Does North Texas Medical Center have an emergency room?

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

Where is North Texas Medical Center?

1900 Hospital Blvd, Gainesville, TX 76240, in Cooke County, Texas.

What is the phone number of North Texas Medical Center?

(940) 612-8600, as listed by Medicare (CMS).

What is the Medicare star rating of North Texas Medical Center?

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

North Texas Medical Center — Gainesville, TX

Quick answers

Does North Texas Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at North Texas Medical Center. In a medical emergency, call 911.
Where is North Texas Medical Center?: 1900 Hospital Blvd, Gainesville, TX 76240, in Cooke County, Texas.
What is the phone number of North Texas Medical Center?: (940) 612-8600, as listed by Medicare (CMS).
What is the Medicare star rating of North Texas Medical Center?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[5]

Treatments^[5]

Cardiac and pulmonary rehab
Physical therapy
Occupational therapy
Speech therapy
Lymphedema therapy
Pelvic floor therapy
Wound care
Skilled nursing unit

Procedures^[5]

Appendectomy
Arthroscopy
Cholecystectomy
Endoscopy
Hernia repair
Laparoscopic surgery
Laparoscopic-assisted vaginal hysterectomy
Laparoscopic supracervical hysterectomy
Joint replacement surgery
Cardiac CT angiography
CT scan
MRI
3-D digital mammography
Bone density (DEXA) scan
Vascular and diagnostic ultrasound
Dual-head nuclear imaging

Programs and centers^[5]

Chronic Care Coordination Program
Continuous Glucose Monitor (CGM) Program
Family Counseling Clinic

Emergency care (hospital website)^[4][5]

Emergency room	Yes

Visiting and practical information

Visiting	6 a.m.-7 p.m. Mon-Fri, 9 a.m.-3 p.m. Sat-Sun; two visitors at a time; ICU/CCU immediate family only, 30 min on even hours 8 a.m.-8 p.m^[6]

Recognition^[4]

CIHQ accreditation
Center of Excellence in Nursing Services

Doctors and clinicians (163)

163 doctors and other clinicians list North Texas 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 (163)

Adeeba S. Khan, DONeurology
Adewale Odukoya, MDFamily Practice
Agha M. Abbas, MDEmergency Medicine
Akshita Mehta, MDDiagnostic Radiology
Akwasi O. Boah, MDNeurosurgery
Ala'A Farahat, MDInternal Medicine
Allan J. Rosenbaum, DCChiropractic
Allen L. Stephens, DOPathology
Almas Syed, MDDiagnostic Radiology
Amanda D. Peters, NPNurse Practitioner
Amy L. Klein, DOObstetrics/Gynecology
Amy M. Dangelmayr, NPNurse Practitioner
Angela Schilsky, MDDiagnostic Radiology
Ann A. Kurian, MDGeneral Surgery
Asad Zamann, MDNephrology
Asif A. Najmuddin, MDInternal Medicine
Augustina A. Albright, PAPhysician Assistant
Babu Makkena, MDCardiovascular Disease (Cardiology)
Barbara C. Scalet, CNACertified Registered Nurse Anesthetist (CRNA)
Bhupinder S. Khaira, MDGeneral Surgery
Bradley K. Hammett, MDDiagnostic Radiology
Brandon K. Guthery, MDPathology
Brenda H. Anderle, PAPhysician Assistant
Brian T. Rose, MDOrthopedic Surgery

And 139 more: the button below opens the full list.

Other emergency rooms nearby

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

Muenster Memorial Hospital12 mi · Muenster, TX · Critical Access Hospital
Mercy Hospital Marietta20 mi · Marietta, OK · Critical Access Hospital
Texas Health Presbyterian Hospital Denton30 mi · Denton, TX · Acute Care Hospital
Wilson N Jones Regional Medical Center32 mi · Sherman, TX · Acute Care Hospital
Nocona General Hospital33 mi · Nocona, TX · Acute Care Hospital

Other hospitals nearby

University Behavioral Health of Denton30 mi · Denton, TX · Psychiatric Hospital
Select Rehabilitation Hospital of Denton31 mi · Denton, TX · Inpatient Rehabilitation Hospital
Carrus Rehabilitation Hospital31 mi · Sherman, TX · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Avir at River Valley1.9 mi · Gainesville, TX · 4 of 5 stars
Avir at Gainesville3.6 mi · Gainesville, TX · 1 of 5 stars
Pecan Tree Rehab and Healthcare Center4.0 mi · Gainesville, TX · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Absolutely Angels Hospice25 mi · Pilot Point, TX

All hospice providers in the state →

Home health agencies

Choice Health at Home0.0 mi · Gainsville, TX · 3 of 5 stars
Choice Health at Home0.0 mi · Gainesville, TX
First Texas Home Health15 mi · Whitesboro, TX

All home health agencies in the state →

Dialysis facilities

DaVita Dialysis Cottage0.0 mi · Gainesville, TX · 3 of 5 stars

All dialysis facilities 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.

Clinics and urgent care

NTMC Health Complete Care0.0 mi · Gainesville, TX · Rural health clinic
Sears Medical Associates0.0 mi · Gainesville, TX · Rural health clinic
MMH Family Health Clinic12 mi · Muenster, TX · Rural health clinic

Pharmacies

Akb LLC0.0 mi · Gainesville, TX · Community/retail pharmacy
Gainesville Community Hospital, Inc.0.0 mi · Gainesville, TX · Community/retail pharmacy
Gainesville Plaza Pharmacy Inc0.0 mi · Gainesville, TX · Community/retail pharmacy

Assisted living nearby

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

Wesley House0.0 mi · Gainesville, TX
Wheeler Terrace0.0 mi · Gainesville, TX
Just Like Home15 mi · Whitesboro, 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 North Texas 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.

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)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	4 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	71%National average: 72%
Would definitely recommend the hospital	73%National average: 71%
Nurses “always” communicated well	85%National average: 80%
Doctors “always” communicated well	76%National average: 80%
Staff “always” explained medicines before giving them	64%National average: 62%
Were given information about recovery at home	86%National average: 86%
Room and bathroom “always” clean	76%National average: 74%
Area around the room “always” quiet at night	67%National average: 60%
Completed surveys	300Response rate: 27%

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)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	0No 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	0.848No 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	11.4%
Deaths within 30 days: pneumonia patients	12.2%
Deaths within 30 days: COPD patients	8.6%
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.21No different from the national rate
Complications after hip or knee replacement	4.6%

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	20.2%
Readmitted within 30 days: pneumonia	16%
Readmitted within 30 days: COPD	19.6%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.5%

