Does Medical Center of McKinney have an emergency room?

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

Where is Medical Center of McKinney?

4500 Medical Center Drive, McKinney, TX 75069, in Collin County, Texas.

What is the phone number of Medical Center of McKinney?

(972) 547-8000, as listed by Medicare (CMS).

What is the Medicare star rating of Medical Center of McKinney?

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

Medical Center of McKinney — McKinney, TX

Quick answers

Does Medical Center of McKinney have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Medical Center of McKinney. In a medical emergency, call 911.
Where is Medical Center of McKinney?: 4500 Medical Center Drive, McKinney, TX 75069, in Collin County, Texas.
What is the phone number of Medical Center of McKinney?: (972) 547-8000, as listed by Medicare (CMS).
What is the Medicare star rating of Medical Center of McKinney?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][5][8][9][15][18]}

Conditions treated^{[5][7][10][13][15][18]}

Treatments^{[5][7][9][10][12][15][16][17][18]}

Radiation therapy
Sports medicine
Minimally invasive surgery
Adult mental health care
Senior mental health care
Pediatric emergency care
Prenatal care
Postpartum care
Electrophysiology study
Cardiac catheterization
Computed tomography (CT) scan
Magnetic resonance imaging (MRI)
Ultrasound
Nuclear medicine imaging
X-ray
Mammography
Stereotactic breast biopsy
Bone density (DEXA) scan
CT angiogram of brain and neck
Clot-dissolving medication for stroke
Electroencephalogram (EEG)
Electromyography (EMG)
Epidural anesthesia
Gastric balloon

Procedures^{[5][10][13][14][17]}

Hip replacement
Knee replacement
Pediatric surgery
Weight loss surgery
Labor and delivery
Gynecology
Coronary artery bypass graft (CABG)
Stent placement
Valve replacement and repair
Thoracic aortic surgery
Total hip, knee and shoulder replacement
Reverse shoulder arthroplasty
Knee and hip resurfacing
Robot-assisted surgery
Gastric sleeve
Gastric bypass (Roux-en-Y)
Lap band

Programs and centers^{[4][5][7][8][9][11][16][17][18]}

Enhanced Surgical Recovery
NICU
Breast health
Stroke rehabilitation
Inpatient behavioral health
Stop the Bleed course
Chest Pain Center
Center for Joint Replacement
Clinical Decision Unit
Pediatric emergency care
Inpatient rehabilitation
Stroke Support Group
Texas Ten Step Program
Childbirth and parenting classes
Level III neonatal intensive care unit
Bariatric seminar

Emergency care (hospital website)^{[7][8][15][16]}

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

Visiting and practical information

Visiting	Visiting hours 7 a.m.-9 p.m. daily (ICU 6 a.m.-9 p.m.); two visitors at a time^[6]
Parking	Free valet parking Mon-Fri 8 a.m.-5 p.m. at main entrance, Medical Office Building entrance and the breezeway^[6]
Interpreters and languages	Interpreter services available 24/7 for non-English-speaking patients and families^[6]

Recognition^{[4][7][8][9][13][14][15]}

Magnet Recognition (ANCC)
Leapfrog Hospital Safety Grade A
Joint Commission certification: total hip and knee replacement, hip fracture, stroke rehabilitation, chest pain
Texas Ten Step breastfeeding designation
Healthgrades America's 250 Best Hospitals (2022-2025)
Chest Pain Center accreditation
Level II Trauma Center (Texas Department of State Health Services)
Advanced Primary Stroke Center (The Joint Commission)
Stroke Rehabilitation Certification, Gold Seal (The Joint Commission)
Gold Seal for knee and hip replacement (The Joint Commission)
Joint replacement program recertification (The Joint Commission)
Texas Ten Step Program designation (designated five times)

Doctors and clinicians (536)

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

Main specialties

And 512 more: the button below opens the full list.

Other emergency rooms nearby

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

Baylor Scott and White Medical Center McKinney4.7 mi · McKinney, TX · Acute Care Hospital
Methodist McKinney Hospital5.1 mi · McKinney, TX · Acute Care Hospital
Texas Health Presbyterian Hospital Allen6.2 mi · Allen, TX · Acute Care Hospital
Baylor Scott & White Medical Center - Centennial8.5 mi · Frisco, TX · Acute Care Hospital
Childrens Medical Center Plano11 mi · Plano, TX · Children's Hospital

Other hospitals nearby

PAM Rehabilitation Hospital of Allen4.3 mi · Allen, TX · Inpatient Rehabilitation Hospital
Horizon Medical Center of McKinney LLC5.8 mi · McKinney, TX · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

McKinney Healthcare and Rehabilitation Center0.4 mi · McKinney, TX · 5 of 5 stars
Park Manor of McKinney3.5 mi · McKinney, TX · 4 of 5 stars
North Park Health and Rehabilitation Center4.0 mi · McKinney, TX · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Avant Hospice, LLC2.3 mi · McKinney, TX
Dogwood Hospice and Palliative Care LLC2.3 mi · McKinney, TX
Southern Grace Hospice LLC2.3 mi · McKinney, TX

All hospice providers in the state →

Home health agencies

Dover Healthcare Services LLC2.3 mi · McKinney, TX
Accentcare Home Health of McKinney3.6 mi · McKinney, TX · 4 of 5 stars
Vstar Home Care LLC3.6 mi · McKinney, TX

All home health agencies in the state →

Dialysis facilities

DaVita McKinney Corner Dialysis2.3 mi · McKinney, TX · 3 of 5 stars
DaVita McKinney Dialysis2.3 mi · McKinney, TX · 2 of 5 stars
FMC Dialysis Services of McKinney2.3 mi · McKinney, TX · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Heritage Surgery Center2.3 mi · McKinney, TX
Medical City Surgery Center McKinney2.3 mi · McKinney, TX
Methodist Craig Ranch Surgery Center3.6 mi · McKinney, TX

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Women's Health Center of McKinney0.1 mi · McKinney, TX · Community health center
Family Health Center on Virginia2.6 mi · McKinney, TX · Community health center
HSNT Plano9.9 mi · Plano, TX · Community health center

Clinics and urgent care

Children's Health PM Urgent Care, PLLC3.6 mi · McKinney, TX · Urgent care center
Maxlife Medical Group Inc3.6 mi · McKinney, TX · Urgent care center
Texas Health Urgent Care3.6 mi · McKinney, TX · Urgent care center

Pharmacies

Albertsons LLC2.3 mi · McKinney, TX · Community/retail pharmacy
Ava Healthcare LLC2.3 mi · McKinney, TX · Community/retail pharmacy
McKinney Care Pharmacy and Compounding LLC2.3 mi · McKinney, TX · Community/retail pharmacy

Assisted living nearby

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

Anointed Senior Living2.3 mi · McKinney, TX
Cariad at Northbrook2.3 mi · McKinney, TX
Cornerstone Ministries Inc2.3 mi · McKinney, TX
Grand Brook Memory Care of McKinney2.3 mi · McKinney, TX

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	67%National average: 72%
Would definitely recommend the hospital	67%National average: 71%
Nurses “always” communicated well	74%National average: 80%
Doctors “always” communicated well	73%National average: 80%
Staff “always” explained medicines before giving them	56%National average: 62%
Were given information about recovery at home	82%National average: 86%
Room and bathroom “always” clean	74%National average: 74%
Area around the room “always” quiet at night	64%National average: 60%
Completed surveys	688Response rate: 14%

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)	0.238No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0Better than the national benchmark
Surgical site infections after colon surgery	0.234No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.549No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.113Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	14.1%
Deaths within 30 days: heart failure patients	10%
Deaths within 30 days: pneumonia patients	11.4%
Deaths within 30 days: COPD patients	9.9%
Deaths within 30 days: stroke patients	11.5%
Deaths within 30 days: coronary bypass surgery (CABG)	Too few cases to report
Serious complications (patient safety indicator PSI-90)	0.84No different from the national rate
Complications after hip or knee replacement	3.2%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.1%
Readmitted within 30 days: heart failure	23.9%
Readmitted within 30 days: pneumonia	18.3%
Readmitted within 30 days: COPD	20.9%
Readmitted within 30 days: coronary bypass surgery	Too few cases to report
Readmitted within 30 days: hip or knee replacement	7%

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)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	144 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	66%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in McKinney Best hospitals in Texas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 82 common services exactly as Medical Center of McKinney 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 →

