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Psychiatric Hospital

Medical City Green Oaks Hospital

Dallas, Texas · Dallas County

Summary

Medical City Green Oaks Hospital is a psychiatric hospital in Dallas, Texas. Medicare data does not list emergency services. Its official website lists 47 services, specialties and programs. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a psychiatric hospital?

A hospital for mental and behavioral health, such as depression, anxiety, crisis care or addiction treatment. More about hospital types

Call(972) 991‑9504 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-29). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

Not listedEmergency services
Not ratedNot rated by CMSMedicare rating
124Beds (hospital website)
47Services listed

Quick answers

Does Medical City Green Oaks Hospital have an emergency room?
Medicare (CMS) data does not list emergency services at Medical City Green Oaks Hospital. The closest hospitals that do: Medical City Dallas Hospital (0.3 mi), Texas Health Presbyterian Hospital Dallas (2.2 mi) and Texas Institute for Surgery at Presbyterian Hospit… (2.6 mi). In a medical emergency, call 911.
Where is Medical City Green Oaks Hospital?
7808 Clodus Fields Drive, Dallas, TX 75251, in Dallas County, Texas.
What is the phone number of Medical City Green Oaks Hospital?
(972) 991-9504, as listed by Medicare (CMS).
What is the Medicare star rating of Medical City Green Oaks Hospital?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[4][6][9][12][13][14]

  • Mental Health and Wellness
  • Child and teen mental health
  • Adult mental health and wellness
  • Psychiatry
  • Inpatient mental health care
  • Addiction treatment
  • Electroconvulsive therapy

Conditions treated[4][5][6][8]

  • Mental health conditions
  • Substance use disorder
  • ADHD
  • Anxiety
  • Behavioral problems at school
  • Burnout
  • Decline in overall functioning
  • Depression and mood disorders
  • Difficulty returning to work
  • Eating disorders
  • Emotional issues
  • Low self-esteem
  • Post-partum depression
  • Stress and coping issues
  • Bipolar disorder
  • Obsessive-compulsive disorder
  • Post-traumatic stress disorder
  • Schizophrenia

Treatments[4][5][6][8][13]

Programs and centers[4][5][10][15]

  • Intensive adolescent programs
  • WorkReturns
  • Specialized outpatient services
  • 24/7 walk-in clinical assessment
  • Adolescent recovery program (ages 12-17)
  • 24/7 walk-in psychiatric evaluation (clinical diagnostic service)
  • 24/7 mental health helpline

Visiting and practical information

VisitingAdult visiting Wed 7:30-8:30pm and Sat 2:30-3:30pm; adolescent Tue 6-6:45pm and Sun 2:30-3:30pm; 2 visitors per patient[7]
ParkingFree parking is available at the hospital's main entrance[7]
Interpreters and languagesInterpreter services for non-English speaking patients and families; ask the house supervisor[7]
Patient portalMyHealthONE

Nearest emergency rooms

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

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

Not reported to Medicare. The latest Medicare release has no patient survey, infection, complication, readmission or emergency room results for this hospital. This is common for small, specialty and psychiatric hospitals.

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 DallasBest hospitals in Dallas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 85 common services exactly as Medical City Green Oaks Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) 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 $67.39
New patient office visit (about 30–44 minutes): rates for 1 insurance plan
  • Aetna Behavioral Health — COMM: $67.39
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 $102.82
New patient office visit (about 45–59 minutes): rates for 1 insurance plan
  • Aetna Behavioral Health — COMM: $102.82
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 $127.70
New patient office visit (about 60–74 minutes): rates for 1 insurance plan
  • Aetna Behavioral Health — COMM: $127.70
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 $34
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan
  • Aetna Behavioral Health — COMM: $34
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 $66.87
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan
  • Aetna Behavioral Health — COMM: $66.87
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 $55
Office consultation with a specialist (moderate): rates for 1 insurance plan
  • Aetna Behavioral Health — COMM: $55
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 $55
Office consultation with a specialist (moderate to high): rates for 1 insurance plan
  • Aetna Behavioral Health — COMM: $55
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 $69.81
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan
  • TriWest Health Alliance — TRCR: $69.81
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 $84.82
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan
  • TriWest Health Alliance — TRCR: $84.82
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: LVL 3 EMER DEPT $3,650.19 $3,650.19 $1,233.76 – $3,650.19
Emergency room visit (moderate): 10 of 14 insurance plan rates
  • Aetna Coventry First Health — COMM: $2,500.38
  • Averde Health, Inc — PPO: $2,117.11
  • Cigna Behavioral Health — COMM: $2,920.15
  • City of McKinney — COMM: $1,642.59
  • Coastal Comp Health Networks — WCOMP: $2,555.13
  • ComPsych Corporation — COMM: $2,920.15
  • Healthcare Highways — CityofPlano: $1,233.76
  • Independent Medical Systems — COMM: $3,650.19
  • Magellan BH — Pinnacle: $2,190.11
  • Magellan BH — Summit: $2,190.11
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 $1,555
Emergency room visit (moderate): 10 of 12 insurance plan rates
  • Amerigroup — CHIP: $363
  • Amerigroup — MGMCD: $363
  • BCBS — BlueEssentials: $1,555
  • BCBS — BlueEssentialsAccess: $1,555
  • BCBS — EPOSOA: $1,555
  • BCBS — POS: $1,555
  • BCBS — PPO: $1,555
  • Cigna Behavioral Health — COMM: $1,453
  • Evry Health — COMM: $1,064
  • Healthcare Highways — NarrowNetwork: $1,032
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital 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 $1,386 – $1,555
Emergency room visit (moderate): rates for 8 insurance plans
  • BCBS — BlueAdvantageHMO: $1,386
  • BCBS — BlueEssentials: $1,555
  • BCBS — BlueEssentialsAccess: $1,555
  • BCBS — EPOSOA: $1,555
  • BCBS — MyBlueHealth: $1,386
  • BCBS — POS: $1,555
  • BCBS — PPO: $1,555
  • BCBS — Traditional: 79.2% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: LVL 4 EMER DEPT $3,650.19 $3,650.19 $1,233.76 – $3,650.19
Emergency room visit (moderately high): 10 of 14 insurance plan rates
  • Aetna Coventry First Health — COMM: $2,500.38
  • Averde Health, Inc — PPO: $2,117.11
  • Cigna Behavioral Health — COMM: $2,920.15
  • City of McKinney — COMM: $1,642.59
  • Coastal Comp Health Networks — WCOMP: $2,555.13
  • ComPsych Corporation — COMM: $2,920.15
  • Healthcare Highways — CityofPlano: $1,233.76
  • Independent Medical Systems — COMM: $3,650.19
  • Magellan BH — Pinnacle: $2,190.11
  • Magellan BH — Summit: $2,190.11
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 $363 – $3,626
Emergency room visit (moderately high): 10 of 13 insurance plan rates
  • Amerigroup — CHIP: $363
  • Amerigroup — MGMCD: $363
  • BCBS — BlueAdvantageHMO: $1,386
  • BCBS — BlueEssentials: $1,555
  • BCBS — BlueEssentialsAccess: $1,555
  • BCBS — EPOSOA: $1,555
  • BCBS — MyBlueHealth: $1,386
  • BCBS — POS: $1,555
  • BCBS — PPO: $1,555
  • Cigna Behavioral Health — COMM: $1,453
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital 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 $1,386 – $1,555
Emergency room visit (moderately high): rates for 8 insurance plans
  • BCBS — BlueAdvantageHMO: $1,386
  • BCBS — BlueEssentials: $1,555
  • BCBS — BlueEssentialsAccess: $1,555
  • BCBS — EPOSOA: $1,555
  • BCBS — MyBlueHealth: $1,386
  • BCBS — POS: $1,555
  • BCBS — PPO: $1,555
  • BCBS — Traditional: 79.2% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: LVL 5 EMER DEPT $3,650.19 $3,650.19 $1,233.76 – $3,650.19
Emergency room visit (high): 10 of 14 insurance plan rates
  • Aetna Coventry First Health — COMM: $2,500.38
  • Averde Health, Inc — PPO: $2,117.11
  • Cigna Behavioral Health — COMM: $2,920.15
  • City of McKinney — COMM: $1,642.59
  • Coastal Comp Health Networks — WCOMP: $2,555.13
  • ComPsych Corporation — COMM: $2,920.15
  • Healthcare Highways — CityofPlano: $1,233.76
  • Independent Medical Systems — COMM: $3,650.19
  • Magellan BH — Pinnacle: $2,190.11
  • Magellan BH — Summit: $2,190.11
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 $363 – $5,030
Emergency room visit (high): 10 of 13 insurance plan rates
  • Amerigroup — CHIP: $363
  • Amerigroup — MGMCD: $363
  • BCBS — BlueAdvantageHMO: $1,386
  • BCBS — BlueEssentials: $1,555
  • BCBS — BlueEssentialsAccess: $1,555
  • BCBS — EPOSOA: $1,555
  • BCBS — MyBlueHealth: $1,386
  • BCBS — POS: $1,555
  • BCBS — PPO: $1,555
  • Cigna Behavioral Health — COMM: $1,453
Emergency room visit (high) CPT 99285 · Inpatient (hospital 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 $1,386 – $1,555
Emergency room visit (high): rates for 8 insurance plans
  • BCBS — BlueAdvantageHMO: $1,386
  • BCBS — BlueEssentials: $1,555
  • BCBS — BlueEssentialsAccess: $1,555
  • BCBS — EPOSOA: $1,555
  • BCBS — MyBlueHealth: $1,386
  • BCBS — POS: $1,555
  • BCBS — PPO: $1,555
  • BCBS — Traditional: 79.2% (a percentage in the contract, not a dollar amount)

