Quick answers Does Methodist Celina Medical Center have an emergency room? Yes. Medicare (CMS) data lists emergency services at Methodist Celina Medical Center. In a medical emergency, call 911. Where is Methodist Celina Medical Center? 1500 S Dallas Parkway, Celina, TX 75009, in Collin County, Texas. What is the phone number of Methodist Celina Medical Center? (214) 947-6452, as listed by Medicare (CMS). What is the Medicare star rating of Methodist Celina Medical Center? 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. Does Medicare reduce its payments to Methodist Celina Medical Center for hospital-acquired conditions? No. For fiscal year 2026, CMS lists no Medicare payment reduction for Methodist Celina Medical Center under the Hospital-Acquired Condition Reduction Program. It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026). Specialties and care areas[4] [7] Programs and centers[4] [7] Generations program Emergency and trauma care Emergency care (hospital website)[4] [7] Visiting and practical information Visiting Open visitation hours when entering through the emergency department [5] Interpreters and languages Free sign language and oral interpreters offered system-wide, plus aids for deaf or hard-of-hearing patients [6] Patient portal MyChart
Doctors and clinicians (73) 73 doctors and other clinicians list Methodist Celina Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
Main specialties Doctors with a page on this site (73) Aisha S. Abdel-Rahman, MD Internal Medicine Akilan Arumugham, MD Diagnostic Radiology Alexander Goodwin, PA Physician Assistant Ammar Al Akshar, MD Interventional Cardiology Amy L. Noroozian, PA Physician Assistant Anthonia D. Adewole, MD Colorectal Surgery (Proctology) Arash Rezaei, MD Orthopedic Surgery Aritra Sen, MD Pulmonary Disease Arjun Nair, MD Cardiovascular Disease (Cardiology) Arun V. Raghavan, MD Emergency Medicine Ashley D. Wood, DO Anesthesiology Austin T. Howe, MD Anesthesiology Becky Y. Tsui, MD Anesthesiology Bic G. Chau, DO Anesthesiology Brian J. Shea General Surgery Britni N. Lucas, PA Physician Assistant Charles B. Close, DO Emergency Medicine Christopher N. Lam, DO Anesthesiology Christopher P. Goscin, MD Diagnostic Radiology Christopher T. Kennedy, MD Emergency Medicine Daniel Goldstein, MD Emergency Medicine Daniel R. Maurer, DO Orthopedic Surgery Dara U. Otu Pulmonary Disease David E. Bryant, MD Anesthesiology And 49 more: the button below opens the full list.
See all 73 clinicians Assisted living nearby Licensed homes from the official state license 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 Methodist Celina Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
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) 16.6% Not reported to Medicare Readmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement Too few cases to report Readmitted within 30 days: heart failure; Readmitted within 30 days: pneumonia; Readmitted within 30 days: COPD
Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 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.
Average (median) time patients spent in the emergency room before leaving (OP-18b) 142 minutes National average: 162 minutes Sepsis patients who got all the recommended early care (SEP-1) 100% National average: 66% Not reported to Medicare Patients who left the emergency room before being seen (OP-22)
Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.
Not reported to Medicare: the patient survey, infections caught in the hospital, complications and deaths. For these topics Medicare shows no result for this hospital (not reported, or too few cases).
See every measure on Medicare Care Compare →
Medicare payment programs Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Methodist Celina Medical Center, fiscal year 2026 (October 2025 to September 2026).
Show the Medicare payment program results Hospital-Acquired Condition Reduction Program What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.
CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.
Medicare payment reduction, fiscal year 2026 No CMS lists no payment reduction for this hospital.
Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.
No result for this hospital: Hospital Readmissions Reduction Program; Hospital Value-Based Purchasing Program; Medicare spending per patient. This is normal when a hospital is paid under another Medicare system (for example critical access, children’s or psychiatric hospitals), is not in the program that year, or has too few cases.
ER wait times and Medicare ratings nearby How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.
Prices Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 53 common services exactly as Methodist Celina Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.
What the prices mean Hospital charge The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount. Cash price The price the hospital offers if you pay yourself, without insurance (“discounted cash price”). Insurance rates The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance. Hospital and doctor fees A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services. How to use hospital prices: estimates, financial assistance and your rights →
$! 24 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.
