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Critical Access Hospital

Otto Kaiser Memorial Hospital

Kenedy, Texas · Karnes County · Emergency services listed

Summary

Otto Kaiser Memorial Hospital is a critical access hospital in Kenedy, Texas. Medicare data lists emergency services. Its official website lists 78 services, specialties and programs. Medicare lists 70 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

Compare

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
78Services listed

Quick answers

Does Otto Kaiser Memorial Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Otto Kaiser Memorial Hospital. In a medical emergency, call 911.
Where is Otto Kaiser Memorial Hospital?
3349 S Highway 181, Kenedy, TX 78119, in Karnes County, Texas.
What is the phone number of Otto Kaiser Memorial Hospital?
(830) 583-3401, as listed by Medicare (CMS).
What is the Medicare star rating of Otto Kaiser Memorial 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[5][6][7][12][14][15]

Conditions treated[15]

Treatments[5][8][9][10][11][12][15]

  • IV therapy and IV antibiotics
  • Reclast infusion
  • B-12 injections
  • Diabetic foot assessments
  • Tele Stroke
  • Tele Cardiology
  • Digital X-ray
  • Mammography
  • Ultrasound
  • Echocardiogram
  • Bone densitometry
  • CT scan
  • MRI and MRA
  • Laboratory testing
  • Pulmonary function testing
  • EKG
  • Holter monitoring
  • Ventilatory support

Procedures[7][8]

  • Carpal tunnel repair
  • Trigger finger release
  • Knee arthroscopy
  • Open reduction internal fixation
  • Cholecystectomy
  • Appendectomy
  • Hernia repair
  • Mastectomy
  • Tubal ligation
  • Diagnostic laparoscopy
  • D and C
  • Cataract extraction with lens implant
  • Digital mammography
  • CT scan
  • MRI and MRA
  • Ultrasound
  • Echocardiogram
  • Bone densitometry

Programs and centers[4][5][11][12]

  • Swing Bed Program
  • Wound Care
  • Diabetes Education
  • Physical Rehabilitation
  • Cardiopulmonary Services
  • Kaiser Home Health Services
  • Outpatient services
  • Smoking cessation counseling
  • Telestroke and telecardiology consultation

Emergency care (hospital website)[5][10]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel IV

Visiting and practical information

VisitingTobacco-free hospital and grounds; patient-room restrooms are for patients only[13]
Patient portalMyCareCorner

Recognition[4][5]

  • Critical Access Hospital (CMS)
  • Level IV Trauma Facility (Texas Department of State Health Services)

Doctors and clinicians (70)

70 doctors and other clinicians list Otto Kaiser Memorial 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 (70)

And 46 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Home health agencies

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.

Community health centers

Clinics and urgent care

Pharmacies

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 Otto Kaiser Memorial 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.

Not reported to Medicare

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)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

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 patientsToo few cases to report
Deaths within 30 days: heart failure patientsToo few cases to report
Deaths within 30 days: pneumonia patientsToo few cases to report
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)Not reported to Medicare
Complications after hip or knee replacementNot reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

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 attackToo few cases to report
Readmitted within 30 days: heart failureToo few cases to report
Readmitted within 30 days: pneumoniaToo few cases to report
Readmitted within 30 days: COPDToo few cases to report
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

Emergency room times and sepsis care

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

Average (median) time patients spent in the emergency room before leaving (OP-18b)Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.

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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 55 common services exactly as Otto Kaiser Memorial 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 →

$ 14 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: TREATMENT RM NEW PATIENT LEVEL 2 $154 $154 $90.86 – $146.30
New patient office visit (about 30–44 minutes): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $90.86
  • AllWell — Medicare Advantage: $95.40
  • Blue Cross Blue Shield — Essentials Network: $146.30
  • Blue Cross Blue Shield — PPO/POS Network: $146.30
  • Blue Cross Blue Shield — Traditional Indemnity: $146.30
  • Christus Exchange — Commercial: $90.86
  • Cigna HealthCare — Commercial: $106.26
  • CorCare Healthcare — Commercial: $107.80
  • Coventry — Commercial: $146.30
  • Coventry — Workers Compensation: $146.30
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: TREATMENT RM NEW PATIENT LEVEL 3 $180 $180 $106.20 – $171
New patient office visit (about 45–59 minutes): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $106.20
  • AllWell — Medicare Advantage: $111.51
  • Blue Cross Blue Shield — Essentials Network: $171
  • Blue Cross Blue Shield — PPO/POS Network: $171
  • Blue Cross Blue Shield — Traditional Indemnity: $171
  • Christus Exchange — Commercial: $106.20
  • Cigna HealthCare — Commercial: $124.20
  • CorCare Healthcare — Commercial: $126
  • Coventry — Commercial: $171
  • Coventry — Workers Compensation: $171
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: TREATMENT RM NEW PATIENT LEVEL 4 $250.50 $250.50 $147.80 – $237.98
New patient office visit (about 60–74 minutes): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $147.80
  • AllWell — Medicare Advantage: $155.18
  • Blue Cross Blue Shield — Essentials Network: $237.98
  • Blue Cross Blue Shield — PPO/POS Network: $237.98
  • Blue Cross Blue Shield — Traditional Indemnity: $237.98
  • Christus Exchange — Commercial: $147.80
  • Cigna HealthCare — Commercial: $172.85
  • CorCare Healthcare — Commercial: $175.35
  • Coventry — Commercial: $237.98
  • Coventry — Workers Compensation: $237.98
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: TREATMENT RM ESTABLISHED PT LEVEL 2 $241.50 $241.50 $142.49 – $229.43
Established patient office visit (about 20–29 minutes): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $142.49
  • AllWell — Medicare Advantage: $149.61
  • Blue Cross Blue Shield — Essentials Network: $229.43
  • Blue Cross Blue Shield — PPO/POS Network: $229.43
  • Blue Cross Blue Shield — Traditional Indemnity: $229.43
  • Christus Exchange — Commercial: $142.49
  • Cigna HealthCare — Commercial: $166.64
  • CorCare Healthcare — Commercial: $169.05
  • Coventry — Commercial: $229.43
  • Coventry — Workers Compensation: $229.43
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: TREATMENT RM ESTABLISHED PT LEVEL 3 $322.50 $322.50 $190.28 – $306.38
Established patient office visit (about 30–39 minutes): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $190.28
  • AllWell — Medicare Advantage: $199.79
  • Blue Cross Blue Shield — Essentials Network: $306.38
  • Blue Cross Blue Shield — PPO/POS Network: $306.38
  • Blue Cross Blue Shield — Traditional Indemnity: $306.38
  • Christus Exchange — Commercial: $190.28
  • Cigna HealthCare — Commercial: $222.53
  • CorCare Healthcare — Commercial: $225.75
  • Coventry — Commercial: $306.38
  • Coventry — Workers Compensation: $306.38
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER L-3 $689 $689 $350 – $654.55
Emergency room visit (moderate): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $406.51
  • AllWell — Medicare Advantage: $426.84
  • Blue Cross Blue Shield — Essentials Network: $654.55
  • Blue Cross Blue Shield — PPO/POS Network: $654.55
  • Blue Cross Blue Shield — Traditional Indemnity: $654.55
  • Christus Exchange — Commercial: $406.51
  • Cigna HealthCare — Commercial: $475.41
  • CorCare Healthcare — Commercial: $482.30
  • Coventry — Commercial: $654.55
  • Coventry — Workers Compensation: $654.55
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER L-2 $315 $315 $185.85 – $315
Emergency room visit (moderate): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $185.85
  • AllWell — Medicare Advantage: $195.14
  • Blue Cross Blue Shield — Essentials Network: $299.25
  • Blue Cross Blue Shield — PPO/POS Network: $299.25
  • Blue Cross Blue Shield — Traditional Indemnity: $299.25
  • Christus Exchange — Commercial: $185.85
  • Cigna HealthCare — Commercial: $217.35
  • CorCare Healthcare — Commercial: $220.50
  • Coventry — Commercial: $299.25
  • Coventry — Workers Compensation: $299.25
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER L-3 (MOD) $689 $689 $350 – $654.55
Emergency room visit (moderate): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $406.51
  • AllWell — Medicare Advantage: $426.84
  • Blue Cross Blue Shield — Essentials Network: $654.55
  • Blue Cross Blue Shield — PPO/POS Network: $654.55
  • Blue Cross Blue Shield — Traditional Indemnity: $654.55
  • Christus Exchange — Commercial: $406.51
  • Cigna HealthCare — Commercial: $475.41
  • CorCare Healthcare — Commercial: $482.30
  • Coventry — Commercial: $654.55
  • Coventry — Workers Compensation: $654.55
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER L-3 (PHY-MOD) $689 $689 $350 – $654.55
Emergency room visit (moderately high): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $406.51
  • AllWell — Medicare Advantage: $426.84
  • Blue Cross Blue Shield — Essentials Network: $654.55
  • Blue Cross Blue Shield — PPO/POS Network: $654.55
  • Blue Cross Blue Shield — Traditional Indemnity: $654.55
  • Christus Exchange — Commercial: $406.51
  • Cigna HealthCare — Commercial: $475.41
  • CorCare Healthcare — Commercial: $482.30
  • Coventry — Commercial: $654.55
  • Coventry — Workers Compensation: $654.55
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER L-4 (MOD) $1,176 $1,176 $350 – $1,117.20
Emergency room visit (moderately high): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $693.84
  • AllWell — Medicare Advantage: $728.53
  • Blue Cross Blue Shield — Essentials Network: $1,117.20
  • Blue Cross Blue Shield — PPO/POS Network: $1,117.20
  • Blue Cross Blue Shield — Traditional Indemnity: $1,117.20
  • Christus Exchange — Commercial: $693.84
  • Cigna HealthCare — Commercial: $811.44
  • CorCare Healthcare — Commercial: $823.20
  • Coventry — Commercial: $1,117.20
  • Coventry — Workers Compensation: $1,117.20
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER L-3 (PHY) $689 $689 $350 – $654.55
Emergency room visit (moderately high): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $406.51
  • AllWell — Medicare Advantage: $426.84
  • Blue Cross Blue Shield — Essentials Network: $654.55
  • Blue Cross Blue Shield — PPO/POS Network: $654.55
  • Blue Cross Blue Shield — Traditional Indemnity: $654.55
  • Christus Exchange — Commercial: $406.51
  • Cigna HealthCare — Commercial: $475.41
  • CorCare Healthcare — Commercial: $482.30
  • Coventry — Commercial: $654.55
  • Coventry — Workers Compensation: $654.55
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER L-2 (PHY) $300 $300 $177 – $300
Emergency room visit (high): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $177
  • AllWell — Medicare Advantage: $185.85
  • Blue Cross Blue Shield — Essentials Network: $285
  • Blue Cross Blue Shield — PPO/POS Network: $285
  • Blue Cross Blue Shield — Traditional Indemnity: $285
  • Christus Exchange — Commercial: $177
  • Cigna HealthCare — Commercial: $207
  • CorCare Healthcare — Commercial: $210
  • Coventry — Commercial: $285
  • Coventry — Workers Compensation: $285
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER L-4 $1,176 $1,176 $350 – $1,117.20
Emergency room visit (high): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $693.84
  • AllWell — Medicare Advantage: $728.53
  • Blue Cross Blue Shield — Essentials Network: $1,117.20
  • Blue Cross Blue Shield — PPO/POS Network: $1,117.20
  • Blue Cross Blue Shield — Traditional Indemnity: $1,117.20
  • Christus Exchange — Commercial: $693.84
  • Cigna HealthCare — Commercial: $811.44
  • CorCare Healthcare — Commercial: $823.20
  • Coventry — Commercial: $1,117.20
  • Coventry — Workers Compensation: $1,117.20
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER L-5 (MOD) $1,374.97 $1,374.97 $350 – $1,306.22
Emergency room visit (high): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $811.23
  • AllWell — Medicare Advantage: $851.79
  • Blue Cross Blue Shield — Essentials Network: $1,306.22
  • Blue Cross Blue Shield — PPO/POS Network: $1,306.22
  • Blue Cross Blue Shield — Traditional Indemnity: $1,306.22
  • Christus Exchange — Commercial: $811.23
  • Cigna HealthCare — Commercial: $948.73
  • CorCare Healthcare — Commercial: $962.48
  • Coventry — Commercial: $1,306.22
  • Coventry — Workers Compensation: $1,306.22

