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Acute Care Hospital

Medical Center Hospital

Odessa, Texas · Ector County · Emergency services listed

Summary

Medical Center Hospital is an acute care hospital in Odessa, Texas. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 11 services, specialties and programs. Medicare lists 427 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
11Services listed

Quick answers

Does Medical Center Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Medical Center Hospital. In a medical emergency, call 911.
Where is Medical Center Hospital?
500 W 4th Street, Odessa, TX 79761, in Ector County, Texas.
What is the phone number of Medical Center Hospital?
(432) 640-4000, as listed by Medicare (CMS).
What is the Medicare star rating of Medical Center Hospital?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][6]

Conditions treated[6]

Programs and centers[4][6]

  • Abdul Kadir, MD Stroke Center of Excellence
  • ACC HeartCARE Center

Emergency care (hospital website)[4]

Trauma designationLevel II

Visiting and practical information

Patient portalGet Care Now

Recognition[4][5]

  • Level II Trauma Center
  • BCBSTX Blue Distinction Center: Cardiac Care
  • BCBSTX Blue Distinction Center: Knee and Hip Replacement
  • BCBSTX Blue Distinction Center: Maternity Care
  • Get With The Guidelines-Heart Failure Gold Plus (2022)
  • Get With The Guidelines-Stroke Gold Plus (2022)
  • ACOG Maternal Care Level 3 Verified

Doctors and clinicians (427)

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

Main specialties

Doctors with a page on this site (427)

And 403 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 Medical Center Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well2 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 1069%National average: 72%
Would definitely recommend the hospital70%National average: 71%
Nurses “always” communicated well77%National average: 80%
Doctors “always” communicated well75%National average: 80%
Staff “always” explained medicines before giving them60%National average: 62%
Were given information about recovery at home83%National average: 86%
Room and bathroom “always” clean66%National average: 74%
Area around the room “always” quiet at night63%National average: 60%
Completed surveys2,131Response rate: 22%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)0.991No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.367Better than the national benchmark
Surgical site infections after colon surgery0.786No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.711No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.279Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients11.6%
Deaths within 30 days: heart failure patients10.9%
Deaths within 30 days: pneumonia patients17.8%
Deaths within 30 days: COPD patients9.3%
Deaths within 30 days: stroke patients16.8%
Deaths within 30 days: coronary bypass surgery (CABG)2%
Serious complications (patient safety indicator PSI-90)1.28No 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 attack13.9%
Readmitted within 30 days: heart failure20.5%
Readmitted within 30 days: pneumonia16.9%
Readmitted within 30 days: COPD19%
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)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)150 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)64%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

Prices

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

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diabetes Office Visit Level 3 New - 99203 $229 $229 $29.76 – $160.30
New patient office visit (about 30–44 minutes): 10 of 18 insurance plan rates
  • Aetna — Aetna: $144.96
  • Aetna — Aetna International: $151.14
  • Aetna — Aetna Savings Plus: $80.15
  • Caprock — Caprock: $109.92
  • Caprock — Caprock Pref Facility: $91.60
  • CorVel WC — CorVel WC: $29.76
  • FirstCare — FirstCare: $160.30
  • HealthSmart Preferred Care — HealthSmart PPO: $137.40
  • HealthSmart Preferred Care — HealthSmart/Accel: $91.60
  • State Comptroller — DARS: $114.50
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit Level 3 New - 99203 $299 $299 $45.21 – $299
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates
  • Aetna — Aetna: $189.27
  • Aetna — Aetna International: $197.34
  • Aetna — Aetna Savings Plus: $104.65
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $115.45
  • Blue Cross and Blue Shield — BCBS-HMO: $165.03
  • Blue Cross and Blue Shield — BCBS-PPO: $190.60
  • Blue Cross and Blue Shield — BCBS-Traditional: $190.60
  • Caprock — Caprock: $143.52
  • Caprock — Caprock Pref Facility: $119.60
  • Cigna — Cigna: $151.29
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit Level 3 New - 99203 (Tech Only) $299 $299 $45.21 – $299
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates
  • Aetna — Aetna: $189.27
  • Aetna — Aetna International: $197.34
  • Aetna — Aetna Savings Plus: $104.65
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $115.45
  • Blue Cross and Blue Shield — BCBS-HMO: $165.03
  • Blue Cross and Blue Shield — BCBS-PPO: $190.60
  • Blue Cross and Blue Shield — BCBS-Traditional: $190.60
  • Caprock — Caprock: $143.52
  • Caprock — Caprock Pref Facility: $119.60
  • Cigna — Cigna: $151.29
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit Level 4 New - 99204 $385 $385 $58.21 – $385
New patient office visit (about 45–59 minutes): 10 of 17 insurance plan rates
  • Aetna — Aetna: $243.70
  • Aetna — Aetna International: $254.10
  • Aetna — Aetna Savings Plus: $134.75
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $195.46
  • Blue Cross and Blue Shield — BCBS-HMO: $279.41
  • Blue Cross and Blue Shield — BCBS-PPO: $322.70
  • Blue Cross and Blue Shield — BCBS-Traditional: $322.70
  • Caprock — Caprock: $184.80
  • Caprock — Caprock Pref Facility: $154
  • Cigna — Cigna: $194.81
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit Level 4 New - 99204 (Tech Only) $385 $385 $58.21 – $385
New patient office visit (about 45–59 minutes): 10 of 17 insurance plan rates
  • Aetna — Aetna: $243.70
  • Aetna — Aetna International: $254.10
  • Aetna — Aetna Savings Plus: $134.75
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $195.46
  • Blue Cross and Blue Shield — BCBS-HMO: $279.41
  • Blue Cross and Blue Shield — BCBS-PPO: $322.70
  • Blue Cross and Blue Shield — BCBS-Traditional: $322.70
  • Caprock — Caprock: $184.80
  • Caprock — Caprock Pref Facility: $154
  • Cigna — Cigna: $194.81
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FHC Office Visit Level 4 New - 99204 $385 $385 $58.21 – $385
New patient office visit (about 45–59 minutes): 10 of 17 insurance plan rates
  • Aetna — Aetna: $243.70
  • Aetna — Aetna International: $254.10
  • Aetna — Aetna Savings Plus: $134.75
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $195.46
  • Blue Cross and Blue Shield — BCBS-HMO: $279.41
  • Blue Cross and Blue Shield — BCBS-PPO: $322.70
  • Blue Cross and Blue Shield — BCBS-Traditional: $322.70
  • Caprock — Caprock: $184.80
  • Caprock — Caprock Pref Facility: $154
  • Cigna — Cigna: $194.81
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit Level 5 New - 99205 $491 $491 $74.24 – $491
New patient office visit (about 60–74 minutes): 10 of 17 insurance plan rates
  • Aetna — Aetna: $310.80
  • Aetna — Aetna International: $324.06
  • Aetna — Aetna Savings Plus: $171.85
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $255.07
  • Blue Cross and Blue Shield — BCBS-HMO: $364.63
  • Blue Cross and Blue Shield — BCBS-PPO: $421.13
  • Blue Cross and Blue Shield — BCBS-Traditional: $421.13
  • Caprock — Caprock: $235.68
  • Caprock — Caprock Pref Facility: $196.40
  • Cigna — Cigna: $248.45
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit Level 5 New - 99205 (Tech Only) $491 $491 $74.24 – $491
New patient office visit (about 60–74 minutes): 10 of 17 insurance plan rates
  • Aetna — Aetna: $310.80
  • Aetna — Aetna International: $324.06
  • Aetna — Aetna Savings Plus: $171.85
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $255.07
  • Blue Cross and Blue Shield — BCBS-HMO: $364.63
  • Blue Cross and Blue Shield — BCBS-PPO: $421.13
  • Blue Cross and Blue Shield — BCBS-Traditional: $421.13
  • Caprock — Caprock: $235.68
  • Caprock — Caprock Pref Facility: $196.40
  • Cigna — Cigna: $248.45
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FHC Office Visit Level 5 New - 99205 $491 $491 $74.24 – $491
New patient office visit (about 60–74 minutes): 10 of 17 insurance plan rates
  • Aetna — Aetna: $310.80
  • Aetna — Aetna International: $324.06
  • Aetna — Aetna Savings Plus: $171.85
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $255.07
  • Blue Cross and Blue Shield — BCBS-HMO: $364.63
  • Blue Cross and Blue Shield — BCBS-PPO: $421.13
  • Blue Cross and Blue Shield — BCBS-Traditional: $421.13
  • Caprock — Caprock: $235.68
  • Caprock — Caprock Pref Facility: $196.40
  • Cigna — Cigna: $248.45
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99213-E/M Level 3 $249 $249 $32.36 – $174.30
Established patient office visit (about 20–29 minutes): 10 of 18 insurance plan rates
  • Aetna — Aetna: $157.62
  • Aetna — Aetna International: $164.34
  • Aetna — Aetna Savings Plus: $87.15
  • Caprock — Caprock: $119.52
  • Caprock — Caprock Pref Facility: $99.60
  • CorVel WC — CorVel WC: $32.36
  • FirstCare — FirstCare: $174.30
  • HealthSmart Preferred Care — HealthSmart PPO: $149.40
  • HealthSmart Preferred Care — HealthSmart/Accel: $99.60
  • State Comptroller — DARS: $124.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: *Wound Visit Levels - EST PT Wound Visit Level 3 1 $249 $249 $32.36 – $174.30
Established patient office visit (about 20–29 minutes): 10 of 18 insurance plan rates
  • Aetna — Aetna: $157.62
  • Aetna — Aetna International: $164.34
  • Aetna — Aetna Savings Plus: $87.15
  • Caprock — Caprock: $119.52
  • Caprock — Caprock Pref Facility: $99.60
  • CorVel WC — CorVel WC: $32.36
  • FirstCare — FirstCare: $174.30
  • HealthSmart Preferred Care — HealthSmart PPO: $149.40
  • HealthSmart Preferred Care — HealthSmart/Accel: $99.60
  • State Comptroller — DARS: $124.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INF IV Thpy Vst Lvl - EST PT IV THPY VST LVL 3 $249 $249 $32.36 – $174.30
Established patient office visit (about 20–29 minutes): 10 of 18 insurance plan rates
  • Aetna — Aetna: $157.62
  • Aetna — Aetna International: $164.34
  • Aetna — Aetna Savings Plus: $87.15
  • Caprock — Caprock: $119.52
  • Caprock — Caprock Pref Facility: $99.60
  • CorVel WC — CorVel WC: $32.36
  • FirstCare — FirstCare: $174.30
  • HealthSmart Preferred Care — HealthSmart PPO: $149.40
  • HealthSmart Preferred Care — HealthSmart/Accel: $99.60
  • State Comptroller — DARS: $124.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99214-E/M Level 4 $309 $309 $40.16 – $216.30
Established patient office visit (about 30–39 minutes): 10 of 18 insurance plan rates
  • Aetna — Aetna: $195.60
  • Aetna — Aetna International: $203.94
  • Aetna — Aetna Savings Plus: $108.15
  • Caprock — Caprock: $148.32
  • Caprock — Caprock Pref Facility: $123.60
  • CorVel WC — CorVel WC: $40.16
  • FirstCare — FirstCare: $216.30
  • HealthSmart Preferred Care — HealthSmart PPO: $185.40
  • HealthSmart Preferred Care — HealthSmart/Accel: $123.60
  • State Comptroller — DARS: $154.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: *Wound Visit Levels - EST PT Wound Visit Level 4 2 $309 $309 $40.16 – $216.30
Established patient office visit (about 30–39 minutes): 10 of 18 insurance plan rates
  • Aetna — Aetna: $195.60
  • Aetna — Aetna International: $203.94
  • Aetna — Aetna Savings Plus: $108.15
  • Caprock — Caprock: $148.32
  • Caprock — Caprock Pref Facility: $123.60
  • CorVel WC — CorVel WC: $40.16
  • FirstCare — FirstCare: $216.30
  • HealthSmart Preferred Care — HealthSmart PPO: $185.40
  • HealthSmart Preferred Care — HealthSmart/Accel: $123.60
  • State Comptroller — DARS: $154.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INF IV Thpy Vst Lvl - EST PT IV THPY VST LVL 4 $309 $309 $40.16 – $216.30
Established patient office visit (about 30–39 minutes): 10 of 18 insurance plan rates
  • Aetna — Aetna: $195.60
  • Aetna — Aetna International: $203.94
  • Aetna — Aetna Savings Plus: $108.15
  • Caprock — Caprock: $148.32
  • Caprock — Caprock Pref Facility: $123.60
  • CorVel WC — CorVel WC: $40.16
  • FirstCare — FirstCare: $216.30
  • HealthSmart Preferred Care — HealthSmart PPO: $185.40
  • HealthSmart Preferred Care — HealthSmart/Accel: $123.60
  • State Comptroller — DARS: $154.50
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99283 - Level 3 $976 $976 $48.79 – $860
Emergency room visit (moderate): 10 of 33 insurance plan rates
  • Aetna — Aetna: $617.81
  • Aetna — Aetna International: $644.16
  • Aetna — Aetna Savings Plus: $341.60
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $269.83
  • Aetna QHP — Aetna QHP: $575.86
  • Ambetter from Superior — Ambetter from Superior: $283.32
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $346.18
  • Blue Cross and Blue Shield — BCBS-HMO: $518.15
  • Blue Cross and Blue Shield — BCBS-PPO: $580.68
  • Blue Cross and Blue Shield — BCBS-Traditional: $580.68
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Triage Level - Charge - Level 3 $249 $249 $48.79 – $860
Emergency room visit (moderate): 10 of 33 insurance plan rates
  • Aetna — Aetna: $157.62
  • Aetna — Aetna International: $164.34
  • Aetna — Aetna Savings Plus: $87.15
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $269.83
  • Aetna QHP — Aetna QHP: $575.86
  • Ambetter from Superior — Ambetter from Superior: $283.32
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $249
  • Blue Cross and Blue Shield — BCBS-HMO: $249
  • Blue Cross and Blue Shield — BCBS-PPO: $249
  • Blue Cross and Blue Shield — BCBS-Traditional: $249
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED Sane Examiner Fees - 99283 - ED SANE Visit Leve $233 $233 $48.79 – $860
Emergency room visit (moderate): 10 of 33 insurance plan rates
  • Aetna — Aetna: $147.49
  • Aetna — Aetna International: $153.78
  • Aetna — Aetna Savings Plus: $81.55
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $269.83
  • Aetna QHP — Aetna QHP: $575.86
  • Ambetter from Superior — Ambetter from Superior: $283.32
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $233
  • Blue Cross and Blue Shield — BCBS-HMO: $233
  • Blue Cross and Blue Shield — BCBS-PPO: $233
  • Blue Cross and Blue Shield — BCBS-Traditional: $233
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99284 - Level 4 $1,503 $1,503 $195.33 – $1,285
Emergency room visit (moderately high): 10 of 33 insurance plan rates
  • Aetna — Aetna: $951.40
  • Aetna — Aetna International: $991.98
  • Aetna — Aetna Savings Plus: $526.05
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $412.45
  • Aetna QHP — Aetna QHP: $880.24
  • Ambetter from Superior — Ambetter from Superior: $433.07
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $545.27
  • Blue Cross and Blue Shield — BCBS-HMO: $816.15
  • Blue Cross and Blue Shield — BCBS-PPO: $914.65
  • Blue Cross and Blue Shield — BCBS-Traditional: $914.65
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Triage Level - Charge - Level 4 $309 $309 $40.16 – $1,285
Emergency room visit (moderately high): 10 of 33 insurance plan rates
  • Aetna — Aetna: $195.60
  • Aetna — Aetna International: $203.94
  • Aetna — Aetna Savings Plus: $108.15
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $412.45
  • Aetna QHP — Aetna QHP: $880.24
  • Ambetter from Superior — Ambetter from Superior: $433.07
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $309
  • Blue Cross and Blue Shield — BCBS-HMO: $309
  • Blue Cross and Blue Shield — BCBS-PPO: $309
  • Blue Cross and Blue Shield — BCBS-Traditional: $309
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: L&D LEVEL 4 $309 $309 $40.16 – $1,285
Emergency room visit (moderately high): 10 of 33 insurance plan rates
  • Aetna — Aetna: $195.60
  • Aetna — Aetna International: $203.94
  • Aetna — Aetna Savings Plus: $108.15
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $412.45
  • Aetna QHP — Aetna QHP: $880.24
  • Ambetter from Superior — Ambetter from Superior: $433.07
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $309
  • Blue Cross and Blue Shield — BCBS-HMO: $309
  • Blue Cross and Blue Shield — BCBS-PPO: $309
  • Blue Cross and Blue Shield — BCBS-Traditional: $309
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SANE Fee Description - Sexual Assault Exam without $2,272 $2,272 $295.27 – $1,590.40
Emergency room visit (high): 10 of 33 insurance plan rates
  • Aetna — Aetna: $1,438.18
  • Aetna — Aetna International: $1,499.52
  • Aetna — Aetna Savings Plus: $795.20
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $588.67
  • Aetna QHP — Aetna QHP: $1,256.30
  • Ambetter from Superior — Ambetter from Superior: $618.10
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $781.99
  • Blue Cross and Blue Shield — BCBS-HMO: $1,170.46
  • Blue Cross and Blue Shield — BCBS-PPO: $1,311.73
  • Blue Cross and Blue Shield — BCBS-Traditional: $1,311.73
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99285 - Level 5 $2,272 $2,272 $295.27 – $1,590.40
Emergency room visit (high): 10 of 33 insurance plan rates
  • Aetna — Aetna: $1,438.18
  • Aetna — Aetna International: $1,499.52
  • Aetna — Aetna Savings Plus: $795.20
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $588.67
  • Aetna QHP — Aetna QHP: $1,256.30
  • Ambetter from Superior — Ambetter from Superior: $618.10
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $781.99
  • Blue Cross and Blue Shield — BCBS-HMO: $1,170.46
  • Blue Cross and Blue Shield — BCBS-PPO: $1,311.73
  • Blue Cross and Blue Shield — BCBS-Traditional: $1,311.73
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Triage Level - Charge - Level 5 $414 $414 $53.81 – $1,285
Emergency room visit (high): 10 of 33 insurance plan rates
  • Aetna — Aetna: $262.06
  • Aetna — Aetna International: $273.24
  • Aetna — Aetna Savings Plus: $144.90
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $588.67
  • Aetna QHP — Aetna QHP: $1,256.30
  • Ambetter from Superior — Ambetter from Superior: $618.10
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $414
  • Blue Cross and Blue Shield — BCBS-HMO: $414
  • Blue Cross and Blue Shield — BCBS-PPO: $414
  • Blue Cross and Blue Shield — BCBS-Traditional: $414

