Does Permian Regional Medical Center Andrews County Ho have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Permian Regional Medical Center Andrews County Ho. In a medical emergency, call 911.

Where is Permian Regional Medical Center Andrews County Ho?

720 Hospital Drive, Andrews, TX 79714, in Andrews County, Texas.

What is the phone number of Permian Regional Medical Center Andrews County Ho?

(432) 523-2200, as listed by Medicare (CMS).

What is the Medicare star rating of Permian Regional Medical Center Andrews County Ho?

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.

Permian Regional Medical Center Andrews County Ho

Quick answers

Does Permian Regional Medical Center Andrews County Ho have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Permian Regional Medical Center Andrews County Ho. In a medical emergency, call 911.
Where is Permian Regional Medical Center Andrews County Ho?: 720 Hospital Drive, Andrews, TX 79714, in Andrews County, Texas.
What is the phone number of Permian Regional Medical Center Andrews County Ho?: (432) 523-2200, as listed by Medicare (CMS).
What is the Medicare star rating of Permian Regional Medical Center Andrews County Ho?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4][5][16]

Nephrology
Surgery
Radiology
Breast care
Cardiac/Pulmonary Rehabilitation
Respiratory care
Physical therapy
Occupational therapy
Speech therapy
Laboratory
Pharmacy
Home health
Hospice
Cardiopulmonary care

Treatments^{[6][12][15][16]}

Medical and surgical emergency care
Ventilator management
Breathing treatments (SVN, USN, MDI)
CPAP and BIPAP therapy
Electrocardiogram (ECG)
Pulmonary function tests
Lexiscan stress tests
Ultrasound (3D/4D, echo, arterial/vascular)
CT scans
X-rays
MRI
Nuclear medicine
Bone density
Mammograms
Contrast enhanced mammography
Breast ultrasound
Breast sentinel node imaging
Breast needle localization

Procedures^[12][13][15]

Breast biopsy
Gallbladder removal
Appendectomy
Hernia repair
Bowel resection
Hysterectomy
Treatment of uterine fibroids
Permanent sterilization
Diagnostic hysteroscopy
Endometrial polyp removal
Upper endoscopy (EGD)
Lower endoscopy (LFC)
Foot and ankle surgery

Programs and centers^{[4][5][8][9][15][16]}

Family Birthplace
Swing Bed
Intermediate Care Unit
Medical Surgical Unit
Andrews Kidney Care Center
Andrews Family Medicine Rural Health Clinic
Quick Care Clinic
Emergency Department
Cardiac/Pulmonary Rehabilitation
Breast Care Center

Emergency care (hospital website)^[6][9]

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

Visiting and practical information

Visiting	Medical Surgical Unit visiting hours: Monday-Sunday 9:00 am-9:00 pm^[11]
Patient portal	https://prmcportal.com/Phm-PhmHome.HomePage.WR.mthr?hcis=PGE.LIVEF&application=phm

Doctors and clinicians (76)

76 doctors and other clinicians list Permian Regional Medical Center Andrews County Ho 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

And 52 more: the button below opens the full list.

Other emergency rooms nearby

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

Memorial Hospital27 mi · Seminole, TX · Critical Access Hospital
Odessa Regional Medical Center35 mi · Odessa, TX · Acute Care Hospital
Medical Center Hospital35 mi · Odessa, TX · Acute Care Hospital
Midland Memorial Hospital36 mi · Midland, TX · Acute Care Hospital
Martin County Hospital District40 mi · Stanton, TX · Critical Access Hospital

Other hospitals nearby

Encompass Health Rehabilitation Hospital of Midlan…33 mi · Midland, TX · Inpatient Rehabilitation Hospital
Continuecare Hospital at Medical Center Odessa35 mi · Odessa, TX · Long-Term Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Permian Residential Care Center0.4 mi · Andrews, TX · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Permian Regional Medical Center Hospice5.7 mi · Andrews, TX

All hospice providers in the state →

Home health agencies

Permian Regional Medical Center Home Health5.7 mi · Andrews, TX · 3 of 5 stars

All home health agencies in the state →

Dialysis facilities

Andrews Kidney Care5.7 mi · Andrews, TX · 1 of 5 stars

All dialysis facilities in the state →

Community care nearby

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

Clinics and urgent care

Andrews Family Medicine5.7 mi · Andrews, TX · Rural health clinic
Quick Care Clinic5.7 mi · Andrews, TX · Rural health clinic
Wes Tex Urgent Care, PLLC5.7 mi · Andrews, TX · Urgent care center

Pharmacies

Andrews County Hospital District5.7 mi · Andrews, TX · Pharmacy
Andrews Prescription Shop LLC5.7 mi · Andrews, TX · Community/retail pharmacy
Basin RX, LLC5.7 mi · Andrews, TX · Community/retail pharmacy

Assisted living nearby

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

Beehive Homes of Andrews5.7 mi · Andrews, TX

About the Medicare star rating

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

Medicare quality data

What Permian Regional Medical Center Andrews County Ho 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)	Not reported to Medicare
Overall rating of the hospital	Not reported to Medicare
Would recommend the hospital	Not reported to Medicare
Nurses communicated well	Not reported to Medicare
Doctors communicated well	Not reported to Medicare
Staff explained medicines	Not reported to Medicare
Information about recovery at home	Not reported to Medicare
Room and bathroom kept clean	Not reported to Medicare
Quiet at night	Not reported to Medicare
Rated the hospital 9 or 10 out of 10	86%National average: 72%
Would definitely recommend the hospital	89%National average: 71%
Nurses “always” communicated well	85%National average: 80%
Doctors “always” communicated well	83%National average: 80%
Staff “always” explained medicines before giving them	67%National average: 62%
Were given information about recovery at home	89%National average: 86%
Room and bathroom “always” clean	86%National average: 74%
Area around the room “always” quiet at night	67%National average: 60%
Completed surveys	89Response rate: 22%

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 surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not 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 patients	Too few cases to report
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	17%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1No different from the national rate
Complications after hip or knee replacement	Not reported to Medicare

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Not reported to Medicare
Readmitted within 30 days: heart failure	Too few cases to report
Readmitted within 30 days: pneumonia	17%
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

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)	106 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	Too few cases to report