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
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 $337.98 $337.98 $9.22
Basic metabolic panel (blood test): 10 of 30 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $8.88
  • Amerigroup — CHIP: $9.74
  • Amerigroup — DualEligible: $8.46
  • Amerigroup — MGMCD: $9.74
  • Care N Care — MGMCR: $8.54
  • Cenpatico — BHMGMCR: $9.22
  • Devoted Health — HMO: $8.46
  • Devoted Health — MCR: $8.46
  • Devoted Health — MME: $8.46
  • Devoted Health — POS: $8.46
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BMP TOTAL CALCIUM $337.98 $337.98 $23.66 – $337.98
Basic metabolic panel (blood test): 10 of 24 insurance plan rates
  • Aetna Behavioral Health — COMM: $202.79
  • Aetna Coventry First Health — COMM: $231.52
  • Averde Health, Inc — PPO: $196.03
  • Cigna Behavioral Health — COMM: $270.38
  • City of McKinney — COMM: $152.09
  • Coastal Comp Health Networks — WCOMP: $236.59
  • ComPsych Corporation — COMM: $270.38
  • Evry Health — COMM: $87.20
  • Healthcare Highways — CityofPlano: $114.24
  • Healthcare Highways — NarrowNetwork: $82.81
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 $432.76 $432.76 $11.51
Comprehensive metabolic panel (blood test): 10 of 30 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $11.09
  • Amerigroup — CHIP: $9.42
  • Amerigroup — DualEligible: $10.56
  • Amerigroup — MGMCD: $9.42
  • Care N Care — MGMCR: $10.67
  • Cenpatico — BHMGMCR: $11.51
  • Devoted Health — HMO: $10.56
  • Devoted Health — MCR: $10.56
  • Devoted Health — MME: $10.56
  • Devoted Health — POS: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL $432.76 $432.76 $30.29 – $432.76
Comprehensive metabolic panel (blood test): 10 of 24 insurance plan rates
  • Aetna Behavioral Health — COMM: $259.66
  • Aetna Coventry First Health — COMM: $296.44
  • Averde Health, Inc — PPO: $251
  • Cigna Behavioral Health — COMM: $346.21
  • City of McKinney — COMM: $194.74
  • Coastal Comp Health Networks — WCOMP: $302.93
  • ComPsych Corporation — COMM: $346.21
  • Evry Health — COMM: $111.65
  • Healthcare Highways — CityofPlano: $146.27
  • Healthcare Highways — NarrowNetwork: $106.03
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 28 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $50.20
  • Amerigroup — DualEligible: $47.81
  • Care N Care — MGMCR: $48.29
  • Cenpatico — BHMGMCR: $52.11
  • Devoted Health — HMO: $47.81
  • Devoted Health — MCR: $47.81
  • Devoted Health — MME: $47.81
  • Devoted Health — POS: $47.81
  • Devoted Health — PPO: $47.81
  • Devoted Health — SNP: $47.81
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 $318.61 $318.61 $14.60
Cholesterol panel (lipid panel): 10 of 30 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $14.06
  • Amerigroup — CHIP: $7.66
  • Amerigroup — DualEligible: $13.39
  • Amerigroup — MGMCD: $7.66
  • Care N Care — MGMCR: $13.52
  • Cenpatico — BHMGMCR: $14.60
  • Devoted Health — HMO: $13.39
  • Devoted Health — MCR: $13.39
  • Devoted Health — MME: $13.39
  • Devoted Health — POS: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL $318.61 $318.61 $22.30 – $318.61
Cholesterol panel (lipid panel): 10 of 24 insurance plan rates
  • Aetna Behavioral Health — COMM: $191.17
  • Aetna Coventry First Health — COMM: $218.25
  • Averde Health, Inc — PPO: $184.79
  • Cigna Behavioral Health — COMM: $254.89
  • City of McKinney — COMM: $143.37
  • Coastal Comp Health Networks — WCOMP: $223.03
  • ComPsych Corporation — COMM: $254.89
  • Evry Health — COMM: $82.20
  • Healthcare Highways — CityofPlano: $107.69
  • Healthcare Highways — NarrowNetwork: $78.06
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 $310.69 $310.69 $9.46
Kidney function panel: 10 of 30 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $9.11
  • Amerigroup — CHIP: $6.01
  • Amerigroup — DualEligible: $8.68
  • Amerigroup — MGMCD: $6.01
  • Care N Care — MGMCR: $8.77
  • Cenpatico — BHMGMCR: $9.46
  • Devoted Health — HMO: $8.68
  • Devoted Health — MCR: $8.68
  • Devoted Health — MME: $8.68
  • Devoted Health — POS: $8.68
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL $310.69 $310.69 $21.75 – $310.69
Kidney function panel: 10 of 24 insurance plan rates
  • Aetna Behavioral Health — COMM: $186.41
  • Aetna Coventry First Health — COMM: $212.82
  • Averde Health, Inc — PPO: $180.20
  • Cigna Behavioral Health — COMM: $248.55
  • City of McKinney — COMM: $139.81
  • Coastal Comp Health Networks — WCOMP: $217.48
  • ComPsych Corporation — COMM: $248.55
  • Evry Health — COMM: $80.16
  • Healthcare Highways — CityofPlano: $105.01
  • Healthcare Highways — NarrowNetwork: $76.12
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 $563.99 $563.99 $8.91
Liver function panel: 10 of 30 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $8.58
  • Amerigroup — CHIP: $6.01
  • Amerigroup — DualEligible: $8.17
  • Amerigroup — MGMCD: $6.01
  • Care N Care — MGMCR: $8.25
  • Cenpatico — BHMGMCR: $8.91
  • Devoted Health — HMO: $8.17
  • Devoted Health — MCR: $8.17
  • Devoted Health — MME: $8.17
  • Devoted Health — POS: $8.17
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL $563.99 $563.99 $39.48 – $563.99
Liver function panel: 10 of 24 insurance plan rates
  • Aetna Behavioral Health — COMM: $338.39
  • Aetna Coventry First Health — COMM: $386.33
  • Averde Health, Inc — PPO: $327.11
  • Cigna Behavioral Health — COMM: $451.19
  • City of McKinney — COMM: $253.80
  • Coastal Comp Health Networks — WCOMP: $394.79
  • ComPsych Corporation — COMM: $451.19
  • Evry Health — COMM: $145.51
  • Healthcare Highways — CityofPlano: $190.63
  • Healthcare Highways — NarrowNetwork: $138.18
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, $221.92 $221.92 $3.46
Urine test (automated, with microscope): 10 of 30 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $3.33
  • Amerigroup — CHIP: $2.66
  • Amerigroup — DualEligible: $3.17
  • Amerigroup — MGMCD: $2.66
  • Care N Care — MGMCR: $3.20
  • Cenpatico — BHMGMCR: $3.46
  • Devoted Health — HMO: $3.17
  • Devoted Health — MCR: $3.17
  • Devoted Health — MME: $3.17
  • Devoted Health — POS: $3.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA W MICRO AUTO $221.92 $221.92 $15.53 – $221.92
Urine test (automated, with microscope): 10 of 24 insurance plan rates
  • Aetna Behavioral Health — COMM: $133.15
  • Aetna Coventry First Health — COMM: $152.02
  • Averde Health, Inc — PPO: $128.71
  • Cigna Behavioral Health — COMM: $177.54
  • City of McKinney — COMM: $99.86
  • Coastal Comp Health Networks — WCOMP: $155.34
  • ComPsych Corporation — COMM: $177.54
  • Evry Health — COMM: $57.26
  • Healthcare Highways — CityofPlano: $75.01
  • Healthcare Highways — NarrowNetwork: $54.37
Urine test (manual, without microscope) CPT 81002 · 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 $2.92 – $9.12
Urine test (manual, without microscope): 10 of 30 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $3.65
  • Amerigroup — CHIP: $2.92
  • Amerigroup — DualEligible: $3.48
  • Amerigroup — MGMCD: $2.92
  • Care N Care — MGMCR: $3.51
  • Cenpatico — BHMGMCR: $3.79
  • Devoted Health — HMO: $3.48
  • Devoted Health — MCR: $3.48
  • Devoted Health — MME: $3.48
  • Devoted Health — POS: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: PROTEIN UR QUAL AUTO $128.55 $128.55 $9 – $128.55
Urine test (automated, without microscope): 10 of 24 insurance plan rates
  • Aetna Behavioral Health — COMM: $77.13