Show the prices of 53 common services Office and emergency visits Service Hospital charge Cash price Insurance rates (lowest – highest) New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: HC Pt Visit New Level III $422 $126.60 $211 – $422 New patient office visit (about 30–44 minutes): 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $117.40 AETNA [3000] — MHS HB AETNA CVS MCEL : $115.26 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $115.26 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $133.74 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $117.40 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $140.43 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS [3001] — MHS HB BCBS HMO MCEL : $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: HC Urgent Care New Level III $422 $126.60 $211 – $422 New patient office visit (about 30–44 minutes): 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $117.40 AETNA [3000] — MHS HB AETNA CVS MCEL : $115.26 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $115.26 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $133.74 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $117.40 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $140.43 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $138.05 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $133.38 BCBS [3001] — MHS HB BCBS HMO MCEL : $141.17 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $80.96 New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: HC Pt Visit New Level IV $642 $192.60 $321 – $642 New patient office visit (about 45–59 minutes): 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $192.16 AETNA [3000] — MHS HB AETNA CVS MCEL : $188.67 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $188.67 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $133.74 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $192.16 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $140.43 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS [3001] — MHS HB BCBS HMO MCEL : $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: HC Urgent Care New Level IV $642 $192.60 $321 – $642 New patient office visit (about 45–59 minutes): 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $192.16 AETNA [3000] — MHS HB AETNA CVS MCEL : $188.67 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $188.67 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $133.74 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $192.16 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $140.43 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $212.83 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $205.63 BCBS [3001] — MHS HB BCBS HMO MCEL : $217.63 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $124.82 New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: HC Pt Visit New Level V $735 $220.50 $367.50 – $735 New patient office visit (about 60–74 minutes): 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $263.24 AETNA [3000] — MHS HB AETNA CVS MCEL : $258.45 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $258.45 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $133.74 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $263.24 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $140.43 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS [3001] — MHS HB BCBS HMO MCEL : $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: HC Urgent Care New Level V $735 $220.50 $367.50 – $735 New patient office visit (about 60–74 minutes): 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $263.24 AETNA [3000] — MHS HB AETNA CVS MCEL : $258.45 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $258.45 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $133.74 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $263.24 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $140.43 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $300.05 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $289.90 BCBS [3001] — MHS HB BCBS HMO MCEL : $306.82 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $175.97 Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HC Pt Visit Est Level III $422 $126.60 $211 – $422 Established patient office visit (about 20–29 minutes): 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $94.66 AETNA [3000] — MHS HB AETNA CVS MCEL : $92.94 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $92.94 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $133.74 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $94.66 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $140.43 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS [3001] — MHS HB BCBS HMO MCEL : $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HC Urgent Care Est Level III $422 $126.60 $211 – $422 Established patient office visit (about 20–29 minutes): 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $94.66 AETNA [3000] — MHS HB AETNA CVS MCEL : $92.94 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $92.94 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $133.74 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $94.66 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $140.43 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $546.42 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $527.93 BCBS [3001] — MHS HB BCBS HMO MCEL : $558.74 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $320.46 Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HC OP Newborn Exam $642 $192.60 $321 – $642 Established patient office visit (about 30–39 minutes): 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $139.18 AETNA [3000] — MHS HB AETNA CVS MCEL : $136.65 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $136.65 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $133.74 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $139.18 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $140.43 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS [3001] — MHS HB BCBS HMO MCEL : $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HC Pt Visit Est Level IV $642 $192.60 $321 – $642 Established patient office visit (about 30–39 minutes): 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $139.18 AETNA [3000] — MHS HB AETNA CVS MCEL : $136.65 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $136.65 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $133.74 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $139.18 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $140.43 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS [3001] — MHS HB BCBS HMO MCEL : $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $0.