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)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	117 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	78%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 72 common services exactly as North Texas 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 →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit, 30 min	$264	$66	$77 – $243
New patient office visit (about 30–44 minutes): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $114 Aetna — Commercial: $164 Aetna — Medicare Advantage: $114 Blue Cross and Blue Shield of Texas — Blue Advantage: $132 Blue Cross and Blue Shield of Texas — Blue Essentials: $132 Blue Cross and Blue Shield of Texas — Commercial: $77 Blue Cross and Blue Shield of Texas — Medicare Advantage: $114 Cigna — Commercial: $106 First Health — PPO: $158 Healthcare Highways — PPO: $158
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · modifier 95 In the file: New patient office or other outpatient visit, 30 min	$264	$66	$77 – $243
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates Aetna — Commercial: $164 Blue Cross and Blue Shield of Texas — Blue Advantage: $132 Blue Cross and Blue Shield of Texas — Blue Essentials: $132 Blue Cross and Blue Shield of Texas — Commercial: $77 Cigna — Commercial: $106 First Health — PPO: $158 Healthcare Highways — PPO: $158 MultiPlan — PPO: $185 Prime Health — PPO: $238 Provider Select — PPO: $224
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit, 45 min	$403	$101	$131 – $371
New patient office visit (about 45–59 minutes): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $172 Aetna — Commercial: $250 Aetna — Medicare Advantage: $172 Blue Cross and Blue Shield of Texas — Blue Advantage: $202 Blue Cross and Blue Shield of Texas — Blue Essentials: $202 Blue Cross and Blue Shield of Texas — Commercial: $131 Blue Cross and Blue Shield of Texas — Medicare Advantage: $172 Cigna — Commercial: $161 First Health — PPO: $242 Healthcare Highways — PPO: $242
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit, 60 min	$507	$127	$171 – $466
New patient office visit (about 60–74 minutes): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $230 Aetna — Commercial: $314 Aetna — Medicare Advantage: $230 Blue Cross and Blue Shield of Texas — Blue Advantage: $254 Blue Cross and Blue Shield of Texas — Blue Essentials: $254 Blue Cross and Blue Shield of Texas — Commercial: $171 Blue Cross and Blue Shield of Texas — Medicare Advantage: $230 Cigna — Commercial: $203 First Health — PPO: $304 Healthcare Highways — PPO: $304
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Office/outpatient Visit Est Leve 3	$182	$46	$52 – $167
Established patient office visit (about 20–29 minutes): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $92 Aetna — Commercial: $113 Aetna — Medicare Advantage: $92 Blue Cross and Blue Shield of Texas — Blue Advantage: $91 Blue Cross and Blue Shield of Texas — Blue Essentials: $91 Blue Cross and Blue Shield of Texas — Commercial: $52 Blue Cross and Blue Shield of Texas — Medicare Advantage: $92 Cigna — Commercial: $73 First Health — PPO: $109 Healthcare Highways — PPO: $109
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · modifier 95 In the file: Telehealth Estab Pt 20-29 Mins	$182	$46	$52 – $167
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates Aetna — Commercial: $113 Blue Cross and Blue Shield of Texas — Blue Advantage: $91 Blue Cross and Blue Shield of Texas — Blue Essentials: $91 Blue Cross and Blue Shield of Texas — Commercial: $52 Cigna — Commercial: $73 First Health — PPO: $109 Healthcare Highways — PPO: $109 MultiPlan — PPO: $127 Prime Health — PPO: $164 Provider Select — PPO: $155
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Office/outpt Est Mod Mdm 30-39 Min Level 4	$357	$89	$80 – $328
Established patient office visit (about 30–39 minutes): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $132 Aetna — Commercial: $221 Aetna — Medicare Advantage: $132 Blue Cross and Blue Shield of Texas — Blue Advantage: $179 Blue Cross and Blue Shield of Texas — Blue Essentials: $179 Blue Cross and Blue Shield of Texas — Commercial: $80 Blue Cross and Blue Shield of Texas — Medicare Advantage: $132 Cigna — Commercial: $143 First Health — PPO: $214 Healthcare Highways — PPO: $214
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Patient office consultation, 40 min	$227	$57	$91 – $209
Office consultation with a specialist (moderate): 10 of 11 insurance plan rates Aetna — Commercial: $141 Blue Cross and Blue Shield of Texas — Blue Advantage: $114 Blue Cross and Blue Shield of Texas — Blue Essentials: $114 Blue Cross and Blue Shield of Texas — Commercial: $97 Cigna — Commercial: $91 First Health — PPO: $136 Healthcare Highways — PPO: $136 MultiPlan — PPO: $159 Prime Health — PPO: $204 Provider Select — PPO: $193
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Patient office consultation, 60 min	$319	$80	$128 – $293
Office consultation with a specialist (moderate to high): 10 of 11 insurance plan rates Aetna — Commercial: $198 Blue Cross and Blue Shield of Texas — Blue Advantage: $160 Blue Cross and Blue Shield of Texas — Blue Essentials: $160 Blue Cross and Blue Shield of Texas — Commercial: $156 Cigna — Commercial: $128 First Health — PPO: $191 Healthcare Highways — PPO: $191 MultiPlan — PPO: $223 Prime Health — PPO: $287 Provider Select — PPO: $271
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial new patient preventative medicine evaluation (18-39 years)	$250	$63	$99 – $230
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates Aetna — Commercial: $155 Blue Cross and Blue Shield of Texas — Blue Advantage: $125 Blue Cross and Blue Shield of Texas — Blue Essentials: $125 Blue Cross and Blue Shield of Texas — Commercial: $99 Cigna — Commercial: $100 First Health — PPO: $150 Healthcare Highways — PPO: $150 MultiPlan — PPO: $175 Prime Health — PPO: $225 Provider Select — PPO: $213
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial new patient preventative medicine evaluation (40-64 years)	$250	$63	$100 – $230
Preventive checkup, new patient, age 40–64: 10 of 11 insurance plan rates Aetna — Commercial: $155 Blue Cross and Blue Shield of Texas — Blue Advantage: $125 Blue Cross and Blue Shield of Texas — Blue Essentials: $125 Blue Cross and Blue Shield of Texas — Commercial: $121 Cigna — Commercial: $100 First Health — PPO: $150 Healthcare Highways — PPO: $150 MultiPlan — PPO: $175 Prime Health — PPO: $225 Provider Select — PPO: $213
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Ed Level Iii	$811	$203	$223 – $746
Emergency room visit (moderate): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $262 Aetna — Commercial: $503 Aetna — Medicare Advantage: $262 Blue Cross and Blue Shield of Texas — Blue Advantage: $406 Blue Cross and Blue Shield of Texas — Blue Essentials: $406 Blue Cross and Blue Shield of Texas — Commercial: $223 Blue Cross and Blue Shield of Texas — Medicare Advantage: $262 Cigna — Commercial: $324 First Health — PPO: $487 Healthcare Highways — PPO: $487
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency Dept Visit Low Mdm	$210	$53	$84 – $288
Emergency room visit (moderate): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $262 Aetna — Commercial: $130 Aetna — Medicare Advantage: $262 Blue Cross and Blue Shield of Texas — Blue Advantage: $105 Blue Cross and Blue Shield of Texas — Blue Essentials: $105 Blue Cross and Blue Shield of Texas — Commercial: $223 Blue Cross and Blue Shield of Texas — Medicare Advantage: $262 Cigna — Commercial: $84 First Health — PPO: $126 Healthcare Highways — PPO: $126
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · modifier 25 In the file: Ed Level Iii W Proc	$811	$203	$223 – $746
Emergency room visit (moderate): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $262 Aetna — Commercial: $503 Aetna — Medicare Advantage: $262 Blue Cross and Blue Shield of Texas — Blue Advantage: $406 Blue Cross and Blue Shield of Texas — Blue Essentials: $406 Blue Cross and Blue Shield of Texas — Commercial: $223 Blue Cross and Blue Shield of Texas — Medicare Advantage: $262 Cigna — Commercial: $324 First Health — PPO: $487 Healthcare Highways — PPO: $487
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Ed Level Iv	$1,073	$268	$352 – $987
Emergency room visit (moderately high): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $401 Aetna — Commercial: $665 Aetna — Medicare Advantage: $401 Blue Cross and Blue Shield of Texas — Blue Advantage: $537 Blue Cross and Blue Shield of Texas — Blue Essentials: $537 Blue Cross and Blue Shield of Texas — Commercial: $352 Blue Cross and Blue Shield of Texas — Medicare Advantage: $401 Cigna — Commercial: $429 First Health — PPO: $644 Healthcare Highways — PPO: $644
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency Dept Visit	$292	$73	$117 – $441
Emergency room visit (moderately high): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $401 Aetna — Commercial: $181 Aetna — Medicare Advantage: $401 Blue Cross and Blue Shield of Texas — Blue Advantage: $146 Blue Cross and Blue Shield of Texas — Blue Essentials: $146 Blue Cross and Blue Shield of Texas — Commercial: $352 Blue Cross and Blue Shield of Texas — Medicare Advantage: $401 Cigna — Commercial: $117 First Health — PPO: $175 Healthcare Highways — PPO: $175
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier 25 In the file: Ed Level Iv W Proc	$1,073	$268	$352 – $987
Emergency room visit (moderately high): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $401 Aetna — Commercial: $665 Aetna — Medicare Advantage: $401 Blue Cross and Blue Shield of Texas — Blue Advantage: $537 Blue Cross and Blue Shield of Texas — Blue Essentials: $537 Blue Cross and Blue Shield of Texas — Commercial: $352 Blue Cross and Blue Shield of Texas — Medicare Advantage: $401 Cigna — Commercial: $429 First Health — PPO: $644 Healthcare Highways — PPO: $644
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Ed Level V	$1,329	$332	$505 – $1,223
Emergency room visit (high): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $572 Aetna — Commercial: $824 Aetna — Medicare Advantage: $572 Blue Cross and Blue Shield of Texas — Blue Advantage: $665 Blue Cross and Blue Shield of Texas — Blue Essentials: $665 Blue Cross and Blue Shield of Texas — Commercial: $505 Blue Cross and Blue Shield of Texas — Medicare Advantage: $572 Cigna — Commercial: $532 First Health — PPO: $797 Healthcare Highways — PPO: $797
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Er Consulation High	$500	$125	$200 – $629
Emergency room visit (high): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $572 Aetna — Commercial: $310 Aetna — Medicare Advantage: $572 Blue Cross and Blue Shield of Texas — Blue Advantage: $250 Blue Cross and Blue Shield of Texas — Blue Essentials: $250 Blue Cross and Blue Shield of Texas — Commercial: $505 Blue Cross and Blue Shield of Texas — Medicare Advantage: $572 Cigna — Commercial: $200 First Health — PPO: $300 Healthcare Highways — PPO: $300
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier 25 In the file: Ed Level V W Proc	$1,329	$332	$505 – $1,223
Emergency room visit (high): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $572 Aetna — Commercial: $824 Aetna — Medicare Advantage: $572 Blue Cross and Blue Shield of Texas — Blue Advantage: $665 Blue Cross and Blue Shield of Texas — Blue Essentials: $665 Blue Cross and Blue Shield of Texas — Commercial: $505 Blue Cross and Blue Shield of Texas — Medicare Advantage: $572 Cigna — Commercial: $532 First Health — PPO: $797 Healthcare Highways — PPO: $797

