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Acute Care Hospital

Palo Pinto General Hospital

Mineral Wells, Texas · Palo Pinto County · Emergency services listed

Summary

Palo Pinto General Hospital is an acute care hospital in Mineral Wells, Texas. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 66 services, specialties and programs. Medicare lists 156 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(940) 325‑7891 Directions Website Medicare profile
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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
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
156Doctors and clinicians
66Services listed

Quick answers

Does Palo Pinto General Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Palo Pinto General Hospital. In a medical emergency, call 911.
Where is Palo Pinto General Hospital?
400 Southwest 25 Ave, Mineral Wells, TX 76067, in Palo Pinto County, Texas.
What is the phone number of Palo Pinto General Hospital?
(940) 325-7891, as listed by Medicare (CMS).
What is the Medicare star rating of Palo Pinto General Hospital?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][7][8][13][16]

Conditions treated[8][15]

Treatments[4][5][6][9][14][15][16]

Procedures[4][6][10][13][15][16][17]

Programs and centers[4][7][9][10][11][12][15][16]

  • Birth Center
  • Inpatient telehealth services
  • Emergency department
  • Birth center and labor and delivery
  • Cardiac rehabilitation
  • Tele-pulmonary and critical care (SOC Telemed)
  • Physical therapy

Emergency care (hospital website)[5][7]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel IV

Visiting and practical information

Patient portalPatient Portal (myconnect)

Recognition[5][11][17]

  • Level IV Trauma Center
  • Joint Commission accreditation
  • AACVPR certified cardiac rehabilitation facility

Doctors and clinicians (156)

156 doctors and other clinicians list Palo Pinto 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 (156)

And 132 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 →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What Palo Pinto 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.

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean5 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1068%National average: 72%
Would definitely recommend the hospital67%National average: 71%
Nurses “always” communicated well80%National average: 80%
Doctors “always” communicated well75%National average: 80%
Staff “always” explained medicines before giving them59%National average: 62%
Were given information about recovery at home85%National average: 86%
Room and bathroom “always” clean83%National average: 74%
Area around the room “always” quiet at night62%National average: 60%
Completed surveys127Response rate: 13%

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 infections0.958No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patients9.7%
Deaths within 30 days: pneumonia patients13.6%
Deaths within 30 days: COPD patients9.4%
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)1.06No different from the national rate
Complications after hip or knee replacementToo few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failure21.3%
Readmitted within 30 days: pneumonia17.5%
Readmitted within 30 days: COPD19.2%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)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)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)54%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in TexasBest hospitals in Texas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 37 common services exactly as Palo Pinto 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 →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: EMERGENCY ROOM LEVEL III $934.90 $467.45 $213.91 – $900
Emergency room visit (moderate): 10 of 14 insurance plan rates
  • Aetna Commercial — PPO: $621
  • Aetna Medicare Advantage — HMO: $272.88
  • Ambetter Commercial Exchange — POS: $313.81
  • Baylor Scott and White Commercial — POS: $900
  • BCBS TX Blue Advantage — PPO: $281.41
  • BCBS TX Blue Essentials — HMO: $292.58
  • BCBS TX PPO — PPO: $279.18
  • Cigna — PPO: $654.43
  • Humana Medicare — HMO: $272.88
  • Molina Medicaid — EPO: $213.91
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: EMERGENCY ROOM LEVEL III $934.90 $467.45 $311.32 – $934.90
Emergency room visit (moderate): rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $311.32
  • BCBS TX Blue Essentials — HMO: $311.32
  • BCBS TX PPO — PPO: $327.22
  • Molina Medicaid — EPO: $663.78
  • Oscar — PPO: $934.90
  • UHC Community Plan — EPO: $663.78
  • Wellpoint Medicaid — EPO: $663.78
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · modifier 27 In the file: EMERGENCY ROOM LEVEL III W/27 $934.90 $467.45 $213.91 – $900
Emergency room visit (moderate): 10 of 14 insurance plan rates
  • Aetna Commercial — PPO: $621
  • Aetna Medicare Advantage — HMO: $272.88
  • Ambetter Commercial Exchange — POS: $313.81
  • Baylor Scott and White Commercial — POS: $900
  • BCBS TX Blue Advantage — PPO: $281.41
  • BCBS TX Blue Essentials — HMO: $292.58
  • BCBS TX PPO — PPO: $279.18
  • Cigna — PPO: $654.43
  • Humana Medicare — HMO: $272.88
  • Molina Medicaid — EPO: $213.91
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: EMERGENCY ROOM LEVEL IV $1,336.20 $668.10 $305.72 – $1,500
Emergency room visit (moderately high): 10 of 14 insurance plan rates
  • Aetna Commercial — PPO: $621
  • Aetna Medicare Advantage — HMO: $417.11
  • Ambetter Commercial Exchange — POS: $479.68
  • Baylor Scott and White Commercial — POS: $1,500
  • BCBS TX Blue Advantage — PPO: $443.26
  • BCBS TX Blue Essentials — HMO: $460.84
  • BCBS TX PPO — PPO: $439.74
  • Cigna — PPO: $935.34
  • Humana Medicare — HMO: $417.11
  • Molina Medicaid — EPO: $305.72
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: EMERGENCY ROOM LEVEL IV $1,336.20 $668.10 $444.95 – $1,336.20
Emergency room visit (moderately high): rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $444.95
  • BCBS TX Blue Essentials — HMO: $444.95
  • BCBS TX PPO — PPO: $467.67
  • Molina Medicaid — EPO: $948.70
  • Oscar — PPO: $1,336.20
  • UHC Community Plan — EPO: $948.70
  • Wellpoint Medicaid — EPO: $948.70
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier 25 In the file: EMERGENCY ROOM LEVEL IV + $1,336.20 $668.10 $305.72 – $1,500
Emergency room visit (moderately high): 10 of 14 insurance plan rates
  • Aetna Commercial — PPO: $621
  • Aetna Medicare Advantage — HMO: $417.11
  • Ambetter Commercial Exchange — POS: $479.68
  • Baylor Scott and White Commercial — POS: $1,500
  • BCBS TX Blue Advantage — PPO: $443.26
  • BCBS TX Blue Essentials — HMO: $460.84
  • BCBS TX PPO — PPO: $439.74
  • Cigna — PPO: $935.34
  • Humana Medicare — HMO: $417.11
  • Molina Medicaid — EPO: $305.72
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: EMERGENCY ROOM LEVEL V $1,949.20 $974.60 $445.98 – $1,900
Emergency room visit (high): 10 of 14 insurance plan rates
  • Aetna Commercial — PPO: $621
  • Aetna Medicare Advantage — HMO: $595.31
  • Ambetter Commercial Exchange — POS: $684.61
  • Baylor Scott and White Commercial — POS: $1,900
  • BCBS TX Blue Advantage — PPO: $635.68
  • BCBS TX Blue Essentials — HMO: $660.91
  • BCBS TX PPO — PPO: $630.64
  • Cigna — PPO: $1,364.44
  • Humana Medicare — HMO: $595.31
  • Molina Medicaid — EPO: $445.98
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: EMERGENCY ROOM LEVEL V $1,949.20 $974.60 $649.08 – $1,949.20
Emergency room visit (high): rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $649.08
  • BCBS TX Blue Essentials — HMO: $649.08
  • BCBS TX PPO — PPO: $682.22
  • Molina Medicaid — EPO: $1,383.93
  • Oscar — PPO: $1,949.20
  • UHC Community Plan — EPO: $1,383.93
  • Wellpoint Medicaid — EPO: $1,383.93
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier 25 In the file: EMERGENCY ROOM LEVEL V + $1,949.20 $974.60 $445.98 – $1,900
Emergency room visit (high): 10 of 14 insurance plan rates
  • Aetna Commercial — PPO: $621
  • Aetna Medicare Advantage — HMO: $595.31
  • Ambetter Commercial Exchange — POS: $684.61
  • Baylor Scott and White Commercial — POS: $1,900
  • BCBS TX Blue Advantage — PPO: $635.68
  • BCBS TX Blue Essentials — HMO: $660.91
  • BCBS TX PPO — PPO: $630.64
  • Cigna — PPO: $1,364.44
  • Humana Medicare — HMO: $595.31
  • Molina Medicaid — EPO: $445.98

