Blue Shield of TX — BAV QHP: $75.22
  • Blue Cross Blue Shield of TX — HMO POS: $43.77
  • Blue Cross Blue Shield of TX — Medicare Advantage: $18.39
  • Blue Cross Blue Shield of TX — PPO/Trad: $45.98
  • Entrust — Commercial: $31.26
  • Humana ChoiceCare — Medicare Advantage: $18.39
  • Imperial Insurance Company of TX — Medicare Adv.: $18.39
  • Scott and White Health Plan — Commercial: $18.39
  • Scott and White Health Plan — Medicare Advantage: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL $163.30 $163.30 $18.39 – $75.22
PSA (prostate specific antigen) blood test: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $18.39
  • Blue Cross Blue Shield of TX — BAV QHP: $75.22
  • Blue Cross Blue Shield of TX — HMO POS: $43.77
  • Blue Cross Blue Shield of TX — Medicare Advantage: $18.39
  • Blue Cross Blue Shield of TX — PPO/Trad: $45.98
  • Entrust — Commercial: $31.26
  • Humana ChoiceCare — Medicare Advantage: $18.39
  • Imperial Insurance Company of TX — Medicare Adv.: $18.39
  • Scott and White Health Plan — Commercial: $18.39
  • Scott and White Health Plan — Medicare Advantage: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL $158.70 $158.70 $18.39 – $31.26
PSA (prostate specific antigen) blood test: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $18.39
  • Blue Cross Blue Shield of TX — Medicare Advantage: $18.39
  • Entrust — Commercial: $31.26
  • Humana ChoiceCare — Medicare Advantage: $18.39
  • Imperial Insurance Company of TX — Medicare Adv.: $18.39
  • Scott and White Health Plan — Commercial: $18.39
  • Scott and White Health Plan — Medicare Advantage: $18.39
  • Superior HealthPlan — Medicare Advantage: $18.39
  • United Healthcare — Medicare Advantage: $18.39
  • Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) $216.10 $216.10 $16.80 – $68.71
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $16.80
  • Blue Cross Blue Shield of TX — BAV QHP: $68.71
  • Blue Cross Blue Shield of TX — HMO POS: $39.98
  • Blue Cross Blue Shield of TX — Medicare Advantage: $16.80
  • Blue Cross Blue Shield of TX — PPO/Trad: $42
  • Entrust — Commercial: $28.56
  • Humana ChoiceCare — Medicare Advantage: $16.80
  • Imperial Insurance Company of TX — Medicare Adv.: $16.80
  • Scott and White Health Plan — Commercial: $16.80
  • Scott and White Health Plan — Medicare Advantage: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE $226.90 $226.90 $16.80 – $68.71
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $16.80
  • Blue Cross Blue Shield of TX — BAV QHP: $68.71
  • Blue Cross Blue Shield of TX — HMO POS: $39.98
  • Blue Cross Blue Shield of TX — Medicare Advantage: $16.80
  • Blue Cross Blue Shield of TX — PPO/Trad: $42
  • Entrust — Commercial: $28.56
  • Humana ChoiceCare — Medicare Advantage: $16.80
  • Imperial Insurance Company of TX — Medicare Adv.: $16.80
  • Scott and White Health Plan — Commercial: $16.80
  • Scott and White Health Plan — Medicare Advantage: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) $216.10 $216.10 $16.80 – $28.56
Thyroid stimulating hormone (TSH) test: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $16.80
  • Blue Cross Blue Shield of TX — Medicare Advantage: $16.80
  • Entrust — Commercial: $28.56
  • Humana ChoiceCare — Medicare Advantage: $16.80
  • Imperial Insurance Company of TX — Medicare Adv.: $16.80
  • Scott and White Health Plan — Commercial: $16.80
  • Scott and White Health Plan — Medicare Advantage: $16.80
  • Superior HealthPlan — Medicare Advantage: $16.80
  • United Healthcare — Medicare Advantage: $16.80
  • Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC $129.70 $129.70 $7.77 – $31.78
Complete blood count (CBC) with differential: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $7.77
  • Blue Cross Blue Shield of TX — BAV QHP: $31.78
  • Blue Cross Blue Shield of TX — HMO POS: $18.49
  • Blue Cross Blue Shield of TX — Medicare Advantage: $7.77
  • Blue Cross Blue Shield of TX — PPO/Trad: $19.43
  • Entrust — Commercial: $13.21
  • Humana ChoiceCare — Medicare Advantage: $7.77
  • Imperial Insurance Company of TX — Medicare Adv.: $7.77
  • Scott and White Health Plan — Commercial: $7.77
  • Scott and White Health Plan — Medicare Advantage: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT $247 $247 $7.77 – $31.78
Complete blood count (CBC) with differential: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $7.77
  • Blue Cross Blue Shield of TX — BAV QHP: $31.78
  • Blue Cross Blue Shield of TX — HMO POS: $18.49
  • Blue Cross Blue Shield of TX — Medicare Advantage: $7.77
  • Blue Cross Blue Shield of TX — PPO/Trad: $19.43
  • Entrust — Commercial: $13.21
  • Humana ChoiceCare — Medicare Advantage: $7.77
  • Imperial Insurance Company of TX — Medicare Adv.: $7.77
  • Scott and White Health Plan — Commercial: $7.77
  • Scott and White Health Plan — Medicare Advantage: $7.77
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT $123.50 $123.50 $7.77 – $13.21
Complete blood count (CBC) with differential: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $7.77
  • Blue Cross Blue Shield of TX — Medicare Advantage: $7.77
  • Entrust — Commercial: $13.21
  • Humana ChoiceCare — Medicare Advantage: $7.77
  • Imperial Insurance Company of TX — Medicare Adv.: $7.77
  • Scott and White Health Plan — Commercial: $7.77
  • Scott and White Health Plan — Medicare Advantage: $7.77
  • Superior HealthPlan — Medicare Advantage: $7.77
  • United Healthcare — Medicare Advantage: $7.77
  • Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; CLOTTING TIME $77.20 $77.20 $4.29 – $17.55
Blood clotting time test (prothrombin time, PT): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $4.29
  • Blue Cross Blue Shield of TX — BAV QHP: $17.55
  • Blue Cross Blue Shield of TX — HMO POS: $10.21
  • Blue Cross Blue Shield of TX — Medicare Advantage: $4.29
  • Blue Cross Blue Shield of TX — PPO/Trad: $10.73
  • Entrust — Commercial: $7.29
  • Humana ChoiceCare — Medicare Advantage: $4.29
  • Imperial Insurance Company of TX — Medicare Adv.: $4.29
  • Scott and White Health Plan — Commercial: $4.29
  • Scott and White Health Plan — Medicare Advantage: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME $81.10 $81.10 $4.29 – $17.55
Blood clotting time test (prothrombin time, PT): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $4.29
  • Blue Cross Blue Shield of TX — BAV QHP: $17.55
  • Blue Cross Blue Shield of TX — HMO POS: $10.21
  • Blue Cross Blue Shield of TX — Medicare Advantage: $4.29
  • Blue Cross Blue Shield of TX — PPO/Trad: $10.73
  • Entrust — Commercial: $7.29
  • Humana ChoiceCare — Medicare Advantage: $4.29
  • Imperial Insurance Company of TX — Medicare Adv.: $4.29
  • Scott and White Health Plan — Commercial: $4.29
  • Scott and White Health Plan — Medicare Advantage: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: BLOOD TEST; CLOTTING TIME $77.20 $77.20 $4.29 – $7.29
Blood clotting time test (prothrombin time, PT): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $4.29
  • Blue Cross Blue Shield of TX — Medicare Advantage: $4.29
  • Entrust — Commercial: $7.29
  • Humana ChoiceCare — Medicare Advantage: $4.29
  • Imperial Insurance Company of TX — Medicare Adv.: $4.29
  • Scott and White Health Plan — Commercial: $4.29
  • Scott and White Health Plan — Medicare Advantage: $4.29
  • Superior HealthPlan — Medicare Advantage: $4.29
  • United Healthcare — Medicare Advantage: $4.29
  • Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD $109.20 $109.20 $6.01 – $24.58