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Basic metabolic panel	$67	$17	$8 – $62
Basic metabolic panel (blood test): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $8 Aetna — Commercial: $42 Aetna — Medicare Advantage: $8 Blue Cross and Blue Shield of Texas — Blue Advantage: $34 Blue Cross and Blue Shield of Texas — Blue Essentials: $34 Blue Cross and Blue Shield of Texas — Commercial: $8 Blue Cross and Blue Shield of Texas — Medicare Advantage: $8 Cigna — Commercial: $27 First Health — PPO: $40 Healthcare Highways — PPO: $40
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals	$84	$21	$11 – $77
Comprehensive metabolic panel (blood test): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $11 Aetna — Commercial: $52 Aetna — Medicare Advantage: $11 Blue Cross and Blue Shield of Texas — Blue Advantage: $42 Blue Cross and Blue Shield of Texas — Blue Essentials: $42 Blue Cross and Blue Shield of Texas — Commercial: $11 Blue Cross and Blue Shield of Texas — Medicare Advantage: $11 Cigna — Commercial: $34 First Health — PPO: $50 Healthcare Highways — PPO: $50
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric blood test panel	$191	$48	$48 – $176
Obstetric blood test panel: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $48 Aetna — Commercial: $118 Aetna — Medicare Advantage: $48 Blue Cross and Blue Shield of Texas — Blue Advantage: $96 Blue Cross and Blue Shield of Texas — Blue Essentials: $96 Blue Cross and Blue Shield of Texas — Commercial: $48 Blue Cross and Blue Shield of Texas — Medicare Advantage: $48 Cigna — Commercial: $76 First Health — PPO: $115 Healthcare Highways — PPO: $115
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids	$107	$27	$13 – $98
Cholesterol panel (lipid panel): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $13 Aetna — Commercial: $66 Aetna — Medicare Advantage: $13 Blue Cross and Blue Shield of Texas — Blue Advantage: $54 Blue Cross and Blue Shield of Texas — Blue Essentials: $54 Blue Cross and Blue Shield of Texas — Commercial: $13 Blue Cross and Blue Shield of Texas — Medicare Advantage: $13 Cigna — Commercial: $43 First Health — PPO: $64 Healthcare Highways — PPO: $64
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test	$65	$16	$8 – $60
Liver function panel: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $8 Aetna — Commercial: $40 Aetna — Medicare Advantage: $8 Blue Cross and Blue Shield of Texas — Blue Advantage: $33 Blue Cross and Blue Shield of Texas — Blue Essentials: $33 Blue Cross and Blue Shield of Texas — Commercial: $8 Blue Cross and Blue Shield of Texas — Medicare Advantage: $8 Cigna — Commercial: $26 First Health — PPO: $39 Healthcare Highways — PPO: $39
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis test using microscope	$32	$8	$3 – $29
Urine test (automated, with microscope): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $3 Aetna — Commercial: $20 Aetna — Medicare Advantage: $3 Blue Cross and Blue Shield of Texas — Blue Advantage: $16 Blue Cross and Blue Shield of Texas — Blue Essentials: $16 Blue Cross and Blue Shield of Texas — Commercial: $3 Blue Cross and Blue Shield of Texas — Medicare Advantage: $3 Cigna — Commercial: $13 First Health — PPO: $19 Healthcare Highways — PPO: $19
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis test	$20	$5	$2 – $18
Urine test (automated, without microscope): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $2 Aetna — Commercial: $12 Aetna — Medicare Advantage: $2 Blue Cross and Blue Shield of Texas — Blue Advantage: $10 Blue Cross and Blue Shield of Texas — Blue Essentials: $10 Blue Cross and Blue Shield of Texas — Commercial: $2 Blue Cross and Blue Shield of Texas — Medicare Advantage: $2 Cigna — Commercial: $8 First Health — PPO: $12 Healthcare Highways — PPO: $12
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Total prostate-specific antigen (PSA) test	$147	$37	$18 – $135
PSA (prostate specific antigen) blood test: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $18 Aetna — Commercial: $91 Aetna — Medicare Advantage: $18 Blue Cross and Blue Shield of Texas — Blue Advantage: $74 Blue Cross and Blue Shield of Texas — Blue Essentials: $74 Blue Cross and Blue Shield of Texas — Commercial: $18 Blue Cross and Blue Shield of Texas — Medicare Advantage: $18 Cigna — Commercial: $59 First Health — PPO: $88 Healthcare Highways — PPO: $88
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH)	$275	$69	$17 – $253
Thyroid stimulating hormone (TSH) test: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $17 Aetna — Commercial: $171 Aetna — Medicare Advantage: $17 Blue Cross and Blue Shield of Texas — Blue Advantage: $138 Blue Cross and Blue Shield of Texas — Blue Essentials: $138 Blue Cross and Blue Shield of Texas — Commercial: $17 Blue Cross and Blue Shield of Texas — Medicare Advantage: $17 Cigna — Commercial: $110 First Health — PPO: $165 Healthcare Highways — PPO: $165
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (CBC), with differential white blood cells, automated	$62	$16	$8 – $57
Complete blood count (CBC) with differential: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $8 Aetna — Commercial: $38 Aetna — Medicare Advantage: $8 Blue Cross and Blue Shield of Texas — Blue Advantage: $31 Blue Cross and Blue Shield of Texas — Blue Essentials: $31 Blue Cross and Blue Shield of Texas — Commercial: $8 Blue Cross and Blue Shield of Texas — Medicare Advantage: $8 Cigna — Commercial: $25 First Health — PPO: $37 Healthcare Highways — PPO: $37
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete blood cell count (CBC), automated	$134	$34	$6 – $123
Complete blood count (CBC), automated: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $6 Aetna — Commercial: $83 Aetna — Medicare Advantage: $6 Blue Cross and Blue Shield of Texas — Blue Advantage: $67 Blue Cross and Blue Shield of Texas — Blue Essentials: $67 Blue Cross and Blue Shield of Texas — Commercial: $6 Blue Cross and Blue Shield of Texas — Medicare Advantage: $6 Cigna — Commercial: $54 First Health — PPO: $80 Healthcare Highways — PPO: $80
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time	$34	$9	$4 – $31
Blood clotting time test (prothrombin time, PT): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $4 Aetna — Commercial: $21 Aetna — Medicare Advantage: $4 Blue Cross and Blue Shield of Texas — Blue Advantage: $17 Blue Cross and Blue Shield of Texas — Blue Essentials: $17 Blue Cross and Blue Shield of Texas — Commercial: $4 Blue Cross and Blue Shield of Texas — Medicare Advantage: $4 Cigna — Commercial: $14 First Health — PPO: $20 Healthcare Highways — PPO: $20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test	$48	$12	$6 – $44
Blood clotting test (partial thromboplastin time, PTT): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $6 Aetna — Commercial: $30 Aetna — Medicare Advantage: $6 Blue Cross and Blue Shield of Texas — Blue Advantage: $24 Blue Cross and Blue Shield of Texas — Blue Essentials: $24 Blue Cross and Blue Shield of Texas — Commercial: $6 Blue Cross and Blue Shield of Texas — Medicare Advantage: $6 Cigna — Commercial: $19 First Health — PPO: $29 Healthcare Highways — PPO: $29