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANEL $147 $73.50 $7.11 – $61.15
Basic metabolic panel (blood test): rates for 8 insurance plans
  • Baylor Scott and White Commercial — POS: $12.27
  • BCBS TX Blue Advantage — PPO: $8.46
  • BCBS TX Blue Essentials — HMO: $8.46
  • BCBS TX PPO — PPO: $8.88
  • Cigna — PPO: $8.49
  • Molina Medicaid — EPO: $7.11
  • UHC Community Plan — EPO: $61.15
  • Wellpoint Medicaid — EPO: $7.11
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: BASIC METABOLIC PANEL $147 $73.50 $48.95 – $147
Basic metabolic panel (blood test): rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $48.95
  • BCBS TX Blue Essentials — HMO: $48.95
  • BCBS TX PPO — PPO: $51.45
  • Molina Medicaid — EPO: $104.37
  • Oscar — PPO: $147
  • UHC Community Plan — EPO: $104.37
  • Wellpoint Medicaid — EPO: $104.37
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHENSIVE METABOLIC PAN $195.30 $97.65 $8.87 – $81.24
Comprehensive metabolic panel (blood test): rates for 8 insurance plans
  • Baylor Scott and White Commercial — POS: $15.31
  • BCBS TX Blue Advantage — PPO: $10.56
  • BCBS TX Blue Essentials — HMO: $10.56
  • BCBS TX PPO — PPO: $11.09
  • Cigna — PPO: $10.60
  • Molina Medicaid — EPO: $8.87
  • UHC Community Plan — EPO: $81.24
  • Wellpoint Medicaid — EPO: $8.87
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: COMPREHENSIVE METABOLIC PAN $195.30 $97.65 $65.03 – $195.30
Comprehensive metabolic panel (blood test): rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $65.03
  • BCBS TX Blue Essentials — HMO: $65.03
  • BCBS TX PPO — PPO: $68.36
  • Molina Medicaid — EPO: $138.66
  • Oscar — PPO: $195.30
  • UHC Community Plan — EPO: $138.66
  • Wellpoint Medicaid — EPO: $138.66
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PROFILE $130.20 $65.10 $11.25 – $54.16
Cholesterol panel (lipid panel): rates for 8 insurance plans
  • Baylor Scott and White Commercial — POS: $19.42
  • BCBS TX Blue Advantage — PPO: $13.39
  • BCBS TX Blue Essentials — HMO: $13.39
  • BCBS TX PPO — PPO: $14.06
  • Cigna — PPO: $13.43
  • Molina Medicaid — EPO: $11.25
  • UHC Community Plan — EPO: $54.16
  • Wellpoint Medicaid — EPO: $11.25
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: LIPID PROFILE $130.20 $65.10 $43.36 – $130.20
Cholesterol panel (lipid panel): rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $43.36
  • BCBS TX Blue Essentials — HMO: $43.36
  • BCBS TX PPO — PPO: $45.57
  • Molina Medicaid — EPO: $92.44
  • Oscar — PPO: $130.20
  • UHC Community Plan — EPO: $92.44
  • Wellpoint Medicaid — EPO: $92.44
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL $162.80 $81.40 $7.29 – $67.72
Kidney function panel: rates for 8 insurance plans
  • Baylor Scott and White Commercial — POS: $12.59
  • BCBS TX Blue Advantage — PPO: $8.68
  • BCBS TX Blue Essentials — HMO: $8.68
  • BCBS TX PPO — PPO: $9.11
  • Cigna — PPO: $8.71
  • Molina Medicaid — EPO: $7.29
  • UHC Community Plan — EPO: $67.72
  • Wellpoint Medicaid — EPO: $7.29
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL FUNCTION PANEL $162.80 $81.40 $54.21 – $162.80
Kidney function panel: rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $54.21
  • BCBS TX Blue Essentials — HMO: $54.21
  • BCBS TX PPO — PPO: $56.98
  • Molina Medicaid — EPO: $115.59
  • Oscar — PPO: $162.80
  • UHC Community Plan — EPO: $115.59
  • Wellpoint Medicaid — EPO: $115.59
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: LIVER PROFILE $123.90 $61.95 $6.86 – $51.54
Liver function panel: rates for 8 insurance plans
  • Baylor Scott and White Commercial — POS: $11.85
  • BCBS TX Blue Advantage — PPO: $8.17
  • BCBS TX Blue Essentials — HMO: $8.17
  • BCBS TX PPO — PPO: $8.58
  • Cigna — PPO: $8.20
  • Molina Medicaid — EPO: $6.86
  • UHC Community Plan — EPO: $51.54
  • Wellpoint Medicaid — EPO: $6.86
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: LIVER PROFILE $123.90 $61.95 $41.26 – $123.90
Liver function panel: rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $41.26
  • BCBS TX Blue Essentials — HMO: $41.26
  • BCBS TX PPO — PPO: $43.37
  • Molina Medicaid — EPO: $87.97
  • Oscar — PPO: $123.90
  • UHC Community Plan — EPO: $87.97
  • Wellpoint Medicaid — EPO: $87.97
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS WITH MICROSCOPIC $65.10 $32.55 $2.66 – $27.08
Urine test (automated, with microscope): rates for 8 insurance plans
  • Baylor Scott and White Commercial — POS: $4.60
  • BCBS TX Blue Advantage — PPO: $3.17
  • BCBS TX Blue Essentials — HMO: $3.17
  • BCBS TX PPO — PPO: $3.33
  • Cigna — PPO: $3.19
  • Molina Medicaid — EPO: $2.66
  • UHC Community Plan — EPO: $27.08
  • Wellpoint Medicaid — EPO: $2.66
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: URINALYSIS WITH MICROSCOPIC $65.10 $32.55 $21.68 – $65.10
Urine test (automated, with microscope): rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $21.68
  • BCBS TX Blue Essentials — HMO: $21.68
  • BCBS TX PPO — PPO: $22.79
  • Molina Medicaid — EPO: $46.22
  • Oscar — PPO: $65.10
  • UHC Community Plan — EPO: $46.22
  • Wellpoint Medicaid — EPO: $46.22
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: LAB URINALYSIS $16.80 $8.40 $2.83 – $6.99
Urine test (manual, without microscope): rates for 8 insurance plans
  • Baylor Scott and White Commercial — POS: $5.05
  • BCBS TX Blue Advantage — PPO: $3.48
  • BCBS TX Blue Essentials — HMO: $3.48
  • BCBS TX PPO — PPO: $3.65
  • Cigna — PPO: $2.83
  • Molina Medicaid — EPO: $2.92
  • UHC Community Plan — EPO: $6.99
  • Wellpoint Medicaid — EPO: $2.92
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: LAB URINALYSIS $16.80 $8.40 $5.59 – $16.80
Urine test (manual, without microscope): rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $5.59
  • BCBS TX Blue Essentials — HMO: $5.59
  • BCBS TX PPO — PPO: $5.88
  • Molina Medicaid — EPO: $11.93
  • Oscar — PPO: $16.80
  • UHC Community Plan — EPO: $11.93
  • Wellpoint Medicaid — EPO: $11.93
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS $45.20 $22.60 $1.89 – $18.80
Urine test (automated, without microscope): rates for 8 insurance plans
  • Baylor Scott and White Commercial — POS: $3.26
  • BCBS TX Blue Advantage — PPO: $2.25