$ 1 amount is marked with “!”: it is more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. It is shown exactly as listed; ask the hospital before relying on it.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 3 NP	$459.45	$459.45	$62.03 – $459.45
New patient office visit (about 30–44 minutes): 10 of 53 insurance plan rates Aetna — ASA: $232.02 Aetna — WCOMP: $252.70 Aetna Coventry First Health — COMM: $300.94 Averde Health, Inc — PPO: $266.48 BCBS — Traditional: $190.21 Cigna — AllOther: $171.37 Cigna — HMO: $135.54 Cigna — IFP: $62.03 Cigna — LocalPlus: $121.29 Cigna — NetworkBenefit: $135.54
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e	Not listed in the file	Not listed in the file	$213.07 – $414.52
New patient office visit (about 30–44 minutes): rates for 6 insurance plans BCBS — BlueAdvantageHMO: $213.07 BCBS — BlueEssentials: $377.33 BCBS — BlueEssentialsAccess: $377.33 BCBS — EPOSOA: $395.92 BCBS — MyBlueHealth: $213.07 BCBS — PPO: $414.52
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 4 NP	$238.02	$238.02	$178.51
New patient office visit (about 45–59 minutes): 10 of 53 insurance plan rates Aetna — ASA: $274.02 Aetna — WCOMP: $298.44 Aetna Coventry First Health — COMM: $355.42 Averde Health, Inc — PPO: $314.72 BCBS — Traditional: $224.64 Cigna — AllOther: $202.40 Cigna — HMO: $160.07 Cigna — IFP: $73.25 Cigna — LocalPlus: $143.25 Cigna — NetworkBenefit: $160.07
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e	Not listed in the file	Not listed in the file	$360.75 – $701.81
New patient office visit (about 45–59 minutes): rates for 6 insurance plans BCBS — BlueAdvantageHMO: $360.75 BCBS — BlueEssentials: $638.85 BCBS — BlueEssentialsAccess: $638.85 BCBS — EPOSOA: $670.33 BCBS — MyBlueHealth: $360.75 BCBS — PPO: $701.81
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 5 NP	$293.57	$293.57	$220.18
New patient office visit (about 60–74 minutes): 10 of 53 insurance plan rates Aetna — ASA: $398.63 Aetna — WCOMP: $434.15 Aetna Coventry First Health — COMM: $517.04 Averde Health, Inc — PPO: $457.83 BCBS — Traditional: $326.80 Cigna — AllOther: $294.44 Cigna — HMO: $232.86 Cigna — IFP: $106.56 Cigna — LocalPlus: $208.39 Cigna — NetworkBenefit: $232.86
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e	Not listed in the file	Not listed in the file	$470.77 – $915.87
New patient office visit (about 60–74 minutes): rates for 6 insurance plans BCBS — BlueAdvantageHMO: $470.77 BCBS — BlueEssentials: $833.70 BCBS — BlueEssentialsAccess: $833.70 BCBS — EPOSOA: $874.78 BCBS — MyBlueHealth: $470.77 BCBS — PPO: $915.87
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 3 EST	$293.13	$293.13	$219.85
Established patient office visit (about 20–29 minutes): 10 of 53 insurance plan rates Aetna — ASA: $65.44 Aetna — WCOMP: $71.27 Aetna Coventry First Health — COMM: $84.88 Averde Health, Inc — PPO: $75.16 BCBS — Traditional: $53.65 Cigna — AllOther: $109.34 Cigna — HMO: $86.47 Cigna — IFP: $17.49 Cigna — LocalPlus: $77.39 Cigna — NetworkBenefit: $86.47
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history	Not listed in the file	Not listed in the file	$142.72 – $277.66
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans BCBS — BlueAdvantageHMO: $142.72 BCBS — BlueEssentials: $252.75 BCBS — BlueEssentialsAccess: $252.75 BCBS — EPOSOA: $265.21 BCBS — MyBlueHealth: $142.72 BCBS — PPO: $277.66
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 4 EST	$169.26	$169.26	$11.85 – $169.26
Established patient office visit (about 30–39 minutes): 10 of 53 insurance plan rates Aetna — ASA: $85.48 Aetna — WCOMP: $93.09 Aetna Coventry First Health — COMM: $110.87 Averde Health, Inc — PPO: $98.17 BCBS — Traditional: $70.07 Cigna — AllOther: $139.34 Cigna — HMO: $110.20 Cigna — IFP: $22.85 Cigna — LocalPlus: $98.62 Cigna — NetworkBenefit: $110.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history	Not listed in the file	Not listed in the file	$220.03 – $428.05
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans BCBS — BlueAdvantageHMO: $220.03 BCBS — BlueEssentials: $389.65 BCBS — BlueEssentialsAccess: $389.65 BCBS — EPOSOA: $408.85 BCBS — MyBlueHealth: $220.03 BCBS — PPO: $428.05
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$267.60 – $520.61
Office consultation with a specialist (moderate): rates for 6 insurance plans BCBS — BlueAdvantageHMO: $267.60 BCBS — BlueEssentials: $473.90 BCBS — BlueEssentialsAccess: $473.90 BCBS — EPOSOA: $497.25 BCBS — MyBlueHealth: $267.60 BCBS — PPO: $520.61
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$430.13 – $836.79
Office consultation with a specialist (moderate to high): rates for 6 insurance plans BCBS — BlueAdvantageHMO: $430.13 BCBS — BlueEssentials: $761.72 BCBS — BlueEssentialsAccess: $761.72 BCBS — EPOSOA: $799.26 BCBS — MyBlueHealth: $430.13 BCBS — PPO: $836.79
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examin	Not listed in the file	Not listed in the file	$66.84 – $532.16
Preventive checkup, new patient, age 18–39: rates for 7 insurance plans BCBS — BlueAdvantageHMO: $273.54 BCBS — BlueEssentials: $484.42 BCBS — BlueEssentialsAccess: $484.42 BCBS — EPOSOA: $508.29 BCBS — MyBlueHealth: $273.54 BCBS — PPO: $532.16 Humana — Tricare: $66.84
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examin	Not listed in the file	Not listed in the file	$81.23 – $647.83
Preventive checkup, new patient, age 40–64: rates for 7 insurance plans BCBS — BlueAdvantageHMO: $333 BCBS — BlueEssentials: $589.71 BCBS — BlueEssentialsAccess: $589.71 BCBS — EPOSOA: $618.77 BCBS — MyBlueHealth: $333 BCBS — PPO: $647.83 Humana — Tricare: $81.23
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: LVL 3 EMER DEPT	$2,800.63	$2,800.63	$378.09 – $2,800.63
Emergency room visit (moderate): 10 of 30 insurance plan rates Aetna — ASA: $1,414.32 Aetna — WCOMP: $1,540.35 Aetna Coventry First Health — COMM: $1,834.41 Averde Health, Inc — PPO: $1,624.37 BCBS — Traditional: $1,159.46 Cigna — IFP: $378.09 Cigna — QHP: $392.09 Cigna Behavioral Health — COMM: $2,240.50 City of McKinney — COMM: $980.22 Coastal Comp Health Networks — WCOMP: $1,960.44
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$200 – $2,931
Emergency room visit (moderate): 10 of 48 insurance plan rates Aetna — COMM: $1,240 Aetna — Meritain: $1,240 Aetna — NewBusiness: $1,161 Aetna — OON: $1,467 Aetna Better Health — CHIP: $77.04 Aetna Better Health — MCD: $77.04 Amerigroup — CHIP: $363 Amerigroup — MGMCD: $363 BCBS — BlueAdvantageHMO: $1,148 BCBS — BlueEssentials: $1,470
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · modifier ER In the file: LVL 3 FREE STD EMER DEPT	$2,951.37	$2,951.37	$398.43 – $2,951.37
Emergency room visit (moderate): 10 of 30 insurance plan rates Aetna — ASA: $1,490.44 Aetna — WCOMP: $1,623.25 Aetna Coventry First Health — COMM: $1,933.15 Averde Health, Inc — PPO: $1,711.79 BCBS — Traditional: $1,221.87 Cigna — IFP: $398.43 Cigna — QHP: $413.19 Cigna Behavioral Health — COMM: $2,361.10 City of McKinney — COMM: $1,032.98 Coastal Comp Health Networks — WCOMP: $2,065.96
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: LVL 4 EMER DEPT	$4,421.68	$4,421.68	$596.93 – $4,421.68
Emergency room visit (moderately high): 10 of 30 insurance plan rates Aetna — ASA: $2,232.95 Aetna — WCOMP: $2,431.92 Aetna Coventry First Health — COMM: $2,896.20 Averde Health, Inc — PPO: $2,564.57 BCBS — Traditional: $1,830.58 Cigna — IFP: $596.93 Cigna — QHP: $619.04 Cigna Behavioral Health — COMM: $3,537.34 City of McKinney — COMM: $1,547.59 Coastal Comp Health Networks — WCOMP: $3,095.18
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$320 – $5,921
Emergency room visit (moderately high): 10 of 41 insurance plan rates Aetna — COMM: $3,702 Aetna — Meritain: $3,702 Aetna — NewBusiness: $3,465 Aetna — OON: $4,379 Aetna Better Health — CHIP: $77.04 Aetna Better Health — MCD: $77.04 Amerigroup — CHIP: $363 Amerigroup — MGMCD: $363 BCBS — BlueAdvantageHMO: $2,620 BCBS — BlueEssentials: $3,800
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier ER In the file: LVL 4 FREE STD EMER DEPT	$4,491.83	$4,491.83	$606.40 – $4,491.83
Emergency room visit (moderately high): 10 of 30 insurance plan rates Aetna — ASA: $2,268.37 Aetna — WCOMP: $2,470.51 Aetna Coventry First Health — COMM: $2,942.15 Averde Health, Inc — PPO: $2,605.26 BCBS — Traditional: $1,859.62 Cigna — IFP: $606.40 Cigna — QHP: $628.86 Cigna Behavioral Health — COMM: $3,593.46 City of McKinney — COMM: $1,572.14 Coastal Comp Health Networks — WCOMP: $3,144.28
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: LVL 5 EMER DEPT	$8,154.39	$8,154.39	$1,100.84 – $8,154.39
Emergency room visit (high): 10 of 30 insurance plan rates Aetna — ASA: $4,117.97 Aetna — WCOMP: $4,484.91 Aetna Coventry First Health — COMM: $5,341.13 Averde Health, Inc — PPO: $4,729.55 BCBS — Traditional: $3,375.92 Cigna — IFP: $1,100.84 Cigna — QHP: $1,141.61 Cigna Behavioral Health — COMM: $6,523.51 City of McKinney — COMM: $2,854.04 Coastal Comp Health Networks — WCOMP: $5,708.07
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$77.04 – $7,571
Emergency room visit (high): 10 of 41 insurance plan rates Aetna — COMM: $6,400 Aetna — Meritain: $6,400 Aetna — NewBusiness: $5,990 Aetna — OON: $7,571 Aetna Better Health — CHIP: $77.04 Aetna Better Health — MCD: $77.04 Amerigroup — CHIP: $363 Amerigroup — MGMCD: $363 BCBS — BlueAdvantageHMO: $6,600 BCBS — BlueEssentials: $7,520
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier ER In the file: LVL 5 FREE STD EMER DEPT	$6,241.40	$6,241.40	$842.59 – $6,241.40
Emergency room visit (high): 10 of 30 insurance plan rates Aetna — ASA: $3,151.91 Aetna — WCOMP: $3,432.77 Aetna Coventry First Health — COMM: $4,088.12 Averde Health, Inc — PPO: $3,620.01 BCBS — Traditional: $2,583.94 Cigna — IFP: $842.59 Cigna — QHP: $873.80 Cigna Behavioral Health — COMM: $4,993.12 City of McKinney — COMM: $2,184.49 Coastal Comp Health Networks — WCOMP: $4,368.98