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HC Urgent Care Est Level IV $642 $192.60 $321 – $642 Established patient office visit (about 30–39 minutes): 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $139.18 AETNA [3000] — MHS HB AETNA CVS MCEL : $136.65 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $136.65 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $133.74 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $139.18 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $140.43 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $106.40 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $102.80 BCBS [3001] — MHS HB BCBS HMO MCEL : $108.80 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $62.40 Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC Sane Em Lvl 99283 W/O Photo $233 $69.90 $116.50 – $233 Emergency room visit (moderate): 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $452.47 AETNA [3000] — MHS HB AETNA CVS MCEL : $444.24 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $444.24 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $274.22 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $452.47 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $287.93 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $1,876 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $1,813 BCBS [3001] — MHS HB BCBS HMO MCEL : $1,918 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $1,505 Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ER Level III 99283 $1,956 $586.80 $978 – $1,956 Emergency room visit (moderate): 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $452.47 AETNA [3000] — MHS HB AETNA CVS MCEL : $444.24 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $444.24 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $274.22 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $452.47 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $287.93 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $1,876 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $1,813 BCBS [3001] — MHS HB BCBS HMO MCEL : $1,918 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $1,505 Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ER OB Level III 99283 $1,956 $586.80 $978 – $1,956 Emergency room visit (moderate): 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $452.47 AETNA [3000] — MHS HB AETNA CVS MCEL : $444.24 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $444.24 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $274.22 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $452.47 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $287.93 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $1,876 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $1,813 BCBS [3001] — MHS HB BCBS HMO MCEL : $1,918 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $1,505 Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ER OB Level IV 99284 $2,582 $774.60 $1,291 – $2,582 Emergency room visit (moderately high): 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $691.62 AETNA [3000] — MHS HB AETNA CVS MCEL : $679.05 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $679.05 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $419.16 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $691.62 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $440.12 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $3,000 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $2,900 BCBS [3001] — MHS HB BCBS HMO MCEL : $3,080 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $2,400 Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ER Level IV 99284 $2,582 $774.60 $1,291 – $2,582 Emergency room visit (moderately high): 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $691.62 AETNA [3000] — MHS HB AETNA CVS MCEL : $679.05 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $679.05 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $419.16 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $691.62 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $440.12 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $3,000 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $2,900 BCBS [3001] — MHS HB BCBS HMO MCEL : $3,080 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $2,400 Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ER OB Level V 99285 $3,549 $1,064.70 $1,774.50 – $3,549 Emergency room visit (high): 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $987.10 AETNA [3000] — MHS HB AETNA CVS MCEL : $969.16 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $969.16 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $598.24 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $987.10 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $628.16 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $4,840 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $4,640 BCBS [3001] — MHS HB BCBS HMO MCEL : $4,920 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $3,840 Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ER Level V 99285 $3,549 $1,064.70 $1,774.50 – $3,549 Emergency room visit (high): 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $987.10 AETNA [3000] — MHS HB AETNA CVS MCEL : $969.16 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $969.16 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $598.24 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $987.10 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $628.16 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $4,840 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $4,640 BCBS [3001] — MHS HB BCBS HMO MCEL : $4,920 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $3,840 Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC Sane Em Lvl 99285 W/O Photo $233 $69.90 $116.50 – $233 Emergency room visit (high): 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $987.10 AETNA [3000] — MHS HB AETNA CVS MCEL : $969.16 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $969.16 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $598.24 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $987.10 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $628.16 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $4,840 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $4,640 BCBS [3001] — MHS HB BCBS HMO MCEL : $4,920 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $3,840
Lab tests Service Hospital charge Cash price Insurance rates (lowest – highest) Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC Basic Metabolic Panel $699 $209.70 $349.50 – $699 Basic metabolic panel (blood test): 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $13.96 AETNA [3000] — MHS HB AETNA CVS MCEL : $13.71 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $13.71 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $8.46 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $13.96 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $8.88 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $14.04 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $13.54 BCBS [3001] — MHS HB BCBS HMO MCEL : $14.30 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $8.46 Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC Comprehensive Metabolic Panel $810 $243 $405 – $810 Comprehensive metabolic panel (blood test): 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $17.42 AETNA [3000] — MHS HB AETNA CVS MCEL : $17.11 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $17.11 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $10.56 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $17.42 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $11.09 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $17.53 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $16.90 BCBS [3001] — MHS HB BCBS HMO MCEL : $17.85 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $10.56 Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC Lipid Panel $494 $148.20 $247 – $494 Cholesterol panel (lipid panel): 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $22.09 AETNA [3000] — MHS HB AETNA CVS MCEL : $21.69 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $21.69 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $13.39 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $22.09 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $14.06 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $22.23 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $21.42 BCBS [3001] — MHS HB BCBS HMO MCEL : $22.63 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $13.39 Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC Renal Function Panel $774 $232.20 $387 – $774 Kidney function panel: 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $14.32 AETNA [3000] — MHS HB AETNA CVS MCEL : $14.06 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $14.06 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $8.68 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $14.32 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $9.11 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $14.41 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $13.89 BCBS [3001] — MHS HB BCBS HMO MCEL : $14.67 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $8.68 Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC Hepatic Function Panel $576 $172.80 $288 – $576 Liver function panel: 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $13.48 AETNA [3000] — MHS HB AETNA CVS MCEL : $13.24 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $13.24 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $8.17 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $13.48 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $8.58 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $13.56 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $13.07 BCBS [3001] — MHS HB BCBS HMO MCEL : $13.81 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $8.17 Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC Urinalysis With Microscopy $234 $70.20 $117 – $234 Urine test (automated, with microscope): 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $5.23 AETNA [3000] — MHS HB AETNA CVS MCEL : $5.14 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $5.14 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $3.17 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $5.23 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $3.33 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $5.26 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $5.07 BCBS [3001] — MHS HB BCBS HMO MCEL : $5.36 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $3.17 Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC Ua Visual $86 $25.80 $43 – $86 Urine test (manual, without microscope): 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $5.74 AETNA [3000] — MHS HB AETNA CVS MCEL : $5.64 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $5.64 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $3.48 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $5.74 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $3.65 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $5.78 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $5.57 BCBS [3001] — MHS HB BCBS HMO MCEL : $5.88 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $3.48 Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Hemoglobin Urine $4 $1.20 $2 – $4 Urine test (automated, without microscope): 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $3.71 AETNA [3000] — MHS HB AETNA CVS MCEL : $3.65 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $3.65 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $2.25 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $3.71 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $2.36 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $3.74 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $3.60 BCBS [3001] — MHS HB BCBS HMO MCEL : $3.80 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $2.25 Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC Urinalysis Chemical $94 $28.20 $47 – $94 Urine test (automated, without microscope): 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $3.71 AETNA [3000] — MHS HB AETNA CVS MCEL : $3.65 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $3.65 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $2.25 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $3.71 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $2.36 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $3.74 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $3.60 BCBS [3001] — MHS HB BCBS HMO MCEL : $3.80 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $2.25 PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC Prostate Specific Antigen $332 $99.60 $166 – $332 PSA (prostate specific antigen) blood test: 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $30.34 AETNA [3000] — MHS HB AETNA CVS MCEL : $29.79 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $29.79 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $18.39 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $30.34 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $19.31 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $30.53 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $29.42 BCBS [3001] — MHS HB BCBS HMO MCEL : $31.08 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $18.39 PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC Assay of Prostate Specific Antigen Total $34 $10.20 $17 – $34 PSA (prostate specific antigen) blood test: 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $30.34 AETNA [3000] — MHS HB AETNA CVS MCEL : $29.79 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $29.79 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $18.39 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $30.34 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $19.31 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $30.53 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $29.42 BCBS [3001] — MHS HB BCBS HMO MCEL : $31.08 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $18.39 Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC Thyroid Stimulatin Hormone-Tsh $690 $207 $345 – $690 Thyroid stimulating hormone (TSH) test: 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $27.72 AETNA [3000] — MHS HB AETNA CVS MCEL : $27.22 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $27.22 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $16.80 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $27.72 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $17.64 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $27.89 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $26.88 BCBS [3001] — MHS HB BCBS HMO MCEL : $28.39 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $16.80 Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC Complete Blood Count Cbc $313 $93.90 $156.50 – $313 Complete blood count (CBC) with differential: 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $12.82 AETNA [3000] — MHS HB AETNA CVS MCEL : $12.59 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $12.59 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $7.77 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $12.82 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $8.16 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $12.90 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $12.43 BCBS [3001] — MHS HB BCBS HMO MCEL : $13.13 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $7.77 Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Pt W Inr $64 $19.20 $32 – $64 Blood clotting time test (prothrombin time, PT): 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $7.08 AETNA [3000] — MHS HB AETNA CVS MCEL : $6.95 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $6.95 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $4.29 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $7.08 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $4.50 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $7.12 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $6.86 BCBS [3001] — MHS HB BCBS HMO MCEL : $7.25 