Blood clotting test (partial thromboplastin time, PTT): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $6.01
  • Blue Cross Blue Shield of TX — BAV QHP: $24.58
  • Blue Cross Blue Shield of TX — HMO POS: $14.30
  • Blue Cross Blue Shield of TX — Medicare Advantage: $6.01
  • Blue Cross Blue Shield of TX — PPO/Trad: $15.03
  • Entrust — Commercial: $10.22
  • Humana ChoiceCare — Medicare Advantage: $6.01
  • Imperial Insurance Company of TX — Medicare Adv.: $6.01
  • Scott and White Health Plan — Commercial: $6.01
  • Scott and White Health Plan — Medicare Advantage: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $10.22
Blood clotting test (partial thromboplastin time, PTT): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $6.01
  • Blue Cross Blue Shield of TX — BAV QHP: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross Blue Shield of TX — HMO POS: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross Blue Shield of TX — Medicare Advantage: $6.01
  • Blue Cross Blue Shield of TX — PPO/Trad: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Entrust — Commercial: $10.22
  • Humana ChoiceCare — Medicare Advantage: $6.01
  • Imperial Insurance Company of TX — Medicare Adv.: $6.01
  • Scott and White Health Plan — Commercial: $6.01
  • Scott and White Health Plan — Medicare Advantage: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD $109.20 $109.20 $6.01 – $10.22
Blood clotting test (partial thromboplastin time, PTT): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $6.01
  • Blue Cross Blue Shield of TX — Medicare Advantage: $6.01
  • Entrust — Commercial: $10.22
  • Humana ChoiceCare — Medicare Advantage: $6.01
  • Imperial Insurance Company of TX — Medicare Adv.: $6.01
  • Scott and White Health Plan — Commercial: $6.01
  • Scott and White Health Plan — Medicare Advantage: $6.01
  • Superior HealthPlan — Medicare Advantage: $6.01
  • United Healthcare — Medicare Advantage: $6.01
  • Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)

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: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST $1,485.10 $1,485.10 $104.51 – $512.21
CT scan of the head or brain, without contrast: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $104.51
  • Blue Cross Blue Shield of TX — BAV QHP: $444.96
  • Blue Cross Blue Shield of TX — HMO POS: $486.43
  • Blue Cross Blue Shield of TX — Medicare Advantage: $104.51
  • Blue Cross Blue Shield of TX — PPO/Trad: $512.21
  • Entrust — Commercial: $177.67
  • Humana ChoiceCare — Medicare Advantage: $104.51
  • Imperial Insurance Company of TX — Medicare Adv.: $104.51
  • Scott and White Health Plan — Commercial: $104.51
  • Scott and White Health Plan — Medicare Advantage: $104.51
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE $1,559.40 $1,559.40 $104.51 – $512.21
CT scan of the head or brain, without contrast: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $104.51
  • Blue Cross Blue Shield of TX — BAV QHP: $444.96
  • Blue Cross Blue Shield of TX — HMO POS: $486.43
  • Blue Cross Blue Shield of TX — Medicare Advantage: $104.51
  • Blue Cross Blue Shield of TX — PPO/Trad: $512.21
  • Entrust — Commercial: $177.67
  • Humana ChoiceCare — Medicare Advantage: $104.51
  • Imperial Insurance Company of TX — Medicare Adv.: $104.51
  • Scott and White Health Plan — Commercial: $104.51
  • Scott and White Health Plan — Medicare Advantage: $104.51
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF CHEST; 2 VIEWS $213.90 $213.90 $74.53 – $199.53
Chest X-ray, 2 views: 10 of 22 insurance plan rates
  • Amerigroup — Medicare Advantage: $86.99
  • Blue Cross Blue Shield of TX — BAV QHP: $96.57
  • Blue Cross Blue Shield of TX — HMO POS: $189.95
  • Blue Cross Blue Shield of TX — Medicare Advantage: $86.99
  • Blue Cross Blue Shield of TX — PPO/Trad: $199.53
  • Entrust — Commercial: $147.88
  • Humana ChoiceCare — Medicare Advantage: $86.99
  • Imperial Insurance Company of TX — Medicare Adv.: $86.99
  • Scott and White Health Plan — Commercial: $86.99
  • Scott and White Health Plan — Medicare Advantage: $86.99
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS $224.60 $224.60 $74.53 – $199.53
Chest X-ray, 2 views: 10 of 22 insurance plan rates
  • Amerigroup — Medicare Advantage: $86.99
  • Blue Cross Blue Shield of TX — BAV QHP: $96.57
  • Blue Cross Blue Shield of TX — HMO POS: $189.95
  • Blue Cross Blue Shield of TX — Medicare Advantage: $86.99
  • Blue Cross Blue Shield of TX — PPO/Trad: $199.53
  • Entrust — Commercial: $147.88
  • Humana ChoiceCare — Medicare Advantage: $86.99
  • Imperial Insurance Company of TX — Medicare Adv.: $86.99
  • Scott and White Health Plan — Commercial: $86.99
  • Scott and White Health Plan — Medicare Advantage: $86.99
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: X-RAY OF CHEST; 2 VIEWS $213.90 $213.90 $86.99 – $147.88
Chest X-ray, 2 views: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $86.99
  • Blue Cross Blue Shield of TX — Medicare Advantage: $86.99
  • Entrust — Commercial: $147.88
  • Humana ChoiceCare — Medicare Advantage: $86.99
  • Imperial Insurance Company of TX — Medicare Adv.: $86.99
  • Scott and White Health Plan — Commercial: $86.99
  • Scott and White Health Plan — Medicare Advantage: $86.99
  • Superior HealthPlan — Medicare Advantage: $86.99
  • United Healthcare — Medicare Advantage: $86.99
  • Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS $238.50 $238.50 $91.03 – $238.50
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates
  • Amerigroup — Medicare Advantage: $104.51
  • Blue Cross Blue Shield of TX — BAV QHP: $135.62
  • Blue Cross Blue Shield of TX — HMO POS: $238.50
  • Blue Cross Blue Shield of TX — Medicare Advantage: $104.51
  • Blue Cross Blue Shield of TX — PPO/Trad: $238.50
  • Entrust — Commercial: $177.67
  • Humana ChoiceCare — Medicare Advantage: $104.51
  • Imperial Insurance Company of TX — Medicare Adv.: $104.51
  • Scott and White Health Plan — Commercial: $104.51
  • Scott and White Health Plan — Medicare Advantage: $104.51
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF PELVIS WITH CONTRAST $2,258.60 $2,258.60 $175.34 – $832.75
CT scan of the pelvis, with contrast: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $175.34
  • Blue Cross Blue Shield of TX — BAV QHP: $723.41
  • Blue Cross Blue Shield of TX — HMO POS: $790.83
  • Blue Cross Blue Shield of TX — Medicare Advantage: $175.34
  • Blue Cross Blue Shield of TX — PPO/Trad: $832.75
  • Entrust — Commercial: $298.08
  • Humana ChoiceCare — Medicare Advantage: $175.34
  • Imperial Insurance Company of TX — Medicare Adv.: $175.34
  • Scott and White Health Plan — Commercial: $175.34
  • Scott and White Health Plan — Medicare Advantage: $175.34
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST $4,394.60 $4,394.60 $348.74 – $1,745.05
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $348.74
  • Blue Cross Blue Shield of TX — BAV QHP: $1,515.94
  • Blue Cross Blue Shield of TX — HMO POS: $1,657.23
  • Blue Cross Blue Shield of TX — Medicare Advantage: $348.74
  • Blue Cross Blue Shield of TX — PPO/Trad: $1,745.05
  • Entrust — Commercial: $592.86
  • Humana ChoiceCare — Medicare Advantage: $348.74
  • Imperial Insurance Company of TX — Medicare Adv.: $348.74
  • Scott and White Health Plan — Commercial: $348.74
  • Scott and White Health Plan — Medicare Advantage: $348.74
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W/CONTRAST $4,614.30 $4,614.30 $348.74 – $1,745.05