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BMP TOTAL CALCIUM	$2,306.79	$2,306.79	$161.48 – $2,306.79
Basic metabolic panel (blood test): 10 of 41 insurance plan rates Aetna — ASA: $1,164.93 Aetna — WCOMP: $1,268.73 Aetna Coventry First Health — COMM: $1,510.95 Averde Health, Inc — PPO: $1,337.94 BCBS — Traditional: $955.01 Cigna — IFP: $311.42 Cigna — QHP: $322.95 Cigna Behavioral Health — COMM: $1,845.43 City of McKinney — COMM: $807.38 Coastal Comp Health Networks — WCOMP: $1,614.75
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Ch	Not listed in the file	Not listed in the file	$10.71
Basic metabolic panel (blood test): 10 of 85 insurance plan rates Aetna — COMM: $10.21 Aetna — MCR: $8.53 Aetna — Meritain: $10.21 Aetna — NewBusiness: $9.55 Aetna — OON: $12.09 Aetna Better Health — CHIP: $10.52 Aetna Better Health — MCD: $10.52 American Health Plan of Texas, Inc. — MGMCR: $8.88 Amerigroup — CHIP: $9.74 Amerigroup — DualEligible: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL	$2,751.14	$2,751.14	$192.58 – $2,751.14
Comprehensive metabolic panel (blood test): 10 of 41 insurance plan rates Aetna — ASA: $1,389.33 Aetna — WCOMP: $1,513.13 Aetna Coventry First Health — COMM: $1,802 Averde Health, Inc — PPO: $1,595.66 BCBS — Traditional: $1,138.97 Cigna — IFP: $371.40 Cigna — QHP: $385.16 Cigna Behavioral Health — COMM: $2,200.91 City of McKinney — COMM: $962.90 Coastal Comp Health Networks — WCOMP: $1,925.80
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon	Not listed in the file	Not listed in the file	$11.51
Comprehensive metabolic panel (blood test): 10 of 85 insurance plan rates Aetna — COMM: $12.74 Aetna — MCR: $10.65 Aetna — Meritain: $12.74 Aetna — NewBusiness: $11.92 Aetna — OON: $15.09 Aetna Better Health — CHIP: $10.17 Aetna Better Health — MCD: $10.17 American Health Plan of Texas, Inc. — MGMCR: $11.09 Amerigroup — CHIP: $9.42 Amerigroup — DualEligible: $10.56
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or	Not listed in the file	Not listed in the file	$52.11
Obstetric blood test panel: 10 of 69 insurance plan rates Aetna — COMM: $57.67 Aetna — MCR: $48.22 Aetna — Meritain: $57.67 Aetna — NewBusiness: $53.94 Aetna — OON: $68.28 American Health Plan of Texas, Inc. — MGMCR: $50.20 Amerigroup — DualEligible: $47.81 BCBS — BlueAdvantageHMO: $83.67 BCBS — BlueEssentials: $118.09 BCBS — BlueEssentialsAccess: $118.09
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	$498.82	$498.82	$34.92 – $498.82
Cholesterol panel (lipid panel): 10 of 41 insurance plan rates Aetna — ASA: $251.90 Aetna — WCOMP: $274.35 Aetna Coventry First Health — COMM: $326.73 Averde Health, Inc — PPO: $289.32 BCBS — Traditional: $206.51 Cigna — IFP: $67.34 Cigna — QHP: $69.83 Cigna Behavioral Health — COMM: $399.06 City of McKinney — COMM: $174.59 Coastal Comp Health Networks — WCOMP: $349.17
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholester	Not listed in the file	Not listed in the file	$8.58
Cholesterol panel (lipid panel): 10 of 85 insurance plan rates Aetna — COMM: $16.14 Aetna — MCR: $13.50 Aetna — Meritain: $16.14 Aetna — NewBusiness: $15.10 Aetna — OON: $19.11 Aetna Better Health — CHIP: $8.27 Aetna Better Health — MCD: $8.27 American Health Plan of Texas, Inc. — MGMCR: $14.06 Amerigroup — CHIP: $7.66 Amerigroup — DualEligible: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$2,347.66	$2,347.66	$164.34 – $2,347.66
Kidney function panel: 10 of 41 insurance plan rates Aetna — ASA: $1,185.57 Aetna — WCOMP: $1,291.21 Aetna Coventry First Health — COMM: $1,537.72 Averde Health, Inc — PPO: $1,361.64 BCBS — Traditional: $971.93 Cigna — IFP: $316.93 Cigna — QHP: $328.67 Cigna Behavioral Health — COMM: $1,878.13 City of McKinney — COMM: $821.68 Coastal Comp Health Networks — WCOMP: $1,643.36
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chlo	Not listed in the file	Not listed in the file	$9.11
Kidney function panel: 10 of 85 insurance plan rates Aetna — COMM: $10.47 Aetna — MCR: $8.75 Aetna — Meritain: $10.47 Aetna — NewBusiness: $9.79 Aetna — OON: $12.40 Aetna Better Health — CHIP: $6.49 Aetna Better Health — MCD: $6.49 American Health Plan of Texas, Inc. — MGMCR: $9.11 Amerigroup — CHIP: $6.01 Amerigroup — DualEligible: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	$2,631.96	$2,631.96	$184.24 – $2,631.96
Liver function panel: 10 of 41 insurance plan rates Aetna — ASA: $1,329.14 Aetna — WCOMP: $1,447.58 Aetna Coventry First Health — COMM: $1,723.93 Averde Health, Inc — PPO: $1,526.54 BCBS — Traditional: $1,089.63 Cigna — IFP: $355.31 Cigna — QHP: $368.47 Cigna Behavioral Health — COMM: $2,105.57 City of McKinney — COMM: $921.19 Coastal Comp Health Networks — WCOMP: $1,842.37
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase	Not listed in the file	Not listed in the file	$6.61
Liver function panel: 10 of 85 insurance plan rates Aetna — COMM: $9.85 Aetna — MCR: $8.24 Aetna — Meritain: $9.85 Aetna — NewBusiness: $9.21 Aetna — OON: $11.66 Aetna Better Health — CHIP: $6.49 Aetna Better Health — MCD: $6.49 American Health Plan of Texas, Inc. — MGMCR: $8.58 Amerigroup — CHIP: $6.01 Amerigroup — DualEligible: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA W MICRO AUTO	$846.10	$846.10	$59.23 – $846.10
Urine test (automated, with microscope): 10 of 41 insurance plan rates Aetna — ASA: $427.28 Aetna — WCOMP: $465.36 Aetna Coventry First Health — COMM: $554.20 Averde Health, Inc — PPO: $490.74 BCBS — Traditional: $350.29 Cigna — IFP: $114.22 Cigna — QHP: $118.45 Cigna Behavioral Health — COMM: $676.88 City of McKinney — COMM: $296.13 Coastal Comp Health Networks — WCOMP: $592.27
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity,	Not listed in the file	Not listed in the file	$3.17
Urine test (automated, with microscope): 10 of 85 insurance plan rates Aetna — COMM: $3.82 Aetna — MCR: $3.20 Aetna — Meritain: $3.82 Aetna — NewBusiness: $3.57 Aetna — OON: $4.52 Aetna Better Health — CHIP: $2.87 Aetna Better Health — MCD: $2.87 American Health Plan of Texas, Inc. — MGMCR: $3.33 Amerigroup — CHIP: $2.66 Amerigroup — DualEligible: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: UA W O MICRO MANUAL	$166.85	$166.85	$11.68 – $166.85
Urine test (manual, without microscope): 10 of 41 insurance plan rates Aetna — ASA: $84.26 Aetna — WCOMP: $91.77 Aetna Coventry First Health — COMM: $109.29 Averde Health, Inc — PPO: $96.77 BCBS — Traditional: $69.08 Cigna — IFP: $22.52 Cigna — QHP: $23.36 Cigna Behavioral Health — COMM: $133.48 City of McKinney — COMM: $58.40 Coastal Comp Health Networks — WCOMP: $116.80
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: BILIRUBIN UR MANUAL	$166.85	$166.85	$11.68 – $166.85
Urine test (manual, without microscope): 10 of 41 insurance plan rates Aetna — ASA: $84.26 Aetna — WCOMP: $91.77 Aetna Coventry First Health — COMM: $109.29 Averde Health, Inc — PPO: $96.77 BCBS — Traditional: $69.08 Cigna — IFP: $22.52 Cigna — QHP: $23.36 Cigna Behavioral Health — COMM: $133.48 City of McKinney — COMM: $58.40 Coastal Comp Health Networks — WCOMP: $116.80
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: SPEC GRAV UR MANUAL	$166.85	$166.85	$11.68 – $166.85
Urine test (manual, without microscope): 10 of 41 insurance plan rates Aetna — ASA: $84.26 Aetna — WCOMP: $91.77 Aetna Coventry First Health — COMM: $109.29 Averde Health, Inc — PPO: $96.77 BCBS — Traditional: $69.08 Cigna — IFP: $22.52 Cigna — QHP: $23.36 Cigna Behavioral Health — COMM: $133.48 City of McKinney — COMM: $58.40 Coastal Comp Health Networks — WCOMP: $116.80
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: KETONES UR AUTO	$143	$143	$10.01 – $143
Urine test (automated, without microscope): 10 of 41 insurance plan rates Aetna — ASA: $72.22 Aetna — WCOMP: $78.65 Aetna Coventry First Health — COMM: $93.67 Averde Health, Inc — PPO: $82.94 BCBS — Traditional: $59.20 Cigna — IFP: $19.30 Cigna — QHP: $20.02 Cigna Behavioral Health — COMM: $114.40 City of McKinney — COMM: $50.05 Coastal Comp Health Networks — WCOMP: $100.10
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: BLOOD URINE AUTO	$143	$143	$10.01 – $143
Urine test (automated, without microscope): 10 of 41 insurance plan rates Aetna — ASA: $72.22 Aetna — WCOMP: $78.65 Aetna Coventry First Health — COMM: $93.67 Averde Health, Inc — PPO: $82.94 BCBS — Traditional: $59.20 Cigna — IFP: $19.30 Cigna — QHP: $20.02 Cigna Behavioral Health — COMM: $114.40 City of McKinney — COMM: $50.05 Coastal Comp Health Networks — WCOMP: $100.10
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: BILIRUBIN UR AUTO	$143	$143	$10.01 – $143
Urine test (automated, without microscope): 10 of 41 insurance plan rates Aetna — ASA: $72.22 Aetna — WCOMP: $78.65 Aetna Coventry First Health — COMM: $93.67 Averde Health, Inc — PPO: $82.94 BCBS — Traditional: $59.20 Cigna — IFP: $19.30 Cigna — QHP: $20.02 Cigna Behavioral Health — COMM: $114.40 City of McKinney — COMM: $50.05 Coastal Comp Health Networks — WCOMP: $100.10
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROS SPEC AG (PSA) TOTAL	$1,869.27	$1,869.27	$130.85 – $1,869.27
PSA (prostate specific antigen) blood test: 10 of 41 insurance plan rates Aetna — ASA: $943.98 Aetna — WCOMP: $1,028.10 Aetna Coventry First Health — COMM: $1,224.37 Averde Health, Inc — PPO: $1,084.18 BCBS — Traditional: $773.88 Cigna — IFP: $252.35 Cigna — QHP: $261.70 Cigna Behavioral Health — COMM: $1,495.42 City of McKinney — COMM: $654.24 Coastal Comp Health Networks — WCOMP: $1,308.49
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostate specific antigen (PSA); total	Not listed in the file	Not listed in the file	$18.39
PSA (prostate specific antigen) blood test: 10 of 75 insurance plan rates Aetna — COMM: $22.17 Aetna — MCR: $18.55 Aetna — Meritain: $22.17 Aetna — NewBusiness: $20.74 Aetna — OON: $26.25 Aetna Better Health — CHIP: $16.69 Aetna Better Health — MCD: $16.69 American Health Plan of Texas, Inc. — MGMCR: $19.31 Amerigroup — CHIP: $15.45 Amerigroup — DualEligible: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostate specific antigen (PSA); total Other Outpatient	Not listed in the file	Not listed in the file	$19.31
PSA (prostate specific antigen) blood test: rates for 6 insurance plans Superior Health Plan — MGMCRDualEligible: $19.31 Superior Health Plan — MGMCRHMO: $19.31 Superior Health Plan — MGMCRPFFS: $19.31 Superior Health Plan — MGMCRPOS: $19.31 Superior Health Plan — MGMCRPPO: $19.31 Superior Health Plan — MGMCRSNP: $19.31
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH	$2,170.62	$2,170.62	$151.94 – $2,170.62
Thyroid stimulating hormone (TSH) test: 10 of 41 insurance plan rates Aetna — ASA: $1,096.16 Aetna — WCOMP: $1,193.84 Aetna Coventry First Health — COMM: $1,421.76 Averde Health, Inc — PPO: $1,258.96 BCBS — Traditional: $898.64 Cigna — IFP: $293.03 Cigna — QHP: $303.89 Cigna Behavioral Health — COMM: $1,736.50 City of McKinney — COMM: $759.72 Coastal Comp Health Networks — WCOMP: $1,519.43
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid stimulating hormone (TSH)	Not listed in the file	Not listed in the file	$18.31
Thyroid stimulating hormone (TSH) test: 10 of 75 insurance plan rates Aetna — COMM: $20.26 Aetna — MCR: $16.94 Aetna — Meritain: $20.26 Aetna — NewBusiness: $18.95 Aetna — OON: $23.99 Aetna Better Health — CHIP: $15.24 Aetna Better Health — MCD: $15.24 American Health Plan of Texas, Inc. — MGMCR: $17.64 Amerigroup — CHIP: $14.11 Amerigroup — DualEligible: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid stimulating hormone (TSH) Other Outpatient	Not listed in the file	Not listed in the file	$17.64
Thyroid stimulating hormone (TSH) test: rates for 6 insurance plans Superior Health Plan — MGMCRDualEligible: $17.64 Superior Health Plan — MGMCRHMO: $17.64 Superior Health Plan — MGMCRPFFS: $17.64 Superior Health Plan — MGMCRPOS: $17.64 Superior Health Plan — MGMCRPPO: $17.64 Superior Health Plan — MGMCRSNP: $17.64
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count	Not listed in the file	Not listed in the file	$8.47
Complete blood count (CBC) with differential: 10 of 85 insurance plan rates Aetna — COMM: $9.37 Aetna — MCR: $7.84 Aetna — Meritain: $9.37 Aetna — NewBusiness: $8.76 Aetna — OON: $11.09 Aetna Better Health — CHIP: $7.05 Aetna Better Health — MCD: $7.05 American Health Plan of Texas, Inc. — MGMCR: $8.16 Amerigroup — CHIP: $6.53 Amerigroup — DualEligible: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC AUTOMATED	$771.21	$771.21	$53.98 – $771.21
Complete blood count (CBC), automated: 10 of 41 insurance plan rates Aetna — ASA: $389.46 Aetna — WCOMP: $424.17 Aetna Coventry First Health — COMM: $505.14 Averde Health, Inc — PPO: $447.30 BCBS — Traditional: $319.28 Cigna — IFP: $104.11 Cigna — QHP: $107.97 Cigna Behavioral Health — COMM: $616.97 City of McKinney — COMM: $269.92 Coastal Comp Health Networks — WCOMP: $539.85
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)	Not listed in the file	Not listed in the file	$6.47
Complete blood count (CBC), automated: 10 of 75 insurance plan rates Aetna — COMM: $7.80 Aetna — MCR: $6.52 Aetna — Meritain: $7.80 Aetna — NewBusiness: $7.29 Aetna — OON: $9.23 Aetna Better Health — CHIP: $5.86 Aetna Better Health — MCD: $5.86 American Health Plan of Texas, Inc. — MGMCR: $6.79 Amerigroup — CHIP: $5.43 Amerigroup — DualEligible: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) Other Outpatient	Not listed in the file	Not listed in the file	$6.79
Complete blood count (CBC), automated: rates for 6 insurance plans Superior Health Plan — MGMCRDualEligible: $6.79 Superior Health Plan — MGMCRHMO: $6.79 Superior Health Plan — MGMCRPFFS: $6.79 Superior Health Plan — MGMCRPOS: $6.79 Superior Health Plan — MGMCRPPO: $6.79 Superior Health Plan — MGMCRSNP: $6.79
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME	$723.54	$723.54	$50.65 – $723.54
Blood clotting time test (prothrombin time, PT): 10 of 41 insurance plan rates Aetna — ASA: $365.39 Aetna — WCOMP: $397.95 Aetna Coventry First Health — COMM: $473.92 Averde Health, Inc — PPO: $419.65 BCBS — Traditional: $299.55 Cigna — IFP: $97.68 Cigna — QHP: $101.30 Cigna Behavioral Health — COMM: $578.83 City of McKinney — COMM: $253.24 Coastal Comp Health Networks — WCOMP: $506.48
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time;	Not listed in the file	Not listed in the file	$4.29
Blood clotting time test (prothrombin time, PT): 10 of 75 insurance plan rates Aetna — COMM: $5.17 Aetna — MCR: $4.33 Aetna — Meritain: $5.17 Aetna — NewBusiness: $4.83 Aetna — OON: $6.12 Aetna Better Health — CHIP: $3.89 Aetna Better Health — MCD: $3.89 American Health Plan of Texas, Inc. — MGMCR: $4.50 Amerigroup — CHIP: $3.60 Amerigroup — DualEligible: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time; Other Outpatient	Not listed in the file	Not listed in the file	$4.50
Blood clotting time test (prothrombin time, PT): rates for 6 insurance plans Superior Health Plan — MGMCRDualEligible: $4.50 Superior Health Plan — MGMCRHMO: $4.50 Superior Health Plan — MGMCRPFFS: $4.50 Superior Health Plan — MGMCRPOS: $4.50 Superior Health Plan — MGMCRPPO: $4.50 Superior Health Plan — MGMCRSNP: $4.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT	$846.10	$846.10	$59.23 – $846.10
Blood clotting test (partial thromboplastin time, PTT): 10 of 41 insurance plan rates Aetna — ASA: $427.28 Aetna — WCOMP: $465.36 Aetna Coventry First Health — COMM: $554.20 Averde Health, Inc — PPO: $490.74 BCBS — Traditional: $350.29 Cigna — IFP: $114.22 Cigna — QHP: $118.45 Cigna Behavioral Health — COMM: $676.88 City of McKinney — COMM: $296.13 Coastal Comp Health Networks — WCOMP: $592.27
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time, partial (PTT); plasma or whole blood	Not listed in the file	Not listed in the file	$6.01
Blood clotting test (partial thromboplastin time, PTT): 10 of 75 insurance plan rates Aetna — COMM: $7.26 Aetna — MCR: $6.06 Aetna — Meritain: $7.26 Aetna — NewBusiness: $6.79 Aetna — OON: $8.59 Aetna Better Health — CHIP: $5.45 Aetna Better Health — MCD: $5.45 American Health Plan of Texas, Inc. — MGMCR: $6.31 Amerigroup — CHIP: $5.05 Amerigroup — DualEligible: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time, partial (PTT); plasma or whole blood Other Outpatient	Not listed in the file	Not listed in the file	$6.31
Blood clotting test (partial thromboplastin time, PTT): rates for 6 insurance plans Superior Health Plan — MGMCRDualEligible: $6.31 Superior Health Plan — MGMCRHMO: $6.31 Superior Health Plan — MGMCRPFFS: $6.31 Superior Health Plan — MGMCRPOS: $6.31 Superior Health Plan — MGMCRPPO: $6.31 Superior Health Plan — MGMCRSNP: $6.31