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $4.29 Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Lupus Anticoagulant Inr Protim $17 $5.10 $8.50 – $17 Blood clotting time test (prothrombin time, PT): 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $7.08 AETNA [3000] — MHS HB AETNA CVS MCEL : $6.95 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $6.95 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $4.29 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $7.08 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $4.50 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $7.12 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $6.86 BCBS [3001] — MHS HB BCBS HMO MCEL : $7.25 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $4.29 Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC Prothrombin Time $234 $70.20 $117 – $234 Blood clotting time test (prothrombin time, PT): 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $7.08 AETNA [3000] — MHS HB AETNA CVS MCEL : $6.95 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $6.95 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $4.29 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $7.08 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $4.50 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $7.12 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $6.86 BCBS [3001] — MHS HB BCBS HMO MCEL : $7.25 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $4.29 Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Activated Part Thrombo Time $234 $70.20 $117 – $234 Blood clotting test (partial thromboplastin time, PTT): 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $9.92 AETNA [3000] — MHS HB AETNA CVS MCEL : $9.74 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $9.74 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $6.01 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $9.92 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $6.31 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $9.98 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $9.62 BCBS [3001] — MHS HB BCBS HMO MCEL : $10.16 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $6.01 Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Lupus Anticoagulant Aptt $17 $5.10 $8.50 – $17 Blood clotting test (partial thromboplastin time, PTT): 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $9.92 AETNA [3000] — MHS HB AETNA CVS MCEL : $9.74 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $9.74 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $6.01 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $9.92 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $6.31 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $9.98 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $9.62 BCBS [3001] — MHS HB BCBS HMO MCEL : $10.16 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $6.01 Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC Factor Inhibitor Ptt $63 $18.90 $31.50 – $63 Blood clotting test (partial thromboplastin time, PTT): 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $9.92 AETNA [3000] — MHS HB AETNA CVS MCEL : $9.74 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $9.74 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $6.01 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $9.92 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $6.31 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $9.98 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $9.62 BCBS [3001] — MHS HB BCBS HMO MCEL : $10.16 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $6.01
Imaging (X-ray, CT, MRI, ultrasound, mammogram) Service Hospital charge Cash price Insurance rates (lowest – highest) CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT Head Brain Woc $3,578 $1,073.40 $1,789 – $3,578 CT scan of the head or brain, without contrast: 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $173.29 AETNA [3000] — MHS HB AETNA CVS MCEL : $170.14 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $170.14 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $105.02 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $173.29 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $110.27 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $391.16 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $377.71 BCBS [3001] — MHS HB BCBS HMO MCEL : $400.13 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $228.64 MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MRI Head Wowc $6,042 $1,812.60 $3,021 – $6,042 MRI of the brain, before and after contrast: 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $578.26 AETNA [3000] — MHS HB AETNA CVS MCEL : $567.75 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $567.75 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $350.46 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $578.26 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $367.99 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $1,332.66 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $1,286.83 BCBS [3001] — MHS HB BCBS HMO MCEL : $1,363.20 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $778.97 Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC Chest 2 Views $649 $194.70 $324.50 – $649 Chest X-ray, 2 views: 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $144.25 AETNA [3000] — MHS HB AETNA CVS MCEL : $141.62 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $141.62 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $87.42 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $144.25 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $91.79 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $249.81 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $241.03 BCBS [3001] — MHS HB BCBS HMO MCEL : $255.39 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $146.05 X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC Spinelumbosacral Minimum 4 Views $1,062 $318.60 $531 – $1,062 X-ray of the lower spine, at least 4 views: 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $173.29 AETNA [3000] — MHS HB AETNA CVS MCEL : $170.14 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $170.14 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $105.02 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $173.29 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $110.27 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $350.81 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $338.48 BCBS [3001] — MHS HB BCBS HMO MCEL : $358.66 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $205.11 MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MRI Spinal Canal Lumbar Woc $4,910 $1,473 $2,455 – $4,910 MRI of the lower back (lumbar spine), without contrast: 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $395.49 AETNA [3000] — MHS HB AETNA CVS MCEL : $388.30 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $388.30 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $239.69 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $395.49 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $251.67 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $813.31 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $785.34 BCBS [3001] — MHS HB BCBS HMO MCEL : $831.95 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $475.40 CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT Pelvis WC $4,503 $1,350.90 $2,251.50 – $4,503 CT scan of the pelvis, with contrast: 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $290.73 AETNA [3000] — MHS HB AETNA CVS MCEL : $285.44 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $285.44 