Does Ochiltree General Hospital have an emergency room?

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

Where is Ochiltree General Hospital?

3101 Garrett Drive, Perryton, TX 79070, in Ochiltree County, Texas.

What is the phone number of Ochiltree General Hospital?

(806) 435-3606, as listed by Medicare (CMS).

What is the Medicare star rating of Ochiltree General Hospital?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Ochiltree General Hospital — Phone, Address & ER

Quick answers

Does Ochiltree General Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Ochiltree General Hospital. In a medical emergency, call 911.
Where is Ochiltree General Hospital?: 3101 Garrett Drive, Perryton, TX 79070, in Ochiltree County, Texas.
What is the phone number of Ochiltree General Hospital?: (806) 435-3606, as listed by Medicare (CMS).
What is the Medicare star rating of Ochiltree General Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^{[4][5][6][9][10][12][14][16][17]}

Emergency medicine
General surgery
Orthopedic surgery
Women's health and obstetrics
Radiology
Pain management
Clinical laboratory
Physical therapy
Respiratory therapy
Behavioral health

Conditions treated^[9]

Fractures
Appendicitis
Hernias
Carpal tunnel syndrome
Trigger finger
Ganglion cysts
Tennis elbow

Treatments^{[4][5][6][9][10][12][15][17]}

Physical therapy
Occupational therapy
Speech therapy
Respiratory therapy
Swing bed care
Home health and hospice
Epidural anesthesia for labor
Laparoscopic surgery
Gallbladder surgery
Upper endoscopy (EGD)
Colonoscopy
Hernia surgery
Bowel surgery
Thyroid surgery
Emergency surgery
Hip and knee surgery
Total joint reconstruction
Arthroscopic rotator cuff repair
Arthroscopic shoulder stabilization
Anterior cruciate ligament (ACL) reconstruction
Meniscus repair or meniscectomy
Mediport placement and removal
Skin and soft tissue excision
Select breast surgery
Computed tomography (CT) scan
Digital X-ray
Ultrasound
Magnetic resonance imaging (MRI)
3D digital mammography
Bone density scan
Laboratory testing
BreathID breath test for H. pylori
Labor and delivery
Cesarean birth
Natural childbirth
Newborn screening
Breastfeeding consultation

Procedures^[9][10]

Laparoscopic surgery
Gallbladder removal
Upper endoscopy and colonoscopy
Hernia repair
Appendix surgery
Thyroid surgery
Total hip, knee and shoulder replacement
Arthroscopic rotator cuff repair
ACL reconstruction
Meniscus repair
Carpal tunnel treatment
Fracture care
Cesarean birth
Labor and delivery

Programs and centers^{[5][10][11][12][13]}

The Crossroads Program: Adult Behavioral Health
Women's Health and Obstetric Services
Lactation counseling program
Prenatal seminars
Perryton Health Center
Social services
Medicare benefits counseling
Advance directive assistance
OGH Home Health and Hospice
Emergency medical services

Emergency care (hospital website)^[6][12]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level IV

Visiting and practical information

Visiting	Visitors generally allowed 7 a.m.-9 p.m., with exceptions for illness, age and outbreaks^[7]
Patient portal	Ochiltree General Hospital Patient Portal (MyCareCorner)

Recognition^[6]

State-certified Level IV Trauma Center

Doctors and clinicians (51)

51 doctors and other clinicians list Ochiltree General 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 (51)

Alyce A. Morton, NPNurse Practitioner
Amber B. Soto, PAPhysician Assistant
Anita Ravipati, MDHematology/Oncology
Ansab Haider, MDVascular Surgery
Antonio Flores, DOHospitalist
April Oliver, NPNurse Practitioner
Assadour K. Assadourian, MDCardiovascular Disease (Cardiology)
Benny L. Barnhart, MDPsychiatry
Blake A. Dewitt, MDFamily Practice
Bo T. Neichoy, MDGeneral Surgery
Carlos L. Flores, PAPhysician Assistant
Casey McGarraugh, PAPhysician Assistant
Constantine K. Saadeh, MDRheumatology
Daniel J. Hendrick, MDNephrology
David M. Wilhelm, MDUrology
Deirdre V. Floyd, NPNurse Practitioner
Donald G. Soya, MDCardiovascular Disease (Cardiology)
George A. Cook, MDFamily Practice
Gorden D. Potter Iii, MDOrthopedic Surgery
Jade G. Anderson, MDMedical Oncology
James R. Lemert Jr., MDUrology
James R. Parker, MDOrthopedic Surgery
James T. Osteen, MDHematology/Oncology
Javed Shinwari, MDHematology/Oncology

And 27 more: the button below opens the full list.

Other emergency rooms nearby

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

Hansford County Hospital26 mi · Spearman, TX · Critical Access Hospital
Beaver County Memorial Hospital27 mi · Beaver, OK · Critical Access Hospital
Hemphill County Hospital40 mi · Canadian, TX · Critical Access Hospital
Memorial Hospital of Texas County Authority44 mi · Guymon, OK · Critical Access Hospital
Southwest Medical Center48 mi · Liberal, KS · Acute Care Hospital

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Perryton

Newman Memorial Hospital52 mi · Shattuck, OK · Critical Access Hospital

Hospitals in Ochiltree County · Hospitals near me

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

Capstone Healthcare of Perryton0.0 mi · Perryton, TX · 5 of 5 stars
Twin Oaks Manor16 mi · Booker, TX · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Hospice of Ochiltree General Hospital9.3 mi · Perryton, TX
Hansford Hospice25 mi · Spearman, TX

All hospice providers in the state →

Home health agencies

Ochiltree General Hospital Home Health Care Department9.3 mi · Perryton, TX · 2.5 of 5 stars

All home health agencies 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

Perryton Health Center9.3 mi · Perryton, TX · Rural health clinic
Teare Memorial Clinic16 mi · Booker, TX · Rural health clinic
Family Medical Clinic of Hansford County25 mi · Spearman, TX · Rural health clinic

Pharmacies

Reds Pharmacy LLC9.3 mi · Perryton, TX · Community/retail pharmacy
United Supermarkets LLC9.3 mi · Perryton, TX · Community/retail pharmacy
United Supermarkets, Ltd.9.3 mi · Perryton, TX · Community/retail pharmacy

Assisted living nearby

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

The Seasons Assisted Living9.3 mi · Perryton, 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 Ochiltree General 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.

