Does Phoenix Children's Hospital have an emergency room?

Yes. The hospital’s official website lists an emergency room at Phoenix Children's Hospital (trauma center: Level I). Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.

Where is Phoenix Children's Hospital?

1919 East Thomas Road, Phoenix, AZ 85016, in Maricopa County, Arizona.

What is the phone number of Phoenix Children's Hospital?

(602) 933-1000, as listed by Medicare (CMS).

What is the Medicare star rating of Phoenix Children's Hospital?

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

Phoenix Children's Hospital — Phoenix, AZ

Quick answers

Does Phoenix Children's Hospital have an emergency room?: Yes. The hospital’s official website lists an emergency room at Phoenix Children's Hospital (trauma center: Level I). Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.
Where is Phoenix Children's Hospital?: 1919 East Thomas Road, Phoenix, AZ 85016, in Maricopa County, Arizona.
What is the phone number of Phoenix Children's Hospital?: (602) 933-1000, as listed by Medicare (CMS).
What is the Medicare star rating of Phoenix Children's Hospital?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Conditions treated^[11]

Spine and brain injuries in children

Treatments^{[5][6][7][8][9][10]}

CT scan
MRI
Nuclear medicine scan
Ultrasound
X-ray
Fluoroscopy

Programs and centers^{[4][5][11][12]}

Center for Trauma Care
Advanced Life Support Base Hospital
Neurotrauma Program
Inpatient Rehabilitation Program
MR-I am Ready (MRI without sedation)

Emergency care (hospital website)^[4]

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

Visiting and practical information

Visiting	Main Building lobby open Mon-Sat 5 a.m.-8 p.m., Sun 8 a.m.-8 p.m.; East Building lobby Mon-Fri 5 a.m.-8 p.m^[4]
Parking	Free parking; Thomas Garage for most visits, Cambridge Garage for Ambulatory or Rosenberg building appointments^[4]

Recognition^[4][12]

American College of Surgeons-verified Level 1 Pediatric Trauma Center
Arizona ALS Base Hospital certification (Arizona Department of Health Services)
CARF accreditation, Inpatient Rehabilitation Program

Doctors and clinicians (101)

101 doctors and other clinicians list Phoenix Children's Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 77 more: the button below opens the full list.

Other emergency rooms nearby

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

Phoenix Indian Medical Center1.2 mi · Phoenix, AZ · Acute Care Hospital
Banner - University Medical Center Phoenix1.4 mi · Phoenix, AZ · Acute Care Hospital
Phoenix VA Medical Center1.8 mi · Phoenix, AZ · Federal/VA Acute Care Hospital
Valleywise Health Medical Center1.8 mi · Phoenix, AZ · Acute Care Hospital
HonorHealth Tempe Medical Center2.0 mi · Phoenix, AZ · Acute Care Hospital

Other hospitals nearby

Phoenix Medical Psychiatric Hospital, LLC1.2 mi · Phoenix, AZ · Psychiatric Hospital
Select Specialty Hospital Arizona1.4 mi · Phoenix, AZ · Long-Term Acute Care Hospital
Reunion Rehabilitation Hospital Phoenix LLC1.8 mi · Phoenix, AZ · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Desert Terrace Healthcare Center0.8 mi · Phoenix, AZ · 3 of 5 stars
Desert Haven Care Center1.3 mi · Phoenix, AZ · 1 of 5 stars
Camelback Post Acute Care and Rehabilitation1.8 mi · Phoenix, AZ · 3 of 5 stars

All nursing homes in the state →

Outpatient surgery centers nearby

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

Arizona Endoscopy Center1.1 mi · Phoenix, AZ
Banner Phoenix Surgery Center1.1 mi · Phoenix, AZ
Gynesurgical, LLC1.1 mi · Phoenix, AZ

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Valle del Sol_14301.1 mi · Phoenix, AZ · Community health center
Longview Elementary School1.2 mi · Phoenix, AZ · Community health center
Midtown Health Center1.3 mi · Phoenix, AZ · Community health center

Clinics and urgent care

Urgent Care Plus L.L.C.1.1 mi · Phoenix, AZ · Urgent care center
Banner Urgent Care Services, LLC2.1 mi · Phoenix, AZ · Urgent care center
HonorHealth Urgent Care, LLC2.1 mi · Phoenix, AZ · Urgent care center

Pharmacies

Banner Health1.1 mi · Phoenix, AZ · Clinic pharmacy
Banner Health1.1 mi · Phoenix, AZ · Community/retail pharmacy
Banner Pharmacy Services LLC1.1 mi · Phoenix, AZ · Community/retail pharmacy