CT scan of the abdomen and pelvis, with contrast: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $348.74
  • Blue Cross Blue Shield of TX — BAV QHP: $1,515.94
  • Blue Cross Blue Shield of TX — HMO POS: $1,657.23
  • Blue Cross Blue Shield of TX — Medicare Advantage: $348.74
  • Blue Cross Blue Shield of TX — PPO/Trad: $1,745.05
  • Entrust — Commercial: $592.86
  • Humana ChoiceCare — Medicare Advantage: $348.74
  • Imperial Insurance Company of TX — Medicare Adv.: $348.74
  • Scott and White Health Plan — Commercial: $348.74
  • Scott and White Health Plan — Medicare Advantage: $348.74
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier ME In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST $4,394.60 $4,394.60 $348.74 – $592.86
CT scan of the abdomen and pelvis, with contrast: 10 of 20 insurance plan rates
  • Amerigroup — Medicare Advantage: $348.74
  • Blue Cross Blue Shield of TX — Medicare Advantage: $348.74
  • Entrust — Commercial: $592.86
  • Humana ChoiceCare — Medicare Advantage: $348.74
  • Imperial Insurance Company of TX — Medicare Adv.: $348.74
  • Scott and White Health Plan — Commercial: $348.74
  • Scott and White Health Plan — Medicare Advantage: $348.74
  • Superior HealthPlan — Medicare Advantage: $348.74
  • United Healthcare — Medicare Advantage: $348.74
  • Aetna — Commercial: 52.5% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN $1,661 $1,661 $104.51 – $280.20
Ultrasound of the abdomen, complete: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $104.51
  • Blue Cross Blue Shield of TX — BAV QHP: $135.62
  • Blue Cross Blue Shield of TX — HMO POS: $266.75
  • Blue Cross Blue Shield of TX — Medicare Advantage: $104.51
  • Blue Cross Blue Shield of TX — PPO/Trad: $280.20
  • Entrust — Commercial: $177.67
  • Humana ChoiceCare — Medicare Advantage: $104.51
  • Imperial Insurance Company of TX — Medicare Adv.: $104.51
  • Scott and White Health Plan — Commercial: $104.51
  • Scott and White Health Plan — Medicare Advantage: $104.51
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE $1,744.10 $1,744.10 $104.51 – $280.20
Ultrasound of the abdomen, complete: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $104.51
  • Blue Cross Blue Shield of TX — BAV QHP: $135.62
  • Blue Cross Blue Shield of TX — HMO POS: $266.75
  • Blue Cross Blue Shield of TX — Medicare Advantage: $104.51
  • Blue Cross Blue Shield of TX — PPO/Trad: $280.20
  • Entrust — Commercial: $177.67
  • Humana ChoiceCare — Medicare Advantage: $104.51
  • Imperial Insurance Company of TX — Medicare Adv.: $104.51
  • Scott and White Health Plan — Commercial: $104.51
  • Scott and White Health Plan — Medicare Advantage: $104.51
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB $470 $470 $104.51 – $220.75
Transvaginal ultrasound: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $104.51
  • Blue Cross Blue Shield of TX — BAV QHP: $106.84
  • Blue Cross Blue Shield of TX — HMO POS: $210.15
  • Blue Cross Blue Shield of TX — Medicare Advantage: $104.51
  • Blue Cross Blue Shield of TX — PPO/Trad: $220.75
  • Entrust — Commercial: $177.67
  • Humana ChoiceCare — Medicare Advantage: $104.51
  • Imperial Insurance Company of TX — Medicare Adv.: $104.51
  • Scott and White Health Plan — Commercial: $104.51
  • Scott and White Health Plan — Medicare Advantage: $104.51

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY $12,413.30 $12,413.30 $2,764.45 – $5,509.26
Left heart catheterization (diagnostic): 10 of 22 insurance plan rates
  • Amerigroup — Medicare Advantage: $3,240.74
  • Blue Cross Blue Shield of TX — BAV QHP: $2,764.45
  • Blue Cross Blue Shield of TX — HMO POS: $4,930.41
  • Blue Cross Blue Shield of TX — Medicare Advantage: $3,240.74
  • Blue Cross Blue Shield of TX — PPO/Trad: $5,186.91
  • Entrust — Commercial: $5,509.26
  • Humana ChoiceCare — Medicare Advantage: $3,240.74
  • Imperial Insurance Company of TX — Medicare Adv.: $3,240.74
  • Scott and White Health Plan — Commercial: $3,240.74
  • Scott and White Health Plan — Medicare Advantage: $3,240.74
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION $24,201.20 $24,201.20 $5,500 – $14,714.28
Heart rhythm study (electrophysiology evaluation): 10 of 22 insurance plan rates
  • Amerigroup — Medicare Advantage: $7,796.82
  • Blue Cross Blue Shield of TX — BAV QHP: $9,946.85
  • Blue Cross Blue Shield of TX — HMO POS: $14,007.99
  • Blue Cross Blue Shield of TX — Medicare Advantage: $7,796.82
  • Blue Cross Blue Shield of TX — PPO/Trad: $14,714.28
  • Entrust — Commercial: $13,254.59
  • Humana ChoiceCare — Medicare Advantage: $7,796.82
  • Imperial Insurance Company of TX — Medicare Adv.: $7,796.82
  • Scott and White Health Plan — Commercial: $7,796.82
  • Scott and White Health Plan — Medicare Advantage: $7,796.82
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB $80,623.69 $80,623.69 $5,500 – $44,418.13
Heart rhythm study with ablation for atrial fibrillation: 10 of 22 insurance plan rates
  • Amerigroup — Medicare Advantage: $26,128.31
  • Blue Cross Blue Shield of TX — BAV QHP: $19,822.21
  • Blue Cross Blue Shield of TX — HMO POS: $35,353.02
  • Blue Cross Blue Shield of TX — Medicare Advantage: $26,128.31
  • Blue Cross Blue Shield of TX — PPO/Trad: $37,192.19
  • Entrust — Commercial: $44,418.13
  • Humana ChoiceCare — Medicare Advantage: $26,128.31
  • Imperial Insurance Company of TX — Medicare Adv.: $26,128.31
  • Scott and White Health Plan — Commercial: $26,128.31
  • Scott and White Health Plan — Medicare Advantage: $26,128.31

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 · modifier GP In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES $46.30 $46.30 $28.33 – $110
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 24 insurance plan rates
  • Amerigroup — Medicare Advantage: $28.33
  • Blue Cross Blue Shield of TX — Medicare Advantage: $28.33
  • Cigna — Commercial: $85
  • Entrust — Commercial: $48.16
  • Humana ChoiceCare — Medicare Advantage: $28.33
  • Imperial Insurance Company of TX — Medicare Adv.: $28.33
  • Scott and White Health Plan — Commercial: $28.33
  • Scott and White Health Plan — Medicare Advantage: $28.33
  • Superior HealthPlan — Medicare Advantage: $28.33
  • United Healthcare — Commercial: $110
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THERAPEUTIC EXERCISES $48.60 $48.60 $28.33 – $110
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 24 insurance plan rates
  • Amerigroup — Medicare Advantage: $28.33
  • Blue Cross Blue Shield of TX — Medicare Advantage: $28.33
  • Cigna — Commercial: $85
  • Entrust — Commercial: $48.16
  • Humana ChoiceCare — Medicare Advantage: $28.33
  • Imperial Insurance Company of TX — Medicare Adv.: $28.33
  • Scott and White Health Plan — Commercial: $28.33
  • Scott and White Health Plan — Medicare Advantage: $28.33
  • Superior HealthPlan — Medicare Advantage: $28.33
  • United Healthcare — Commercial: $110
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier CO In the file: THERAPEUTIC EXERCISES $48.60 $48.60 $28.33 – $110
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 24 insurance plan rates
  • Amerigroup — Medicare Advantage: $28.33
  • Blue Cross Blue Shield of TX — Medicare Advantage: $28.33
  • Cigna — Commercial: $85
  • Entrust — Commercial: $48.16
  • Humana ChoiceCare — Medicare Advantage: $28.33
  • Imperial Insurance Company of TX — Medicare Adv.: $28.33
  • Scott and White Health Plan — Commercial: $28.33
  • Scott and White Health Plan — Medicare Advantage: $28.33
