Does Navarro Regional Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Navarro Regional Hospital. In a medical emergency, call 911.

Where is Navarro Regional Hospital?

3201 West Highway 22, Corsicana, TX 75110, in Navarro County, Texas.

What is the phone number of Navarro Regional Hospital?

(903) 654-6800, as listed by Medicare (CMS).

What is the Medicare star rating of Navarro Regional Hospital?

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

Navarro Regional Hospital — Corsicana, TX

Quick answers

Does Navarro Regional Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Navarro Regional Hospital. In a medical emergency, call 911.
Where is Navarro Regional Hospital?: 3201 West Highway 22, Corsicana, TX 75110, in Navarro County, Texas.
What is the phone number of Navarro Regional Hospital?: (903) 654-6800, as listed by Medicare (CMS).
What is the Medicare star rating of Navarro Regional Hospital?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5][6]

Critical care medicine
Diabetes care
Diagnostic imaging
Ear, nose and throat care
Emergency services
Family medicine
Heart care
Maternity care
Orthopedic services
Pediatric care
Rehabilitation services
Surgical services
Vein care
Wound care
Walk-in clinic

Conditions treated^[5]

Peripheral artery disease (PAD)
Peripheral venous disease (PVD)

Treatments^[4][5]

Procedures^[5]

CT scan
Digital mammography
MRI
Nuclear medicine imaging
Ultrasound
Interventional radiology
Interventional cardiology

Programs and centers^[4][5]

Early heart attack care
Outpatient surgery center

Emergency care (hospital website)^[6]

Emergency room	Yes

Visiting and practical information

Patient portal	Patient Portal

Doctors and clinicians (123)

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

Main specialties

Doctors with a page on this site (123)

Aaron P. Best, MDInternal Medicine
Aderemi W. Adewuyi, MDInternal Medicine
Adewale Odukoya, MDFamily Practice
Adrienne M. Kicza, MDFamily Practice
Akshaj R. Pole, DOInternal Medicine
Aldo E. Rafael-Yarihuaman, MDThoracic Surgery
Alice W. Koinange, NPNurse Practitioner
Amir M. Khan, MDInternal Medicine
Amira Faour, MDEmergency Medicine
Amit Mann, MDCritical Care (Intensivists)
Amy A. Nold, PAPhysician Assistant
Andy Huang, DOFamily Practice
Andy T. Chung, MDOtolaryngology
Angela Tooley, CNACertified Registered Nurse Anesthetist (CRNA)
Ashwani K. Agarwal, MDHematology/Oncology
Bradley Trinidad, MDVascular Surgery
Brooks R. Greger Jr., CNACertified Registered Nurse Anesthetist (CRNA)
Carla D. Harris, NPNurse Practitioner
Charles E. Vinson, MDEmergency Medicine
Charles R. Dunnahoe, NPNurse Practitioner
Charles W. Cook Jr., MDObstetrics/Gynecology
Chrispin Otondi, MDGeneral Surgery
Christine E. Page, MDDiagnostic Radiology
Christopher BlairOrthopedic Surgery

And 99 more: the button below opens the full list.

Other emergency rooms nearby

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

Ennis Regional Medical Center17 mi · Ennis, TX · Acute Care Hospital
Baylor Scott & White Medical Center- Waxahachie26 mi · Waxahachie, TX · Acute Care Hospital
Parkview Regional Hospital28 mi · Mexia, TX · Acute Care Hospital
Freestone Medical Center32 mi · Fairfield, TX · Acute Care Hospital
Hill Regional Hospital36 mi · Hillsboro, TX · Critical Access Hospital

Other hospitals nearby

Crescent Medical Center Lancaster36 mi · Lancaster, TX · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Avir at Corsicana1.0 mi · Corsicana, TX · 1 of 5 stars
Legacy at Corsicana Rehabilitation and Healthcare1.1 mi · Corsicana, TX · 3 of 5 stars
The Village at Heritage Oaks1.3 mi · Corsicana, TX · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Arc Hospice and Palliative Care0.0 mi · Corsicana, TX
Cedar Lake Home Health and Hospice24 mi · Malakoff, TX

All hospice providers in the state →

Home health agencies

Angels at Home Inc0.0 mi · Corsicana, TX
Physician's Choice Homecare17 mi · Ennis, TX
Cedar Lake Home Health and Hospice24 mi · Malakoff, TX

All home health agencies in the state →

Dialysis facilities

Fresenius Medical Care Corsicana0.0 mi · Corsicana, TX · 2 of 5 stars
Fresenius Medical Care Ennis17 mi · Ennis, TX · 1 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Advancedcare Surgery Center PLLC17 mi · Ennis, TX

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

The Dr. Kent E. Rogers Clinic3.3 mi · Corsicana, TX · Community health center
Hope Health Ennis18 mi · Ennis, TX · Community health center

Clinics and urgent care

Integrity Urgent Care0.0 mi · Corsicana, TX · Rural health clinic
Navarro Family Clinic0.0 mi · Corsicana, TX · Rural health clinic
Navarro Pediatrics0.0 mi · Corsicana, TX · Rural health clinic

Pharmacies

Buffalo RX LLC0.0 mi · Corsicana, TX · Community/retail pharmacy
H-E-B, LP0.0 mi · Corsicana, TX · Community/retail pharmacy
P & S Rexall Pharmacy Inc0.0 mi · Corsicana, TX · Community/retail pharmacy

Assisted living nearby

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

Gemstone Corsicana Business LLC0.0 mi · Corsicana, TX
The Village at Heritage Oaks Assisted Living0.0 mi · Corsicana, TX

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	2 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	61%National average: 72%
Would definitely recommend the hospital	53%National average: 71%
Nurses “always” communicated well	78%National average: 80%
Doctors “always” communicated well	79%National average: 80%
Staff “always” explained medicines before giving them	61%National average: 62%
Were given information about recovery at home	84%National average: 86%
Room and bathroom “always” clean	71%National average: 74%
Area around the room “always” quiet at night	60%National average: 60%
Completed surveys	213Response rate: 11%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.862No different from the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	13.4%
Deaths within 30 days: pneumonia patients	15.3%
Deaths within 30 days: COPD patients	8.1%
Deaths within 30 days: stroke patients	17.9%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.91No different from the national rate
Complications after hip or knee replacement	Too few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	24.1%
Readmitted within 30 days: pneumonia	17.5%
Readmitted within 30 days: COPD	21.4%
Readmitted within 30 days: coronary bypass surgery	Too few cases to report
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	175 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	64%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Texas Best hospitals in Texas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 60 common services exactly as Navarro Regional 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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INTERMEDIATE ED VIST	$1,723	$413.52	$67.29 – $1,636.85
Emergency room visit (moderate): 10 of 68 insurance plan rates Aetna — Aetna First Health: $870.12 Aetna — Aetna HMO: $1,088.94 Aetna — Aetna NBD: $913.19 Aetna — Aetna PPO: $1,088.94 Aetna — Aetna Work Comp: $548.44 Aetna — NODE Aetna MCR ADV: $275.23 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $250 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $250 BCBS TX — BCBS TX Blue ADV: $840 BCBS TX — BCBS TX HMO: $913.19
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INTERMEDIATE ED VIST	$1,723	$603.05	$292.91 – $1,636.85
Emergency room visit (moderate): 10 of 18 insurance plan rates Aetna — Aetna First Health: $870.12 Aetna — Aetna HMO: $1,088.94 Aetna — Aetna NBD: $913.19 Aetna — Aetna PPO: $1,088.94 BCBS TX — BCBS TX HMO: $913.19 BCBS TX — BCBS TX PPO: $913.19 BCBS TX — BCBS TX Trad: $1,085.49 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $615.11 Cigna — Cigna PPO: $973.49 Health Headquarters — Health Headquarters: $1,464.55
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXTENDED ED VISIT	$2,774	$665.76	$114.81 – $2,635.30
Emergency room visit (moderately high): 10 of 68 insurance plan rates Aetna — Aetna First Health: $1,400.87 Aetna — Aetna HMO: $1,753.17 Aetna — Aetna NBD: $1,470.22 Aetna — Aetna PPO: $1,753.17 Aetna — Aetna Work Comp: $838.32 Aetna — NODE Aetna MCR ADV: $420.70 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $250 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $250 BCBS TX — BCBS TX Blue ADV: $1,640 BCBS TX — BCBS TX HMO: $1,470.22
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXTENDED ED VISIT	$2,774	$970.90	$471.58 – $2,635.30
Emergency room visit (moderately high): 10 of 18 insurance plan rates Aetna — Aetna First Health: $1,400.87 Aetna — Aetna HMO: $1,753.17 Aetna — Aetna NBD: $1,470.22 Aetna — Aetna PPO: $1,753.17 BCBS TX — BCBS TX HMO: $1,470.22 BCBS TX — BCBS TX PPO: $1,470.22 BCBS TX — BCBS TX Trad: $1,747.62 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $990.32 Cigna — Cigna PPO: $1,567.31 Health Headquarters — Health Headquarters: $2,357.90
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE ED VST	$4,118	$988.32	$166.53 – $4,118
Emergency room visit (high): 10 of 68 insurance plan rates Aetna — Aetna First Health: $2,079.59 Aetna — Aetna HMO: $2,602.58 Aetna — Aetna NBD: $2,182.54 Aetna — Aetna PPO: $2,602.58 Aetna — Aetna Work Comp: $1,196.48 Aetna — NODE Aetna MCR ADV: $600.44 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $250 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $250 BCBS TX — BCBS TX Blue ADV: $4,118 BCBS TX — BCBS TX HMO: $2,182.54
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POST AR TRA EM LV 5F	$2,461	$590.64	$166.53 – $2,461
Emergency room visit (high): 10 of 68 insurance plan rates Aetna — Aetna First Health: $1,242.81 Aetna — Aetna HMO: $1,555.35 Aetna — Aetna NBD: $1,304.33 Aetna — Aetna PPO: $1,555.35 Aetna — Aetna Work Comp: $1,196.48 Aetna — NODE Aetna MCR ADV: $600.44 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $250 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $250 BCBS TX — BCBS TX Blue ADV: $2,461 BCBS TX — BCBS TX HMO: $1,304.33
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE ED VST	$4,118	$1,441.30	$700.06 – $3,912.10
Emergency room visit (high): 10 of 18 insurance plan rates Aetna — Aetna First Health: $2,079.59 Aetna — Aetna HMO: $2,602.58 Aetna — Aetna NBD: $2,182.54 Aetna — Aetna PPO: $2,602.58 BCBS TX — BCBS TX HMO: $2,182.54 BCBS TX — BCBS TX PPO: $2,182.54 BCBS TX — BCBS TX Trad: $2,594.34 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $1,470.13 Cigna — Cigna PPO: $2,326.67 Health Headquarters — Health Headquarters: $3,500.30