  • BCBS TX Blue Essentials — HMO: $2.25
  • BCBS TX PPO — PPO: $2.36
  • Cigna — PPO: $2.25
  • Molina Medicaid — EPO: $1.89
  • UHC Community Plan — EPO: $18.80
  • Wellpoint Medicaid — EPO: $1.89
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: URINALYSIS $45.20 $22.60 $15.05 – $45.20
Urine test (automated, without microscope): rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $15.05
  • BCBS TX Blue Essentials — HMO: $15.05
  • BCBS TX PPO — PPO: $15.82
  • Molina Medicaid — EPO: $32.09
  • Oscar — PPO: $45.20
  • UHC Community Plan — EPO: $32.09
  • Wellpoint Medicaid — EPO: $32.09
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROSTATE-SPECIFIC ANTIGEN $136.50 $68.25 $15.45 – $56.78
PSA (prostate specific antigen) blood test: rates for 8 insurance plans
  • Baylor Scott and White Commercial — POS: $26.67
  • BCBS TX Blue Advantage — PPO: $18.39
  • BCBS TX Blue Essentials — HMO: $18.39
  • BCBS TX PPO — PPO: $19.31
  • Cigna — PPO: $18.45
  • Molina Medicaid — EPO: $15.45
  • UHC Community Plan — EPO: $56.78
  • Wellpoint Medicaid — EPO: $15.45
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: PROSTATE-SPECIFIC ANTIGEN $136.50 $68.25 $45.45 – $136.50
PSA (prostate specific antigen) blood test: rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $45.45
  • BCBS TX Blue Essentials — HMO: $45.45
  • BCBS TX PPO — PPO: $47.78
  • Molina Medicaid — EPO: $96.92
  • Oscar — PPO: $136.50
  • UHC Community Plan — EPO: $96.92
  • Wellpoint Medicaid — EPO: $96.92
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: THYROID STIMULATING HORMONE $141.80 $70.90 $14.11 – $58.99
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans
  • Baylor Scott and White Commercial — POS: $24.36
  • BCBS TX Blue Advantage — PPO: $16.80
  • BCBS TX Blue Essentials — HMO: $16.80
  • BCBS TX PPO — PPO: $17.64
  • Cigna — PPO: $16.86
  • Molina Medicaid — EPO: $14.11
  • UHC Community Plan — EPO: $58.99
  • Wellpoint Medicaid — EPO: $14.11
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: THYROID STIMULATING HORMONE $141.80 $70.90 $47.22 – $141.80
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $47.22
  • BCBS TX Blue Essentials — HMO: $47.22
  • BCBS TX PPO — PPO: $49.63
  • Molina Medicaid — EPO: $100.68
  • Oscar — PPO: $141.80
  • UHC Community Plan — EPO: $100.68
  • Wellpoint Medicaid — EPO: $100.68
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC w/AUTO DIFF $93.50 $46.75 $6.53 – $38.90
Complete blood count (CBC) with differential: rates for 8 insurance plans
  • Baylor Scott and White Commercial — POS: $11.27
  • BCBS TX Blue Advantage — PPO: $7.77
  • BCBS TX Blue Essentials — HMO: $7.77
  • BCBS TX PPO — PPO: $8.16
  • Cigna — PPO: $7.79
  • Molina Medicaid — EPO: $6.53
  • UHC Community Plan — EPO: $38.90
  • Wellpoint Medicaid — EPO: $6.53
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: CBC w/AUTO DIFF $93.50 $46.75 $31.14 – $93.50
Complete blood count (CBC) with differential: rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $31.14
  • BCBS TX Blue Essentials — HMO: $31.14
  • BCBS TX PPO — PPO: $32.73
  • Molina Medicaid — EPO: $66.39
  • Oscar — PPO: $93.50
  • UHC Community Plan — EPO: $66.39
  • Wellpoint Medicaid — EPO: $66.39
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC, AUTOMATED $70.40 $35.20 $5.43 – $29.29
Complete blood count (CBC), automated: rates for 8 insurance plans
  • Baylor Scott and White Commercial — POS: $9.38
  • BCBS TX Blue Advantage — PPO: $6.47
  • BCBS TX Blue Essentials — HMO: $6.47
  • BCBS TX PPO — PPO: $6.79
  • Cigna — PPO: $6.49
  • Molina Medicaid — EPO: $5.43
  • UHC Community Plan — EPO: $29.29
  • Wellpoint Medicaid — EPO: $5.43
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: CBC, AUTOMATED $70.40 $35.20 $23.44 – $70.40
Complete blood count (CBC), automated: rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $23.44
  • BCBS TX Blue Essentials — HMO: $23.44
  • BCBS TX PPO — PPO: $24.64
  • Molina Medicaid — EPO: $49.98
  • Oscar — PPO: $70.40
  • UHC Community Plan — EPO: $49.98
  • Wellpoint Medicaid — EPO: $49.98
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME $53.60 $26.80 $3.60 – $22.30
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans
  • Baylor Scott and White Commercial — POS: $6.22
  • BCBS TX Blue Advantage — PPO: $4.29
  • BCBS TX Blue Essentials — HMO: $4.29
  • BCBS TX PPO — PPO: $4.50
  • Cigna — PPO: $3.94
  • Molina Medicaid — EPO: $3.60
  • UHC Community Plan — EPO: $22.30
  • Wellpoint Medicaid — EPO: $3.60
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: PROTHROMBIN TIME $53.60 $26.80 $17.85 – $53.60
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $17.85
  • BCBS TX Blue Essentials — HMO: $17.85
  • BCBS TX PPO — PPO: $18.76
  • Molina Medicaid — EPO: $38.06
  • Oscar — PPO: $53.60
  • UHC Community Plan — EPO: $38.06
  • Wellpoint Medicaid — EPO: $38.06
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · modifier QW In the file: PROTHROMBIN TIME WAIVED $53.60 $26.80 $3.60 – $100
Blood clotting time test (prothrombin time, PT): rates for 9 insurance plans
  • Baylor Scott and White Commercial — POS: $6.22
  • BCBS TX Blue Advantage — PPO: $4.29
  • BCBS TX Blue Essentials — HMO: $4.29
  • BCBS TX PPO — PPO: $4.50
  • Cigna — PPO: $3.94
  • Molina Medicaid — EPO: $3.60
  • UHC Commercial — PPO: $100
  • UHC Community Plan — EPO: $100
  • Wellpoint Medicaid — EPO: $3.60
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT $80.90 $40.45 $5.05 – $33.65
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans
  • Baylor Scott and White Commercial — POS: $8.71
  • BCBS TX Blue Advantage — PPO: $6.01
  • BCBS TX Blue Essentials — HMO: $6.01
  • BCBS TX PPO — PPO: $6.31
  • Cigna — PPO: $6.03
  • Molina Medicaid — EPO: $5.05
  • UHC Community Plan — EPO: $33.65
  • Wellpoint Medicaid — EPO: $5.05
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: PTT $80.90 $40.45 $26.94 – $80.90
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $26.94
  • BCBS TX Blue Essentials — HMO: $26.94
  • BCBS TX PPO — PPO: $28.32
  • Molina Medicaid — EPO: $57.44
  • Oscar — PPO: $80.90
  • UHC Community Plan — EPO: $57.44
  • Wellpoint Medicaid — EPO: $57.44