  • Superior HealthPlan — Medicare Advantage: $28.33
  • United Healthcare — Commercial: $110
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES $105.80 $105.80 $85 – $162.32
Physical therapy evaluation (low complexity): 10 of 23 insurance plan rates
  • Amerigroup — Medicare Advantage: $95.48
  • Blue Cross Blue Shield of TX — Medicare Advantage: $95.48
  • Cigna — Commercial: $85
  • Entrust — Commercial: $162.32
  • Humana ChoiceCare — Medicare Advantage: $95.48
  • Imperial Insurance Company of TX — Medicare Adv.: $95.48
  • Scott and White Health Plan — Commercial: $95.48
  • Scott and White Health Plan — Medicare Advantage: $95.48
  • Superior HealthPlan — Medicare Advantage: $95.48
  • United Healthcare — Commercial: $110
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN $111.10 $111.10 $85 – $162.32
Physical therapy evaluation (low complexity): 10 of 23 insurance plan rates
  • Amerigroup — Medicare Advantage: $95.48
  • Blue Cross Blue Shield of TX — Medicare Advantage: $95.48
  • Cigna — Commercial: $85
  • Entrust — Commercial: $162.32
  • Humana ChoiceCare — Medicare Advantage: $95.48
  • Imperial Insurance Company of TX — Medicare Adv.: $95.48
  • Scott and White Health Plan — Commercial: $95.48
  • Scott and White Health Plan — Medicare Advantage: $95.48
  • Superior HealthPlan — Medicare Advantage: $95.48
  • United Healthcare — Commercial: $110
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES $105.80 $105.80 $85 – $162.32
Physical therapy evaluation (moderate complexity): 10 of 23 insurance plan rates
  • Amerigroup — Medicare Advantage: $95.48
  • Blue Cross Blue Shield of TX — Medicare Advantage: $95.48
  • Cigna — Commercial: $85
  • Entrust — Commercial: $162.32
  • Humana ChoiceCare — Medicare Advantage: $95.48
  • Imperial Insurance Company of TX — Medicare Adv.: $95.48
  • Scott and White Health Plan — Commercial: $95.48
  • Scott and White Health Plan — Medicare Advantage: $95.48
  • Superior HealthPlan — Medicare Advantage: $95.48
  • United Healthcare — Commercial: $110
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN $111.10 $111.10 $85 – $162.32
Physical therapy evaluation (moderate complexity): 10 of 23 insurance plan rates
  • Amerigroup — Medicare Advantage: $95.48
  • Blue Cross Blue Shield of TX — Medicare Advantage: $95.48
  • Cigna — Commercial: $85
  • Entrust — Commercial: $162.32
  • Humana ChoiceCare — Medicare Advantage: $95.48
  • Imperial Insurance Company of TX — Medicare Adv.: $95.48
  • Scott and White Health Plan — Commercial: $95.48
  • Scott and White Health Plan — Medicare Advantage: $95.48
  • Superior HealthPlan — Medicare Advantage: $95.48
  • United Healthcare — Commercial: $110
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN $111.10 $111.10 $85 – $162.32
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates
  • Amerigroup — Medicare Advantage: $95.48
  • Blue Cross Blue Shield of TX — BAV QHP: $111.10
  • Blue Cross Blue Shield of TX — HMO POS: $111.10
  • Blue Cross Blue Shield of TX — Medicare Advantage: $95.48
  • Blue Cross Blue Shield of TX — PPO/Trad: $111.10
  • Cigna — Commercial: $85
  • Entrust — Commercial: $162.32
  • Humana ChoiceCare — Medicare Advantage: $95.48
  • Imperial Insurance Company of TX — Medicare Adv.: $95.48
  • Scott and White Health Plan — Commercial: $95.48
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES $111.10 $111.10 $85 – $162.32
Physical therapy evaluation (high complexity): 10 of 23 insurance plan rates
  • Amerigroup — Medicare Advantage: $95.48
  • Blue Cross Blue Shield of TX — Medicare Advantage: $95.48
  • Cigna — Commercial: $85
  • Entrust — Commercial: $162.32
  • Humana ChoiceCare — Medicare Advantage: $95.48
  • Imperial Insurance Company of TX — Medicare Adv.: $95.48
  • Scott and White Health Plan — Commercial: $95.48
  • Scott and White Health Plan — Medicare Advantage: $95.48
  • Superior HealthPlan — Medicare Advantage: $95.48
  • United Healthcare — Commercial: $110

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT_PO In the file: REMOVAL OF GROWTH AND TISSUE OF BREAST; DUCT; OR NIPPLE $6,229.89 $6,229.89 $2,938.66 – $6,653.82
Removal of breast growth (open surgery): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $3,914.01
  • Blue Cross Blue Shield of TX — BAV QHP: $2,938.66
  • Blue Cross Blue Shield of TX — HMO POS: $5,241.12
  • Blue Cross Blue Shield of TX — Medicare Advantage: $3,914.01
  • Blue Cross Blue Shield of TX — PPO/Trad: $5,513.78
  • Entrust — Commercial: $6,653.82
  • Humana ChoiceCare — Medicare Advantage: $3,914.01
  • Imperial Insurance Company of TX — Medicare Adv.: $3,914.01
  • Scott and White Health Plan — Commercial: $3,914.01
  • Scott and White Health Plan — Medicare Advantage: $3,914.01
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS $21,496.50 $21,496.50 $11,543.69 – $21,817.78
Total hip replacement: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $12,833.99
  • Blue Cross Blue Shield of TX — BAV QHP: $11,543.69
  • Blue Cross Blue Shield of TX — HMO POS: $20,588.23
  • Blue Cross Blue Shield of TX — Medicare Advantage: $12,833.99
  • Blue Cross Blue Shield of TX — PPO/Trad: $21,659.29
  • Entrust — Commercial: $21,817.78
  • Humana ChoiceCare — Medicare Advantage: $12,833.99
  • Imperial Insurance Company of TX — Medicare Adv.: $12,833.99
  • Scott and White Health Plan — Commercial: $12,833.99
  • Scott and White Health Plan — Medicare Advantage: $12,833.99
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS $15,093.16 $15,093.16 $11,543.69 – $21,817.78
Total hip replacement: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $12,833.99
  • Blue Cross Blue Shield of TX — BAV QHP: $11,543.69
  • Blue Cross Blue Shield of TX — HMO POS: $20,588.23
  • Blue Cross Blue Shield of TX — Medicare Advantage: $12,833.99
  • Blue Cross Blue Shield of TX — PPO/Trad: $21,659.29
  • Entrust — Commercial: $21,817.78
  • Humana ChoiceCare — Medicare Advantage: $12,833.99
  • Imperial Insurance Company of TX — Medicare Adv.: $12,833.99
  • Scott and White Health Plan — Commercial: $12,833.99
  • Scott and White Health Plan — Medicare Advantage: $12,833.99
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE $15,020.51 $15,020.51 $11,543.69 – $21,817.78
Total knee replacement: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $12,833.99
  • Blue Cross Blue Shield of TX — BAV QHP: $11,543.69
  • Blue Cross Blue Shield of TX — HMO POS: $20,588.23
  • Blue Cross Blue Shield of TX — Medicare Advantage: $12,833.99
  • Blue Cross Blue Shield of TX — PPO/Trad: $21,659.29
  • Entrust — Commercial: $21,817.78
  • Humana ChoiceCare — Medicare Advantage: $12,833.99
  • Imperial Insurance Company of TX — Medicare Adv.: $12,833.99
  • Scott and White Health Plan — Commercial: $12,833.99
  • Scott and White Health Plan — Medicare Advantage: $12,833.99
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE $19,565.87 $19,565.87 $11,543.69 – $21,817.78
Total knee replacement: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $12,833.99
  • Blue Cross Blue Shield of TX — BAV QHP: $11,543.69
  • Blue Cross Blue Shield of TX — HMO POS: $20,588.23
  • Blue Cross Blue Shield of TX — Medicare Advantage: $12,833.99
  • Blue Cross Blue Shield of TX — PPO/Trad: $21,659.29
  • Entrust — Commercial: $21,817.78
  • Humana ChoiceCare — Medicare Advantage: $12,833.99
  • Imperial Insurance Company of TX — Medicare Adv.: $12,833.99
  • Scott and White Health Plan — Commercial: $12,833.99
  • Scott and White Health Plan — Medicare Advantage: $12,833.99