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC MET PNL DAILY $190 $190 $7.11 – $180.50
Basic metabolic panel (blood test): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $112.10
  • AllWell — Medicare Advantage: $117.71
  • Blue Cross Blue Shield — Essentials Network: $54.29
  • Blue Cross Blue Shield — PPO/POS Network: $54.29
  • Blue Cross Blue Shield — Traditional Indemnity: $54.29
  • Christus Exchange — Commercial: $112.10
  • Cigna HealthCare — Commercial: $131.10
  • CorCare Healthcare — Commercial: $133
  • Coventry — Commercial: $180.50
  • Coventry — Workers Compensation: $180.50
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PANEL $219 $219 $7.11 – $208.05
Basic metabolic panel (blood test): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $129.21
  • AllWell — Medicare Advantage: $135.67
  • Blue Cross Blue Shield — Essentials Network: $54.29
  • Blue Cross Blue Shield — PPO/POS Network: $54.29
  • Blue Cross Blue Shield — Traditional Indemnity: $54.29
  • Christus Exchange — Commercial: $129.21
  • Cigna HealthCare — Commercial: $151.11
  • CorCare Healthcare — Commercial: $153.30
  • Coventry — Commercial: $208.05
  • Coventry — Workers Compensation: $208.05
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BMP W/ GFR $83 $83 $7.11 – $78.85
Basic metabolic panel (blood test): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $48.97
  • AllWell — Medicare Advantage: $51.42
  • Blue Cross Blue Shield — Essentials Network: $54.29
  • Blue Cross Blue Shield — PPO/POS Network: $54.29
  • Blue Cross Blue Shield — Traditional Indemnity: $54.29
  • Christus Exchange — Commercial: $48.97
  • Cigna HealthCare — Commercial: $57.27
  • CorCare Healthcare — Commercial: $58.10
  • Coventry — Commercial: $78.85
  • Coventry — Workers Compensation: $78.85
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMP METABOLIC PANEL $277 $277 $8.87 – $263.15
Comprehensive metabolic panel (blood test): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $163.43
  • AllWell — Medicare Advantage: $171.60
  • Blue Cross Blue Shield — Essentials Network: $67.81
  • Blue Cross Blue Shield — PPO/POS Network: $67.81
  • Blue Cross Blue Shield — Traditional Indemnity: $67.81
  • Christus Exchange — Commercial: $163.43
  • Cigna HealthCare — Commercial: $191.13
  • CorCare Healthcare — Commercial: $193.90
  • Coventry — Commercial: $263.15
  • Coventry — Workers Compensation: $263.15
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHENSIVE METABOLIC PNL $277 $277 $8.87 – $263.15
Comprehensive metabolic panel (blood test): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $163.43
  • AllWell — Medicare Advantage: $171.60
  • Blue Cross Blue Shield — Essentials Network: $67.81
  • Blue Cross Blue Shield — PPO/POS Network: $67.81
  • Blue Cross Blue Shield — Traditional Indemnity: $67.81
  • Christus Exchange — Commercial: $163.43
  • Cigna HealthCare — Commercial: $191.13
  • CorCare Healthcare — Commercial: $193.90
  • Coventry — Commercial: $263.15
  • Coventry — Workers Compensation: $263.15
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: OBSTETRIC PANEL I (CHARGE ONLY) $474 $474 $279.66 – $450.30
Obstetric blood test panel: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $279.66
  • AllWell — Medicare Advantage: $293.64
  • Blue Cross Blue Shield — Essentials Network: $306.90
  • Blue Cross Blue Shield — PPO/POS Network: $306.90
  • Blue Cross Blue Shield — Traditional Indemnity: $306.90
  • Christus Exchange — Commercial: $279.66
  • Cigna HealthCare — Commercial: $327.06
  • CorCare Healthcare — Commercial: $331.80
  • Coventry — Commercial: $450.30
  • Coventry — Workers Compensation: $450.30
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: ADVANCED LIPID PANEL CARDIO IQ (Q92145) $59 $59 $11.25 – $59
Cholesterol panel (lipid panel): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $34.81
  • AllWell — Medicare Advantage: $36.55
  • Blue Cross Blue Shield — Essentials Network: $59
  • Blue Cross Blue Shield — PPO/POS Network: $59
  • Blue Cross Blue Shield — Traditional Indemnity: $59
  • Christus Exchange — Commercial: $34.81
  • Cigna HealthCare — Commercial: $40.71
  • CorCare Healthcare — Commercial: $41.30
  • Coventry — Commercial: $56.05
  • Coventry — Workers Compensation: $56.05
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL $239 $239 $11.25 – $227.05
Cholesterol panel (lipid panel): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $141.01
  • AllWell — Medicare Advantage: $148.06
  • Blue Cross Blue Shield — Essentials Network: $85.96
  • Blue Cross Blue Shield — PPO/POS Network: $85.96
  • Blue Cross Blue Shield — Traditional Indemnity: $85.96
  • Christus Exchange — Commercial: $141.01
  • Cigna HealthCare — Commercial: $164.91
  • CorCare Healthcare — Commercial: $167.30
  • Coventry — Commercial: $227.05
  • Coventry — Workers Compensation: $227.05
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: CARDIO IQ LIPID PANEL (Q91716) $59 $59 $34.81 – $59
Cholesterol panel (lipid panel): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $34.81
  • AllWell — Medicare Advantage: $36.55
  • Blue Cross Blue Shield — Essentials Network: $59
  • Blue Cross Blue Shield — PPO/POS Network: $59
  • Blue Cross Blue Shield — Traditional Indemnity: $59
  • Christus Exchange — Commercial: $34.81
  • Cigna HealthCare — Commercial: $40.71
  • CorCare Healthcare — Commercial: $41.30
  • Coventry — Commercial: $56.05
  • Coventry — Workers Compensation: $56.05
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL FUNCTION PANEL $263 $263 $7.29 – $249.85
Kidney function panel: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $155.17
  • AllWell — Medicare Advantage: $162.93
  • Blue Cross Blue Shield — Essentials Network: $55.74
  • Blue Cross Blue Shield — PPO/POS Network: $55.74
  • Blue Cross Blue Shield — Traditional Indemnity: $55.74
  • Christus Exchange — Commercial: $155.17
  • Cigna HealthCare — Commercial: $181.47
  • CorCare Healthcare — Commercial: $184.10
  • Coventry — Commercial: $249.85
  • Coventry — Workers Compensation: $249.85
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL $208 $208 $6.86 – $197.60
Liver function panel: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $122.72
  • AllWell — Medicare Advantage: $128.86
  • Blue Cross Blue Shield — Essentials Network: $52.47
  • Blue Cross Blue Shield — PPO/POS Network: $52.47
  • Blue Cross Blue Shield — Traditional Indemnity: $52.47
  • Christus Exchange — Commercial: $122.72
  • Cigna HealthCare — Commercial: $143.52
  • CorCare Healthcare — Commercial: $145.60
  • Coventry — Commercial: $197.60
  • Coventry — Workers Compensation: $197.60
Liver function panel CPT 80076 · Inpatient or outpatient In the file: LIVER FUNCTION PANEL $208 $208 $6.86 – $197.60
Liver function panel: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $122.72
  • AllWell — Medicare Advantage: $128.86
  • Blue Cross Blue Shield — Essentials Network: $52.47
  • Blue Cross Blue Shield — PPO/POS Network: $52.47
  • Blue Cross Blue Shield — Traditional Indemnity: $52.47
  • Christus Exchange — Commercial: $122.72
  • Cigna HealthCare — Commercial: $143.52
  • CorCare Healthcare — Commercial: $145.60
  • Coventry — Commercial: $197.60
  • Coventry — Workers Compensation: $197.60
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · modifier 95 In the file: **CORONAVIRUS COV-2 RNA RT PCR $208 $208 $2.66 – $197.60
Urine test (automated, with microscope): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $122.72
  • AllWell — Medicare Advantage: $128.86
  • Blue Cross Blue Shield — Essentials Network: $20.38
  • Blue Cross Blue Shield — PPO/POS Network: $20.38
  • Blue Cross Blue Shield — Traditional Indemnity: $20.38
  • Christus Exchange — Commercial: $122.72
  • Cigna HealthCare — Commercial: $143.52
  • CorCare Healthcare — Commercial: $145.60
  • Coventry — Commercial: $197.60
  • Coventry — Workers Compensation: $197.60
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: URINALYSIS NONAUTO W/O SCOPE $17 $17 $2.92 – $17
Urine test (manual, without microscope): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $10.03
  • AllWell — Medicare Advantage: $10.53
  • Blue Cross Blue Shield — Essentials Network: $17
  • Blue Cross Blue Shield — PPO/POS Network: $17
  • Blue Cross Blue Shield — Traditional Indemnity: $17
  • Christus Exchange — Commercial: $10.03
  • Cigna HealthCare — Commercial: $11.73
  • CorCare Healthcare — Commercial: $11.90
  • Coventry — Commercial: $16.15
  • Coventry — Workers Compensation: $16.15
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: C URINALYSIS W/ MICROSCOPIC $107 $107 $2.92 – $101.65
Urine test (manual, without microscope): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $63.13
  • AllWell — Medicare Advantage: $66.29
  • Blue Cross Blue Shield — Essentials Network: $18.10
  • Blue Cross Blue Shield — PPO/POS Network: $18.10
  • Blue Cross Blue Shield — Traditional Indemnity: $18.10
  • Christus Exchange — Commercial: $63.13
  • Cigna HealthCare — Commercial: $73.83
  • CorCare Healthcare — Commercial: $74.90
  • Coventry — Commercial: $101.65
  • Coventry — Workers Compensation: $101.65
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: URINALYSIS AUTO W/O SCOPE $59 $59 $1.89 – $56.05
Urine test (automated, without microscope): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $34.81
  • AllWell — Medicare Advantage: $36.55
  • Blue Cross Blue Shield — Essentials Network: $14.40
  • Blue Cross Blue Shield — PPO/POS Network: $14.40
  • Blue Cross Blue Shield — Traditional Indemnity: $14.40
  • Christus Exchange — Commercial: $34.81
  • Cigna HealthCare — Commercial: $40.71
  • CorCare Healthcare — Commercial: $41.30
  • Coventry — Commercial: $56.05
  • Coventry — Workers Compensation: $56.05
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: BILE URINE $16 $16 $1.89 – $15.20
Urine test (automated, without microscope): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $9.44
  • AllWell — Medicare Advantage: $9.91
  • Blue Cross Blue Shield — Essentials Network: $14.40
  • Blue Cross Blue Shield — PPO/POS Network: $14.40
  • Blue Cross Blue Shield — Traditional Indemnity: $14.40
  • Christus Exchange — Commercial: $9.44
  • Cigna HealthCare — Commercial: $11.04
  • CorCare Healthcare — Commercial: $11.20
  • Coventry — Commercial: $15.20
  • Coventry — Workers Compensation: $15.20
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: C URINALYSIS W/OUT MICROSCOPIC $68 $68 $1.89 – $64.60
Urine test (automated, without microscope): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $40.12
  • AllWell — Medicare Advantage: $42.13
  • Blue Cross Blue Shield — Essentials Network: $14.40
  • Blue Cross Blue Shield — PPO/POS Network: $14.40
  • Blue Cross Blue Shield — Traditional Indemnity: $14.40
  • Christus Exchange — Commercial: $40.12
  • Cigna HealthCare — Commercial: $46.92
  • CorCare Healthcare — Commercial: $47.60
  • Coventry — Commercial: $64.60
  • Coventry — Workers Compensation: $64.60
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA TOTAL $202 $202 $15.45 – $191.90