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 Phoenix Children's Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Not reported to Medicare

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon 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	Not reported to Medicare
Deaths within 30 days: heart failure patients	Not reported to Medicare
Deaths within 30 days: pneumonia patients	Not reported to Medicare
Deaths within 30 days: COPD patients	Not reported to Medicare
Deaths within 30 days: stroke patients	Not reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Not reported to Medicare
Readmitted within 30 days: heart failure	Not reported to Medicare
Readmitted within 30 days: pneumonia	Not reported to Medicare
Readmitted within 30 days: COPD	Not reported to Medicare
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.

Emergency room times and sepsis care

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

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

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Phoenix Best hospitals in Phoenix

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 Phoenix Children's Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

$ 20 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

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: NEW PT LEV 3	$267	Not listed in the file	$106.80 – $213.60
New patient office visit (about 30–44 minutes): 10 of 26 insurance plan rates AETNA — ALL PRODUCTS: $122.29 AETNA — HEALTHEZ: $195.71 AHC APIPA — ALL PRODUCTS: $38.71 AHC CARE FIRST — ALL PRODUCTS: $99.02 AHC CMDP — ALL PRODUCTS: $38.71 AHC CRS — BEHAVIORAL HEALTH: $38.71 AHC CRS — FULLY: $99.02 AHC CRS — ONLY: $38.71 AHC CRS — PARTIAL: $38.71 AHC HEALTHCHOICE — ALL PRODUCTS: $51.81
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PT LEV 3	$267	Not listed in the file	$106.80 – $213.60
New patient office visit (about 30–44 minutes): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $202.65
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT LEV 4	$351	Not listed in the file	$140.40 – $280.80
New patient office visit (about 45–59 minutes): 10 of 26 insurance plan rates AETNA — ALL PRODUCTS: $160.76 AETNA — HEALTHEZ: $257.28 AHC APIPA — ALL PRODUCTS: $44.36 AHC CARE FIRST — ALL PRODUCTS: $99.02 AHC CMDP — ALL PRODUCTS: $44.36 AHC CRS — BEHAVIORAL HEALTH: $44.36 AHC CRS — FULLY: $99.02 AHC CRS — ONLY: $44.36 AHC CRS — PARTIAL: $44.36 AHC HEALTHCHOICE — ALL PRODUCTS: $51.81
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PT LEV 4	$351	Not listed in the file	$140.40 – $280.80
New patient office visit (about 45–59 minutes): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $266.41
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEW PT LEV 5	$520	Not listed in the file	$208 – $416
New patient office visit (about 60–74 minutes): 10 of 26 insurance plan rates AETNA — ALL PRODUCTS: $238.16 AETNA — HEALTHEZ: $381.16 AHC APIPA — ALL PRODUCTS: $51.74 AHC CARE FIRST — ALL PRODUCTS: $99.02 AHC CMDP — ALL PRODUCTS: $51.74 AHC CRS — BEHAVIORAL HEALTH: $51.74 AHC CRS — FULLY: $99.02 AHC CRS — ONLY: $51.74 AHC CRS — PARTIAL: $51.74 AHC HEALTHCHOICE — ALL PRODUCTS: $51.81
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEW PT LEV 5	$520	Not listed in the file	$208 – $416
New patient office visit (about 60–74 minutes): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $394.68
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT LEV 3	$211	Not listed in the file	$84.40 – $168.80
Established patient office visit (about 20–29 minutes): 10 of 26 insurance plan rates AETNA — ALL PRODUCTS: $96.64 AETNA — HEALTHEZ: $154.66 AHC APIPA — ALL PRODUCTS: $32.63 AHC CARE FIRST — ALL PRODUCTS: $99.02 AHC CMDP — ALL PRODUCTS: $32.63 AHC CRS — BEHAVIORAL HEALTH: $32.63 AHC CRS — FULLY: $99.02 AHC CRS — ONLY: $32.63 AHC CRS — PARTIAL: $32.63 AHC HEALTHCHOICE — ALL PRODUCTS: $51.81
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EST PT LEV 3	$211	Not listed in the file	$84.40 – $168.80
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $160.15
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EST PT LEV 4	$293	Not listed in the file	$117.20 – $234.40
Established patient office visit (about 30–39 minutes): 10 of 26 insurance plan rates AETNA — ALL PRODUCTS: $134.19 AETNA — HEALTHEZ: $214.77 AHC APIPA — ALL PRODUCTS: $40.45 AHC CARE FIRST — ALL PRODUCTS: $99.02 AHC CMDP — ALL PRODUCTS: $40.45 AHC CRS — BEHAVIORAL HEALTH: $40.45 AHC CRS — FULLY: $99.02 AHC CRS — ONLY: $40.45 AHC CRS — PARTIAL: $40.45 AHC HEALTHCHOICE — ALL PRODUCTS: $51.81
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EST PT LEV 4	$293	Not listed in the file	$117.20 – $234.40
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $222.39
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CONSULT DETAILED	$266	Not listed in the file	$106.40 – $212.80
Office consultation with a specialist (moderate): 10 of 27 insurance plan rates AETNA — ALL PRODUCTS: $121.83 AETNA — HEALTHEZ: $194.98 AHC APIPA — ALL PRODUCTS: $39.57 AHC CARE FIRST — ALL PRODUCTS: $39.57 AHC CMDP — ALL PRODUCTS: $39.57 AHC CRS — BEHAVIORAL HEALTH: $39.57 AHC CRS — FULLY: $39.57 AHC CRS — ONLY: $39.57 AHC CRS — PARTIAL: $39.57 AHC HEALTHCHOICE — ALL PRODUCTS: $20.70