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD/BRAIN W/O CONT	$9,249.57	$9,249.57	$647.47 – $9,249.57
CT scan of the head or brain, without contrast: 10 of 35 insurance plan rates Aetna — ASA: $4,671.03 Aetna — WCOMP: $5,087.26 Aetna Coventry First Health — COMM: $6,058.47 Averde Health, Inc — PPO: $5,364.75 BCBS — Traditional: $3,829.32 Cigna — IFP: $1,248.69 Cigna — QHP: $1,294.94 Cigna Behavioral Health — COMM: $7,399.66 Coastal Comp Health Networks — WCOMP: $6,474.70 Fidelis SecureCare — MGMCR: $4,162.31
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Computed tomography, head or brain; without contrast material	Not listed in the file	Not listed in the file	$154.52 – $245.18
CT scan of the head or brain, without contrast: 10 of 26 insurance plan rates Aetna — COMM: $856 Aetna — Meritain: $856 Aetna — NewBusiness: $801 Aetna — OON: $1,013 Aetna Better Health — CHIP: $113.13 Aetna Better Health — MCD: $113.13 Amerigroup — CHIP: $104.75 Amerigroup — MGMCD: $104.75 BCBS — BlueAdvantageHMO: $141.22 BCBS — BlueEssentials: $435.99
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Computed tomography, head or brain; without contrast material Age Under 21	Not listed in the file	Not listed in the file	$117.32
CT scan of the head or brain, without contrast: rates for 4 insurance plans Molina — CHIP: $117.32 Molina — MCDSTAR: $117.32 Molina — STAR+PLUS: $117.32 Molina — STARKIDS: $117.32
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN W&WO CONT	$15,954.02	$15,954.02	$1,116.78 – $15,954.02
MRI of the brain, before and after contrast: 10 of 35 insurance plan rates Aetna — ASA: $8,056.78 Aetna — WCOMP: $8,774.71 Aetna Coventry First Health — COMM: $10,449.88 Averde Health, Inc — PPO: $9,253.33 BCBS — Traditional: $6,604.96 Cigna — IFP: $2,153.79 Cigna — QHP: $2,233.56 Cigna Behavioral Health — COMM: $12,763.22 Coastal Comp Health Networks — WCOMP: $11,167.81 Fidelis SecureCare — MGMCR: $7,179.31
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and furth	Not listed in the file	Not listed in the file	$616.10 – $828.27
MRI of the brain, before and after contrast: 10 of 30 insurance plan rates Aetna — COMM: $1,117 Aetna — Meritain: $1,117 Aetna — NewBusiness: $1,046 Aetna — OON: $1,321 Aetna Better Health — CHIP: $354.36 Aetna Better Health — MCD: $354.36 Amerigroup — CHIP: $328.11 Amerigroup — MGMCD: $328.11 BCBS — BlueAdvantageHMO: $481.13 BCBS — BlueEssentials: $1,485.40
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST XRAY 2 V	$1,481.17	$1,481.17	$103.68 – $1,481.17
Chest X-ray, 2 views: 10 of 42 insurance plan rates Aetna — ASA: $747.99 Aetna — WCOMP: $814.64 Aetna Coventry First Health — COMM: $970.17 Averde Health, Inc — PPO: $859.08 BCBS — Traditional: $613.20 Cigna — IFP: $199.96 Cigna — QHP: $207.36 Cigna Behavioral Health — COMM: $1,184.94 City of McKinney — COMM: $518.41 Coastal Comp Health Networks — WCOMP: $1,036.82
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Radiologic examination, chest; 2 views	Not listed in the file	Not listed in the file	$83.86 – $182.03
Chest X-ray, 2 views: 10 of 27 insurance plan rates Aetna Better Health — CHIP: $36.45 Aetna Better Health — MCD: $36.45 Amerigroup — CHIP: $33.75 Amerigroup — MGMCD: $33.75 BCBS — BlueAdvantageHMO: $109.34 BCBS — BlueEssentials: $325.62 BCBS — BlueEssentialsAccess: $325.62 BCBS — EPOSOA: $341.59 BCBS — MyBlueHealth: $109.34 BCBS — PPO: $357.55
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Radiologic examination, chest; 2 views Age Under 21	Not listed in the file	Not listed in the file	$37.80
Chest X-ray, 2 views: rates for 4 insurance plans Molina — CHIP: $37.80 Molina — MCDSTAR: $37.80 Molina — STAR+PLUS: $37.80 Molina — STARKIDS: $37.80
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR L-SPINE 4 + VIEWS	$2,470.14	$2,470.14	$172.91 – $2,470.14
X-ray of the lower spine, at least 4 views: 10 of 42 insurance plan rates Aetna — ASA: $1,247.42 Aetna — WCOMP: $1,358.58 Aetna Coventry First Health — COMM: $1,617.94 Averde Health, Inc — PPO: $1,432.68 BCBS — Traditional: $1,022.64 Cigna — IFP: $333.47 Cigna — QHP: $345.82 Cigna Behavioral Health — COMM: $1,976.11 City of McKinney — COMM: $864.55 Coastal Comp Health Networks — WCOMP: $1,729.10
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views	Not listed in the file	Not listed in the file	$154.52 – $245.18
X-ray of the lower spine, at least 4 views: 10 of 27 insurance plan rates Aetna Better Health — CHIP: $56.30 Aetna Better Health — MCD: $56.30 Amerigroup — CHIP: $52.13 Amerigroup — MGMCD: $52.13 BCBS — BlueAdvantageHMO: $153.55 BCBS — BlueEssentials: $457.29 BCBS — BlueEssentialsAccess: $457.29 BCBS — EPOSOA: $479.70 BCBS — MyBlueHealth: $153.55 BCBS — PPO: $502.12
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views Age Under 21	Not listed in the file	Not listed in the file	$58.39
X-ray of the lower spine, at least 4 views: rates for 4 insurance plans Molina — CHIP: $58.39 Molina — MCDSTAR: $58.39 Molina — STAR+PLUS: $58.39 Molina — STARKIDS: $58.39
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI L-SPINE W/O CONT	$10,417	$10,417	$729.19 – $10,417
MRI of the lower back (lumbar spine), without contrast: 10 of 36 insurance plan rates Aetna — ASA: $5,260.59 Aetna — WCOMP: $5,729.35 Aetna Coventry First Health — COMM: $6,823.14 Averde Health, Inc — PPO: $6,041.86 BCBS — Traditional: $4,312.64 Cigna — IFP: $1,406.30 Cigna — QHP: $1,458.38 Cigna Behavioral Health — COMM: $8,333.60 Coastal Comp Health Networks — WCOMP: $7,291.90 ComPsych Corporation — COMM: $8,333.60
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material Age Under 21	Not listed in the file	Not listed in the file	$220.80
MRI of the lower back (lumbar spine), without contrast: 10 of 30 insurance plan rates Aetna — COMM: $1,117 Aetna — Meritain: $1,117 Aetna — NewBusiness: $1,046 Aetna — OON: $1,321 Aetna Better Health — CHIP: $212.91 Aetna Better Health — MCD: $212.91 Amerigroup — CHIP: $197.14 Amerigroup — MGMCD: $197.14 BCBS — BlueAdvantageHMO: $293.63 BCBS — BlueEssentials: $906.53
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/CONTRAST	$10,215.79	$10,215.79	$715.11 – $10,215.79
CT scan of the pelvis, with contrast: 10 of 36 insurance plan rates Aetna — ASA: $5,158.97 Aetna — WCOMP: $5,618.68 Aetna Coventry First Health — COMM: $6,691.34 Averde Health, Inc — PPO: $5,925.16 BCBS — Traditional: $4,229.34 Cigna — IFP: $1,379.13 Cigna — QHP: $1,430.21 Cigna Behavioral Health — COMM: $8,172.63 Coastal Comp Health Networks — WCOMP: $7,151.05 ComPsych Corporation — COMM: $8,172.63
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Computed tomography, pelvis; with contrast material(s)	Not listed in the file	Not listed in the file	$341.20 – $401.74
CT scan of the pelvis, with contrast: 10 of 26 insurance plan rates Aetna — COMM: $856 Aetna — Meritain: $856 Aetna — NewBusiness: $801 Aetna — OON: $1,013 Aetna Better Health — CHIP: $189.06 Aetna Better Health — MCD: $189.06 Amerigroup — CHIP: $175.06 Amerigroup — MGMCD: $175.06 BCBS — BlueAdvantageHMO: $229.60 BCBS — BlueEssentials: $708.84
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Computed tomography, pelvis; with contrast material(s) Age 21+	Not listed in the file	Not listed in the file	$192.57
CT scan of the pelvis, with contrast: rates for 4 insurance plans Molina — CHIP: $192.57 Molina — MCDSTAR: $192.57 Molina — STAR+PLUS: $192.57 Molina — STARKIDS: $192.57
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material Age Under 21	Not listed in the file	Not listed in the file	$233.90
MRI of a leg joint (such as the knee), without contrast: 10 of 30 insurance plan rates Aetna — COMM: $1,117 Aetna — Meritain: $1,117 Aetna — NewBusiness: $1,046 Aetna — OON: $1,321 Aetna Better Health — CHIP: $225.55 Aetna Better Health — MCD: $225.55 Amerigroup — CHIP: $208.84 Amerigroup — MGMCD: $208.84 BCBS — BlueAdvantageHMO: $293.63 BCBS — BlueEssentials: $906.53
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier 50 In the file: MRI LW JNT W/O CONT BI	$15,591.32	$15,591.32	$1,091.39 – $15,591.32
MRI of a leg joint (such as the knee), without contrast: 10 of 36 insurance plan rates Aetna — ASA: $7,873.62 Aetna — WCOMP: $8,575.23 Aetna Coventry First Health — COMM: $10,212.31 Averde Health, Inc — PPO: $9,042.97 BCBS — Traditional: $6,454.81 Cigna — IFP: $2,104.83 Cigna — QHP: $2,182.78 Cigna Behavioral Health — COMM: $12,473.06 Coastal Comp Health Networks — WCOMP: $10,913.92 ComPsych Corporation — COMM: $12,473.06
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier LT In the file: MRI LW JNT W/O CONT LT	$10,394.70	$10,394.70	$727.63 – $10,394.70
MRI of a leg joint (such as the knee), without contrast: 10 of 36 insurance plan rates Aetna — ASA: $5,249.32 Aetna — WCOMP: $5,717.09 Aetna Coventry First Health — COMM: $6,808.53 Averde Health, Inc — PPO: $6,028.93 BCBS — Traditional: $4,303.41 Cigna — IFP: $1,403.28 Cigna — QHP: $1,455.26 Cigna Behavioral Health — COMM: $8,315.76 Coastal Comp Health Networks — WCOMP: $7,276.29 ComPsych Corporation — COMM: $8,315.76
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD&PELVIS W/CONT	$15,794.05	$15,794.05	$1,105.58 – $15,794.05
CT scan of the abdomen and pelvis, with contrast: 10 of 36 insurance plan rates Aetna — ASA: $7,976 Aetna — WCOMP: $8,686.73 Aetna Coventry First Health — COMM: $10,345.10 Averde Health, Inc — PPO: $9,160.55 BCBS — Traditional: $6,538.74 Cigna — IFP: $2,132.20 Cigna — QHP: $2,211.17 Cigna Behavioral Health — COMM: $12,635.24 Coastal Comp Health Networks — WCOMP: $11,055.83 ComPsych Corporation — COMM: $12,635.24
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Computed tomography, abdomen and pelvis; with contrast material(s)	Not listed in the file	Not listed in the file	$341.20 – $828.27
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates Aetna — COMM: $856 Aetna — Meritain: $856 Aetna — NewBusiness: $801 Aetna — OON: $1,013 Aetna Better Health — CHIP: $337.05 Aetna Better Health — MCD: $337.05 Amerigroup — CHIP: $312.08 Amerigroup — MGMCD: $312.08 BCBS — BlueAdvantageHMO: $481.13 BCBS — BlueEssentials: $1,485.40
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Computed tomography, abdomen and pelvis; with contrast material(s) Age 21+	Not listed in the file	Not listed in the file	$343.29
CT scan of the abdomen and pelvis, with contrast: rates for 4 insurance plans Molina — CHIP: $343.29 Molina — MCDSTAR: $343.29 Molina — STAR+PLUS: $343.29 Molina — STARKIDS: $343.29
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMPLETE	$4,101.46	$4,101.46	$287.10 – $4,101.46
Ultrasound of the abdomen, complete: 10 of 42 insurance plan rates Aetna — ASA: $2,071.24 Aetna — WCOMP: $2,255.80 Aetna Coventry First Health — COMM: $2,686.46 Averde Health, Inc — PPO: $2,378.85 BCBS — Traditional: $1,698 Cigna — IFP: $553.70 Cigna — QHP: $574.20 Cigna Behavioral Health — COMM: $3,281.17 City of McKinney — COMM: $1,435.51 Coastal Comp Health Networks — WCOMP: $2,871.02
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Ultrasound, abdominal, real time with image documentation; complete	Not listed in the file	Not listed in the file	$104.75 – $502.12
Ultrasound of the abdomen, complete: 10 of 27 insurance plan rates Aetna Better Health — CHIP: $113.13 Aetna Better Health — MCD: $113.13 Amerigroup — CHIP: $104.75 Amerigroup — MGMCD: $104.75 BCBS — BlueAdvantageHMO: $153.55 BCBS — BlueEssentials: $457.29 BCBS — BlueEssentialsAccess: $457.29 BCBS — EPOSOA: $479.70 BCBS — MyBlueHealth: $153.55 BCBS — PPO: $502.12
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Ultrasound, abdominal, real time with image documentation; complete Age Under 21	Not listed in the file	Not listed in the file	$117.32
Ultrasound of the abdomen, complete: rates for 4 insurance plans Molina — CHIP: $117.32 Molina — MCDSTAR: $117.32 Molina — STAR+PLUS: $117.32 Molina — STARKIDS: $117.32
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG AFTER 1ST TRI	$3,561.84	$3,561.84	$249.33 – $3,561.84
Pregnancy ultrasound (after the first trimester): 10 of 42 insurance plan rates Aetna — ASA: $1,798.73 Aetna — WCOMP: $1,959.01 Aetna Coventry First Health — COMM: $2,333.01 Averde Health, Inc — PPO: $2,065.87 BCBS — Traditional: $1,474.60 Cigna — IFP: $480.85 Cigna — QHP: $498.66 Cigna Behavioral Health — COMM: $2,849.47 City of McKinney — COMM: $1,246.64 Coastal Comp Health Networks — WCOMP: $2,493.29
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day	Not listed in the file	Not listed in the file	$117.32
Pregnancy ultrasound (after the first trimester): 10 of 31 insurance plan rates Aetna Better Health — CHIP: $113.13 Aetna Better Health — MCD: $113.13 Amerigroup — CHIP: $104.75 Amerigroup — MGMCD: $104.75 BCBS — BlueAdvantageHMO: $125.41 BCBS — BlueEssentials: $373.48 BCBS — BlueEssentialsAccess: $373.48 BCBS — EPOSOA: $391.79 BCBS — MyBlueHealth: $125.41 BCBS — PPO: $410.10
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier TC In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day	Not listed in the file	Not listed in the file	$204.97 – $259.12
Pregnancy ultrasound (after the first trimester): rates for 4 insurance plans Aetna — COMM: $218.94 Aetna — Meritain: $218.94 Aetna — NewBusiness: $204.97 Aetna — OON: $259.12
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL	$3,176.82	$3,176.82	$222.38 – $3,176.82
Transvaginal ultrasound: 10 of 42 insurance plan rates Aetna — ASA: $1,604.29 Aetna — WCOMP: $1,747.25 Aetna Coventry First Health — COMM: $2,080.82 Averde Health, Inc — PPO: $1,842.56 BCBS — Traditional: $1,315.20 Cigna — IFP: $428.87 Cigna — QHP: $444.75 Cigna Behavioral Health — COMM: $2,541.46 City of McKinney — COMM: $1,111.89 Coastal Comp Health Networks — WCOMP: $2,223.77
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound, transvaginal	Not listed in the file	Not listed in the file	$104.75 – $477.87
Transvaginal ultrasound: 10 of 27 insurance plan rates Aetna Better Health — CHIP: $113.13 Aetna Better Health — MCD: $113.13 Amerigroup — CHIP: $104.75 Amerigroup — MGMCD: $104.75 BCBS — BlueAdvantageHMO: $120.97 BCBS — BlueEssentials: $360.26 BCBS — BlueEssentialsAccess: $360.26 BCBS — EPOSOA: $377.92 BCBS — MyBlueHealth: $120.97 BCBS — PPO: $395.58
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound, transvaginal Age Under 21	Not listed in the file	Not listed in the file	$117.32
Transvaginal ultrasound: rates for 4 insurance plans Molina — CHIP: $117.32 Molina — MCDSTAR: $117.32 Molina — STAR+PLUS: $117.32 Molina — STARKIDS: $117.32
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MAMMO DIAG CAD UNI	$1,082.22	$1,082.22	$75.76 – $1,082.22
Diagnostic mammogram, one breast: 10 of 42 insurance plan rates Aetna — ASA: $546.52 Aetna — WCOMP: $595.22 Aetna Coventry First Health — COMM: $708.85 Averde Health, Inc — PPO: $627.69 BCBS — Traditional: $448.04 Cigna — IFP: $146.10 Cigna — QHP: $151.51 Cigna Behavioral Health — COMM: $865.78 City of McKinney — COMM: $378.78 Coastal Comp Health Networks — WCOMP: $757.55
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral	Not listed in the file	Not listed in the file	$129.76 – $205.70
Diagnostic mammogram, one breast: 10 of 57 insurance plan rates Aetna — MCR: $82.45 American Health Plan of Texas, Inc. — MGMCR: $85.85 Amerigroup — DualEligible: $81.76 BCBS — BlueAdvantageHMO: $128.86 BCBS — BlueEssentials: $383.76 BCBS — BlueEssentialsAccess: $383.76 BCBS — EPOSOA: $402.58 BCBS — MCRPPO: $81.76 BCBS — MGMCRHMO: $81.76 BCBS — MyBlueHealth: $128.86
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier TC In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral	Not listed in the file	Not listed in the file	$202.65 – $256.19
Diagnostic mammogram, one breast: rates for 4 insurance plans Aetna — COMM: $216.46 Aetna — Meritain: $216.46 Aetna — NewBusiness: $202.65 Aetna — OON: $256.19
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral	$1,082.22	$1,082.22	$114.33
Diagnostic mammogram, both breasts: 10 of 57 insurance plan rates Aetna — MCR: $105.78 American Health Plan of Texas, Inc. — MGMCR: $110.13 Amerigroup — DualEligible: $104.89 BCBS — BlueAdvantageHMO: $164.91 BCBS — BlueEssentials: $491.11 BCBS — BlueEssentialsAccess: $491.11 BCBS — EPOSOA: $515.18 BCBS — MCRPPO: $104.89 BCBS — MGMCRHMO: $104.89 BCBS — MyBlueHealth: $164.91
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MAMMO DIAG CAD BI	$1,082.22	$1,082.22	$75.76 – $1,082.22
Diagnostic mammogram, both breasts: 10 of 42 insurance plan rates Aetna — ASA: $546.52 Aetna — WCOMP: $595.22 Aetna Coventry First Health — COMM: $708.85 Averde Health, Inc — PPO: $627.69 BCBS — Traditional: $448.04 Cigna — IFP: $146.10 Cigna — QHP: $151.51 Cigna Behavioral Health — COMM: $865.78 City of McKinney — COMM: $378.78 Coastal Comp Health Networks — WCOMP: $757.55
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier TC In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral	$1,082.22	$1,082.22	$258.44 – $326.72
Diagnostic mammogram, both breasts: rates for 4 insurance plans Aetna — COMM: $276.06 Aetna — Meritain: $276.06 Aetna — NewBusiness: $258.44 Aetna — OON: $326.72
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed	$1,082.22	$1,082.22	$94.31
Screening mammogram, both breasts: 10 of 57 insurance plan rates Aetna — MCR: $87.26 American Health Plan of Texas, Inc. — MGMCR: $90.85 Amerigroup — DualEligible: $86.52 BCBS — BlueAdvantageHMO: $136.27 BCBS — BlueEssentials: $405.84 BCBS — BlueEssentialsAccess: $405.84 BCBS — EPOSOA: $425.73 BCBS — MCRPPO: $86.52 BCBS — MGMCRHMO: $86.52 BCBS — MyBlueHealth: $136.27
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MAMMO SCR CAD BI	$1,082.22	$1,082.22	$75.76 – $1,082.22
Screening mammogram, both breasts: 10 of 42 insurance plan rates Aetna — ASA: $546.52 Aetna — WCOMP: $595.22 Aetna Coventry First Health — COMM: $708.85 Averde Health, Inc — PPO: $627.69 BCBS — Traditional: $448.04 Cigna — IFP: $146.10 Cigna — QHP: $151.51 Cigna Behavioral Health — COMM: $865.78 City of McKinney — COMM: $378.78 Coastal Comp Health Networks — WCOMP: $757.55
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier TC In the file: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed	$1,082.22	$1,082.22	$213.49 – $269.89
Screening mammogram, both breasts: rates for 4 insurance plans Aetna — COMM: $228.04 Aetna — Meritain: $228.04 Aetna — NewBusiness: $213.49 Aetna — OON: $269.89