PSA (prostate specific antigen) blood test: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $119.18
  • AllWell — Medicare Advantage: $125.14
  • Blue Cross Blue Shield — Essentials Network: $118.09
  • Blue Cross Blue Shield — PPO/POS Network: $118.09
  • Blue Cross Blue Shield — Traditional Indemnity: $118.09
  • Christus Exchange — Commercial: $119.18
  • Cigna HealthCare — Commercial: $139.38
  • CorCare Healthcare — Commercial: $141.40
  • Coventry — Commercial: $191.90
  • Coventry — Workers Compensation: $191.90
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA $202 $202 $15.45 – $191.90
PSA (prostate specific antigen) blood test: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $119.18
  • AllWell — Medicare Advantage: $125.14
  • Blue Cross Blue Shield — Essentials Network: $118.09
  • Blue Cross Blue Shield — PPO/POS Network: $118.09
  • Blue Cross Blue Shield — Traditional Indemnity: $118.09
  • Christus Exchange — Commercial: $119.18
  • Cigna HealthCare — Commercial: $139.38
  • CorCare Healthcare — Commercial: $141.40
  • Coventry — Commercial: $191.90
  • Coventry — Workers Compensation: $191.90
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: PSA TOTAL WITH REFLEX PSA FREE (Q17569) $54 $54 $31.86 – $54
PSA (prostate specific antigen) blood test: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $31.86
  • AllWell — Medicare Advantage: $33.45
  • Blue Cross Blue Shield — Essentials Network: $54
  • Blue Cross Blue Shield — PPO/POS Network: $54
  • Blue Cross Blue Shield — Traditional Indemnity: $54
  • Christus Exchange — Commercial: $31.86
  • Cigna HealthCare — Commercial: $37.26
  • CorCare Healthcare — Commercial: $37.80
  • Coventry — Commercial: $51.30
  • Coventry — Workers Compensation: $51.30
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: THYROID STIM HRM (TSH) RFX FREE T4 (FT4) $194 $194 $14.11 – $184.30
Thyroid stimulating hormone (TSH) test: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $114.46
  • AllWell — Medicare Advantage: $120.18
  • Blue Cross Blue Shield — Essentials Network: $107.90
  • Blue Cross Blue Shield — PPO/POS Network: $107.90
  • Blue Cross Blue Shield — Traditional Indemnity: $107.90
  • Christus Exchange — Commercial: $114.46
  • Cigna HealthCare — Commercial: $133.86
  • CorCare Healthcare — Commercial: $135.80
  • Coventry — Commercial: $184.30
  • Coventry — Workers Compensation: $184.30
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: THYROID STIMULATING HORMONE(TSH) $194 $194 $14.11 – $184.30
Thyroid stimulating hormone (TSH) test: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $114.46
  • AllWell — Medicare Advantage: $120.18
  • Blue Cross Blue Shield — Essentials Network: $107.90
  • Blue Cross Blue Shield — PPO/POS Network: $107.90
  • Blue Cross Blue Shield — Traditional Indemnity: $107.90
  • Christus Exchange — Commercial: $114.46
  • Cigna HealthCare — Commercial: $133.86
  • CorCare Healthcare — Commercial: $135.80
  • Coventry — Commercial: $184.30
  • Coventry — Workers Compensation: $184.30
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: THYROID STIMULATING HORMONE $194 $194 $14.11 – $184.30
Thyroid stimulating hormone (TSH) test: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $114.46
  • AllWell — Medicare Advantage: $120.18
  • Blue Cross Blue Shield — Essentials Network: $107.90
  • Blue Cross Blue Shield — PPO/POS Network: $107.90
  • Blue Cross Blue Shield — Traditional Indemnity: $107.90
  • Christus Exchange — Commercial: $114.46
  • Cigna HealthCare — Commercial: $133.86
  • CorCare Healthcare — Commercial: $135.80
  • Coventry — Commercial: $184.30
  • Coventry — Workers Compensation: $184.30
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CPT 85025 BLOOD COUNT COMPLETE AUTO DIFF $112 $112 $49.87 – $106.40
Complete blood count (CBC) with differential: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $66.08
  • AllWell — Medicare Advantage: $69.38
  • Blue Cross Blue Shield — Essentials Network: $49.87
  • Blue Cross Blue Shield — PPO/POS Network: $49.87
  • Blue Cross Blue Shield — Traditional Indemnity: $49.87
  • Christus Exchange — Commercial: $66.08
  • Cigna HealthCare — Commercial: $77.28
  • CorCare Healthcare — Commercial: $78.40
  • Coventry — Commercial: $106.40
  • Coventry — Workers Compensation: $106.40
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HEMOGLOBIN $29 $29 $6.53 – $29
Complete blood count (CBC) with differential: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $17.11
  • AllWell — Medicare Advantage: $17.97
  • Blue Cross Blue Shield — Essentials Network: $29
  • Blue Cross Blue Shield — PPO/POS Network: $29
  • Blue Cross Blue Shield — Traditional Indemnity: $29
  • Christus Exchange — Commercial: $17.11
  • Cigna HealthCare — Commercial: $20.01
  • CorCare Healthcare — Commercial: $20.30
  • Coventry — Commercial: $27.55
  • Coventry — Workers Compensation: $27.55
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC W/ AUTO DIFF $112 $112 $6.53 – $106.40
Complete blood count (CBC) with differential: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $66.08
  • AllWell — Medicare Advantage: $69.38
  • Blue Cross Blue Shield — Essentials Network: $49.87
  • Blue Cross Blue Shield — PPO/POS Network: $49.87
  • Blue Cross Blue Shield — Traditional Indemnity: $49.87
  • Christus Exchange — Commercial: $66.08
  • Cigna HealthCare — Commercial: $77.28
  • CorCare Healthcare — Commercial: $78.40
  • Coventry — Commercial: $106.40
  • Coventry — Workers Compensation: $106.40
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC W/ MANUAL DIFF $78 $78 $5.43 – $74.10
Complete blood count (CBC), automated: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $46.02
  • AllWell — Medicare Advantage: $48.32
  • Blue Cross Blue Shield — Essentials Network: $41.50
  • Blue Cross Blue Shield — PPO/POS Network: $41.50
  • Blue Cross Blue Shield — Traditional Indemnity: $41.50
  • Christus Exchange — Commercial: $46.02
  • Cigna HealthCare — Commercial: $53.82
  • CorCare Healthcare — Commercial: $54.60
  • Coventry — Commercial: $74.10
  • Coventry — Workers Compensation: $74.10
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: C CBC $93 $93 $5.43 – $88.35
Complete blood count (CBC), automated: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $54.87
  • AllWell — Medicare Advantage: $57.61
  • Blue Cross Blue Shield — Essentials Network: $41.50
  • Blue Cross Blue Shield — PPO/POS Network: $41.50
  • Blue Cross Blue Shield — Traditional Indemnity: $41.50
  • Christus Exchange — Commercial: $54.87
  • Cigna HealthCare — Commercial: $64.17
  • CorCare Healthcare — Commercial: $65.10
  • Coventry — Commercial: $88.35
  • Coventry — Workers Compensation: $88.35
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CPT 85027 BLOOD COUNT COMPLETE $78 $78 $41.50 – $74.10
Complete blood count (CBC), automated: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $46.02
  • AllWell — Medicare Advantage: $48.32
  • Blue Cross Blue Shield — Essentials Network: $41.50
  • Blue Cross Blue Shield — PPO/POS Network: $41.50
  • Blue Cross Blue Shield — Traditional Indemnity: $41.50
  • Christus Exchange — Commercial: $46.02
  • Cigna HealthCare — Commercial: $53.82
  • CorCare Healthcare — Commercial: $54.60
  • Coventry — Commercial: $74.10
  • Coventry — Workers Compensation: $74.10
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME $80 $80 $3.60 – $76
Blood clotting time test (prothrombin time, PT): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $47.20
  • AllWell — Medicare Advantage: $49.56
  • Blue Cross Blue Shield — Essentials Network: $25.22
  • Blue Cross Blue Shield — PPO/POS Network: $25.22
  • Blue Cross Blue Shield — Traditional Indemnity: $25.22
  • Christus Exchange — Commercial: $47.20
  • Cigna HealthCare — Commercial: $55.20
  • CorCare Healthcare — Commercial: $56
  • Coventry — Commercial: $76
  • Coventry — Workers Compensation: $76
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: LUPUS ANTICOAGULANT EVAL(Q7079) $42 $42 $3.60 – $39.90
Blood clotting time test (prothrombin time, PT): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $24.78
  • AllWell — Medicare Advantage: $26.02
  • Blue Cross Blue Shield — Essentials Network: $25.22
  • Blue Cross Blue Shield — PPO/POS Network: $25.22
  • Blue Cross Blue Shield — Traditional Indemnity: $25.22
  • Christus Exchange — Commercial: $24.78
  • Cigna HealthCare — Commercial: $28.98
  • CorCare Healthcare — Commercial: $29.40
  • Coventry — Commercial: $39.90
  • Coventry — Workers Compensation: $39.90
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PT / INR $80 $80 $3.60 – $76
Blood clotting time test (prothrombin time, PT): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $47.20
  • AllWell — Medicare Advantage: $49.56
  • Blue Cross Blue Shield — Essentials Network: $25.22
  • Blue Cross Blue Shield — PPO/POS Network: $25.22
  • Blue Cross Blue Shield — Traditional Indemnity: $25.22
  • Christus Exchange — Commercial: $47.20
  • Cigna HealthCare — Commercial: $55.20
  • CorCare Healthcare — Commercial: $56
  • Coventry — Commercial: $76
  • Coventry — Workers Compensation: $76
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: LUPUS-PTT LA SCREEN $30 $30 $5.05 – $30
Blood clotting test (partial thromboplastin time, PTT): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $17.70
  • AllWell — Medicare Advantage: $18.59
  • Blue Cross Blue Shield — Essentials Network: $30
  • Blue Cross Blue Shield — PPO/POS Network: $30
  • Blue Cross Blue Shield — Traditional Indemnity: $30
  • Christus Exchange — Commercial: $17.70
  • Cigna HealthCare — Commercial: $20.70
  • CorCare Healthcare — Commercial: $21
  • Coventry — Commercial: $28.50
  • Coventry — Workers Compensation: $28.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: THROMBIN CLOTTING TIME (Q883) $38 $38 $5.05 – $38
Blood clotting test (partial thromboplastin time, PTT): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $22.42
  • AllWell — Medicare Advantage: $23.54
  • Blue Cross Blue Shield — Essentials Network: $38
  • Blue Cross Blue Shield — PPO/POS Network: $38
  • Blue Cross Blue Shield — Traditional Indemnity: $38
  • Christus Exchange — Commercial: $22.42
  • Cigna HealthCare — Commercial: $26.22
  • CorCare Healthcare — Commercial: $26.60
  • Coventry — Commercial: $36.10
  • Coventry — Workers Compensation: $36.10
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: PARTIAL THROMBOPLASTIN TIME $98 $98 $5.05 – $93.10
Blood clotting test (partial thromboplastin time, PTT): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $57.82
  • AllWell — Medicare Advantage: $60.71
  • Blue Cross Blue Shield — Essentials Network: $38.58
  • Blue Cross Blue Shield — PPO/POS Network: $38.58
  • Blue Cross Blue Shield — Traditional Indemnity: $38.58
  • Christus Exchange — Commercial: $57.82
  • Cigna HealthCare — Commercial: $67.62
  • CorCare Healthcare — Commercial: $68.60
  • Coventry — Commercial: $93.10
  • Coventry — Workers Compensation: $93.10