Rated the hospital 9 or 10 out of 10	81%National average: 72%
Would definitely recommend the hospital	81%National average: 71%
Nurses “always” communicated well	79%National average: 80%
Doctors “always” communicated well	85%National average: 80%
“Always” got help as soon as they wanted	74%National average: 64%
Staff “always” explained medicines before giving them	64%National average: 62%
Were given information about recovery at home	94%National average: 86%
Room and bathroom “always” clean	92%National average: 73%
Not reported to Medicare	Summary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys	39Response rate: 15%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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: pneumonia patients	18.7%
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90)
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: heart failure patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients; Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)	17%
Readmitted within 30 days: pneumonia	16.7%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery
Too few cases to report	Readmitted within 30 days: heart attack; Readmitted within 30 days: heart failure; Readmitted within 30 days: COPD; Readmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	92 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Too few cases to report	Sepsis patients who got all the recommended early care (SEP-1)

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

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 63 common services exactly as Ochiltree General 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 →

Show the prices of 63 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit, 30 min	$198	$139	$61 – $178
New patient office visit (about 30–44 minutes): rates for 9 insurance plans Aetna — Commercial: $168 Aetna — Medicare Advantage: $97 Blue Cross Blue Shield of Texas — Commercial: $178 Blue Cross Blue Shield of Texas — PPO: $178 Cigna — Commercial: $178 FirstCare — Commercial: $178 Humana — Medicare Advantage: $97 Superior Health Plan — Commercial: $97 United Healthcare — Commercial: $61
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	$272	$190	$108 – $245
New patient office visit (about 45–59 minutes): rates for 9 insurance plans Aetna — Commercial: $231 Aetna — Medicare Advantage: $133 Blue Cross Blue Shield of Texas — Commercial: $245 Blue Cross Blue Shield of Texas — PPO: $245 Cigna — Commercial: $245 FirstCare — Commercial: $245 Humana — Medicare Advantage: $133 Superior Health Plan — Commercial: $133 United Healthcare — Commercial: $108
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	$343	$240	$141 – $309
New patient office visit (about 60–74 minutes): rates for 9 insurance plans Aetna — Commercial: $292 Aetna — Medicare Advantage: $168 Blue Cross Blue Shield of Texas — Commercial: $309 Blue Cross Blue Shield of Texas — PPO: $309 Cigna — Commercial: $309 FirstCare — Commercial: $309 Humana — Medicare Advantage: $168 Superior Health Plan — Commercial: $168 United Healthcare — Commercial: $141
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Est Visit Limited	$144	$101	$43 – $130
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans Aetna — Commercial: $122 Aetna — Medicare Advantage: $71 Blue Cross Blue Shield of Texas — Commercial: $130 Blue Cross Blue Shield of Texas — PPO: $130 Cigna — Commercial: $130 FirstCare — Commercial: $130 Humana — Medicare Advantage: $71 Superior Health Plan — Commercial: $71 United Healthcare — Commercial: $43
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Est Visit-intermediate	$186	$130	$68 – $167
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans Aetna — Commercial: $158 Aetna — Medicare Advantage: $91 Blue Cross Blue Shield of Texas — Commercial: $167 Blue Cross Blue Shield of Texas — PPO: $167 Cigna — Commercial: $167 FirstCare — Commercial: $167 Humana — Medicare Advantage: $91 Superior Health Plan — Commercial: $91 United Healthcare — Commercial: $68
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)	$272	$190	$133 – $245
Preventive checkup, new patient, age 18–39: rates for 8 insurance plans Aetna — Commercial: $231 Aetna — Medicare Advantage: $133 Blue Cross Blue Shield of Texas — Commercial: $245 Blue Cross Blue Shield of Texas — PPO: $245 Cigna — Commercial: $245 FirstCare — Commercial: $245 Humana — Medicare Advantage: $133 Superior Health Plan — Commercial: $133
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)	$272	$190	$133 – $245
Preventive checkup, new patient, age 40–64: rates for 8 insurance plans Aetna — Commercial: $231 Aetna — Medicare Advantage: $133 Blue Cross Blue Shield of Texas — Commercial: $245 Blue Cross Blue Shield of Texas — PPO: $245 Cigna — Commercial: $245 FirstCare — Commercial: $245 Humana — Medicare Advantage: $133 Superior Health Plan — Commercial: $133
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Er Level Iii	$695	$486	$52 – $626
Emergency room visit (moderate): rates for 9 insurance plans Aetna — Commercial: $591 Aetna — Medicare Advantage: $341 Blue Cross Blue Shield of Texas — Commercial: $626 Blue Cross Blue Shield of Texas — PPO: $626 Cigna — Commercial: $626 FirstCare — Commercial: $626 Humana — Medicare Advantage: $341 Superior Health Plan — Commercial: $341 United Healthcare — Commercial: $52
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Er Physicians Level 3	$425	$298	$68 – $383
Emergency room visit (moderate): rates for 8 insurance plans Aetna — Commercial: $361 Aetna — Medicare Advantage: $68 Blue Cross Blue Shield of Texas — Commercial: $383 Blue Cross Blue Shield of Texas — PPO: $383 Cigna — Commercial: $383 FirstCare — Commercial: $383 Humana — Medicare Advantage: $68 Superior Health Plan — Commercial: $68
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Er Level Iv	$1,065	$746	$99 – $959
Emergency room visit (moderately high): rates for 9 insurance plans Aetna — Commercial: $905 Aetna — Medicare Advantage: $522 Blue Cross Blue Shield of Texas — Commercial: $959 Blue Cross Blue Shield of Texas — PPO: $959 Cigna — Commercial: $959 FirstCare — Commercial: $959 Humana — Medicare Advantage: $522 Superior Health Plan — Commercial: $522 United Healthcare — Commercial: $99
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Er Physician Level Iv	$688	$482	$116 – $619
Emergency room visit (moderately high): rates for 8 insurance plans Aetna — Commercial: $585 Aetna — Medicare Advantage: $116 Blue Cross Blue Shield of Texas — Commercial: $619 Blue Cross Blue Shield of Texas — PPO: $619 Cigna — Commercial: $619 FirstCare — Commercial: $619 Humana — Medicare Advantage: $116 Superior Health Plan — Commercial: $116
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Er Level V	$1,530	$1,071	$146 – $1,377
Emergency room visit (high): rates for 9 insurance plans Aetna — Commercial: $1,301 Aetna — Medicare Advantage: $750 Blue Cross Blue Shield of Texas — Commercial: $1,377 Blue Cross Blue Shield of Texas — PPO: $1,377 Cigna — Commercial: $1,377 FirstCare — Commercial: $1,377 Humana — Medicare Advantage: $750 Superior Health Plan — Commercial: $750 United Healthcare — Commercial: $146
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Er Physicians Level 5	$918	$643	$169 – $826
Emergency room visit (high): rates for 8 insurance plans Aetna — Commercial: $780 Aetna — Medicare Advantage: $169 Blue Cross Blue Shield of Texas — Commercial: $826 Blue Cross Blue Shield of Texas — PPO: $826 Cigna — Commercial: $826 FirstCare — Commercial: $826 Humana — Medicare Advantage: $169 Superior Health Plan — Commercial: $169