  • Aetna Coventry First Health — COMM: $88.06
  • Averde Health, Inc — PPO: $74.56
  • Cigna Behavioral Health — COMM: $102.84
  • City of McKinney — COMM: $57.85
  • Coastal Comp Health Networks — WCOMP: $89.98
  • ComPsych Corporation — COMM: $102.84
  • Evry Health — COMM: $33.17
  • Healthcare Highways — CityofPlano: $43.45
  • Healthcare Highways — NarrowNetwork: $31.49
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: PH UR AUTO $118.98 $118.98 $8.33 – $118.98
Urine test (automated, without microscope): 10 of 24 insurance plan rates
  • Aetna Behavioral Health — COMM: $71.39
  • Aetna Coventry First Health — COMM: $81.50
  • Averde Health, Inc — PPO: $69.01
  • Cigna Behavioral Health — COMM: $95.18
  • City of McKinney — COMM: $53.54
  • Coastal Comp Health Networks — WCOMP: $83.29
  • ComPsych Corporation — COMM: $95.18
  • Evry Health — COMM: $30.70
  • Healthcare Highways — CityofPlano: $40.22
  • Healthcare Highways — NarrowNetwork: $29.15
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: SPEC GRAV UR AUTO $205.33 $205.33 $14.37 – $205.33
Urine test (automated, without microscope): 10 of 24 insurance plan rates
  • Aetna Behavioral Health — COMM: $123.20
  • Aetna Coventry First Health — COMM: $140.65
  • Averde Health, Inc — PPO: $119.09
  • Cigna Behavioral Health — COMM: $164.26
  • City of McKinney — COMM: $92.40
  • Coastal Comp Health Networks — WCOMP: $143.73
  • ComPsych Corporation — COMM: $164.26
  • Evry Health — COMM: $52.98
  • Healthcare Highways — CityofPlano: $69.40
  • Healthcare Highways — NarrowNetwork: $50.31
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostate specific antigen (PSA); total $170.78 $170.78 $20.05
PSA (prostate specific antigen) blood test: 10 of 30 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $19.31
  • Amerigroup — CHIP: $15.45
  • Amerigroup — DualEligible: $18.39
  • Amerigroup — MGMCD: $15.45
  • Care N Care — MGMCR: $18.57
  • Cenpatico — BHMGMCR: $20.05
  • Devoted Health — HMO: $18.39
  • Devoted Health — MCR: $18.39
  • Devoted Health — MME: $18.39
  • Devoted Health — POS: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROS SPEC AG (PSA) TOTAL $170.78 $170.78 $11.95 – $170.78
PSA (prostate specific antigen) blood test: 10 of 24 insurance plan rates
  • Aetna Behavioral Health — COMM: $102.47
  • Aetna Coventry First Health — COMM: $116.98
  • Averde Health, Inc — PPO: $99.05
  • Cigna Behavioral Health — COMM: $136.62
  • City of McKinney — COMM: $76.85
  • Coastal Comp Health Networks — WCOMP: $119.55
  • ComPsych Corporation — COMM: $136.62
  • Evry Health — COMM: $44.06
  • Healthcare Highways — CityofPlano: $57.72
  • Healthcare Highways — NarrowNetwork: $41.84
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid stimulating hormone (TSH) $302.42 $302.42 $18.31
Thyroid stimulating hormone (TSH) test: 10 of 30 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $17.64
  • Amerigroup — CHIP: $14.11
  • Amerigroup — DualEligible: $16.80
  • Amerigroup — MGMCD: $14.11
  • Care N Care — MGMCR: $16.97
  • Cenpatico — BHMGMCR: $18.31
  • Devoted Health — HMO: $16.80
  • Devoted Health — MCR: $16.80
  • Devoted Health — MME: $16.80
  • Devoted Health — POS: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH $302.42 $302.42 $21.17 – $302.42
Thyroid stimulating hormone (TSH) test: 10 of 24 insurance plan rates
  • Aetna Behavioral Health — COMM: $181.45
  • Aetna Coventry First Health — COMM: $207.16
  • Averde Health, Inc — PPO: $175.40
  • Cigna Behavioral Health — COMM: $241.94
  • City of McKinney — COMM: $136.09
  • Coastal Comp Health Networks — WCOMP: $211.69
  • ComPsych Corporation — COMM: $241.94
  • Evry Health — COMM: $78.02
  • Healthcare Highways — CityofPlano: $102.22
  • Healthcare Highways — NarrowNetwork: $74.09
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 30 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $8.16
  • Amerigroup — CHIP: $6.53
  • Amerigroup — DualEligible: $7.77
  • Amerigroup — MGMCD: $6.53
  • Care N Care — MGMCR: $7.85
  • Cenpatico — BHMGMCR: $8.47
  • Devoted Health — HMO: $7.77
  • Devoted Health — MCR: $7.77
  • Devoted Health — MME: $7.77
  • Devoted Health — POS: $7.77
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) $501.94 $501.94 $7.05
Complete blood count (CBC), automated: 10 of 30 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $6.79
  • Amerigroup — CHIP: $5.43
  • Amerigroup — DualEligible: $6.47
  • Amerigroup — MGMCD: $5.43
  • Care N Care — MGMCR: $6.53
  • Cenpatico — BHMGMCR: $7.05
  • Devoted Health — HMO: $6.47
  • Devoted Health — MCR: $6.47
  • Devoted Health — MME: $6.47
  • Devoted Health — POS: $6.47
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC AUTOMATED $501.94 $501.94 $35.14 – $501.94
Complete blood count (CBC), automated: 10 of 24 insurance plan rates
  • Aetna Behavioral Health — COMM: $301.16
  • Aetna Coventry First Health — COMM: $343.83
  • Averde Health, Inc — PPO: $291.13
  • Cigna Behavioral Health — COMM: $401.55
  • City of McKinney — COMM: $225.87
  • Coastal Comp Health Networks — WCOMP: $351.36
  • ComPsych Corporation — COMM: $401.55
  • Evry Health — COMM: $129.50
  • Healthcare Highways — CityofPlano: $169.66
  • Healthcare Highways — NarrowNetwork: $122.98
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time; $123.45 $123.45 $4.68
Blood clotting time test (prothrombin time, PT): 10 of 30 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $4.50
  • Amerigroup — CHIP: $3.60
  • Amerigroup — DualEligible: $4.29
  • Amerigroup — MGMCD: $3.60
  • Care N Care — MGMCR: $4.33
  • Cenpatico — BHMGMCR: $4.68
  • Devoted Health — HMO: $4.29
  • Devoted Health — MCR: $4.29
  • Devoted Health — MME: $4.29
  • Devoted Health — POS: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME $123.45 $123.45 $8.64 – $123.45
Blood clotting time test (prothrombin time, PT): 10 of 24 insurance plan rates
  • Aetna Behavioral Health — COMM: $74.07
  • Aetna Coventry First Health — COMM: $84.56
  • Averde Health, Inc — PPO: $71.60
  • Cigna Behavioral Health — COMM: $98.76
  • City of McKinney — COMM: $55.55
  • Coastal Comp Health Networks — WCOMP: $86.42
  • ComPsych Corporation — COMM: $98.76
  • Evry Health — COMM: $31.85
  • Healthcare Highways — CityofPlano: $41.73
  • Healthcare Highways — NarrowNetwork: $30.25
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time, partial (PTT); plasma or whole blood $289.30 $289.30 $5.05 – $15.75
Blood clotting test (partial thromboplastin time, PTT): 10 of 30 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $6.31
  • Amerigroup — CHIP: $5.05
  • Amerigroup — DualEligible: $6.01
  • Amerigroup — MGMCD: $5.05
  • Care N Care — MGMCR: $6.07
  • Cenpatico — BHMGMCR: $6.55
  • Devoted Health — HMO: $6.01
  • Devoted Health — MCR: $6.01
  • Devoted Health — MME: $6.01
  • Devoted Health — POS: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT $289.30 $289.30 $20.25 – $289.30
Blood clotting test (partial thromboplastin time, PTT): 10 of 24 insurance plan rates
  • Aetna Behavioral Health — COMM: $173.58
  • Aetna Coventry First Health — COMM: $198.17
  • Averde Health, Inc — PPO: $167.79
  • Cigna Behavioral Health — COMM: $231.44
  • City of McKinney — COMM: $130.19
  • Coastal Comp Health Networks — WCOMP: $202.51
  • ComPsych Corporation — COMM: $231.44
  • Evry Health — COMM: $74.64
  • Healthcare Highways — CityofPlano: $97.78
  • Healthcare Highways — NarrowNetwork: $70.88