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT RECONSTRUCTION 3 D INCLUDES POST PROC $364.50 $364.50 $131.99 – $364.50
CT scan of the head or brain, without contrast: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $215.06
  • AllWell — Medicare Advantage: $225.81
  • Blue Cross Blue Shield — Essentials Network: $346.28
  • Blue Cross Blue Shield — PPO/POS Network: $346.28
  • Blue Cross Blue Shield — Traditional Indemnity: $346.28
  • Christus Exchange — Commercial: $215.06
  • Cigna HealthCare — Commercial: $251.51
  • CorCare Healthcare — Commercial: $255.15
  • Coventry — Commercial: $346.28
  • Coventry — Workers Compensation: $346.28
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN W $2,373 $2,373 $461.69 – $2,254.35
MRI of the brain, before and after contrast: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $1,400.07
  • AllWell — Medicare Advantage: $1,470.07
  • Blue Cross Blue Shield — Essentials Network: $2,254.35
  • Blue Cross Blue Shield — PPO/POS Network: $2,254.35
  • Blue Cross Blue Shield — Traditional Indemnity: $2,254.35
  • Christus Exchange — Commercial: $1,400.07
  • Cigna HealthCare — Commercial: $1,637.37
  • CorCare Healthcare — Commercial: $1,661.10
  • Coventry — Commercial: $2,254.35
  • Coventry — Workers Compensation: $2,254.35
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: NECK SOFT TISSUE $185 $185 $109.09 – $175.75
Chest X-ray, 2 views: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $109.15
  • AllWell — Medicare Advantage: $114.61
  • Blue Cross Blue Shield — Essentials Network: $175.75
  • Blue Cross Blue Shield — PPO/POS Network: $175.75
  • Blue Cross Blue Shield — Traditional Indemnity: $175.75
  • Christus Exchange — Commercial: $109.15
  • Cigna HealthCare — Commercial: $127.65
  • CorCare Healthcare — Commercial: $129.50
  • Coventry — Commercial: $175.75
  • Coventry — Workers Compensation: $175.75
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CHEST 1 VIEW $236.91 $236.91 $109.09 – $225.06
Chest X-ray, 2 views: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $139.78
  • AllWell — Medicare Advantage: $146.77
  • Blue Cross Blue Shield — Essentials Network: $225.06
  • Blue Cross Blue Shield — PPO/POS Network: $225.06
  • Blue Cross Blue Shield — Traditional Indemnity: $225.06
  • Christus Exchange — Commercial: $139.78
  • Cigna HealthCare — Commercial: $163.47
  • CorCare Healthcare — Commercial: $165.84
  • Coventry — Commercial: $225.06
  • Coventry — Workers Compensation: $225.06
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: XXXL-SPINE 2 VIEWS $199.50 $199.50 $117.71 – $189.53
X-ray of the lower spine, at least 4 views: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $117.71
  • AllWell — Medicare Advantage: $123.59
  • Blue Cross Blue Shield — Essentials Network: $189.53
  • Blue Cross Blue Shield — PPO/POS Network: $189.53
  • Blue Cross Blue Shield — Traditional Indemnity: $189.53
  • Christus Exchange — Commercial: $117.71
  • Cigna HealthCare — Commercial: $137.66
  • CorCare Healthcare — Commercial: $139.65
  • Coventry — Commercial: $189.53
  • Coventry — Workers Compensation: $189.53
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI THORACIC W $2,093 $2,093 $294.17 – $1,988.35
MRI of the lower back (lumbar spine), without contrast: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $1,234.87
  • AllWell — Medicare Advantage: $1,296.61
  • Blue Cross Blue Shield — Essentials Network: $1,988.35
  • Blue Cross Blue Shield — PPO/POS Network: $1,988.35
  • Blue Cross Blue Shield — Traditional Indemnity: $1,988.35
  • Christus Exchange — Commercial: $1,234.87
  • Cigna HealthCare — Commercial: $1,444.17
  • CorCare Healthcare — Commercial: $1,465.10
  • Coventry — Commercial: $1,988.35
  • Coventry — Workers Compensation: $1,988.35
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS WO $1,587.88 $1,587.88 $220.58 – $1,508.49
CT scan of the pelvis, with contrast: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $936.85
  • AllWell — Medicare Advantage: $983.69
  • Blue Cross Blue Shield — Essentials Network: $1,508.49
  • Blue Cross Blue Shield — PPO/POS Network: $1,508.49
  • Blue Cross Blue Shield — Traditional Indemnity: $1,508.49
  • Christus Exchange — Commercial: $936.85
  • Cigna HealthCare — Commercial: $1,095.64
  • CorCare Healthcare — Commercial: $1,111.52
  • Coventry — Commercial: $1,508.49
  • Coventry — Workers Compensation: $1,508.49
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: MRI-LOWER EXTREM $1,738.80 $1,738.80 $294.17 – $1,651.86
MRI of a leg joint (such as the knee), without contrast: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $1,025.89
  • AllWell — Medicare Advantage: $1,077.19
  • Blue Cross Blue Shield — Essentials Network: $1,651.86
  • Blue Cross Blue Shield — PPO/POS Network: $1,651.86
  • Blue Cross Blue Shield — Traditional Indemnity: $1,651.86
  • Christus Exchange — Commercial: $1,025.89
  • Cigna HealthCare — Commercial: $1,199.77
  • CorCare Healthcare — Commercial: $1,217.16
  • Coventry — Commercial: $1,651.86
  • Coventry — Workers Compensation: $1,651.86
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABDOMEN/PELVIS WO $3,804.50 $3,804.50 $461.69 – $3,614.28
CT scan of the abdomen and pelvis, with contrast: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $2,244.66
  • AllWell — Medicare Advantage: $2,356.89
  • Blue Cross Blue Shield — Essentials Network: $3,614.28
  • Blue Cross Blue Shield — PPO/POS Network: $3,614.28
  • Blue Cross Blue Shield — Traditional Indemnity: $3,614.28
  • Christus Exchange — Commercial: $2,244.66
  • Cigna HealthCare — Commercial: $2,625.11
  • CorCare Healthcare — Commercial: $2,663.15
  • Coventry — Commercial: $3,614.28
  • Coventry — Workers Compensation: $3,614.28
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: XXXUS BREAST (UNILATERAL/BILATERAL) $433 $433 $131.99 – $411.35
Ultrasound of the abdomen, complete: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $255.47
  • AllWell — Medicare Advantage: $268.24
  • Blue Cross Blue Shield — Essentials Network: $411.35
  • Blue Cross Blue Shield — PPO/POS Network: $411.35
  • Blue Cross Blue Shield — Traditional Indemnity: $411.35
  • Christus Exchange — Commercial: $255.47
  • Cigna HealthCare — Commercial: $298.77
  • CorCare Healthcare — Commercial: $303.10
  • Coventry — Commercial: $411.35
  • Coventry — Workers Compensation: $411.35
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US OB COMPLETE > OR = 14 WEEKS $1,359 $1,359 $131.99 – $1,291.05
Pregnancy ultrasound (after the first trimester): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $801.81
  • AllWell — Medicare Advantage: $841.90
  • Blue Cross Blue Shield — Essentials Network: $1,291.05
  • Blue Cross Blue Shield — PPO/POS Network: $1,291.05
  • Blue Cross Blue Shield — Traditional Indemnity: $1,291.05
  • Christus Exchange — Commercial: $801.81
  • Cigna HealthCare — Commercial: $937.71
  • CorCare Healthcare — Commercial: $951.30
  • Coventry — Commercial: $1,291.05
  • Coventry — Workers Compensation: $1,291.05
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US OB COMPLETE <14 WEEKS $1,359 $1,359 $131.99 – $1,291.05
Pregnancy ultrasound (after the first trimester): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $801.81
  • AllWell — Medicare Advantage: $841.90
  • Blue Cross Blue Shield — Essentials Network: $1,291.05
  • Blue Cross Blue Shield — PPO/POS Network: $1,291.05
  • Blue Cross Blue Shield — Traditional Indemnity: $1,291.05
  • Christus Exchange — Commercial: $801.81
  • Cigna HealthCare — Commercial: $937.71
  • CorCare Healthcare — Commercial: $951.30
  • Coventry — Commercial: $1,291.05
  • Coventry — Workers Compensation: $1,291.05
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US OB BIOPHYSICAL $892.50 $892.50 $131.99 – $847.88
Transvaginal ultrasound: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $526.58
  • AllWell — Medicare Advantage: $552.90
  • Blue Cross Blue Shield — Essentials Network: $847.88
  • Blue Cross Blue Shield — PPO/POS Network: $847.88
  • Blue Cross Blue Shield — Traditional Indemnity: $847.88
  • Christus Exchange — Commercial: $526.58
  • Cigna HealthCare — Commercial: $615.83
  • CorCare Healthcare — Commercial: $624.75
  • Coventry — Commercial: $847.88
  • Coventry — Workers Compensation: $847.88
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: XXXCAD DIAGNOSTIC $18 $18 $10.62 – $17.10
Diagnostic mammogram, one breast: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $10.62
  • AllWell — Medicare Advantage: $11.15
  • Blue Cross Blue Shield — Essentials Network: $17.10
  • Blue Cross Blue Shield — PPO/POS Network: $17.10
  • Blue Cross Blue Shield — Traditional Indemnity: $17.10
  • Christus Exchange — Commercial: $10.62
  • Cigna HealthCare — Commercial: $12.42
  • CorCare Healthcare — Commercial: $12.60
  • Coventry — Commercial: $17.10
  • Coventry — Workers Compensation: $17.10
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MAMMO UNI DIAGNOSTIC LEFT W/CAD $257 $257 $151.63 – $244.15
Diagnostic mammogram, one breast: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $151.63
  • AllWell — Medicare Advantage: $159.21
  • Blue Cross Blue Shield — Essentials Network: $244.15
  • Blue Cross Blue Shield — PPO/POS Network: $244.15
  • Blue Cross Blue Shield — Traditional Indemnity: $244.15
  • Christus Exchange — Commercial: $151.63
  • Cigna HealthCare — Commercial: $177.33
  • CorCare Healthcare — Commercial: $179.90
  • Coventry — Commercial: $244.15
  • Coventry — Workers Compensation: $244.15
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MAMMO UNI DIAGNOSTIC RIGHT W/CAD $257 $257 $151.63 – $244.15
Diagnostic mammogram, both breasts: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $151.63
  • AllWell — Medicare Advantage: $159.21
  • Blue Cross Blue Shield — Essentials Network: $244.15
  • Blue Cross Blue Shield — PPO/POS Network: $244.15
  • Blue Cross Blue Shield — Traditional Indemnity: $244.15
  • Christus Exchange — Commercial: $151.63
  • Cigna HealthCare — Commercial: $177.33
  • CorCare Healthcare — Commercial: $179.90
  • Coventry — Commercial: $244.15
  • Coventry — Workers Compensation: $244.15
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: XXXCAD SCREENING $98 $98 $57.82 – $93.10
Screening mammogram, both breasts: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $57.82
  • AllWell — Medicare Advantage: $60.71
  • Blue Cross Blue Shield — Essentials Network: $93.10
  • Blue Cross Blue Shield — PPO/POS Network: $93.10
  • Blue Cross Blue Shield — Traditional Indemnity: $93.10
  • Christus Exchange — Commercial: $57.82
  • Cigna HealthCare — Commercial: $67.62
  • CorCare Healthcare — Commercial: $68.60
  • Coventry — Commercial: $93.10
  • Coventry — Workers Compensation: $93.10