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABO CA TOTA	$639	$153.36	$8.29 – $607.05
Basic metabolic panel (blood test): 10 of 68 insurance plan rates Aetna — Aetna First Health: $322.69 Aetna — Aetna HMO: $403.85 Aetna — Aetna NBD: $338.67 Aetna — Aetna PPO: $403.85 Aetna — Aetna Work Comp: $16.92 Aetna — NODE Aetna MCR ADV: $8.46 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $10.23 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $10.23 BCBS TX — BCBS TX Blue ADV: $11.91 BCBS TX — BCBS TX HMO: $338.67
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABO CA TOTA	$639	$223.65	$108.63 – $607.05
Basic metabolic panel (blood test): 10 of 18 insurance plan rates Aetna — Aetna First Health: $322.69 Aetna — Aetna HMO: $403.85 Aetna — Aetna NBD: $338.67 Aetna — Aetna PPO: $403.85 BCBS TX — BCBS TX HMO: $338.67 BCBS TX — BCBS TX PPO: $338.67 BCBS TX — BCBS TX Trad: $402.57 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $228.12 Cigna — Cigna PPO: $361.03 Health Headquarters — Health Headquarters: $543.15
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP METAB PANEL	$811	$194.64	$10.35 – $770.45
Comprehensive metabolic panel (blood test): 10 of 68 insurance plan rates Aetna — Aetna First Health: $409.56 Aetna — Aetna HMO: $512.55 Aetna — Aetna NBD: $429.83 Aetna — Aetna PPO: $512.55 Aetna — Aetna Work Comp: $21.12 Aetna — NODE Aetna MCR ADV: $10.56 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $12.78 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $12.78 BCBS TX — BCBS TX Blue ADV: $14.87 BCBS TX — BCBS TX HMO: $429.83
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMP METAB PANEL	$811	$283.85	$137.87 – $770.45
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates Aetna — Aetna First Health: $409.56 Aetna — Aetna HMO: $512.55 Aetna — Aetna NBD: $429.83 Aetna — Aetna PPO: $512.55 BCBS TX — BCBS TX HMO: $429.83 BCBS TX — BCBS TX PPO: $429.83 BCBS TX — BCBS TX Trad: $510.93 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $289.53 Cigna — Cigna PPO: $458.21 Health Headquarters — Health Headquarters: $689.35
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$873	$209.52	$7.66 – $829.35
Cholesterol panel (lipid panel): 10 of 68 insurance plan rates Aetna — Aetna First Health: $440.87 Aetna — Aetna HMO: $551.74 Aetna — Aetna NBD: $462.69 Aetna — Aetna PPO: $551.74 Aetna — Aetna Work Comp: $26.78 Aetna — NODE Aetna MCR ADV: $13.38 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $8.04 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $8.04 BCBS TX — BCBS TX Blue ADV: $18.85 BCBS TX — BCBS TX HMO: $462.69
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL	$873	$305.55	$148.41 – $829.35
Cholesterol panel (lipid panel): 10 of 18 insurance plan rates Aetna — Aetna First Health: $440.87 Aetna — Aetna HMO: $551.74 Aetna — Aetna NBD: $462.69 Aetna — Aetna PPO: $551.74 BCBS TX — BCBS TX HMO: $462.69 BCBS TX — BCBS TX PPO: $462.69 BCBS TX — BCBS TX Trad: $549.99 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $311.66 Cigna — Cigna PPO: $493.24 Health Headquarters — Health Headquarters: $742.05
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$463	$111.12	$8.51 – $439.85
Kidney function panel: 10 of 68 insurance plan rates Aetna — Aetna First Health: $233.81 Aetna — Aetna HMO: $292.62 Aetna — Aetna NBD: $245.39 Aetna — Aetna PPO: $292.62 Aetna — Aetna Work Comp: $17.36 Aetna — NODE Aetna MCR ADV: $8.68 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $10.50 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $10.50 BCBS TX — BCBS TX Blue ADV: $12.22 BCBS TX — BCBS TX HMO: $245.39
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$463	$162.05	$78.71 – $439.85
Kidney function panel: 10 of 18 insurance plan rates Aetna — Aetna First Health: $233.81 Aetna — Aetna HMO: $292.62 Aetna — Aetna NBD: $245.39 Aetna — Aetna PPO: $292.62 BCBS TX — BCBS TX HMO: $245.39 BCBS TX — BCBS TX PPO: $245.39 BCBS TX — BCBS TX Trad: $291.69 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $165.29 Cigna — Cigna PPO: $261.59 Health Headquarters — Health Headquarters: $393.55
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PAN	$535	$128.40	$8.01 – $508.25
Liver function panel: 10 of 68 insurance plan rates Aetna — Aetna First Health: $270.18 Aetna — Aetna HMO: $338.12 Aetna — Aetna NBD: $283.55 Aetna — Aetna PPO: $338.12 Aetna — Aetna Work Comp: $16.34 Aetna — NODE Aetna MCR ADV: $8.17 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $9.89 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $9.89 BCBS TX — BCBS TX Blue ADV: $11.49 BCBS TX — BCBS TX HMO: $283.55
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PAN	$535	$187.25	$90.95 – $508.25
Liver function panel: 10 of 18 insurance plan rates Aetna — Aetna First Health: $270.18 Aetna — Aetna HMO: $338.12 Aetna — Aetna NBD: $283.55 Aetna — Aetna PPO: $338.12 BCBS TX — BCBS TX HMO: $283.55 BCBS TX — BCBS TX PPO: $283.55 BCBS TX — BCBS TX Trad: $337.05 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $191 Cigna — Cigna PPO: $302.27 Health Headquarters — Health Headquarters: $454.75
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA, AUTO W-SCOPE	$207	$49.68	$3.11 – $196.65
Urine test (automated, with microscope): 10 of 68 insurance plan rates Aetna — Aetna First Health: $104.53 Aetna — Aetna HMO: $130.82 Aetna — Aetna NBD: $109.71 Aetna — Aetna PPO: $130.82 Aetna — Aetna Work Comp: $6.34 Aetna — NODE Aetna MCR ADV: $3.17 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $4.56 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $4.56 BCBS TX — BCBS TX Blue ADV: $4.45 BCBS TX — BCBS TX HMO: $109.71
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA, AUTO W-SCOPE	$207	$72.45	$35.19 – $196.65
Urine test (automated, with microscope): 10 of 18 insurance plan rates Aetna — Aetna First Health: $104.53 Aetna — Aetna HMO: $130.82 Aetna — Aetna NBD: $109.71 Aetna — Aetna PPO: $130.82 BCBS TX — BCBS TX HMO: $109.71 BCBS TX — BCBS TX PPO: $109.71 BCBS TX — BCBS TX Trad: $130.41 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $73.90 Cigna — Cigna PPO: $116.95 Health Headquarters — Health Headquarters: $175.95
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA NONAUTO W-O SCOPE	$166	$39.84	$3.41 – $157.70
Urine test (manual, without microscope): 10 of 68 insurance plan rates Aetna — Aetna First Health: $83.83 Aetna — Aetna HMO: $104.91 Aetna — Aetna NBD: $87.98 Aetna — Aetna PPO: $104.91 Aetna — Aetna Work Comp: $6.96 Aetna — NODE Aetna MCR ADV: $3.48 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $5.01 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $5.01 BCBS TX — BCBS TX Blue ADV: $3.60 BCBS TX — BCBS TX HMO: $87.98
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA NONAUTO W-O SCOPE	$166	$58.10	$28.22 – $157.70
Urine test (manual, without microscope): 10 of 18 insurance plan rates Aetna — Aetna First Health: $83.83 Aetna — Aetna HMO: $104.91 Aetna — Aetna NBD: $87.98 Aetna — Aetna PPO: $104.91 BCBS TX — BCBS TX HMO: $87.98 BCBS TX — BCBS TX PPO: $87.98 BCBS TX — BCBS TX Trad: $104.58 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $59.26 Cigna — Cigna PPO: $93.79 Health Headquarters — Health Headquarters: $141.10
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA, AUTO, W-O SCOPE	$121.67	$29.20	$2.20 – $115.59
Urine test (automated, without microscope): 10 of 68 insurance plan rates Aetna — Aetna First Health: $61.44 Aetna — Aetna HMO: $76.90 Aetna — Aetna NBD: $64.49 Aetna — Aetna PPO: $76.90 Aetna — Aetna Work Comp: $4.50 Aetna — NODE Aetna MCR ADV: $2.24 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $3.23 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $3.23 BCBS TX — BCBS TX Blue ADV: $3.16 BCBS TX — BCBS TX HMO: $64.49
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA, AUTO, W-O SCOPE	$121.67	$42.58	$20.68 – $115.59
Urine test (automated, without microscope): 10 of 18 insurance plan rates Aetna — Aetna First Health: $61.44 Aetna — Aetna HMO: $76.90 Aetna — Aetna NBD: $64.49 Aetna — Aetna PPO: $76.90 BCBS TX — BCBS TX HMO: $64.49 BCBS TX — BCBS TX PPO: $64.49 BCBS TX — BCBS TX Trad: $76.65 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $43.44 Cigna — Cigna PPO: $68.74 Health Headquarters — Health Headquarters: $103.42
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA, TOTAL	$1,201	$288.24	$18.02 – $1,140.95
PSA (prostate specific antigen) blood test: 10 of 49 insurance plan rates Aetna — Aetna First Health: $606.50 Aetna — Aetna HMO: $759.03 Aetna — Aetna NBD: $636.53 Aetna — Aetna PPO: $759.03 Aetna — Aetna Work Comp: $36.78 Aetna — NODE Aetna MCR ADV: $18.38 BCBS TX — BCBS TX Blue ADV: $25.89 BCBS TX — BCBS TX HMO: $636.53 BCBS TX — BCBS TX PPO: $636.53 BCBS TX — BCBS TX Trad: $756.63
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA, TOTAL	$1,201	$420.35	$204.17 – $1,140.95
PSA (prostate specific antigen) blood test: 10 of 18 insurance plan rates Aetna — Aetna First Health: $606.50 Aetna — Aetna HMO: $759.03 Aetna — Aetna NBD: $636.53 Aetna — Aetna PPO: $759.03 BCBS TX — BCBS TX HMO: $636.53 BCBS TX — BCBS TX PPO: $636.53 BCBS TX — BCBS TX Trad: $756.63 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $428.76 Cigna — Cigna PPO: $678.56 Health Headquarters — Health Headquarters: $1,020.85
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIM TSH	$1,097	$263.28	$16.46 – $1,042.15
Thyroid stimulating hormone (TSH) test: 10 of 68 insurance plan rates Aetna — Aetna First Health: $553.99 Aetna — Aetna HMO: $693.30 Aetna — Aetna NBD: $581.41 Aetna — Aetna PPO: $693.30 Aetna — Aetna Work Comp: $33.60 Aetna — NODE Aetna MCR ADV: $16.79 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $24.17 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $24.17 BCBS TX — BCBS TX Blue ADV: $23.64 BCBS TX — BCBS TX HMO: $581.41
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THYROID STIM TSH	$1,097	$383.95	$186.49 – $1,042.15
Thyroid stimulating hormone (TSH) test: 10 of 18 insurance plan rates Aetna — Aetna First Health: $553.99 Aetna — Aetna HMO: $693.30 Aetna — Aetna NBD: $581.41 Aetna — Aetna PPO: $693.30 BCBS TX — BCBS TX HMO: $581.41 BCBS TX — BCBS TX PPO: $581.41 BCBS TX — BCBS TX Trad: $691.11 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $391.63 Cigna — Cigna PPO: $619.80 Health Headquarters — Health Headquarters: $932.45
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W-PLT AUTO COMPD	$508	$121.92	$7.61 – $482.60
Complete blood count (CBC) with differential: 10 of 68 insurance plan rates Aetna — Aetna First Health: $256.54 Aetna — Aetna HMO: $321.06 Aetna — Aetna NBD: $269.24 Aetna — Aetna PPO: $321.06 Aetna — Aetna Work Comp: $15.54 Aetna — NODE Aetna MCR ADV: $7.76 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $11.17 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $11.17 BCBS TX — BCBS TX Blue ADV: $10.94 BCBS TX — BCBS TX HMO: $269.24
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W-PLT AUTO COMPD	$508	$177.80	$86.36 – $482.60
Complete blood count (CBC) with differential: 10 of 18 insurance plan rates Aetna — Aetna First Health: $256.54 Aetna — Aetna HMO: $321.06 Aetna — Aetna NBD: $269.24 Aetna — Aetna PPO: $321.06 BCBS TX — BCBS TX HMO: $269.24 BCBS TX — BCBS TX PPO: $269.24 BCBS TX — BCBS TX Trad: $320.04 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $181.36 Cigna — Cigna PPO: $287.02 Health Headquarters — Health Headquarters: $431.80
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W-PLT	$421	$101.04	$6.34 – $399.95
Complete blood count (CBC), automated: 10 of 68 insurance plan rates Aetna — Aetna First Health: $212.60 Aetna — Aetna HMO: $266.07 Aetna — Aetna NBD: $223.13 Aetna — Aetna PPO: $266.07 Aetna — Aetna Work Comp: $12.94 Aetna — NODE Aetna MCR ADV: $6.47 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $9.30 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $9.30 BCBS TX — BCBS TX Blue ADV: $9.11 BCBS TX — BCBS TX HMO: $223.13
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC W-PLT	$421	$147.35	$71.57 – $399.95
Complete blood count (CBC), automated: 10 of 18 insurance plan rates Aetna — Aetna First Health: $212.60 Aetna — Aetna HMO: $266.07 Aetna — Aetna NBD: $223.13 Aetna — Aetna PPO: $266.07 BCBS TX — BCBS TX HMO: $223.13 BCBS TX — BCBS TX PPO: $223.13 BCBS TX — BCBS TX Trad: $265.23 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $150.30 Cigna — Cigna PPO: $237.86 Health Headquarters — Health Headquarters: $357.85
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$255	$61.20	$4.20 – $242.25
Blood clotting time test (prothrombin time, PT): 10 of 68 insurance plan rates Aetna — Aetna First Health: $128.78 Aetna — Aetna HMO: $161.16 Aetna — Aetna NBD: $135.15 Aetna — Aetna PPO: $161.16 Aetna — Aetna Work Comp: $8.58 Aetna — NODE Aetna MCR ADV: $4.28 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $6.17 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $6.17 BCBS TX — BCBS TX Blue ADV: $5.53 BCBS TX — BCBS TX HMO: $135.15
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: L117079 PT	$114	$27.36	$4.20 – $108.30
Blood clotting time test (prothrombin time, PT): 10 of 68 insurance plan rates Aetna — Aetna First Health: $57.57 Aetna — Aetna HMO: $72.05 Aetna — Aetna NBD: $60.42 Aetna — Aetna PPO: $72.05 Aetna — Aetna Work Comp: $8.58 Aetna — NODE Aetna MCR ADV: $4.28 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $6.17 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $6.17 BCBS TX — BCBS TX Blue ADV: $5.53 BCBS TX — BCBS TX HMO: $60.42
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$255	$89.25	$43.35 – $242.25
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates Aetna — Aetna First Health: $128.78 Aetna — Aetna HMO: $161.16 Aetna — Aetna NBD: $135.15 Aetna — Aetna PPO: $161.16 BCBS TX — BCBS TX HMO: $135.15 BCBS TX — BCBS TX PPO: $135.15 BCBS TX — BCBS TX Trad: $160.65 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $91.04 Cigna — Cigna PPO: $144.07 Health Headquarters — Health Headquarters: $216.75
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLAST TIMEPTT	$392	$94.08	$5.89 – $372.40
Blood clotting test (partial thromboplastin time, PTT): 10 of 68 insurance plan rates Aetna — Aetna First Health: $197.96 Aetna — Aetna HMO: $247.74 Aetna — Aetna NBD: $207.76 Aetna — Aetna PPO: $247.74 Aetna — Aetna Work Comp: $12.02 Aetna — NODE Aetna MCR ADV: $6.01 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $8.64 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $8.64 BCBS TX — BCBS TX Blue ADV: $8.45 BCBS TX — BCBS TX HMO: $207.76
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: L117079 APTT	$165	$39.60	$5.89 – $156.75
Blood clotting test (partial thromboplastin time, PTT): 10 of 68 insurance plan rates Aetna — Aetna First Health: $83.33 Aetna — Aetna HMO: $104.28 Aetna — Aetna NBD: $87.45 Aetna — Aetna PPO: $104.28 Aetna — Aetna Work Comp: $12.02 Aetna — NODE Aetna MCR ADV: $6.01 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $8.64 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $8.64 BCBS TX — BCBS TX Blue ADV: $8.45 BCBS TX — BCBS TX HMO: $87.45
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THROMBOPLAST TIMEPTT	$392	$137.20	$66.64 – $372.40
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates Aetna — Aetna First Health: $197.96 Aetna — Aetna HMO: $247.74 Aetna — Aetna NBD: $207.76 Aetna — Aetna PPO: $247.74 BCBS TX — BCBS TX HMO: $207.76 BCBS TX — BCBS TX PPO: $207.76 BCBS TX — BCBS TX Trad: $246.96 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $139.94 Cigna — Cigna PPO: $221.48 Health Headquarters — Health Headquarters: $333.20