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CONSULT DETAILED	$266	Not listed in the file	$106.40 – $212.80
Office consultation with a specialist (moderate): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $201.89
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CONSULT COMPREHENSIVE	$410	Not listed in the file	$164 – $328
Office consultation with a specialist (moderate to high): 10 of 27 insurance plan rates AETNA — ALL PRODUCTS: $187.78 AETNA — HEALTHEZ: $300.53 AHC APIPA — ALL PRODUCTS: $43.34 AHC CARE FIRST — ALL PRODUCTS: $43.34 AHC CMDP — ALL PRODUCTS: $43.34 AHC CRS — BEHAVIORAL HEALTH: $43.34 AHC CRS — FULLY: $43.34 AHC CRS — ONLY: $43.34 AHC CRS — PARTIAL: $43.34 AHC HEALTHCHOICE — ALL PRODUCTS: $22.68
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CONSULT COMPREHENSIVE	$410	Not listed in the file	$164 – $328
Office consultation with a specialist (moderate to high): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $311.19
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INIT PREV 18-39YR	$330	Not listed in the file	$132 – $264
Preventive checkup, new patient, age 18–39: 10 of 25 insurance plan rates AETNA — ALL PRODUCTS: $151.14 AETNA — HEALTHEZ: $241.89 AHC APIPA — ALL PRODUCTS: $56.82 AHC CARE FIRST — ALL PRODUCTS: $56.82 AHC CMDP — ALL PRODUCTS: $56.82 AHC CRS — BEHAVIORAL HEALTH: $56.82 AHC CRS — FULLY: $56.82 AHC CRS — ONLY: $56.82 AHC CRS — PARTIAL: $56.82 AHC HEALTHCHOICE — ALL PRODUCTS: $29.74
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INIT PREV 18-39YR	$330	Not listed in the file	$132 – $264
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $250.47
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	$29.46 – $62.08
Preventive checkup, new patient, age 40–64: 10 of 15 insurance plan rates AHC APIPA — ALL PRODUCTS: $56.30 AHC CARE FIRST — ALL PRODUCTS: $56.30 AHC CMDP — ALL PRODUCTS: $56.30 AHC CRS — BEHAVIORAL HEALTH: $56.30 AHC CRS — FULLY: $56.30 AHC CRS — ONLY: $56.30 AHC CRS — PARTIAL: $56.30 AHC HEALTHCHOICE — ALL PRODUCTS: $29.46 AHC IHS — ALL PRODUCTS: $56.30 AHC LCD — ALL PRODUCTS: $31.01
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEV 3 ED VISIT	$2,405	Not listed in the file	$305.42 – $3,393.63
Emergency room visit (moderate): 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $3,393.63 AETNA — HEALTHEZ: $1,762.87 AHC APIPA — ALL PRODUCTS: $321.49 AHC CARE FIRST — ALL PRODUCTS: $321.49 AHC CMDP — ALL PRODUCTS: $321.49 AHC CRS — BEHAVIORAL HEALTH: $321.49 AHC CRS — FULLY: $321.49 AHC CRS — ONLY: $321.49 AHC CRS — PARTIAL: $321.49 AHC HEALTHCHOICE — ALL PRODUCTS: $305.42
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEV 3 ED VISIT	$2,405	Not listed in the file	$962 – $1,924
Emergency room visit (moderate): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $1,825.40
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEV 3 W/MODIFIER	$2,405	Not listed in the file	$962 – $1,924
Emergency room visit (moderate): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $1,825.40
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEV 4 ED VISIT	$3,909	Not listed in the file	$488.66 – $3,393.63
Emergency room visit (moderately high): 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $3,393.63 AETNA — HEALTHEZ: $2,865.30 AHC APIPA — ALL PRODUCTS: $514.38 AHC CARE FIRST — ALL PRODUCTS: $514.38 AHC CMDP — ALL PRODUCTS: $514.38 AHC CRS — BEHAVIORAL HEALTH: $514.38 AHC CRS — FULLY: $514.38 AHC CRS — ONLY: $514.38 AHC CRS — PARTIAL: $514.38 AHC HEALTHCHOICE — ALL PRODUCTS: $488.66
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEV 4 ED VISIT	$3,909	Not listed in the file	$1,563.60 – $3,127.20
Emergency room visit (moderately high): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $2,966.93
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEV 4 W/MODIFIER	$3,909	Not listed in the file	$1,563.60 – $3,127.20
Emergency room visit (moderately high): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $2,966.93
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEV 5 ED VISIT	$6,405	Not listed in the file	$734.38 – $3,393.63
Emergency room visit (high): 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $3,393.63 AETNA — HEALTHEZ: $4,694.87 AHC APIPA — ALL PRODUCTS: $773.03 AHC CARE FIRST — ALL PRODUCTS: $773.03 AHC CMDP — ALL PRODUCTS: $773.03 AHC CRS — BEHAVIORAL HEALTH: $773.03 AHC CRS — FULLY: $773.03 AHC CRS — ONLY: $773.03 AHC CRS — PARTIAL: $773.03 AHC HEALTHCHOICE — ALL PRODUCTS: $734.38
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEV 5 ED VISIT	$6,405	Not listed in the file	$2,562 – $5,124
Emergency room visit (high): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $4,861.40
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LEV 5 W/MODIFIER	$6,405	Not listed in the file	$2,562 – $5,124
Emergency room visit (high): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $4,861.40