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: H-AUDIOMETRY $21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $21 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) $12.39 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $19.95 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Sleep study (overnight, in a sleep lab): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $12.39 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • AllWell — Medicare Advantage: $13.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross Blue Shield — Essentials Network: $19.95 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross Blue Shield — PPO/POS Network: $19.95 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Blue Cross Blue Shield — Traditional Indemnity: $19.95 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Christus Exchange — Commercial: $12.39 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Cigna HealthCare — Commercial: $14.49 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • CorCare Healthcare — Commercial: $14.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Coventry — Commercial: $19.95 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
  • Coventry — Workers Compensation: $19.95 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: OT ULTRASOUND EA 15 MIN $64 $64 $37.76 – $60.80
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $37.76
  • AllWell — Medicare Advantage: $39.65
  • Blue Cross Blue Shield — Essentials Network: $60.80
  • Blue Cross Blue Shield — PPO/POS Network: $60.80
  • Blue Cross Blue Shield — Traditional Indemnity: $60.80
  • Christus Exchange — Commercial: $37.76
  • Cigna HealthCare — Commercial: $44.16
  • CorCare Healthcare — Commercial: $44.80
  • Coventry — Commercial: $60.80
  • Coventry — Workers Compensation: $60.80
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: DRESSINGS CHANGE $22.50 $22.50 $13.28 – $21.38
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $13.28
  • AllWell — Medicare Advantage: $13.94
  • Blue Cross Blue Shield — Essentials Network: $21.38
  • Blue Cross Blue Shield — PPO/POS Network: $21.38
  • Blue Cross Blue Shield — Traditional Indemnity: $21.38
  • Christus Exchange — Commercial: $13.28
  • Cigna HealthCare — Commercial: $15.53
  • CorCare Healthcare — Commercial: $15.75
  • Coventry — Commercial: $21.38
  • Coventry — Workers Compensation: $21.38
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: ULTRASOUND EA 15 MIN CQ $64 $64 $37.76 – $60.80
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $37.76
  • AllWell — Medicare Advantage: $39.65
  • Blue Cross Blue Shield — Essentials Network: $60.80
  • Blue Cross Blue Shield — PPO/POS Network: $60.80
  • Blue Cross Blue Shield — Traditional Indemnity: $60.80
  • Christus Exchange — Commercial: $37.76
  • Cigna HealthCare — Commercial: $44.16
  • CorCare Healthcare — Commercial: $44.80
  • Coventry — Commercial: $60.80
  • Coventry — Workers Compensation: $60.80
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: XXXPT RE-EVALUATION $130.50 $130.50 $77 – $123.98
Physical therapy evaluation (low complexity): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $77
  • AllWell — Medicare Advantage: $80.84
  • Blue Cross Blue Shield — Essentials Network: $123.98
  • Blue Cross Blue Shield — PPO/POS Network: $123.98
  • Blue Cross Blue Shield — Traditional Indemnity: $123.98
  • Christus Exchange — Commercial: $77
  • Cigna HealthCare — Commercial: $90.05
  • CorCare Healthcare — Commercial: $91.35
  • Coventry — Commercial: $123.98
  • Coventry — Workers Compensation: $123.98
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: PT EVALUATION LOW $277.50 $277.50 $116.19 – $263.63
Physical therapy evaluation (moderate complexity): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $163.73
  • AllWell — Medicare Advantage: $171.91
  • Blue Cross Blue Shield — Essentials Network: $263.63
  • Blue Cross Blue Shield — PPO/POS Network: $263.63
  • Blue Cross Blue Shield — Traditional Indemnity: $263.63
  • Christus Exchange — Commercial: $163.73
  • Cigna HealthCare — Commercial: $191.48
  • CorCare Healthcare — Commercial: $194.25
  • Coventry — Commercial: $263.63
  • Coventry — Workers Compensation: $263.63
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: PT EVALUATION MODERATE $277.50 $277.50 $116.19 – $263.63
Physical therapy evaluation (high complexity): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $163.73
  • AllWell — Medicare Advantage: $171.91
  • Blue Cross Blue Shield — Essentials Network: $263.63
  • Blue Cross Blue Shield — PPO/POS Network: $263.63
  • Blue Cross Blue Shield — Traditional Indemnity: $263.63
  • Christus Exchange — Commercial: $163.73
  • Cigna HealthCare — Commercial: $191.48
  • CorCare Healthcare — Commercial: $194.25
  • Coventry — Commercial: $263.63
  • Coventry — Workers Compensation: $263.63