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Texas Best hospitals in Texas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 87 common services exactly as Permian Regional Medical Center Andrews County Ho lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NURSING SVC NEW PT 30 MIN	$219	$109.50	$82.67 – $182.08
New patient office visit (about 30–44 minutes): rates for 9 insurance plans Aetna — Commercial: $82.67 Aetna — Medicare Advantage: $82.67 Blue Cross Blue Shield — Commercial: $147.99 Blue Cross Blue Shield — HMO: $172.78 Blue Cross Blue Shield — PPO: $182.08 CapStar Health — Commercial: $175.20 Cigna — Commercial: $148.92 FirstCare — Managed Medicaid: $113.88 Humana — Commercial: $164.25
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NURSING SVC NEW PT 30 MIN	$219	$109.50	$142.35 – $175.20
New patient office visit (about 30–44 minutes): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $142.35 Blue Cross Blue Shield — HMO: $142.35 Blue Cross Blue Shield — PPO: $142.35 CapStar Health — Commercial: $175.20 Cigna — Commercial: $148.92
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NURSING SVC NEW PT 45 MIN	$279	$139.50	$133.40 – $308.27
New patient office visit (about 45–59 minutes): rates for 9 insurance plans Aetna — Commercial: $133.40 Aetna — Medicare Advantage: $133.40 Blue Cross Blue Shield — Commercial: $250.55 Blue Cross Blue Shield — HMO: $292.53 Blue Cross Blue Shield — PPO: $308.27 CapStar Health — Commercial: $223.20 Cigna — Commercial: $189.72 FirstCare — Managed Medicaid: $145.08 Humana — Commercial: $209.25
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NURSING SVC NEW PT 45 MIN	$279	$139.50	$181.35 – $223.20
New patient office visit (about 45–59 minutes): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $181.35 Blue Cross Blue Shield — HMO: $181.35 Blue Cross Blue Shield — PPO: $181.35 CapStar Health — Commercial: $223.20 Cigna — Commercial: $189.72
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NURSING SVC NEW PT 60 MIN	$408	$204	$181.16 – $402.30
New patient office visit (about 60–74 minutes): rates for 9 insurance plans Aetna — Commercial: $181.16 Aetna — Medicare Advantage: $181.16 Blue Cross Blue Shield — Commercial: $326.97 Blue Cross Blue Shield — HMO: $381.75 Blue Cross Blue Shield — PPO: $402.30 CapStar Health — Commercial: $326.40 Cigna — Commercial: $277.44 FirstCare — Managed Medicaid: $212.16 Humana — Commercial: $306
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NON-FACILITY SETTING EXAM	$125	$62.50	$65 – $402.30
New patient office visit (about 60–74 minutes): rates for 9 insurance plans Aetna — Commercial: $181.16 Aetna — Medicare Advantage: $181.16 Blue Cross Blue Shield — Commercial: $326.97 Blue Cross Blue Shield — HMO: $381.75 Blue Cross Blue Shield — PPO: $402.30 CapStar Health — Commercial: $100 Cigna — Commercial: $85 FirstCare — Managed Medicaid: $65 Humana — Commercial: $93.75
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NON-FACILITY SETTING EXAM	$125	$62.50	$81.25 – $100
New patient office visit (about 60–74 minutes): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $81.25 Blue Cross Blue Shield — HMO: $81.25 Blue Cross Blue Shield — PPO: $81.25 CapStar Health — Commercial: $100 Cigna — Commercial: $85
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NURSING SVC EST PT 15 MIN	$172	$86	$66.17 – $137.60
Established patient office visit (about 20–29 minutes): rates for 9 insurance plans Aetna — Commercial: $66.17 Aetna — Medicare Advantage: $66.17 Blue Cross Blue Shield — Commercial: $99.13 Blue Cross Blue Shield — HMO: $115.74 Blue Cross Blue Shield — PPO: $121.96 CapStar Health — Commercial: $137.60 Cigna — Commercial: $116.96 FirstCare — Managed Medicaid: $89.44 Humana — Commercial: $129
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NURSING SVC EST PT 15 MIN	$172	$86	$111.80 – $137.60
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $111.80 Blue Cross Blue Shield — HMO: $111.80 Blue Cross Blue Shield — PPO: $111.80 CapStar Health — Commercial: $137.60 Cigna — Commercial: $116.96
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NURSING SVC EST PT 25 MIN	$219	$109.50	$97.80 – $188.02
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans Aetna — Commercial: $97.80 Aetna — Medicare Advantage: $97.80 Blue Cross Blue Shield — Commercial: $152.82 Blue Cross Blue Shield — HMO: $178.42 Blue Cross Blue Shield — PPO: $188.02 CapStar Health — Commercial: $175.20 Cigna — Commercial: $148.92 FirstCare — Managed Medicaid: $113.88 Humana — Commercial: $164.25
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NURSING SVC EST PT 25 MIN	$219	$109.50	$142.35 – $175.20
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $142.35 Blue Cross Blue Shield — HMO: $142.35 Blue Cross Blue Shield — PPO: $142.35 CapStar Health — Commercial: $175.20 Cigna — Commercial: $148.92
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$89.15 – $228.68
Office consultation with a specialist (moderate): rates for 5 insurance plans Aetna — Commercial: $89.15 Aetna — Medicare Advantage: $89.15 Blue Cross Blue Shield — Commercial: $185.86 Blue Cross Blue Shield — HMO: $217 Blue Cross Blue Shield — PPO: $228.68
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$136.09 – $367.56
Office consultation with a specialist (moderate to high): rates for 5 insurance plans Aetna — Commercial: $136.09 Aetna — Medicare Advantage: $136.09 Blue Cross Blue Shield — Commercial: $298.74 Blue Cross Blue Shield — HMO: $348.79 Blue Cross Blue Shield — PPO: $367.56
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$94.56 – $233.75
Preventive checkup, new patient, age 18–39: rates for 5 insurance plans Aetna — Commercial: $94.56 Aetna — Medicare Advantage: $94.56 Blue Cross Blue Shield — Commercial: $189.99 Blue Cross Blue Shield — HMO: $221.82 Blue Cross Blue Shield — PPO: $233.75
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$114.69 – $284.56
Preventive checkup, new patient, age 40–64: rates for 5 insurance plans Aetna — Commercial: $114.69 Aetna — Medicare Advantage: $114.69 Blue Cross Blue Shield — Commercial: $231.28 Blue Cross Blue Shield — HMO: $270.03 Blue Cross Blue Shield — PPO: $284.56
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED LEVEL 3	$755	$377.50	$71.54 – $918
Emergency room visit (moderate): 10 of 15 insurance plan rates Aetna — Commercial: $71.54 Aetna — Medicare Advantage: $454.99 Blue Cross Blue Shield — Commercial: $216.64 Blue Cross Blue Shield — HMO: $310.44 Blue Cross Blue Shield — Medicare Advantage: $272.99 Blue Cross Blue Shield — PPO: $326.08 CapStar Health — Commercial: $604 Cigna — Commercial: $513.40 FirstCare — Managed Medicaid: $235.56 Humana — Commercial: $566.25
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SANE EXAM MODERATE	$233	$116.50	$71.54 – $918
Emergency room visit (moderate): 10 of 15 insurance plan rates Aetna — Commercial: $71.54 Aetna — Medicare Advantage: $454.99 Blue Cross Blue Shield — Commercial: $216.64 Blue Cross Blue Shield — HMO: $310.44 Blue Cross Blue Shield — Medicare Advantage: $272.99 Blue Cross Blue Shield — PPO: $326.08 CapStar Health — Commercial: $186.40 Cigna — Commercial: $158.44 FirstCare — Managed Medicaid: $72.70 Humana — Commercial: $174.75
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED LEVEL 3	$755	$377.50	$490.75 – $604
Emergency room visit (moderate): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $490.75 Blue Cross Blue Shield — HMO: $490.75 Blue Cross Blue Shield — PPO: $490.75 CapStar Health — Commercial: $604 Cigna — Commercial: $513.40
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED LEVEL 4	$1,202	$601	$120.58 – $1,460
Emergency room visit (moderately high): 10 of 15 insurance plan rates Aetna — Commercial: $120.58 Aetna — Medicare Advantage: $699.71 Blue Cross Blue Shield — Commercial: $341.24 Blue Cross Blue Shield — HMO: $488.99 Blue Cross Blue Shield — Medicare Advantage: $419.83 Blue Cross Blue Shield — PPO: $513.61 CapStar Health — Commercial: $961.60 Cigna — Commercial: $817.36 FirstCare — Managed Medicaid: $375.02 Humana — Commercial: $901.50
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SANE EXAM HIGH	$233	$116.50	$72.70 – $1,460
Emergency room visit (moderately high): 10 of 15 insurance plan rates Aetna — Commercial: $120.58 Aetna — Medicare Advantage: $699.71 Blue Cross Blue Shield — Commercial: $341.24 Blue Cross Blue Shield — HMO: $488.99 Blue Cross Blue Shield — Medicare Advantage: $419.83 Blue Cross Blue Shield — PPO: $513.61 CapStar Health — Commercial: $186.40 Cigna — Commercial: $158.44 FirstCare — Managed Medicaid: $72.70 Humana — Commercial: $174.75
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED LEVEL 4	$1,202	$601	$781.30 – $961.60
Emergency room visit (moderately high): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $781.30 Blue Cross Blue Shield — HMO: $781.30 Blue Cross Blue Shield — PPO: $781.30 CapStar Health — Commercial: $961.60 Cigna — Commercial: $817.36
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED LEVEL 5	$1,784	$892	$175.20 – $1,850
Emergency room visit (high): 10 of 15 insurance plan rates Aetna — Commercial: $175.20 Aetna — Medicare Advantage: $1,007.46 Blue Cross Blue Shield — Commercial: $489.37 Blue Cross Blue Shield — HMO: $701.27 Blue Cross Blue Shield — Medicare Advantage: $604.47 Blue Cross Blue Shield — PPO: $736.58 CapStar Health — Commercial: $1,427.20 Cigna — Commercial: $1,213.12 FirstCare — Managed Medicaid: $556.61 Humana — Commercial: $1,338
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SANE EXAM SEVERE	$233	$116.50	$72.70 – $1,850
Emergency room visit (high): 10 of 15 insurance plan rates Aetna — Commercial: $175.20 Aetna — Medicare Advantage: $1,007.46 Blue Cross Blue Shield — Commercial: $489.37 Blue Cross Blue Shield — HMO: $701.27 Blue Cross Blue Shield — Medicare Advantage: $604.47 Blue Cross Blue Shield — PPO: $736.58 CapStar Health — Commercial: $186.40 Cigna — Commercial: $158.44 FirstCare — Managed Medicaid: $72.70 Humana — Commercial: $174.75
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED LEVEL 5	$1,784	$892	$1,159.60 – $1,427.20
Emergency room visit (high): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $1,159.60 Blue Cross Blue Shield — HMO: $1,159.60 Blue Cross Blue Shield — PPO: $1,159.60 CapStar Health — Commercial: $1,427.20 Cigna — Commercial: $1,213.12