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	$143	$100	$70 – $129
Basic metabolic panel (blood test): rates for 8 insurance plans Aetna — Commercial: $122 Aetna — Medicare Advantage: $70 Blue Cross Blue Shield of Texas — Commercial: $129 Blue Cross Blue Shield of Texas — PPO: $129 Cigna — Commercial: $129 FirstCare — Commercial: $129 Humana — Medicare Advantage: $70 Superior Health Plan — Commercial: $70
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals	$204	$143	$100 – $184
Comprehensive metabolic panel (blood test): rates for 8 insurance plans Aetna — Commercial: $173 Aetna — Medicare Advantage: $100 Blue Cross Blue Shield of Texas — Commercial: $184 Blue Cross Blue Shield of Texas — PPO: $184 Cigna — Commercial: $184 FirstCare — Commercial: $184 Humana — Medicare Advantage: $100 Superior Health Plan — Commercial: $100
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric blood test panel	$789	$552	$387 – $710
Obstetric blood test panel: rates for 8 insurance plans Aetna — Commercial: $671 Aetna — Medicare Advantage: $387 Blue Cross Blue Shield of Texas — Commercial: $710 Blue Cross Blue Shield of Texas — PPO: $710 Cigna — Commercial: $710 FirstCare — Commercial: $710 Humana — Medicare Advantage: $387 Superior Health Plan — Commercial: $387
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids	$250	$175	$123 – $225
Cholesterol panel (lipid panel): rates for 8 insurance plans Aetna — Commercial: $213 Aetna — Medicare Advantage: $123 Blue Cross Blue Shield of Texas — Commercial: $225 Blue Cross Blue Shield of Texas — PPO: $225 Cigna — Commercial: $225 FirstCare — Commercial: $225 Humana — Medicare Advantage: $123 Superior Health Plan — Commercial: $123
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function panel test	$144	$101	$71 – $130
Kidney function panel: rates for 8 insurance plans Aetna — Commercial: $122 Aetna — Medicare Advantage: $71 Blue Cross Blue Shield of Texas — Commercial: $130 Blue Cross Blue Shield of Texas — PPO: $130 Cigna — Commercial: $130 FirstCare — Commercial: $130 Humana — Medicare Advantage: $71 Superior Health Plan — Commercial: $71
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test	$163	$114	$80 – $147
Liver function panel: rates for 8 insurance plans Aetna — Commercial: $139 Aetna — Medicare Advantage: $80 Blue Cross Blue Shield of Texas — Commercial: $147 Blue Cross Blue Shield of Texas — PPO: $147 Cigna — Commercial: $147 FirstCare — Commercial: $147 Humana — Medicare Advantage: $80 Superior Health Plan — Commercial: $80
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis test using microscope	$63	$44	$31 – $57
Urine test (automated, with microscope): rates for 8 insurance plans Aetna — Commercial: $54 Aetna — Medicare Advantage: $31 Blue Cross Blue Shield of Texas — Commercial: $57 Blue Cross Blue Shield of Texas — PPO: $57 Cigna — Commercial: $57 FirstCare — Commercial: $57 Humana — Medicare Advantage: $31 Superior Health Plan — Commercial: $31
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis test	$26	$18	$13 – $23
Urine test (manual, without microscope): rates for 8 insurance plans Aetna — Commercial: $22 Aetna — Medicare Advantage: $13 Blue Cross Blue Shield of Texas — Commercial: $23 Blue Cross Blue Shield of Texas — PPO: $23 Cigna — Commercial: $23 FirstCare — Commercial: $23 Humana — Medicare Advantage: $13 Superior Health Plan — Commercial: $13
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis test	$33	$23	$16 – $30
Urine test (automated, without microscope): rates for 8 insurance plans Aetna — Commercial: $28 Aetna — Medicare Advantage: $16 Blue Cross Blue Shield of Texas — Commercial: $30 Blue Cross Blue Shield of Texas — PPO: $30 Cigna — Commercial: $30 FirstCare — Commercial: $30 Humana — Medicare Advantage: $16 Superior Health Plan — Commercial: $16
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Total prostate-specific antigen (PSA) test	$203	$142	$99 – $183
PSA (prostate specific antigen) blood test: rates for 8 insurance plans Aetna — Commercial: $173 Aetna — Medicare Advantage: $99 Blue Cross Blue Shield of Texas — Commercial: $183 Blue Cross Blue Shield of Texas — PPO: $183 Cigna — Commercial: $183 FirstCare — Commercial: $183 Humana — Medicare Advantage: $99 Superior Health Plan — Commercial: $99
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH)	$140	$98	$69 – $126
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans Aetna — Commercial: $119 Aetna — Medicare Advantage: $69 Blue Cross Blue Shield of Texas — Commercial: $126 Blue Cross Blue Shield of Texas — PPO: $126 Cigna — Commercial: $126 FirstCare — Commercial: $126 Humana — Medicare Advantage: $69 Superior Health Plan — Commercial: $69
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	$100	$70	$49 – $90
Complete blood count (CBC) with differential: rates for 8 insurance plans Aetna — Commercial: $85 Aetna — Medicare Advantage: $49 Blue Cross Blue Shield of Texas — Commercial: $90 Blue Cross Blue Shield of Texas — PPO: $90 Cigna — Commercial: $90 FirstCare — Commercial: $90 Humana — Medicare Advantage: $49 Superior Health Plan — Commercial: $49
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · modifier 91 In the file: Complete blood cell count (CBC), with differential white blood cells, automated	$50	$35	$25 – $45
Complete blood count (CBC) with differential: rates for 8 insurance plans Aetna — Commercial: $43 Aetna — Medicare Advantage: $25 Blue Cross Blue Shield of Texas — Commercial: $45 Blue Cross Blue Shield of Texas — PPO: $45 Cigna — Commercial: $45 FirstCare — Commercial: $45 Humana — Medicare Advantage: $25 Superior Health Plan — Commercial: $25
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time	$77	$54	$38 – $69
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans Aetna — Commercial: $65 Aetna — Medicare Advantage: $38 Blue Cross Blue Shield of Texas — Commercial: $69 Blue Cross Blue Shield of Texas — PPO: $69 Cigna — Commercial: $69 FirstCare — Commercial: $69 Humana — Medicare Advantage: $38 Superior Health Plan — Commercial: $38
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test	$90	$63	$44 – $81
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans Aetna — Commercial: $77 Aetna — Medicare Advantage: $44 Blue Cross Blue Shield of Texas — Commercial: $81 Blue Cross Blue Shield of Texas — PPO: $81 Cigna — Commercial: $81 FirstCare — Commercial: $81 Humana — Medicare Advantage: $44 Superior Health Plan — Commercial: $44