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) In the file: EXCISION BREAST MASS $3,410 $3,410 $448.31 – $3,239.50
Removal of breast growth (open surgery): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $2,011.90
  • AllWell — Medicare Advantage: $2,112.50
  • Blue Cross Blue Shield — Essentials Network: $3,239.50
  • Blue Cross Blue Shield — PPO/POS Network: $3,239.50
  • Blue Cross Blue Shield — Traditional Indemnity: $3,239.50
  • Christus Exchange — Commercial: $2,011.90
  • Cigna HealthCare — Commercial: $2,352.90
  • CorCare Healthcare — Commercial: $2,387
  • Coventry — Commercial: $3,239.50
  • Coventry — Workers Compensation: $3,239.50
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: HOSPITAL CHARGES $3,410 $3,410 $448.31 – $3,239.50
Removal of breast growth (open surgery): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $2,114.20
  • AllWell — Medicare Advantage: $2,219.91
  • Blue Cross Blue Shield — Essentials Network: $3,239.50
  • Blue Cross Blue Shield — PPO/POS Network: $3,239.50
  • Blue Cross Blue Shield — Traditional Indemnity: $3,239.50
  • Christus Exchange — Commercial: $2,114.20
  • Cigna HealthCare — Commercial: $2,352.90
  • CorCare Healthcare — Commercial: $2,387
  • Coventry — Commercial: $3,239.50
  • Coventry — Workers Compensation: $3,239.50
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: EXCISION BREAST MASS $3,410 $3,410 $1,344.93 – $9,718.50
Removal of breast growth (open surgery): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $6,342.60
  • AllWell — Medicare Advantage: $6,659.73
  • Blue Cross Blue Shield — Essentials Network: $9,718.50
  • Blue Cross Blue Shield — PPO/POS Network: $9,718.50
  • Blue Cross Blue Shield — Traditional Indemnity: $9,718.50
  • Christus Exchange — Commercial: $6,342.60
  • Cigna HealthCare — Commercial: $7,058.70
  • CorCare Healthcare — Commercial: $7,161
  • Coventry — Commercial: $9,718.50
  • Coventry — Workers Compensation: $9,718.50
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: ESOPHAGOSCOPY, FLEXIBLE W/BIOPSY $1,720 $1,720 $291.94 – $1,634
Upper GI endoscopy (diagnostic): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $1,014.80
  • AllWell — Medicare Advantage: $1,065.54
  • Blue Cross Blue Shield — Essentials Network: $1,634
  • Blue Cross Blue Shield — PPO/POS Network: $1,634
  • Blue Cross Blue Shield — Traditional Indemnity: $1,634
  • Christus Exchange — Commercial: $1,014.80
  • Cigna HealthCare — Commercial: $1,186.80
  • CorCare Healthcare — Commercial: $1,204
  • Coventry — Commercial: $1,634
  • Coventry — Workers Compensation: $1,634
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: EGD $2,010 $2,010 $1,172.76 – $5,728.50
Upper GI endoscopy with biopsy: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $3,738.60
  • AllWell — Medicare Advantage: $3,925.53
  • Blue Cross Blue Shield — Essentials Network: $5,728.50
  • Blue Cross Blue Shield — PPO/POS Network: $5,728.50
  • Blue Cross Blue Shield — Traditional Indemnity: $5,728.50
  • Christus Exchange — Commercial: $3,738.60
  • Cigna HealthCare — Commercial: $4,160.70
  • CorCare Healthcare — Commercial: $4,221
  • Coventry — Commercial: $5,728.50
  • Coventry — Workers Compensation: $5,728.50
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: HOSPITAL CHARGES $2,010 $2,010 $390.92 – $1,909.50
Upper GI endoscopy with biopsy: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $1,246.20
  • AllWell — Medicare Advantage: $1,308.51
  • Blue Cross Blue Shield — Essentials Network: $1,909.50
  • Blue Cross Blue Shield — PPO/POS Network: $1,909.50
  • Blue Cross Blue Shield — Traditional Indemnity: $1,909.50
  • Christus Exchange — Commercial: $1,246.20
  • Cigna HealthCare — Commercial: $1,386.90
  • CorCare Healthcare — Commercial: $1,407
  • Coventry — Commercial: $1,909.50
  • Coventry — Workers Compensation: $1,909.50
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: EGD WITH BIOPSY AND PEG TUBE INSERTION $3,418 $3,418 $390.92 – $3,247.10
Upper GI endoscopy with biopsy: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $2,016.62
  • AllWell — Medicare Advantage: $2,117.45
  • Blue Cross Blue Shield — Essentials Network: $3,247.10
  • Blue Cross Blue Shield — PPO/POS Network: $3,247.10
  • Blue Cross Blue Shield — Traditional Indemnity: $3,247.10
  • Christus Exchange — Commercial: $2,016.62
  • Cigna HealthCare — Commercial: $2,358.42
  • CorCare Healthcare — Commercial: $2,392.60
  • Coventry — Commercial: $3,247.10
  • Coventry — Workers Compensation: $3,247.10
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: COLONOSCOPY $2,075 $2,075 $390.92 – $1,971.25
Colonoscopy (diagnostic): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $1,224.25
  • AllWell — Medicare Advantage: $1,285.46
  • Blue Cross Blue Shield — Essentials Network: $1,971.25
  • Blue Cross Blue Shield — PPO/POS Network: $1,971.25
  • Blue Cross Blue Shield — Traditional Indemnity: $1,971.25
  • Christus Exchange — Commercial: $1,224.25
  • Cigna HealthCare — Commercial: $1,431.75
  • CorCare Healthcare — Commercial: $1,452.50
  • Coventry — Commercial: $1,971.25
  • Coventry — Workers Compensation: $1,971.25
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: HOSPITAL CHARGES $2,075 $2,075 $390.92 – $1,971.25
Colonoscopy (diagnostic): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $1,286.50
  • AllWell — Medicare Advantage: $1,350.83
  • Blue Cross Blue Shield — Essentials Network: $1,971.25
  • Blue Cross Blue Shield — PPO/POS Network: $1,971.25
  • Blue Cross Blue Shield — Traditional Indemnity: $1,971.25
  • Christus Exchange — Commercial: $1,286.50
  • Cigna HealthCare — Commercial: $1,431.75
  • CorCare Healthcare — Commercial: $1,452.50
  • Coventry — Commercial: $1,971.25
  • Coventry — Workers Compensation: $1,971.25
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: FLEXIBLE SIGMORIDOSCOPY W POLYPECTOMY BY $1,511.50 $1,511.50 $390.92 – $1,435.93
Colonoscopy (diagnostic): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $891.79
  • AllWell — Medicare Advantage: $936.37
  • Blue Cross Blue Shield — Essentials Network: $1,435.93
  • Blue Cross Blue Shield — PPO/POS Network: $1,435.93
  • Blue Cross Blue Shield — Traditional Indemnity: $1,435.93
  • Christus Exchange — Commercial: $891.79
  • Cigna HealthCare — Commercial: $1,042.94
  • CorCare Healthcare — Commercial: $1,058.05
  • Coventry — Commercial: $1,435.93
  • Coventry — Workers Compensation: $1,435.93
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: FLEXIBLE SIGMORIDOSCOPY W BIOPSY SINGLE $472.50 $472.50 $278.78 – $448.88
Colonoscopy with biopsy: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $278.78
  • AllWell — Medicare Advantage: $292.71
  • Blue Cross Blue Shield — Essentials Network: $448.88
  • Blue Cross Blue Shield — PPO/POS Network: $448.88
  • Blue Cross Blue Shield — Traditional Indemnity: $448.88
  • Christus Exchange — Commercial: $278.78
  • Cigna HealthCare — Commercial: $326.03
  • CorCare Healthcare — Commercial: $330.75
  • Coventry — Commercial: $448.88
  • Coventry — Workers Compensation: $448.88
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: COLONOSCOPY W BIOPSY $2,496.50 $2,496.50 $390.92 – $2,371.68
Colonoscopy with biopsy: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $1,472.94
  • AllWell — Medicare Advantage: $1,546.58
  • Blue Cross Blue Shield — Essentials Network: $2,371.68
  • Blue Cross Blue Shield — PPO/POS Network: $2,371.68
  • Blue Cross Blue Shield — Traditional Indemnity: $2,371.68