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE $3,953.20 $3,953.20 $144.20 – $397
Shoulder arthroscopy: shaving of shoulder bone: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $144.20
  • Blue Cross Blue Shield of TX — Medicare Advantage: $144.20
  • Entrust — Commercial: $245.14
  • Humana ChoiceCare — Medicare Advantage: $144.20
  • Imperial Insurance Company of TX — Medicare Adv.: $144.20
  • Scott and White Health Plan — Commercial: $144.20
  • Scott and White Health Plan — Medicare Advantage: $144.20
  • Superior HealthPlan — Medicare Advantage: $144.20
  • United Healthcare — Commercial: $397
  • United Healthcare — Medicare Advantage: $144.20
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT_XU In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE $3,662.97 $3,662.97 $144.20 – $397
Shoulder arthroscopy: shaving of shoulder bone: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $144.20
  • Blue Cross Blue Shield of TX — Medicare Advantage: $144.20
  • Entrust — Commercial: $245.14
  • Humana ChoiceCare — Medicare Advantage: $144.20
  • Imperial Insurance Company of TX — Medicare Adv.: $144.20
  • Scott and White Health Plan — Commercial: $144.20
  • Scott and White Health Plan — Medicare Advantage: $144.20
  • Superior HealthPlan — Medicare Advantage: $144.20
  • United Healthcare — Commercial: $397
  • United Healthcare — Medicare Advantage: $144.20
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO_RT In the file: SHAVING OF PART OF SHOULDER BONE AND REPAIR OF LIGAMENT USING AN ENDOSCOPE $7,281.30 $7,281.30 $144.20 – $397
Shoulder arthroscopy: shaving of shoulder bone: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $144.20
  • Blue Cross Blue Shield of TX — Medicare Advantage: $144.20
  • Entrust — Commercial: $245.14
  • Humana ChoiceCare — Medicare Advantage: $144.20
  • Imperial Insurance Company of TX — Medicare Adv.: $144.20
  • Scott and White Health Plan — Commercial: $144.20
  • Scott and White Health Plan — Medicare Advantage: $144.20
  • Superior HealthPlan — Medicare Advantage: $144.20
  • United Healthcare — Commercial: $397
  • United Healthcare — Medicare Advantage: $144.20
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE $5,007.50 $5,007.50 $2,655.33 – $5,560.36
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $3,270.80
  • Blue Cross Blue Shield of TX — BAV QHP: $2,655.33
  • Blue Cross Blue Shield of TX — HMO POS: $4,735.79
  • Blue Cross Blue Shield of TX — Medicare Advantage: $3,270.80
  • Blue Cross Blue Shield of TX — PPO/Trad: $4,982.16
  • Entrust — Commercial: $5,560.36
  • Humana ChoiceCare — Medicare Advantage: $3,270.80
  • Imperial Insurance Company of TX — Medicare Adv.: $3,270.80
  • Scott and White Health Plan — Commercial: $3,270.80
  • Scott and White Health Plan — Medicare Advantage: $3,270.80
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE $5,010.59 $5,010.59 $2,655.33 – $5,560.36
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $3,270.80
  • Blue Cross Blue Shield of TX — BAV QHP: $2,655.33
  • Blue Cross Blue Shield of TX — HMO POS: $4,735.79
  • Blue Cross Blue Shield of TX — Medicare Advantage: $3,270.80
  • Blue Cross Blue Shield of TX — PPO/Trad: $4,982.16
  • Entrust — Commercial: $5,560.36
  • Humana ChoiceCare — Medicare Advantage: $3,270.80
  • Imperial Insurance Company of TX — Medicare Adv.: $3,270.80
  • Scott and White Health Plan — Commercial: $3,270.80
  • Scott and White Health Plan — Medicare Advantage: $3,270.80
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $2,799.10 $2,799.10 $762.34 – $1,541.32
Upper GI endoscopy (diagnostic): 10 of 20 insurance plan rates
  • Amerigroup — Medicare Advantage: $906.66
  • Blue Cross Blue Shield of TX — BAV QHP: $762.34
  • Blue Cross Blue Shield of TX — HMO POS: $1,359.64
  • Blue Cross Blue Shield of TX — Medicare Advantage: $906.66
  • Blue Cross Blue Shield of TX — PPO/Trad: $1,430.37
  • Entrust — Commercial: $1,541.32
  • Humana ChoiceCare — Medicare Advantage: $906.66
  • Imperial Insurance Company of TX — Medicare Adv.: $906.66
  • Scott and White Health Plan — Commercial: $906.66
  • Scott and White Health Plan — Medicare Advantage: $906.66
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH $4,071 $4,071 $762.34 – $1,541.32
Upper GI endoscopy (diagnostic): 10 of 20 insurance plan rates
  • Amerigroup — Medicare Advantage: $906.66
  • Blue Cross Blue Shield of TX — BAV QHP: $762.34
  • Blue Cross Blue Shield of TX — HMO POS: $1,359.64
  • Blue Cross Blue Shield of TX — Medicare Advantage: $906.66
  • Blue Cross Blue Shield of TX — PPO/Trad: $1,430.37
  • Entrust — Commercial: $1,541.32
  • Humana ChoiceCare — Medicare Advantage: $906.66
  • Imperial Insurance Company of TX — Medicare Adv.: $906.66
  • Scott and White Health Plan — Commercial: $906.66
  • Scott and White Health Plan — Medicare Advantage: $906.66
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $2,799.10 $2,799.10 $762.34 – $1,721
Upper GI endoscopy (diagnostic): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $906.66
  • Blue Cross Blue Shield of TX — BAV QHP: $762.34
  • Blue Cross Blue Shield of TX — HMO POS: $1,359.64
  • Blue Cross Blue Shield of TX — Medicare Advantage: $906.66
  • Blue Cross Blue Shield of TX — PPO/Trad: $1,430.37
  • Entrust — Commercial: $1,541.32
  • Humana ChoiceCare — Medicare Advantage: $906.66
  • Imperial Insurance Company of TX — Medicare Adv.: $906.66
  • Scott and White Health Plan — Commercial: $906.66
  • Scott and White Health Plan — Medicare Advantage: $906.66
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $2,658.20 $2,658.20 $762.34 – $1,541.32
Upper GI endoscopy with biopsy: 10 of 20 insurance plan rates
  • Amerigroup — Medicare Advantage: $906.66
  • Blue Cross Blue Shield of TX — BAV QHP: $762.34
  • Blue Cross Blue Shield of TX — HMO POS: $1,359.64
  • Blue Cross Blue Shield of TX — Medicare Advantage: $906.66
  • Blue Cross Blue Shield of TX — PPO/Trad: $1,430.37
  • Entrust — Commercial: $1,541.32
  • Humana ChoiceCare — Medicare Advantage: $906.66
  • Imperial Insurance Company of TX — Medicare Adv.: $906.66
  • Scott and White Health Plan — Commercial: $906.66
  • Scott and White Health Plan — Medicare Advantage: $906.66
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE $3,189 $3,189 $762.34 – $1,541.32
Upper GI endoscopy with biopsy: 10 of 20 insurance plan rates
  • Amerigroup — Medicare Advantage: $906.66
  • Blue Cross Blue Shield of TX — BAV QHP: $762.34
  • Blue Cross Blue Shield of TX — HMO POS: $1,359.64
  • Blue Cross Blue Shield of TX — Medicare Advantage: $906.66
  • Blue Cross Blue Shield of TX — PPO/Trad: $1,430.37
  • Entrust — Commercial: $1,541.32
  • Humana ChoiceCare — Medicare Advantage: $906.66
  • Imperial Insurance Company of TX — Medicare Adv.: $906.66
  • Scott and White Health Plan — Commercial: $906.66
  • Scott and White Health Plan — Medicare Advantage: $906.66
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE $2,658.20 $2,658.20 $762.34 – $1,721
Upper GI endoscopy with biopsy: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $906.66
  • Blue Cross Blue Shield of TX — BAV QHP: $762.34
  • Blue Cross Blue Shield of TX — HMO POS: $1,359.64
  • Blue Cross Blue Shield of TX — Medicare Advantage: $906.66
  • Blue Cross Blue Shield of TX — PPO/Trad: $1,430.37
  • Entrust — Commercial: $1,541.32
  • Humana ChoiceCare — Medicare Advantage: $906.66
  • Imperial Insurance Company of TX — Medicare Adv.: $906.66
  • Scott and White Health Plan — Commercial: $906.66