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report	Not listed in the file	Not listed in the file	$12.23 – $1,514
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates Aetna — COMM: $1,280 Aetna — Meritain: $1,280 Aetna — NewBusiness: $1,198 Aetna — OON: $1,514 BCBS — BlueAdvantageHMO: $30.28 BCBS — BlueEssentials: $42.73 BCBS — BlueEssentialsAccess: $42.73 BCBS — EPOSOA: $44.81 BCBS — MyBlueHealth: $30.28 BCBS — PPO: $46.88
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: CATH HRT LT/INJ L VENT	$30,041.91	$30,041.91	$4,055.66 – $30,041.91
Left heart catheterization (diagnostic): 10 of 31 insurance plan rates Aetna — WCOMP: $16,523.05 Aetna Coventry First Health — COMM: $19,677.45 Averde Health, Inc — PPO: $17,424.31 BCBS — Traditional: $12,437.35 Cigna — IFP: $4,055.66 Cigna — QHP: $4,205.87 Cigna Behavioral Health — COMM: $24,033.53 City of McKinney — COMM: $10,514.67 Coastal Comp Health Networks — WCOMP: $21,029.34 ComPsych Corporation — COMM: $24,033.53
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when pe	Not listed in the file	Not listed in the file	$7,818
Left heart catheterization (diagnostic): 10 of 31 insurance plan rates Aetna — COMM: $17,770 Aetna — Meritain: $17,770 Aetna — NewBusiness: $16,633 Aetna — OON: $21,022 BCBS — BlueAdvantageHMO: $9,119.84 BCBS — BlueEssentials: $12,596.78 BCBS — BlueEssentialsAccess: $12,596.78 BCBS — EPOSOA: $13,223.77 BCBS — MyBlueHealth: $9,119.84 BCBS — PPO: $13,850.76
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · modifier 59 In the file: CATH HRT LT/INJ L VENT59	$30,041.91	$30,041.91	$4,055.66 – $30,041.91
Left heart catheterization (diagnostic): 10 of 31 insurance plan rates Aetna — WCOMP: $16,523.05 Aetna Coventry First Health — COMM: $19,677.45 Averde Health, Inc — PPO: $17,424.31 BCBS — Traditional: $12,437.35 Cigna — IFP: $4,055.66 Cigna — QHP: $4,205.87 Cigna Behavioral Health — COMM: $24,033.53 City of McKinney — COMM: $10,514.67 Coastal Comp Health Networks — WCOMP: $21,029.34 ComPsych Corporation — COMM: $24,033.53
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: EP W/O ARRHYTHMIA	$25,178.70	$25,178.70	$3,399.12 – $25,178.70
Heart rhythm study (electrophysiology evaluation): 10 of 37 insurance plan rates Aetna — ASA: $12,715.24 Aetna — WCOMP: $13,848.28 Aetna Coventry First Health — COMM: $16,492.05 Averde Health, Inc — PPO: $14,603.65 BCBS — Traditional: $10,423.98 Cigna — AllOther: $9,391.66 Cigna — HMO: $7,427.72 Cigna — IFP: $3,399.12 Cigna — LocalPlus: $6,647.18 Cigna — NetworkBenefit: $7,427.72
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recor	$25,178.70	$25,178.70	$5,591
Heart rhythm study (electrophysiology evaluation): 10 of 25 insurance plan rates BCBS — BlueAdvantageHMO: $16,185.70 BCBS — BlueEssentials: $28,663.41 BCBS — BlueEssentialsAccess: $28,663.41 BCBS — EPOSOA: $30,075.98 BCBS — MyBlueHealth: $16,185.70 BCBS — PPO: $31,488.55 Curative Administrators — COMM: $43,890 Evry Health — COMM: $29,597 Fidelis SecureCare — MGMCR: $8,300 Healthcare Highways — HMO: $28,907
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: COM EP REPO CTH TX AFIB	$37,851.46	$37,851.46	$5,109.95 – $37,851.46
Heart rhythm study with ablation for atrial fibrillation: 10 of 37 insurance plan rates Aetna — ASA: $19,114.99 Aetna — WCOMP: $20,818.30 Aetna Coventry First Health — COMM: $24,792.71 Averde Health, Inc — PPO: $21,953.85 BCBS — Traditional: $15,670.50 Cigna — AllOther: $14,118.59 Cigna — HMO: $11,166.18 Cigna — IFP: $5,109.95 Cigna — LocalPlus: $9,992.79 Cigna — NetworkBenefit: $11,166.18
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters,	$37,851.46	$37,851.46	$7,668
Heart rhythm study with ablation for atrial fibrillation: 10 of 25 insurance plan rates BCBS — BlueAdvantageHMO: $47,818.53 BCBS — BlueEssentials: $58,853.58 BCBS — BlueEssentialsAccess: $58,853.58 BCBS — EPOSOA: $61,918.87 BCBS — MyBlueHealth: $47,818.53 BCBS — PPO: $64,779.81 Curative Administrators — COMM: $43,890 Evry Health — COMM: $29,597 Fidelis SecureCare — MGMCR: $8,300 Healthcare Highways — HMO: $28,907
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOMNOGRAPHY >4 PAR	$17,251.71	$17,251.71	$1,207.62 – $17,251.71
Sleep study (overnight, in a sleep lab): 10 of 49 insurance plan rates Aetna — ASA: $8,712.11 Aetna — WCOMP: $9,488.44 Aetna Coventry First Health — COMM: $11,299.87 Averde Health, Inc — PPO: $10,005.99 BCBS — Traditional: $7,142.21 Cigna — AllOther: $6,434.89 Cigna — HMO: $5,089.25 Cigna — IFP: $2,328.98 Cigna — LocalPlus: $4,554.45 Cigna — NetworkBenefit: $5,089.25
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist	$17,251.71	$17,251.71	$1,927 – $3,130
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates Aetna — COMM: $850 Aetna — Meritain: $850 Aetna — NewBusiness: $796 Aetna — OON: $1,006 BCBS — BlueAdvantageHMO: $1,377.59 BCBS — BlueEssentials: $2,439.58 BCBS — BlueEssentialsAccess: $2,439.58 BCBS — EPOSOA: $2,559.80 BCBS — MyBlueHealth: $1,377.59 BCBS — PPO: $2,680.03