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$189	$94.50	$8.46 – $151.20
Basic metabolic panel (blood test): 10 of 18 insurance plan rates Aetna — Commercial: $8.46 Aetna — Medicare Advantage: $14.81 Blue Cross Blue Shield — Commercial: $26.48 Blue Cross Blue Shield — HMO: $27.83 Blue Cross Blue Shield — Managed Medicaid: $10.77 Blue Cross Blue Shield — Medicare Advantage: $8.88 Blue Cross Blue Shield — PPO: $29.36 CapStar Health — Commercial: $151.20 Cigna — Commercial: $128.52 FirstCare — Managed Medicaid: $10.59
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$189	$94.50	$122.85 – $151.20
Basic metabolic panel (blood test): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $122.85 Blue Cross Blue Shield — HMO: $122.85 Blue Cross Blue Shield — PPO: $122.85 CapStar Health — Commercial: $151.20 Cigna — Commercial: $128.52
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CMP	$130	$65	$10.56 – $104
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates Aetna — Commercial: $10.56 Aetna — Medicare Advantage: $18.48 Blue Cross Blue Shield — Commercial: $33.05 Blue Cross Blue Shield — HMO: $34.74 Blue Cross Blue Shield — Managed Medicaid: $13.46 Blue Cross Blue Shield — Medicare Advantage: $11.09 Blue Cross Blue Shield — PPO: $36.64 CapStar Health — Commercial: $104 Cigna — Commercial: $88.40 FirstCare — Managed Medicaid: $13.23
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CMP	$130	$65	$84.50 – $104
Comprehensive metabolic panel (blood test): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $84.50 Blue Cross Blue Shield — HMO: $84.50 Blue Cross Blue Shield — PPO: $84.50 CapStar Health — Commercial: $104 Cigna — Commercial: $88.40
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB PROFILE	$300	$150	$47.81 – $240
Obstetric blood test panel: 10 of 15 insurance plan rates Aetna — Commercial: $47.81 Aetna — Medicare Advantage: $83.67 Blue Cross Blue Shield — Commercial: $149.65 Blue Cross Blue Shield — HMO: $157.29 Blue Cross Blue Shield — Medicare Advantage: $50.20 Blue Cross Blue Shield — PPO: $165.90 CapStar Health — Commercial: $240 Cigna — Commercial: $204 FirstCare — Managed Medicaid: $156 Humana — Commercial: $225
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OB PROFILE	$300	$150	$195 – $240
Obstetric blood test panel: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $195 Blue Cross Blue Shield — HMO: $195 Blue Cross Blue Shield — PPO: $195 CapStar Health — Commercial: $240 Cigna — Commercial: $204
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$157	$78.50	$13.39 – $125.60
Cholesterol panel (lipid panel): 10 of 18 insurance plan rates Aetna — Commercial: $13.39 Aetna — Medicare Advantage: $23.43 Blue Cross Blue Shield — Commercial: $41.91 Blue Cross Blue Shield — HMO: $44.05 Blue Cross Blue Shield — Managed Medicaid: $17.07 Blue Cross Blue Shield — Medicare Advantage: $14.06 Blue Cross Blue Shield — PPO: $46.46 CapStar Health — Commercial: $125.60 Cigna — Commercial: $106.76 FirstCare — Managed Medicaid: $16.78
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NMR LIPOPROFILE W/GRAPH	$65.22	$32.61	$13.39 – $52.18
Cholesterol panel (lipid panel): 10 of 18 insurance plan rates Aetna — Commercial: $13.39 Aetna — Medicare Advantage: $23.43 Blue Cross Blue Shield — Commercial: $41.91 Blue Cross Blue Shield — HMO: $44.05 Blue Cross Blue Shield — Managed Medicaid: $17.07 Blue Cross Blue Shield — Medicare Advantage: $14.06 Blue Cross Blue Shield — PPO: $46.46 CapStar Health — Commercial: $52.18 Cigna — Commercial: $44.35 FirstCare — Managed Medicaid: $16.78
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL	$157	$78.50	$102.05 – $125.60
Cholesterol panel (lipid panel): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $102.05 Blue Cross Blue Shield — HMO: $102.05 Blue Cross Blue Shield — PPO: $102.05 CapStar Health — Commercial: $125.60 Cigna — Commercial: $106.76
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$218	$109	$8.68 – $174.40
Kidney function panel: 10 of 18 insurance plan rates Aetna — Commercial: $8.68 Aetna — Medicare Advantage: $15.19 Blue Cross Blue Shield — Commercial: $27.17 Blue Cross Blue Shield — HMO: $28.56 Blue Cross Blue Shield — Managed Medicaid: $11.06 Blue Cross Blue Shield — Medicare Advantage: $9.11 Blue Cross Blue Shield — PPO: $30.12 CapStar Health — Commercial: $174.40 Cigna — Commercial: $148.24 FirstCare — Managed Medicaid: $10.88
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$218	$109	$141.70 – $174.40
Kidney function panel: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $141.70 Blue Cross Blue Shield — HMO: $141.70 Blue Cross Blue Shield — PPO: $141.70 CapStar Health — Commercial: $174.40 Cigna — Commercial: $148.24
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$168	$84	$8.17 – $134.40
Liver function panel: 10 of 18 insurance plan rates Aetna — Commercial: $8.17 Aetna — Medicare Advantage: $14.30 Blue Cross Blue Shield — Commercial: $25.57 Blue Cross Blue Shield — HMO: $26.88 Blue Cross Blue Shield — Managed Medicaid: $10.42 Blue Cross Blue Shield — Medicare Advantage: $8.58 Blue Cross Blue Shield — PPO: $28.35 CapStar Health — Commercial: $134.40 Cigna — Commercial: $114.24 FirstCare — Managed Medicaid: $10.25
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$168	$84	$109.20 – $134.40
Liver function panel: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $109.20 Blue Cross Blue Shield — HMO: $109.20 Blue Cross Blue Shield — PPO: $109.20 CapStar Health — Commercial: $134.40 Cigna — Commercial: $114.24
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA W/MICROSCOPY	$111	$55.50	$3.17 – $88.80
Urine test (automated, with microscope): 10 of 18 insurance plan rates Aetna — Commercial: $3.17 Aetna — Medicare Advantage: $5.55 Blue Cross Blue Shield — Commercial: $9.92 Blue Cross Blue Shield — HMO: $10.43 Blue Cross Blue Shield — Managed Medicaid: $4.03 Blue Cross Blue Shield — Medicare Advantage: $3.33 Blue Cross Blue Shield — PPO: $11 CapStar Health — Commercial: $88.80 Cigna — Commercial: $75.48 FirstCare — Managed Medicaid: $3.97
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA W/MICROSCOPY	$111	$55.50	$72.15 – $88.80
Urine test (automated, with microscope): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $72.15 Blue Cross Blue Shield — HMO: $72.15 Blue Cross Blue Shield — PPO: $72.15 CapStar Health — Commercial: $88.80 Cigna — Commercial: $75.48
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA NONAUTO W/O SCOPE	$41	$20.50	$3.04 – $32.80
Urine test (manual, without microscope): 10 of 18 insurance plan rates Aetna — Commercial: $3.48 Aetna — Medicare Advantage: $6.09 Blue Cross Blue Shield — Commercial: $10.89 Blue Cross Blue Shield — HMO: $11.45 Blue Cross Blue Shield — Managed Medicaid: $3.25 Blue Cross Blue Shield — Medicare Advantage: $3.65 Blue Cross Blue Shield — PPO: $12.08 CapStar Health — Commercial: $32.80 Cigna — Commercial: $27.88 FirstCare — Managed Medicaid: $3.20
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC URINE PROTEIN DIP STICK	$41	$20.50	$3.04 – $32.80
Urine test (manual, without microscope): 10 of 18 insurance plan rates Aetna — Commercial: $3.48 Aetna — Medicare Advantage: $6.09 Blue Cross Blue Shield — Commercial: $10.89 Blue Cross Blue Shield — HMO: $11.45 Blue Cross Blue Shield — Managed Medicaid: $3.25 Blue Cross Blue Shield — Medicare Advantage: $3.65 Blue Cross Blue Shield — PPO: $12.08 CapStar Health — Commercial: $32.80 Cigna — Commercial: $27.88 FirstCare — Managed Medicaid: $3.20
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA NONAUTO W/O SCOPE	$41	$20.50	$26.65 – $32.80
Urine test (manual, without microscope): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $26.65 Blue Cross Blue Shield — HMO: $26.65 Blue Cross Blue Shield — PPO: $26.65 CapStar Health — Commercial: $32.80 Cigna — Commercial: $27.88
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS WO MICRO	$59	$29.50	$2.25 – $47.20
Urine test (automated, without microscope): 10 of 18 insurance plan rates Aetna — Commercial: $2.25 Aetna — Medicare Advantage: $3.94 Blue Cross Blue Shield — Commercial: $7.04 Blue Cross Blue Shield — HMO: $7.40 Blue Cross Blue Shield — Managed Medicaid: $2.87 Blue Cross Blue Shield — Medicare Advantage: $2.36 Blue Cross Blue Shield — PPO: $7.81 CapStar Health — Commercial: $47.20 Cigna — Commercial: $40.12 FirstCare — Managed Medicaid: $2.82
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS WO MICRO	$59	$29.50	$38.35 – $47.20
Urine test (automated, without microscope): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $38.35 Blue Cross Blue Shield — HMO: $38.35 Blue Cross Blue Shield — PPO: $38.35 CapStar Health — Commercial: $47.20 Cigna — Commercial: $40.12
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOTAL DIAGNOSTIC	$188	$94	$18.39 – $150.40
PSA (prostate specific antigen) blood test: 10 of 18 insurance plan rates Aetna — Commercial: $18.39 Aetna — Medicare Advantage: $32.18 Blue Cross Blue Shield — Commercial: $57.56 Blue Cross Blue Shield — HMO: $60.50 Blue Cross Blue Shield — Managed Medicaid: $23.43 Blue Cross Blue Shield — Medicare Advantage: $19.31 Blue Cross Blue Shield — PPO: $63.81 CapStar Health — Commercial: $150.40 Cigna — Commercial: $127.84 FirstCare — Managed Medicaid: $23.04
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSA TOTAL DIAGNOSTIC	$188	$94	$122.20 – $150.40
PSA (prostate specific antigen) blood test: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $122.20 Blue Cross Blue Shield — HMO: $122.20 Blue Cross Blue Shield — PPO: $122.20 CapStar Health — Commercial: $150.40 Cigna — Commercial: $127.84
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE	$170	$85	$16.80 – $136
Thyroid stimulating hormone (TSH) test: 10 of 18 insurance plan rates Aetna — Commercial: $16.80 Aetna — Medicare Advantage: $29.40 Blue Cross Blue Shield — Commercial: $52.58 Blue Cross Blue Shield — HMO: $55.27 Blue Cross Blue Shield — Managed Medicaid: $21.41 Blue Cross Blue Shield — Medicare Advantage: $17.64 Blue Cross Blue Shield — PPO: $58.30 CapStar Health — Commercial: $136 Cigna — Commercial: $115.60 FirstCare — Managed Medicaid: $21.05
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE	$170	$85	$110.50 – $136
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $110.50 Blue Cross Blue Shield — HMO: $110.50 Blue Cross Blue Shield — PPO: $110.50 CapStar Health — Commercial: $136 Cigna — Commercial: $115.60
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC AUTO DIFF	$101	$50.50	$7.77 – $80.80
Complete blood count (CBC) with differential: 10 of 18 insurance plan rates Aetna — Commercial: $7.77 Aetna — Medicare Advantage: $13.60 Blue Cross Blue Shield — Commercial: $24.32 Blue Cross Blue Shield — HMO: $25.56 Blue Cross Blue Shield — Managed Medicaid: $9.90 Blue Cross Blue Shield — Medicare Advantage: $8.16 Blue Cross Blue Shield — PPO: $26.96 CapStar Health — Commercial: $80.80 Cigna — Commercial: $68.68 FirstCare — Managed Medicaid: $9.73
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC AUTO DIFF	$101	$50.50	$65.65 – $80.80
Complete blood count (CBC) with differential: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $65.65 Blue Cross Blue Shield — HMO: $65.65 Blue Cross Blue Shield — PPO: $65.65 CapStar Health — Commercial: $80.80 Cigna — Commercial: $68.68
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC NO DIFFERENTIAL	$87	$43.50	$6.47 – $69.60
Complete blood count (CBC), automated: 10 of 18 insurance plan rates Aetna — Commercial: $6.47 Aetna — Medicare Advantage: $11.32 Blue Cross Blue Shield — Commercial: $20.25 Blue Cross Blue Shield — HMO: $21.29 Blue Cross Blue Shield — Managed Medicaid: $8.24 Blue Cross Blue Shield — Medicare Advantage: $6.79 Blue Cross Blue Shield — PPO: $22.45 CapStar Health — Commercial: $69.60 Cigna — Commercial: $59.16 FirstCare — Managed Medicaid: $8.10
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC HEMGRAM	$80	$40	$6.47 – $64
Complete blood count (CBC), automated: 10 of 18 insurance plan rates Aetna — Commercial: $6.47 Aetna — Medicare Advantage: $11.32 Blue Cross Blue Shield — Commercial: $20.25 Blue Cross Blue Shield — HMO: $21.29 Blue Cross Blue Shield — Managed Medicaid: $8.24 Blue Cross Blue Shield — Medicare Advantage: $6.79 Blue Cross Blue Shield — PPO: $22.45 CapStar Health — Commercial: $64 Cigna — Commercial: $54.40 FirstCare — Managed Medicaid: $8.10
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC HEMGRAM	$80	$40	$52 – $64
Complete blood count (CBC), automated: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $52 Blue Cross Blue Shield — HMO: $52 Blue Cross Blue Shield — PPO: $52 CapStar Health — Commercial: $64 Cigna — Commercial: $54.40
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME/PT	$66	$33	$4.29 – $52.80
Blood clotting time test (prothrombin time, PT): 10 of 18 insurance plan rates Aetna — Commercial: $4.29 Aetna — Medicare Advantage: $7.51 Blue Cross Blue Shield — Commercial: $13.43 Blue Cross Blue Shield — HMO: $14.11 Blue Cross Blue Shield — Managed Medicaid: $5.01 Blue Cross Blue Shield — Medicare Advantage: $4.50 Blue Cross Blue Shield — PPO: $14.89 CapStar Health — Commercial: $52.80 Cigna — Commercial: $44.88 FirstCare — Managed Medicaid: $4.92
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME/PT	$66	$33	$42.90 – $52.80
Blood clotting time test (prothrombin time, PT): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $42.90 Blue Cross Blue Shield — HMO: $42.90 Blue Cross Blue Shield — PPO: $42.90 CapStar Health — Commercial: $52.80 Cigna — Commercial: $44.88
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT PLASMA OR WHOLE BLOOD	$113	$56.50	$6.01 – $90.40
Blood clotting test (partial thromboplastin time, PTT): 10 of 18 insurance plan rates Aetna — Commercial: $6.01 Aetna — Medicare Advantage: $10.52 Blue Cross Blue Shield — Commercial: $18.81 Blue Cross Blue Shield — HMO: $19.77 Blue Cross Blue Shield — Managed Medicaid: $7.65 Blue Cross Blue Shield — Medicare Advantage: $6.31 Blue Cross Blue Shield — PPO: $20.85 CapStar Health — Commercial: $90.40 Cigna — Commercial: $76.84 FirstCare — Managed Medicaid: $7.52
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PTT PLASMA OR WHOLE BLOOD	$113	$56.50	$73.45 – $90.40
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $73.45 Blue Cross Blue Shield — HMO: $73.45 Blue Cross Blue Shield — PPO: $73.45 CapStar Health — Commercial: $90.40 Cigna — Commercial: $76.84