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic Metabolic Panel $247 $247 $8.29 – $172.90
Basic metabolic panel (blood test): 10 of 33 insurance plan rates
  • Aetna — Aetna: $156.35
  • Aetna — Aetna International: $163.02
  • Aetna — Aetna Savings Plus: $86.45
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $8.29
  • Aetna QHP — Aetna QHP: $17.77
  • Ambetter from Superior — Ambetter from Superior: $8.70
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $19.29
  • Blue Cross and Blue Shield — BCBS-HMO: $28.93
  • Blue Cross and Blue Shield — BCBS-PPO: $32.15
  • Blue Cross and Blue Shield — BCBS-Traditional: $32.15
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Basic Metabolic Panel $247 $247 $86.45 – $163.02
Basic metabolic panel (blood test): rates for 5 insurance plans
  • Aetna — Aetna: $156.35
  • Aetna — Aetna International: $163.02
  • Aetna — Aetna Savings Plus: $86.45
  • State Comptroller — DARS: $123.50
  • Texas Mutual WC — Texas Mutual WC: $163.02
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Basic Metabolic Panel $247 $247 $156.35 – $163.02
Basic metabolic panel (blood test): rates for 2 insurance plans
  • Aetna — Aetna: $156.35
  • Texas Mutual WC — Texas Mutual WC: $163.02
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CMP $398 $398 $10.35 – $278.60
Comprehensive metabolic panel (blood test): 10 of 33 insurance plan rates
  • Aetna — Aetna: $251.93
  • Aetna — Aetna International: $262.68
  • Aetna — Aetna Savings Plus: $139.30
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $10.35
  • Aetna QHP — Aetna QHP: $22.18
  • Ambetter from Superior — Ambetter from Superior: $10.87
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $24.08
  • Blue Cross and Blue Shield — BCBS-HMO: $36.12
  • Blue Cross and Blue Shield — BCBS-PPO: $40.13
  • Blue Cross and Blue Shield — BCBS-Traditional: $40.13
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CMP $398 $398 $139.30 – $262.68
Comprehensive metabolic panel (blood test): rates for 5 insurance plans
  • Aetna — Aetna: $251.93
  • Aetna — Aetna International: $262.68
  • Aetna — Aetna Savings Plus: $139.30
  • State Comptroller — DARS: $199
  • Texas Mutual WC — Texas Mutual WC: $262.68
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CMP $398 $398 $251.93 – $262.68
Comprehensive metabolic panel (blood test): rates for 2 insurance plans
  • Aetna — Aetna: $251.93
  • Texas Mutual WC — Texas Mutual WC: $262.68
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Panel (Chol, Trig, HDL, LDL) $271 $271 $7.28 – $189.70
Cholesterol panel (lipid panel): 10 of 33 insurance plan rates
  • Aetna — Aetna: $171.54
  • Aetna — Aetna International: $178.86
  • Aetna — Aetna Savings Plus: $94.85
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $13.12
  • Aetna QHP — Aetna QHP: $28.12
  • Ambetter from Superior — Ambetter from Superior: $13.78
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $30.53
  • Blue Cross and Blue Shield — BCBS-HMO: $45.79
  • Blue Cross and Blue Shield — BCBS-PPO: $50.88
  • Blue Cross and Blue Shield — BCBS-Traditional: $50.88
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .Lipid Panel-ARUP $271 $271 $7.28 – $189.70
Cholesterol panel (lipid panel): 10 of 33 insurance plan rates
  • Aetna — Aetna: $171.54
  • Aetna — Aetna International: $178.86
  • Aetna — Aetna Savings Plus: $94.85
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $13.12
  • Aetna QHP — Aetna QHP: $28.12
  • Ambetter from Superior — Ambetter from Superior: $13.78
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $30.53
  • Blue Cross and Blue Shield — BCBS-HMO: $45.79
  • Blue Cross and Blue Shield — BCBS-PPO: $50.88
  • Blue Cross and Blue Shield — BCBS-Traditional: $50.88
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .Lipid Panel, Extended-ARUP $271 $271 $7.28 – $189.70
Cholesterol panel (lipid panel): 10 of 33 insurance plan rates
  • Aetna — Aetna: $171.54
  • Aetna — Aetna International: $178.86
  • Aetna — Aetna Savings Plus: $94.85
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $13.12
  • Aetna QHP — Aetna QHP: $28.12
  • Ambetter from Superior — Ambetter from Superior: $13.78
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $30.53
  • Blue Cross and Blue Shield — BCBS-HMO: $45.79
  • Blue Cross and Blue Shield — BCBS-PPO: $50.88
  • Blue Cross and Blue Shield — BCBS-Traditional: $50.88
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal Pnl $237 $237 $8.51 – $165.90
Kidney function panel: 10 of 33 insurance plan rates
  • Aetna — Aetna: $150.02
  • Aetna — Aetna International: $156.42
  • Aetna — Aetna Savings Plus: $82.95
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $8.51
  • Aetna QHP — Aetna QHP: $18.23
  • Ambetter from Superior — Ambetter from Superior: $8.94
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $19.79
  • Blue Cross and Blue Shield — BCBS-HMO: $29.69
  • Blue Cross and Blue Shield — BCBS-PPO: $32.98
  • Blue Cross and Blue Shield — BCBS-Traditional: $32.98
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Renal Pnl $237 $237 $82.95 – $156.42
Kidney function panel: rates for 5 insurance plans
  • Aetna — Aetna: $150.02
  • Aetna — Aetna International: $156.42
  • Aetna — Aetna Savings Plus: $82.95
  • State Comptroller — DARS: $118.50
  • Texas Mutual WC — Texas Mutual WC: $156.42
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Renal Pnl $237 $237 $150.02 – $156.42
Kidney function panel: rates for 2 insurance plans
  • Aetna — Aetna: $150.02
  • Texas Mutual WC — Texas Mutual WC: $156.42
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic Pnl $303 $303 $8.01 – $212.10
Liver function panel: 10 of 33 insurance plan rates
  • Aetna — Aetna: $191.80
  • Aetna — Aetna International: $199.98
  • Aetna — Aetna Savings Plus: $106.05
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $8.01
  • Aetna QHP — Aetna QHP: $17.16
  • Ambetter from Superior — Ambetter from Superior: $8.41
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $18.63
  • Blue Cross and Blue Shield — BCBS-HMO: $27.94
  • Blue Cross and Blue Shield — BCBS-PPO: $31.05
  • Blue Cross and Blue Shield — BCBS-Traditional: $31.05
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Hepatic Pnl $303 $303 $106.05 – $199.98
Liver function panel: rates for 5 insurance plans
  • Aetna — Aetna: $191.80
  • Aetna — Aetna International: $199.98
  • Aetna — Aetna Savings Plus: $106.05
  • State Comptroller — DARS: $151.50
  • Texas Mutual WC — Texas Mutual WC: $199.98
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Hepatic Pnl $303 $303 $191.80 – $199.98
Liver function panel: rates for 2 insurance plans
  • Aetna — Aetna: $191.80
  • Texas Mutual WC — Texas Mutual WC: $199.98
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis with Microscopic $108 $108 $2.53 – $75.60
Urine test (automated, with microscope): 10 of 33 insurance plan rates
  • Aetna — Aetna: $68.36
  • Aetna — Aetna International: $71.28
  • Aetna — Aetna Savings Plus: $37.80
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $3.11
  • Aetna QHP — Aetna QHP: $6.66
  • Ambetter from Superior — Ambetter from Superior: $3.27
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $7.23
  • Blue Cross and Blue Shield — BCBS-HMO: $10.84
  • Blue Cross and Blue Shield — BCBS-PPO: $12.05
  • Blue Cross and Blue Shield — BCBS-Traditional: $12.05
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urinalysis with Microscopic $108 $108 $37.80 – $71.28
Urine test (automated, with microscope): rates for 5 insurance plans
  • Aetna — Aetna: $68.36
  • Aetna — Aetna International: $71.28
  • Aetna — Aetna Savings Plus: $37.80
  • State Comptroller — DARS: $54
  • Texas Mutual WC — Texas Mutual WC: $71.28
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Urinalysis with Microscopic $108 $108 $68.36 – $71.28
Urine test (automated, with microscope): rates for 2 insurance plans
  • Aetna — Aetna: $68.36
  • Texas Mutual WC — Texas Mutual WC: $71.28
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .Fasting Glucose Ur $36 $36 $2.77 – $25.20
Urine test (manual, without microscope): 10 of 33 insurance plan rates
  • Aetna — Aetna: $22.79
  • Aetna — Aetna International: $23.76
  • Aetna — Aetna Savings Plus: $12.60
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $3.41
  • Aetna QHP — Aetna QHP: $7.31
  • Ambetter from Superior — Ambetter from Superior: $3.58
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $7.93
  • Blue Cross and Blue Shield — BCBS-HMO: $11.90
  • Blue Cross and Blue Shield — BCBS-PPO: $13.22
  • Blue Cross and Blue Shield — BCBS-Traditional: $13.22
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .Glucose 1 Hr Ur $36 $36 $2.77 – $25.20
Urine test (manual, without microscope): 10 of 33 insurance plan rates
  • Aetna — Aetna: $22.79
  • Aetna — Aetna International: $23.76
  • Aetna — Aetna Savings Plus: $12.60
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $3.41
  • Aetna QHP — Aetna QHP: $7.31
  • Ambetter from Superior — Ambetter from Superior: $3.58
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $7.93
  • Blue Cross and Blue Shield — BCBS-HMO: $11.90
  • Blue Cross and Blue Shield — BCBS-PPO: $13.22
  • Blue Cross and Blue Shield — BCBS-Traditional: $13.22
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .Glucose 2 Hr Ur $36 $36 $2.77 – $25.20
Urine test (manual, without microscope): 10 of 33 insurance plan rates
  • Aetna — Aetna: $22.79
  • Aetna — Aetna International: $23.76
  • Aetna — Aetna Savings Plus: $12.60
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $3.41
  • Aetna QHP — Aetna QHP: $7.31
  • Ambetter from Superior — Ambetter from Superior: $3.58
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $7.93
  • Blue Cross and Blue Shield — BCBS-HMO: $11.90
  • Blue Cross and Blue Shield — BCBS-PPO: $13.22
  • Blue Cross and Blue Shield — BCBS-Traditional: $13.22
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Clinitek Status Point of Care Testing $87 $87 $1.80 – $60.90
Urine test (automated, without microscope): 10 of 33 insurance plan rates
  • Aetna — Aetna: $55.07
  • Aetna — Aetna International: $57.42
  • Aetna — Aetna Savings Plus: $30.45
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $2.20
  • Aetna QHP — Aetna QHP: $4.73
  • Ambetter from Superior — Ambetter from Superior: $2.31
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $5.13
  • Blue Cross and Blue Shield — BCBS-HMO: $7.70
  • Blue Cross and Blue Shield — BCBS-PPO: $8.55
  • Blue Cross and Blue Shield — BCBS-Traditional: $8.55
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis Dipstick POC $87 $87 $2.20 – $87
Urine test (automated, without microscope): 10 of 26 insurance plan rates
  • Aetna — Aetna: $55.07
  • Aetna — Aetna International: $57.42
  • Aetna — Aetna Savings Plus: $30.45
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $2.20
  • Aetna QHP — Aetna QHP: $4.73
  • Ambetter from Superior — Ambetter from Superior: $2.31
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $5.13
  • Blue Cross and Blue Shield — BCBS-HMO: $7.70
  • Blue Cross and Blue Shield — BCBS-PPO: $8.55
  • Blue Cross and Blue Shield — BCBS-Traditional: $8.55
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 81003 - Urinalysis Dipstick POC $87 $87 $2.20 – $87
Urine test (automated, without microscope): 10 of 26 insurance plan rates
  • Aetna — Aetna: $55.07
  • Aetna — Aetna International: $57.42
  • Aetna — Aetna Savings Plus: $30.45
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $2.20
  • Aetna QHP — Aetna QHP: $4.73
  • Ambetter from Superior — Ambetter from Superior: $2.31
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $5.13
  • Blue Cross and Blue Shield — BCBS-HMO: $7.70
  • Blue Cross and Blue Shield — BCBS-PPO: $8.55
  • Blue Cross and Blue Shield — BCBS-Traditional: $8.55
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA, Diag $139 $139 $18.02 – $97.30
PSA (prostate specific antigen) blood test: 10 of 26 insurance plan rates
  • Aetna — Aetna: $87.99
  • Aetna — Aetna International: $91.74
  • Aetna — Aetna Savings Plus: $48.65
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $18.02
  • Aetna QHP — Aetna QHP: $38.62
  • Ambetter from Superior — Ambetter from Superior: $18.92
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $41.93
  • Blue Cross and Blue Shield — BCBS-HMO: $62.89
  • Blue Cross and Blue Shield — BCBS-PPO: $69.88
  • Blue Cross and Blue Shield — BCBS-Traditional: $69.88
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA % Free $175 $175 $18.02 – $122.50
PSA (prostate specific antigen) blood test: 10 of 26 insurance plan rates
  • Aetna — Aetna: $110.78
  • Aetna — Aetna International: $115.50
  • Aetna — Aetna Savings Plus: $61.25
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $18.02
  • Aetna QHP — Aetna QHP: $38.62
  • Ambetter from Superior — Ambetter from Superior: $18.92
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $41.93
  • Blue Cross and Blue Shield — BCBS-HMO: $62.89
  • Blue Cross and Blue Shield — BCBS-PPO: $69.88
  • Blue Cross and Blue Shield — BCBS-Traditional: $69.88
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA, Diag $139 $139 $48.65 – $91.74
PSA (prostate specific antigen) blood test: rates for 5 insurance plans
  • Aetna — Aetna: $87.99
  • Aetna — Aetna International: $91.74
  • Aetna — Aetna Savings Plus: $48.65
  • State Comptroller — DARS: $69.50
  • Texas Mutual WC — Texas Mutual WC: $91.74
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thyroid Stimulating Hormone $232 $232 $13.40 – $162.40
Thyroid stimulating hormone (TSH) test: 10 of 33 insurance plan rates
  • Aetna — Aetna: $146.86
  • Aetna — Aetna International: $153.12
  • Aetna — Aetna Savings Plus: $81.20
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $16.46
  • Aetna QHP — Aetna QHP: $35.28
  • Ambetter from Superior — Ambetter from Superior: $17.28
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $38.30
  • Blue Cross and Blue Shield — BCBS-HMO: $57.46
  • Blue Cross and Blue Shield — BCBS-PPO: $63.84
  • Blue Cross and Blue Shield — BCBS-Traditional: $63.84
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Thyroid Stimulating Hormone $232 $232 $81.20 – $153.12
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans
  • Aetna — Aetna: $146.86
  • Aetna — Aetna International: $153.12
  • Aetna — Aetna Savings Plus: $81.20
  • State Comptroller — DARS: $116
  • Texas Mutual WC — Texas Mutual WC: $153.12
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Thyroid Stimulating Hormone $232 $232 $146.86 – $153.12
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans
  • Aetna — Aetna: $146.86
  • Texas Mutual WC — Texas Mutual WC: $153.12
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC w/ Df $150 $150 $6.20 – $105
Complete blood count (CBC) with differential: 10 of 33 insurance plan rates
  • Aetna — Aetna: $94.95
  • Aetna — Aetna International: $99
  • Aetna — Aetna Savings Plus: $52.50
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $7.61
  • Aetna QHP — Aetna QHP: $16.32
  • Ambetter from Superior — Ambetter from Superior: $7.99
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $17.72
  • Blue Cross and Blue Shield — BCBS-HMO: $26.57
  • Blue Cross and Blue Shield — BCBS-PPO: $29.53
  • Blue Cross and Blue Shield — BCBS-Traditional: $29.53
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC w/ Df $150 $150 $52.50 – $99
Complete blood count (CBC) with differential: rates for 5 insurance plans
  • Aetna — Aetna: $94.95
  • Aetna — Aetna International: $99
  • Aetna — Aetna Savings Plus: $52.50
  • State Comptroller — DARS: $75
  • Texas Mutual WC — Texas Mutual WC: $99
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CBC w/ Df $150 $150 $94.95 – $99
Complete blood count (CBC) with differential: rates for 2 insurance plans
  • Aetna — Aetna: $94.95
  • Texas Mutual WC — Texas Mutual WC: $99
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC w/o Df $128 $128 $5.16 – $89.60
Complete blood count (CBC), automated: 10 of 33 insurance plan rates
  • Aetna — Aetna: $81.02
  • Aetna — Aetna International: $84.48
  • Aetna — Aetna Savings Plus: $44.80
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $6.34
  • Aetna QHP — Aetna QHP: $13.59
  • Ambetter from Superior — Ambetter from Superior: $6.66
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $14.75
  • Blue Cross and Blue Shield — BCBS-HMO: $22.13
  • Blue Cross and Blue Shield — BCBS-PPO: $24.59
  • Blue Cross and Blue Shield — BCBS-Traditional: $24.59
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC w/o Df $128 $128 $44.80 – $84.48
Complete blood count (CBC), automated: rates for 5 insurance plans
  • Aetna — Aetna: $81.02
  • Aetna — Aetna International: $84.48
  • Aetna — Aetna Savings Plus: $44.80
  • State Comptroller — DARS: $64
  • Texas Mutual WC — Texas Mutual WC: $84.48
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CBC w/o Df $128 $128 $81.02 – $84.48
Complete blood count (CBC), automated: rates for 2 insurance plans
  • Aetna — Aetna: $81.02
  • Texas Mutual WC — Texas Mutual WC: $84.48
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time and INR $118 $118 $3.42 – $82.60
Blood clotting time test (prothrombin time, PT): 10 of 33 insurance plan rates
  • Aetna — Aetna: $74.69
  • Aetna — Aetna International: $77.88
  • Aetna — Aetna Savings Plus: $41.30
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $4.20
  • Aetna QHP — Aetna QHP: $9.01
  • Ambetter from Superior — Ambetter from Superior: $4.41
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $9.78
  • Blue Cross and Blue Shield — BCBS-HMO: $14.67
  • Blue Cross and Blue Shield — BCBS-PPO: $16.30
  • Blue Cross and Blue Shield — BCBS-Traditional: $16.30
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thrombotic Risk Aquired-ARUP $118 $118 $3.42 – $82.60
Blood clotting time test (prothrombin time, PT): 10 of 33 insurance plan rates
  • Aetna — Aetna: $74.69
  • Aetna — Aetna International: $77.88
  • Aetna — Aetna Savings Plus: $41.30
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $4.20
  • Aetna QHP — Aetna QHP: $9.01
  • Ambetter from Superior — Ambetter from Superior: $4.41
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $9.78
  • Blue Cross and Blue Shield — BCBS-HMO: $14.67
  • Blue Cross and Blue Shield — BCBS-PPO: $16.30
  • Blue Cross and Blue Shield — BCBS-Traditional: $16.30
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 85610 - Mixing Study (PT) (IH) $118 $118 $3.42 – $82.60
Blood clotting time test (prothrombin time, PT): 10 of 33 insurance plan rates
  • Aetna — Aetna: $74.69
  • Aetna — Aetna International: $77.88
  • Aetna — Aetna Savings Plus: $41.30
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $4.20
  • Aetna QHP — Aetna QHP: $9.01
  • Ambetter from Superior — Ambetter from Superior: $4.41
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $9.78
  • Blue Cross and Blue Shield — BCBS-HMO: $14.67
  • Blue Cross and Blue Shield — BCBS-PPO: $16.30
  • Blue Cross and Blue Shield — BCBS-Traditional: $16.30
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Partial Thromboplastin Time $129 $129 $4.80 – $90.30
Blood clotting test (partial thromboplastin time, PTT): 10 of 33 insurance plan rates
  • Aetna — Aetna: $81.66
  • Aetna — Aetna International: $85.14
  • Aetna — Aetna Savings Plus: $45.15
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $5.89
  • Aetna QHP — Aetna QHP: $12.62
  • Ambetter from Superior — Ambetter from Superior: $6.18
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $13.70
  • Blue Cross and Blue Shield — BCBS-HMO: $20.55
  • Blue Cross and Blue Shield — BCBS-PPO: $22.84
  • Blue Cross and Blue Shield — BCBS-Traditional: $22.84
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .PTT-D Heparin Reflex Bill - ARUP $129 $129 $4.80 – $90.30
Blood clotting test (partial thromboplastin time, PTT): 10 of 33 insurance plan rates
  • Aetna — Aetna: $81.66
  • Aetna — Aetna International: $85.14
  • Aetna — Aetna Savings Plus: $45.15
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $5.89
  • Aetna QHP — Aetna QHP: $12.62
  • Ambetter from Superior — Ambetter from Superior: $6.18
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $13.70
  • Blue Cross and Blue Shield — BCBS-HMO: $20.55
  • Blue Cross and Blue Shield — BCBS-PPO: $22.84
  • Blue Cross and Blue Shield — BCBS-Traditional: $22.84
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 85730 - Partial Thromboplastin Time $129 $129 $4.80 – $90.30
Blood clotting test (partial thromboplastin time, PTT): 10 of 33 insurance plan rates
  • Aetna — Aetna: $81.66
  • Aetna — Aetna International: $85.14
  • Aetna — Aetna Savings Plus: $45.15
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $5.89
  • Aetna QHP — Aetna QHP: $12.62
  • Ambetter from Superior — Ambetter from Superior: $6.18
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $13.70
  • Blue Cross and Blue Shield — BCBS-HMO: $20.55
  • Blue Cross and Blue Shield — BCBS-PPO: $22.84
  • Blue Cross and Blue Shield — BCBS-Traditional: $22.84