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $176.20 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $290.73 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $185.01 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $635.95 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $614.08 BCBS [3001] — MHS HB BCBS HMO MCEL : $650.53 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $371.73 MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MRI Extremity Lwr Joint Woc $4,878 $1,463.40 $2,439 – $4,878 MRI of a leg joint (such as the knee), without contrast: 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $395.49 AETNA [3000] — MHS HB AETNA CVS MCEL : $388.30 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $388.30 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $239.69 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $395.49 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $251.67 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $813.31 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $785.34 BCBS [3001] — MHS HB BCBS HMO MCEL : $831.95 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $475.40 CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT Abd Pelvis WC $8,670 $2,601 $4,335 – $8,670 CT scan of the abdomen and pelvis, with contrast: 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $578.26 AETNA [3000] — MHS HB AETNA CVS MCEL : $567.75 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $567.75 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $350.46 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $578.26 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $367.99 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $1,332.66 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $1,286.83 BCBS [3001] — MHS HB BCBS HMO MCEL : $1,363.20 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $778.97 Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC US Abdomen Complete $1,566 $469.80 $783 – $1,566 Ultrasound of the abdomen, complete: 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $173.29 AETNA [3000] — MHS HB AETNA CVS MCEL : $170.14 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $170.14 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $105.02 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $173.29 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $110.27 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $350.81 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $338.48 BCBS [3001] — MHS HB BCBS HMO MCEL : $358.66 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $205.11 Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC US OB >14 Wks Single Gestation $1,134 $340.20 $567 – $1,134 Pregnancy ultrasound (after the first trimester): 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $173.29 AETNA [3000] — MHS HB AETNA CVS MCEL : $170.14 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $170.14 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $105.02 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $173.29 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $110.27 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $286.52 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $276.45 BCBS [3001] — MHS HB BCBS HMO MCEL : $292.93 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $167.52 Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC US Transvaginal $1,323 $396.90 $661.50 – $1,323 Transvaginal ultrasound: 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $173.29 AETNA [3000] — MHS HB AETNA CVS MCEL : $170.14 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $170.14 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $105.02 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $173.29 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $110.27 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $276.38 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $266.67 BCBS [3001] — MHS HB BCBS HMO MCEL : $282.56 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $161.59 Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC Diag Mammoomputer-Aided Detcj Uni $938 $281.40 $469 – $938 Diagnostic mammogram, one breast: 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $203.76 AETNA [3000] — MHS HB AETNA CVS MCEL : $200.05 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $200.05 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $123.49 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $203.76 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $129.66 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $294.41 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $284.06 BCBS [3001] — MHS HB BCBS HMO MCEL : $300.99 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $172.13 Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HC Diag Mammocomputer-Aided Detcj Bi $1,160 $348 $580 – $1,160 Diagnostic mammogram, both breasts: 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $258.08 AETNA [3000] — MHS HB AETNA CVS MCEL : $253.38 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $253.38 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $156.41 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $258.08 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $164.23 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $376.76 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $363.52 BCBS [3001] — MHS HB BCBS HMO MCEL : $385.18 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $220.28 Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC Screening Mammo Bi 2-View Breast Inc Cad $762 $228.60 $381 – $762 Screening mammogram, both breasts: 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $207.64 AETNA [3000] — MHS HB AETNA CVS MCEL : $203.86 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $203.86 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $125.84 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $207.64 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $132.13 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $311.34 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $300.40 BCBS [3001] — MHS HB BCBS HMO MCEL : $318.30 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $182.03 Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC Screening Mammo Bi 2-View Breast Inc Cad/Uni $671 $201.30 $335.50 – $671 Screening mammogram, both breasts: 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $207.64 AETNA [3000] — MHS HB AETNA CVS MCEL : $203.86 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $203.86 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $125.84 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $207.64 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $132.13 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $311.34 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $300.40 BCBS [3001] — MHS HB BCBS HMO MCEL : $318.30 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $182.03