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT scan	$2,002	$501	$100 – $1,842
CT scan of the head or brain, without contrast: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $100 Aetna — Commercial: $1,241 Aetna — Medicare Advantage: $100 Blue Cross and Blue Shield of Texas — Blue Advantage: $1,001 Blue Cross and Blue Shield of Texas — Blue Essentials: $1,001 Blue Cross and Blue Shield of Texas — Commercial: $112 Blue Cross and Blue Shield of Texas — Medicare Advantage: $100 Cigna — Commercial: $801 First Health — PPO: $1,201 Healthcare Highways — PPO: $1,201
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI Scan	$4,311	$1,078	$335 – $3,966
MRI of the brain, before and after contrast: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $335 Aetna — Commercial: $2,673 Aetna — Medicare Advantage: $335 Blue Cross and Blue Shield of Texas — Blue Advantage: $2,156 Blue Cross and Blue Shield of Texas — Blue Essentials: $2,156 Blue Cross and Blue Shield of Texas — Commercial: $382 Blue Cross and Blue Shield of Texas — Medicare Advantage: $335 Cigna — Commercial: $1,724 First Health — PPO: $2,587 Healthcare Highways — PPO: $2,587
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Xr Chest 2v	$324	$81	$80 – $298
Chest X-ray, 2 views: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $84 Aetna — Commercial: $201 Aetna — Medicare Advantage: $84 Blue Cross and Blue Shield of Texas — Blue Advantage: $162 Blue Cross and Blue Shield of Texas — Blue Essentials: $162 Blue Cross and Blue Shield of Texas — Commercial: $80 Blue Cross and Blue Shield of Texas — Medicare Advantage: $84 Cigna — Commercial: $130 First Health — PPO: $194 Healthcare Highways — PPO: $194
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Rad Exam Chest 2 View	$98	$25	$39 – $92
Chest X-ray, 2 views: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $84 Aetna — Commercial: $61 Aetna — Medicare Advantage: $84 Blue Cross and Blue Shield of Texas — Blue Advantage: $49 Blue Cross and Blue Shield of Texas — Blue Essentials: $49 Blue Cross and Blue Shield of Texas — Commercial: $80 Blue Cross and Blue Shield of Texas — Medicare Advantage: $84 Cigna — Commercial: $39 First Health — PPO: $59 Healthcare Highways — PPO: $59
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-Ray of lower back	$600	$150	$100 – $552
X-ray of the lower spine, at least 4 views: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $100 Aetna — Commercial: $372 Aetna — Medicare Advantage: $100 Blue Cross and Blue Shield of Texas — Blue Advantage: $300 Blue Cross and Blue Shield of Texas — Blue Essentials: $300 Blue Cross and Blue Shield of Texas — Commercial: $112 Blue Cross and Blue Shield of Texas — Medicare Advantage: $100 Cigna — Commercial: $240 First Health — PPO: $360 Healthcare Highways — PPO: $360
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal	$2,665	$666	$229 – $2,452
MRI of the lower back (lumbar spine), without contrast: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $229 Aetna — Commercial: $1,652 Aetna — Medicare Advantage: $229 Blue Cross and Blue Shield of Texas — Blue Advantage: $1,333 Blue Cross and Blue Shield of Texas — Blue Essentials: $1,333 Blue Cross and Blue Shield of Texas — Commercial: $233 Blue Cross and Blue Shield of Texas — Medicare Advantage: $229 Cigna — Commercial: $1,066 First Health — PPO: $1,599 Healthcare Highways — PPO: $1,599
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT scan of pelvis with contrast	$2,252	$563	$168 – $2,072
CT scan of the pelvis, with contrast: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $168 Aetna — Commercial: $1,396 Aetna — Medicare Advantage: $168 Blue Cross and Blue Shield of Texas — Blue Advantage: $1,126 Blue Cross and Blue Shield of Texas — Blue Essentials: $1,126 Blue Cross and Blue Shield of Texas — Commercial: $182 Blue Cross and Blue Shield of Texas — Medicare Advantage: $168 Cigna — Commercial: $901 First Health — PPO: $1,351 Healthcare Highways — PPO: $1,351
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI scan of leg joint	$2,583	$646	$229 – $2,376
MRI of a leg joint (such as the knee), without contrast: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $229 Aetna — Commercial: $1,601 Aetna — Medicare Advantage: $229 Blue Cross and Blue Shield of Texas — Blue Advantage: $1,292 Blue Cross and Blue Shield of Texas — Blue Essentials: $1,292 Blue Cross and Blue Shield of Texas — Commercial: $233 Blue Cross and Blue Shield of Texas — Medicare Advantage: $229 Cigna — Commercial: $1,033 First Health — PPO: $1,550 Healthcare Highways — PPO: $1,550
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT scan of abdomen and pelvis with contrast	$2,525	$631	$335 – $2,323
CT scan of the abdomen and pelvis, with contrast: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $335 Aetna — Commercial: $1,566 Aetna — Medicare Advantage: $335 Blue Cross and Blue Shield of Texas — Blue Advantage: $1,263 Blue Cross and Blue Shield of Texas — Blue Essentials: $1,263 Blue Cross and Blue Shield of Texas — Commercial: $382 Blue Cross and Blue Shield of Texas — Medicare Advantage: $335 Cigna — Commercial: $1,010 First Health — PPO: $1,515 Healthcare Highways — PPO: $1,515
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Ultrasound of abdomen	$950	$238	$100 – $874
Ultrasound of the abdomen, complete: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $100 Aetna — Commercial: $589 Aetna — Medicare Advantage: $100 Blue Cross and Blue Shield of Texas — Blue Advantage: $475 Blue Cross and Blue Shield of Texas — Blue Essentials: $475 Blue Cross and Blue Shield of Texas — Commercial: $112 Blue Cross and Blue Shield of Texas — Medicare Advantage: $100 Cigna — Commercial: $380 First Health — PPO: $570 Healthcare Highways — PPO: $570
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Abdomial ultrasound of pregnant uterus	$686	$172	$92 – $631
Pregnancy ultrasound (after the first trimester): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $100 Aetna — Commercial: $425 Aetna — Medicare Advantage: $100 Blue Cross and Blue Shield of Texas — Blue Advantage: $343 Blue Cross and Blue Shield of Texas — Blue Essentials: $343 Blue Cross and Blue Shield of Texas — Commercial: $92 Blue Cross and Blue Shield of Texas — Medicare Advantage: $100 Cigna — Commercial: $274 First Health — PPO: $412 Healthcare Highways — PPO: $412
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound pelvis through vagina	$747	$187	$88 – $687
Transvaginal ultrasound: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $100 Aetna — Commercial: $463 Aetna — Medicare Advantage: $100 Blue Cross and Blue Shield of Texas — Blue Advantage: $374 Blue Cross and Blue Shield of Texas — Blue Essentials: $374 Blue Cross and Blue Shield of Texas — Commercial: $88 Blue Cross and Blue Shield of Texas — Medicare Advantage: $100 Cigna — Commercial: $299 First Health — PPO: $448 Healthcare Highways — PPO: $448
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Mammography of one breast	$372	$93	$94 – $342
Diagnostic mammogram, one breast: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $119 Aetna — Commercial: $231 Aetna — Medicare Advantage: $119 Blue Cross and Blue Shield of Texas — Blue Advantage: $186 Blue Cross and Blue Shield of Texas — Blue Essentials: $186 Blue Cross and Blue Shield of Texas — Commercial: $94 Blue Cross and Blue Shield of Texas — Medicare Advantage: $119 Cigna — Commercial: $149 First Health — PPO: $223 Healthcare Highways — PPO: $223
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Mammography of both breasts	$454	$114	$120 – $418
Diagnostic mammogram, both breasts: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $151 Aetna — Commercial: $281 Aetna — Medicare Advantage: $151 Blue Cross and Blue Shield of Texas — Blue Advantage: $227 Blue Cross and Blue Shield of Texas — Blue Essentials: $227 Blue Cross and Blue Shield of Texas — Commercial: $120 Blue Cross and Blue Shield of Texas — Medicare Advantage: $151 Cigna — Commercial: $182 First Health — PPO: $272 Healthcare Highways — PPO: $272
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Mammography, screening, bilateral	$385	$96	$99 – $354
Screening mammogram, both breasts: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $121 Aetna — Commercial: $239 Aetna — Medicare Advantage: $121 Blue Cross and Blue Shield of Texas — Blue Advantage: $193 Blue Cross and Blue Shield of Texas — Blue Essentials: $193 Blue Cross and Blue Shield of Texas — Commercial: $99 Blue Cross and Blue Shield of Texas — Medicare Advantage: $121 Cigna — Commercial: $154 First Health — PPO: $231 Healthcare Highways — PPO: $231
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier 52 In the file: Mammography, screening, bilateral	$308	$77	$99 – $283
Screening mammogram, both breasts: 10 of 11 insurance plan rates Aetna — Commercial: $191 Blue Cross and Blue Shield of Texas — Blue Advantage: $154 Blue Cross and Blue Shield of Texas — Blue Essentials: $154 Blue Cross and Blue Shield of Texas — Commercial: $99 Cigna — Commercial: $123 First Health — PPO: $185 Healthcare Highways — PPO: $185 MultiPlan — PPO: $216 Prime Health — PPO: $277 Provider Select — PPO: $262