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexib	Not listed in the file	Not listed in the file	$30.88
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 54 insurance plan rates Aetna — MCR: $28.57 American Health Plan of Texas, Inc. — MGMCR: $29.75 Amerigroup — DualEligible: $28.33 BCBS — BlueAdvantageHMO: $86.21 BCBS — BlueEssentials: $152.67 BCBS — BlueEssentialsAccess: $152.67 BCBS — EPOSOA: $160.20 BCBS — MCRPPO: $28.33 BCBS — MGMCRHMO: $28.33 BCBS — MyBlueHealth: $86.21
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: THER EXERCISES 15 MIN OT	$142.82	$142.82	$10 – $142.82
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 38 insurance plan rates Aetna — ASA: $72.12 Aetna — WCOMP: $78.55 Aetna Coventry First Health — COMM: $93.55 Averde Health, Inc — PPO: $82.84 BCBS — Traditional: $59.13 Cigna — IFP: $19.28 Cigna — QHP: $19.99 Cigna Behavioral Health — COMM: $114.26 City of McKinney — COMM: $49.99 Coastal Comp Health Networks — WCOMP: $99.97
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: THER EXERCISES 15 MIN PT	$148.53	$148.53	$10.40 – $148.53
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 38 insurance plan rates Aetna — ASA: $75.01 Aetna — WCOMP: $81.69 Aetna Coventry First Health — COMM: $97.29 Averde Health, Inc — PPO: $86.15 BCBS — Traditional: $61.49 Cigna — IFP: $20.05 Cigna — QHP: $20.79 Cigna Behavioral Health — COMM: $118.82 City of McKinney — COMM: $51.99 Coastal Comp Health Networks — WCOMP: $103.97
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact	$347.04	$347.04	$104.07
Physical therapy evaluation (low complexity): 10 of 54 insurance plan rates Aetna — MCR: $96.29 American Health Plan of Texas, Inc. — MGMCR: $100.25 Amerigroup — DualEligible: $95.48 BCBS — BlueAdvantageHMO: $237.85 BCBS — BlueEssentials: $421.21 BCBS — BlueEssentialsAccess: $421.21 BCBS — EPOSOA: $441.96 BCBS — MCRPPO: $95.48 BCBS — MGMCRHMO: $95.48 BCBS — MyBlueHealth: $237.85
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP\|CQ In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact	$347.04	$347.04	$91.58
Physical therapy evaluation (low complexity): 10 of 47 insurance plan rates Aetna — MCR: $84.74 American Health Plan of Texas, Inc. — MGMCR: $88.22 Amerigroup — DualEligible: $84.02 BCBS — MCRPPO: $84.02 BCBS — MGMCRHMO: $84.02 Bravo Health — MCRHMO: $126.03 Bravo Health — MCRPFFS: $126.03 Bravo Health — MCRPOS: $126.03 Bravo Health — MCRPPO: $126.03 Bravo Health — MCRSNP: $126.03
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT LOW COMPLEX	$347.04	$347.04	$24.29 – $347.04
Physical therapy evaluation (low complexity): 10 of 38 insurance plan rates Aetna — ASA: $175.26 Aetna — WCOMP: $190.87 Aetna Coventry First Health — COMM: $227.31 Averde Health, Inc — PPO: $201.28 BCBS — Traditional: $143.67 Cigna — IFP: $46.85 Cigna — QHP: $48.59 Cigna Behavioral Health — COMM: $277.63 City of McKinney — COMM: $121.46 Coastal Comp Health Networks — WCOMP: $242.93
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or	$347.04	$347.04	$92.62 – $462.72
Physical therapy evaluation (moderate complexity): 10 of 54 insurance plan rates Aetna — MCR: $96.29 American Health Plan of Texas, Inc. — MGMCR: $100.25 Amerigroup — DualEligible: $95.48 BCBS — BlueAdvantageHMO: $237.85 BCBS — BlueEssentials: $421.21 BCBS — BlueEssentialsAccess: $421.21 BCBS — EPOSOA: $441.96 BCBS — MCRPPO: $95.48 BCBS — MGMCRHMO: $95.48 BCBS — MyBlueHealth: $237.85
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP\|CQ In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or	$347.04	$347.04	$91.58
Physical therapy evaluation (moderate complexity): 10 of 47 insurance plan rates Aetna — MCR: $84.74 American Health Plan of Texas, Inc. — MGMCR: $88.22 Amerigroup — DualEligible: $84.02 BCBS — MCRPPO: $84.02 BCBS — MGMCRHMO: $84.02 Bravo Health — MCRHMO: $126.03 Bravo Health — MCRPFFS: $126.03 Bravo Health — MCRPOS: $126.03 Bravo Health — MCRPPO: $126.03 Bravo Health — MCRSNP: $126.03
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT MOD COMPLEX	$347.04	$347.04	$24.29 – $347.04
Physical therapy evaluation (moderate complexity): 10 of 38 insurance plan rates Aetna — ASA: $175.26 Aetna — WCOMP: $190.87 Aetna Coventry First Health — COMM: $227.31 Averde Health, Inc — PPO: $201.28 BCBS — Traditional: $143.67 Cigna — IFP: $46.85 Cigna — QHP: $48.59 Cigna Behavioral Health — COMM: $277.63 City of McKinney — COMM: $121.46 Coastal Comp Health Networks — WCOMP: $242.93
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o	$347.04	$347.04	$104.07
Physical therapy evaluation (high complexity): 10 of 54 insurance plan rates Aetna — MCR: $96.29 American Health Plan of Texas, Inc. — MGMCR: $100.25 Amerigroup — DualEligible: $95.48 BCBS — BlueAdvantageHMO: $237.85 BCBS — BlueEssentials: $421.21 BCBS — BlueEssentialsAccess: $421.21 BCBS — EPOSOA: $441.96 BCBS — MCRPPO: $95.48 BCBS — MGMCRHMO: $95.48 BCBS — MyBlueHealth: $237.85
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP\|CQ In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o	$347.04	$347.04	$91.58
Physical therapy evaluation (high complexity): 10 of 47 insurance plan rates Aetna — MCR: $84.74 American Health Plan of Texas, Inc. — MGMCR: $88.22 Amerigroup — DualEligible: $84.02 BCBS — MCRPPO: $84.02 BCBS — MGMCRHMO: $84.02 Bravo Health — MCRHMO: $126.03 Bravo Health — MCRPFFS: $126.03 Bravo Health — MCRPOS: $126.03 Bravo Health — MCRPPO: $126.03 Bravo Health — MCRSNP: $126.03
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT HIGH COMPLEX	$347.04	$347.04	$24.29 – $347.04
Physical therapy evaluation (high complexity): 10 of 38 insurance plan rates Aetna — ASA: $175.26 Aetna — WCOMP: $190.87 Aetna Coventry First Health — COMM: $227.31 Averde Health, Inc — PPO: $201.28 BCBS — Traditional: $143.67 Cigna — IFP: $46.85 Cigna — QHP: $48.59 Cigna Behavioral Health — COMM: $277.63 City of McKinney — COMM: $121.46 Coastal Comp Health Networks — WCOMP: $242.93
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes with patient	Not listed in the file	Not listed in the file	$134
Psychotherapy, 45 minutes: rates for 1 insurance plan Cigna Behavioral Health — COMM: $134
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: IOP PSY GRP (NOT FAMILY)	$935.18	$935.18	$65.46 – $935.18
Group psychotherapy: 10 of 43 insurance plan rates Aetna — ASA: $472.27 Aetna — WCOMP: $514.35 Aetna Coventry First Health — COMM: $612.54 Averde Health, Inc — PPO: $542.40 BCBS — Traditional: $387.16 Cigna — AllOther: $348.82 Cigna — HMO: $275.88 Cigna — IFP: $126.25 Cigna — LocalPlus: $246.89 Cigna — NetworkBenefit: $275.88