  • Scott and White Health Plan — Medicare Advantage: $906.66
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $2,547.90 $2,547.90 $740.96 – $1,580.35
Colonoscopy (diagnostic): 10 of 20 insurance plan rates
  • Amerigroup — Medicare Advantage: $929.62
  • Blue Cross Blue Shield of TX — BAV QHP: $740.96
  • Blue Cross Blue Shield of TX — HMO POS: $1,321.51
  • Blue Cross Blue Shield of TX — Medicare Advantage: $929.62
  • Blue Cross Blue Shield of TX — PPO/Trad: $1,390.26
  • Entrust — Commercial: $1,580.35
  • Humana ChoiceCare — Medicare Advantage: $929.62
  • Imperial Insurance Company of TX — Medicare Adv.: $929.62
  • Scott and White Health Plan — Commercial: $929.62
  • Scott and White Health Plan — Medicare Advantage: $929.62
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY $2,675.30 $2,675.30 $740.96 – $1,580.35
Colonoscopy (diagnostic): 10 of 20 insurance plan rates
  • Amerigroup — Medicare Advantage: $929.62
  • Blue Cross Blue Shield of TX — BAV QHP: $740.96
  • Blue Cross Blue Shield of TX — HMO POS: $1,321.51
  • Blue Cross Blue Shield of TX — Medicare Advantage: $929.62
  • Blue Cross Blue Shield of TX — PPO/Trad: $1,390.26
  • Entrust — Commercial: $1,580.35
  • Humana ChoiceCare — Medicare Advantage: $929.62
  • Imperial Insurance Company of TX — Medicare Adv.: $929.62
  • Scott and White Health Plan — Commercial: $929.62
  • Scott and White Health Plan — Medicare Advantage: $929.62
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $2,547.90 $2,547.90 $740.96 – $1,721
Colonoscopy (diagnostic): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $929.62
  • Blue Cross Blue Shield of TX — BAV QHP: $740.96
  • Blue Cross Blue Shield of TX — HMO POS: $1,321.51
  • Blue Cross Blue Shield of TX — Medicare Advantage: $929.62
  • Blue Cross Blue Shield of TX — PPO/Trad: $1,390.26
  • Entrust — Commercial: $1,580.35
  • Humana ChoiceCare — Medicare Advantage: $929.62
  • Imperial Insurance Company of TX — Medicare Adv.: $929.62
  • Scott and White Health Plan — Commercial: $929.62
  • Scott and White Health Plan — Medicare Advantage: $929.62
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $3,518.10 $3,518.10 $974.09 – $2,033.54
Colonoscopy with biopsy: 10 of 20 insurance plan rates
  • Amerigroup — Medicare Advantage: $1,196.20
  • Blue Cross Blue Shield of TX — BAV QHP: $974.09
  • Blue Cross Blue Shield of TX — HMO POS: $1,737.30
  • Blue Cross Blue Shield of TX — Medicare Advantage: $1,196.20
  • Blue Cross Blue Shield of TX — PPO/Trad: $1,827.68
  • Entrust — Commercial: $2,033.54
  • Humana ChoiceCare — Medicare Advantage: $1,196.20
  • Imperial Insurance Company of TX — Medicare Adv.: $1,196.20
  • Scott and White Health Plan — Commercial: $1,196.20
  • Scott and White Health Plan — Medicare Advantage: $1,196.20
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 33 In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $3,350.60 $3,350.60 $974.09 – $2,033.54
Colonoscopy with biopsy: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $1,196.20
  • Blue Cross Blue Shield of TX — BAV QHP: $974.09
  • Blue Cross Blue Shield of TX — HMO POS: $1,737.30
  • Blue Cross Blue Shield of TX — Medicare Advantage: $1,196.20
  • Blue Cross Blue Shield of TX — PPO/Trad: $1,827.68
  • Entrust — Commercial: $2,033.54
  • Humana ChoiceCare — Medicare Advantage: $1,196.20
  • Imperial Insurance Company of TX — Medicare Adv.: $1,196.20
  • Scott and White Health Plan — Commercial: $1,196.20
  • Scott and White Health Plan — Medicare Advantage: $1,196.20
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 33_59 In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE $3,350.60 $3,350.60 $974.09 – $2,033.54
Colonoscopy with biopsy: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $1,196.20
  • Blue Cross Blue Shield of TX — BAV QHP: $974.09
  • Blue Cross Blue Shield of TX — HMO POS: $1,737.30
  • Blue Cross Blue Shield of TX — Medicare Advantage: $1,196.20
  • Blue Cross Blue Shield of TX — PPO/Trad: $1,827.68
  • Entrust — Commercial: $2,033.54
  • Humana ChoiceCare — Medicare Advantage: $1,196.20
  • Imperial Insurance Company of TX — Medicare Adv.: $1,196.20
  • Scott and White Health Plan — Commercial: $1,196.20
  • Scott and White Health Plan — Medicare Advantage: $1,196.20
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE $3,435 $3,435 $974.09 – $2,033.54
Colonoscopy with removal of polyps (snare): 10 of 20 insurance plan rates
  • Amerigroup — Medicare Advantage: $1,196.20
  • Blue Cross Blue Shield of TX — BAV QHP: $974.09
  • Blue Cross Blue Shield of TX — HMO POS: $1,737.30
  • Blue Cross Blue Shield of TX — Medicare Advantage: $1,196.20
  • Blue Cross Blue Shield of TX — PPO/Trad: $1,827.68
  • Entrust — Commercial: $2,033.54
  • Humana ChoiceCare — Medicare Advantage: $1,196.20
  • Imperial Insurance Company of TX — Medicare Adv.: $1,196.20
  • Scott and White Health Plan — Commercial: $1,196.20
  • Scott and White Health Plan — Medicare Advantage: $1,196.20
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL $3,606.80 $3,606.80 $974.09 – $2,033.54
Colonoscopy with removal of polyps (snare): 10 of 20 insurance plan rates
  • Amerigroup — Medicare Advantage: $1,196.20
  • Blue Cross Blue Shield of TX — BAV QHP: $974.09
  • Blue Cross Blue Shield of TX — HMO POS: $1,737.30
  • Blue Cross Blue Shield of TX — Medicare Advantage: $1,196.20
  • Blue Cross Blue Shield of TX — PPO/Trad: $1,827.68
  • Entrust — Commercial: $2,033.54
  • Humana ChoiceCare — Medicare Advantage: $1,196.20
  • Imperial Insurance Company of TX — Medicare Adv.: $1,196.20
  • Scott and White Health Plan — Commercial: $1,196.20
  • Scott and White Health Plan — Medicare Advantage: $1,196.20
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 33 In the file: REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE $3,435 $3,435 $974.09 – $2,033.54
Colonoscopy with removal of polyps (snare): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $1,196.20
  • Blue Cross Blue Shield of TX — BAV QHP: $974.09
  • Blue Cross Blue Shield of TX — HMO POS: $1,737.30
  • Blue Cross Blue Shield of TX — Medicare Advantage: $1,196.20
  • Blue Cross Blue Shield of TX — PPO/Trad: $1,827.68
  • Entrust — Commercial: $2,033.54
  • Humana ChoiceCare — Medicare Advantage: $1,196.20
  • Imperial Insurance Company of TX — Medicare Adv.: $1,196.20
  • Scott and White Health Plan — Commercial: $1,196.20
  • Scott and White Health Plan — Medicare Advantage: $1,196.20
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $2,825.90 $2,825.90 $740.96 – $1,580.35
Screening colonoscopy (not high risk): 10 of 20 insurance plan rates
  • Amerigroup — Medicare Advantage: $929.62
  • Blue Cross Blue Shield of TX — BAV QHP: $740.96
  • Blue Cross Blue Shield of TX — HMO POS: $1,321.51
  • Blue Cross Blue Shield of TX — Medicare Advantage: $929.62
  • Blue Cross Blue Shield of TX — PPO/Trad: $1,390.26
  • Entrust — Commercial: $1,580.35
  • Humana ChoiceCare — Medicare Advantage: $929.62
  • Imperial Insurance Company of TX — Medicare Adv.: $929.62
  • Scott and White Health Plan — Commercial: $929.62
  • Scott and White Health Plan — Medicare Advantage: $929.62
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $2,691.30 $2,691.30 $740.96 – $1,580.35
Screening colonoscopy (not high risk): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $929.62
  • Blue Cross Blue Shield of TX — BAV QHP: $740.96
  • Blue Cross Blue Shield of TX — HMO POS: $1,321.51
  • Blue Cross Blue Shield of TX — Medicare Advantage: $929.62