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT-HEAD WO	$4,876	$1,170.24	$100.56 – $4,632.20
CT scan of the head or brain, without contrast: 10 of 68 insurance plan rates Aetna — Aetna First Health: $2,462.38 Aetna — Aetna HMO: $3,081.63 Aetna — Aetna NBD: $2,584.28 Aetna — Aetna PPO: $3,081.63 Aetna — Aetna Work Comp: $210.04 Aetna — NODE Aetna MCR ADV: $105.41 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $138.59 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $138.59 BCBS TX — BCBS TX Blue ADV: $213.24 BCBS TX — BCBS TX HMO: $2,584.28
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT-HEAD WO	$4,876	$1,706.60	$828.92 – $4,632.20
CT scan of the head or brain, without contrast: 10 of 18 insurance plan rates Aetna — Aetna First Health: $2,462.38 Aetna — Aetna HMO: $3,081.63 Aetna — Aetna NBD: $2,584.28 Aetna — Aetna PPO: $3,081.63 BCBS TX — BCBS TX HMO: $2,584.28 BCBS TX — BCBS TX PPO: $2,584.28 BCBS TX — BCBS TX Trad: $3,071.88 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $1,740.73 Cigna — Cigna PPO: $2,754.94 Health Headquarters — Health Headquarters: $4,144.60
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR-BRAIN WWO	$6,188	$1,485.12	$337.45 – $5,878.60
MRI of the brain, before and after contrast: 10 of 68 insurance plan rates Aetna — Aetna First Health: $3,124.94 Aetna — Aetna HMO: $3,910.82 Aetna — Aetna NBD: $3,279.64 Aetna — Aetna PPO: $3,910.82 Aetna — Aetna Work Comp: $700.92 Aetna — NODE Aetna MCR ADV: $351.75 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $484.77 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $484.77 BCBS TX — BCBS TX Blue ADV: $586.96 BCBS TX — BCBS TX HMO: $3,279.64
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR-BRAIN WWO	$6,188	$2,165.80	$1,051.96 – $5,878.60
MRI of the brain, before and after contrast: 10 of 18 insurance plan rates Aetna — Aetna First Health: $3,124.94 Aetna — Aetna HMO: $3,910.82 Aetna — Aetna NBD: $3,279.64 Aetna — Aetna PPO: $3,910.82 BCBS TX — BCBS TX HMO: $3,279.64 BCBS TX — BCBS TX PPO: $3,279.64 BCBS TX — BCBS TX Trad: $3,898.44 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $2,209.12 Cigna — Cigna PPO: $3,496.22 Health Headquarters — Health Headquarters: $5,259.80
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CH-CHEST 2V DR	$838	$201.12	$58.66 – $796.10
Chest X-ray, 2 views: 10 of 68 insurance plan rates Aetna — Aetna First Health: $423.19 Aetna — Aetna HMO: $529.62 Aetna — Aetna NBD: $444.14 Aetna — Aetna PPO: $529.62 Aetna — Aetna Work Comp: $174.84 Aetna — NODE Aetna MCR ADV: $87.74 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $114.54 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $114.54 BCBS TX — BCBS TX Blue ADV: $68.32 BCBS TX — BCBS TX HMO: $444.14
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CH-CHEST 2V DR	$838	$293.30	$142.46 – $796.10
Chest X-ray, 2 views: 10 of 18 insurance plan rates Aetna — Aetna First Health: $423.19 Aetna — Aetna HMO: $529.62 Aetna — Aetna NBD: $444.14 Aetna — Aetna PPO: $529.62 BCBS TX — BCBS TX HMO: $444.14 BCBS TX — BCBS TX PPO: $444.14 BCBS TX — BCBS TX Trad: $527.94 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $299.17 Cigna — Cigna PPO: $473.47 Health Headquarters — Health Headquarters: $712.30
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier FY In the file: CH-CHEST 2V CR	$838	$201.12	$58.66 – $796.10
Chest X-ray, 2 views: 10 of 68 insurance plan rates Aetna — Aetna First Health: $423.19 Aetna — Aetna HMO: $529.62 Aetna — Aetna NBD: $444.14 Aetna — Aetna PPO: $529.62 Aetna — Aetna Work Comp: $157.36 Aetna — NODE Aetna MCR ADV: $78.97 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $114.54 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $114.54 BCBS TX — BCBS TX Blue ADV: $68.32 BCBS TX — BCBS TX HMO: $444.14
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SP-LS SPNE 4VPLUS DR	$1,105	$265.20	$77.35 – $1,049.75
X-ray of the lower spine, at least 4 views: 10 of 68 insurance plan rates Aetna — Aetna First Health: $558.02 Aetna — Aetna HMO: $698.36 Aetna — Aetna NBD: $585.65 Aetna — Aetna PPO: $698.36 Aetna — Aetna Work Comp: $210.04 Aetna — NODE Aetna MCR ADV: $105.41 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $138.59 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $138.59 BCBS TX — BCBS TX Blue ADV: $83.45 BCBS TX — BCBS TX HMO: $585.65
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SP-LS SPNE 4VPLUS DR	$1,105	$386.75	$187.85 – $1,049.75
X-ray of the lower spine, at least 4 views: 10 of 18 insurance plan rates Aetna — Aetna First Health: $558.02 Aetna — Aetna HMO: $698.36 Aetna — Aetna NBD: $585.65 Aetna — Aetna PPO: $698.36 BCBS TX — BCBS TX HMO: $585.65 BCBS TX — BCBS TX PPO: $585.65 BCBS TX — BCBS TX Trad: $696.15 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $394.49 Cigna — Cigna PPO: $624.32 Health Headquarters — Health Headquarters: $939.25
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier FY In the file: SP-LS SPNE 4VPLUS CR	$1,105	$265.20	$77.35 – $1,049.75
X-ray of the lower spine, at least 4 views: 10 of 68 insurance plan rates Aetna — Aetna First Health: $558.02 Aetna — Aetna HMO: $698.36 Aetna — Aetna NBD: $585.65 Aetna — Aetna PPO: $698.36 Aetna — Aetna Work Comp: $189.04 Aetna — NODE Aetna MCR ADV: $94.87 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $138.59 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $138.59 BCBS TX — BCBS TX Blue ADV: $83.45 BCBS TX — BCBS TX HMO: $585.65
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR-LUMB SPINE WO	$4,047	$971.28	$228.32 – $3,844.65
MRI of the lower back (lumbar spine), without contrast: 10 of 68 insurance plan rates Aetna — Aetna First Health: $2,043.74 Aetna — Aetna HMO: $2,557.70 Aetna — Aetna NBD: $2,144.91 Aetna — Aetna PPO: $2,557.70 Aetna — Aetna Work Comp: $479.38 Aetna — NODE Aetna MCR ADV: $240.57 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $308.88 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $308.88 BCBS TX — BCBS TX Blue ADV: $377.22 BCBS TX — BCBS TX HMO: $2,144.91
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR-LUMB SPINE WO	$4,047	$1,416.45	$687.99 – $3,844.65
MRI of the lower back (lumbar spine), without contrast: 10 of 18 insurance plan rates Aetna — Aetna First Health: $2,043.74 Aetna — Aetna HMO: $2,557.70 Aetna — Aetna NBD: $2,144.91 Aetna — Aetna PPO: $2,557.70 BCBS TX — BCBS TX HMO: $2,144.91 BCBS TX — BCBS TX PPO: $2,144.91 BCBS TX — BCBS TX Trad: $2,549.61 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $1,444.78 Cigna — Cigna PPO: $2,286.55 Health Headquarters — Health Headquarters: $3,439.95
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT-PELVIS W	$7,228	$1,734.72	$168.11 – $6,866.60
CT scan of the pelvis, with contrast: 10 of 68 insurance plan rates Aetna — Aetna First Health: $3,650.14 Aetna — Aetna HMO: $4,568.10 Aetna — Aetna NBD: $3,830.84 Aetna — Aetna PPO: $4,568.10 Aetna — Aetna Work Comp: $352.40 Aetna — NODE Aetna MCR ADV: $176.85 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $231.61 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $231.61 BCBS TX — BCBS TX Blue ADV: $329.79 BCBS TX — BCBS TX HMO: $3,830.84
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT-PELVIS W	$7,228	$2,529.80	$1,228.76 – $6,866.60
CT scan of the pelvis, with contrast: 10 of 18 insurance plan rates Aetna — Aetna First Health: $3,650.14 Aetna — Aetna HMO: $4,568.10 Aetna — Aetna NBD: $3,830.84 Aetna — Aetna PPO: $4,568.10 BCBS TX — BCBS TX HMO: $3,830.84 BCBS TX — BCBS TX PPO: $3,830.84 BCBS TX — BCBS TX Trad: $4,553.64 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $2,580.40 Cigna — Cigna PPO: $4,083.82 Health Headquarters — Health Headquarters: $6,143.80
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MR-LW JOINT WO	$4,047	$971.28	$228.32 – $3,844.65
MRI of a leg joint (such as the knee), without contrast: 10 of 68 insurance plan rates Aetna — Aetna First Health: $2,043.74 Aetna — Aetna HMO: $2,557.70 Aetna — Aetna NBD: $2,144.91 Aetna — Aetna PPO: $2,557.70 Aetna — Aetna Work Comp: $479.38 Aetna — NODE Aetna MCR ADV: $240.57 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $308.88 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $308.88 BCBS TX — BCBS TX Blue ADV: $377.22 BCBS TX — BCBS TX HMO: $2,144.91
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR-LW JOINT WO	$4,047	$1,416.45	$687.99 – $3,844.65
MRI of a leg joint (such as the knee), without contrast: 10 of 18 insurance plan rates Aetna — Aetna First Health: $2,043.74 Aetna — Aetna HMO: $2,557.70 Aetna — Aetna NBD: $2,144.91 Aetna — Aetna PPO: $2,557.70 BCBS TX — BCBS TX HMO: $2,144.91 BCBS TX — BCBS TX PPO: $2,144.91 BCBS TX — BCBS TX Trad: $2,549.61 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $1,444.78 Cigna — Cigna PPO: $2,286.55 Health Headquarters — Health Headquarters: $3,439.95