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: HC Ecg Routine Ecg W/Least 12 Lds W/I&R $669 $200.70 $334.50 – $669 Electrocardiogram (ECG/EKG) with reading: 10 of 20 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $25.21 AETNA [3000] — MHS HB AETNA CVS MCEL : $24.75 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $24.75 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $28.72 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $27.68 BCBS [3001] — MHS HB BCBS HMO MCEL : $29.24 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $17.30 BCBS [3001] — MHS HB BCBS PPO MCEL : $31.83 BCBS [3001] — MHS HB BCBS PREMIER MCEL : $27.68 BCBS [3001] — MHS HB BCBS TRADITIONAL MCEL : $31.83 Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: HC Heart Cath Lt W Intra Inj $17,388 $5,216.40 $8,694 – $17,388 Left heart catheterization (diagnostic): 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $5,373.56 AETNA [3000] — MHS HB AETNA CVS MCEL : $5,275.86 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $5,275.86 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $3,256.70 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $5,373.56 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $3,419.54 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $4,987.41 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $4,787.92 BCBS [3001] — MHS HB BCBS HMO MCEL : $5,101.41 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $2,906.95 Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: HC Eps Comp Eval WO Arrhy Ra/Rv $8,838 $2,651.40 $4,419 – $8,838 Heart rhythm study (electrophysiology evaluation): 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $12,928.09 AETNA [3000] — MHS HB AETNA CVS MCEL : $12,693.03 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $12,693.03 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $7,835.21 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $12,928.09 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $8,226.97 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $15,655.99 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $15,126.27 BCBS [3001] — MHS HB BCBS HMO MCEL : $16,009.13 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $9,181.71 Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: HC Eps W Arrhy Afib Abl W Pvi $55,582 $16,674.60 $27,791 – $55,582 Heart rhythm study with ablation for atrial fibrillation: 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $43,323.99 AETNA [3000] — MHS HB AETNA CVS MCEL : $42,536.28 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $42,536.28 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $26,256.97 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $43,323.99 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $27,569.81 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $33,718.20 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $32,492.08 BCBS [3001] — MHS HB BCBS HMO MCEL : $34,331.25 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $19,617.86 Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC Polysomnography $7,469 $2,240.70 $3,734.50 – $7,469 Sleep study (overnight, in a sleep lab): 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $1,423.38 AETNA [3000] — MHS HB AETNA CVS MCEL : $1,397.50 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $1,397.50 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $862.65 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $1,423.38 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $905.79 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $999.87 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $966.04 BCBS [3001] — MHS HB BCBS HMO MCEL : $1,022.42 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $586.39 Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC Sleep Polysomnagram $7,469 $2,240.70 $3,734.50 – $7,469 Sleep study (overnight, in a sleep lab): 10 of 55 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $1,423.38 AETNA [3000] — MHS HB AETNA CVS MCEL : $1,397.50 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $1,397.50 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $862.65 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $1,423.38 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $905.79 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $999.87 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $966.04 BCBS [3001] — MHS HB BCBS HMO MCEL : $1,022.42 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $586.39
Physical therapy and mental health Service Hospital charge Cash price Insurance rates (lowest – highest) Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Therapeutic Rx Each 15 Min $224 $67.20 $112 – $224 Physical therapy: therapeutic exercise (each 15 minutes): 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $48.25 AETNA [3000] — MHS HB AETNA CVS MCEL : $47.37 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $47.37 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $29.24 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $48.25 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $30.70 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $64.24 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $62.07 BCBS [3001] — MHS HB BCBS HMO MCEL : $65.69 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $37.67 Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Therapeutic Treatment $224 $67.20 $112 – $224 Physical therapy: therapeutic exercise (each 15 minutes): 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $48.25 AETNA [3000] — MHS HB AETNA CVS MCEL : $47.37 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $47.37 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $29.24 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $48.25 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $30.70 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $64.24 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $62.07 BCBS [3001] — MHS HB BCBS HMO MCEL : $65.69 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $37.67 Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC Therapeutic Exercise Ea 15 Min $224 $67.20 $112 – $224 Physical therapy: therapeutic exercise (each 15 minutes): 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $48.25 AETNA [3000] — MHS HB AETNA CVS MCEL : $47.37 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $47.37 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $29.24 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $48.25 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $30.70 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $64.24 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $62.07 BCBS [3001] — MHS HB BCBS HMO MCEL : $65.69 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $37.67 Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC Pt Eval Complexity Low $891 $267.30 $445.50 – $891 Physical therapy evaluation (low complexity): 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $162.67 AETNA [3000] — MHS HB AETNA CVS MCEL : $159.72 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $159.72 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $98.59 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $162.67 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $103.52 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $247.33 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $238.96 BCBS [3001] — MHS HB BCBS HMO MCEL : $252.91 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $145.05 Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC Pt Eval Complexity Mod $927 $278.10 $463.50 – $927 Physical therapy evaluation (moderate complexity): 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $162.67 AETNA [3000] — MHS HB AETNA CVS MCEL : $159.72 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $159.72 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $98.59 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $162.67 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $103.52 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $247.33 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $238.96 BCBS [3001] — MHS HB BCBS HMO MCEL : $252.91 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $145.05 Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC Pt Eval Complexity High $963 $288.90 $481.50 – $963 