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19	Not listed in the file	Not listed in the file	$3,796 – $11,209
Removal of breast growth (open surgery): 10 of 48 insurance plan rates Aetna — COMM: $9,475 Aetna — Meritain: $9,475 Aetna — NewBusiness: $8,869 Aetna — OON: $11,209 Aetna Better Health — CHIP: $1,156.39 Aetna Better Health — MCD: $1,156.39 Amerigroup — CHIP: $1,011.84 Amerigroup — MGMCD: $1,011.84 BCBS — BlueAdvantageHMO: $7,089.15 BCBS — BlueEssentials: $8,725.10
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft	Not listed in the file	Not listed in the file	$948 – $55,933.34
Total hip replacement: 10 of 41 insurance plan rates Aetna — COMM: $62,000 Aetna — Meritain: $62,000 Aetna — NewBusiness: $58,032 Aetna — OON: $73,346 American Health Plan of Texas, Inc. — MGMCR: $12,000 BCBS — BlueAdvantageHMO: $48,554.90 BCBS — BlueEssentials: $50,935.04 BCBS — BlueEssentialsAccess: $50,935.04 BCBS — EPOSOA: $53,434.19 BCBS — MyBlueHealth: $48,554.90
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)	Not listed in the file	Not listed in the file	$10,122 – $10,512
Total knee replacement: 10 of 41 insurance plan rates Aetna — COMM: $62,000 Aetna — Meritain: $62,000 Aetna — NewBusiness: $58,032 Aetna — OON: $73,346 American Health Plan of Texas, Inc. — MGMCR: $12,000 BCBS — BlueAdvantageHMO: $48,554.90 BCBS — BlueEssentials: $50,935.04 BCBS — BlueEssentialsAccess: $50,935.04 BCBS — EPOSOA: $53,434.19 BCBS — MyBlueHealth: $48,554.90
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) rele	Not listed in the file	Not listed in the file	$1,580 – $10,853
Shoulder arthroscopy: shaving of shoulder bone: 10 of 26 insurance plan rates Aetna — COMM: $26,100 Aetna — Meritain: $26,100 Aetna — NewBusiness: $24,430 Aetna — OON: $30,876 Cigna — AllOther: $10,853 Cigna — HMO: $8,580 Cigna — LocalPlus: $7,679 Cigna — NetworkBenefit: $8,580 Cigna — NewBusiness: $7,687 Cigna — OpenAccessPlus: $8,580
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articula	Not listed in the file	Not listed in the file	$1,088.27 – $30,876
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 48 insurance plan rates Aetna — COMM: $26,100 Aetna — Meritain: $26,100 Aetna — NewBusiness: $24,430 Aetna — OON: $30,876 Aetna Better Health — CHIP: $1,305.92 Aetna Better Health — MCD: $1,305.92 Amerigroup — CHIP: $1,142.68 Amerigroup — MGMCD: $1,142.68 BCBS — BlueAdvantageHMO: $6,405.63 BCBS — BlueEssentials: $7,883.86
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Tonsillectomy and adenoidectomy; younger than age 12	Not listed in the file	Not listed in the file	$948 – $15,376.18
Removal of tonsils and adenoids (under age 12): 10 of 44 insurance plan rates Aetna — COMM: $9,475 Aetna — Meritain: $9,475 Aetna — NewBusiness: $8,869 Aetna — OON: $11,209 Aetna Better Health — CHIP: $2,345.06 Aetna Better Health — MCD: $2,345.06 Amerigroup — CHIP: $2,051.93 Amerigroup — MGMCD: $2,051.93 BCBS — BlueAdvantageHMO: $11,350.24 BCBS — BlueEssentials: $13,969.53
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Tonsillectomy and adenoidectomy; younger than age 12 Age Under 21	Not listed in the file	Not listed in the file	$2,188.73
Removal of tonsils and adenoids (under age 12): rates for 4 insurance plans Molina — CHIP: $2,188.73 Molina — MCDSTAR: $2,188.73 Molina — STAR+PLUS: $2,188.73 Molina — STARKIDS: $2,188.73
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Tonsillectomy and adenoidectomy; younger than age 12 Age 21+	Not listed in the file	Not listed in the file	$2,149.64
Removal of tonsils and adenoids (under age 12): rates for 4 insurance plans Molina — CHIP: $2,149.64 Molina — MCDSTAR: $2,149.64 Molina — STAR+PLUS: $2,149.64 Molina — STARKIDS: $2,149.64
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (sep	Not listed in the file	Not listed in the file	$4,306 – $5,442
Upper GI endoscopy (diagnostic): 10 of 48 insurance plan rates Aetna — COMM: $4,600 Aetna — Meritain: $4,600 Aetna — NewBusiness: $4,306 Aetna — OON: $5,442 Aetna Better Health — CHIP: $401.94 Aetna Better Health — MCD: $401.94 Amerigroup — CHIP: $351.70 Amerigroup — MGMCD: $351.70 BCBS — BlueAdvantageHMO: $1,839.05 BCBS — BlueEssentials: $2,263.45
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	Not listed in the file	Not listed in the file	$4,568 – $5,773
Upper GI endoscopy with biopsy: 10 of 48 insurance plan rates Aetna — COMM: $4,880 Aetna — Meritain: $4,880 Aetna — NewBusiness: $4,568 Aetna — OON: $5,773 Aetna Better Health — CHIP: $401.94 Aetna Better Health — MCD: $401.94 Amerigroup — CHIP: $351.70 Amerigroup — MGMCD: $351.70 BCBS — BlueAdvantageHMO: $1,839.05 BCBS — BlueEssentials: $2,263.45
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)	Not listed in the file	Not listed in the file	$2,214 – $5,773
Colonoscopy (diagnostic): 10 of 48 insurance plan rates Aetna — COMM: $4,880 Aetna — Meritain: $4,880 Aetna — NewBusiness: $4,568 Aetna — OON: $5,773 Aetna Better Health — CHIP: $394.20 Aetna Better Health — MCD: $394.20 Amerigroup — CHIP: $344.93 Amerigroup — MGMCD: $344.93 BCBS — BlueAdvantageHMO: $1,787.48 BCBS — BlueEssentials: $2,199.97
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with biopsy, single or multiple	Not listed in the file	Not listed in the file	$948 – $5,773
Colonoscopy with biopsy: 10 of 44 insurance plan rates Aetna — COMM: $4,880 Aetna — Meritain: $4,880 Aetna — NewBusiness: $4,568 Aetna — OON: $5,773 Aetna Better Health — CHIP: $515.11 Aetna Better Health — MCD: $515.11 Amerigroup — CHIP: $450.72 Amerigroup — MGMCD: $450.72 BCBS — BlueAdvantageHMO: $2,349.87 BCBS — BlueEssentials: $2,892.15
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with biopsy, single or multiple Age Under 21	Not listed in the file	Not listed in the file	$480.77
Colonoscopy with biopsy: rates for 4 insurance plans Molina — CHIP: $480.77 Molina — MCDSTAR: $480.77 Molina — STAR+PLUS: $480.77 Molina — STARKIDS: $480.77
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with biopsy, single or multiple Age 21+	Not listed in the file	Not listed in the file	$472.19
Colonoscopy with biopsy: rates for 4 insurance plans Molina — CHIP: $472.19 Molina — MCDSTAR: $472.19 Molina — STAR+PLUS: $472.19 Molina — STARKIDS: $472.19
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique	Not listed in the file	Not listed in the file	$948 – $5,773
Colonoscopy with removal of polyps (snare): 10 of 48 insurance plan rates Aetna — COMM: $4,880 Aetna — Meritain: $4,880 Aetna — NewBusiness: $4,568 Aetna — OON: $5,773 Aetna Better Health — CHIP: $515.11 Aetna Better Health — MCD: $515.11 Amerigroup — CHIP: $450.72 Amerigroup — MGMCD: $450.72 BCBS — BlueAdvantageHMO: $2,349.87 BCBS — BlueEssentials: $2,892.15
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and	Not listed in the file	Not listed in the file	$450.72 – $5,773
Ultrasound of the lower bowel by endoscope: 10 of 48 insurance plan rates Aetna — COMM: $4,880 Aetna — Meritain: $4,880 Aetna — NewBusiness: $4,568 Aetna — OON: $5,773 Aetna Better Health — CHIP: $515.11 Aetna Better Health — MCD: $515.11 Amerigroup — CHIP: $450.72 Amerigroup — MGMCD: $450.72 BCBS — BlueAdvantageHMO: $2,349.87 BCBS — BlueEssentials: $2,892.15
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	Not listed in the file	Not listed in the file	$1,266 – $5,773
Screening colonoscopy (not high risk): 10 of 41 insurance plan rates Aetna — COMM: $4,880 Aetna — Meritain: $4,880 Aetna — NewBusiness: $4,568 Aetna — OON: $5,773 Aetna Better Health — CHIP: $354.78 Aetna Better Health — MCD: $354.78 Amerigroup — CHIP: $328.50 Amerigroup — MGMCD: $328.50 BCBS — BlueAdvantageHMO: $1,787.48 BCBS — BlueEssentials: $2,199.97
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical; cholecystectomy	Not listed in the file	Not listed in the file	$8,024 – $19,055
Gallbladder removal by laparoscope: 10 of 44 insurance plan rates Aetna — COMM: $11,330 Aetna — Meritain: $11,330 Aetna — NewBusiness: $10,605 Aetna — OON: $13,403 Aetna Better Health — CHIP: $2,266.62 Aetna Better Health — MCD: $2,266.62 Amerigroup — CHIP: $1,983.29 Amerigroup — MGMCD: $1,983.29 BCBS — BlueAdvantageHMO: $11,310.88 BCBS — BlueEssentials: $13,921.08
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical; cholecystectomy Age Under 21	Not listed in the file	Not listed in the file	$2,115.51
Gallbladder removal by laparoscope: rates for 4 insurance plans Molina — CHIP: $2,115.51 Molina — MCDSTAR: $2,115.51 Molina — STAR+PLUS: $2,115.51 Molina — STARKIDS: $2,115.51
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical; cholecystectomy Age 21+	Not listed in the file	Not listed in the file	$2,077.74
Gallbladder removal by laparoscope: rates for 4 insurance plans Molina — CHIP: $2,077.74 Molina — MCDSTAR: $2,077.74 Molina — STAR+PLUS: $2,077.74 Molina — STARKIDS: $2,077.74
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair initial inguinal hernia, age 5 years or older; reducible	Not listed in the file	Not listed in the file	$5,694 – $18,490
Groin (inguinal) hernia repair, age 5 or older: 10 of 44 insurance plan rates Aetna — COMM: $15,630 Aetna — Meritain: $15,630 Aetna — NewBusiness: $14,630 Aetna — OON: $18,490 Aetna Better Health — CHIP: $1,381.85 Aetna Better Health — MCD: $1,381.85 Amerigroup — CHIP: $1,209.12 Amerigroup — MGMCD: $1,209.12 BCBS — BlueAdvantageHMO: $7,275.86 BCBS — BlueEssentials: $8,954.90
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair initial inguinal hernia, age 5 years or older; reducible Age 21+	Not listed in the file	Not listed in the file	$1,266.69
Groin (inguinal) hernia repair, age 5 or older: rates for 4 insurance plans Molina — CHIP: $1,266.69 Molina — MCDSTAR: $1,266.69 Molina — STAR+PLUS: $1,266.69 Molina — STARKIDS: $1,266.69
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair initial inguinal hernia, age 5 years or older; reducible Age Under 21	Not listed in the file	Not listed in the file	$1,289.72
Groin (inguinal) hernia repair, age 5 or older: rates for 4 insurance plans Molina — CHIP: $1,289.72 Molina — MCDSTAR: $1,289.72 Molina — STAR+PLUS: $1,289.72 Molina — STARKIDS: $1,289.72
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy, prostate; needle or punch, single or multiple, any approach	Not listed in the file	Not listed in the file	$685.44 – $4,723
Prostate biopsy: 10 of 17 insurance plan rates Aetna Better Health — CHIP: $783.36 Aetna Better Health — MCD: $783.36 Amerigroup — CHIP: $685.44 Amerigroup — MGMCD: $685.44 Cigna Healthspring — MGMCD: $685.44 Evry Health — COMM: $2,356 Healthcare Highways — HMO: $2,299 Healthcare Highways — NarrowNetwork: $2,214 Healthcare Highways — PPO: $2,299 Humana — MGMCD: $816
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy, prostate; needle or punch, single or multiple, any approach Age 21+	Not listed in the file	Not listed in the file	$718.08
Prostate biopsy: rates for 4 insurance plans Molina — CHIP: $718.08 Molina — MCDSTAR: $718.08 Molina — STAR+PLUS: $718.08 Molina — STARKIDS: $718.08
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy, prostate; needle or punch, single or multiple, any approach Age Under 21	Not listed in the file	Not listed in the file	$731.14
Prostate biopsy: rates for 4 insurance plans Molina — CHIP: $731.14 Molina — MCDSTAR: $731.14 Molina — STAR+PLUS: $731.14 Molina — STARKIDS: $731.14
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed;	Not listed in the file	Not listed in the file	$10,122 – $26,669.56
Prostate removal by laparoscope (radical prostatectomy): 10 of 32 insurance plan rates Aetna — COMM: $11,330 Aetna — Meritain: $11,330 Aetna — NewBusiness: $10,605 Aetna — OON: $13,403 BCBS — BlueAdvantageHMO: $19,686.68 BCBS — BlueEssentials: $24,229.76 BCBS — BlueEssentialsAccess: $24,229.76 BCBS — EPOSOA: $25,491.72 BCBS — MyBlueHealth: $19,686.68 BCBS — PPO: $26,669.56
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C	Not listed in the file	Not listed in the file	$1,063.52 – $9,831
Hysteroscopy with biopsy of the uterus lining: 10 of 48 insurance plan rates Aetna — COMM: $8,310 Aetna — Meritain: $8,310 Aetna — NewBusiness: $7,778 Aetna — OON: $9,831 Aetna Better Health — CHIP: $1,276.22 Aetna Better Health — MCD: $1,276.22 Amerigroup — CHIP: $1,116.70 Amerigroup — MGMCD: $1,116.70 BCBS — BlueAdvantageHMO: $5,845.55 BCBS — BlueEssentials: $7,194.53
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neur	Not listed in the file	Not listed in the file	$276 – $5,442
Spinal injection, lower back (epidural), with imaging guidance: 10 of 48 insurance plan rates Aetna — COMM: $4,600 Aetna — Meritain: $4,600 Aetna — NewBusiness: $4,306 Aetna — OON: $5,442 Aetna Better Health — CHIP: $315.43 Aetna Better Health — MCD: $315.43 Amerigroup — CHIP: $276 Amerigroup — MGMCD: $276 BCBS — BlueAdvantageHMO: $1,462.62 BCBS — BlueEssentials: $1,800.14
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, sing	Not listed in the file	Not listed in the file	$2,514 – $3,553
Nerve root injection, lower back, with imaging guidance: 10 of 48 insurance plan rates Aetna — COMM: $4,600 Aetna — Meritain: $4,600 Aetna — NewBusiness: $4,306 Aetna — OON: $5,442 Aetna Better Health — CHIP: $408.92 Aetna Better Health — MCD: $408.92 Amerigroup — CHIP: $357.81 Amerigroup — MGMCD: $357.81 BCBS — BlueAdvantageHMO: $1,900.20 BCBS — BlueEssentials: $2,338.70
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel	Not listed in the file	Not listed in the file	$692.94 – $7,828
Carpal tunnel release: 10 of 44 insurance plan rates Aetna — COMM: $4,880 Aetna — Meritain: $4,880 Aetna — NewBusiness: $4,568 Aetna — OON: $5,773 Aetna Better Health — CHIP: $791.93 Aetna Better Health — MCD: $791.93 Amerigroup — CHIP: $692.94 Amerigroup — MGMCD: $692.94 BCBS — BlueAdvantageHMO: $4,023.28 BCBS — BlueEssentials: $4,951.73
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel Age Under 21	Not listed in the file	Not listed in the file	$739.13
Carpal tunnel release: rates for 4 insurance plans Molina — CHIP: $739.13 Molina — MCDSTAR: $739.13 Molina — STAR+PLUS: $739.13 Molina — STARKIDS: $739.13
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel Age 21+	Not listed in the file	Not listed in the file	$725.93
Carpal tunnel release: rates for 4 insurance plans Molina — CHIP: $725.93 Molina — MCDSTAR: $725.93 Molina — STAR+PLUS: $725.93 Molina — STARKIDS: $725.93
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or	Not listed in the file	Not listed in the file	$218.75 – $5,773
Laser treatment of clouding after cataract surgery: 10 of 48 insurance plan rates Aetna — COMM: $4,880 Aetna — Meritain: $4,880 Aetna — NewBusiness: $4,568 Aetna — OON: $5,773 Aetna Better Health — CHIP: $250 Aetna Better Health — MCD: $250 Amerigroup — CHIP: $218.75 Amerigroup — MGMCD: $218.75 BCBS — BlueAdvantageHMO: $1,186.22 BCBS — BlueEssentials: $1,459.96
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irriga	Not listed in the file	Not listed in the file	$951.93
Cataract removal with lens implant: 10 of 48 insurance plan rates Aetna — COMM: $15,630 Aetna — Meritain: $15,630 Aetna — NewBusiness: $14,630 Aetna — OON: $18,490 Aetna Better Health — CHIP: $1,019.93 Aetna Better Health — MCD: $1,019.93 Amerigroup — CHIP: $892.44 Amerigroup — MGMCD: $892.44 BCBS — BlueAdvantageHMO: $4,731.15 BCBS — BlueEssentials: $5,822.96