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN WO CONTRAST	$2,397	$1,198.50	$72.22 – $1,917.60
CT scan of the head or brain, without contrast: 10 of 18 insurance plan rates Aetna — Commercial: $112.87 Aetna — Medicare Advantage: $174.74 Blue Cross Blue Shield — Commercial: $350.81 Blue Cross Blue Shield — HMO: $368.74 Blue Cross Blue Shield — Managed Medicaid: $77.28 Blue Cross Blue Shield — Medicare Advantage: $104.84 Blue Cross Blue Shield — PPO: $388.92 CapStar Health — Commercial: $1,917.60 Cigna — Commercial: $1,629.96 FirstCare — Managed Medicaid: $1,246.44
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN WO CONTRAST	$2,397	$1,198.50	$1,558.05 – $1,917.60
CT scan of the head or brain, without contrast: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $1,558.05 Blue Cross Blue Shield — HMO: $1,558.05 Blue Cross Blue Shield — PPO: $1,558.05 CapStar Health — Commercial: $1,917.60 Cigna — Commercial: $1,629.96
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$75.98 – $601.20
CT scan of the head or brain, without contrast: rates for 2 insurance plans FirstCare — Managed Medicaid: $75.98 United Healthcare — Commercial/Exchange: $601.20
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI HEAD/BRAIN W&WO CONT	$3,700	$1,850	$291.67 – $2,960
MRI of the brain, before and after contrast: 10 of 18 insurance plan rates Aetna — Commercial: $341.60 Aetna — Medicare Advantage: $586.84 Blue Cross Blue Shield — Commercial: $1,195.19 Blue Cross Blue Shield — HMO: $1,256.29 Blue Cross Blue Shield — Managed Medicaid: $312.09 Blue Cross Blue Shield — Medicare Advantage: $352.10 Blue Cross Blue Shield — PPO: $1,325.02 CapStar Health — Commercial: $2,960 Cigna — Commercial: $1,200 FirstCare — Managed Medicaid: $1,924
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI HEAD/BRAIN W&WO CONT	$3,700	$1,850	$2,405 – $2,960
MRI of the brain, before and after contrast: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $2,405 Blue Cross Blue Shield — HMO: $2,405 Blue Cross Blue Shield — PPO: $2,405 CapStar Health — Commercial: $2,960 Cigna — Commercial: $2,516
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR CHEST 2 VIEWS	$406	$203	$34.60 – $488.70
Chest X-ray, 2 views: 10 of 15 insurance plan rates Aetna — Commercial: $34.60 Aetna — Medicare Advantage: $144.69 Blue Cross Blue Shield — Commercial: $190.75 Blue Cross Blue Shield — HMO: $223.47 Blue Cross Blue Shield — Medicare Advantage: $86.81 Blue Cross Blue Shield — PPO: $234.64 CapStar Health — Commercial: $324.80 Cigna — Commercial: $276.08 FirstCare — Managed Medicaid: $211.12 Humana — Commercial: $304.50
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR CHEST 2 VIEWS	$406	$203	$263.90 – $324.80
Chest X-ray, 2 views: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $263.90 Blue Cross Blue Shield — HMO: $263.90 Blue Cross Blue Shield — PPO: $263.90 CapStar Health — Commercial: $324.80 Cigna — Commercial: $276.08
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XR SPINE LUMBAR MIN 4 VIEWS	$640	$320	$52.87 – $601.20
X-ray of the lower spine, at least 4 views: 10 of 18 insurance plan rates Aetna — Commercial: $52.87 Aetna — Medicare Advantage: $174.74 Blue Cross Blue Shield — Commercial: $267.87 Blue Cross Blue Shield — HMO: $313.82 Blue Cross Blue Shield — Managed Medicaid: $69.16 Blue Cross Blue Shield — Medicare Advantage: $104.84 Blue Cross Blue Shield — PPO: $329.52 CapStar Health — Commercial: $512 Cigna — Commercial: $435.20 FirstCare — Managed Medicaid: $68
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XR SPINE LUMBAR MIN 4 VIEWS	$640	$320	$416 – $512
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $416 Blue Cross Blue Shield — HMO: $416 Blue Cross Blue Shield — PPO: $416 CapStar Health — Commercial: $512 Cigna — Commercial: $435.20
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI L-SPINE WO CONTRAST	$3,239	$1,619.50	$175.61 – $2,591.20
MRI of the lower back (lumbar spine), without contrast: 10 of 18 insurance plan rates Aetna — Commercial: $204.36 Aetna — Medicare Advantage: $397.20 Blue Cross Blue Shield — Commercial: $729.42 Blue Cross Blue Shield — HMO: $766.70 Blue Cross Blue Shield — Managed Medicaid: $187.90 Blue Cross Blue Shield — Medicare Advantage: $238.32 Blue Cross Blue Shield — PPO: $808.65 CapStar Health — Commercial: $2,591.20 Cigna — Commercial: $1,200 FirstCare — Managed Medicaid: $1,684.28
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI L-SPINE WO CONTRAST	$3,239	$1,619.50	$2,105.35 – $2,591.20
MRI of the lower back (lumbar spine), without contrast: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $2,105.35 Blue Cross Blue Shield — HMO: $2,105.35 Blue Cross Blue Shield — PPO: $2,105.35 CapStar Health — Commercial: $2,591.20 Cigna — Commercial: $2,202.52
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST	$3,101	$1,550.50	$152.06 – $2,480.80
CT scan of the pelvis, with contrast: 10 of 18 insurance plan rates Aetna — Commercial: $239.03 Aetna — Medicare Advantage: $292.53 Blue Cross Blue Shield — Commercial: $570.35 Blue Cross Blue Shield — HMO: $599.50 Blue Cross Blue Shield — Managed Medicaid: $162.70 Blue Cross Blue Shield — Medicare Advantage: $175.52 Blue Cross Blue Shield — PPO: $632.30 CapStar Health — Commercial: $2,480.80 Cigna — Commercial: $2,108.68 FirstCare — Managed Medicaid: $1,612.52
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST	$3,101	$1,550.50	$2,015.65 – $2,480.80
CT scan of the pelvis, with contrast: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $2,015.65 Blue Cross Blue Shield — HMO: $2,015.65 Blue Cross Blue Shield — PPO: $2,015.65 CapStar Health — Commercial: $2,480.80 Cigna — Commercial: $2,108.68
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LOWER JOINT WO CONTRAST	$2,818	$1,409	$175.61 – $2,254.40
MRI of a leg joint (such as the knee), without contrast: 10 of 18 insurance plan rates Aetna — Commercial: $216.53 Aetna — Medicare Advantage: $397.20 Blue Cross Blue Shield — Commercial: $729.42 Blue Cross Blue Shield — HMO: $766.70 Blue Cross Blue Shield — Managed Medicaid: $187.90 Blue Cross Blue Shield — Medicare Advantage: $238.32 Blue Cross Blue Shield — PPO: $808.65 CapStar Health — Commercial: $2,254.40 Cigna — Commercial: $1,200 FirstCare — Managed Medicaid: $1,465.36
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LOWER JOINT WO CONTRAST	$2,818	$1,409	$1,831.70 – $2,254.40
MRI of a leg joint (such as the knee), without contrast: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $1,831.70 Blue Cross Blue Shield — HMO: $1,831.70 Blue Cross Blue Shield — PPO: $1,831.70 CapStar Health — Commercial: $2,254.40 Cigna — Commercial: $1,916.24
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W CONTRAST	$4,228	$2,114	$223.24 – $3,382.40
CT scan of the abdomen and pelvis, with contrast: 10 of 18 insurance plan rates Aetna — Commercial: $326.85 Aetna — Medicare Advantage: $586.84 Blue Cross Blue Shield — Commercial: $1,195.19 Blue Cross Blue Shield — HMO: $1,256.29 Blue Cross Blue Shield — Managed Medicaid: $238.87 Blue Cross Blue Shield — Medicare Advantage: $352.10 Blue Cross Blue Shield — PPO: $1,325.02 CapStar Health — Commercial: $3,382.40 Cigna — Commercial: $2,875.04 FirstCare — Managed Medicaid: $2,198.56
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W CONTRAST	$4,228	$2,114	$2,748.20 – $3,382.40
CT scan of the abdomen and pelvis, with contrast: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $2,748.20 Blue Cross Blue Shield — HMO: $2,748.20 Blue Cross Blue Shield — PPO: $2,748.20 CapStar Health — Commercial: $3,382.40 Cigna — Commercial: $2,875.04
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE	$982	$491	$98.60 – $785.60
Ultrasound of the abdomen, complete: 10 of 18 insurance plan rates Aetna — Commercial: $120.45 Aetna — Medicare Advantage: $174.74 Blue Cross Blue Shield — Commercial: $267.87 Blue Cross Blue Shield — HMO: $313.82 Blue Cross Blue Shield — Managed Medicaid: $105.50 Blue Cross Blue Shield — Medicare Advantage: $104.84 Blue Cross Blue Shield — PPO: $329.52 CapStar Health — Commercial: $785.60 Cigna — Commercial: $667.76 FirstCare — Managed Medicaid: $510.64
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE	$982	$491	$638.30 – $785.60
Ultrasound of the abdomen, complete: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $638.30 Blue Cross Blue Shield — HMO: $638.30 Blue Cross Blue Shield — PPO: $638.30 CapStar Health — Commercial: $785.60 Cigna — Commercial: $667.76
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB FOLLOW-UP SNGL/1ST FETUS	$814	$407	$98.60 – $651.20
Pregnancy ultrasound (after the first trimester): 10 of 18 insurance plan rates Aetna — Commercial: $139.99 Aetna — Medicare Advantage: $174.74 Blue Cross Blue Shield — Commercial: $218.78 Blue Cross Blue Shield — HMO: $256.31 Blue Cross Blue Shield — Managed Medicaid: $105.50 Blue Cross Blue Shield — Medicare Advantage: $104.84 Blue Cross Blue Shield — PPO: $269.13 CapStar Health — Commercial: $651.20 Cigna — Commercial: $553.52 FirstCare — Managed Medicaid: $423.28
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB COMP>14WKS SNGL/1ST FET	$814	$407	$98.60 – $651.20
Pregnancy ultrasound (after the first trimester): 10 of 18 insurance plan rates Aetna — Commercial: $139.99 Aetna — Medicare Advantage: $174.74 Blue Cross Blue Shield — Commercial: $218.78 Blue Cross Blue Shield — HMO: $256.31 Blue Cross Blue Shield — Managed Medicaid: $105.50 Blue Cross Blue Shield — Medicare Advantage: $104.84 Blue Cross Blue Shield — PPO: $269.13 CapStar Health — Commercial: $651.20 Cigna — Commercial: $553.52 FirstCare — Managed Medicaid: $423.28
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US OB COMP>14WKS SNGL/1ST FET	$814	$407	$529.10 – $651.20
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $529.10 Blue Cross Blue Shield — HMO: $529.10 Blue Cross Blue Shield — PPO: $529.10 CapStar Health — Commercial: $651.20 Cigna — Commercial: $553.52
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US NON OB TRANSVAGINAL	$432	$216	$98.60 – $601.20
Transvaginal ultrasound: 10 of 18 insurance plan rates Aetna — Commercial: $123.89 Aetna — Medicare Advantage: $174.74 Blue Cross Blue Shield — Commercial: $211.04 Blue Cross Blue Shield — HMO: $247.24 Blue Cross Blue Shield — Managed Medicaid: $105.50 Blue Cross Blue Shield — Medicare Advantage: $104.84 Blue Cross Blue Shield — PPO: $259.60 CapStar Health — Commercial: $345.60 Cigna — Commercial: $293.76 FirstCare — Managed Medicaid: $224.64
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US NON OB TRANSVAGINAL	$432	$216	$280.80 – $345.60
Transvaginal ultrasound: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $280.80 Blue Cross Blue Shield — HMO: $280.80 Blue Cross Blue Shield — PPO: $280.80 CapStar Health — Commercial: $345.60 Cigna — Commercial: $293.76
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMOGRAM DX DIGITAL UNILAT	$435	$217.50	$80.39 – $499.40
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates Aetna — Commercial: $129.06 Aetna — Medicare Advantage: $140.67 Blue Cross Blue Shield — Commercial: $224.80 Blue Cross Blue Shield — HMO: $263.37 Blue Cross Blue Shield — Medicare Advantage: $84.40 Blue Cross Blue Shield — PPO: $276.54 CapStar Health — Commercial: $348 Cigna — Commercial: $295.80 FirstCare — Managed Medicaid: $226.20 Humana — Commercial: $326.25
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMOGRAM DX DIGITAL UNILAT	$435	$217.50	$282.75 – $348
Diagnostic mammogram, one breast: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $282.75 Blue Cross Blue Shield — HMO: $282.75 Blue Cross Blue Shield — PPO: $282.75 CapStar Health — Commercial: $348 Cigna — Commercial: $295.80
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DX AFTER SCREEN DIGITAL	$367	$183.50	$102.39 – $636.65
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates Aetna — Commercial: $162.84 Aetna — Medicare Advantage: $179.19 Blue Cross Blue Shield — Commercial: $287.68 Blue Cross Blue Shield — HMO: $337.04 Blue Cross Blue Shield — Medicare Advantage: $107.51 Blue Cross Blue Shield — PPO: $353.89 CapStar Health — Commercial: $293.60 Cigna — Commercial: $249.56 FirstCare — Managed Medicaid: $190.84 Humana — Commercial: $275.25
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMOGRAM DX DIGITAL BILAT	$561	$280.50	$102.39 – $636.65
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates Aetna — Commercial: $162.84 Aetna — Medicare Advantage: $179.19 Blue Cross Blue Shield — Commercial: $287.68 Blue Cross Blue Shield — HMO: $337.04 Blue Cross Blue Shield — Medicare Advantage: $107.51 Blue Cross Blue Shield — PPO: $353.89 CapStar Health — Commercial: $448.80 Cigna — Commercial: $381.48 FirstCare — Managed Medicaid: $291.72 Humana — Commercial: $420.75
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DX AFTER SCREEN DIGITAL	$367	$183.50	$238.55 – $293.60
Diagnostic mammogram, both breasts: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $238.55 Blue Cross Blue Shield — HMO: $238.55 Blue Cross Blue Shield — PPO: $238.55 CapStar Health — Commercial: $293.60 Cigna — Commercial: $249.56
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMOGRAM SCREEN DIGITAL BIL	$393	$196.50	$84.67 – $528.03
Screening mammogram, both breasts: 10 of 15 insurance plan rates Aetna — Commercial: $132.17 Aetna — Medicare Advantage: $148.17 Blue Cross Blue Shield — Commercial: $237.73 Blue Cross Blue Shield — HMO: $278.52 Blue Cross Blue Shield — Medicare Advantage: $88.90 Blue Cross Blue Shield — PPO: $292.44 CapStar Health — Commercial: $314.40 Cigna — Commercial: $267.24 FirstCare — Managed Medicaid: $204.36 Humana — Commercial: $294.75
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMOGRAM SCREEN DIGITAL BIL	$393	$196.50	$255.45 – $314.40
Screening mammogram, both breasts: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $255.45 Blue Cross Blue Shield — HMO: $255.45 Blue Cross Blue Shield — PPO: $255.45 CapStar Health — Commercial: $314.40 Cigna — Commercial: $267.24