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD/BRAIN WO CN STROK PR $1,089.30 $544.65 $104.51 – $988
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates
  • Aetna Commercial — PPO: $708.05
  • Aetna Medicare Advantage — HMO: $104.51
  • Ambetter Commercial Exchange — POS: $120.19
  • Baylor Scott and White Commercial — POS: $650
  • BCBS TX Blue Advantage — PPO: $271.23
  • BCBS TX Blue Essentials — HMO: $271.23
  • BCBS TX PPO — PPO: $285.80
  • Cigna — PPO: $988
  • Humana Medicare — HMO: $104.51
  • Molina Medicaid — EPO: $131.99
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD/BRAIN W/O CONTRAST $1,089.30 $544.65 $104.51 – $988
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates
  • Aetna Commercial — PPO: $708.05
  • Aetna Medicare Advantage — HMO: $104.51
  • Ambetter Commercial Exchange — POS: $120.19
  • Baylor Scott and White Commercial — POS: $650
  • BCBS TX Blue Advantage — PPO: $271.23
  • BCBS TX Blue Essentials — HMO: $271.23
  • BCBS TX PPO — PPO: $285.80
  • Cigna — PPO: $988
  • Humana Medicare — HMO: $104.51
  • Molina Medicaid — EPO: $131.99
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT HEAD/BRAIN WO CN STROK PR $1,089.30 $544.65 $362.74 – $1,089.30
CT scan of the head or brain, without contrast: rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $362.74
  • BCBS TX Blue Essentials — HMO: $362.74
  • BCBS TX PPO — PPO: $381.26
  • Molina Medicaid — EPO: $773.40
  • Oscar — PPO: $1,089.30
  • UHC Community Plan — EPO: $773.40
  • Wellpoint Medicaid — EPO: $773.40
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN INC STM WO/W CONT $1,834.60 $917.30 $328.11 – $1,248
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates
  • Aetna Commercial — PPO: $1,192.49
  • Aetna Medicare Advantage — HMO: $348.74
  • Ambetter Commercial Exchange — POS: $401.05
  • Baylor Scott and White Commercial — POS: $950
  • BCBS TX Blue Advantage — PPO: $924.08
  • BCBS TX Blue Essentials — HMO: $924.08
  • BCBS TX PPO — PPO: $973.72
  • Cigna — PPO: $1,248
  • Humana Medicare — HMO: $348.74
  • Molina Medicaid — EPO: $461.69
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI HEAD WITH/WITHOUT CONTR $1,834.60 $917.30 $328.11 – $1,248
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates
  • Aetna Commercial — PPO: $1,192.49
  • Aetna Medicare Advantage — HMO: $348.74
  • Ambetter Commercial Exchange — POS: $401.05
  • Baylor Scott and White Commercial — POS: $950
  • BCBS TX Blue Advantage — PPO: $924.08
  • BCBS TX Blue Essentials — HMO: $924.08
  • BCBS TX PPO — PPO: $973.72
  • Cigna — PPO: $1,248
  • Humana Medicare — HMO: $348.74
  • Molina Medicaid — EPO: $461.69
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MRI BRAIN INC STM WO/W CONT $1,834.60 $917.30 $610.92 – $1,834.60
MRI of the brain, before and after contrast: rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $610.92
  • BCBS TX Blue Essentials — HMO: $610.92
  • BCBS TX PPO — PPO: $642.11
  • Molina Medicaid — EPO: $1,302.57
  • Oscar — PPO: $1,834.60
  • UHC Community Plan — EPO: $1,302.57
  • Wellpoint Medicaid — EPO: $1,302.57
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST - DECUBITUS 2 VIEWS $249.20 $124.60 $33.75 – $174.44
Chest X-ray, 2 views: 10 of 14 insurance plan rates
  • Aetna Commercial — PPO: $161.98
  • Aetna Medicare Advantage — HMO: $86.99
  • Ambetter Commercial Exchange — POS: $100.04
  • Baylor Scott and White Commercial — POS: $124.60
  • BCBS TX Blue Advantage — PPO: $59.06
  • BCBS TX Blue Essentials — HMO: $59.06
  • BCBS TX PPO — PPO: $62.25
  • Cigna — PPO: $174.44
  • Humana Medicare — HMO: $86.99
  • Molina Medicaid — EPO: $109.09
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST - 2 VIEWS $294.40 $147.20 $33.75 – $206.08
Chest X-ray, 2 views: 10 of 14 insurance plan rates
  • Aetna Commercial — PPO: $191.36
  • Aetna Medicare Advantage — HMO: $86.99
  • Ambetter Commercial Exchange — POS: $100.04
  • Baylor Scott and White Commercial — POS: $147.20
  • BCBS TX Blue Advantage — PPO: $59.06
  • BCBS TX Blue Essentials — HMO: $59.06
  • BCBS TX PPO — PPO: $62.25
  • Cigna — PPO: $206.08
  • Humana Medicare — HMO: $86.99
  • Molina Medicaid — EPO: $109.09
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: CHEST - DECUBITUS 2 VIEWS $249.20 $124.60 $82.98 – $249.20
Chest X-ray, 2 views: rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $82.98
  • BCBS TX Blue Essentials — HMO: $82.98
  • BCBS TX PPO — PPO: $87.22
  • Molina Medicaid — EPO: $176.93
  • Oscar — PPO: $249.20
  • UHC Community Plan — EPO: $176.93
  • Wellpoint Medicaid — EPO: $176.93
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: LUMBAR SPINE - 5 VIEWS $516 $258 $45 – $361.20
X-ray of the lower spine, at least 4 views: 10 of 14 insurance plan rates
  • Aetna Commercial — PPO: $335.40
  • Aetna Medicare Advantage — HMO: $104.51
  • Ambetter Commercial Exchange — POS: $120.19
  • Baylor Scott and White Commercial — POS: $258
  • BCBS TX Blue Advantage — PPO: $82.94
  • BCBS TX Blue Essentials — HMO: $82.94
  • BCBS TX PPO — PPO: $87.42
  • Cigna — PPO: $361.20
  • Humana Medicare — HMO: $104.51
  • Molina Medicaid — EPO: $131.99
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: LUMBAR SPINE - 5 VIEWS $516 $258 $171.83 – $516
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $171.83