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 Brain/Head w/o Contrast $2,316 $2,316 $99.51 – $1,528.56
CT scan of the head or brain, without contrast: 10 of 33 insurance plan rates
  • Aetna — Aetna: $1,466.03
  • Aetna — Aetna International: $1,528.56
  • Aetna — Aetna Savings Plus: $810.60
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $103.34
  • Aetna QHP — Aetna QHP: $220.54
  • Ambetter from Superior — Ambetter from Superior: $108.51
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $261.15
  • Blue Cross and Blue Shield — BCBS-HMO: $391.16
  • Blue Cross and Blue Shield — BCBS-PPO: $434.87
  • Blue Cross and Blue Shield — BCBS-Traditional: $434.87
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Head (Thrombolytic Candidate Stroke) $2,316 $2,316 $99.51 – $1,528.56
CT scan of the head or brain, without contrast: 10 of 33 insurance plan rates
  • Aetna — Aetna: $1,466.03
  • Aetna — Aetna International: $1,528.56
  • Aetna — Aetna Savings Plus: $810.60
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $103.34
  • Aetna QHP — Aetna QHP: $220.54
  • Ambetter from Superior — Ambetter from Superior: $108.51
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $261.15
  • Blue Cross and Blue Shield — BCBS-HMO: $391.16
  • Blue Cross and Blue Shield — BCBS-PPO: $434.87
  • Blue Cross and Blue Shield — BCBS-Traditional: $434.87
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Head (Thrombectomy Candidate) $2,316 $2,316 $99.51 – $1,528.56
CT scan of the head or brain, without contrast: 10 of 33 insurance plan rates
  • Aetna — Aetna: $1,466.03
  • Aetna — Aetna International: $1,528.56
  • Aetna — Aetna Savings Plus: $810.60
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $103.34
  • Aetna QHP — Aetna QHP: $220.54
  • Ambetter from Superior — Ambetter from Superior: $108.51
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $261.15
  • Blue Cross and Blue Shield — BCBS-HMO: $391.16
  • Blue Cross and Blue Shield — BCBS-PPO: $434.87
  • Blue Cross and Blue Shield — BCBS-Traditional: $434.87
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Brain w/ + w/o Contrast $3,841 $3,841 $311.70 – $2,535.06
MRI of the brain, before and after contrast: 10 of 33 insurance plan rates
  • Aetna — Aetna: $2,431.35
  • Aetna — Aetna International: $2,535.06
  • Aetna — Aetna Savings Plus: $1,344.35
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $344.85
  • Aetna QHP — Aetna QHP: $735.97
  • Ambetter from Superior — Ambetter from Superior: $362.09
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $889.71
  • Blue Cross and Blue Shield — BCBS-HMO: $1,332.66
  • Blue Cross and Blue Shield — BCBS-PPO: $1,481.58
  • Blue Cross and Blue Shield — BCBS-Traditional: $1,481.58
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Brain IAC w/wo Contrast - MRI Brain IAC w + w/ $3,841 $3,841 $311.70 – $2,535.06
MRI of the brain, before and after contrast: 10 of 33 insurance plan rates
  • Aetna — Aetna: $2,431.35
  • Aetna — Aetna International: $2,535.06
  • Aetna — Aetna Savings Plus: $1,344.35
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $344.85
  • Aetna QHP — Aetna QHP: $735.97
  • Ambetter from Superior — Ambetter from Superior: $362.09
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $889.71
  • Blue Cross and Blue Shield — BCBS-HMO: $1,332.66
  • Blue Cross and Blue Shield — BCBS-PPO: $1,481.58
  • Blue Cross and Blue Shield — BCBS-Traditional: $1,481.58
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Pituitary w/ + w/o Contrast $3,841 $3,841 $311.70 – $2,535.06
MRI of the brain, before and after contrast: 10 of 33 insurance plan rates
  • Aetna — Aetna: $2,431.35
  • Aetna — Aetna International: $2,535.06
  • Aetna — Aetna Savings Plus: $1,344.35
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $344.85
  • Aetna QHP — Aetna QHP: $735.97
  • Ambetter from Superior — Ambetter from Superior: $362.09
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $889.71
  • Blue Cross and Blue Shield — BCBS-HMO: $1,332.66
  • Blue Cross and Blue Shield — BCBS-PPO: $1,481.58
  • Blue Cross and Blue Shield — BCBS-Traditional: $1,481.58
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR Chest Decubitus $466 $466 $32.06 – $326.20
Chest X-ray, 2 views: 10 of 33 insurance plan rates
  • Aetna — Aetna: $294.98
  • Aetna — Aetna International: $307.56
  • Aetna — Aetna Savings Plus: $163.10
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $86.02
  • Aetna QHP — Aetna QHP: $183.58
  • Ambetter from Superior — Ambetter from Superior: $90.32
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $102.95
  • Blue Cross and Blue Shield — BCBS-HMO: $154.83
  • Blue Cross and Blue Shield — BCBS-PPO: $171.59
  • Blue Cross and Blue Shield — BCBS-Traditional: $171.59
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR Chest 2 Views $466 $466 $32.06 – $326.20
Chest X-ray, 2 views: 10 of 33 insurance plan rates
  • Aetna — Aetna: $294.98
  • Aetna — Aetna International: $307.56
  • Aetna — Aetna Savings Plus: $163.10
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $86.02
  • Aetna QHP — Aetna QHP: $183.58
  • Ambetter from Superior — Ambetter from Superior: $90.32
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $102.95
  • Blue Cross and Blue Shield — BCBS-HMO: $154.83
  • Blue Cross and Blue Shield — BCBS-PPO: $171.59
  • Blue Cross and Blue Shield — BCBS-Traditional: $171.59
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR Chest 2 Views Initital Line Placement $466 $466 $32.06 – $326.20
Chest X-ray, 2 views: 10 of 33 insurance plan rates
  • Aetna — Aetna: $294.98
  • Aetna — Aetna International: $307.56
  • Aetna — Aetna Savings Plus: $163.10
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $86.02
  • Aetna QHP — Aetna QHP: $183.58
  • Ambetter from Superior — Ambetter from Superior: $90.32
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $102.95
  • Blue Cross and Blue Shield — BCBS-HMO: $154.83
  • Blue Cross and Blue Shield — BCBS-PPO: $171.59
  • Blue Cross and Blue Shield — BCBS-Traditional: $171.59
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR Spine Lumbosacral 4+ Views $761 $761 $49.52 – $532.70
X-ray of the lower spine, at least 4 views: 10 of 33 insurance plan rates
  • Aetna — Aetna: $481.71
  • Aetna — Aetna International: $502.26
  • Aetna — Aetna Savings Plus: $266.35
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $103.34
  • Aetna QHP — Aetna QHP: $220.54
  • Ambetter from Superior — Ambetter from Superior: $108.51
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $144.58
  • Blue Cross and Blue Shield — BCBS-HMO: $217.44
  • Blue Cross and Blue Shield — BCBS-PPO: $240.97
  • Blue Cross and Blue Shield — BCBS-Traditional: $240.97
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Report - XR Spine Lumbosacral 4+ Views $761 $761 $144.58 – $761
X-ray of the lower spine, at least 4 views: 10 of 26 insurance plan rates
  • Aetna — Aetna: $481.71
  • Aetna — Aetna International: $502.26
  • Aetna — Aetna Savings Plus: $266.35
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $103.34
  • Aetna QHP — Aetna QHP: $220.54
  • Ambetter from Superior — Ambetter from Superior: $108.51
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $144.58
  • Blue Cross and Blue Shield — BCBS-HMO: $217.44
  • Blue Cross and Blue Shield — BCBS-PPO: $240.97
  • Blue Cross and Blue Shield — BCBS-Traditional: $240.97
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR Spine Lumbosacral 4+ Views - Report $761 $761 $144.58 – $761
X-ray of the lower spine, at least 4 views: 10 of 26 insurance plan rates
  • Aetna — Aetna: $481.71
  • Aetna — Aetna International: $502.26
  • Aetna — Aetna Savings Plus: $266.35
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $103.34
  • Aetna QHP — Aetna QHP: $220.54
  • Ambetter from Superior — Ambetter from Superior: $108.51
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $144.58
  • Blue Cross and Blue Shield — BCBS-HMO: $217.44
  • Blue Cross and Blue Shield — BCBS-PPO: $240.97
  • Blue Cross and Blue Shield — BCBS-Traditional: $240.97
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Spine Lumbar w/o Contrast $2,769 $2,769 $187.28 – $1,827.54
MRI of the lower back (lumbar spine), without contrast: 10 of 33 insurance plan rates
  • Aetna — Aetna: $1,752.78
  • Aetna — Aetna International: $1,827.54
  • Aetna — Aetna Savings Plus: $969.15
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $235.85
  • Aetna QHP — Aetna QHP: $503.35
  • Ambetter from Superior — Ambetter from Superior: $247.64
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $542.98
  • Blue Cross and Blue Shield — BCBS-HMO: $813.31
  • Blue Cross and Blue Shield — BCBS-PPO: $904.20
  • Blue Cross and Blue Shield — BCBS-Traditional: $904.20
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Spine Lumbar lmtd w/o Contrast - MRI Spine Lum $2,769 $2,769 $187.28 – $1,827.54
MRI of the lower back (lumbar spine), without contrast: 10 of 33 insurance plan rates
  • Aetna — Aetna: $1,752.78
  • Aetna — Aetna International: $1,827.54
  • Aetna — Aetna Savings Plus: $969.15
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $235.85
  • Aetna QHP — Aetna QHP: $503.35
  • Ambetter from Superior — Ambetter from Superior: $247.64
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $542.98
  • Blue Cross and Blue Shield — BCBS-HMO: $813.31
  • Blue Cross and Blue Shield — BCBS-PPO: $904.20
  • Blue Cross and Blue Shield — BCBS-Traditional: $904.20
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Report - MRI Spine Lumbar w/o Contrast $2,769 $2,769 $542.98 – $2,769
MRI of the lower back (lumbar spine), without contrast: 10 of 26 insurance plan rates
  • Aetna — Aetna: $1,752.78
  • Aetna — Aetna International: $1,827.54
  • Aetna — Aetna Savings Plus: $969.15
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $235.85
  • Aetna QHP — Aetna QHP: $503.35
  • Ambetter from Superior — Ambetter from Superior: $247.64
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $542.98
  • Blue Cross and Blue Shield — BCBS-HMO: $813.31
  • Blue Cross and Blue Shield — BCBS-PPO: $904.20
  • Blue Cross and Blue Shield — BCBS-Traditional: $904.20
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Pelvis w/ Contrast $2,884 $2,884 $166.31 – $1,903.44
CT scan of the pelvis, with contrast: 10 of 33 insurance plan rates
  • Aetna — Aetna: $1,825.57
  • Aetna — Aetna International: $1,903.44
  • Aetna — Aetna Savings Plus: $1,009.40
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $173.38
  • Aetna QHP — Aetna QHP: $370.02
  • Ambetter from Superior — Ambetter from Superior: $182.05
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $424.57
  • Blue Cross and Blue Shield — BCBS-HMO: $635.95
  • Blue Cross and Blue Shield — BCBS-PPO: $707.01
  • Blue Cross and Blue Shield — BCBS-Traditional: $707.01
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Report - CT Pelvis w/ Contrast $2,884 $2,884 $424.57 – $2,884
CT scan of the pelvis, with contrast: 10 of 26 insurance plan rates
  • Aetna — Aetna: $1,825.57
  • Aetna — Aetna International: $1,903.44
  • Aetna — Aetna Savings Plus: $1,009.40
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $173.38
  • Aetna QHP — Aetna QHP: $370.02
  • Ambetter from Superior — Ambetter from Superior: $182.05
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $424.57
  • Blue Cross and Blue Shield — BCBS-HMO: $635.95
  • Blue Cross and Blue Shield — BCBS-PPO: $707.01
  • Blue Cross and Blue Shield — BCBS-Traditional: $707.01
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Pelvis w/ Contrast $2,884 $2,884 $1,009.40 – $1,903.44
CT scan of the pelvis, with contrast: rates for 5 insurance plans
  • Aetna — Aetna: $1,825.57
  • Aetna — Aetna International: $1,903.44
  • Aetna — Aetna Savings Plus: $1,009.40
  • State Comptroller — DARS: $1,442
  • Texas Mutual WC — Texas Mutual WC: $1,903.44
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Ankle w/o Contrast Left $2,583 $2,583 $198.40 – $1,704.78
MRI of a leg joint (such as the knee), without contrast: 10 of 33 insurance plan rates
  • Aetna — Aetna: $1,635.04
  • Aetna — Aetna International: $1,704.78
  • Aetna — Aetna Savings Plus: $904.05
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $235.85
  • Aetna QHP — Aetna QHP: $503.35
  • Ambetter from Superior — Ambetter from Superior: $247.64
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $542.98
  • Blue Cross and Blue Shield — BCBS-HMO: $813.31
  • Blue Cross and Blue Shield — BCBS-PPO: $904.20
  • Blue Cross and Blue Shield — BCBS-Traditional: $904.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Ankle w/o Contrast Right $2,583 $2,583 $198.40 – $1,704.78
MRI of a leg joint (such as the knee), without contrast: 10 of 33 insurance plan rates
  • Aetna — Aetna: $1,635.04
  • Aetna — Aetna International: $1,704.78
  • Aetna — Aetna Savings Plus: $904.05
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $235.85
  • Aetna QHP — Aetna QHP: $503.35
  • Ambetter from Superior — Ambetter from Superior: $247.64
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $542.98
  • Blue Cross and Blue Shield — BCBS-HMO: $813.31
  • Blue Cross and Blue Shield — BCBS-PPO: $904.20
  • Blue Cross and Blue Shield — BCBS-Traditional: $904.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Hip w/o Contrast Left $2,583 $2,583 $198.40 – $1,704.78
MRI of a leg joint (such as the knee), without contrast: 10 of 33 insurance plan rates
  • Aetna — Aetna: $1,635.04
  • Aetna — Aetna International: $1,704.78
  • Aetna — Aetna Savings Plus: $904.05
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $235.85
  • Aetna QHP — Aetna QHP: $503.35
  • Ambetter from Superior — Ambetter from Superior: $247.64
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $542.98
  • Blue Cross and Blue Shield — BCBS-HMO: $813.31
  • Blue Cross and Blue Shield — BCBS-PPO: $904.20
  • Blue Cross and Blue Shield — BCBS-Traditional: $904.20