  • Blue Cross Blue Shield of TX — PPO/Trad: $1,390.26
  • Entrust — Commercial: $1,580.35
  • Humana ChoiceCare — Medicare Advantage: $929.62
  • Imperial Insurance Company of TX — Medicare Adv.: $929.62
  • Scott and White Health Plan — Commercial: $929.62
  • Scott and White Health Plan — Medicare Advantage: $929.62
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74_PO In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $2,825.90 $2,825.90 $740.96 – $1,580.35
Screening colonoscopy (not high risk): 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $929.62
  • Blue Cross Blue Shield of TX — BAV QHP: $740.96
  • Blue Cross Blue Shield of TX — HMO POS: $1,321.51
  • Blue Cross Blue Shield of TX — Medicare Advantage: $929.62
  • Blue Cross Blue Shield of TX — PPO/Trad: $1,390.26
  • Entrust — Commercial: $1,580.35
  • Humana ChoiceCare — Medicare Advantage: $929.62
  • Imperial Insurance Company of TX — Medicare Adv.: $929.62
  • Scott and White Health Plan — Commercial: $929.62
  • Scott and White Health Plan — Medicare Advantage: $929.62
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF GALLBLADDER USING AN ENDOSCOPE $6,267.26 $6,267.26 $4,688.70 – $10,273.64
Gallbladder removal by laparoscope: 10 of 20 insurance plan rates
  • Amerigroup — Medicare Advantage: $6,043.32
  • Blue Cross Blue Shield of TX — BAV QHP: $4,688.70
  • Blue Cross Blue Shield of TX — HMO POS: $8,362.32
  • Blue Cross Blue Shield of TX — Medicare Advantage: $6,043.32
  • Blue Cross Blue Shield of TX — PPO/Trad: $8,797.35
  • Entrust — Commercial: $10,273.64
  • Humana ChoiceCare — Medicare Advantage: $6,043.32
  • Imperial Insurance Company of TX — Medicare Adv.: $6,043.32
  • Scott and White Health Plan — Commercial: $6,043.32
  • Scott and White Health Plan — Medicare Advantage: $6,043.32
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PO In the file: REMOVAL OF GALLBLADDER USING AN ENDOSCOPE $6,263.19 $6,263.19 $4,688.70 – $10,273.64
Gallbladder removal by laparoscope: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $6,043.32
  • Blue Cross Blue Shield of TX — BAV QHP: $4,688.70
  • Blue Cross Blue Shield of TX — HMO POS: $8,362.32
  • Blue Cross Blue Shield of TX — Medicare Advantage: $6,043.32
  • Blue Cross Blue Shield of TX — PPO/Trad: $8,797.35
  • Entrust — Commercial: $10,273.64
  • Humana ChoiceCare — Medicare Advantage: $6,043.32
  • Imperial Insurance Company of TX — Medicare Adv.: $6,043.32
  • Scott and White Health Plan — Commercial: $6,043.32
  • Scott and White Health Plan — Medicare Advantage: $6,043.32
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) $4,741.05 $4,741.05 $3,016.06 – $6,084.47
Groin (inguinal) hernia repair, age 5 or older: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $3,579.10
  • Blue Cross Blue Shield of TX — BAV QHP: $3,016.06
  • Blue Cross Blue Shield of TX — HMO POS: $5,379.16
  • Blue Cross Blue Shield of TX — Medicare Advantage: $3,579.10
  • Blue Cross Blue Shield of TX — PPO/Trad: $5,659
  • Entrust — Commercial: $6,084.47
  • Humana ChoiceCare — Medicare Advantage: $3,579.10
  • Imperial Insurance Company of TX — Medicare Adv.: $3,579.10
  • Scott and White Health Plan — Commercial: $3,579.10
  • Scott and White Health Plan — Medicare Advantage: $3,579.10
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE GLAND $5,007.50 $5,007.50 $1,718.40 – $3,224.22
Prostate biopsy: 10 of 11 insurance plan rates
  • Blue Cross Blue Shield of TX — BAV QHP: $1,718.40
  • Blue Cross Blue Shield of TX — HMO POS: $3,064.78
  • Blue Cross Blue Shield of TX — PPO/Trad: $3,224.22
  • Aetna — Commercial: 35% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 26.8% (a percentage in the contract, not a dollar amount)
  • Firstcare Health Plans — Commercial: 40% (a percentage in the contract, not a dollar amount)
  • HealthSmart — ACCEL: 70% (a percentage in the contract, not a dollar amount)
  • HealthSmart — PPO: 85% (a percentage in the contract, not a dollar amount)
  • MultiPlan — Commercial: 75% (a percentage in the contract, not a dollar amount)
  • Prime Health — Commercial: 95% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: BIOPSY OF PROSTATE GLAND $5,012.30 $5,012.30 $1,718.40 – $3,224.22
Prostate biopsy: 10 of 12 insurance plan rates
  • Blue Cross Blue Shield of TX — BAV QHP: $1,718.40
  • Blue Cross Blue Shield of TX — HMO POS: $3,064.78
  • Blue Cross Blue Shield of TX — PPO/Trad: $3,224.22
  • United Healthcare — Commercial: $1,721
  • Aetna — Commercial: 35% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 26.8% (a percentage in the contract, not a dollar amount)
  • Firstcare Health Plans — Commercial: 40% (a percentage in the contract, not a dollar amount)
  • HealthSmart — ACCEL: 70% (a percentage in the contract, not a dollar amount)
  • HealthSmart — PPO: 85% (a percentage in the contract, not a dollar amount)
  • MultiPlan — Commercial: 75% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XS In the file: BIOPSY OF PROSTATE GLAND $2,994.90 $2,994.90 $1,718.40 – $3,224.22
Prostate biopsy: 10 of 12 insurance plan rates
  • Blue Cross Blue Shield of TX — BAV QHP: $1,718.40
  • Blue Cross Blue Shield of TX — HMO POS: $3,064.78
  • Blue Cross Blue Shield of TX — PPO/Trad: $3,224.22
  • United Healthcare — Commercial: $1,721
  • Aetna — Commercial: 35% (a percentage in the contract, not a dollar amount)
  • Aetna — Medicare Advantage: 26.8% (a percentage in the contract, not a dollar amount)
  • Firstcare Health Plans — Commercial: 40% (a percentage in the contract, not a dollar amount)
  • HealthSmart — ACCEL: 70% (a percentage in the contract, not a dollar amount)
  • HealthSmart — PPO: 85% (a percentage in the contract, not a dollar amount)
  • MultiPlan — Commercial: 75% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 $1,777 $1,777 $787.69 – $1,503.06
Nerve root injection, lower back, with imaging guidance: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $884.15
  • Blue Cross Blue Shield of TX — BAV QHP: $787.69
  • Blue Cross Blue Shield of TX — HMO POS: $1,404.85
  • Blue Cross Blue Shield of TX — Medicare Advantage: $884.15
  • Blue Cross Blue Shield of TX — PPO/Trad: $1,477.93
  • Entrust — Commercial: $1,503.06
  • Humana ChoiceCare — Medicare Advantage: $884.15
  • Imperial Insurance Company of TX — Medicare Adv.: $884.15
  • Scott and White Health Plan — Commercial: $884.15
  • Scott and White Health Plan — Medicare Advantage: $884.15
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50_PO In the file: RELEASE AND/OR RELOCATION OF HAND NERVE $4,508.69 $4,508.69 $1,667.77 – $3,939
Carpal tunnel release: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $1,952.01
  • Blue Cross Blue Shield of TX — BAV QHP: $1,667.77
  • Blue Cross Blue Shield of TX — HMO POS: $2,974.48
  • Blue Cross Blue Shield of TX — Medicare Advantage: $1,952.01
  • Blue Cross Blue Shield of TX — PPO/Trad: $3,129.22
  • Entrust — Commercial: $3,318.42
  • Humana ChoiceCare — Medicare Advantage: $1,952.01
  • Imperial Insurance Company of TX — Medicare Adv.: $1,952.01
  • Scott and White Health Plan — Commercial: $1,952.01
  • Scott and White Health Plan — Medicare Advantage: $1,952.01
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT_XS In the file: RELEASE AND/OR RELOCATION OF HAND NERVE $1,822.50 $1,822.50 $1,667.77 – $3,939
Carpal tunnel release: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $1,952.01
  • Blue Cross Blue Shield of TX — BAV QHP: $1,667.77
  • Blue Cross Blue Shield of TX — HMO POS: $2,974.48