  • BCBS TX Blue Essentials — HMO: $171.83
  • BCBS TX PPO — PPO: $180.60
  • Molina Medicaid — EPO: $366.36
  • Oscar — PPO: $516
  • UHC Community Plan — EPO: $366.36
  • Wellpoint Medicaid — EPO: $366.36
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI LUMBAR SPINE W/O CONTR $1,375.90 $687.95 $197.14 – $1,248
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates
  • Aetna Commercial — PPO: $894.34
  • Aetna Medicare Advantage — HMO: $238.52
  • Ambetter Commercial Exchange — POS: $274.30
  • Baylor Scott and White Commercial — POS: $950
  • BCBS TX Blue Advantage — PPO: $563.96
  • BCBS TX Blue Essentials — HMO: $563.96
  • BCBS TX PPO — PPO: $594.25
  • Cigna — PPO: $1,248
  • Humana Medicare — HMO: $238.52
  • Molina Medicaid — EPO: $294.17
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MRI LUMBAR SPINE W/O CONTR $1,375.90 $687.95 $458.17 – $1,375.90
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $458.17
  • BCBS TX Blue Essentials — HMO: $458.17
  • BCBS TX PPO — PPO: $481.57
  • Molina Medicaid — EPO: $976.89
  • Oscar — PPO: $1,375.90
  • UHC Community Plan — EPO: $976.89
  • Wellpoint Medicaid — EPO: $976.89
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS WITH CONTRAST $1,146.60 $573.30 $175.06 – $988
CT scan of the pelvis, with contrast: 10 of 14 insurance plan rates
  • Aetna Commercial — PPO: $745.29
  • Aetna Medicare Advantage — HMO: $175.34
  • Ambetter Commercial Exchange — POS: $201.64
  • Baylor Scott and White Commercial — POS: $650
  • BCBS TX Blue Advantage — PPO: $440.97
  • BCBS TX Blue Essentials — HMO: $440.97
  • BCBS TX PPO — PPO: $464.66
  • Cigna — PPO: $988
  • Humana Medicare — HMO: $175.34
  • Molina Medicaid — EPO: $220.58
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT PELVIS WITH CONTRAST $1,146.60 $573.30 $381.82 – $1,146.60
CT scan of the pelvis, with contrast: rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $381.82
  • BCBS TX Blue Essentials — HMO: $381.82
  • BCBS TX PPO — PPO: $401.31
  • Molina Medicaid — EPO: $814.09
  • Oscar — PPO: $1,146.60
  • UHC Community Plan — EPO: $814.09
  • Wellpoint Medicaid — EPO: $814.09
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: LOWER KNEE JOINT WO/ $1,375.90 $687.95 $208.84 – $1,248
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates
  • Aetna Commercial — PPO: $894.34
  • Aetna Medicare Advantage — HMO: $238.52
  • Ambetter Commercial Exchange — POS: $274.30
  • Baylor Scott and White Commercial — POS: $950
  • BCBS TX Blue Advantage — PPO: $563.96
  • BCBS TX Blue Essentials — HMO: $563.96
  • BCBS TX PPO — PPO: $594.25
  • Cigna — PPO: $1,248
  • Humana Medicare — HMO: $238.52
  • Molina Medicaid — EPO: $294.17
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: LOWER HIP JOINT /WO $1,375.90 $687.95 $208.84 – $1,248
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates
  • Aetna Commercial — PPO: $894.34
  • Aetna Medicare Advantage — HMO: $238.52
  • Ambetter Commercial Exchange — POS: $274.30
  • Baylor Scott and White Commercial — POS: $950
  • BCBS TX Blue Advantage — PPO: $563.96
  • BCBS TX Blue Essentials — HMO: $563.96
  • BCBS TX PPO — PPO: $594.25
  • Cigna — PPO: $1,248
  • Humana Medicare — HMO: $238.52
  • Molina Medicaid — EPO: $294.17
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: LOWER ANKLE JOINT /WO $1,375.90 $687.95 $208.84 – $1,248
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates
  • Aetna Commercial — PPO: $894.34
  • Aetna Medicare Advantage — HMO: $238.52
  • Ambetter Commercial Exchange — POS: $274.30
  • Baylor Scott and White Commercial — POS: $950
  • BCBS TX Blue Advantage — PPO: $563.96
  • BCBS TX Blue Essentials — HMO: $563.96
  • BCBS TX PPO — PPO: $594.25
  • Cigna — PPO: $1,248
  • Humana Medicare — HMO: $238.52
  • Molina Medicaid — EPO: $294.17
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABDOMEN PELVIS W CONT $1,605.20 $802.60 $312.08 – $1,043.38
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates
  • Aetna Commercial — PPO: $1,043.38
  • Aetna Medicare Advantage — HMO: $348.74
  • Ambetter Commercial Exchange — POS: $401.05
  • Baylor Scott and White Commercial — POS: $650
  • BCBS TX Blue Advantage — PPO: $924.08
  • BCBS TX Blue Essentials — HMO: $924.08
  • BCBS TX PPO — PPO: $973.72
  • Cigna — PPO: $988
  • Humana Medicare — HMO: $348.74
  • Molina Medicaid — EPO: $461.69
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT ABDOMEN PELVIS W CONT $1,605.20 $802.60 $534.53 – $1,605.20
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $534.53
  • BCBS TX Blue Essentials — HMO: $534.53
  • BCBS TX PPO — PPO: $561.82
  • Molina Medicaid — EPO: $1,139.69
  • Oscar — PPO: $1,605.20
  • UHC Community Plan — EPO: $1,139.69
  • Wellpoint Medicaid — EPO: $1,139.69
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: ULTRASOUND ABDOMEN COMPLETE $873.20 $436.60 $82.94 – $611.24
Ultrasound of the abdomen, complete: 10 of 14 insurance plan rates
  • Aetna Commercial — PPO: $567.58
  • Aetna Medicare Advantage — HMO: $104.51
  • Ambetter Commercial Exchange — POS: $120.19
  • Baylor Scott and White Commercial — POS: $436.60
  • BCBS TX Blue Advantage — PPO: $82.94
  • BCBS TX Blue Essentials — HMO: $82.94
  • BCBS TX PPO — PPO: $87.42
  • Cigna — PPO: $611.24
  • Humana Medicare — HMO: $104.51
  • Molina Medicaid — EPO: $131.99