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Abdomen and Pelvis w/ Contrast $4,862 $4,862 $296.48 – $3,208.92
CT scan of the abdomen and pelvis, with contrast: 10 of 33 insurance plan rates
  • Aetna — Aetna: $3,077.65
  • Aetna — Aetna International: $3,208.92
  • Aetna — Aetna Savings Plus: $1,701.70
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $344.85
  • Aetna QHP — Aetna QHP: $735.97
  • Ambetter from Superior — Ambetter from Superior: $362.09
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $889.71
  • Blue Cross and Blue Shield — BCBS-HMO: $1,332.66
  • Blue Cross and Blue Shield — BCBS-PPO: $1,481.58
  • Blue Cross and Blue Shield — BCBS-Traditional: $1,481.58
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Venogram $4,862 $4,862 $296.48 – $3,208.92
CT scan of the abdomen and pelvis, with contrast: 10 of 33 insurance plan rates
  • Aetna — Aetna: $3,077.65
  • Aetna — Aetna International: $3,208.92
  • Aetna — Aetna Savings Plus: $1,701.70
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $344.85
  • Aetna QHP — Aetna QHP: $735.97
  • Ambetter from Superior — Ambetter from Superior: $362.09
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $889.71
  • Blue Cross and Blue Shield — BCBS-HMO: $1,332.66
  • Blue Cross and Blue Shield — BCBS-PPO: $1,481.58
  • Blue Cross and Blue Shield — BCBS-Traditional: $1,481.58
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT Abdomen and Pelvis w/ Contrast - 74177 $4,862 $4,862 $296.48 – $3,208.92
CT scan of the abdomen and pelvis, with contrast: 10 of 33 insurance plan rates
  • Aetna — Aetna: $3,077.65
  • Aetna — Aetna International: $3,208.92
  • Aetna — Aetna Savings Plus: $1,701.70
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $344.85
  • Aetna QHP — Aetna QHP: $735.97
  • Ambetter from Superior — Ambetter from Superior: $362.09
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $889.71
  • Blue Cross and Blue Shield — BCBS-HMO: $1,332.66
  • Blue Cross and Blue Shield — BCBS-PPO: $1,481.58
  • Blue Cross and Blue Shield — BCBS-Traditional: $1,481.58
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdomen Complete $943 $943 $99.51 – $660.10
Ultrasound of the abdomen, complete: 10 of 33 insurance plan rates
  • Aetna — Aetna: $596.92
  • Aetna — Aetna International: $622.38
  • Aetna — Aetna Savings Plus: $330.05
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $103.34
  • Aetna QHP — Aetna QHP: $220.54
  • Ambetter from Superior — Ambetter from Superior: $108.51
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $144.58
  • Blue Cross and Blue Shield — BCBS-HMO: $217.44
  • Blue Cross and Blue Shield — BCBS-PPO: $240.97
  • Blue Cross and Blue Shield — BCBS-Traditional: $240.97
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdomen Complete w/ Doppler $780 $780 $99.51 – $546
Ultrasound of the abdomen, complete: 10 of 33 insurance plan rates
  • Aetna — Aetna: $493.74
  • Aetna — Aetna International: $514.80
  • Aetna — Aetna Savings Plus: $273
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $103.34
  • Aetna QHP — Aetna QHP: $220.54
  • Ambetter from Superior — Ambetter from Superior: $108.51
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $144.58
  • Blue Cross and Blue Shield — BCBS-HMO: $217.44
  • Blue Cross and Blue Shield — BCBS-PPO: $240.97
  • Blue Cross and Blue Shield — BCBS-Traditional: $240.97
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US Abdominal w/Image w/ Elastography $947 $947 $99.51 – $662.90
Ultrasound of the abdomen, complete: 10 of 33 insurance plan rates
  • Aetna — Aetna: $599.45
  • Aetna — Aetna International: $625.02
  • Aetna — Aetna Savings Plus: $331.45
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $103.34
  • Aetna QHP — Aetna QHP: $220.54
  • Ambetter from Superior — Ambetter from Superior: $108.51
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $144.58
  • Blue Cross and Blue Shield — BCBS-HMO: $217.44
  • Blue Cross and Blue Shield — BCBS-PPO: $240.97
  • Blue Cross and Blue Shield — BCBS-Traditional: $240.97
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB Greater Than 14 Weeks $746 $746 $99.51 – $522.20
Pregnancy ultrasound (after the first trimester): 10 of 33 insurance plan rates
  • Aetna — Aetna: $472.22
  • Aetna — Aetna International: $492.36
  • Aetna — Aetna Savings Plus: $261.10
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $103.34
  • Aetna QHP — Aetna QHP: $220.54
  • Ambetter from Superior — Ambetter from Superior: $108.51
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $118.09
  • Blue Cross and Blue Shield — BCBS-HMO: $177.59
  • Blue Cross and Blue Shield — BCBS-PPO: $196.81
  • Blue Cross and Blue Shield — BCBS-Traditional: $196.81
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 76805 - Routine Ultrasound - Charge - Yes $746 $746 $99.51 – $522.20
Pregnancy ultrasound (after the first trimester): 10 of 33 insurance plan rates
  • Aetna — Aetna: $472.22
  • Aetna — Aetna International: $492.36
  • Aetna — Aetna Savings Plus: $261.10
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $103.34
  • Aetna QHP — Aetna QHP: $220.54
  • Ambetter from Superior — Ambetter from Superior: $108.51
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $118.09
  • Blue Cross and Blue Shield — BCBS-HMO: $177.59
  • Blue Cross and Blue Shield — BCBS-PPO: $196.81
  • Blue Cross and Blue Shield — BCBS-Traditional: $196.81
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB Multiple >=14 weeks - 76805 Add On $746 $746 $99.51 – $522.20
Pregnancy ultrasound (after the first trimester): 10 of 33 insurance plan rates
  • Aetna — Aetna: $472.22
  • Aetna — Aetna International: $492.36
  • Aetna — Aetna Savings Plus: $261.10
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $103.34
  • Aetna QHP — Aetna QHP: $220.54
  • Ambetter from Superior — Ambetter from Superior: $108.51
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $118.09
  • Blue Cross and Blue Shield — BCBS-HMO: $177.59
  • Blue Cross and Blue Shield — BCBS-PPO: $196.81
  • Blue Cross and Blue Shield — BCBS-Traditional: $196.81
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL NON-OB $726 $726 $99.51 – $508.20
Transvaginal ultrasound: 10 of 33 insurance plan rates
  • Aetna — Aetna: $459.56
  • Aetna — Aetna International: $479.16
  • Aetna — Aetna Savings Plus: $254.10
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $103.34
  • Aetna QHP — Aetna QHP: $220.54
  • Ambetter from Superior — Ambetter from Superior: $108.51
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $113.91
  • Blue Cross and Blue Shield — BCBS-HMO: $171.30
  • Blue Cross and Blue Shield — BCBS-PPO: $189.85
  • Blue Cross and Blue Shield — BCBS-Traditional: $189.85
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 76830 - Transvaginal Sono - Yes $726 $726 $99.51 – $508.20
Transvaginal ultrasound: 10 of 33 insurance plan rates
  • Aetna — Aetna: $459.56
  • Aetna — Aetna International: $479.16
  • Aetna — Aetna Savings Plus: $254.10
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $103.34
  • Aetna QHP — Aetna QHP: $220.54
  • Ambetter from Superior — Ambetter from Superior: $108.51
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $113.91
  • Blue Cross and Blue Shield — BCBS-HMO: $171.30
  • Blue Cross and Blue Shield — BCBS-PPO: $189.85
  • Blue Cross and Blue Shield — BCBS-Traditional: $189.85
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 76830 - Repeat Ultrasound - Yes $726 $726 $99.51 – $508.20
Transvaginal ultrasound: 10 of 33 insurance plan rates
  • Aetna — Aetna: $459.56
  • Aetna — Aetna International: $479.16
  • Aetna — Aetna Savings Plus: $254.10
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $103.34
  • Aetna QHP — Aetna QHP: $220.54
  • Ambetter from Superior — Ambetter from Superior: $108.51
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $113.91
  • Blue Cross and Blue Shield — BCBS-HMO: $171.30
  • Blue Cross and Blue Shield — BCBS-PPO: $189.85
  • Blue Cross and Blue Shield — BCBS-Traditional: $189.85
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo 3D Diag Left $262 $262 $34.05 – $202.23
Diagnostic mammogram, one breast: 10 of 33 insurance plan rates
  • Aetna — Aetna: $165.85
  • Aetna — Aetna International: $172.92
  • Aetna — Aetna Savings Plus: $91.70
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $80.45
  • Aetna QHP — Aetna QHP: $171.70
  • Ambetter from Superior — Ambetter from Superior: $84.47
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $121.34
  • Blue Cross and Blue Shield — BCBS-HMO: $182.48
  • Blue Cross and Blue Shield — BCBS-PPO: $202.23
  • Blue Cross and Blue Shield — BCBS-Traditional: $202.23
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo 3D Diag Right $262 $262 $34.05 – $202.23
Diagnostic mammogram, one breast: 10 of 33 insurance plan rates
  • Aetna — Aetna: $165.85
  • Aetna — Aetna International: $172.92
  • Aetna — Aetna Savings Plus: $91.70
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $80.45
  • Aetna QHP — Aetna QHP: $171.70
  • Ambetter from Superior — Ambetter from Superior: $84.47
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $121.34
  • Blue Cross and Blue Shield — BCBS-HMO: $182.48
  • Blue Cross and Blue Shield — BCBS-PPO: $202.23
  • Blue Cross and Blue Shield — BCBS-Traditional: $202.23
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Diag Post Biopsy Left $262 $262 $34.05 – $202.23
Diagnostic mammogram, one breast: 10 of 33 insurance plan rates
  • Aetna — Aetna: $165.85
  • Aetna — Aetna International: $172.92
  • Aetna — Aetna Savings Plus: $91.70
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $80.45
  • Aetna QHP — Aetna QHP: $171.70
  • Ambetter from Superior — Ambetter from Superior: $84.47
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $121.34
  • Blue Cross and Blue Shield — BCBS-HMO: $182.48
  • Blue Cross and Blue Shield — BCBS-PPO: $202.23
  • Blue Cross and Blue Shield — BCBS-Traditional: $202.23
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo 3D Diag Bilateral $342 $342 $44.45 – $258.80
Diagnostic mammogram, both breasts: 10 of 33 insurance plan rates
  • Aetna — Aetna: $216.49
  • Aetna — Aetna International: $225.72
  • Aetna — Aetna Savings Plus: $119.70
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $103.21
  • Aetna QHP — Aetna QHP: $220.27
  • Ambetter from Superior — Ambetter from Superior: $108.37
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $155.28
  • Blue Cross and Blue Shield — BCBS-HMO: $233.52
  • Blue Cross and Blue Shield — BCBS-PPO: $258.80
  • Blue Cross and Blue Shield — BCBS-Traditional: $258.80
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 77066 - Diagnostic mammography, including computer $342 $342 $44.45 – $258.80
Diagnostic mammogram, both breasts: 10 of 33 insurance plan rates
  • Aetna — Aetna: $216.49
  • Aetna — Aetna International: $225.72
  • Aetna — Aetna Savings Plus: $119.70
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $103.21
  • Aetna QHP — Aetna QHP: $220.27
  • Ambetter from Superior — Ambetter from Superior: $108.37
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $155.28
  • Blue Cross and Blue Shield — BCBS-HMO: $233.52
  • Blue Cross and Blue Shield — BCBS-PPO: $258.80
  • Blue Cross and Blue Shield — BCBS-Traditional: $258.80
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Digital Diagnostic Bilat - MG Mammo Digit $342 $342 $44.45 – $258.80
Diagnostic mammogram, both breasts: 10 of 33 insurance plan rates
  • Aetna — Aetna: $216.49
  • Aetna — Aetna International: $225.72
  • Aetna — Aetna Savings Plus: $119.70
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $103.21
  • Aetna QHP — Aetna QHP: $220.27
  • Ambetter from Superior — Ambetter from Superior: $108.37
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $155.28
  • Blue Cross and Blue Shield — BCBS-HMO: $233.52
  • Blue Cross and Blue Shield — BCBS-PPO: $258.80
  • Blue Cross and Blue Shield — BCBS-Traditional: $258.80
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Digital Screening Left $275 $275 $35.74 – $213.86
Screening mammogram, both breasts: 10 of 33 insurance plan rates
  • Aetna — Aetna: $174.08
  • Aetna — Aetna International: $181.50
  • Aetna — Aetna Savings Plus: $96.25
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $84.79
  • Aetna QHP — Aetna QHP: $181.69
  • Ambetter from Superior — Ambetter from Superior: $89.03
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $128.32
  • Blue Cross and Blue Shield — BCBS-HMO: $192.97
  • Blue Cross and Blue Shield — BCBS-PPO: $213.86
  • Blue Cross and Blue Shield — BCBS-Traditional: $213.86
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo Digital Screening Right $275 $275 $35.74 – $213.86
Screening mammogram, both breasts: 10 of 33 insurance plan rates
  • Aetna — Aetna: $174.08
  • Aetna — Aetna International: $181.50
  • Aetna — Aetna Savings Plus: $96.25
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $84.79
  • Aetna QHP — Aetna QHP: $181.69
  • Ambetter from Superior — Ambetter from Superior: $89.03
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $128.32
  • Blue Cross and Blue Shield — BCBS-HMO: $192.97
  • Blue Cross and Blue Shield — BCBS-PPO: $213.86
  • Blue Cross and Blue Shield — BCBS-Traditional: $213.86
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MG Mammo 3D Screening Bilateral $275 $275 $35.74 – $213.86
Screening mammogram, both breasts: 10 of 33 insurance plan rates
  • Aetna — Aetna: $174.08
  • Aetna — Aetna International: $181.50
  • Aetna — Aetna Savings Plus: $96.25
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $84.79
  • Aetna QHP — Aetna QHP: $181.69
  • Ambetter from Superior — Ambetter from Superior: $89.03
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $128.32
  • Blue Cross and Blue Shield — BCBS-HMO: $192.97
  • Blue Cross and Blue Shield — BCBS-PPO: $213.86
  • Blue Cross and Blue Shield — BCBS-Traditional: $213.86