  • Blue Cross Blue Shield of TX — Medicare Advantage: $1,952.01
  • Blue Cross Blue Shield of TX — PPO/Trad: $3,129.22
  • Entrust — Commercial: $3,318.42
  • Humana ChoiceCare — Medicare Advantage: $1,952.01
  • Imperial Insurance Company of TX — Medicare Adv.: $1,952.01
  • Scott and White Health Plan — Commercial: $1,952.01
  • Scott and White Health Plan — Medicare Advantage: $1,952.01
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: RELEASE AND/OR RELOCATION OF HAND NERVE $5,546.08 $5,546.08 $1,667.77 – $3,939
Carpal tunnel release: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $1,952.01
  • Blue Cross Blue Shield of TX — BAV QHP: $1,667.77
  • Blue Cross Blue Shield of TX — HMO POS: $2,974.48
  • Blue Cross Blue Shield of TX — Medicare Advantage: $1,952.01
  • Blue Cross Blue Shield of TX — PPO/Trad: $3,129.22
  • Entrust — Commercial: $3,318.42
  • Humana ChoiceCare — Medicare Advantage: $1,952.01
  • Imperial Insurance Company of TX — Medicare Adv.: $1,952.01
  • Scott and White Health Plan — Commercial: $1,952.01
  • Scott and White Health Plan — Medicare Advantage: $1,952.01
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS $5,529.66 $5,529.66 $1,961.20 – $3,939
Cataract removal with lens implant: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $2,306.98
  • Blue Cross Blue Shield of TX — BAV QHP: $1,961.20
  • Blue Cross Blue Shield of TX — HMO POS: $3,497.82
  • Blue Cross Blue Shield of TX — Medicare Advantage: $2,306.98
  • Blue Cross Blue Shield of TX — PPO/Trad: $3,679.79
  • Entrust — Commercial: $3,921.87
  • Humana ChoiceCare — Medicare Advantage: $2,306.98
  • Imperial Insurance Company of TX — Medicare Adv.: $2,306.98
  • Scott and White Health Plan — Commercial: $2,306.98
  • Scott and White Health Plan — Medicare Advantage: $2,306.98
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS $5,612.47 $5,612.47 $1,961.20 – $3,939
Cataract removal with lens implant: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $2,306.98
  • Blue Cross Blue Shield of TX — BAV QHP: $1,961.20
  • Blue Cross Blue Shield of TX — HMO POS: $3,497.82
  • Blue Cross Blue Shield of TX — Medicare Advantage: $2,306.98
  • Blue Cross Blue Shield of TX — PPO/Trad: $3,679.79
  • Entrust — Commercial: $3,921.87
  • Humana ChoiceCare — Medicare Advantage: $2,306.98
  • Imperial Insurance Company of TX — Medicare Adv.: $2,306.98
  • Scott and White Health Plan — Commercial: $2,306.98
  • Scott and White Health Plan — Medicare Advantage: $2,306.98
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT_PO In the file: REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS $15,768.06 $15,768.06 $1,961.20 – $3,939
Cataract removal with lens implant: 10 of 21 insurance plan rates
  • Amerigroup — Medicare Advantage: $2,306.98
  • Blue Cross Blue Shield of TX — BAV QHP: $1,961.20
  • Blue Cross Blue Shield of TX — HMO POS: $3,497.82
  • Blue Cross Blue Shield of TX — Medicare Advantage: $2,306.98
  • Blue Cross Blue Shield of TX — PPO/Trad: $3,679.79
  • Entrust — Commercial: $3,921.87
  • Humana ChoiceCare — Medicare Advantage: $2,306.98
  • Imperial Insurance Company of TX — Medicare Adv.: $2,306.98
  • Scott and White Health Plan — Commercial: $2,306.98
  • Scott and White Health Plan — Medicare Advantage: $2,306.98

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 $2,000 – $118,173.85
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 17 insurance plan rates
  • Aetna — Medicare Advantage: $71,599.45
  • Amerigroup — Medicare Advantage: $69,514.03
  • Blue Cross Blue Shield of TX — BAV QHP: $58,769.30
  • Blue Cross Blue Shield of TX — HMO POS: $97,232.45
  • Blue Cross Blue Shield of TX — Medicare Advantage: $69,514.03
  • Blue Cross Blue Shield of TX — PPO/Trad: $102,310.51
  • Entrust — Commercial: $118,173.85
  • Firstcare Health Plans — Commercial: $97,319.64
  • Humana ChoiceCare — Medicare Advantage: $69,514.03
  • Imperial Insurance Company of TX — Medicare Adv.: $69,514.03
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 COMORBITY Not listed in the file Not listed in the file $2,000 – $23,300.64
Hip or knee replacement (major joint of the leg), without major complications: 10 of 17 insurance plan rates
  • Aetna — Medicare Advantage: $14,117.45
  • Amerigroup — Medicare Advantage: $13,706.26
  • Blue Cross Blue Shield of TX — BAV QHP: $11,127.58
  • Blue Cross Blue Shield of TX — HMO POS: $14,181.39
  • Blue Cross Blue Shield of TX — Medicare Advantage: $13,706.26
  • Blue Cross Blue Shield of TX — PPO/Trad: $14,917.36
  • Entrust — Commercial: $23,300.64
  • Firstcare Health Plans — Commercial: $19,188.76
  • Humana ChoiceCare — Medicare Advantage: $13,706.26
  • Imperial Insurance Company of TX — Medicare Adv.: $13,706.26
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 $2,000 – $29,490.32
Neck (cervical) spinal fusion, without complications: 10 of 17 insurance plan rates
  • Aetna — Medicare Advantage: $17,867.67
  • Amerigroup — Medicare Advantage: $17,347.25
  • Blue Cross Blue Shield of TX — BAV QHP: $14,864.08
  • Blue Cross Blue Shield of TX — HMO POS: $18,943.32
  • Blue Cross Blue Shield of TX — Medicare Advantage: $17,347.25
  • Blue Cross Blue Shield of TX — PPO/Trad: $19,931.15
  • Entrust — Commercial: $29,490.32
  • Firstcare Health Plans — Commercial: $24,286.15
  • Humana ChoiceCare — Medicare Advantage: $17,347.25
  • Imperial Insurance Company of TX — Medicare Adv.: $17,347.25
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY Not listed in the file Not listed in the file $2,000 – $14,987.35
Uterus and ovary surgery (not for cancer), without complications: 10 of 17 insurance plan rates
  • Aetna — Medicare Advantage: $9,080.57
  • Amerigroup — Medicare Advantage: $8,816.09
  • Blue Cross Blue Shield of TX — BAV QHP: $6,630.32
  • Blue Cross Blue Shield of TX — HMO POS: $8,449.91
  • Blue Cross Blue Shield of TX — Medicare Advantage: $8,816.09
  • Blue Cross Blue Shield of TX — PPO/Trad: $8,892.48
  • Entrust — Commercial: $14,987.35
  • Firstcare Health Plans — Commercial: $12,342.53
  • Humana ChoiceCare — Medicare Advantage: $8,816.09
  • Imperial Insurance Company of TX — Medicare Adv.: $8,816.09

Source: Lubbock Heart Hospital LP’s standard charges file (apim.services.craneware.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 18, 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
Address4810 North Loop 289, Lubbock, TX 79416
CountyLubbock County
StateTexas
Phone(806) 687‑7777
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall rating2 of 5 stars
CMS Certification Number450876
Name in Medicare recordsLUBBOCK HEART HOSPITAL LP
Profile levelMedicare data + hospital website
Name on the hospital’s websiteLubbock Heart & Surgical Hospital
Official websitelubbockheart.com
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. Lubbock Heart & Surgical Hospital — lubbockheart.com
  2. Services - Lubbock Heart Hospital — lubbockheart.com
  3. Emergency Services - Lubbock Heart Hospital — lubbockheart.com
  4. Cardiovascular Services - Lubbock Heart Hospital — lubbockheart.com
  5. Orthopedic Services - Lubbock Heart Hospital — lubbockheart.com
  6. Imaging, Diagnostic and Respiratory Care Services - Lubbock Heart Hospital — lubbockheart.com
  7. Urology Services - Lubbock Heart Hospital — lubbockheart.com
  8. Bariatric Services - Lubbock Heart Hospital — lubbockheart.com
  9. Gastroenterology Services - Lubbock Heart Hospital — lubbockheart.com
  10. Location - Lubbock Heart Hospital — lubbockheart.com