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$14.61 – $60.03
Electrocardiogram (ECG/EKG) with reading: rates for 5 insurance plans Aetna — Commercial: $14.61 Aetna — Medicare Advantage: $14.61 Blue Cross Blue Shield — Commercial: $54.15 Blue Cross Blue Shield — HMO: $56.92 Blue Cross Blue Shield — PPO: $60.03
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$921.80 – $5,285.25
Left heart catheterization (diagnostic): 10 of 12 insurance plan rates Aetna — Commercial: $921.80 Aetna — Medicare Advantage: $5,285.25 Blue Cross Blue Shield — Commercial: $2,764.45 Blue Cross Blue Shield — HMO: $2,849.95 Blue Cross Blue Shield — Medicare Advantage: $3,171.15 Blue Cross Blue Shield — PPO: $2,992.45 Humana — Commercial: $1,350 Humana — Medicare Advantage: $3,020.14 Molina Healthcare of Texas — Dual Medicare-Medicaid: $3,020.14 Molina Healthcare of Texas — Marketplace: $3,020.14
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$375.82 – $13,831.42
Heart rhythm study (electrophysiology evaluation): 10 of 11 insurance plan rates Aetna — Commercial: $375.82 Aetna — Medicare Advantage: $12,468.88 Blue Cross Blue Shield — Commercial: $11,241.71 Blue Cross Blue Shield — HMO: $13,125.13 Blue Cross Blue Shield — Medicare Advantage: $7,481.33 Blue Cross Blue Shield — PPO: $13,831.42 Humana — Medicare Advantage: $7,125.07 Molina Healthcare of Texas — Dual Medicare-Medicaid: $7,125.07 Molina Healthcare of Texas — Marketplace: $7,125.07 Molina Healthcare of Texas — Medicare Advantage: $7,125.07
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$926.12 – $40,311.84
Heart rhythm study with ablation for atrial fibrillation: 10 of 11 insurance plan rates Aetna — Commercial: $926.12 Aetna — Medicare Advantage: $40,311.84 Blue Cross Blue Shield — Commercial: $19,822.21 Blue Cross Blue Shield — HMO: $20,435.27 Blue Cross Blue Shield — Medicare Advantage: $24,187.11 Blue Cross Blue Shield — PPO: $21,457.03 Humana — Medicare Advantage: $23,035.34 Molina Healthcare of Texas — Dual Medicare-Medicaid: $23,035.34 Molina Healthcare of Texas — Marketplace: $23,035.34 Molina Healthcare of Texas — Medicare Advantage: $23,035.34
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$623.02 – $1,671.79
Sleep study (overnight, in a sleep lab): 10 of 11 insurance plan rates Aetna — Commercial: $623.02 Aetna — Medicare Advantage: $1,671.79 Blue Cross Blue Shield — Commercial: $956.80 Blue Cross Blue Shield — HMO: $1,117.10 Blue Cross Blue Shield — Medicare Advantage: $1,003.07 Blue Cross Blue Shield — PPO: $1,177.21 Humana — Medicare Advantage: $955.31 Molina Healthcare of Texas — Dual Medicare-Medicaid: $955.31 Molina Healthcare of Texas — Marketplace: $955.31 Molina Healthcare of Texas — Medicare Advantage: $955.31