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: ULTRASOUND ABDOMEN COMPLETE $873.20 $436.60 $290.78 – $873.20
Ultrasound of the abdomen, complete: rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $290.78
  • BCBS TX Blue Essentials — HMO: $290.78
  • BCBS TX PPO — PPO: $305.62
  • Molina Medicaid — EPO: $619.97
  • Oscar — PPO: $873.20
  • UHC Community Plan — EPO: $619.97
  • Wellpoint Medicaid — EPO: $619.97
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: OB-PREG, LATE (13-40 WKS) $657.10 $328.55 $67.74 – $459.97
Pregnancy ultrasound (after the first trimester): 10 of 14 insurance plan rates
  • Aetna Commercial — PPO: $427.12
  • Aetna Medicare Advantage — HMO: $104.51
  • Ambetter Commercial Exchange — POS: $120.19
  • Baylor Scott and White Commercial — POS: $328.55
  • BCBS TX Blue Advantage — PPO: $67.74
  • BCBS TX Blue Essentials — HMO: $67.74
  • BCBS TX PPO — PPO: $71.40
  • Cigna — PPO: $459.97
  • Humana Medicare — HMO: $104.51
  • Molina Medicaid — EPO: $131.99
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: OB-PREG, LATE (13-40 WKS) $657.10 $328.55 $218.81 – $657.10
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $218.81
  • BCBS TX Blue Essentials — HMO: $218.81
  • BCBS TX PPO — PPO: $229.99
  • Molina Medicaid — EPO: $466.54
  • Oscar — PPO: $657.10
  • UHC Community Plan — EPO: $466.54
  • Wellpoint Medicaid — EPO: $466.54
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: ULTRAS TRANSVAG NONPREG PLVS $593.20 $296.60 $65.34 – $415.24
Transvaginal ultrasound: 10 of 14 insurance plan rates
  • Aetna Commercial — PPO: $385.58
  • Aetna Medicare Advantage — HMO: $104.51
  • Ambetter Commercial Exchange — POS: $120.19
  • Baylor Scott and White Commercial — POS: $296.60
  • BCBS TX Blue Advantage — PPO: $65.34
  • BCBS TX Blue Essentials — HMO: $65.34
  • BCBS TX PPO — PPO: $68.87
  • Cigna — PPO: $415.24
  • Humana Medicare — HMO: $104.51
  • Molina Medicaid — EPO: $131.99
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: ULTRAS TRANSVAG NONPREG PLVS $593.20 $296.60 $197.54 – $593.20
Transvaginal ultrasound: rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $197.54
  • BCBS TX Blue Essentials — HMO: $197.54
  • BCBS TX PPO — PPO: $207.62
  • Molina Medicaid — EPO: $421.17
  • Oscar — PPO: $593.20
  • UHC Community Plan — EPO: $421.17
  • Wellpoint Medicaid — EPO: $421.17
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier TC In the file: MAMM DIAG UNILATERAL DIGITAL $172 $86 $69.60 – $272.25
Diagnostic mammogram, one breast: rates for 10 insurance plans
  • Aetna Commercial — PPO: $111.80
  • Baylor Scott and White Commercial — POS: $272.25
  • BCBS TX Blue Advantage — PPO: $69.60
  • BCBS TX Blue Essentials — HMO: $69.60
  • BCBS TX PPO — PPO: $73.37
  • Cigna — PPO: $120.40
  • Molina Medicaid — EPO: $71.55
  • UHC Commercial — PPO: $96
  • UHC Community Plan — EPO: $71.55
  • Wellpoint Medicaid — EPO: $71.55
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · modifier TC In the file: MAMM DIAG UNILATERAL DIGITAL $172 $86 $57.28 – $172
Diagnostic mammogram, one breast: rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $57.28
  • BCBS TX Blue Essentials — HMO: $57.28
  • BCBS TX PPO — PPO: $60.20
  • Molina Medicaid — EPO: $122.12
  • Oscar — PPO: $172
  • UHC Community Plan — EPO: $122.12
  • Wellpoint Medicaid — EPO: $122.12
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier TC In the file: MAMM DIAG BILATERAL DIGITAL $284.50 $142.25 $89.07 – $199.15
Diagnostic mammogram, both breasts: rates for 10 insurance plans
  • Aetna Commercial — PPO: $184.93
  • Baylor Scott and White Commercial — POS: $142.25
  • BCBS TX Blue Advantage — PPO: $89.07
  • BCBS TX Blue Essentials — HMO: $89.07
  • BCBS TX PPO — PPO: $93.89
  • Cigna — PPO: $199.15
  • Molina Medicaid — EPO: $118.35
  • UHC Commercial — PPO: $96
  • UHC Community Plan — EPO: $118.35
  • Wellpoint Medicaid — EPO: $118.35
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · modifier TC In the file: MAMM DIAG BILATERAL DIGITAL $284.50 $142.25 $94.74 – $284.50
Diagnostic mammogram, both breasts: rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $94.74
  • BCBS TX Blue Essentials — HMO: $94.74
  • BCBS TX PPO — PPO: $99.58
  • Molina Medicaid — EPO: $202
  • Oscar — PPO: $284.50
  • UHC Community Plan — EPO: $202
  • Wellpoint Medicaid — EPO: $202
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier TC In the file: MAMM SCREENING DIGITAL $184.20 $92.10 $73.61 – $272.25
Screening mammogram, both breasts: rates for 10 insurance plans
  • Aetna Commercial — PPO: $119.73
  • Baylor Scott and White Commercial — POS: $272.25
  • BCBS TX Blue Advantage — PPO: $73.61
  • BCBS TX Blue Essentials — HMO: $73.61
  • BCBS TX PPO — PPO: $77.59
  • Cigna — PPO: $128.94
  • Molina Medicaid — EPO: $76.63
  • UHC Commercial — PPO: $96
  • UHC Community Plan — EPO: $76.63
  • Wellpoint Medicaid — EPO: $76.63
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · modifier TC In the file: MAMM SCREENING DIGITAL $184.20 $92.10 $61.34 – $184.20
Screening mammogram, both breasts: rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $61.34
  • BCBS TX Blue Essentials — HMO: $61.34
  • BCBS TX PPO — PPO: $64.47
  • Molina Medicaid — EPO: $130.78
  • Oscar — PPO: $184.20
  • UHC Community Plan — EPO: $130.78
  • Wellpoint Medicaid — EPO: $130.78