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Computed tomography, head or brain; without contrast material Not listed in the file Not listed in the file $104.75
CT scan of the head or brain, without contrast: rates for 2 insurance plans
  • Amerigroup — CHIP: $104.75
  • Amerigroup — MGMCD: $104.75
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 $328.11
MRI of the brain, before and after contrast: rates for 2 insurance plans
  • Amerigroup — CHIP: $328.11
  • Amerigroup — MGMCD: $328.11
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST XRAY 2 V $569.20 $569.20 $39.84 – $569.20
Chest X-ray, 2 views: 10 of 24 insurance plan rates
  • Aetna Behavioral Health — COMM: $341.52
  • Aetna Coventry First Health — COMM: $389.90
  • Averde Health, Inc — PPO: $330.14
  • Cigna Behavioral Health — COMM: $455.36
  • City of McKinney — COMM: $256.14
  • Coastal Comp Health Networks — WCOMP: $398.44
  • ComPsych Corporation — COMM: $455.36
  • Evry Health — COMM: $146.85
  • Healthcare Highways — CityofPlano: $192.39
  • Healthcare Highways — NarrowNetwork: $139.45
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Radiologic examination, chest; 2 views $569.20 $569.20 $33.75
Chest X-ray, 2 views: rates for 2 insurance plans
  • Amerigroup — CHIP: $33.75
  • Amerigroup — MGMCD: $33.75
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 $52.13
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans
  • Amerigroup — CHIP: $52.13
  • Amerigroup — MGMCD: $52.13
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 Not listed in the file Not listed in the file $197.14
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans
  • Amerigroup — CHIP: $197.14
  • Amerigroup — MGMCD: $197.14
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 $175.06
CT scan of the pelvis, with contrast: rates for 2 insurance plans
  • Amerigroup — CHIP: $175.06
  • Amerigroup — MGMCD: $175.06
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 Not listed in the file Not listed in the file $208.84
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans
  • Amerigroup — CHIP: $208.84
  • Amerigroup — MGMCD: $208.84
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 $312.08
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans
  • Amerigroup — CHIP: $312.08
  • Amerigroup — MGMCD: $312.08
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMPLETE $1,592.02 $1,592.02 $111.44 – $1,592.02
Ultrasound of the abdomen, complete: 10 of 24 insurance plan rates
  • Aetna Behavioral Health — COMM: $955.21
  • Aetna Coventry First Health — COMM: $1,090.53
  • Averde Health, Inc — PPO: $923.37
  • Cigna Behavioral Health — COMM: $1,273.62
  • City of McKinney — COMM: $716.41
  • Coastal Comp Health Networks — WCOMP: $1,114.41
  • ComPsych Corporation — COMM: $1,273.62
  • Evry Health — COMM: $410.74
  • Healthcare Highways — CityofPlano: $538.10
  • Healthcare Highways — NarrowNetwork: $390.04
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Ultrasound, abdominal, real time with image documentation; complete $1,592.02 $1,592.02 $104.75
Ultrasound of the abdomen, complete: rates for 2 insurance plans
  • Amerigroup — CHIP: $104.75
  • Amerigroup — MGMCD: $104.75
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 $104.75
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans
  • Amerigroup — CHIP: $104.75
  • Amerigroup — MGMCD: $104.75
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
Transvaginal ultrasound: rates for 2 insurance plans
  • Amerigroup — CHIP: $104.75
  • Amerigroup — MGMCD: $104.75
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 $93.50
Diagnostic mammogram, one breast: 10 of 28 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $90.07
  • Amerigroup — DualEligible: $85.78
  • Care N Care — MGMCR: $86.64
  • Cenpatico — BHMGMCR: $93.50
  • Devoted Health — HMO: $85.78
  • Devoted Health — MCR: $85.78
  • Devoted Health — MME: $85.78
  • Devoted Health — POS: $85.78
  • Devoted Health — PPO: $85.78
  • Devoted Health — SNP: $85.78
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral Not listed in the file Not listed in the file $119.92
Diagnostic mammogram, both breasts: 10 of 28 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $115.52
  • Amerigroup — DualEligible: $110.02
  • Care N Care — MGMCR: $111.12
  • Cenpatico — BHMGMCR: $119.92
  • Devoted Health — HMO: $110.02
  • Devoted Health — MCR: $110.02
  • Devoted Health — MME: $110.02
  • Devoted Health — POS: $110.02
  • Devoted Health — PPO: $110.02
  • Devoted Health — SNP: $110.02
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 Not listed in the file Not listed in the file $98.94
Screening mammogram, both breasts: 10 of 28 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $95.31
  • Amerigroup — DualEligible: $90.77
  • Care N Care — MGMCR: $91.68
  • Cenpatico — BHMGMCR: $98.94
  • Devoted Health — HMO: $90.77
  • Devoted Health — MCR: $90.77
  • Devoted Health — MME: $90.77
  • Devoted Health — POS: $90.77
  • Devoted Health — PPO: $90.77
  • Devoted Health — SNP: $90.77