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) · modifier TC In the file: CT scan	$1,436	$1,005	$704 – $1,292
CT scan of the head or brain, without contrast: rates for 8 insurance plans Aetna — Commercial: $1,221 Aetna — Medicare Advantage: $704 Blue Cross Blue Shield of Texas — Commercial: $1,292 Blue Cross Blue Shield of Texas — PPO: $1,292 Cigna — Commercial: $1,292 FirstCare — Commercial: $1,292 Humana — Medicare Advantage: $704 Superior Health Plan — Commercial: $704
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier 26 In the file: CT scan	$340	$238	$39 – $306
CT scan of the head or brain, without contrast: rates for 8 insurance plans Aetna — Commercial: $289 Aetna — Medicare Advantage: $39 Blue Cross Blue Shield of Texas — Commercial: $306 Blue Cross Blue Shield of Texas — PPO: $306 Cigna — Commercial: $306 FirstCare — Commercial: $306 Humana — Medicare Advantage: $39 Superior Health Plan — Commercial: $39
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier TC In the file: MRI Scan	$4,951	$3,466	$2,426 – $4,456
MRI of the brain, before and after contrast: rates for 8 insurance plans Aetna — Commercial: $4,208 Aetna — Medicare Advantage: $2,426 Blue Cross Blue Shield of Texas — Commercial: $4,456 Blue Cross Blue Shield of Texas — PPO: $4,456 Cigna — Commercial: $4,456 FirstCare — Commercial: $4,456 Humana — Medicare Advantage: $2,426 Superior Health Plan — Commercial: $2,426
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier 26 In the file: MRI Scan	$797	$558	$103 – $717
MRI of the brain, before and after contrast: rates for 8 insurance plans Aetna — Commercial: $677 Aetna — Medicare Advantage: $103 Blue Cross Blue Shield of Texas — Commercial: $717 Blue Cross Blue Shield of Texas — PPO: $717 Cigna — Commercial: $717 FirstCare — Commercial: $717 Humana — Medicare Advantage: $103 Superior Health Plan — Commercial: $103
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Pro Chest 2 View	$74	$52	$32 – $67
Chest X-ray, 2 views: rates for 8 insurance plans Aetna — Commercial: $63 Aetna — Medicare Advantage: $32 Blue Cross Blue Shield of Texas — Commercial: $67 Blue Cross Blue Shield of Texas — PPO: $67 Cigna — Commercial: $67 FirstCare — Commercial: $67 Humana — Medicare Advantage: $32 Superior Health Plan — Commercial: $32
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier TC In the file: Chest 2 Views	$277	$194	$136 – $249
Chest X-ray, 2 views: rates for 8 insurance plans Aetna — Commercial: $235 Aetna — Medicare Advantage: $136 Blue Cross Blue Shield of Texas — Commercial: $249 Blue Cross Blue Shield of Texas — PPO: $249 Cigna — Commercial: $249 FirstCare — Commercial: $249 Humana — Medicare Advantage: $136 Superior Health Plan — Commercial: $136
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier TC In the file: X-Ray of lower back	$444	$311	$218 – $400
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans Aetna — Commercial: $377 Aetna — Medicare Advantage: $218 Blue Cross Blue Shield of Texas — Commercial: $400 Blue Cross Blue Shield of Texas — PPO: $400 Cigna — Commercial: $400 FirstCare — Commercial: $400 Humana — Medicare Advantage: $218 Superior Health Plan — Commercial: $218
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier 26 In the file: X-Ray of lower back	$109	$76	$12 – $98
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans Aetna — Commercial: $93 Aetna — Medicare Advantage: $12 Blue Cross Blue Shield of Texas — Commercial: $98 Blue Cross Blue Shield of Texas — PPO: $98 Cigna — Commercial: $98 FirstCare — Commercial: $98 Humana — Medicare Advantage: $12 Superior Health Plan — Commercial: $12
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier TC In the file: MRI scan of lower spinal canal	$3,601	$2,521	$1,764 – $3,241
MRI of the lower back (lumbar spine), without contrast: rates for 8 insurance plans Aetna — Commercial: $3,061 Aetna — Medicare Advantage: $1,764 Blue Cross Blue Shield of Texas — Commercial: $3,241 Blue Cross Blue Shield of Texas — PPO: $3,241 Cigna — Commercial: $3,241 FirstCare — Commercial: $3,241 Humana — Medicare Advantage: $1,764 Superior Health Plan — Commercial: $1,764
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier 26 In the file: MRI scan of lower spinal canal	$504	$353	$67 – $454
MRI of the lower back (lumbar spine), without contrast: rates for 8 insurance plans Aetna — Commercial: $428 Aetna — Medicare Advantage: $67 Blue Cross Blue Shield of Texas — Commercial: $454 Blue Cross Blue Shield of Texas — PPO: $454 Cigna — Commercial: $454 FirstCare — Commercial: $454 Humana — Medicare Advantage: $67 Superior Health Plan — Commercial: $67
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier TC In the file: CT scan of pelvis with contrast	$1,450	$1,015	$711 – $1,305
CT scan of the pelvis, with contrast: rates for 8 insurance plans Aetna — Commercial: $1,233 Aetna — Medicare Advantage: $711 Blue Cross Blue Shield of Texas — Commercial: $1,305 Blue Cross Blue Shield of Texas — PPO: $1,305 Cigna — Commercial: $1,305 FirstCare — Commercial: $1,305 Humana — Medicare Advantage: $711 Superior Health Plan — Commercial: $711
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier 26 In the file: CT scan of pelvis with contrast	$392	$274	$53 – $353
CT scan of the pelvis, with contrast: rates for 8 insurance plans Aetna — Commercial: $333 Aetna — Medicare Advantage: $53 Blue Cross Blue Shield of Texas — Commercial: $353 Blue Cross Blue Shield of Texas — PPO: $353 Cigna — Commercial: $353 FirstCare — Commercial: $353 Humana — Medicare Advantage: $53 Superior Health Plan — Commercial: $53
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier RT In the file: MRI scan of leg joint	$2,986	$2,090	$1,463 – $2,687
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans Aetna — Commercial: $2,538 Aetna — Medicare Advantage: $1,463 Blue Cross Blue Shield of Texas — Commercial: $2,687 Blue Cross Blue Shield of Texas — PPO: $2,687 Cigna — Commercial: $2,687 FirstCare — Commercial: $2,687 Humana — Medicare Advantage: $1,463 Superior Health Plan — Commercial: $1,463
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier 26 In the file: MRI scan of leg joint	$490	$343	$62 – $441
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans Aetna — Commercial: $417 Aetna — Medicare Advantage: $62 Blue Cross Blue Shield of Texas — Commercial: $441 Blue Cross Blue Shield of Texas — PPO: $441 Cigna — Commercial: $441 FirstCare — Commercial: $441 Humana — Medicare Advantage: $62 Superior Health Plan — Commercial: $62
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier LT In the file: MRI scan of leg joint	$2,986	$2,090	$1,463 – $2,687