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care	Not listed in the file	Not listed in the file	$2,152 – $53,531.31
Vaginal delivery, with care before and after: 10 of 18 insurance plan rates BCBS — BlueAdvantageHMO: $48,718.28 BCBS — BlueEssentials: $48,718.28 BCBS — BlueEssentialsAccess: $48,718.28 BCBS — EPOSOA: $51,135.68 BCBS — MyBlueHealth: $48,718.28 BCBS — PPO: $53,531.31 Evry Health — COMM: $2,287 Fidelis SecureCare — MGMCR: $1,995 Healthcare Highways — HMO: $2,235 Healthcare Highways — NarrowNetwork: $2,152
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Routine obstetric care including antepartum care, cesarean delivery, and postpartum care	Not listed in the file	Not listed in the file	$6,587
Cesarean delivery (C-section), with care before and after: 10 of 18 insurance plan rates BCBS — BlueAdvantageHMO: $54,015.05 BCBS — BlueEssentials: $54,015.05 BCBS — BlueEssentialsAccess: $54,015.05 BCBS — EPOSOA: $56,695.28 BCBS — MyBlueHealth: $54,015.05 BCBS — PPO: $59,351.36 Evry Health — COMM: $2,287 Fidelis SecureCare — MGMCR: $1,995 Healthcare Highways — HMO: $2,235 Healthcare Highways — NarrowNetwork: $2,152
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after p	Not listed in the file	Not listed in the file	$2,152 – $56,171.20
Vaginal delivery after a previous C-section, with care before and after: 10 of 18 insurance plan rates BCBS — BlueAdvantageHMO: $51,120.82 BCBS — BlueEssentials: $51,120.82 BCBS — BlueEssentialsAccess: $51,120.82 BCBS — EPOSOA: $53,657.44 BCBS — MyBlueHealth: $51,120.82 BCBS — PPO: $56,171.20 Evry Health — COMM: $2,287 Fidelis SecureCare — MGMCR: $1,995 Healthcare Highways — HMO: $2,235 Healthcare Highways — NarrowNetwork: $2,152

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA	Not listed in the file	Not listed in the file	$81,923.73 – $83,399.83
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 111 insurance plan rates Aetna — COMM: $144,400 Aetna — MCR: $72,845.69 Aetna — Meritain: $144,400 Aetna — NewBusiness: $135,158 Aetna — OON: $170,825 Aetna Coventry First Health — COMM: $2,555 American Health Plan of Texas, Inc. — MGMCR: $1,275 Amerigroup — DualEligible: $73,805.16 BCBS — BlueAdvantageHMO: $161,277.15 BCBS — BlueEssentials: $211,827.87
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT	Not listed in the file	Not listed in the file	$1,318 – $18,193.18
Hip or knee replacement (major joint of the leg), without major complications: 10 of 111 insurance plan rates Aetna — COMM: $76,500 Aetna — MCR: $15,890.86 Aetna — Meritain: $76,500 Aetna — NewBusiness: $71,604 Aetna — OON: $90,500 Aetna Coventry First Health — COMM: $2,555 American Health Plan of Texas, Inc. — MGMCR: $16,905.17 Amerigroup — DualEligible: $16,100.16 BCBS — BlueAdvantageHMO: $45,698.23 BCBS — BlueEssentials: $62,132.93
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT Pediatric	Not listed in the file	Not listed in the file	$41,025.77 – $57,984.66
Hip or knee replacement (major joint of the leg), without major complications: rates for 6 insurance plans Cigna — AllOther: $57,984.66 Cigna — HMO: $45,838.38 Cigna — LocalPlus: $41,025.77 Cigna — NetworkBenefit: $45,838.38 Cigna — NewBusiness: $41,066.28 Cigna — OpenAccessPlus: $45,838.38
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$142 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $112,504.87
Neck (cervical) spinal fusion, without complications: 10 of 111 insurance plan rates Aetna — COMM: $76,830 Aetna — MCR: $19,606.68 Aetna — Meritain: $76,830 Aetna — NewBusiness: $71,913 Aetna — OON: $90,890 Aetna Coventry First Health — COMM: $2,555 American Health Plan of Texas, Inc. — MGMCR: $20,858.17 Amerigroup — DualEligible: $19,864.92 BCBS — BlueAdvantageHMO: $46,770.06 BCBS — BlueEssentials: $61,182.10
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Pediatric	Not listed in the file	Not listed in the file	$51,924.01 – $73,387.92
Neck (cervical) spinal fusion, without complications: rates for 6 insurance plans Cigna — AllOther: $73,387.92 Cigna — HMO: $58,015.05 Cigna — LocalPlus: $51,924.01 Cigna — NetworkBenefit: $58,015.05 Cigna — NewBusiness: $51,975.28 Cigna — OpenAccessPlus: $58,015.05
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$12,258.56 – $12,479.44
Uterus and ovary surgery (not for cancer), without complications: 10 of 111 insurance plan rates Aetna — COMM: $29,220 Aetna — MCR: $10,900.18 Aetna — Meritain: $29,220 Aetna — NewBusiness: $27,350 Aetna — OON: $34,567 Aetna Coventry First Health — COMM: $2,555 American Health Plan of Texas, Inc. — MGMCR: $11,595.94 Amerigroup — DualEligible: $11,043.75 BCBS — BlueAdvantageHMO: $16,422.35 BCBS — BlueEssentials: $20,073.45
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Pediatric	Not listed in the file	Not listed in the file	$26,388.45 – $37,296.68
Uterus and ovary surgery (not for cancer), without complications: rates for 6 insurance plans Cigna — AllOther: $37,296.68 Cigna — HMO: $29,483.99 Cigna — LocalPlus: $26,388.45 Cigna — NetworkBenefit: $29,483.99 Cigna — NewBusiness: $26,414.50 Cigna — OpenAccessPlus: $29,483.99

Source: Medical Center of McKinney’s standard charges file (stctrprodsnsvc00455826e6.blob.core.windows.net, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	4500 Medical Center Drive, McKinney, TX 75069
County	Collin County
State	Texas
Phone	(972) 547‑8000
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	450403
Name in Medicare records	MEDICAL CENTER OF MCKINNEY
Profile level	Medicare data + hospital website
Name on the hospital’s website	Medical City McKinney Hospital
Official website	medicalcityhealthcare.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

Numbers match the citations above. Checked 2026-10-29.

Medical City McKinney Hospital — medicalcityhealthcare.com
Specialties - Medical City McKinney — medicalcityhealthcare.com
Visitors - Medical City McKinney — medicalcityhealthcare.com
Emergency Care - Medical City McKinney — medicalcityhealthcare.com
Medical City McKinney Hospital | Medical City McKinney Hospital — medicalcityhealthcare.com
Labor and Delivery | Medical City McKinney Hospital — medicalcityhealthcare.com
Cardiology | Medical City McKinney Hospital — medicalcityhealthcare.com
Inpatient Rehab & Therapy | Medical City McKinney Hospital — medicalcityhealthcare.com
Diagnostic Imaging | Medical City McKinney Hospital — medicalcityhealthcare.com
Orthopedic care | Medical City McKinney Hospital — medicalcityhealthcare.com
Robot-Assisted Surgery | Medical City McKinney Hospital — medicalcityhealthcare.com
Neurological Care | Medical City McKinney Hospital — medicalcityhealthcare.com
Stroke | Medical City McKinney Hospital — medicalcityhealthcare.com
Weight Loss Surgery | Medical City McKinney Hospital — medicalcityhealthcare.com
Women's Health Services | Medical City McKinney Hospital — medicalcityhealthcare.com

Medical Center of McKinney

Summary

Profile from official sources

At a glance