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OT THER EXERCISE EA 15 MIN	$67	$33.50	$28 – $100
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates Aetna — Commercial: $30.22 Aetna — Medicare Advantage: $49 Blue Cross Blue Shield — Commercial: $59.88 Blue Cross Blue Shield — HMO: $69.91 Blue Cross Blue Shield — Medicare Advantage: $29.40 Blue Cross Blue Shield — PPO: $73.67 CapStar Health — Commercial: $53.60 Cigna — Commercial: $45.56 FirstCare — Managed Medicaid: $34.84 Humana — Commercial: $50.25
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISE EA 15 MIN	$116	$58	$28 – $100
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates Aetna — Commercial: $30.22 Aetna — Medicare Advantage: $49 Blue Cross Blue Shield — Commercial: $59.88 Blue Cross Blue Shield — HMO: $69.91 Blue Cross Blue Shield — Medicare Advantage: $29.40 Blue Cross Blue Shield — PPO: $73.67 CapStar Health — Commercial: $92.80 Cigna — Commercial: $78.88 FirstCare — Managed Medicaid: $60.32 Humana — Commercial: $87
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISE EA 15 MIN	$116	$58	$75.40 – $92.80
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $75.40 Blue Cross Blue Shield — HMO: $75.40 Blue Cross Blue Shield — PPO: $75.40 CapStar Health — Commercial: $92.80 Cigna — Commercial: $78.88
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVALUATION 20 MIN	$133	$66.50	$69.16 – $203.25
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates Aetna — Commercial: $102.98 Aetna — Medicare Advantage: $166.85 Blue Cross Blue Shield — Commercial: $165.20 Blue Cross Blue Shield — HMO: $192.87 Blue Cross Blue Shield — Medicare Advantage: $100.11 Blue Cross Blue Shield — PPO: $203.25 CapStar Health — Commercial: $106.40 Cigna — Commercial: $90.44 FirstCare — Managed Medicaid: $69.16 Humana — Commercial: $99.75
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVALUATION 20 MIN	$133	$66.50	$86.45 – $106.40
Physical therapy evaluation (low complexity): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $86.45 Blue Cross Blue Shield — HMO: $86.45 Blue Cross Blue Shield — PPO: $86.45 CapStar Health — Commercial: $106.40 Cigna — Commercial: $90.44
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVALUATION 30 MIN	$191	$95.50	$95.34 – $203.25
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates Aetna — Commercial: $102.98 Aetna — Medicare Advantage: $166.85 Blue Cross Blue Shield — Commercial: $165.20 Blue Cross Blue Shield — HMO: $192.87 Blue Cross Blue Shield — Medicare Advantage: $100.11 Blue Cross Blue Shield — PPO: $203.25 CapStar Health — Commercial: $152.80 Cigna — Commercial: $129.88 FirstCare — Managed Medicaid: $99.32 Humana — Commercial: $143.25
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVALUATION 30 MIN	$191	$95.50	$124.15 – $152.80
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $124.15 Blue Cross Blue Shield — HMO: $124.15 Blue Cross Blue Shield — PPO: $124.15 CapStar Health — Commercial: $152.80 Cigna — Commercial: $129.88
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVALUATION 45 MIN	$290	$145	$95.34 – $232
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates Aetna — Commercial: $102.98 Aetna — Medicare Advantage: $166.85 Blue Cross Blue Shield — Commercial: $165.20 Blue Cross Blue Shield — HMO: $192.87 Blue Cross Blue Shield — Medicare Advantage: $100.11 Blue Cross Blue Shield — PPO: $203.25 CapStar Health — Commercial: $232 Cigna — Commercial: $197.20 FirstCare — Managed Medicaid: $150.80 Humana — Commercial: $217.50
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVALUATION 45 MIN	$290	$145	$188.50 – $232
Physical therapy evaluation (high complexity): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $188.50 Blue Cross Blue Shield — HMO: $188.50 Blue Cross Blue Shield — PPO: $188.50 CapStar Health — Commercial: $232 Cigna — Commercial: $197.20
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$67.13 – $264.02
Psychotherapy, 30 minutes: rates for 7 insurance plans Aetna — Commercial: $67.13 Aetna — Medicare Advantage: $264.02 Blue Cross Blue Shield — Medicare Advantage: $158.41 Humana — Medicare Advantage: $150.87 Molina Healthcare of Texas — Dual Medicare-Medicaid: $150.87 Molina Healthcare of Texas — Marketplace: $150.87 Molina Healthcare of Texas — Medicare Advantage: $150.87
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$88.98 – $264.02
Psychotherapy, 45 minutes: rates for 7 insurance plans Aetna — Commercial: $88.98 Aetna — Medicare Advantage: $264.02 Blue Cross Blue Shield — Medicare Advantage: $158.41 Humana — Medicare Advantage: $150.87 Molina Healthcare of Texas — Dual Medicare-Medicaid: $150.87 Molina Healthcare of Texas — Marketplace: $150.87 Molina Healthcare of Texas — Medicare Advantage: $150.87
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$130.82 – $264.02
Psychotherapy, 60 minutes: rates for 7 insurance plans Aetna — Commercial: $130.82 Aetna — Medicare Advantage: $264.02 Blue Cross Blue Shield — Medicare Advantage: $158.41 Humana — Medicare Advantage: $150.87 Molina Healthcare of Texas — Dual Medicare-Medicaid: $150.87 Molina Healthcare of Texas — Marketplace: $150.87 Molina Healthcare of Texas — Medicare Advantage: $150.87
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$96.12 – $264.02
Family psychotherapy, without the patient: rates for 7 insurance plans Aetna — Commercial: $96.12 Aetna — Medicare Advantage: $264.02 Blue Cross Blue Shield — Medicare Advantage: $158.41 Humana — Medicare Advantage: $150.87 Molina Healthcare of Texas — Dual Medicare-Medicaid: $150.87 Molina Healthcare of Texas — Marketplace: $150.87 Molina Healthcare of Texas — Medicare Advantage: $150.87
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$100.25 – $264.02
Family psychotherapy, with the patient: rates for 7 insurance plans Aetna — Commercial: $100.25 Aetna — Medicare Advantage: $264.02 Blue Cross Blue Shield — Medicare Advantage: $158.41 Humana — Medicare Advantage: $150.87 Molina Healthcare of Texas — Dual Medicare-Medicaid: $150.87 Molina Healthcare of Texas — Marketplace: $150.87 Molina Healthcare of Texas — Medicare Advantage: $150.87
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$23.57 – $152
Group psychotherapy: rates for 7 insurance plans Aetna — Commercial: $23.57 Aetna — Medicare Advantage: $152 Blue Cross Blue Shield — Medicare Advantage: $91.20 Humana — Medicare Advantage: $86.86 Molina Healthcare of Texas — Dual Medicare-Medicaid: $86.86 Molina Healthcare of Texas — Marketplace: $86.86 Molina Healthcare of Texas — Medicare Advantage: $86.86