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans Aetna — Commercial: $2,538 Aetna — Medicare Advantage: $1,463 Blue Cross Blue Shield of Texas — Commercial: $2,687 Blue Cross Blue Shield of Texas — PPO: $2,687 Cigna — Commercial: $2,687 FirstCare — Commercial: $2,687 Humana — Medicare Advantage: $1,463 Superior Health Plan — Commercial: $1,463
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier TC In the file: CT scan of abdomen and pelvis with contrast	$3,128	$2,190	$1,533 – $2,815
CT scan of the abdomen and pelvis, with contrast: rates for 8 insurance plans Aetna — Commercial: $2,659 Aetna — Medicare Advantage: $1,533 Blue Cross Blue Shield of Texas — Commercial: $2,815 Blue Cross Blue Shield of Texas — PPO: $2,815 Cigna — Commercial: $2,815 FirstCare — Commercial: $2,815 Humana — Medicare Advantage: $1,533 Superior Health Plan — Commercial: $1,533
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier 26 In the file: CT scan of abdomen and pelvis with contrast	$614	$430	$82 – $553
CT scan of the abdomen and pelvis, with contrast: rates for 8 insurance plans Aetna — Commercial: $522 Aetna — Medicare Advantage: $82 Blue Cross Blue Shield of Texas — Commercial: $553 Blue Cross Blue Shield of Texas — PPO: $553 Cigna — Commercial: $553 FirstCare — Commercial: $553 Humana — Medicare Advantage: $82 Superior Health Plan — Commercial: $82
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier TC In the file: Ultrasound of abdomen	$650	$455	$319 – $585
Ultrasound of the abdomen, complete: rates for 8 insurance plans Aetna — Commercial: $553 Aetna — Medicare Advantage: $319 Blue Cross Blue Shield of Texas — Commercial: $585 Blue Cross Blue Shield of Texas — PPO: $585 Cigna — Commercial: $585 FirstCare — Commercial: $585 Humana — Medicare Advantage: $319 Superior Health Plan — Commercial: $319
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier 26 In the file: Ultrasound of abdomen	$274	$192	$37 – $247
Ultrasound of the abdomen, complete: rates for 8 insurance plans Aetna — Commercial: $233 Aetna — Medicare Advantage: $37 Blue Cross Blue Shield of Texas — Commercial: $247 Blue Cross Blue Shield of Texas — PPO: $247 Cigna — Commercial: $247 FirstCare — Commercial: $247 Humana — Medicare Advantage: $37 Superior Health Plan — Commercial: $37
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier TC In the file: Abdomial ultrasound of pregnant uterus	$844	$591	$414 – $760
Pregnancy ultrasound (after the first trimester): rates for 8 insurance plans Aetna — Commercial: $717 Aetna — Medicare Advantage: $414 Blue Cross Blue Shield of Texas — Commercial: $760 Blue Cross Blue Shield of Texas — PPO: $760 Cigna — Commercial: $760 FirstCare — Commercial: $760 Humana — Medicare Advantage: $414 Superior Health Plan — Commercial: $414
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier 26 In the file: Abdomial ultrasound of pregnant uterus	$338	$237	$46 – $304
Pregnancy ultrasound (after the first trimester): rates for 8 insurance plans Aetna — Commercial: $287 Aetna — Medicare Advantage: $46 Blue Cross Blue Shield of Texas — Commercial: $304 Blue Cross Blue Shield of Texas — PPO: $304 Cigna — Commercial: $304 FirstCare — Commercial: $304 Humana — Medicare Advantage: $46 Superior Health Plan — Commercial: $46
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier TC In the file: Ultrasound pelvis through vagina	$520	$364	$255 – $468
Transvaginal ultrasound: rates for 8 insurance plans Aetna — Commercial: $442 Aetna — Medicare Advantage: $255 Blue Cross Blue Shield of Texas — Commercial: $468 Blue Cross Blue Shield of Texas — PPO: $468 Cigna — Commercial: $468 FirstCare — Commercial: $468 Humana — Medicare Advantage: $255 Superior Health Plan — Commercial: $255
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier 26 In the file: Ultrasound pelvis through vagina	$236	$165	$32 – $212
Transvaginal ultrasound: rates for 8 insurance plans Aetna — Commercial: $201 Aetna — Medicare Advantage: $32 Blue Cross Blue Shield of Texas — Commercial: $212 Blue Cross Blue Shield of Texas — PPO: $212 Cigna — Commercial: $212 FirstCare — Commercial: $212 Humana — Medicare Advantage: $32 Superior Health Plan — Commercial: $32
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier TC In the file: Mammography of one breast	$470	$329	$230 – $423
Diagnostic mammogram, one breast: rates for 8 insurance plans Aetna — Commercial: $400 Aetna — Medicare Advantage: $230 Blue Cross Blue Shield of Texas — Commercial: $423 Blue Cross Blue Shield of Texas — PPO: $423 Cigna — Commercial: $423 FirstCare — Commercial: $423 Humana — Medicare Advantage: $230 Superior Health Plan — Commercial: $230
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier 26 In the file: Mammography of one breast	$220	$154	$37 – $198
Diagnostic mammogram, one breast: rates for 8 insurance plans Aetna — Commercial: $187 Aetna — Medicare Advantage: $37 Blue Cross Blue Shield of Texas — Commercial: $198 Blue Cross Blue Shield of Texas — PPO: $198 Cigna — Commercial: $198 FirstCare — Commercial: $198 Humana — Medicare Advantage: $37 Superior Health Plan — Commercial: $37
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier TC In the file: Mammography of both breasts	$552	$386	$270 – $497
Diagnostic mammogram, both breasts: rates for 8 insurance plans Aetna — Commercial: $469 Aetna — Medicare Advantage: $270 Blue Cross Blue Shield of Texas — Commercial: $497 Blue Cross Blue Shield of Texas — PPO: $497 Cigna — Commercial: $497 FirstCare — Commercial: $497 Humana — Medicare Advantage: $270 Superior Health Plan — Commercial: $270
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier 26 In the file: Pro Mm 2d Diagnostic Bilateral	$220	$154	$46 – $198
Diagnostic mammogram, both breasts: rates for 8 insurance plans Aetna — Commercial: $187 Aetna — Medicare Advantage: $46 Blue Cross Blue Shield of Texas — Commercial: $198 Blue Cross Blue Shield of Texas — PPO: $198 Cigna — Commercial: $198 FirstCare — Commercial: $198 Humana — Medicare Advantage: $46 Superior Health Plan — Commercial: $46
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier TC In the file: Mammography, screening, bilateral	$412	$288	$202 – $371
Screening mammogram, both breasts: rates for 8 insurance plans Aetna — Commercial: $350 Aetna — Medicare Advantage: $202 Blue Cross Blue Shield of Texas — Commercial: $371 Blue Cross Blue Shield of Texas — PPO: $371 Cigna — Commercial: $371 FirstCare — Commercial: $371 Humana — Medicare Advantage: $202 Superior Health Plan — Commercial: $202
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier 26 In the file: Mammography, screening, bilateral	$220	$154	$34 – $198
Screening mammogram, both breasts: rates for 8 insurance plans Aetna — Commercial: $187 Aetna — Medicare Advantage: $34 Blue Cross Blue Shield of Texas — Commercial: $198 Blue Cross Blue Shield of Texas — PPO: $198 Cigna — Commercial: $198 FirstCare — Commercial: $198 Humana — Medicare Advantage: $34 Superior Health Plan — Commercial: $34