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CVNet - 93656 - TX ATRIAL FIB PULM $35,823 $35,823 $4,655.56 – $35,966.08
Heart rhythm study with ablation for atrial fibrillation: 10 of 33 insurance plan rates
  • Aetna — Aetna: $22,675.96
  • Aetna — Aetna International: $23,643.18
  • Aetna — Aetna Savings Plus: $12,538.05
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $25,766.55
  • Aetna QHP — Aetna QHP: $55,139.64
  • Ambetter from Superior — Ambetter from Superior: $27,054.88
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $26,565.85
  • Blue Cross and Blue Shield — BCBS-HMO: $27,587.61
  • Blue Cross and Blue Shield — BCBS-PPO: $35,966.08
  • Blue Cross and Blue Shield — BCBS-Traditional: $35,966.08
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CVNet - 93656 - TX ATRIAL FIB PULM VEIN $35,823 $35,823 $4,655.56 – $35,966.08
Heart rhythm study with ablation for atrial fibrillation: 10 of 33 insurance plan rates
  • Aetna — Aetna: $22,675.96
  • Aetna — Aetna International: $23,643.18
  • Aetna — Aetna Savings Plus: $12,538.05
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $25,766.55
  • Aetna QHP — Aetna QHP: $55,139.64
  • Ambetter from Superior — Ambetter from Superior: $27,054.88
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $26,565.85
  • Blue Cross and Blue Shield — BCBS-HMO: $27,587.61
  • Blue Cross and Blue Shield — BCBS-PPO: $35,966.08
  • Blue Cross and Blue Shield — BCBS-Traditional: $35,966.08
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CVNet - 93656 - TX ATRIAL FIB PULM $35,823 $35,823 $12,538.05 – $23,643.18
Heart rhythm study with ablation for atrial fibrillation: rates for 5 insurance plans
  • Aetna — Aetna: $22,675.96
  • Aetna — Aetna International: $23,643.18
  • Aetna — Aetna Savings Plus: $12,538.05
  • State Comptroller — DARS: $17,911.50
  • Texas Mutual WC — Texas Mutual WC: $23,643.18
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: *Sleep Study Charges - 95810 Polysomnography 4+ pa $4,325 $4,325 $562.08 – $3,027.50
Sleep study (overnight, in a sleep lab): 10 of 33 insurance plan rates
  • Aetna — Aetna: $2,737.72
  • Aetna — Aetna International: $2,854.50
  • Aetna — Aetna Savings Plus: $1,513.75
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $848.85
  • Aetna QHP — Aetna QHP: $1,811.57
  • Ambetter from Superior — Ambetter from Superior: $891.29
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $746.40
  • Blue Cross and Blue Shield — BCBS-HMO: $1,067
  • Blue Cross and Blue Shield — BCBS-PPO: $1,232.31
  • Blue Cross and Blue Shield — BCBS-Traditional: $1,232.31
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: *Sleep Study Charges Modifier 52 - 95810 Polysomno $4,325 $4,325 $562.08 – $3,027.50
Sleep study (overnight, in a sleep lab): 10 of 33 insurance plan rates
  • Aetna — Aetna: $2,737.72
  • Aetna — Aetna International: $2,854.50
  • Aetna — Aetna Savings Plus: $1,513.75
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $848.85
  • Aetna QHP — Aetna QHP: $1,811.57
  • Ambetter from Superior — Ambetter from Superior: $891.29
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $746.40
  • Blue Cross and Blue Shield — BCBS-HMO: $1,067
  • Blue Cross and Blue Shield — BCBS-PPO: $1,232.31
  • Blue Cross and Blue Shield — BCBS-Traditional: $1,232.31
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: *Sleep Study Charges - 95810 Polysomnography 4+ pa $4,325 $4,325 $1,513.75 – $2,854.50
Sleep study (overnight, in a sleep lab): rates for 5 insurance plans
  • Aetna — Aetna: $2,737.72
  • Aetna — Aetna International: $2,854.50
  • Aetna — Aetna Savings Plus: $1,513.75
  • State Comptroller — DARS: $2,162.50
  • Texas Mutual WC — Texas Mutual WC: $2,854.50