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: MR-LW JOINT WO BI	$8,095	$1,942.80	$294.17 – $7,690.25
MRI of a leg joint (such as the knee), without contrast: 10 of 68 insurance plan rates Aetna — Aetna First Health: $4,087.98 Aetna — Aetna HMO: $5,116.04 Aetna — Aetna NBD: $4,290.35 Aetna — Aetna PPO: $5,116.04 Aetna — Aetna Work Comp: $1,057.70 Aetna — NODE Aetna MCR ADV: $530.80 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $308.88 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $308.88 BCBS TX — BCBS TX Blue ADV: $377.22 BCBS TX — BCBS TX HMO: $4,290.35
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT-ABD PELVIS W	$14,458	$3,469.92	$329.79 – $13,735.10
CT scan of the abdomen and pelvis, with contrast: 10 of 68 insurance plan rates Aetna — Aetna First Health: $7,301.29 Aetna — Aetna HMO: $9,137.46 Aetna — Aetna NBD: $7,662.74 Aetna — Aetna PPO: $9,137.46 Aetna — Aetna Work Comp: $700.92 Aetna — NODE Aetna MCR ADV: $351.75 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $484.77 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $484.77 BCBS TX — BCBS TX Blue ADV: $329.79 BCBS TX — BCBS TX HMO: $7,662.74
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT-ABD PELVIS W	$14,458	$5,060.30	$2,457.86 – $13,735.10
CT scan of the abdomen and pelvis, with contrast: 10 of 18 insurance plan rates Aetna — Aetna First Health: $7,301.29 Aetna — Aetna HMO: $9,137.46 Aetna — Aetna NBD: $7,662.74 Aetna — Aetna PPO: $9,137.46 BCBS TX — BCBS TX HMO: $7,662.74 BCBS TX — BCBS TX PPO: $7,662.74 BCBS TX — BCBS TX Trad: $9,108.54 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $5,161.51 Cigna — Cigna PPO: $8,168.77 Health Headquarters — Health Headquarters: $12,289.30
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US-ABDOMEN COMP WO	$2,289	$549.36	$100.56 – $2,174.55
Ultrasound of the abdomen, complete: 10 of 68 insurance plan rates Aetna — Aetna First Health: $1,155.95 Aetna — Aetna HMO: $1,446.65 Aetna — Aetna NBD: $1,213.17 Aetna — Aetna PPO: $1,446.65 Aetna — Aetna Work Comp: $210.04 Aetna — NODE Aetna MCR ADV: $105.41 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $138.59 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $138.59 BCBS TX — BCBS TX Blue ADV: $105.91 BCBS TX — BCBS TX HMO: $1,213.17
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US-ABDOMEN COMP WO	$2,289	$801.15	$389.13 – $2,174.55
Ultrasound of the abdomen, complete: 10 of 18 insurance plan rates Aetna — Aetna First Health: $1,155.94 Aetna — Aetna HMO: $1,446.65 Aetna — Aetna NBD: $1,213.17 Aetna — Aetna PPO: $1,446.65 BCBS TX — BCBS TX HMO: $1,213.17 BCBS TX — BCBS TX PPO: $1,213.17 BCBS TX — BCBS TX Trad: $1,442.07 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $817.17 Cigna — Cigna PPO: $1,293.28 Health Headquarters — Health Headquarters: $1,945.65
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US-PELVIS PREG	$514	$123.36	$35.98 – $488.30
Pregnancy ultrasound (after the first trimester): 10 of 68 insurance plan rates Aetna — Aetna First Health: $259.57 Aetna — Aetna HMO: $324.85 Aetna — Aetna NBD: $272.42 Aetna — Aetna PPO: $324.85 Aetna — Aetna Work Comp: $210.04 Aetna — NODE Aetna MCR ADV: $105.41 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $138.59 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $138.59 BCBS TX — BCBS TX Blue ADV: $117.89 BCBS TX — BCBS TX HMO: $272.42
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US-PELVIS PREG	$514	$179.90	$87.38 – $488.30
Pregnancy ultrasound (after the first trimester): 10 of 18 insurance plan rates Aetna — Aetna First Health: $259.57 Aetna — Aetna HMO: $324.85 Aetna — Aetna NBD: $272.42 Aetna — Aetna PPO: $324.85 BCBS TX — BCBS TX HMO: $272.42 BCBS TX — BCBS TX PPO: $272.42 BCBS TX — BCBS TX Trad: $323.82 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $183.50 Cigna — Cigna PPO: $290.41 Health Headquarters — Health Headquarters: $436.90
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US-TRANSVAGINAL	$2,289	$549.36	$100.56 – $2,174.55
Transvaginal ultrasound: 10 of 68 insurance plan rates Aetna — Aetna First Health: $1,155.95 Aetna — Aetna HMO: $1,446.65 Aetna — Aetna NBD: $1,213.17 Aetna — Aetna PPO: $1,446.65 Aetna — Aetna Work Comp: $210.04 Aetna — NODE Aetna MCR ADV: $105.41 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $138.59 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $138.59 BCBS TX — BCBS TX Blue ADV: $106.78 BCBS TX — BCBS TX HMO: $1,213.17
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US-TRANSVAGINAL	$2,289	$801.15	$389.13 – $2,174.55
Transvaginal ultrasound: 10 of 18 insurance plan rates Aetna — Aetna First Health: $1,155.94 Aetna — Aetna HMO: $1,446.65 Aetna — Aetna NBD: $1,213.17 Aetna — Aetna PPO: $1,446.65 BCBS TX — BCBS TX HMO: $1,213.17 BCBS TX — BCBS TX PPO: $1,213.17 BCBS TX — BCBS TX Trad: $1,442.07 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $817.17 Cigna — Cigna PPO: $1,293.28 Health Headquarters — Health Headquarters: $1,945.65
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR-DIG MAMMO UNILAT	$901	$216.24	$63.07 – $855.95
Diagnostic mammogram, one breast: 10 of 68 insurance plan rates Aetna — Aetna First Health: $455 Aetna — Aetna HMO: $569.43 Aetna — Aetna NBD: $477.53 Aetna — Aetna PPO: $569.43 Aetna — Aetna Work Comp: $163.52 Aetna — NODE Aetna MCR ADV: $82.06 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $147.59 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $147.59 BCBS TX — BCBS TX Blue ADV: $66.08 BCBS TX — BCBS TX HMO: $477.53
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BR-DIG MAMMO UNILAT	$901	$315.35	$153.17 – $855.95
Diagnostic mammogram, one breast: 10 of 18 insurance plan rates Aetna — Aetna First Health: $455 Aetna — Aetna HMO: $569.43 Aetna — Aetna NBD: $477.53 Aetna — Aetna PPO: $569.43 BCBS TX — BCBS TX HMO: $477.53 BCBS TX — BCBS TX PPO: $477.53 BCBS TX — BCBS TX Trad: $567.63 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $321.66 Cigna — Cigna PPO: $509.06 Health Headquarters — Health Headquarters: $765.85
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR-DIG MAMMO BILAT	$1,088	$261.12	$76.16 – $1,033.60
Diagnostic mammogram, both breasts: 10 of 68 insurance plan rates Aetna — Aetna First Health: $549.44 Aetna — Aetna HMO: $687.62 Aetna — Aetna NBD: $576.64 Aetna — Aetna PPO: $687.62 Aetna — Aetna Work Comp: $209.78 Aetna — NODE Aetna MCR ADV: $105.27 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $178.22 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $178.22 BCBS TX — BCBS TX Blue ADV: $84.95 BCBS TX — BCBS TX HMO: $576.64
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BR-DIG MAMMO BILAT	$1,088	$380.80	$184.96 – $1,033.60
Diagnostic mammogram, both breasts: 10 of 18 insurance plan rates Aetna — Aetna First Health: $549.44 Aetna — Aetna HMO: $687.62 Aetna — Aetna NBD: $576.64 Aetna — Aetna PPO: $687.62 BCBS TX — BCBS TX HMO: $576.64 BCBS TX — BCBS TX PPO: $576.64 BCBS TX — BCBS TX Trad: $685.44 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $388.42 Cigna — Cigna PPO: $614.72 Health Headquarters — Health Headquarters: $924.80
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BR-DIG MAMMO SCRN BI	$1,010	$242.40	$57.82 – $959.50
Screening mammogram, both breasts: 10 of 68 insurance plan rates Aetna — Aetna First Health: $510.05 Aetna — Aetna HMO: $638.32 Aetna — Aetna NBD: $535.30 Aetna — Aetna PPO: $638.32 Aetna — Aetna Work Comp: $173.04 Aetna — NODE Aetna MCR ADV: $86.49 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $165.44 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $165.44 BCBS TX — BCBS TX Blue ADV: $57.82 BCBS TX — BCBS TX HMO: $535.30
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BR-DIG MAMMO SCRN BI	$1,010	$353.50	$171.70 – $959.50
Screening mammogram, both breasts: 10 of 18 insurance plan rates Aetna — Aetna First Health: $510.05 Aetna — Aetna HMO: $638.32 Aetna — Aetna NBD: $535.30 Aetna — Aetna PPO: $638.32 BCBS TX — BCBS TX HMO: $535.30 BCBS TX — BCBS TX PPO: $535.30 BCBS TX — BCBS TX Trad: $636.30 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $360.57 Cigna — Cigna PPO: $570.65 Health Headquarters — Health Headquarters: $858.50
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: BR-DIG MAMMO SCRN UN	$901	$216.24	$42.39 – $855.95
Screening mammogram, both breasts: 10 of 68 insurance plan rates Aetna — Aetna First Health: $455 Aetna — Aetna HMO: $569.43 Aetna — Aetna NBD: $477.53 Aetna — Aetna PPO: $569.43 Aetna — Aetna Work Comp: $86.52 Aetna — NODE Aetna MCR ADV: $43.24 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $147.59 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $147.59 BCBS TX — BCBS TX Blue ADV: $57.82 BCBS TX — BCBS TX HMO: $477.53