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	$338	$237	$166 – $304
Electrocardiogram (ECG/EKG) with reading: rates for 8 insurance plans Aetna — Commercial: $287 Aetna — Medicare Advantage: $166 Blue Cross Blue Shield of Texas — Commercial: $304 Blue Cross Blue Shield of Texas — PPO: $304 Cigna — Commercial: $304 FirstCare — Commercial: $304 Humana — Medicare Advantage: $166 Superior Health Plan — Commercial: $166
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Sleep study	$3,925	$2,748	$1,923 – $3,533
Sleep study (overnight, in a sleep lab): rates for 8 insurance plans Aetna — Commercial: $3,336 Aetna — Medicare Advantage: $1,923 Blue Cross Blue Shield of Texas — Commercial: $3,533 Blue Cross Blue Shield of Texas — PPO: $3,533 Cigna — Commercial: $3,533 FirstCare — Commercial: $3,533 Humana — Medicare Advantage: $1,923 Superior Health Plan — Commercial: $1,923

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) · modifier GP In the file: Physical therapy, therapeutic exercise	$156	$109	$76 – $140
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans Aetna — Commercial: $133 Aetna — Medicare Advantage: $76 Blue Cross Blue Shield of Texas — Commercial: $140 Blue Cross Blue Shield of Texas — PPO: $140 Cigna — Commercial: $140 FirstCare — Commercial: $140 Humana — Medicare Advantage: $76 Superior Health Plan — Commercial: $76
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: Physical therapy, therapeutic exercise	$156	$109	$76 – $140
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans Aetna — Commercial: $133 Aetna — Medicare Advantage: $76 Blue Cross Blue Shield of Texas — Commercial: $140 Blue Cross Blue Shield of Texas — PPO: $140 Cigna — Commercial: $140 FirstCare — Commercial: $140 Humana — Medicare Advantage: $76 Superior Health Plan — Commercial: $76
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier CO In the file: Physical therapy, therapeutic exercise	$156	$109	$76 – $140
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans Aetna — Commercial: $133 Aetna — Medicare Advantage: $76 Blue Cross Blue Shield of Texas — Commercial: $140 Blue Cross Blue Shield of Texas — PPO: $140 Cigna — Commercial: $140 FirstCare — Commercial: $140 Humana — Medicare Advantage: $76 Superior Health Plan — Commercial: $76
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: Pt Evaluate Low Complexity	$270	$189	$132 – $243
Physical therapy evaluation (low complexity): rates for 8 insurance plans Aetna — Commercial: $230 Aetna — Medicare Advantage: $132 Blue Cross Blue Shield of Texas — Commercial: $243 Blue Cross Blue Shield of Texas — PPO: $243 Cigna — Commercial: $243 FirstCare — Commercial: $243 Humana — Medicare Advantage: $132 Superior Health Plan — Commercial: $132
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: Pt Evaluate Mod Complexity	$287	$201	$141 – $258
Physical therapy evaluation (moderate complexity): rates for 8 insurance plans Aetna — Commercial: $244 Aetna — Medicare Advantage: $141 Blue Cross Blue Shield of Texas — Commercial: $258 Blue Cross Blue Shield of Texas — PPO: $258 Cigna — Commercial: $258 FirstCare — Commercial: $258 Humana — Medicare Advantage: $141 Superior Health Plan — Commercial: $141
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: Pt Evaluate High Complexity	$308	$216	$151 – $277
Physical therapy evaluation (high complexity): rates for 8 insurance plans Aetna — Commercial: $262 Aetna — Medicare Advantage: $151 Blue Cross Blue Shield of Texas — Commercial: $277 Blue Cross Blue Shield of Texas — PPO: $277 Cigna — Commercial: $277 FirstCare — Commercial: $277 Humana — Medicare Advantage: $151 Superior Health Plan — Commercial: $151
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 min	$450	$315	$221 – $405
Psychotherapy, 30 minutes: rates for 8 insurance plans Aetna — Commercial: $383 Aetna — Medicare Advantage: $221 Blue Cross Blue Shield of Texas — Commercial: $405 Blue Cross Blue Shield of Texas — PPO: $405 Cigna — Commercial: $405 FirstCare — Commercial: $405 Humana — Medicare Advantage: $221 Superior Health Plan — Commercial: $221
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 min	$450	$315	$221 – $405
Psychotherapy, 45 minutes: rates for 8 insurance plans Aetna — Commercial: $383 Aetna — Medicare Advantage: $221 Blue Cross Blue Shield of Texas — Commercial: $405 Blue Cross Blue Shield of Texas — PPO: $405 Cigna — Commercial: $405 FirstCare — Commercial: $405 Humana — Medicare Advantage: $221 Superior Health Plan — Commercial: $221
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 60 min	$450	$315	$221 – $405
Psychotherapy, 60 minutes: rates for 8 insurance plans Aetna — Commercial: $383 Aetna — Medicare Advantage: $221 Blue Cross Blue Shield of Texas — Commercial: $405 Blue Cross Blue Shield of Texas — PPO: $405 Cigna — Commercial: $405 FirstCare — Commercial: $405 Humana — Medicare Advantage: $221 Superior Health Plan — Commercial: $221
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy, not including patient, 50 min	$380	$266	$186 – $342
Family psychotherapy, without the patient: rates for 8 insurance plans Aetna — Commercial: $323 Aetna — Medicare Advantage: $186 Blue Cross Blue Shield of Texas — Commercial: $342 Blue Cross Blue Shield of Texas — PPO: $342 Cigna — Commercial: $342 FirstCare — Commercial: $342 Humana — Medicare Advantage: $186 Superior Health Plan — Commercial: $186
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy, including patient, 50 min	$380	$266	$186 – $342
Family psychotherapy, with the patient: rates for 8 insurance plans Aetna — Commercial: $323 Aetna — Medicare Advantage: $186 Blue Cross Blue Shield of Texas — Commercial: $342 Blue Cross Blue Shield of Texas — PPO: $342 Cigna — Commercial: $342 FirstCare — Commercial: $342 Humana — Medicare Advantage: $186 Superior Health Plan — Commercial: $186
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy	$255	$179	$125 – $230
Group psychotherapy: rates for 8 insurance plans Aetna — Commercial: $217 Aetna — Medicare Advantage: $125 Blue Cross Blue Shield of Texas — Commercial: $230 Blue Cross Blue Shield of Texas — PPO: $230 Cigna — Commercial: $230 FirstCare — Commercial: $230 Humana — Medicare Advantage: $125 Superior Health Plan — Commercial: $125
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · modifier 76 In the file: Group psychotherapy	$250	$175	$123 – $225
Group psychotherapy: rates for 8 insurance plans Aetna — Commercial: $213 Aetna — Medicare Advantage: $123 Blue Cross Blue Shield of Texas — Commercial: $225 Blue Cross Blue Shield of Texas — PPO: $225 Cigna — Commercial: $225 FirstCare — Commercial: $225 Humana — Medicare Advantage: $123 Superior Health Plan — Commercial: $123