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance 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 $12.99
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan
  • TriWest Health Alliance — TRCR: $12.99
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 $2,796
Left heart catheterization (diagnostic): rates for 7 insurance plans
  • Evry Health — COMM: $16,817
  • Healthcare Highways — NarrowNetwork: $15,816
  • Superior Health Plan — CHIP: $2,796
  • Superior Health Plan — MCDSTAR: $2,796
  • Superior Health Plan — STARHealth: $2,796
  • Superior Health Plan — STARKids: $2,796
  • Superior Health Plan — STARPLUS: $2,796
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 Not listed in the file Not listed in the file $27,837 – $29,597
Heart rhythm study (electrophysiology evaluation): rates for 7 insurance plans
  • Evry Health — COMM: $29,597
  • Healthcare Highways — NarrowNetwork: $27,837
  • Superior Health Plan — CHIP: $5,591
  • Superior Health Plan — MCDSTAR: $5,591
  • Superior Health Plan — STARHealth: $5,591
  • Superior Health Plan — STARKids: $5,591
  • Superior Health Plan — STARPLUS: $5,591
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, Not listed in the file Not listed in the file $7,818
Heart rhythm study with ablation for atrial fibrillation: rates for 7 insurance plans
  • Evry Health — COMM: $29,597
  • Healthcare Highways — NarrowNetwork: $27,837
  • Superior Health Plan — CHIP: $7,818
  • Superior Health Plan — MCDSTAR: $7,818
  • Superior Health Plan — STARHealth: $7,818
  • Superior Health Plan — STARKids: $7,818
  • Superior Health Plan — STARPLUS: $7,818