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT Therapeutic Exercise Units $157 $157 $20.41 – $218
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates
  • Aetna — Aetna: $99.38
  • Aetna — Aetna International: $103.62
  • Aetna — Aetna Savings Plus: $54.95
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $27.88
  • Aetna QHP — Aetna QHP: $59.49
  • Ambetter from Superior — Ambetter from Superior: $29.27
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $46.71
  • Blue Cross and Blue Shield — BCBS-HMO: $66.78
  • Blue Cross and Blue Shield — BCBS-PPO: $77.12
  • Blue Cross and Blue Shield — BCBS-Traditional: $77.12
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Therapeutic Exercise Units $157 $157 $20.41 – $218
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates
  • Aetna — Aetna: $99.38
  • Aetna — Aetna International: $103.62
  • Aetna — Aetna Savings Plus: $54.95
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $27.88
  • Aetna QHP — Aetna QHP: $59.49
  • Ambetter from Superior — Ambetter from Superior: $29.27
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $46.71
  • Blue Cross and Blue Shield — BCBS-HMO: $66.78
  • Blue Cross and Blue Shield — BCBS-PPO: $77.12
  • Blue Cross and Blue Shield — BCBS-Traditional: $77.12
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 97110 - OT Therapeutic Exercise Units $157 $157 $20.41 – $218
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates
  • Aetna — Aetna: $99.38
  • Aetna — Aetna International: $103.62
  • Aetna — Aetna Savings Plus: $54.95
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $27.88
  • Aetna QHP — Aetna QHP: $59.49
  • Ambetter from Superior — Ambetter from Superior: $29.27
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $46.71
  • Blue Cross and Blue Shield — BCBS-HMO: $66.78
  • Blue Cross and Blue Shield — BCBS-PPO: $77.12
  • Blue Cross and Blue Shield — BCBS-Traditional: $77.12
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Evaluation Units, Low Complexity $227 $227 $29.50 – $218
Physical therapy evaluation (low complexity): 10 of 33 insurance plan rates
  • Aetna — Aetna: $143.69
  • Aetna — Aetna International: $149.82
  • Aetna — Aetna Savings Plus: $79.45
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $94.27
  • Aetna QHP — Aetna QHP: $201.18
  • Ambetter from Superior — Ambetter from Superior: $98.98
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $128.87
  • Blue Cross and Blue Shield — BCBS-HMO: $184.22
  • Blue Cross and Blue Shield — BCBS-PPO: $212.77
  • Blue Cross and Blue Shield — BCBS-Traditional: $212.77
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 97161 - PT Evaluation Units, Low Complexity $227 $227 $29.50 – $218
Physical therapy evaluation (low complexity): 10 of 33 insurance plan rates
  • Aetna — Aetna: $143.69
  • Aetna — Aetna International: $149.82
  • Aetna — Aetna Savings Plus: $79.45
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $94.27
  • Aetna QHP — Aetna QHP: $201.18
  • Ambetter from Superior — Ambetter from Superior: $98.98
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $128.87
  • Blue Cross and Blue Shield — BCBS-HMO: $184.22
  • Blue Cross and Blue Shield — BCBS-PPO: $212.77
  • Blue Cross and Blue Shield — BCBS-Traditional: $212.77
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT Evaluation Units, Low Complexity $227 $227 $79.45 – $149.82
Physical therapy evaluation (low complexity): rates for 5 insurance plans
  • Aetna — Aetna: $143.69
  • Aetna — Aetna International: $149.82
  • Aetna — Aetna Savings Plus: $79.45
  • State Comptroller — DARS: $113.50
  • Texas Mutual WC — Texas Mutual WC: $149.82
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Evaluation Units, Moderate Complexity $301 $301 $39.12 – $218
Physical therapy evaluation (moderate complexity): 10 of 33 insurance plan rates
  • Aetna — Aetna: $190.53
  • Aetna — Aetna International: $198.66
  • Aetna — Aetna Savings Plus: $105.35
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $94.27
  • Aetna QHP — Aetna QHP: $201.18
  • Ambetter from Superior — Ambetter from Superior: $98.98
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $128.87
  • Blue Cross and Blue Shield — BCBS-HMO: $184.22
  • Blue Cross and Blue Shield — BCBS-PPO: $212.77
  • Blue Cross and Blue Shield — BCBS-Traditional: $212.77
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 97162 - PT Evaluation Units, Moderate Complexity $301 $301 $39.12 – $218
Physical therapy evaluation (moderate complexity): 10 of 33 insurance plan rates
  • Aetna — Aetna: $190.53
  • Aetna — Aetna International: $198.66
  • Aetna — Aetna Savings Plus: $105.35
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $94.27
  • Aetna QHP — Aetna QHP: $201.18
  • Ambetter from Superior — Ambetter from Superior: $98.98
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $128.87
  • Blue Cross and Blue Shield — BCBS-HMO: $184.22
  • Blue Cross and Blue Shield — BCBS-PPO: $212.77
  • Blue Cross and Blue Shield — BCBS-Traditional: $212.77
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT Evaluation Units, Moderate Complexity $301 $301 $105.35 – $198.66
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans
  • Aetna — Aetna: $190.53
  • Aetna — Aetna International: $198.66
  • Aetna — Aetna Savings Plus: $105.35
  • State Comptroller — DARS: $150.50
  • Texas Mutual WC — Texas Mutual WC: $198.66
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT Evaluation Units, High Complexity $380 $380 $49.38 – $250.80
Physical therapy evaluation (high complexity): 10 of 33 insurance plan rates
  • Aetna — Aetna: $240.54
  • Aetna — Aetna International: $250.80
  • Aetna — Aetna Savings Plus: $133
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $94.27
  • Aetna QHP — Aetna QHP: $201.18
  • Ambetter from Superior — Ambetter from Superior: $98.98
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $128.87
  • Blue Cross and Blue Shield — BCBS-HMO: $184.22
  • Blue Cross and Blue Shield — BCBS-PPO: $212.77
  • Blue Cross and Blue Shield — BCBS-Traditional: $212.77
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 97163 - PT Evaluation Units, High Complexity $380 $380 $49.38 – $250.80
Physical therapy evaluation (high complexity): 10 of 33 insurance plan rates
  • Aetna — Aetna: $240.54
  • Aetna — Aetna International: $250.80
  • Aetna — Aetna Savings Plus: $133
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $94.27
  • Aetna QHP — Aetna QHP: $201.18
  • Ambetter from Superior — Ambetter from Superior: $98.98
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $128.87
  • Blue Cross and Blue Shield — BCBS-HMO: $184.22
  • Blue Cross and Blue Shield — BCBS-PPO: $212.77
  • Blue Cross and Blue Shield — BCBS-Traditional: $212.77
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT Evaluation Units, High Complexity $380 $380 $133 – $250.80
Physical therapy evaluation (high complexity): rates for 5 insurance plans
  • Aetna — Aetna: $240.54
  • Aetna — Aetna International: $250.80
  • Aetna — Aetna Savings Plus: $133
  • State Comptroller — DARS: $190
  • Texas Mutual WC — Texas Mutual WC: $250.80