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Electrocardiogram, routine, with interpretation and report	$40	$10	$16 – $37
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates Aetna — Commercial: $25 Blue Cross and Blue Shield of Texas — Blue Advantage: $20 Blue Cross and Blue Shield of Texas — Blue Essentials: $20 Blue Cross and Blue Shield of Texas — Commercial: $17 Cigna — Commercial: $16 First Health — PPO: $24 Healthcare Highways — PPO: $24 MultiPlan — PPO: $28 Prime Health — PPO: $36 Provider Select — PPO: $34
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Sleep study	$9,850	$2,463	$501 – $9,062
Sleep study (overnight, in a sleep lab): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $825 Aetna — Commercial: $6,107 Aetna — Medicare Advantage: $825 Blue Cross and Blue Shield of Texas — Blue Advantage: $4,925 Blue Cross and Blue Shield of Texas — Blue Essentials: $4,925 Blue Cross and Blue Shield of Texas — Commercial: $501 Blue Cross and Blue Shield of Texas — Medicare Advantage: $825 Cigna — Commercial: $3,940 First Health — PPO: $5,910 Healthcare Highways — PPO: $5,910

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Physical therapy, therapeutic exercise	$120	$30	$28 – $110
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $28 Aetna — Commercial: $74 Aetna — Medicare Advantage: $28 Blue Cross and Blue Shield of Texas — Blue Advantage: $60 Blue Cross and Blue Shield of Texas — Blue Essentials: $60 Blue Cross and Blue Shield of Texas — Commercial: $31 Blue Cross and Blue Shield of Texas — Medicare Advantage: $28 Cigna — Commercial: $48 First Health — PPO: $72 Healthcare Highways — PPO: $72
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: Physical therapy, therapeutic exercise	$120	$30	$28 – $110
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $28 Aetna — Commercial: $74 Aetna — Medicare Advantage: $28 Blue Cross and Blue Shield of Texas — Blue Advantage: $60 Blue Cross and Blue Shield of Texas — Blue Essentials: $60 Blue Cross and Blue Shield of Texas — Commercial: $31 Blue Cross and Blue Shield of Texas — Medicare Advantage: $28 Cigna — Commercial: $48 First Health — PPO: $72 Healthcare Highways — PPO: $72
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Pt Eval Low	$202	$51	$81 – $186
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $95 Aetna — Commercial: $125 Aetna — Medicare Advantage: $95 Blue Cross and Blue Shield of Texas — Blue Advantage: $101 Blue Cross and Blue Shield of Texas — Blue Essentials: $101 Blue Cross and Blue Shield of Texas — Commercial: $86 Blue Cross and Blue Shield of Texas — Medicare Advantage: $95 Cigna — Commercial: $81 First Health — PPO: $121 Healthcare Highways — PPO: $121
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Pt Eval Moderate	$224	$56	$86 – $206
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $95 Aetna — Commercial: $139 Aetna — Medicare Advantage: $95 Blue Cross and Blue Shield of Texas — Blue Advantage: $112 Blue Cross and Blue Shield of Texas — Blue Essentials: $112 Blue Cross and Blue Shield of Texas — Commercial: $86 Blue Cross and Blue Shield of Texas — Medicare Advantage: $95 Cigna — Commercial: $90 First Health — PPO: $134 Healthcare Highways — PPO: $134
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Pt Eval High	$247	$62	$86 – $227
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $95 Aetna — Commercial: $153 Aetna — Medicare Advantage: $95 Blue Cross and Blue Shield of Texas — Blue Advantage: $124 Blue Cross and Blue Shield of Texas — Blue Essentials: $124 Blue Cross and Blue Shield of Texas — Commercial: $86 Blue Cross and Blue Shield of Texas — Medicare Advantage: $95 Cigna — Commercial: $99 First Health — PPO: $148 Healthcare Highways — PPO: $148
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: Pt Eval High	$247	$62	$86 – $227
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $95 Aetna — Commercial: $153 Aetna — Medicare Advantage: $95 Blue Cross and Blue Shield of Texas — Blue Advantage: $124 Blue Cross and Blue Shield of Texas — Blue Essentials: $124 Blue Cross and Blue Shield of Texas — Commercial: $86 Blue Cross and Blue Shield of Texas — Medicare Advantage: $95 Cigna — Commercial: $99 First Health — PPO: $148 Healthcare Highways — PPO: $148
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 min	$190	$48	$76 – $187
Psychotherapy, 30 minutes: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $170 Aetna — Commercial: $118 Aetna — Medicare Advantage: $170 Blue Cross and Blue Shield of Texas — Blue Advantage: $95 Blue Cross and Blue Shield of Texas — Blue Essentials: $95 Blue Cross and Blue Shield of Texas — Commercial: $95 Blue Cross and Blue Shield of Texas — Medicare Advantage: $170 Cigna — Commercial: $76 First Health — PPO: $114 Healthcare Highways — PPO: $114
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 min	$250	$63	$100 – $230
Psychotherapy, 45 minutes: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $170 Aetna — Commercial: $155 Aetna — Medicare Advantage: $170 Blue Cross and Blue Shield of Texas — Blue Advantage: $125 Blue Cross and Blue Shield of Texas — Blue Essentials: $125 Blue Cross and Blue Shield of Texas — Commercial: $125 Blue Cross and Blue Shield of Texas — Medicare Advantage: $170 Cigna — Commercial: $100 First Health — PPO: $150 Healthcare Highways — PPO: $150
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 60 min	$345	$86	$138 – $317
Psychotherapy, 60 minutes: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $170 Aetna — Commercial: $214 Aetna — Medicare Advantage: $170 Blue Cross and Blue Shield of Texas — Blue Advantage: $173 Blue Cross and Blue Shield of Texas — Blue Essentials: $173 Blue Cross and Blue Shield of Texas — Commercial: $173 Blue Cross and Blue Shield of Texas — Medicare Advantage: $170 Cigna — Commercial: $138 First Health — PPO: $207 Healthcare Highways — PPO: $207
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy, including patient, 50 min	$288	$72	$115 – $265
Family psychotherapy, with the patient: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $170 Aetna — Commercial: $179 Aetna — Medicare Advantage: $170 Blue Cross and Blue Shield of Texas — Blue Advantage: $144 Blue Cross and Blue Shield of Texas — Blue Essentials: $144 Blue Cross and Blue Shield of Texas — Commercial: $144 Blue Cross and Blue Shield of Texas — Medicare Advantage: $170 Cigna — Commercial: $115 First Health — PPO: $173 Healthcare Highways — PPO: $173
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy	$75	$19	$30 – $107
Group psychotherapy: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $98 Aetna — Commercial: $47 Aetna — Medicare Advantage: $98 Blue Cross and Blue Shield of Texas — Blue Advantage: $38 Blue Cross and Blue Shield of Texas — Blue Essentials: $38 Blue Cross and Blue Shield of Texas — Commercial: $38 Blue Cross and Blue Shield of Texas — Medicare Advantage: $98 Cigna — Commercial: $30 First Health — PPO: $45 Healthcare Highways — PPO: $45