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Shaving of shoulder bone using endoscope	$19,139	$13,397	$9,378 – $17,225
Shoulder arthroscopy: shaving of shoulder bone: rates for 8 insurance plans Aetna — Commercial: $16,268 Aetna — Medicare Advantage: $9,378 Blue Cross Blue Shield of Texas — Commercial: $17,225 Blue Cross Blue Shield of Texas — PPO: $17,225 Cigna — Commercial: $17,225 FirstCare — Commercial: $17,225 Humana — Medicare Advantage: $9,378 Superior Health Plan — Commercial: $9,378
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Removal of one knee cartilage using an endoscope	$7,200	$5,040	$3,528 – $6,480
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 8 insurance plans Aetna — Commercial: $6,120 Aetna — Medicare Advantage: $3,528 Blue Cross Blue Shield of Texas — Commercial: $6,480 Blue Cross Blue Shield of Texas — PPO: $6,480 Cigna — Commercial: $6,480 FirstCare — Commercial: $6,480 Humana — Medicare Advantage: $3,528 Superior Health Plan — Commercial: $3,528
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	$8,206	$5,744	$4,021 – $7,385
Removal of tonsils and adenoids (under age 12): rates for 8 insurance plans Aetna — Commercial: $6,975 Aetna — Medicare Advantage: $4,021 Blue Cross Blue Shield of Texas — Commercial: $7,385 Blue Cross Blue Shield of Texas — PPO: $7,385 Cigna — Commercial: $7,385 FirstCare — Commercial: $7,385 Humana — Medicare Advantage: $4,021 Superior Health Plan — Commercial: $4,021
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Diagnostic exam of esophagus, stomach or small bowel using an endoscope	$4,800	$3,360	$2,352 – $4,320
Upper GI endoscopy (diagnostic): rates for 8 insurance plans Aetna — Commercial: $4,080 Aetna — Medicare Advantage: $2,352 Blue Cross Blue Shield of Texas — Commercial: $4,320 Blue Cross Blue Shield of Texas — PPO: $4,320 Cigna — Commercial: $4,320 FirstCare — Commercial: $4,320 Humana — Medicare Advantage: $2,352 Superior Health Plan — Commercial: $2,352
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	$4,700	$3,290	$2,303 – $4,230
Upper GI endoscopy with biopsy: rates for 8 insurance plans Aetna — Commercial: $3,995 Aetna — Medicare Advantage: $2,303 Blue Cross Blue Shield of Texas — Commercial: $4,230 Blue Cross Blue Shield of Texas — PPO: $4,230 Cigna — Commercial: $4,230 FirstCare — Commercial: $4,230 Humana — Medicare Advantage: $2,303 Superior Health Plan — Commercial: $2,303
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using an endoscope	$4,700	$3,290	$2,303 – $4,230
Colonoscopy (diagnostic): rates for 8 insurance plans Aetna — Commercial: $3,995 Aetna — Medicare Advantage: $2,303 Blue Cross Blue Shield of Texas — Commercial: $4,230 Blue Cross Blue Shield of Texas — PPO: $4,230 Cigna — Commercial: $4,230 FirstCare — Commercial: $4,230 Humana — Medicare Advantage: $2,303 Superior Health Plan — Commercial: $2,303
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy exam of large bowel using an endoscope	$4,700	$3,290	$2,303 – $4,230
Colonoscopy with biopsy: rates for 8 insurance plans Aetna — Commercial: $3,995 Aetna — Medicare Advantage: $2,303 Blue Cross Blue Shield of Texas — Commercial: $4,230 Blue Cross Blue Shield of Texas — PPO: $4,230 Cigna — Commercial: $4,230 FirstCare — Commercial: $4,230 Humana — Medicare Advantage: $2,303 Superior Health Plan — Commercial: $2,303
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	$4,800	$3,360	$2,352 – $4,320
Colonoscopy with removal of polyps (snare): rates for 8 insurance plans Aetna — Commercial: $4,080 Aetna — Medicare Advantage: $2,352 Blue Cross Blue Shield of Texas — Commercial: $4,320 Blue Cross Blue Shield of Texas — PPO: $4,320 Cigna — Commercial: $4,320 FirstCare — Commercial: $4,320 Humana — Medicare Advantage: $2,352 Superior Health Plan — Commercial: $2,352
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colorectal Cancer Screening Colonoscopy	$2,500	$1,750	$1,225 – $2,250
Screening colonoscopy (not high risk): rates for 8 insurance plans Aetna — Commercial: $2,125 Aetna — Medicare Advantage: $1,225 Blue Cross Blue Shield of Texas — Commercial: $2,250 Blue Cross Blue Shield of Texas — PPO: $2,250 Cigna — Commercial: $2,250 FirstCare — Commercial: $2,250 Humana — Medicare Advantage: $1,225 Superior Health Plan — Commercial: $1,225
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Pro Colonoscopy Screening	$475	$333	$161 – $428
Screening colonoscopy (not high risk): rates for 8 insurance plans Aetna — Commercial: $404 Aetna — Medicare Advantage: $161 Blue Cross Blue Shield of Texas — Commercial: $428 Blue Cross Blue Shield of Texas — PPO: $428 Cigna — Commercial: $428 FirstCare — Commercial: $428 Humana — Medicare Advantage: $161 Superior Health Plan — Commercial: $161
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colonoscopy Screening	$2,500	$1,750	$1,225 – $2,250
Screening colonoscopy (not high risk): rates for 8 insurance plans Aetna — Commercial: $2,125 Aetna — Medicare Advantage: $1,225 Blue Cross Blue Shield of Texas — Commercial: $2,250 Blue Cross Blue Shield of Texas — PPO: $2,250 Cigna — Commercial: $2,250 FirstCare — Commercial: $2,250 Humana — Medicare Advantage: $1,225 Superior Health Plan — Commercial: $1,225
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Removal of gallbladder using an endoscope	$16,721	$11,705	$8,193 – $15,049
Gallbladder removal by laparoscope: rates for 8 insurance plans Aetna — Commercial: $14,213 Aetna — Medicare Advantage: $8,193 Blue Cross Blue Shield of Texas — Commercial: $15,049 Blue Cross Blue Shield of Texas — PPO: $15,049 Cigna — Commercial: $15,049 FirstCare — Commercial: $15,049 Humana — Medicare Advantage: $8,193 Superior Health Plan — Commercial: $8,193
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	$13,428	$9,400	$6,580 – $12,085
Groin (inguinal) hernia repair, age 5 or older: rates for 8 insurance plans Aetna — Commercial: $11,414 Aetna — Medicare Advantage: $6,580 Blue Cross Blue Shield of Texas — Commercial: $12,085 Blue Cross Blue Shield of Texas — PPO: $12,085 Cigna — Commercial: $12,085 FirstCare — Commercial: $12,085 Humana — Medicare Advantage: $6,580 Superior Health Plan — Commercial: $6,580
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection(s) of therapeutic substance	$4,500	$3,150	$2,205 – $4,050
Spinal injection, lower back (epidural), with imaging guidance: rates for 8 insurance plans Aetna — Commercial: $3,825 Aetna — Medicare Advantage: $2,205 Blue Cross Blue Shield of Texas — Commercial: $4,050 Blue Cross Blue Shield of Texas — PPO: $4,050 Cigna — Commercial: $4,050 FirstCare — Commercial: $4,050 Humana — Medicare Advantage: $2,205 Superior Health Plan — Commercial: $2,205
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	$4,500	$3,150	$2,205 – $4,050
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans Aetna — Commercial: $3,825 Aetna — Medicare Advantage: $2,205 Blue Cross Blue Shield of Texas — Commercial: $4,050 Blue Cross Blue Shield of Texas — PPO: $4,050 Cigna — Commercial: $4,050 FirstCare — Commercial: $4,050 Humana — Medicare Advantage: $2,205 Superior Health Plan — Commercial: $2,205