  • Christus Exchange — Commercial: $1,472.94
  • Cigna HealthCare — Commercial: $1,722.59
  • CorCare Healthcare — Commercial: $1,747.55
  • Coventry — Commercial: $2,371.68
  • Coventry — Workers Compensation: $2,371.68
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: COLONOSCOPY, W/BIOPSY/POLYP INCOMPLETE $2,377.50 $2,377.50 $390.92 – $2,258.63
Colonoscopy with biopsy: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $1,402.73
  • AllWell — Medicare Advantage: $1,472.86
  • Blue Cross Blue Shield — Essentials Network: $2,258.63
  • Blue Cross Blue Shield — PPO/POS Network: $2,258.63
  • Blue Cross Blue Shield — Traditional Indemnity: $2,258.63
  • Christus Exchange — Commercial: $1,402.73
  • Cigna HealthCare — Commercial: $1,640.48
  • CorCare Healthcare — Commercial: $1,664.25
  • Coventry — Commercial: $2,258.63
  • Coventry — Workers Compensation: $2,258.63
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) In the file: COLONOSCOPY W POLYPECTOMY 2 OR MORE $3,210 $3,210 $390.92 – $3,049.50
Colonoscopy with removal of polyps (snare): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $1,893.90
  • AllWell — Medicare Advantage: $1,988.60
  • Blue Cross Blue Shield — Essentials Network: $3,049.50
  • Blue Cross Blue Shield — PPO/POS Network: $3,049.50
  • Blue Cross Blue Shield — Traditional Indemnity: $3,049.50
  • Christus Exchange — Commercial: $1,893.90
  • Cigna HealthCare — Commercial: $2,214.90
  • CorCare Healthcare — Commercial: $2,247
  • Coventry — Commercial: $3,049.50
  • Coventry — Workers Compensation: $3,049.50
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) In the file: COLONOSCOPY W BIOPSY & POLYPECTOMY $3,010 $3,010 $390.92 – $2,859.50
Colonoscopy with removal of polyps (snare): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $1,775.90
  • AllWell — Medicare Advantage: $1,864.70
  • Blue Cross Blue Shield — Essentials Network: $2,859.50
  • Blue Cross Blue Shield — PPO/POS Network: $2,859.50
  • Blue Cross Blue Shield — Traditional Indemnity: $2,859.50
  • Christus Exchange — Commercial: $1,775.90
  • Cigna HealthCare — Commercial: $2,076.90
  • CorCare Healthcare — Commercial: $2,107
  • Coventry — Commercial: $2,859.50
  • Coventry — Workers Compensation: $2,859.50
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) In the file: EGD WITH REMOVAL OF POLYP/LESION/TUMOR $2,205 $2,205 $390.92 – $2,094.75
Colonoscopy with removal of polyps (snare): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $1,300.95
  • AllWell — Medicare Advantage: $1,366
  • Blue Cross Blue Shield — Essentials Network: $2,094.75
  • Blue Cross Blue Shield — PPO/POS Network: $2,094.75
  • Blue Cross Blue Shield — Traditional Indemnity: $2,094.75
  • Christus Exchange — Commercial: $1,300.95
  • Cigna HealthCare — Commercial: $1,521.45
  • CorCare Healthcare — Commercial: $1,543.50
  • Coventry — Commercial: $2,094.75
  • Coventry — Workers Compensation: $2,094.75
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) In the file: SCREENING COLONOSCOPY ON HIGH RISK $1,213 $1,213 $291.94 – $1,152.35
Screening colonoscopy (not high risk): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $715.67
  • AllWell — Medicare Advantage: $751.45
  • Blue Cross Blue Shield — Essentials Network: $1,152.35
  • Blue Cross Blue Shield — PPO/POS Network: $1,152.35
  • Blue Cross Blue Shield — Traditional Indemnity: $1,152.35
  • Christus Exchange — Commercial: $715.67
  • Cigna HealthCare — Commercial: $836.97
  • CorCare Healthcare — Commercial: $849.10
  • Coventry — Commercial: $1,152.35
  • Coventry — Workers Compensation: $1,152.35
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) In the file: SCREENING COLONOSCOPY ON NON HIGH RISK $2,425.50 $2,425.50 $291.94 – $2,304.23
Screening colonoscopy (not high risk): 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $1,431.05
  • AllWell — Medicare Advantage: $1,502.60
  • Blue Cross Blue Shield — Essentials Network: $2,304.23
  • Blue Cross Blue Shield — PPO/POS Network: $2,304.23
  • Blue Cross Blue Shield — Traditional Indemnity: $2,304.23
  • Christus Exchange — Commercial: $1,431.05
  • Cigna HealthCare — Commercial: $1,673.60
  • CorCare Healthcare — Commercial: $1,697.85
  • Coventry — Commercial: $2,304.23
  • Coventry — Workers Compensation: $2,304.23
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: CHOLECYSTECTOMY, LAPAROSCOPIC W/O CHOLA $13,466 $13,466 $2,430.87 – $38,378.10
Gallbladder removal by laparoscope: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $25,046.76
  • AllWell — Medicare Advantage: $26,299.11
  • Blue Cross Blue Shield — Essentials Network: $38,378.10
  • Blue Cross Blue Shield — PPO/POS Network: $38,378.10
  • Blue Cross Blue Shield — Traditional Indemnity: $38,378.10
  • Christus Exchange — Commercial: $25,046.76
  • Cigna HealthCare — Commercial: $27,874.62
  • CorCare Healthcare — Commercial: $28,278.60
  • Coventry — Commercial: $38,378.10
  • Coventry — Workers Compensation: $38,378.10
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) In the file: CHOLECYSTOSTOMY W/DRAINAGE & TUBE PLACE $4,410 $4,410 $810.29 – $4,189.50
Gallbladder removal by laparoscope: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $2,601.90
  • AllWell — Medicare Advantage: $2,732
  • Blue Cross Blue Shield — Essentials Network: $4,189.50
  • Blue Cross Blue Shield — PPO/POS Network: $4,189.50
  • Blue Cross Blue Shield — Traditional Indemnity: $4,189.50
  • Christus Exchange — Commercial: $2,601.90
  • Cigna HealthCare — Commercial: $3,042.90
  • CorCare Healthcare — Commercial: $3,087
  • Coventry — Commercial: $4,189.50
  • Coventry — Workers Compensation: $4,189.50
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) In the file: CHOLECYSTECTOMY, LAPAROSCOPIC W/O CHOLA $13,466 $13,466 $810.29 – $12,792.70
Gallbladder removal by laparoscope: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $7,944.94
  • AllWell — Medicare Advantage: $8,342.19
  • Blue Cross Blue Shield — Essentials Network: $12,792.70
  • Blue Cross Blue Shield — PPO/POS Network: $12,792.70
  • Blue Cross Blue Shield — Traditional Indemnity: $12,792.70
  • Christus Exchange — Commercial: $7,944.94
  • Cigna HealthCare — Commercial: $9,291.54
  • CorCare Healthcare — Commercial: $9,426.20
  • Coventry — Commercial: $12,792.70
  • Coventry — Workers Compensation: $12,792.70
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) In the file: INCISION AND DRAINAGE DEEP ABSCESS HEMAT $2,574.50 $2,574.50 $552.22 – $2,445.78
Groin (inguinal) hernia repair, age 5 or older: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $1,518.96
  • AllWell — Medicare Advantage: $1,594.90
  • Blue Cross Blue Shield — Essentials Network: $2,445.78
  • Blue Cross Blue Shield — PPO/POS Network: $2,445.78
  • Blue Cross Blue Shield — Traditional Indemnity: $2,445.78
  • Christus Exchange — Commercial: $1,518.96
  • Cigna HealthCare — Commercial: $1,776.41
  • CorCare Healthcare — Commercial: $1,802.15
  • Coventry — Commercial: $2,445.78
  • Coventry — Workers Compensation: $2,445.78
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: REPAIR INITIAL INGUINAL HERNIA, AGE 5 OR $2,155.50 $2,155.50 $1,656.66 – $6,143.19
Groin (inguinal) hernia repair, age 5 or older: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $4,009.23
  • AllWell — Medicare Advantage: $4,209.69
  • Blue Cross Blue Shield — Essentials Network: $6,143.19
  • Blue Cross Blue Shield — PPO/POS Network: $6,143.19
  • Blue Cross Blue Shield — Traditional Indemnity: $6,143.19