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of one or more breast growth, open procedure	$9,950	$2,488	$3,030 – $9,154
Removal of breast growth (open surgery): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $3,760 Aetna — Commercial: $6,169 Aetna — Medicare Advantage: $3,760 Blue Cross and Blue Shield of Texas — Blue Advantage: $4,975 Blue Cross and Blue Shield of Texas — Blue Essentials: $4,975 Blue Cross and Blue Shield of Texas — Commercial: $3,030 Blue Cross and Blue Shield of Texas — Medicare Advantage: $3,760 Cigna — Commercial: $3,980 First Health — PPO: $5,970 Healthcare Highways — PPO: $5,970
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Total Hip Arthroplasty	$3,620	$905	$1,448 – $13,561
Total hip replacement: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $12,328 Aetna — Commercial: $2,244 Aetna — Medicare Advantage: $12,328 Blue Cross and Blue Shield of Texas — Blue Advantage: $1,810 Blue Cross and Blue Shield of Texas — Blue Essentials: $1,810 Blue Cross and Blue Shield of Texas — Commercial: $11,901 Blue Cross and Blue Shield of Texas — Medicare Advantage: $12,328 Cigna — Commercial: $1,448 First Health — PPO: $2,172 Healthcare Highways — PPO: $2,172
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Arthroplasty, Knee, Condyle And Plateau;	$3,620	$905	$1,448 – $13,561
Total knee replacement: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $12,328 Aetna — Commercial: $2,244 Aetna — Medicare Advantage: $12,328 Blue Cross and Blue Shield of Texas — Blue Advantage: $1,810 Blue Cross and Blue Shield of Texas — Blue Essentials: $1,810 Blue Cross and Blue Shield of Texas — Commercial: $11,901 Blue Cross and Blue Shield of Texas — Medicare Advantage: $12,328 Cigna — Commercial: $1,448 First Health — PPO: $2,172 Healthcare Highways — PPO: $2,172
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Shaving of shoulder bone using endoscope	$30,794	$7,699	$12,318 – $28,330
Shoulder arthroscopy: shaving of shoulder bone: 10 of 11 insurance plan rates Aetna — Commercial: $19,092 Blue Cross and Blue Shield of Texas — Blue Advantage: $15,397 Blue Cross and Blue Shield of Texas — Blue Essentials: $15,397 Blue Cross and Blue Shield of Texas — Commercial: $15,397 Cigna — Commercial: $12,318 First Health — PPO: $18,476 Healthcare Highways — PPO: $18,476 MultiPlan — PPO: $21,556 Prime Health — PPO: $27,715 Provider Select — PPO: $26,175
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Removal of one knee cartilage using an endoscope	$10,942	$2,736	$2,737 – $10,067
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $3,142 Aetna — Commercial: $6,784 Aetna — Medicare Advantage: $3,142 Blue Cross and Blue Shield of Texas — Blue Advantage: $5,471 Blue Cross and Blue Shield of Texas — Blue Essentials: $5,471 Blue Cross and Blue Shield of Texas — Commercial: $2,737 Blue Cross and Blue Shield of Texas — Medicare Advantage: $3,142 Cigna — Commercial: $4,377 First Health — PPO: $6,565 Healthcare Highways — PPO: $6,565
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Removal of tonsils and adenoid glands, patient younger than age 12	$708	$177	$283 – $6,253
Removal of tonsils and adenoids (under age 12): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $5,684 Aetna — Commercial: $439 Aetna — Medicare Advantage: $5,684 Blue Cross and Blue Shield of Texas — Blue Advantage: $354 Blue Cross and Blue Shield of Texas — Blue Essentials: $354 Blue Cross and Blue Shield of Texas — Commercial: $4,851 Blue Cross and Blue Shield of Texas — Medicare Advantage: $5,684 Cigna — Commercial: $283 First Health — PPO: $425 Healthcare Highways — PPO: $425
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Diagnostic exam of esophagus, stomach or small bowel using an endoscope	$7,004	$1,751	$786 – $6,444
Upper GI endoscopy (diagnostic): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $871 Aetna — Commercial: $4,342 Aetna — Medicare Advantage: $871 Blue Cross and Blue Shield of Texas — Blue Advantage: $3,502 Blue Cross and Blue Shield of Texas — Blue Essentials: $3,502 Blue Cross and Blue Shield of Texas — Commercial: $786 Blue Cross and Blue Shield of Texas — Medicare Advantage: $871 Cigna — Commercial: $2,802 First Health — PPO: $4,202 Healthcare Highways — PPO: $4,202
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Biopsy exam of esophagus, stomach or small bowel using an endoscope	$7,325	$1,831	$786 – $6,739
Upper GI endoscopy with biopsy: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $871 Aetna — Commercial: $4,542 Aetna — Medicare Advantage: $871 Blue Cross and Blue Shield of Texas — Blue Advantage: $3,663 Blue Cross and Blue Shield of Texas — Blue Essentials: $3,663 Blue Cross and Blue Shield of Texas — Commercial: $786 Blue Cross and Blue Shield of Texas — Medicare Advantage: $871 Cigna — Commercial: $2,930 First Health — PPO: $4,395 Healthcare Highways — PPO: $4,395
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using an endoscope	$6,723	$1,681	$764 – $6,185
Colonoscopy (diagnostic): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $893 Aetna — Commercial: $4,168 Aetna — Medicare Advantage: $893 Blue Cross and Blue Shield of Texas — Blue Advantage: $3,362 Blue Cross and Blue Shield of Texas — Blue Essentials: $3,362 Blue Cross and Blue Shield of Texas — Commercial: $764 Blue Cross and Blue Shield of Texas — Medicare Advantage: $893 Cigna — Commercial: $2,689 First Health — PPO: $4,034 Healthcare Highways — PPO: $4,034
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy exam of large bowel using an endoscope	$6,922	$1,731	$1,004 – $6,368
Colonoscopy with biopsy: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $1,149 Aetna — Commercial: $4,292 Aetna — Medicare Advantage: $1,149 Blue Cross and Blue Shield of Texas — Blue Advantage: $3,461 Blue Cross and Blue Shield of Texas — Blue Essentials: $3,461 Blue Cross and Blue Shield of Texas — Commercial: $1,004 Blue Cross and Blue Shield of Texas — Medicare Advantage: $1,149 Cigna — Commercial: $2,769 First Health — PPO: $4,153 Healthcare Highways — PPO: $4,153
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Removal of polyps or growths of large bowel using an endoscope	$7,513	$1,878	$1,004 – $6,912