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CC-LHC VENT PUNC	$35,387	$8,492.88	$573.74 – $33,617.65
Left heart catheterization (diagnostic): 10 of 68 insurance plan rates Aetna — Aetna First Health: $17,870.44 Aetna — Aetna HMO: $22,364.58 Aetna — Aetna NBD: $18,755.11 Aetna — Aetna PPO: $22,364.58 Aetna — Aetna Work Comp: $6,513.40 Aetna — NODE Aetna MCR ADV: $3,272.72 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $5,796.39 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $5,796.39 BCBS TX — BCBS TX Blue ADV: $2,726.85 BCBS TX — BCBS TX HMO: $18,755.11
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CC-LHC VENT PUNC	$35,387	$12,385.45	$6,015.79 – $33,617.65
Left heart catheterization (diagnostic): 10 of 18 insurance plan rates Aetna — Aetna First Health: $17,870.44 Aetna — Aetna HMO: $22,364.58 Aetna — Aetna NBD: $18,755.11 Aetna — Aetna PPO: $22,364.58 BCBS TX — BCBS TX HMO: $18,755.11 BCBS TX — BCBS TX PPO: $18,755.11 BCBS TX — BCBS TX Trad: $22,293.81 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $12,633.16 Cigna — Cigna PPO: $19,993.65 Health Headquarters — Health Headquarters: $30,078.95
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOMNO GT4 GE6YO	$13,364	$3,207.36	$468.85 – $12,695.80
Sleep study (overnight, in a sleep lab): 10 of 68 insurance plan rates Aetna — Aetna First Health: $6,748.82 Aetna — Aetna HMO: $8,446.05 Aetna — Aetna NBD: $7,082.92 Aetna — Aetna PPO: $8,446.05 Aetna — Aetna Work Comp: $1,725.30 Aetna — NODE Aetna MCR ADV: $865.83 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $2,189.02 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $2,189.02 BCBS TX — BCBS TX Blue ADV: $906.09 BCBS TX — BCBS TX HMO: $7,082.92
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POLYSOMNO GT4 GE6YO	$13,364	$4,677.40	$2,271.88 – $12,695.80
Sleep study (overnight, in a sleep lab): 10 of 18 insurance plan rates Aetna — Aetna First Health: $6,748.82 Aetna — Aetna HMO: $8,446.05 Aetna — Aetna NBD: $7,082.92 Aetna — Aetna PPO: $8,446.05 BCBS TX — BCBS TX HMO: $7,082.92 BCBS TX — BCBS TX PPO: $7,082.92 BCBS TX — BCBS TX Trad: $8,419.32 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $4,770.95 Cigna — Cigna PPO: $7,550.66 Health Headquarters — Health Headquarters: $11,359.40