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ENDO - EGD $2,311 $2,311 $272.70 – $1,525.26
Upper GI endoscopy (diagnostic): 10 of 33 insurance plan rates
  • Aetna — Aetna: $1,462.86
  • Aetna — Aetna International: $1,525.26
  • Aetna — Aetna Savings Plus: $808.85
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $896.54
  • Aetna QHP — Aetna QHP: $1,913.35
  • Ambetter from Superior — Ambetter from Superior: $941.37
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $1,021.70
  • Blue Cross and Blue Shield — BCBS-HMO: $1,060.99
  • Blue Cross and Blue Shield — BCBS-PPO: $1,383.22
  • Blue Cross and Blue Shield — BCBS-Traditional: $1,383.22
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ENDO - EGD $2,311 $2,311 $808.85 – $1,525.26
Upper GI endoscopy (diagnostic): rates for 5 insurance plans
  • Aetna — Aetna: $1,462.86
  • Aetna — Aetna International: $1,525.26
  • Aetna — Aetna Savings Plus: $808.85
  • State Comptroller — DARS: $1,155.50
  • Texas Mutual WC — Texas Mutual WC: $1,525.26
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ENDO - EGD $2,311 $2,311 $242.98 – $1,525.26
Upper GI endoscopy (diagnostic): rates for 3 insurance plans
  • Aetna — Aetna: $1,462.86
  • CorVel WC — CorVel WC: $242.98
  • Texas Mutual WC — Texas Mutual WC: $1,525.26
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ENDO - EGD With Biopsy $1,811 $1,811 $334.75 – $1,742
Upper GI endoscopy with biopsy: 10 of 33 insurance plan rates
  • Aetna — Aetna: $1,146.36
  • Aetna — Aetna International: $1,195.26
  • Aetna — Aetna Savings Plus: $633.85
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $896.54
  • Aetna QHP — Aetna QHP: $1,913.35
  • Ambetter from Superior — Ambetter from Superior: $941.37
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $1,021.70
  • Blue Cross and Blue Shield — BCBS-HMO: $1,060.99
  • Blue Cross and Blue Shield — BCBS-PPO: $1,383.22
  • Blue Cross and Blue Shield — BCBS-Traditional: $1,383.22
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ENDO - EGD With Biopsy $1,811 $1,811 $633.85 – $1,195.26
Upper GI endoscopy with biopsy: rates for 5 insurance plans
  • Aetna — Aetna: $1,146.36
  • Aetna — Aetna International: $1,195.26
  • Aetna — Aetna Savings Plus: $633.85
  • State Comptroller — DARS: $905.50
  • Texas Mutual WC — Texas Mutual WC: $1,195.26
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ENDO - EGD With Biopsy $1,811 $1,811 $310.88 – $1,195.26
Upper GI endoscopy with biopsy: rates for 3 insurance plans
  • Aetna — Aetna: $1,146.36
  • CorVel WC — CorVel WC: $310.88
  • Texas Mutual WC — Texas Mutual WC: $1,195.26
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ENDO - Colonoscopy $2,405 $2,405 $328.30 – $1,742
Colonoscopy (diagnostic): 10 of 33 insurance plan rates
  • Aetna — Aetna: $1,522.36
  • Aetna — Aetna International: $1,587.30
  • Aetna — Aetna Savings Plus: $841.75
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $919.25
  • Aetna QHP — Aetna QHP: $1,961.82
  • Ambetter from Superior — Ambetter from Superior: $965.21
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $993.04
  • Blue Cross and Blue Shield — BCBS-HMO: $1,031.24
  • Blue Cross and Blue Shield — BCBS-PPO: $1,344.43
  • Blue Cross and Blue Shield — BCBS-Traditional: $1,344.43
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ENDO - Colonoscopy $2,405 $2,405 $841.75 – $1,587.30
Colonoscopy (diagnostic): rates for 5 insurance plans
  • Aetna — Aetna: $1,522.36
  • Aetna — Aetna International: $1,587.30
  • Aetna — Aetna Savings Plus: $841.75
  • State Comptroller — DARS: $1,202.50
  • Texas Mutual WC — Texas Mutual WC: $1,587.30
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ENDO - Colonoscopy $2,405 $2,405 $275.86 – $1,587.30
Colonoscopy (diagnostic): rates for 3 insurance plans
  • Aetna — Aetna: $1,522.37
  • CorVel WC — CorVel WC: $275.86
  • Texas Mutual WC — Texas Mutual WC: $1,587.30
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ENDO - Colonoscopy w/ Biopsy $2,076 $2,076 $365.14 – $1,767.43
Colonoscopy with biopsy: 10 of 33 insurance plan rates
  • Aetna — Aetna: $1,314.11
  • Aetna — Aetna International: $1,370.16
  • Aetna — Aetna Savings Plus: $726.60
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $1,182.86
  • Aetna QHP — Aetna QHP: $2,524.39
  • Ambetter from Superior — Ambetter from Superior: $1,242
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $1,305.49
  • Blue Cross and Blue Shield — BCBS-HMO: $1,355.70
  • Blue Cross and Blue Shield — BCBS-PPO: $1,767.43
  • Blue Cross and Blue Shield — BCBS-Traditional: $1,767.43
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ENDO - Colonoscopy w/ Biopsy $2,076 $2,076 $726.60 – $1,370.16
Colonoscopy with biopsy: rates for 5 insurance plans
  • Aetna — Aetna: $1,314.11
  • Aetna — Aetna International: $1,370.16
  • Aetna — Aetna Savings Plus: $726.60
  • State Comptroller — DARS: $1,038
  • Texas Mutual WC — Texas Mutual WC: $1,370.16
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ENDO - Colonoscopy w/ Biopsy $2,076 $2,076 $355.52 – $1,370.16
Colonoscopy with biopsy: rates for 3 insurance plans
  • Aetna — Aetna: $1,314.11
  • CorVel WC — CorVel WC: $355.52
  • Texas Mutual WC — Texas Mutual WC: $1,370.16
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ENDO - Colonoscopy w/ Polypectomy $1,738 $1,738 $365.14 – $1,767.43
Colonoscopy with removal of polyps (snare): 10 of 33 insurance plan rates
  • Aetna — Aetna: $1,100.15
  • Aetna — Aetna International: $1,147.08
  • Aetna — Aetna Savings Plus: $608.30
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $1,182.86
  • Aetna QHP — Aetna QHP: $2,524.39
  • Ambetter from Superior — Ambetter from Superior: $1,242
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $1,305.49
  • Blue Cross and Blue Shield — BCBS-HMO: $1,355.70
  • Blue Cross and Blue Shield — BCBS-PPO: $1,767.43
  • Blue Cross and Blue Shield — BCBS-Traditional: $1,767.43
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ENDO - Colonoscopy w/ Polypectomy $1,738 $1,738 $608.30 – $1,147.08
Colonoscopy with removal of polyps (snare): rates for 5 insurance plans
  • Aetna — Aetna: $1,100.15
  • Aetna — Aetna International: $1,147.08
  • Aetna — Aetna Savings Plus: $608.30
  • State Comptroller — DARS: $869
  • Texas Mutual WC — Texas Mutual WC: $1,147.08
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ENDO - Colonoscopy w/ Polypectomy $1,738 $1,738 $369.68 – $1,147.08
Colonoscopy with removal of polyps (snare): rates for 3 insurance plans
  • Aetna — Aetna: $1,100.15
  • CorVel WC — CorVel WC: $369.68
  • Texas Mutual WC — Texas Mutual WC: $1,147.08
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ENDO - Colorectal Screen No Risk $2,405 $2,405 $272.70 – $1,742
Screening colonoscopy (not high risk): 10 of 33 insurance plan rates
  • Aetna — Aetna: $1,522.36
  • Aetna — Aetna International: $1,587.30
  • Aetna — Aetna Savings Plus: $841.75
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $915.52
  • Aetna QHP — Aetna QHP: $1,961.82
  • Ambetter from Superior — Ambetter from Superior: $961.30
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $993.04
  • Blue Cross and Blue Shield — BCBS-HMO: $1,031.24
  • Blue Cross and Blue Shield — BCBS-PPO: $1,344.43
  • Blue Cross and Blue Shield — BCBS-Traditional: $1,344.43
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ENDO - Colorectal Screen No Risk $2,405 $2,405 $841.75 – $1,587.30
Screening colonoscopy (not high risk): rates for 5 insurance plans
  • Aetna — Aetna: $1,522.36
  • Aetna — Aetna International: $1,587.30
  • Aetna — Aetna Savings Plus: $841.75
  • State Comptroller — DARS: $1,202.50
  • Texas Mutual WC — Texas Mutual WC: $1,587.30
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ENDO - Colorectal Screen No Risk $2,405 $2,405 $1,522.37 – $1,587.30
Screening colonoscopy (not high risk): rates for 2 insurance plans
  • Aetna — Aetna: $1,522.37
  • Texas Mutual WC — Texas Mutual WC: $1,587.30
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 55700 - PROSTATE NEEDLE BIOPSY ANY APPROACH $312 $312 $47.17 – $312
Prostate biopsy: 10 of 18 insurance plan rates
  • Aetna — Aetna: $197.50
  • Aetna — Aetna International: $205.92
  • Aetna — Aetna Savings Plus: $109.20
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $74.88
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $134.16
  • Blue Cross and Blue Shield — BCBS-HMO: $134.16
  • Blue Cross and Blue Shield — BCBS-PPO: $134.16
  • Blue Cross and Blue Shield — BCBS-Traditional: $134.16
  • Caprock — Caprock: $149.76
  • Caprock — Caprock Pref Facility: $124.80
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 55700 - PROSTATE NEEDLE BIOPSY ANY APPROACH $312 $312 $109.20 – $205.92
Prostate biopsy: rates for 5 insurance plans
  • Aetna — Aetna: $197.50
  • Aetna — Aetna International: $205.92
  • Aetna — Aetna Savings Plus: $109.20
  • State Comptroller — DARS: $156
  • Texas Mutual WC — Texas Mutual WC: $205.92
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 55700 - PROSTATE NEEDLE BIOPSY ANY APPROACH $312 $312 $192.73 – $205.92
Prostate biopsy: rates for 3 insurance plans
  • Aetna — Aetna: $197.50
  • CorVel WC — CorVel WC: $192.73
  • Texas Mutual WC — Texas Mutual WC: $205.92
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 55866 - LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING $2,887 $2,887 $436.51 – $2,887
Prostate removal by laparoscope (radical prostatectomy): 10 of 27 insurance plan rates
  • Aetna — Aetna: $1,827.47
  • Aetna — Aetna International: $1,905.42
  • Aetna — Aetna Savings Plus: $1,010.45
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $10,499.42
  • Aetna QHP — Aetna QHP: $22,424.37
  • Ambetter from Superior — Ambetter from Superior: $11,024.39
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $1,241.41
  • Blue Cross and Blue Shield — BCBS-HMO: $1,241.41
  • Blue Cross and Blue Shield — BCBS-PPO: $1,241.41
  • Blue Cross and Blue Shield — BCBS-Traditional: $1,241.41
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 55866 - LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING $2,887 $2,887 $1,010.45 – $1,905.42
Prostate removal by laparoscope (radical prostatectomy): rates for 5 insurance plans
  • Aetna — Aetna: $1,827.47
  • Aetna — Aetna International: $1,905.42
  • Aetna — Aetna Savings Plus: $1,010.45
  • State Comptroller — DARS: $1,443.50
  • Texas Mutual WC — Texas Mutual WC: $1,905.42
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 55866 - LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING $2,887 $2,887 $1,827.47 – $1,905.42
Prostate removal by laparoscope (radical prostatectomy): rates for 2 insurance plans
  • Aetna — Aetna: $1,827.47
  • Texas Mutual WC — Texas Mutual WC: $1,905.42
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR Radionuclide Inj $2,183 $2,183 $262.70 – $2,644.02
Spinal injection, lower back (epidural), with imaging guidance: 10 of 33 insurance plan rates
  • Aetna — Aetna: $1,381.84
  • Aetna — Aetna International: $1,440.78
  • Aetna — Aetna Savings Plus: $764.05
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $697.75
  • Aetna QHP — Aetna QHP: $1,489.11
  • Ambetter from Superior — Ambetter from Superior: $732.64
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $812.57
  • Blue Cross and Blue Shield — BCBS-HMO: $843.82
  • Blue Cross and Blue Shield — BCBS-PPO: $1,100.09
  • Blue Cross and Blue Shield — BCBS-Traditional: $1,100.09
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection of diagnostic; with imaging guidance - 6 $2,183 $2,183 $330.07 – $2,183
Spinal injection, lower back (epidural), with imaging guidance: 10 of 27 insurance plan rates
  • Aetna — Aetna: $1,381.84
  • Aetna — Aetna International: $1,440.78
  • Aetna — Aetna Savings Plus: $764.05
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $697.75
  • Aetna QHP — Aetna QHP: $1,489.11
  • Ambetter from Superior — Ambetter from Superior: $732.64
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $938.69
  • Blue Cross and Blue Shield — BCBS-HMO: $938.69
  • Blue Cross and Blue Shield — BCBS-PPO: $938.69
  • Blue Cross and Blue Shield — BCBS-Traditional: $938.69
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IR Radionuclide Inj $2,183 $2,183 $764.05 – $1,440.78
Spinal injection, lower back (epidural), with imaging guidance: rates for 5 insurance plans
  • Aetna — Aetna: $1,381.84
  • Aetna — Aetna International: $1,440.78
  • Aetna — Aetna Savings Plus: $764.05
  • State Comptroller — DARS: $1,091.50
  • Texas Mutual WC — Texas Mutual WC: $1,440.78