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance 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 $192.47 $192.47 $31.71
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $30.54
  • Amerigroup — DualEligible: $29.09
  • Care N Care — MGMCR: $29.38
  • Cenpatico — BHMGMCR: $31.71
  • Devoted Health — HMO: $29.09
  • Devoted Health — MCR: $29.09
  • Devoted Health — MME: $29.09
  • Devoted Health — POS: $29.09
  • Devoted Health — PPO: $29.09
  • Devoted Health — SNP: $29.09
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP|CQ In the file: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexib $192.47 $192.47 $27.90
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $26.88
  • Amerigroup — DualEligible: $25.60
  • Care N Care — MGMCR: $25.85
  • Cenpatico — BHMGMCR: $27.90
  • Devoted Health — HMO: $25.60
  • Devoted Health — MCR: $25.60
  • Devoted Health — MME: $25.60
  • Devoted Health — POS: $25.60
  • Devoted Health — PPO: $25.60
  • Devoted Health — SNP: $25.60
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO|CO In the file: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexib $192.47 $192.47 $27.90
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $26.88
  • Amerigroup — DualEligible: $25.60
  • Care N Care — MGMCR: $25.85
  • Cenpatico — BHMGMCR: $27.90
  • Devoted Health — HMO: $25.60
  • Devoted Health — MCR: $25.60
  • Devoted Health — MME: $25.60
  • Devoted Health — POS: $25.60
  • Devoted Health — PPO: $25.60
  • Devoted Health — SNP: $25.60
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 $485.76 $485.76 $106.93
Physical therapy evaluation (low complexity): 10 of 28 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $103
  • Amerigroup — DualEligible: $98.10
  • Care N Care — MGMCR: $99.08
  • Cenpatico — BHMGMCR: $106.93
  • Devoted Health — HMO: $98.10
  • Devoted Health — MCR: $98.10
  • Devoted Health — MME: $98.10
  • Devoted Health — POS: $98.10
  • Devoted Health — PPO: $98.10
  • Devoted Health — SNP: $98.10
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 $485.76 $485.76 $94.10
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $90.64
  • Amerigroup — DualEligible: $86.33
  • Care N Care — MGMCR: $87.19
  • Cenpatico — BHMGMCR: $94.10
  • Devoted Health — HMO: $86.33
  • Devoted Health — MCR: $86.33
  • Devoted Health — MME: $86.33
  • Devoted Health — POS: $86.33
  • Devoted Health — PPO: $86.33
  • Devoted Health — SNP: $86.33
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT LOW COMPLEX $485.76 $485.76 $34 – $485.76
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates
  • Aetna Behavioral Health — COMM: $291.46
  • Aetna Coventry First Health — COMM: $332.75
  • Averde Health, Inc — PPO: $281.74
  • Cigna Behavioral Health — COMM: $388.61
  • City of McKinney — COMM: $218.59
  • Coastal Comp Health Networks — WCOMP: $340.03
  • ComPsych Corporation — COMM: $388.61
  • Healthcare Highways — CityofPlano: $164.19
  • Independent Medical Systems — COMM: $485.76
  • Magellan BH — Pinnacle: $291.46
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 $700.88 $700.88 $98.09 – $257.02
Physical therapy evaluation (moderate complexity): 10 of 28 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $103
  • Amerigroup — DualEligible: $98.10
  • Care N Care — MGMCR: $99.08
  • Cenpatico — BHMGMCR: $106.93
  • Devoted Health — HMO: $98.10
  • Devoted Health — MCR: $98.10
  • Devoted Health — MME: $98.10
  • Devoted Health — POS: $98.10
  • Devoted Health — PPO: $98.10
  • Devoted Health — SNP: $98.10
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 $700.88 $700.88 $94.10
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $90.64
  • Amerigroup — DualEligible: $86.33
  • Care N Care — MGMCR: $87.19
  • Cenpatico — BHMGMCR: $94.10
  • Devoted Health — HMO: $86.33
  • Devoted Health — MCR: $86.33
  • Devoted Health — MME: $86.33
  • Devoted Health — POS: $86.33
  • Devoted Health — PPO: $86.33
  • Devoted Health — SNP: $86.33
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT MOD COMPLEX $700.88 $700.88 $49.06 – $700.88
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates
  • Aetna Behavioral Health — COMM: $420.53
  • Aetna Coventry First Health — COMM: $480.10
  • Averde Health, Inc — PPO: $406.51
  • Cigna Behavioral Health — COMM: $560.70
  • City of McKinney — COMM: $315.40
  • Coastal Comp Health Networks — WCOMP: $490.62
  • ComPsych Corporation — COMM: $560.70
  • Healthcare Highways — CityofPlano: $236.90
  • Independent Medical Systems — COMM: $700.88
  • Magellan BH — Pinnacle: $420.53
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 $1,045.99 $1,045.99 $106.93
Physical therapy evaluation (high complexity): 10 of 28 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $103
  • Amerigroup — DualEligible: $98.10
  • Care N Care — MGMCR: $99.08
  • Cenpatico — BHMGMCR: $106.93
  • Devoted Health — HMO: $98.10
  • Devoted Health — MCR: $98.10
  • Devoted Health — MME: $98.10
  • Devoted Health — POS: $98.10
  • Devoted Health — PPO: $98.10
  • Devoted Health — SNP: $98.10
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 $1,045.99 $1,045.99 $94.10
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $90.64
  • Amerigroup — DualEligible: $86.33
  • Care N Care — MGMCR: $87.19
  • Cenpatico — BHMGMCR: $94.10
  • Devoted Health — HMO: $86.33
  • Devoted Health — MCR: $86.33
  • Devoted Health — MME: $86.33
  • Devoted Health — POS: $86.33
  • Devoted Health — PPO: $86.33
  • Devoted Health — SNP: $86.33
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT HIGH COMPLEX $1,045.99 $1,045.99 $73.22 – $1,045.99
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates
  • Aetna Behavioral Health — COMM: $627.59
  • Aetna Coventry First Health — COMM: $716.50
  • Averde Health, Inc — PPO: $606.67
  • Cigna Behavioral Health — COMM: $836.79
  • City of McKinney — COMM: $470.70
  • Coastal Comp Health Networks — WCOMP: $732.19
  • ComPsych Corporation — COMM: $836.79
  • Healthcare Highways — CityofPlano: $353.54
  • Independent Medical Systems — COMM: $1,045.99
  • Magellan BH — Pinnacle: $627.59
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes with patient Not listed in the file Not listed in the file $30
Psychotherapy, 30 minutes: rates for 1 insurance plan
  • Aetna Behavioral Health — COMM: $30
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: INDIV SESSION 45MIN $411.92 $411.92 $28.83 – $411.92
Psychotherapy, 45 minutes: 10 of 22 insurance plan rates
  • Aetna Coventry First Health — COMM: $282.17
  • Averde Health, Inc — PPO: $238.91
  • City of McKinney — COMM: $185.36
  • Coastal Comp Health Networks — WCOMP: $288.34
  • ComPsych Corporation — COMM: $329.54
  • Evry Health — COMM: $106.28
  • Healthcare Highways — CityofPlano: $139.23
  • Healthcare Highways — NarrowNetwork: $100.92
  • Independent Medical Systems — COMM: $411.92
  • Magellan BH — Pinnacle: $247.15
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes with patient $411.92 $411.92 $134
Psychotherapy, 45 minutes: rates for 2 insurance plans
  • Aetna Behavioral Health — COMM: $50
  • Cigna Behavioral Health — COMM: $134
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 60 minutes with patient Not listed in the file Not listed in the file $50
Psychotherapy, 60 minutes: rates for 1 insurance plan
  • Aetna Behavioral Health — COMM: $50
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy (without the patient present), 50 minutes Not listed in the file Not listed in the file $50
Family psychotherapy, without the patient: rates for 1 insurance plan
  • Aetna Behavioral Health — COMM: $50
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAM W PT 50 MIN $763.39 $763.39 $196.95 – $763.39
Family psychotherapy, with the patient: 10 of 14 insurance plan rates
  • Aetna Coventry First Health — COMM: $522.92
  • Averde Health, Inc — PPO: $442.77
  • City of McKinney — COMM: $343.53
  • Coastal Comp Health Networks — WCOMP: $534.37
  • Evry Health — COMM: $196.95
  • Healthcare Highways — CityofPlano: $258.03
  • Independent Medical Systems — COMM: $763.39
  • Magellan BH — Pinnacle: $458.03
  • Magellan BH — Summit: $458.03
  • National Healthcare Solutions — COMM: $763.39
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes Not listed in the file Not listed in the file $50
Family psychotherapy, with the patient: rates for 1 insurance plan
  • Aetna Behavioral Health — COMM: $50
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: IOP PSY GRP (NOT FAMILY) $763.39 $763.39 $196.95 – $763.39
Group psychotherapy: 10 of 23 insurance plan rates
  • Aetna Coventry First Health — COMM: $522.92
  • Averde Health, Inc — PPO: $442.77
  • Cigna Behavioral Health — COMM: $329.54
  • City of McKinney — COMM: $343.53
  • Coastal Comp Health Networks — WCOMP: $534.37
  • ComPsych Corporation — COMM: $329.54
  • Evry Health — COMM: $196.95
  • Healthcare Highways — CityofPlano: $258.03
  • Healthcare Highways — NarrowNetwork: $100.92
  • Independent Medical Systems — COMM: $763.39
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy (other than of a multiple-family group) Not listed in the file Not listed in the file $25
Group psychotherapy: rates for 1 insurance plan
  • Aetna Behavioral Health — COMM: $25