Colonoscopy with removal of polyps (snare): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $1,149 Aetna — Commercial: $4,658 Aetna — Medicare Advantage: $1,149 Blue Cross and Blue Shield of Texas — Blue Advantage: $3,757 Blue Cross and Blue Shield of Texas — Blue Essentials: $3,757 Blue Cross and Blue Shield of Texas — Commercial: $1,004 Blue Cross and Blue Shield of Texas — Medicare Advantage: $1,149 Cigna — Commercial: $3,005 First Health — PPO: $4,508 Healthcare Highways — PPO: $4,508
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colorectal Cancer Screening; Colonoscopy	$470	$118	$188 – $982
Screening colonoscopy (not high risk): 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $893 Aetna — Commercial: $291 Aetna — Medicare Advantage: $893 Blue Cross and Blue Shield of Texas — Blue Advantage: $235 Blue Cross and Blue Shield of Texas — Blue Essentials: $235 Blue Cross and Blue Shield of Texas — Commercial: $764 Blue Cross and Blue Shield of Texas — Medicare Advantage: $893 Cigna — Commercial: $188 First Health — PPO: $282 Healthcare Highways — PPO: $282
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Removal of gallbladder using an endoscope	$14,411	$3,603	$4,834 – $13,258
Gallbladder removal by laparoscope: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $5,805 Aetna — Commercial: $8,935 Aetna — Medicare Advantage: $5,805 Blue Cross and Blue Shield of Texas — Blue Advantage: $7,206 Blue Cross and Blue Shield of Texas — Blue Essentials: $7,206 Blue Cross and Blue Shield of Texas — Commercial: $4,834 Blue Cross and Blue Shield of Texas — Medicare Advantage: $5,805 Cigna — Commercial: $5,764 First Health — PPO: $8,647 Healthcare Highways — PPO: $8,647
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair of groin hernia patient age 5 years or older	$19,279	$4,820	$3,109 – $17,737
Groin (inguinal) hernia repair, age 5 or older: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $3,438 Aetna — Commercial: $11,953 Aetna — Medicare Advantage: $3,438 Blue Cross and Blue Shield of Texas — Blue Advantage: $9,640 Blue Cross and Blue Shield of Texas — Blue Essentials: $9,640 Blue Cross and Blue Shield of Texas — Commercial: $3,109 Blue Cross and Blue Shield of Texas — Medicare Advantage: $3,438 Cigna — Commercial: $7,712 First Health — PPO: $11,567 Healthcare Highways — PPO: $11,567
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier 50 In the file: Repair of groin hernia patient age 5 years or older	$1,375	$344	$550 – $3,782
Groin (inguinal) hernia repair, age 5 or older: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $3,438 Aetna — Commercial: $853 Aetna — Medicare Advantage: $3,438 Blue Cross and Blue Shield of Texas — Blue Advantage: $688 Blue Cross and Blue Shield of Texas — Blue Essentials: $688 Blue Cross and Blue Shield of Texas — Commercial: $3,109 Blue Cross and Blue Shield of Texas — Medicare Advantage: $3,438 Cigna — Commercial: $550 First Health — PPO: $825 Healthcare Highways — PPO: $825
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy Biopsy	$651	$163	$260 – $3,419
Hysteroscopy with biopsy of the uterus lining: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $3,108 Aetna — Commercial: $404 Aetna — Medicare Advantage: $3,108 Blue Cross and Blue Shield of Texas — Blue Advantage: $326 Blue Cross and Blue Shield of Texas — Blue Essentials: $326 Blue Cross and Blue Shield of Texas — Commercial: $2,498 Blue Cross and Blue Shield of Texas — Medicare Advantage: $3,108 Cigna — Commercial: $260 First Health — PPO: $391 Healthcare Highways — PPO: $391
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection(s) of therapeutic substance	$1,222	$306	$489 – $1,124
Spinal injection, lower back (epidural), with imaging guidance: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $678 Aetna — Commercial: $758 Aetna — Medicare Advantage: $678 Blue Cross and Blue Shield of Texas — Blue Advantage: $611 Blue Cross and Blue Shield of Texas — Blue Essentials: $611 Blue Cross and Blue Shield of Texas — Commercial: $625 Blue Cross and Blue Shield of Texas — Medicare Advantage: $678 Cigna — Commercial: $489 First Health — PPO: $733 Healthcare Highways — PPO: $733
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection(s) of anesthetic into lower spine using imaging guidance	$526	$132	$210 – $934
Nerve root injection, lower back, with imaging guidance: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $849 Aetna — Commercial: $326 Aetna — Medicare Advantage: $849 Blue Cross and Blue Shield of Texas — Blue Advantage: $263 Blue Cross and Blue Shield of Texas — Blue Essentials: $263 Blue Cross and Blue Shield of Texas — Commercial: $812 Blue Cross and Blue Shield of Texas — Medicare Advantage: $849 Cigna — Commercial: $210 First Health — PPO: $316 Healthcare Highways — PPO: $316
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier 50 In the file: Injection(s) of anesthetic into lower spine using imaging guidance	$783	$196	$313 – $934
Nerve root injection, lower back, with imaging guidance: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $849 Aetna — Commercial: $485 Aetna — Medicare Advantage: $849 Blue Cross and Blue Shield of Texas — Blue Advantage: $392 Blue Cross and Blue Shield of Texas — Blue Essentials: $392 Blue Cross and Blue Shield of Texas — Commercial: $812 Blue Cross and Blue Shield of Texas — Medicare Advantage: $849 Cigna — Commercial: $313 First Health — PPO: $470 Healthcare Highways — PPO: $470
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty And/or Transposition; Median	$1,025	$256	$410 – $2,063
Carpal tunnel release: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $1,875 Aetna — Commercial: $636 Aetna — Medicare Advantage: $1,875 Blue Cross and Blue Shield of Texas — Blue Advantage: $513 Blue Cross and Blue Shield of Texas — Blue Essentials: $513 Blue Cross and Blue Shield of Texas — Commercial: $1,719 Blue Cross and Blue Shield of Texas — Medicare Advantage: $1,875 Cigna — Commercial: $410 First Health — PPO: $615 Healthcare Highways — PPO: $615
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Removal of cataract with insertion of lens	$7,552	$1,888	$2,022 – $6,948
Cataract removal with lens implant: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $2,216 Aetna — Commercial: $4,682 Aetna — Medicare Advantage: $2,216 Blue Cross and Blue Shield of Texas — Blue Advantage: $3,776 Blue Cross and Blue Shield of Texas — Blue Essentials: $3,776 Blue Cross and Blue Shield of Texas — Commercial: $2,022 Blue Cross and Blue Shield of Texas — Medicare Advantage: $2,216 Cigna — Commercial: $3,021 First Health — PPO: $4,531 Healthcare Highways — PPO: $4,531