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 $55,456.84 – $108,266.31
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 26 insurance plan rates
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $73,207.81
  • Aetna QHP — Aetna QHP: $108,266.31
  • Ambetter from Superior — Ambetter from Superior: $76,868.20
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $55,456.84
  • Blue Cross and Blue Shield — BCBS-HMO: $73,949.41
  • Blue Cross and Blue Shield — BCBS-PPO: $92,431.55
  • Blue Cross and Blue Shield — BCBS-Traditional: $92,431.55
  • Caprock — Caprock: $74,913.75
  • Caprock — Caprock Pref Facility: $69,027.43
  • Care Improvement Plus — Care Improvement Plus: $74,666.42
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $20,910.17 – $79,728.89
Spinal fusion (not neck), without major complications: 10 of 23 insurance plan rates
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $29,766.23
  • Aetna QHP — Aetna QHP: $43,990.51
  • Ambetter from Superior — Ambetter from Superior: $31,254.55
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $20,910.17
  • Blue Cross and Blue Shield — BCBS-HMO: $27,882.84
  • Blue Cross and Blue Shield — BCBS-PPO: $34,851.59
  • Blue Cross and Blue Shield — BCBS-Traditional: $34,851.59
  • Caprock — Caprock: $38,269.87
  • Caprock — Caprock Pref Facility: $35,878
  • Care Improvement Plus — Care Improvement Plus: $30,338.28
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $10,101.77 – $25,846.04
Hip or knee replacement (major joint of the leg), without major complications: 10 of 26 insurance plan rates
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $17,503.08
  • Aetna QHP — Aetna QHP: $25,846.04
  • Ambetter from Superior — Ambetter from Superior: $18,378.23
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $10,101.77
  • Blue Cross and Blue Shield — BCBS-HMO: $13,470.29
  • Blue Cross and Blue Shield — BCBS-PPO: $16,836.91
  • Blue Cross and Blue Shield — BCBS-Traditional: $16,836.91
  • Caprock — Caprock: $14,770.94
  • Caprock — Caprock Pref Facility: $13,610.32
  • Care Improvement Plus — Care Improvement Plus: $17,824.86
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 $13,506.24 – $31,223.28
Neck (cervical) spinal fusion, without complications: 10 of 26 insurance plan rates
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $21,137.35
  • Aetna QHP — Aetna QHP: $31,223.28
  • Ambetter from Superior — Ambetter from Superior: $22,194.22
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $13,506.24
  • Blue Cross and Blue Shield — BCBS-HMO: $18,010.02
  • Blue Cross and Blue Shield — BCBS-PPO: $22,511.25
  • Blue Cross and Blue Shield — BCBS-Traditional: $22,511.25
  • Caprock — Caprock: $18,694.74
  • Caprock — Caprock Pref Facility: $17,225.81
  • Care Improvement Plus — Care Improvement Plus: $21,533.29
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $6,020.44 – $18,623.96
Uterus and ovary surgery (not for cancer), without complications: 10 of 26 insurance plan rates
  • Aetna Medicare Advantage Plan — Aetna MC Advantage: $12,621.95
  • Aetna QHP — Aetna QHP: $18,623.96
  • Ambetter from Superior — Ambetter from Superior: $13,253.05
  • Blue Cross and Blue Shield — BCBS-Blue Advantage: $6,020.44
  • Blue Cross and Blue Shield — BCBS-HMO: $8,028.01
  • Blue Cross and Blue Shield — BCBS-PPO: $10,034.44
  • Blue Cross and Blue Shield — BCBS-Traditional: $10,034.44
  • Caprock — Caprock: $9,500.91
  • Caprock — Caprock Pref Facility: $8,754.38
  • Care Improvement Plus — Care Improvement Plus: $12,844.11

Source: Medical Center Hospital’s standard charges file (mchodessa.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on May 4, 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
Address500 W 4th Street, Odessa, TX 79761
CountyEctor County
StateTexas
Phone(432) 640‑4000
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number450132
Name in Medicare recordsMEDICAL CENTER HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteMedical Center Health System
Official websitemchodessa.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. Medical Center Health System — mchodessa.com
  2. Awards & Accolades — mchodessa.com
  3. Stroke Services — mchodessa.com