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THER EXRCS-15MIN PT	$390	$93.60	$27.30 – $370.50
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 68 insurance plan rates Aetna — Aetna First Health: $196.95 Aetna — Aetna HMO: $246.48 Aetna — Aetna NBD: $206.70 Aetna — Aetna PPO: $246.48 Aetna — Aetna Work Comp: $56.66 Aetna — NODE Aetna MCR ADV: $28.44 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $63.88 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $63.88 BCBS TX — BCBS TX Blue ADV: $47.09 BCBS TX — BCBS TX HMO: $206.70
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: THER EXRCS-15MIN PTA	$390	$93.60	$27.30 – $370.50
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 68 insurance plan rates Aetna — Aetna First Health: $196.95 Aetna — Aetna HMO: $246.48 Aetna — Aetna NBD: $206.70 Aetna — Aetna PPO: $246.48 Aetna — Aetna Work Comp: $56.66 Aetna — NODE Aetna MCR ADV: $28.44 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $63.88 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $63.88 BCBS TX — BCBS TX Blue ADV: $47.09 BCBS TX — BCBS TX HMO: $206.70
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: THER EXRCS-15MIN PT	$390	$136.50	$66.30 – $370.50
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 18 insurance plan rates Aetna — Aetna First Health: $196.95 Aetna — Aetna HMO: $246.48 Aetna — Aetna NBD: $206.70 Aetna — Aetna PPO: $246.48 BCBS TX — BCBS TX HMO: $206.70 BCBS TX — BCBS TX PPO: $206.70 BCBS TX — BCBS TX Trad: $245.70 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $139.23 Cigna — Cigna PPO: $220.35 Health Headquarters — Health Headquarters: $331.50
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- LOW CMP PT	$995	$238.80	$69.65 – $945.25
Physical therapy evaluation (low complexity): 10 of 68 insurance plan rates Aetna — Aetna First Health: $502.48 Aetna — Aetna HMO: $628.84 Aetna — Aetna NBD: $527.35 Aetna — Aetna PPO: $628.84 Aetna — Aetna Work Comp: $191.60 Aetna — NODE Aetna MCR ADV: $96.16 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $162.98 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $162.98 BCBS TX — BCBS TX Blue ADV: $122.28 BCBS TX — BCBS TX HMO: $527.35
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- LOW CMP PTA	$995	$238.80	$69.65 – $945.25
Physical therapy evaluation (low complexity): 10 of 68 insurance plan rates Aetna — Aetna First Health: $502.48 Aetna — Aetna HMO: $628.84 Aetna — Aetna NBD: $527.35 Aetna — Aetna PPO: $628.84 Aetna — Aetna Work Comp: $191.60 Aetna — NODE Aetna MCR ADV: $96.16 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $162.98 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $162.98 BCBS TX — BCBS TX Blue ADV: $122.28 BCBS TX — BCBS TX HMO: $527.35
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- LOW CMP PT	$995	$348.25	$169.15 – $945.25
Physical therapy evaluation (low complexity): 10 of 18 insurance plan rates Aetna — Aetna First Health: $502.48 Aetna — Aetna HMO: $628.84 Aetna — Aetna NBD: $527.35 Aetna — Aetna PPO: $628.84 BCBS TX — BCBS TX HMO: $527.35 BCBS TX — BCBS TX PPO: $527.35 BCBS TX — BCBS TX Trad: $626.85 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $355.22 Cigna — Cigna PPO: $562.17 Health Headquarters — Health Headquarters: $845.75
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- MOD CMP PT	$995	$238.80	$69.65 – $945.25
Physical therapy evaluation (moderate complexity): 10 of 68 insurance plan rates Aetna — Aetna First Health: $502.48 Aetna — Aetna HMO: $628.84 Aetna — Aetna NBD: $527.35 Aetna — Aetna PPO: $628.84 Aetna — Aetna Work Comp: $191.60 Aetna — NODE Aetna MCR ADV: $96.16 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $162.98 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $162.98 BCBS TX — BCBS TX Blue ADV: $122.28 BCBS TX — BCBS TX HMO: $527.35
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- MOD CMP PTA	$995	$238.80	$69.65 – $945.25
Physical therapy evaluation (moderate complexity): 10 of 68 insurance plan rates Aetna — Aetna First Health: $502.48 Aetna — Aetna HMO: $628.84 Aetna — Aetna NBD: $527.35 Aetna — Aetna PPO: $628.84 Aetna — Aetna Work Comp: $191.60 Aetna — NODE Aetna MCR ADV: $96.16 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $162.98 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $162.98 BCBS TX — BCBS TX Blue ADV: $122.28 BCBS TX — BCBS TX HMO: $527.35
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- MOD CMP PT	$995	$348.25	$169.15 – $945.25
Physical therapy evaluation (moderate complexity): 10 of 18 insurance plan rates Aetna — Aetna First Health: $502.48 Aetna — Aetna HMO: $628.84 Aetna — Aetna NBD: $527.35 Aetna — Aetna PPO: $628.84 BCBS TX — BCBS TX HMO: $527.35 BCBS TX — BCBS TX PPO: $527.35 BCBS TX — BCBS TX Trad: $626.85 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $355.22 Cigna — Cigna PPO: $562.17 Health Headquarters — Health Headquarters: $845.75
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- HGH CMP PT	$995	$238.80	$69.65 – $945.25
Physical therapy evaluation (high complexity): 10 of 68 insurance plan rates Aetna — Aetna First Health: $502.48 Aetna — Aetna HMO: $628.84 Aetna — Aetna NBD: $527.35 Aetna — Aetna PPO: $628.84 Aetna — Aetna Work Comp: $191.60 Aetna — NODE Aetna MCR ADV: $96.16 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $162.98 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $162.98 BCBS TX — BCBS TX Blue ADV: $122.28 BCBS TX — BCBS TX HMO: $527.35
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- HGH CMP PTA	$995	$238.80	$69.65 – $945.25
Physical therapy evaluation (high complexity): 10 of 68 insurance plan rates Aetna — Aetna First Health: $502.48 Aetna — Aetna HMO: $628.84 Aetna — Aetna NBD: $527.35 Aetna — Aetna PPO: $628.84 Aetna — Aetna Work Comp: $191.60 Aetna — NODE Aetna MCR ADV: $96.16 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $162.98 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $162.98 BCBS TX — BCBS TX Blue ADV: $122.28 BCBS TX — BCBS TX HMO: $527.35
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL- HGH CMP PT	$995	$348.25	$169.15 – $945.25
Physical therapy evaluation (high complexity): 10 of 18 insurance plan rates Aetna — Aetna First Health: $502.48 Aetna — Aetna HMO: $628.84 Aetna — Aetna NBD: $527.35 Aetna — Aetna PPO: $628.84 BCBS TX — BCBS TX HMO: $527.35 BCBS TX — BCBS TX PPO: $527.35 BCBS TX — BCBS TX Trad: $626.85 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $355.22 Cigna — Cigna PPO: $562.17 Health Headquarters — Health Headquarters: $845.75