Procedures and surgery

ServiceHospital chargeCash priceInsurance 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 $1,011.84 – $4,036
Removal of breast growth (open surgery): rates for 9 insurance plans
  • Amerigroup — CHIP: $1,011.84
  • Amerigroup — MGMCD: $1,011.84
  • Evry Health — COMM: $4,036
  • Healthcare Highways — NarrowNetwork: $3,796
  • Superior Health Plan — CHIP: $2,369
  • Superior Health Plan — MCDSTAR: $2,369
  • Superior Health Plan — STARHealth: $2,369
  • Superior Health Plan — STARKids: $2,369
  • Superior Health Plan — STARPLUS: $2,369
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 $10,122 – $12,000
Total hip replacement: 10 of 11 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $12,000
  • Devoted Health — HMO: $16,121.49
  • Devoted Health — MCR: $16,121.49
  • Devoted Health — MME: $16,121.49
  • Devoted Health — POS: $16,121.49
  • Devoted Health — PPO: $16,121.49
  • Devoted Health — SNP: $16,121.49
  • Evry Health — COMM: $24,821
  • Healthcare Highways — NarrowNetwork: $10,122
  • Humana — MGMCR: $14,000
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 – $12,000
Total knee replacement: 10 of 11 insurance plan rates
  • American Health Plan of Texas, Inc. — MGMCR: $12,000
  • Devoted Health — HMO: $16,121.49
  • Devoted Health — MCR: $16,121.49
  • Devoted Health — MME: $16,121.49
  • Devoted Health — POS: $16,121.49
  • Devoted Health — PPO: $16,121.49
  • Devoted Health — SNP: $16,121.49
  • Evry Health — COMM: $24,821
  • Healthcare Highways — NarrowNetwork: $10,122
  • Humana — MGMCR: $14,000
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 $2,152 – $2,287
Shoulder arthroscopy: shaving of shoulder bone: rates for 7 insurance plans
  • Evry Health — COMM: $2,287
  • Healthcare Highways — NarrowNetwork: $2,152
  • Superior Health Plan — CHIP: $2,369
  • Superior Health Plan — MCDSTAR: $2,369
  • Superior Health Plan — STARHealth: $2,369
  • Superior Health Plan — STARKids: $2,369
  • Superior Health Plan — STARPLUS: $2,369
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 $2,369
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 9 insurance plans
  • Amerigroup — CHIP: $1,142.68
  • Amerigroup — MGMCD: $1,142.68
  • Evry Health — COMM: $6,054
  • Healthcare Highways — NarrowNetwork: $5,694
  • Superior Health Plan — CHIP: $2,369
  • Superior Health Plan — MCDSTAR: $2,369
  • Superior Health Plan — STARHealth: $2,369
  • Superior Health Plan — STARKids: $2,369
  • Superior Health Plan — STARPLUS: $2,369
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 $2,051.93 – $4,036
Removal of tonsils and adenoids (under age 12): rates for 4 insurance plans
  • Amerigroup — CHIP: $2,051.93
  • Amerigroup — MGMCD: $2,051.93
  • Evry Health — COMM: $4,036
  • Healthcare Highways — NarrowNetwork: $3,796
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 $351.70 – $2,356
Upper GI endoscopy (diagnostic): rates for 4 insurance plans
  • Amerigroup — CHIP: $351.70
  • Amerigroup — MGMCD: $351.70
  • Evry Health — COMM: $2,356
  • Healthcare Highways — NarrowNetwork: $2,214
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 $2,214 – $2,356
Upper GI endoscopy with biopsy: rates for 4 insurance plans
  • Amerigroup — CHIP: $351.70
  • Amerigroup — MGMCD: $351.70
  • Evry Health — COMM: $2,356
  • Healthcare Highways — NarrowNetwork: $2,214
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 – $2,356
Colonoscopy (diagnostic): rates for 4 insurance plans
  • Amerigroup — CHIP: $344.93
  • Amerigroup — MGMCD: $344.93
  • Evry Health — COMM: $2,356
  • Healthcare Highways — NarrowNetwork: $2,214
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 $450.72 – $2,356
Colonoscopy with biopsy: rates for 4 insurance plans
  • Amerigroup — CHIP: $450.72
  • Amerigroup — MGMCD: $450.72
  • Evry Health — COMM: $2,356
  • Healthcare Highways — NarrowNetwork: $2,214
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 $450.72
Colonoscopy with removal of polyps (snare): rates for 4 insurance plans
  • Amerigroup — CHIP: $450.72
  • Amerigroup — MGMCD: $450.72
  • Evry Health — COMM: $2,356
  • Healthcare Highways — NarrowNetwork: $2,214
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 – $2,356
Ultrasound of the lower bowel by endoscope: rates for 4 insurance plans
  • Amerigroup — CHIP: $450.72
  • Amerigroup — MGMCD: $450.72
  • Evry Health — COMM: $2,356
  • Healthcare Highways — NarrowNetwork: $2,214
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 – $1,346
Screening colonoscopy (not high risk): rates for 4 insurance plans
  • Amerigroup — CHIP: $328.50
  • Amerigroup — MGMCD: $328.50
  • Evry Health — COMM: $1,346
  • Healthcare Highways — NarrowNetwork: $1,266
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 $2,369
Gallbladder removal by laparoscope: rates for 9 insurance plans
  • Amerigroup — CHIP: $1,983.29
  • Amerigroup — MGMCD: $1,983.29
  • Evry Health — COMM: $9,417
  • Healthcare Highways — NarrowNetwork: $8,858
  • Superior Health Plan — CHIP: $2,369
  • Superior Health Plan — MCDSTAR: $2,369
  • Superior Health Plan — STARHealth: $2,369
  • Superior Health Plan — STARKids: $2,369
  • Superior Health Plan — STARPLUS: $2,369
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 $1,209.12 – $6,054
Groin (inguinal) hernia repair, age 5 or older: rates for 9 insurance plans
  • Amerigroup — CHIP: $1,209.12
  • Amerigroup — MGMCD: $1,209.12
  • Evry Health — COMM: $6,054
  • Healthcare Highways — NarrowNetwork: $5,694
  • Superior Health Plan — CHIP: $2,369
  • Superior Health Plan — MCDSTAR: $2,369
  • Superior Health Plan — STARHealth: $2,369
  • Superior Health Plan — STARKids: $2,369
  • Superior Health Plan — STARPLUS: $2,369
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 – $2,356
Prostate biopsy: rates for 4 insurance plans
  • Amerigroup — CHIP: $685.44
  • Amerigroup — MGMCD: $685.44
  • Evry Health — COMM: $2,356
  • Healthcare Highways — NarrowNetwork: $2,214
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
Prostate removal by laparoscope (radical prostatectomy): rates for 2 insurance plans
  • Evry Health — COMM: $18,547
  • Healthcare Highways — NarrowNetwork: $10,122
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 $3,796 – $4,036
Hysteroscopy with biopsy of the uterus lining: rates for 9 insurance plans
  • Amerigroup — CHIP: $1,116.70
  • Amerigroup — MGMCD: $1,116.70
  • Evry Health — COMM: $4,036
  • Healthcare Highways — NarrowNetwork: $3,796
  • Superior Health Plan — CHIP: $2,369
  • Superior Health Plan — MCDSTAR: $2,369
  • Superior Health Plan — STARHealth: $2,369
  • Superior Health Plan — STARKids: $2,369
  • Superior Health Plan — STARPLUS: $2,369
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 – $2,287
Spinal injection, lower back (epidural), with imaging guidance: rates for 4 insurance plans
  • Amerigroup — CHIP: $276
  • Amerigroup — MGMCD: $276
  • Evry Health — COMM: $2,287
  • Healthcare Highways — NarrowNetwork: $2,152
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 $357.81
Nerve root injection, lower back, with imaging guidance: rates for 4 insurance plans
  • Amerigroup — CHIP: $357.81
  • Amerigroup — MGMCD: $357.81
  • Evry Health — COMM: $1,346
  • Healthcare Highways — NarrowNetwork: $1,266
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 – $4,036
Carpal tunnel release: rates for 9 insurance plans
  • Amerigroup — CHIP: $692.94
  • Amerigroup — MGMCD: $692.94
  • Evry Health — COMM: $4,036
  • Healthcare Highways — NarrowNetwork: $3,796
  • Superior Health Plan — CHIP: $2,369
  • Superior Health Plan — MCDSTAR: $2,369
  • Superior Health Plan — STARHealth: $2,369
  • Superior Health Plan — STARKids: $2,369
  • Superior Health Plan — STARPLUS: $2,369
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 $1,266
Laser treatment of clouding after cataract surgery: rates for 4 insurance plans
  • Amerigroup — CHIP: $218.75
  • Amerigroup — MGMCD: $218.75
  • Evry Health — COMM: $1,346
  • Healthcare Highways — NarrowNetwork: $1,266
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 $892.44
Cataract removal with lens implant: rates for 4 insurance plans
  • Amerigroup — CHIP: $892.44
  • Amerigroup — MGMCD: $892.44
  • Evry Health — COMM: $4,036
  • Healthcare Highways — NarrowNetwork: $3,796