Source: Ochiltree General Hospital’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 May 6, 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	Critical Access Hospital
Address	3101 Garrett Drive, Perryton, TX 79070
County	Ochiltree County
State	Texas
Phone	(806) 435‑3606
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	Not rated by CMS
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	451359
Name in Medicare records	OCHILTREE GENERAL HOSPITAL
Profile level	Medicare data + hospital website
Official website	ochiltreehospital.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

Ochiltree General Hospital — ochiltreehospital.com
Our Services - Ochiltree General Hospital — ochiltreehospital.specialdistrict.org
Emergency Department — ochiltreehospital.com
Visitation Policy — ochiltreehospital.com
Surgery at OGH — ochiltreehospital.com
Women's Health and Obstetrics — ochiltreehospital.com
Emergency Medical Services - Ochiltree County Hospital District — ochiltreehospital.com
Our Services - Ochiltree County Hospital District — ochiltreehospital.com
Social Services - Ochiltree County Hospital District — ochiltreehospital.com
Crossroads Behavior Program - Ochiltree County Hospital District — ochiltreehospital.com
Radiology - Ochiltree County Hospital District — ochiltreehospital.com
Physical Therapy - Ochiltree County Hospital District — ochiltreehospital.com
Laboratory - Ochiltree County Hospital District — ochiltreehospital.com

Ochiltree General Hospital

Summary

Profile from official sources

At a glance