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: SLEEP STUDY 4 OR MORE $2,981.20 $1,490.60 $378.40 – $2,086.84
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates
  • Aetna Commercial — PPO: $378.40
  • Aetna Medicare Advantage — HMO: $858.42
  • Ambetter Commercial Exchange — POS: $987.18
  • Baylor Scott and White Commercial — POS: $1,490.60
  • BCBS TX Blue Advantage — PPO: $596.12
  • BCBS TX Blue Essentials — HMO: $596.12
  • BCBS TX PPO — PPO: $626.18
  • Cigna — PPO: $2,086.84
  • Humana Medicare — HMO: $858.42
  • Molina Medicaid — EPO: $1,240.18
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: SLEEP STUDY 4 OR MORE $2,981.20 $1,490.60 $992.74 – $2,981.20
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $992.74
  • BCBS TX Blue Essentials — HMO: $992.74
  • BCBS TX PPO — PPO: $1,043.42
  • Molina Medicaid — EPO: $2,116.65
  • Oscar — PPO: $2,981.20
  • UHC Community Plan — EPO: $2,116.65
  • Wellpoint Medicaid — EPO: $2,116.65

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: THER EX 15 MIN 59 $79.40 $39.70 $33.03 – $110
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 11 insurance plan rates
  • Aetna Commercial — PPO: $59.55
  • Baylor Scott and White Commercial — POS: $110
  • BCBS TX Blue Advantage — PPO: $37.31
  • BCBS TX Blue Essentials — HMO: $37.31
  • BCBS TX PPO — PPO: $39.19
  • Cigna — PPO: $55.58
  • Humana Medicare — HMO: $100
  • Molina Medicaid — EPO: $35.10
  • UHC Commercial — PPO: $108
  • UHC Community Plan — EPO: $33.03
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: THER PROCEDURE 15 MIN $79.40 $39.70 $33.03 – $110
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans
  • Aetna Commercial — PPO: $59.55
  • Baylor Scott and White Commercial — POS: $110
  • BCBS TX Blue Advantage — PPO: $37.31
  • BCBS TX Blue Essentials — HMO: $37.31
  • BCBS TX PPO — PPO: $39.19
  • Cigna — PPO: $55.58
  • Molina Medicaid — EPO: $35.10
  • UHC Commercial — PPO: $108
  • UHC Community Plan — EPO: $33.03
  • Wellpoint Medicaid — EPO: $33.03
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: THER EX 15 MIN $79.40 $39.70 $33.03 – $110
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans
  • Aetna Commercial — PPO: $59.55
  • Baylor Scott and White Commercial — POS: $110
  • BCBS TX Blue Advantage — PPO: $37.31
  • BCBS TX Blue Essentials — HMO: $37.31
  • BCBS TX PPO — PPO: $39.19
  • Cigna — PPO: $55.58
  • Molina Medicaid — EPO: $35.10
  • UHC Commercial — PPO: $108
  • UHC Community Plan — EPO: $33.03
  • Wellpoint Medicaid — EPO: $33.03
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN $229.30 $114.65 $95.39 – $171.98
Physical therapy evaluation (low complexity): rates for 10 insurance plans
  • Aetna Commercial — PPO: $171.98
  • Baylor Scott and White Commercial — POS: $110
  • BCBS TX Blue Advantage — PPO: $102.92
  • BCBS TX Blue Essentials — HMO: $102.92
  • BCBS TX PPO — PPO: $108.11
  • Cigna — PPO: $160.51
  • Molina Medicaid — EPO: $120.84
  • UHC Commercial — PPO: $108
  • UHC Community Plan — EPO: $95.39
  • Wellpoint Medicaid — EPO: $95.39
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · modifier GP In the file: PT EVAL LOW COMPLEX 20 MIN $229.30 $114.65 $76.36 – $229.30
Physical therapy evaluation (low complexity): rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $76.36
  • BCBS TX Blue Essentials — HMO: $76.36
  • BCBS TX PPO — PPO: $80.26
  • Molina Medicaid — EPO: $162.80
  • Oscar — PPO: $229.30
  • UHC Community Plan — EPO: $162.80
  • Wellpoint Medicaid — EPO: $162.80
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN $229.30 $114.65 $95.39 – $171.98
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans
  • Aetna Commercial — PPO: $171.98
  • Baylor Scott and White Commercial — POS: $110
  • BCBS TX Blue Advantage — PPO: $102.92
  • BCBS TX Blue Essentials — HMO: $102.92
  • BCBS TX PPO — PPO: $108.11
  • Cigna — PPO: $160.51
  • Molina Medicaid — EPO: $120.84
  • UHC Commercial — PPO: $108
  • UHC Community Plan — EPO: $95.39
  • Wellpoint Medicaid — EPO: $95.39
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · modifier GP In the file: PT EVAL MOD COMPLEX 30 MIN $229.30 $114.65 $76.36 – $229.30
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $76.36
  • BCBS TX Blue Essentials — HMO: $76.36
  • BCBS TX PPO — PPO: $80.26
  • Molina Medicaid — EPO: $162.80
  • Oscar — PPO: $229.30
  • UHC Community Plan — EPO: $162.80
  • Wellpoint Medicaid — EPO: $162.80
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN $229.30 $114.65 $95.39 – $171.98
Physical therapy evaluation (high complexity): rates for 10 insurance plans
  • Aetna Commercial — PPO: $171.98
  • Baylor Scott and White Commercial — POS: $110
  • BCBS TX Blue Advantage — PPO: $102.92
  • BCBS TX Blue Essentials — HMO: $102.92
  • BCBS TX PPO — PPO: $108.11
  • Cigna — PPO: $160.51
  • Molina Medicaid — EPO: $120.84
  • UHC Commercial — PPO: $108
  • UHC Community Plan — EPO: $95.39
  • Wellpoint Medicaid — EPO: $95.39
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · modifier GP In the file: PT EVAL HIGH COMPLEX 45 MIN $229.30 $114.65 $76.36 – $229.30
Physical therapy evaluation (high complexity): rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $76.36
  • BCBS TX Blue Essentials — HMO: $76.36
  • BCBS TX PPO — PPO: $80.26
  • Molina Medicaid — EPO: $162.80
  • Oscar — PPO: $229.30
  • UHC Community Plan — EPO: $162.80
  • Wellpoint Medicaid — EPO: $162.80