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Obstetric care, planned vaginal delivery	$11,339	$2,835	$2,148 – $10,432
Vaginal delivery, with care before and after: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $2,148 Aetna — Commercial: $7,030 Aetna — Medicare Advantage: $2,148 Blue Cross and Blue Shield of Texas — Blue Advantage: $5,670 Blue Cross and Blue Shield of Texas — Blue Essentials: $5,670 Blue Cross and Blue Shield of Texas — Commercial: $2,178 Blue Cross and Blue Shield of Texas — Medicare Advantage: $2,148 Cigna — Commercial: $4,536 First Health — PPO: $6,803 Healthcare Highways — PPO: $6,803
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Obstetric care, planned cesarean delivery	$14,359	$3,590	$2,397 – $13,210
Cesarean delivery (C-section), with care before and after: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $2,397 Aetna — Commercial: $8,903 Aetna — Medicare Advantage: $2,397 Blue Cross and Blue Shield of Texas — Blue Advantage: $7,180 Blue Cross and Blue Shield of Texas — Blue Essentials: $7,180 Blue Cross and Blue Shield of Texas — Commercial: $2,415 Blue Cross and Blue Shield of Texas — Medicare Advantage: $2,397 Cigna — Commercial: $5,744 First Health — PPO: $8,615 Healthcare Highways — PPO: $8,615
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Obstetric care, planned vaginal delivery (post delivery by cesarean section)	$15,366	$3,842	$2,259 – $14,137
Vaginal delivery after a previous C-section, with care before and after: 10 of 27 insurance plan rates 90 Degree Benefits — PPO: $2,259 Aetna — Commercial: $9,527 Aetna — Medicare Advantage: $2,259 Blue Cross and Blue Shield of Texas — Blue Advantage: $7,683 Blue Cross and Blue Shield of Texas — Blue Essentials: $7,683 Blue Cross and Blue Shield of Texas — Commercial: $2,285 Blue Cross and Blue Shield of Texas — Medicare Advantage: $2,259 Cigna — Commercial: $6,146 First Health — PPO: $9,220 Healthcare Highways — PPO: $9,220

Source: North Texas Medical Center’s standard charges file (secure.claraprice.net, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 15, 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	1900 Hospital Blvd, Gainesville, TX 76240
County	Cooke County
State	Texas
Phone	(940) 612‑8600
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	450090
Name in Medicare records	NORTH TEXAS MEDICAL CENTER
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(940) 665‑1751^[4]
Official website	ntmconline.net
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.

North Texas Medical Center — ntmconline.net
Services - North Texas Medical Center — ntmconline.net
Patients & Visitors - North Texas Medical Center — ntmconline.net

North Texas Medical Center

Summary

Profile from official sources

At a glance