  • Christus Exchange — Commercial: $4,009.23
  • Cigna HealthCare — Commercial: $4,461.87
  • CorCare Healthcare — Commercial: $4,526.55
  • Coventry — Commercial: $6,143.19
  • Coventry — Workers Compensation: $6,143.19
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) In the file: REPAIR INITIAL INGUINAL HERNIA, AGE 5 OR $2,155.50 $2,155.50 $552.22 – $2,047.73
Groin (inguinal) hernia repair, age 5 or older: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $1,271.75
  • AllWell — Medicare Advantage: $1,335.33
  • Blue Cross Blue Shield — Essentials Network: $2,047.73
  • Blue Cross Blue Shield — PPO/POS Network: $2,047.73
  • Blue Cross Blue Shield — Traditional Indemnity: $2,047.73
  • Christus Exchange — Commercial: $1,271.75
  • Cigna HealthCare — Commercial: $1,487.30
  • CorCare Healthcare — Commercial: $1,508.85
  • Coventry — Commercial: $2,047.73
  • Coventry — Workers Compensation: $2,047.73
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) In the file: ENDOMETRIAL ABLATION, THERMAL $8,127 $8,127 $448.31 – $7,720.65
Hysteroscopy with biopsy of the uterus lining: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $4,794.93
  • AllWell — Medicare Advantage: $5,034.68
  • Blue Cross Blue Shield — Essentials Network: $7,720.65
  • Blue Cross Blue Shield — PPO/POS Network: $7,720.65
  • Blue Cross Blue Shield — Traditional Indemnity: $7,720.65
  • Christus Exchange — Commercial: $4,794.93
  • Cigna HealthCare — Commercial: $5,607.63
  • CorCare Healthcare — Commercial: $5,688.90
  • Coventry — Commercial: $7,720.65
  • Coventry — Workers Compensation: $7,720.65
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: INJECTION(S) EPIDURAL-EA ADD LEVEL-BILAT $4,220.50 $4,220.50 $291.94 – $4,009.48
Nerve root injection, lower back, with imaging guidance: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $2,490.10
  • AllWell — Medicare Advantage: $2,614.60
  • Blue Cross Blue Shield — Essentials Network: $4,009.48
  • Blue Cross Blue Shield — PPO/POS Network: $4,009.48
  • Blue Cross Blue Shield — Traditional Indemnity: $4,009.48
  • Christus Exchange — Commercial: $2,490.10
  • Cigna HealthCare — Commercial: $2,912.15
  • CorCare Healthcare — Commercial: $2,954.35
  • Coventry — Commercial: $4,009.48
  • Coventry — Workers Compensation: $4,009.48
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: HOSPITAL CHARGES $2,110.50 $2,110.50 $291.94 – $2,004.98
Nerve root injection, lower back, with imaging guidance: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $1,308.51
  • AllWell — Medicare Advantage: $1,373.94
  • Blue Cross Blue Shield — Essentials Network: $2,004.98
  • Blue Cross Blue Shield — PPO/POS Network: $2,004.98
  • Blue Cross Blue Shield — Traditional Indemnity: $2,004.98
  • Christus Exchange — Commercial: $1,308.51
  • Cigna HealthCare — Commercial: $1,456.25
  • CorCare Healthcare — Commercial: $1,477.35
  • Coventry — Commercial: $2,004.98
  • Coventry — Workers Compensation: $2,004.98
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: INJECTION(S) TF EPIDURAL-EA ADD LEVEL $2,110.50 $2,110.50 $875.82 – $6,014.94
Nerve root injection, lower back, with imaging guidance: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $3,925.53
  • AllWell — Medicare Advantage: $4,121.82
  • Blue Cross Blue Shield — Essentials Network: $6,014.94
  • Blue Cross Blue Shield — PPO/POS Network: $6,014.94
  • Blue Cross Blue Shield — Traditional Indemnity: $6,014.94
  • Christus Exchange — Commercial: $3,925.53
  • Cigna HealthCare — Commercial: $4,368.75
  • CorCare Healthcare — Commercial: $4,432.05
  • Coventry — Commercial: $6,014.94
  • Coventry — Workers Compensation: $6,014.94
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) In the file: INJECTION; ANES AGENT, LUMBAR/THORACIC $2,110.50 $2,110.50 $390.92 – $2,004.98
Carpal tunnel release: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $1,245.20
  • AllWell — Medicare Advantage: $1,307.45
  • Blue Cross Blue Shield — Essentials Network: $2,004.98
  • Blue Cross Blue Shield — PPO/POS Network: $2,004.98
  • Blue Cross Blue Shield — Traditional Indemnity: $2,004.98
  • Christus Exchange — Commercial: $1,245.20
  • Cigna HealthCare — Commercial: $1,456.25
  • CorCare Healthcare — Commercial: $1,477.35
  • Coventry — Commercial: $2,004.98
  • Coventry — Workers Compensation: $2,004.98
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: HOSPITAL CHARGES $4,769 $4,769 $938.95 – $4,530.55
Cataract removal with lens implant: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $2,575.26
  • AllWell — Medicare Advantage: $3,104.62
  • Blue Cross Blue Shield — Essentials Network: $4,530.55
  • Blue Cross Blue Shield — PPO/POS Network: $4,530.55
  • Blue Cross Blue Shield — Traditional Indemnity: $4,530.55
  • Christus Exchange — Commercial: $2,956.78
  • Cigna HealthCare — Commercial: $3,290.61
  • CorCare Healthcare — Commercial: $3,338.30
  • Coventry — Commercial: $4,530.55
  • Coventry — Workers Compensation: $4,530.55
Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) In the file: CATARACT EXTRACTION, COMPLEX $4,769 $4,769 $938.95 – $4,530.55
Cataract removal with lens implant: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $2,813.71
  • AllWell — Medicare Advantage: $2,954.40
  • Blue Cross Blue Shield — Essentials Network: $4,530.55
  • Blue Cross Blue Shield — PPO/POS Network: $4,530.55
  • Blue Cross Blue Shield — Traditional Indemnity: $4,530.55
  • Christus Exchange — Commercial: $2,813.71
  • Cigna HealthCare — Commercial: $3,290.61
  • CorCare Healthcare — Commercial: $3,338.30
  • Coventry — Commercial: $4,530.55
  • Coventry — Workers Compensation: $4,530.55
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: CATARACT ECTRACTION, COMPLEX $4,769 $4,769 $2,816.85 – $13,591.65
Cataract removal with lens implant: 10 of 31 insurance plan rates
  • Aetna Health Inc. — Medicare Advantage: $7,725.78
  • AllWell — Medicare Advantage: $9,313.86
  • Blue Cross Blue Shield — Essentials Network: $13,591.65
  • Blue Cross Blue Shield — PPO/POS Network: $13,591.65
  • Blue Cross Blue Shield — Traditional Indemnity: $13,591.65
  • Christus Exchange — Commercial: $8,870.34
  • Cigna HealthCare — Commercial: $9,871.83
  • CorCare Healthcare — Commercial: $10,014.90
  • Coventry — Commercial: $13,591.65
  • Coventry — Workers Compensation: $13,591.65

Source: Otto Kaiser Memorial Hospital’s standard charges file (app.box.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 9, 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 typeCritical Access Hospital
Address3349 S Highway 181, Kenedy, TX 78119
CountyKarnes County
StateTexas
Phone(830) 583‑3401
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall ratingNot rated by CMS
CMS Certification Number451364
Name in Medicare recordsOTTO KAISER MEMORIAL HOSPITAL
Profile levelMedicare data + hospital website
Official websiteokmh.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Otto Kaiser Memorial Hospital — okmh.org
  2. Emergency Room — okmh.org
  3. Visiting Specialists — okmh.org
  4. Surgical Services — okmh.org
  5. Imaging — okmh.org
  6. Wound Care — okmh.org
  7. Services | Otto Kaiser Memorial Hospital | Kenedy, TX — okmh.org
  8. Outpatient Services | Otto Kaiser Memorial Hospital — okmh.org
  9. Cardiopulmonary Services | Otto Kaiser Memorial Hospital — okmh.org
  10. For Visitors | Otto Kaiser Memorial Hospital — okmh.org
  11. Inpatient Care | Otto Kaiser Memorial Hospital — okmh.org
  12. Physical Rehabilitation | Otto Kaiser Memorial Hospital — okmh.org