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE $4,882 $2,441 $50 – $2,441
Prostate biopsy: rates for 10 insurance plans
  • Aetna Commercial — PPO: $1,818
  • Baylor Scott and White Commercial — POS: $2,441
  • BCBS TX Blue Advantage — PPO: $50
  • BCBS TX Blue Essentials — HMO: $50
  • BCBS TX PPO — PPO: $1,771.55
  • Cigna — PPO: $1,040
  • Molina Medicaid — EPO: $652.80
  • UHC Commercial — PPO: $1,143
  • UHC Community Plan — EPO: $652.80
  • Wellpoint Medicaid — EPO: $2,030.91
Prostate biopsy CPT 55700 · Inpatient (hospital stay) In the file: BIOPSY OF PROSTATE $4,882 $2,441 $1,625.71 – $4,882
Prostate biopsy: rates for 7 insurance plans
  • BCBS TX Blue Advantage — PPO: $1,625.71
  • BCBS TX Blue Essentials — HMO: $1,625.71
  • BCBS TX PPO — PPO: $1,708.70
  • Molina Medicaid — EPO: $3,466.22
  • Oscar — PPO: $4,882
  • UHC Community Plan — EPO: $3,466.22
  • Wellpoint Medicaid — EPO: $3,466.22

Source: Palo Pinto General Hospital’s standard charges file (ppgh.slicedhealth.io, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 8, 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 typeAcute Care Hospital
Address400 Southwest 25 Ave, Mineral Wells, TX 76067
CountyPalo Pinto County
StateTexas
Phone(940) 325‑7891
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number450565
Name in Medicare recordsPALO PINTO GENERAL HOSPITAL
Profile levelMedicare data + hospital website
Official websiteppgh.com
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. Our Services — ppgh.com
  2. About Us — ppgh.com
  3. Radiology & Diagnostic Imaging | Palo Pinto General Hospital — ppgh.com
  4. Emergency Room & 24/7 ER Care | Palo Pinto General Hospital — ppgh.com
  5. Inpatient Telehealth Services | Palo Pinto General Hospital — ppgh.com
  6. Heart Center | Palo Pinto General Hospital — ppgh.com
  7. Birth Center & Labor and Delivery | Palo Pinto General Hospital — ppgh.com
  8. Cardiac Rehabilitation & Heart Rehab | Palo Pinto General Hospital — ppgh.com
  9. Palo Pinto Rehabilitation & Fitness Center | Palo Pinto General Hospital — ppgh.com
  10. Palo Pinto Orthopedics & Sports Medicine | Palo Pinto General Hospital — ppgh.com
  11. Cardiology & Heart Center | Palo Pinto General Hospital — ppgh.com
  12. Cardiopulmonology & Respiratory Care | Palo Pinto General Hospital — ppgh.com
  13. Orthopedics & Sports Medicine | Palo Pinto General Hospital — ppgh.com
  14. Surgical services | Palo Pinto General Hospital — ppgh.com