Physical therapy evaluation (high complexity): 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $162.67 AETNA [3000] — MHS HB AETNA CVS MCEL : $159.72 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $159.72 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $98.59 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $162.67 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $103.52 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $169.68 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $163.94 BCBS [3001] — MHS HB BCBS HMO MCEL : $173.51 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $99.51 Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: HC Psytx W Pt 30 Min $312 $93.60 $156 – $312 Psychotherapy, 30 minutes: rates for 8 insurance plans BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $168.48 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $162.24 BCBS [3001] — MHS HB BCBS HMO MCEL : $171.60 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $96.72 BCBS [3001] — MHS HB BCBS PPO MCEL : $187.20 BCBS [3001] — MHS HB BCBS PREMIER MCEL : $162.24 BCBS [3001] — MHS HB BCBS TRADITIONAL MCEL : $187.20 SUPERIOR MEDICAID MANAGED CARE [5007] — MHS HB MEDICAID 110% STAR PLUS MCEL : $234.87 Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: HC Psytx W Pt 60 Minutes $345 $103.50 $172.50 – $345 Psychotherapy, 60 minutes: rates for 8 insurance plans BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $186.30 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $179.40 BCBS [3001] — MHS HB BCBS HMO MCEL : $189.75 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $106.95 BCBS [3001] — MHS HB BCBS PPO MCEL : $207 BCBS [3001] — MHS HB BCBS PREMIER MCEL : $179.40 BCBS [3001] — MHS HB BCBS TRADITIONAL MCEL : $207 SUPERIOR MEDICAID MANAGED CARE [5007] — MHS HB MEDICAID 110% STAR PLUS MCEL : $259.72
Procedures and surgery Service Hospital charge Cash price Insurance rates (lowest – highest) Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: HC Inj Ther Dx Drug Lumb Sacr Img $2,215 $664.50 $1,107.50 – $2,215 Spinal injection, lower back (epidural), with imaging guidance: 10 of 14 insurance plan rates AETNA [3000] — MHS HB AETNA CVS MCEL : $1,041.05 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $1,041.05 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $1,196.10 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $1,151.80 BCBS [3001] — MHS HB BCBS HMO MCEL : $1,218.25 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $686.65 BCBS [3001] — MHS HB BCBS PPO MCEL : $1,329 BCBS [3001] — MHS HB BCBS PREMIER MCEL : $1,151.80 BCBS [3001] — MHS HB BCBS TRADITIONAL MCEL : $1,329 EVRY HEALTH [1013] — MHS HB EVRY MCEL : $1,107.50 Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: HC Inj Tr Foram Epidur Lumbar $2,227 $668.10 $1,113.50 – $2,227 Nerve root injection, lower back, with imaging guidance: 10 of 14 insurance plan rates AETNA [3000] — MHS HB AETNA CVS MCEL : $1,046.69 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $1,046.69 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $1,202.58 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $1,158.04 BCBS [3001] — MHS HB BCBS HMO MCEL : $1,224.85 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $690.37 BCBS [3001] — MHS HB BCBS PPO MCEL : $1,336.20 BCBS [3001] — MHS HB BCBS PREMIER MCEL : $1,158.04 BCBS [3001] — MHS HB BCBS TRADITIONAL MCEL : $1,336.20 EVRY HEALTH [1013] — MHS HB EVRY MCEL : $1,113.50 Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: HC Carpal Tunnel Surgery $4,071 $1,221.30 $2,035.50 – $4,071 Carpal tunnel release: 10 of 14 insurance plan rates AETNA [3000] — MHS HB AETNA CVS MCEL : $1,913.37 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $1,913.37 BCBS [3001] — MHS HB BCBS CITY OF DALLAS MCEL : $2,198.34 BCBS [3001] — MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL : $2,116.92 BCBS [3001] — MHS HB BCBS HMO MCEL : $2,239.05 BCBS [3001] — MHS HB BCBS MY BLUE HEALTH MCEL : $1,262.01 BCBS [3001] — MHS HB BCBS PPO MCEL : $2,442.60 BCBS [3001] — MHS HB BCBS PREMIER MCEL : $2,116.92 BCBS [3001] — MHS HB BCBS TRADITIONAL MCEL : $2,442.60 EVRY HEALTH [1013] — MHS HB EVRY MCEL : $2,035.50
Hospital stays (whole stay, MS-DRG) Service Hospital charge Cash price Insurance rates (lowest – highest) Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $349,070.47 $104,721.14 $174,535.24 – $526,637.25 Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $115,410.80 AETNA [3000] — MHS HB AETNA CVS MCEL : $113,312.42 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $113,312.42 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $69,945.94 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $115,410.80 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $73,443.24 BCBS MEDICARE MANAGED CARE [7002] — MHS HB BCBS MEDICARE ADVANTAGE MCEL : $69,945.94 BCBS MEDICARE MANAGED CARE [7002] — MHS HB MANAGED MEDICARE 106% MCEL : $74,142.70 CHAMPVA [1000] — MHS HB TRICARE MCEL : $104,935.11 CIGNA [3004] — MHS HB CUSTOM INK MCEL : $110,987.65 Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $60,642.51 $18,192.75 $28,229.13 – $88,071.50 Hip or knee replacement (major joint of the leg), without major complications: 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $22,755.84 AETNA [3000] — MHS HB AETNA CVS MCEL : $22,342.10 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $22,342.10 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $13,791.42 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $22,755.84 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $14,480.99 BCBS MEDICARE MANAGED CARE [7002] — MHS HB BCBS MEDICARE ADVANTAGE MCEL : $13,791.42 BCBS MEDICARE MANAGED CARE [7002] — MHS HB MANAGED MEDICARE 106% MCEL : $14,618.91 CHAMPVA [1000] — MHS HB TRICARE MCEL : $19,833.39 CIGNA [3004] — MHS HB CUSTOM INK MCEL : $21,683.25 Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC $99,241.19 $29,772.36 $40,965.43 – $99,241.19 Neck (cervical) spinal fusion, without complications: 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $28,800.80 AETNA [3000] — MHS HB AETNA CVS MCEL : $28,277.15 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $28,277.15 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $17,455.03 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $28,800.80 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $18,327.78 BCBS MEDICARE MANAGED CARE [7002] — MHS HB BCBS MEDICARE ADVANTAGE MCEL : $17,455.03 BCBS MEDICARE MANAGED CARE [7002] — MHS HB MANAGED MEDICARE 106% MCEL : $18,502.33 CHAMPVA [1000] — MHS HB TRICARE MCEL : $21,540.34 CIGNA [3004] — MHS HB CUSTOM INK MCEL : $27,225.10 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 $38,728.35 $11,618.51 $19,214.64 – $38,728.35 Uterus and ovary surgery (not for cancer), without complications: 10 of 51 insurance plan rates 90 DEGREE BENEFIT [3057] — MHS HB 90 DEGREE MCEL : $14,636.94 AETNA [3000] — MHS HB AETNA CVS MCEL : $14,370.81 AETNA [3000] — MHS HB AETNA EXCHANGE MCEL : $14,370.81 AETNA MEDICARE MANAGED CARE [7000] — MHS HB AETNA GOLDEN MCEL : $8,870.87 ALLIED NATIONAL [2031] — MHS HB 90 DEGREE MCEL : $14,636.94 AMERICAN HEALTH ADVANTAGE OF TEXAS [7099] — MHS HB 105% MEDICARE MCEL : $9,314.41 BCBS MEDICARE MANAGED CARE [7002] — MHS HB BCBS MEDICARE ADVANTAGE MCEL : $8,870.87 BCBS MEDICARE MANAGED CARE [7002] — MHS HB MANAGED MEDICARE 106% MCEL : $9,403.12 CHAMPVA [1000] — MHS HB TRICARE MCEL : $12,065.70 CIGNA [3004] — MHS HB CUSTOM INK MCEL : $13,785.05
Source: Methodist Celina Medical Center’s standard charges file (methodisthealthsystem.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 23, 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.