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXC BREAST LESION ONE/MORE	$4,275	$2,137.50	$417.24 – $6,292.33
Removal of breast growth (open surgery): 10 of 15 insurance plan rates Aetna — Commercial: $417.24 Aetna — Medicare Advantage: $6,292.33 Blue Cross Blue Shield — Commercial: $2,938.66 Blue Cross Blue Shield — HMO: $3,029.55 Blue Cross Blue Shield — Medicare Advantage: $3,775.40 Blue Cross Blue Shield — PPO: $3,181.03 CapStar Health — Commercial: $3,420 Cigna — Commercial: $2,907 FirstCare — Managed Medicaid: $2,223 Humana — Commercial: $1,350
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXC BREAST LESION ONE/MORE	$4,275	$2,137.50	$1,000 – $2,907
Removal of breast growth (open surgery): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $2,778.75 Blue Cross Blue Shield — HMO: $2,778.75 Blue Cross Blue Shield — PPO: $2,778.75 CapStar Health — Commercial: $1,000 Cigna — Commercial: $2,907
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,282.19 – $21,142.95
Total hip replacement: 10 of 12 insurance plan rates Aetna — Commercial: $1,282.19 Aetna — Medicare Advantage: $21,142.95 Blue Cross Blue Shield — Commercial: $11,543.69 Blue Cross Blue Shield — HMO: $11,900.71 Blue Cross Blue Shield — Medicare Advantage: $12,685.77 Blue Cross Blue Shield — PPO: $12,495.75 Humana — Commercial: $1,675 Humana — Medicare Advantage: $12,081.69 Molina Healthcare of Texas — Dual Medicare-Medicaid: $12,081.69 Molina Healthcare of Texas — Marketplace: $12,081.69
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,280.91 – $21,142.95
Total knee replacement: 10 of 12 insurance plan rates Aetna — Commercial: $1,280.91 Aetna — Medicare Advantage: $21,142.95 Blue Cross Blue Shield — Commercial: $11,543.69 Blue Cross Blue Shield — HMO: $11,900.71 Blue Cross Blue Shield — Medicare Advantage: $12,685.77 Blue Cross Blue Shield — PPO: $12,495.75 Humana — Commercial: $1,675 Humana — Medicare Advantage: $12,081.69 Molina Healthcare of Texas — Dual Medicare-Medicaid: $12,081.69 Molina Healthcare of Texas — Marketplace: $12,081.69
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$170.09 – $1,350
Shoulder arthroscopy: shaving of shoulder bone: rates for 4 insurance plans Aetna — Commercial: $170.09 Aetna — Medicare Advantage: $170.09 Humana — Commercial: $1,350 United Healthcare — Commercial/Exchange: $368
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$548.68 – $5,331.59
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 12 insurance plan rates Aetna — Commercial: $548.68 Aetna — Medicare Advantage: $5,331.59 Blue Cross Blue Shield — Commercial: $2,655.33 Blue Cross Blue Shield — HMO: $2,737.45 Blue Cross Blue Shield — Medicare Advantage: $3,198.96 Blue Cross Blue Shield — PPO: $2,874.32 Humana — Commercial: $1,675 Humana — Medicare Advantage: $3,046.62 Molina Healthcare of Texas — Dual Medicare-Medicaid: $3,046.62 Molina Healthcare of Texas — Marketplace: $3,046.62
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: T & A; UNDER AGE 12	$4,275	$2,137.50	$295.78 – $9,720.70
Removal of tonsils and adenoids (under age 12): 10 of 15 insurance plan rates Aetna — Commercial: $295.78 Aetna — Medicare Advantage: $9,720.70 Blue Cross Blue Shield — Commercial: $4,705.01 Blue Cross Blue Shield — HMO: $4,850.53 Blue Cross Blue Shield — Medicare Advantage: $5,832.42 Blue Cross Blue Shield — PPO: $5,093.06 CapStar Health — Commercial: $3,420 Cigna — Commercial: $2,907 FirstCare — Managed Medicaid: $2,223 Humana — Commercial: $1,350
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) · Hospital (facility) fee In the file: T & A; UNDER AGE 12	$4,275	$2,137.50	$1,000 – $2,907
Removal of tonsils and adenoids (under age 12): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $2,778.75 Blue Cross Blue Shield — HMO: $2,778.75 Blue Cross Blue Shield — PPO: $2,778.75 CapStar Health — Commercial: $1,000 Cigna — Commercial: $2,907
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC	$3,487	$1,743.50	$121.37 – $2,789.60
Upper GI endoscopy (diagnostic): 10 of 15 insurance plan rates Aetna — Commercial: $121.37 Aetna — Medicare Advantage: $1,540.61 Blue Cross Blue Shield — Commercial: $762.34 Blue Cross Blue Shield — HMO: $785.92 Blue Cross Blue Shield — Medicare Advantage: $924.37 Blue Cross Blue Shield — PPO: $825.22 CapStar Health — Commercial: $2,789.60 Cigna — Commercial: $2,371.16 FirstCare — Managed Medicaid: $1,813.24 Humana — Commercial: $875
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC	$3,487	$1,743.50	$1,000 – $2,371.16
Upper GI endoscopy (diagnostic): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $2,266.55 Blue Cross Blue Shield — HMO: $2,266.55 Blue Cross Blue Shield — PPO: $2,266.55 CapStar Health — Commercial: $1,000 Cigna — Commercial: $2,371.16
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	$3,487	$1,743.50	$136.91 – $2,789.60
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates Aetna — Commercial: $136.91 Aetna — Medicare Advantage: $1,540.61 Blue Cross Blue Shield — Commercial: $762.34 Blue Cross Blue Shield — HMO: $785.92 Blue Cross Blue Shield — Medicare Advantage: $924.37 Blue Cross Blue Shield — PPO: $825.22 CapStar Health — Commercial: $2,789.60 Cigna — Commercial: $2,371.16 FirstCare — Managed Medicaid: $1,813.24 Humana — Commercial: $1,175
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	$3,487	$1,743.50	$1,000 – $2,371.16
Upper GI endoscopy with biopsy: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $2,266.55 Blue Cross Blue Shield — HMO: $2,266.55 Blue Cross Blue Shield — PPO: $2,266.55 CapStar Health — Commercial: $1,000 Cigna — Commercial: $2,371.16
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY DIAGNOSTIC	$3,487	$1,743.50	$182.44 – $2,789.60
Colonoscopy (diagnostic): 10 of 15 insurance plan rates Aetna — Commercial: $182.44 Aetna — Medicare Advantage: $1,498.14 Blue Cross Blue Shield — Commercial: $1,200 Blue Cross Blue Shield — HMO: $1,283 Blue Cross Blue Shield — Medicare Advantage: $898.88 Blue Cross Blue Shield — PPO: $1,350 CapStar Health — Commercial: $2,789.60 Cigna — Commercial: $2,371.16 FirstCare — Managed Medicaid: $1,813.24 Humana — Commercial: $1,175
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY DIAGNOSTIC	$3,487	$1,743.50	$1,000 – $2,371.16
Colonoscopy (diagnostic): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $2,266.55 Blue Cross Blue Shield — HMO: $2,266.55 Blue Cross Blue Shield — PPO: $2,266.55 CapStar Health — Commercial: $1,000 Cigna — Commercial: $2,371.16
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W BIOPSY	$3,487	$1,743.50	$198.43 – $2,789.60
Colonoscopy with biopsy: 10 of 15 insurance plan rates Aetna — Commercial: $198.43 Aetna — Medicare Advantage: $1,937.48 Blue Cross Blue Shield — Commercial: $1,200 Blue Cross Blue Shield — HMO: $1,283 Blue Cross Blue Shield — Medicare Advantage: $1,162.49 Blue Cross Blue Shield — PPO: $1,350 CapStar Health — Commercial: $2,789.60 Cigna — Commercial: $2,371.16 FirstCare — Managed Medicaid: $1,813.24 Humana — Commercial: $1,175
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY W BIOPSY	$3,487	$1,743.50	$1,000 – $2,371.16
Colonoscopy with biopsy: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $2,266.55 Blue Cross Blue Shield — HMO: $2,266.55 Blue Cross Blue Shield — PPO: $2,266.55 CapStar Health — Commercial: $1,000 Cigna — Commercial: $2,371.16
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W SNARE	$3,487	$1,743.50	$251.05 – $2,789.60
Colonoscopy with removal of polyps (snare): 10 of 15 insurance plan rates Aetna — Commercial: $251.05 Aetna — Medicare Advantage: $1,937.48 Blue Cross Blue Shield — Commercial: $1,200 Blue Cross Blue Shield — HMO: $1,283 Blue Cross Blue Shield — Medicare Advantage: $1,162.49 Blue Cross Blue Shield — PPO: $1,350 CapStar Health — Commercial: $2,789.60 Cigna — Commercial: $2,371.16 FirstCare — Managed Medicaid: $1,813.24 Humana — Commercial: $1,175
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY W SNARE	$3,487	$1,743.50	$1,000 – $2,371.16
Colonoscopy with removal of polyps (snare): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $2,266.55 Blue Cross Blue Shield — HMO: $2,266.55 Blue Cross Blue Shield — PPO: $2,266.55 CapStar Health — Commercial: $1,000 Cigna — Commercial: $2,371.16
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$254.94 – $1,937.48
Ultrasound of the lower bowel by endoscope: 10 of 12 insurance plan rates Aetna — Commercial: $254.94 Aetna — Medicare Advantage: $1,937.48 Blue Cross Blue Shield — Commercial: $1,200 Blue Cross Blue Shield — HMO: $1,283 Blue Cross Blue Shield — Medicare Advantage: $1,162.49 Blue Cross Blue Shield — PPO: $1,350 Humana — Commercial: $1,175 Humana — Medicare Advantage: $1,107.13 Molina Healthcare of Texas — Dual Medicare-Medicaid: $1,107.13 Molina Healthcare of Texas — Marketplace: $1,107.13
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCRN COLONOSCOPY LOW RISK PT	$2,701	$1,350.50	$182.68 – $2,160.80
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates Aetna — Commercial: $182.68 Aetna — Medicare Advantage: $1,498.14 Blue Cross Blue Shield — Commercial: $1,200 Blue Cross Blue Shield — HMO: $1,283 Blue Cross Blue Shield — Medicare Advantage: $898.88 Blue Cross Blue Shield — PPO: $1,350 CapStar Health — Commercial: $2,160.80 Cigna — Commercial: $1,836.68 FirstCare — Managed Medicaid: $1,404.52 Humana — Commercial: $1,175
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SCRN COLONOSCOPY LOW RISK PT	$2,701	$1,350.50	$1,000 – $1,836.68
Screening colonoscopy (not high risk): rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $1,755.65 Blue Cross Blue Shield — HMO: $1,755.65 Blue Cross Blue Shield — PPO: $1,755.65 CapStar Health — Commercial: $1,000 Cigna — Commercial: $1,836.68
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAP CHOLECYSTECOMY	$6,634	$3,317	$654.45 – $9,587.11
Gallbladder removal by laparoscope: 10 of 15 insurance plan rates Aetna — Commercial: $654.45 Aetna — Medicare Advantage: $9,587.11 Blue Cross Blue Shield — Commercial: $4,688.70 Blue Cross Blue Shield — HMO: $4,833.71 Blue Cross Blue Shield — Medicare Advantage: $5,752.26 Blue Cross Blue Shield — PPO: $5,075.40 CapStar Health — Commercial: $5,307.20 Cigna — Commercial: $4,511.12 FirstCare — Managed Medicaid: $3,449.68 Humana — Commercial: $1,350
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAP CHOLECYSTECOMY	$6,634	$3,317	$1,000 – $4,511.12
Gallbladder removal by laparoscope: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $4,312.10 Blue Cross Blue Shield — HMO: $4,312.10 Blue Cross Blue Shield — PPO: $4,312.10 CapStar Health — Commercial: $1,000 Cigna — Commercial: $4,511.12
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HERNIA RPR INITIAL INGUINAL >5	$5,062	$2,531	$520.99 – $5,799
Groin (inguinal) hernia repair, age 5 or older: 10 of 15 insurance plan rates Aetna — Commercial: $520.99 Aetna — Medicare Advantage: $5,799 Blue Cross Blue Shield — Commercial: $3,016.06 Blue Cross Blue Shield — HMO: $3,109.34 Blue Cross Blue Shield — Medicare Advantage: $3,479.40 Blue Cross Blue Shield — PPO: $3,264.81 CapStar Health — Commercial: $4,049.60 Cigna — Commercial: $3,442.16 FirstCare — Managed Medicaid: $2,632.24 Humana — Commercial: $1,675
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HERNIA RPR INITIAL INGUINAL >5	$5,062	$2,531	$1,000 – $3,442.16
Groin (inguinal) hernia repair, age 5 or older: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $3,290.30 Blue Cross Blue Shield — HMO: $3,290.30 Blue Cross Blue Shield — PPO: $3,290.30 CapStar Health — Commercial: $1,000 Cigna — Commercial: $3,442.16
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE NEEDLE PUNCH BX	$3,487	$1,743.50	$128.19 – $3,366.14
Prostate biopsy: 10 of 15 insurance plan rates Aetna — Commercial: $128.19 Aetna — Medicare Advantage: $3,366.14 Blue Cross Blue Shield — Commercial: $1,718.40 Blue Cross Blue Shield — HMO: $1,771.55 Blue Cross Blue Shield — Medicare Advantage: $2,019.69 Blue Cross Blue Shield — PPO: $1,860.13 CapStar Health — Commercial: $2,789.60 Cigna — Commercial: $2,371.16 FirstCare — Managed Medicaid: $1,813.24 Humana — Commercial: $1,175
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROSTATE NEEDLE PUNCH BX	$3,487	$1,743.50	$1,000 – $2,371.16
Prostate biopsy: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $2,266.55 Blue Cross Blue Shield — HMO: $2,266.55 Blue Cross Blue Shield — PPO: $2,266.55 CapStar Health — Commercial: $1,000 Cigna — Commercial: $2,371.16
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$1,184.63 – $17,107.87
Prostate removal by laparoscope (radical prostatectomy): 10 of 12 insurance plan rates Aetna — Commercial: $1,184.63 Aetna — Medicare Advantage: $17,107.87 Blue Cross Blue Shield — Commercial: $8,160.72 Blue Cross Blue Shield — HMO: $8,413.11 Blue Cross Blue Shield — Medicare Advantage: $10,264.72 Blue Cross Blue Shield — PPO: $8,833.77 Humana — Commercial: $1,350 Humana — Medicare Advantage: $9,775.93 Molina Healthcare of Texas — Dual Medicare-Medicaid: $9,775.93 Molina Healthcare of Texas — Marketplace: $9,775.93
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY W/BIOPSY	$4,275	$2,137.50	$230.30 – $5,224.65
Hysteroscopy with biopsy of the uterus lining: 10 of 15 insurance plan rates Aetna — Commercial: $230.30 Aetna — Medicare Advantage: $5,224.65 Blue Cross Blue Shield — Commercial: $2,423.16 Blue Cross Blue Shield — HMO: $2,498.10 Blue Cross Blue Shield — Medicare Advantage: $3,134.79 Blue Cross Blue Shield — PPO: $2,623 CapStar Health — Commercial: $3,420 Cigna — Commercial: $2,907 FirstCare — Managed Medicaid: $2,223 Humana — Commercial: $1,350
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HYSTEROSCOPY W/BIOPSY	$4,275	$2,137.50	$1,000 – $2,907
Hysteroscopy with biopsy of the uterus lining: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $2,778.75 Blue Cross Blue Shield — HMO: $2,778.75 Blue Cross Blue Shield — PPO: $2,778.75 CapStar Health — Commercial: $1,000 Cigna — Commercial: $2,907
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$98.77 – $1,350
Spinal injection, lower back (epidural), with imaging guidance: 10 of 16 insurance plan rates Aetna — Commercial: $98.77 Aetna — Medicare Advantage: $1,137.96 Blue Cross Blue Shield — Commercial: $606.30 Blue Cross Blue Shield — HMO: $625.05 Blue Cross Blue Shield — Managed Medicaid: $217.99 Blue Cross Blue Shield — Medicare Advantage: $682.78 Blue Cross Blue Shield — PPO: $656.30 FirstCare — Managed Medicaid: $214.32 Humana — Commercial: $1,350 Humana — Medicare Advantage: $650.26
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$110.83 – $1,462.94
Nerve root injection, lower back, with imaging guidance: 10 of 12 insurance plan rates Aetna — Commercial: $110.83 Aetna — Medicare Advantage: $1,462.94 Blue Cross Blue Shield — Commercial: $787.69 Blue Cross Blue Shield — HMO: $812.05 Blue Cross Blue Shield — Medicare Advantage: $877.76 Blue Cross Blue Shield — PPO: $852.65 Humana — Commercial: $875 Humana — Medicare Advantage: $835.96 Molina Healthcare of Texas — Dual Medicare-Medicaid: $835.96 Molina Healthcare of Texas — Marketplace: $835.96
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL RELEASE	$4,275	$2,137.50	$444.86 – $3,420
Carpal tunnel release: 10 of 15 insurance plan rates Aetna — Commercial: $444.86 Aetna — Medicare Advantage: $3,208.82 Blue Cross Blue Shield — Commercial: $1,667.77 Blue Cross Blue Shield — HMO: $1,719.35 Blue Cross Blue Shield — Medicare Advantage: $1,925.29 Blue Cross Blue Shield — PPO: $1,805.32 CapStar Health — Commercial: $3,420 Cigna — Commercial: $2,907 FirstCare — Managed Medicaid: $2,223 Humana — Commercial: $1,175
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARPAL TUNNEL RELEASE	$4,275	$2,137.50	$1,000 – $2,907
Carpal tunnel release: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $2,778.75 Blue Cross Blue Shield — HMO: $2,778.75 Blue Cross Blue Shield — PPO: $2,778.75 CapStar Health — Commercial: $1,000 Cigna — Commercial: $2,907
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$314.13 – $1,175
Laser treatment of clouding after cataract surgery: 10 of 12 insurance plan rates Aetna — Commercial: $314.13 Aetna — Medicare Advantage: $901.47 Blue Cross Blue Shield — Commercial: $491.72 Blue Cross Blue Shield — HMO: $506.93 Blue Cross Blue Shield — Medicare Advantage: $540.88 Blue Cross Blue Shield — PPO: $532.28 Humana — Commercial: $1,175 Humana — Medicare Advantage: $515.12 Molina Healthcare of Texas — Dual Medicare-Medicaid: $515.12 Molina Healthcare of Texas — Marketplace: $515.12
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXTRACAPS CATARACT REM W INS I	$4,275	$2,137.50	$545.36 – $3,747.73
Cataract removal with lens implant: 10 of 15 insurance plan rates Aetna — Commercial: $545.36 Aetna — Medicare Advantage: $3,747.73 Blue Cross Blue Shield — Commercial: $1,961.20 Blue Cross Blue Shield — HMO: $2,021.86 Blue Cross Blue Shield — Medicare Advantage: $2,248.64 Blue Cross Blue Shield — PPO: $2,122.95 CapStar Health — Commercial: $3,420 Cigna — Commercial: $2,907 FirstCare — Managed Medicaid: $2,223 Humana — Commercial: $2,600
Cataract removal with lens implant CPT 66984 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EXTRACAPS CATARACT REM W INS I	$4,275	$2,137.50	$1,000 – $2,907
Cataract removal with lens implant: rates for 5 insurance plans Blue Cross Blue Shield — Commercial: $2,778.75 Blue Cross Blue Shield — HMO: $2,778.75 Blue Cross Blue Shield — PPO: $2,778.75 CapStar Health — Commercial: $1,000 Cigna — Commercial: $2,907