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance 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 – $2,287
Vaginal delivery, with care before and after: rates for 2 insurance plans
  • Evry Health — COMM: $2,287
  • 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 $2,152
Cesarean delivery (C-section), with care before and after: rates for 2 insurance plans
  • Evry Health — COMM: $2,287
  • 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 – $2,287
Vaginal delivery after a previous C-section, with care before and after: rates for 2 insurance plans
  • Evry Health — COMM: $2,287
  • Healthcare Highways — NarrowNetwork: $2,152

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Not listed in the file Not listed in the file $129,964.50 – $138,182.05
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 20 insurance plan rates
  • Evry Health — COMM: $138,182.05
  • Healthcare Highways — NarrowNetwork: $129,964.50
  • Averde Health, Inc — PPO: 58% (a percentage in the contract, not a dollar amount)
  • Cigna Behavioral Health — COMM: 80% (a percentage in the contract, not a dollar amount)
  • City of McKinney — COMM: 45% (a percentage in the contract, not a dollar amount)
  • Coastal Comp Health Networks — WCOMP: 70% (a percentage in the contract, not a dollar amount)
  • ComPsych Corporation — COMM: 80% (a percentage in the contract, not a dollar amount)
  • Healthcare Highways — CityofPlano: 33.8% (a percentage in the contract, not a dollar amount)
  • Humana — TricareBH: 75% (a percentage in the contract, not a dollar amount)
  • Independent Medical Systems — COMM: 100% (a percentage in the contract, not a dollar amount)
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 $60,000
Hip or knee replacement (major joint of the leg), without major complications: 10 of 20 insurance plan rates
  • Evry Health — COMM: $27,245.71
  • Healthcare Highways — CityofPlano: $60,000
  • Healthcare Highways — NarrowNetwork: $25,625.44
  • Averde Health, Inc — PPO: 58% (a percentage in the contract, not a dollar amount)
  • Cigna Behavioral Health — COMM: 80% (a percentage in the contract, not a dollar amount)
  • City of McKinney — COMM: 45% (a percentage in the contract, not a dollar amount)
  • Coastal Comp Health Networks — WCOMP: 70% (a percentage in the contract, not a dollar amount)
  • ComPsych Corporation — COMM: 80% (a percentage in the contract, not a dollar amount)
  • Humana — TricareBH: 75% (a percentage in the contract, not a dollar amount)
  • Independent Medical Systems — COMM: 100% (a percentage in the contract, not a dollar amount)
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 Other Transplant Services Not listed in the file Not listed in the file Not listed in the file
Hip or knee replacement (major joint of the leg), without major complications: rates for 1 insurance plan
  • Molina Healthcare — HIX: 75% (a percentage in the contract, not a dollar amount)
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 $32,432.67 – $34,483.36
Neck (cervical) spinal fusion, without complications: 10 of 20 insurance plan rates
  • Evry Health — COMM: $34,483.36
  • Healthcare Highways — NarrowNetwork: $32,432.67
  • Averde Health, Inc — PPO: 58% (a percentage in the contract, not a dollar amount)
  • Cigna Behavioral Health — COMM: 80% (a percentage in the contract, not a dollar amount)
  • City of McKinney — COMM: 45% (a percentage in the contract, not a dollar amount)
  • Coastal Comp Health Networks — WCOMP: 70% (a percentage in the contract, not a dollar amount)
  • ComPsych Corporation — COMM: 80% (a percentage in the contract, not a dollar amount)
  • Healthcare Highways — CityofPlano: 33.8% (a percentage in the contract, not a dollar amount)
  • Humana — TricareBH: 75% (a percentage in the contract, not a dollar amount)
  • Independent Medical Systems — COMM: 100% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Other Transplant Services Not listed in the file Not listed in the file Not listed in the file
Neck (cervical) spinal fusion, without complications: rates for 1 insurance plan
  • Molina Healthcare — HIX: 75% (a percentage in the contract, not a dollar amount)
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 $16,482.70 – $17,524.89
Uterus and ovary surgery (not for cancer), without complications: 10 of 20 insurance plan rates
  • Evry Health — COMM: $17,524.89
  • Healthcare Highways — NarrowNetwork: $16,482.70
  • Averde Health, Inc — PPO: 58% (a percentage in the contract, not a dollar amount)
  • Cigna Behavioral Health — COMM: 80% (a percentage in the contract, not a dollar amount)
  • City of McKinney — COMM: 45% (a percentage in the contract, not a dollar amount)
  • Coastal Comp Health Networks — WCOMP: 70% (a percentage in the contract, not a dollar amount)
  • ComPsych Corporation — COMM: 80% (a percentage in the contract, not a dollar amount)
  • Healthcare Highways — CityofPlano: 33.8% (a percentage in the contract, not a dollar amount)
  • Humana — TricareBH: 75% (a percentage in the contract, not a dollar amount)
  • Independent Medical Systems — COMM: 100% (a percentage in the contract, not a dollar amount)
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 Other Transplant Services Not listed in the file Not listed in the file Not listed in the file
Uterus and ovary surgery (not for cancer), without complications: rates for 1 insurance plan
  • Molina Healthcare — HIX: 75% (a percentage in the contract, not a dollar amount)

Source: Medical City Green Oaks Hospital’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 typePsychiatric Hospital
Address7808 Clodus Fields Drive, Dallas, TX 75251
CountyDallas County
StateTexas
Phone(972) 991‑9504
Emergency servicesNot listed
OwnershipVoluntary non-profit - Other
Medicare overall ratingNot rated by CMS
CMS Certification Number454094
Name in Medicare recordsMEDICAL CITY GREEN OAKS HOSPITAL
Profile levelMedicare data + hospital website
Official websitemedicalcityhealthcare.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Medical City Green Oaks Hospital — medicalcityhealthcare.com
  2. Mental Health Services | Medical City Green Oaks Hospital — medicalcityhealthcare.com
  3. Psychiatric Hospital | Medical City Green Oaks Hospital — medicalcityhealthcare.com
  4. For Visitors | Medical City Green Oaks Hospital — medicalcityhealthcare.com
  5. Mental Health Care | Medical City Green Oaks Hospital — medicalcityhealthcare.com
  6. Specialties | Medical City Green Oaks Hospital — medicalcityhealthcare.com
  7. Adolescent Psychiatric Care | Medical City Green Oaks Hospital — medicalcityhealthcare.com
  8. Medical City Green Oaks Hospital | Medical City Green Oaks Hospital — medicalcityhealthcare.com
  9. Addiction Treatment | Medical City Green Oaks Hospital — medicalcityhealthcare.com
  10. Electroconvulsive Therapy | Medical City Green Oaks Hospital — medicalcityhealthcare.com
  11. For Patients | Medical City Green Oaks Hospital — medicalcityhealthcare.com