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	$20,350.51	$4,884.12	$492.37 – $19,332.98
Removal of breast growth (open surgery): 10 of 68 insurance plan rates Aetna — Aetna First Health: $10,277.01 Aetna — Aetna HMO: $12,861.52 Aetna — Aetna NBD: $10,785.77 Aetna — Aetna PPO: $12,861.52 Aetna — Aetna Work Comp: $7,866.56 Aetna — NODE Aetna MCR ADV: $3,947.76 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $1,064.46 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $1,064.46 BCBS TX — BCBS TX Blue ADV: $1,762.61 BCBS TX — BCBS TX HMO: $10,785.77
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP REPLACEMENT	$120,330.16	$28,879.24	$1,223.44 – $114,313.65
Total hip replacement: 10 of 64 insurance plan rates Aetna — Aetna First Health: $60,766.73 Aetna — Aetna HMO: $76,048.66 Aetna — Aetna NBD: $63,774.98 Aetna — Aetna PPO: $76,048.66 Aetna — Aetna Work Comp: $25,794.38 Aetna — NODE Aetna MCR ADV: $12,927.45 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $19,710.09 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $19,710.09 BCBS TX — BCBS TX Blue ADV: $1,529.63 BCBS TX — BCBS TX HMO: $63,774.98
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE REPLACEMENT	$118,330.36	$28,399.29	$1,221.92 – $112,413.84
Total knee replacement: 10 of 64 insurance plan rates Aetna — Aetna First Health: $59,756.83 Aetna — Aetna HMO: $74,784.79 Aetna — Aetna NBD: $62,715.09 Aetna — Aetna PPO: $74,784.79 Aetna — Aetna Work Comp: $25,794.38 Aetna — NODE Aetna MCR ADV: $12,927.45 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $19,382.52 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $19,382.52 BCBS TX — BCBS TX Blue ADV: $1,634.99 BCBS TX — BCBS TX HMO: $62,715.09
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY	$43,534.34	$10,448.24	$520.65 – $41,357.62
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 68 insurance plan rates Aetna — Aetna First Health: $21,984.84 Aetna — Aetna HMO: $27,513.70 Aetna — Aetna NBD: $23,073.20 Aetna — Aetna PPO: $27,513.70 Aetna — Aetna Work Comp: $6,573.82 Aetna — NODE Aetna MCR ADV: $3,299.01 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $1,202.10 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $1,202.10 BCBS TX — BCBS TX Blue ADV: $2,064.02 BCBS TX — BCBS TX HMO: $23,073.20
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	$22,350.85	$5,364.20	$279.04 – $21,233.31
Removal of tonsils and adenoids (under age 12): 10 of 68 insurance plan rates Aetna — Aetna First Health: $11,287.18 Aetna — Aetna HMO: $14,125.74 Aetna — Aetna NBD: $11,845.95 Aetna — Aetna PPO: $14,125.74 Aetna — Aetna Work Comp: $11,893.62 Aetna — NODE Aetna MCR ADV: $5,968.69 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $2,158.63 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $2,158.63 BCBS TX — BCBS TX Blue ADV: $1,766.48 BCBS TX — BCBS TX HMO: $11,845.95
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPR GI ENDOSCOPY, DIAGNOSIS	$14,569.22	$3,496.61	$264.67 – $13,840.76
Upper GI endoscopy (diagnostic): 10 of 68 insurance plan rates Aetna — Aetna First Health: $7,357.46 Aetna — Aetna HMO: $9,207.75 Aetna — Aetna NBD: $7,721.69 Aetna — Aetna PPO: $9,207.75 Aetna — Aetna Work Comp: $1,822.24 Aetna — NODE Aetna MCR ADV: $914.47 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $369.99 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $369.99 BCBS TX — BCBS TX Blue ADV: $611.73 BCBS TX — BCBS TX HMO: $7,721.69
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY, BIOPSY	$19,076.29	$4,578.31	$341.61 – $18,122.48
Upper GI endoscopy with biopsy: 10 of 68 insurance plan rates Aetna — Aetna First Health: $9,633.53 Aetna — Aetna HMO: $12,056.22 Aetna — Aetna NBD: $10,110.43 Aetna — Aetna PPO: $12,056.22 Aetna — Aetna Work Comp: $1,822.24 Aetna — NODE Aetna MCR ADV: $914.47 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $369.99 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $369.99 BCBS TX — BCBS TX Blue ADV: $611.73 BCBS TX — BCBS TX HMO: $10,110.43
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	$12,303.24	$2,952.78	$315.29 – $11,688.08
Colonoscopy (diagnostic): 10 of 68 insurance plan rates Aetna — Aetna First Health: $6,213.14 Aetna — Aetna HMO: $7,775.65 Aetna — Aetna NBD: $6,520.72 Aetna — Aetna PPO: $7,775.65 Aetna — Aetna Work Comp: $1,868.40 Aetna — NODE Aetna MCR ADV: $937.63 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $362.87 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $362.87 BCBS TX — BCBS TX Blue ADV: $643.41 BCBS TX — BCBS TX HMO: $6,520.72
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	$17,392.36	$4,174.17	$398.04 – $16,522.74
Colonoscopy with biopsy: 10 of 68 insurance plan rates Aetna — Aetna First Health: $8,783.14 Aetna — Aetna HMO: $10,991.97 Aetna — Aetna NBD: $9,217.95 Aetna — Aetna PPO: $10,991.97 Aetna — Aetna Work Comp: $2,404.18 Aetna — NODE Aetna MCR ADV: $1,206.52 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $474.16 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $474.16 BCBS TX — BCBS TX Blue ADV: $643.41 BCBS TX — BCBS TX HMO: $9,217.95
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LESION REMOVAL COLONOSCOPY	$17,571.04	$4,217.05	$419.37 – $16,692.49
Colonoscopy with removal of polyps (snare): 10 of 68 insurance plan rates Aetna — Aetna First Health: $8,873.38 Aetna — Aetna HMO: $11,104.90 Aetna — Aetna NBD: $9,312.65 Aetna — Aetna PPO: $11,104.90 Aetna — Aetna Work Comp: $2,404.18 Aetna — NODE Aetna MCR ADV: $1,206.52 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $474.16 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $474.16 BCBS TX — BCBS TX Blue ADV: $643.41 BCBS TX — BCBS TX HMO: $9,312.65
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON CA SCRN NOT HI RSK IND	$13,252.73	$3,180.66	$315.60 – $12,590.09
Screening colonoscopy (not high risk): 10 of 67 insurance plan rates Aetna — Aetna First Health: $6,692.63 Aetna — Aetna HMO: $8,375.73 Aetna — Aetna NBD: $7,023.95 Aetna — Aetna PPO: $8,375.73 Aetna — Aetna Work Comp: $1,868.40 Aetna — NODE Aetna MCR ADV: $933.83 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $362.87 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $362.87 BCBS TX — BCBS TX Blue ADV: $569.89 BCBS TX — BCBS TX HMO: $7,023.95
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	$40,016.36	$9,603.93	$630.88 – $38,015.54
Gallbladder removal by laparoscope: 10 of 67 insurance plan rates Aetna — Aetna First Health: $20,208.26 Aetna — Aetna HMO: $25,290.34 Aetna — Aetna NBD: $21,208.67 Aetna — Aetna PPO: $25,290.34 Aetna — Aetna Work Comp: $12,146.16 Aetna — NODE Aetna MCR ADV: $6,095.43 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $2,086.42 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $2,086.42 BCBS TX — BCBS TX Blue ADV: $3,295.39 BCBS TX — BCBS TX HMO: $21,208.67
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR INGUINAL HERNIA	$41,077.14	$9,858.51	$500.70 – $39,023.28
Groin (inguinal) hernia repair, age 5 or older: 10 of 68 insurance plan rates Aetna — Aetna First Health: $20,743.96 Aetna — Aetna HMO: $25,960.75 Aetna — Aetna NBD: $21,770.88 Aetna — Aetna PPO: $25,960.75 Aetna — Aetna Work Comp: $7,193.44 Aetna — NODE Aetna MCR ADV: $3,609.95 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $1,271.99 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $1,271.99 BCBS TX — BCBS TX Blue ADV: $2,278.36 BCBS TX — BCBS TX HMO: $21,770.88
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY, BIOPSY	$24,190.10	$5,805.62	$1,118.82 – $22,980.59
Hysteroscopy with biopsy of the uterus lining: 10 of 67 insurance plan rates Aetna — Aetna First Health: $12,216 Aetna — Aetna HMO: $15,288.14 Aetna — Aetna NBD: $12,820.75 Aetna — Aetna PPO: $15,288.14 Aetna — Aetna Work Comp: $6,503.76 Aetna — NODE Aetna MCR ADV: $3,263.85 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $1,174.77 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $1,174.77 BCBS TX — BCBS TX Blue ADV: $1,589.86 BCBS TX — BCBS TX HMO: $12,820.75
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: IR-DI L-S INJ W IM	$3,597	$863.28	$236.37 – $3,417.15
Spinal injection, lower back (epidural), with imaging guidance: 10 of 68 insurance plan rates Aetna — Aetna First Health: $1,816.49 Aetna — Aetna HMO: $2,273.30 Aetna — Aetna NBD: $1,906.41 Aetna — Aetna PPO: $2,273.30 Aetna — Aetna Work Comp: $1,418.20 Aetna — NODE Aetna MCR ADV: $711.71 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $589.19 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $589.19 BCBS TX — BCBS TX Blue ADV: $1,438.80 BCBS TX — BCBS TX HMO: $1,906.41
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	$6,228.33	$1,494.80	$236.37 – $5,916.91
Spinal injection, lower back (epidural), with imaging guidance: 10 of 67 insurance plan rates Aetna — Aetna First Health: $3,145.31 Aetna — Aetna HMO: $3,936.30 Aetna — Aetna NBD: $3,301.01 Aetna — Aetna PPO: $3,936.30 Aetna — Aetna Work Comp: $1,418.20 Aetna — NODE Aetna MCR ADV: $711.71 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $290.35 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $290.35 BCBS TX — BCBS TX Blue ADV: $506.98 BCBS TX — BCBS TX HMO: $3,301.01
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: IR-DI L-S INJ W IM	$3,597	$1,258.95	$611.49 – $3,417.15
Spinal injection, lower back (epidural), with imaging guidance: 10 of 18 insurance plan rates Aetna — Aetna First Health: $1,816.49 Aetna — Aetna HMO: $2,273.30 Aetna — Aetna NBD: $1,906.41 Aetna — Aetna PPO: $2,273.30 BCBS TX — BCBS TX HMO: $1,906.41 BCBS TX — BCBS TX PPO: $1,906.41 BCBS TX — BCBS TX Trad: $2,266.11 CHS Group Health Plan BCBST — CHS Group Health Plan BCBST: $1,284.13 Cigna — Cigna PPO: $2,032.30 Health Headquarters — Health Headquarters: $3,057.45
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ FORAMEN EPIDURAL L/S	$8,635.97	$2,072.63	$226.47 – $8,204.17
Nerve root injection, lower back, with imaging guidance: 10 of 67 insurance plan rates Aetna — Aetna First Health: $4,361.16 Aetna — Aetna HMO: $5,457.93 Aetna — Aetna NBD: $4,577.06 Aetna — Aetna PPO: $5,457.93 Aetna — Aetna Work Comp: $1,777 Aetna — NODE Aetna MCR ADV: $891.77 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $376.42 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $376.42 BCBS TX — BCBS TX Blue ADV: $522.67 BCBS TX — BCBS TX HMO: $4,577.06
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	$25,361.11	$6,086.67	$427.87 – $24,093.05
Carpal tunnel release: 10 of 68 insurance plan rates Aetna — Aetna First Health: $12,807.36 Aetna — Aetna HMO: $16,028.22 Aetna — Aetna NBD: $13,441.39 Aetna — Aetna PPO: $16,028.22 Aetna — Aetna Work Comp: $3,923.24 Aetna — NODE Aetna MCR ADV: $1,968.83 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $728.97 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $728.97 BCBS TX — BCBS TX Blue ADV: $1,317.77 BCBS TX — BCBS TX HMO: $13,441.39
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE CATARACT/INSERT LENS	$17,396.38	$4,175.13	$505.93 – $16,526.56
Cataract removal with lens implant: 10 of 68 insurance plan rates Aetna — Aetna First Health: $8,785.17 Aetna — Aetna HMO: $10,994.51 Aetna — Aetna NBD: $9,220.08 Aetna — Aetna PPO: $10,994.51 Aetna — Aetna Work Comp: $4,636.68 Aetna — NODE Aetna MCR ADV: $2,326.88 Amerigroup — NODE Wellpoint CHIP Medicaid TX: $938.85 Amerigroup — NODE Wellpoint STAR PLUS Medicaid TX: $938.85 BCBS TX — BCBS TX Blue ADV: $1,691.12 BCBS TX — BCBS TX HMO: $9,220.08