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$1,675 – $2,375.39
Vaginal delivery, with care before and after: rates for 6 insurance plans Aetna — Commercial: $2,375.39 Aetna — Medicare Advantage: $2,375.39 Blue Cross Blue Shield — Commercial: $2,112.50 Blue Cross Blue Shield — HMO: $2,177.84 Blue Cross Blue Shield — PPO: $2,286.73 Humana — Commercial: $1,675
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$1,675 – $2,616.74
Cesarean delivery (C-section), with care before and after: rates for 6 insurance plans Aetna — Commercial: $2,616.74 Aetna — Medicare Advantage: $2,616.74 Blue Cross Blue Shield — Commercial: $2,342.18 Blue Cross Blue Shield — HMO: $2,414.62 Blue Cross Blue Shield — PPO: $2,535.35 Humana — Commercial: $1,675
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$1,675 – $2,476.32
Vaginal delivery after a previous C-section, with care before and after: rates for 6 insurance plans Aetna — Commercial: $2,476.32 Aetna — Medicare Advantage: $2,476.32 Blue Cross Blue Shield — Commercial: $2,216.68 Blue Cross Blue Shield — HMO: $2,285.24 Blue Cross Blue Shield — PPO: $2,399.50 Humana — Commercial: $1,675

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$50,185.72 – $217,418.62
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $217,418.62 Blue Cross Blue Shield — Commercial: $71,193.81 Blue Cross Blue Shield — HMO: $77,740.36 Blue Cross Blue Shield — Medicare Advantage: $130,451.17 Blue Cross Blue Shield — PPO: $81,831.96 Humana — Commercial: $50,185.72 Humana — Medicare Advantage: $124,239.21 Molina Healthcare of Texas — Dual Medicare-Medicaid: $124,239.21 Molina Healthcare of Texas — Marketplace: $124,239.21 Molina Healthcare of Texas — Medicare Advantage: $124,239.21
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Inpatient MS-DRG	Not listed in the file	Not listed in the file	$27,521.93 – $31,634.40
Spinal fusion (not neck), without major complications: rates for 3 insurance plans Blue Cross Blue Shield — Commercial: $27,521.93 Blue Cross Blue Shield — HMO: $30,052.68 Blue Cross Blue Shield — PPO: $31,634.40
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$9,804.60 – $50,619.99
Hip or knee replacement (major joint of the leg), without major complications: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $50,619.99 Blue Cross Blue Shield — Commercial: $13,972.17 Blue Cross Blue Shield — HMO: $15,256.96 Blue Cross Blue Shield — Medicare Advantage: $30,372 Blue Cross Blue Shield — PPO: $16,059.96 Humana — Commercial: $9,804.60 Humana — Medicare Advantage: $28,925.71 Molina Healthcare of Texas — Dual Medicare-Medicaid: $28,925.71 Molina Healthcare of Texas — Marketplace: $28,925.71 Molina Healthcare of Texas — Medicare Advantage: $28,925.71
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$12,310.48 – $57,736.65
Neck (cervical) spinal fusion, without complications: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $57,736.65 Blue Cross Blue Shield — Commercial: $18,526.51 Blue Cross Blue Shield — HMO: $20,230.10 Blue Cross Blue Shield — Medicare Advantage: $34,641.99 Blue Cross Blue Shield — PPO: $21,294.84 Humana — Commercial: $12,310.48 Humana — Medicare Advantage: $32,992.37 Molina Healthcare of Texas — Dual Medicare-Medicaid: $32,992.37 Molina Healthcare of Texas — Marketplace: $32,992.37 Molina Healthcare of Texas — Medicare Advantage: $32,992.37
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$6,233.24 – $40,477.36
Uterus and ovary surgery (not for cancer), without complications: 10 of 11 insurance plan rates Aetna — Medicare Advantage: $40,477.36 Blue Cross Blue Shield — Commercial: $8,554.74 Blue Cross Blue Shield — HMO: $9,341.39 Blue Cross Blue Shield — Medicare Advantage: $24,286.42 Blue Cross Blue Shield — PPO: $9,833.04 Humana — Commercial: $6,233.24 Humana — Medicare Advantage: $23,129.92 Molina Healthcare of Texas — Dual Medicare-Medicaid: $23,129.92 Molina Healthcare of Texas — Marketplace: $23,129.92 Molina Healthcare of Texas — Medicare Advantage: $23,129.92

Source: Permian Regional Medical Center Andrews County Ho’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on December 3, 2025; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	720 Hospital Drive, Andrews, TX 79714
County	Andrews County
State	Texas
Phone	(432) 523‑2200
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	Not rated by CMS
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	450144
Name in Medicare records	PERMIAN REGIONAL MEDICAL CENTER ANDREWS COUNTY HO
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(432) 464‑2200^[4][6]
Name on the hospital’s website	Permian Regional Medical Center
Official website	permianregional.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Permian Regional Medical Center — permianregional.com
Services — permianregional.com
Emergency Care — permianregional.com
Services | Permian Regional Medical Center — permianregional.com
Emergency Care | Permian Regional — permianregional.com
Medical Surgical Unit | Permian Regional — permianregional.com
Radiology | Permian Regional Medical Center — permianregional.com
Surgery | Permian Regional Medical Center — permianregional.com
Andrews Kidney Care Center | Permian Regional — permianregional.com
Cardiac/Pulmonary Rehabilitation | Permian Regional — permianregional.com