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) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$1,077.95 – $149,546.92
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 42 insurance plan rates Aetna — Aetna Work Comp: $106,314.99 Aetna — NODE Aetna MCR ADV: $74,351.83 BCBS TX — BCBS TX Blue ADV: $149,546.92 Brookshire Brothers — NODE Brookshire Brothers: $130,105.76 Cigna — Cigna Work Comp TX: $106,314.99 Citizens National — NODE Citizens National Bank of Henderson: $130,105.76 HealthSmart — HealthSmart Work Comp TX: $101,110.76 Humana — NODE Humana MCR ADV: $72,893.95 Molina — NODE Molina MCR ADV: $76,536.91 NODE Amerigroup MCR ADV — NODE Amerigroup MCR ADV: $76,536.91
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	Not listed in the file	Not listed in the file	$1,077.95 – $55,111
Spinal fusion (not neck), without major complications: 10 of 42 insurance plan rates Aetna — Aetna Work Comp: $41,478.28 Aetna — NODE Aetna MCR ADV: $29,029.60 BCBS TX — BCBS TX Blue ADV: $52,647.87 Brookshire Brothers — NODE Brookshire Brothers: $50,760.13 Cigna — Cigna Work Comp TX: $41,478.28 Citizens National — NODE Citizens National Bank of Henderson: $50,760.13 HealthSmart — HealthSmart Work Comp TX: $39,447.87 Humana — NODE Humana MCR ADV: $28,460.39 Molina — NODE Molina MCR ADV: $29,881.68 NODE Amerigroup MCR ADV — NODE Amerigroup MCR ADV: $29,881.68
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$1,077.95 – $31,240.51
Hip or knee replacement (major joint of the leg), without major complications: 10 of 42 insurance plan rates Aetna — Aetna Work Comp: $23,175.49 Aetna — NODE Aetna MCR ADV: $16,235.57 BCBS TX — BCBS TX Blue ADV: $31,240.51 Brookshire Brothers — NODE Brookshire Brothers: $28,361.62 Cigna — Cigna Work Comp TX: $23,175.50 Citizens National — NODE Citizens National Bank of Henderson: $28,361.62 HealthSmart — HealthSmart Work Comp TX: $22,041.03 Humana — NODE Humana MCR ADV: $15,917.23 Molina — NODE Molina MCR ADV: $16,711.35 NODE Amerigroup MCR ADV — NODE Amerigroup MCR ADV: $16,711.35
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$1,077.95 – $37,999.52
Neck (cervical) spinal fusion, without complications: 10 of 42 insurance plan rates Aetna — Aetna Work Comp: $28,599.64 Aetna — NODE Aetna MCR ADV: $20,027.16 BCBS TX — BCBS TX Blue ADV: $28,763.37 Brookshire Brothers — NODE Brookshire Brothers: $34,999.56 Cigna — Cigna Work Comp TX: $28,599.64 Citizens National — NODE Citizens National Bank of Henderson: $34,999.56 HealthSmart — HealthSmart Work Comp TX: $27,199.66 Humana — NODE Humana MCR ADV: $19,634.47 Molina — NODE Molina MCR ADV: $20,614.46 NODE Amerigroup MCR ADV — NODE Amerigroup MCR ADV: $20,614.46
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$1,077.95 – $21,113.10
Uterus and ovary surgery (not for cancer), without complications: 10 of 42 insurance plan rates Aetna — Aetna Work Comp: $15,890.39 Aetna — NODE Aetna MCR ADV: $11,143.13 BCBS TX — BCBS TX Blue ADV: $15,678.16 Brookshire Brothers — NODE Brookshire Brothers: $19,446.28 Cigna — Cigna Work Comp TX: $15,890.39 Citizens National — NODE Citizens National Bank of Henderson: $19,446.28 HealthSmart — HealthSmart Work Comp TX: $15,112.54 Humana — NODE Humana MCR ADV: $10,924.64 Molina — NODE Molina MCR ADV: $11,469.13 NODE Amerigroup MCR ADV — NODE Amerigroup MCR ADV: $11,469.13

Source: Navarro Regional Hospital’s standard charges file (navarrohospital.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	3201 West Highway 22, Corsicana, TX 75110
County	Navarro County
State	Texas
Phone	(903) 654‑6800
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	450447
Name in Medicare records	NAVARRO REGIONAL HOSPITAL
Profile level	Medicare data + hospital website
Official website	navarrohospital.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Navarro Regional Hospital — navarrohospital.com
Our Services - Navarro Regional Hospital — navarrohospital.com
Emergency Services - Navarro Regional Hospital — navarrohospital.com

Navarro Regional Hospital

Summary

Profile from official sources

At a glance