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	$448	Not listed in the file	$179.20 – $358.40
Basic metabolic panel (blood test): 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $205.18 AETNA — HEALTHEZ: $328.38 AHC APIPA — ALL PRODUCTS: $8.63 AHC CARE FIRST — ALL PRODUCTS: $8.63 AHC CMDP — ALL PRODUCTS: $8.63 AHC CRS — BEHAVIORAL HEALTH: $8.63 AHC CRS — FULLY: $8.63 AHC CRS — ONLY: $8.63 AHC CRS — PARTIAL: $8.63 AHC HEALTHCHOICE — ALL PRODUCTS: $8.04
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$448	Not listed in the file	$179.20 – $358.40
Basic metabolic panel (blood test): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $340.03
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREH METABOLIC PNL	$1,115	Not listed in the file	$446 – $892
Comprehensive metabolic panel (blood test): 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $510.67 AETNA — HEALTHEZ: $817.30 AHC APIPA — ALL PRODUCTS: $10.77 AHC CARE FIRST — ALL PRODUCTS: $10.77 AHC CMDP — ALL PRODUCTS: $10.77 AHC CRS — BEHAVIORAL HEALTH: $10.77 AHC CRS — FULLY: $10.77 AHC CRS — ONLY: $10.77 AHC CRS — PARTIAL: $10.77 AHC HEALTHCHOICE — ALL PRODUCTS: $10.03
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREH METABOLIC PNL	$1,115	Not listed in the file	$446 – $892
Comprehensive metabolic panel (blood test): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $846.29
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$45.42 – $278.95
Obstetric blood test panel: 10 of 23 insurance plan rates AHC APIPA — ALL PRODUCTS: $48.77 AHC CARE FIRST — ALL PRODUCTS: $48.77 AHC CMDP — ALL PRODUCTS: $48.77 AHC CRS — BEHAVIORAL HEALTH: $48.77 AHC CRS — FULLY: $48.77 AHC CRS — ONLY: $48.77 AHC CRS — PARTIAL: $48.77 AHC HEALTHCHOICE — ALL PRODUCTS: $45.42 AHC IHS — ALL PRODUCTS: $48.77 AHC LCD — ALL PRODUCTS: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$204	Not listed in the file	$81.60 – $163.20
Cholesterol panel (lipid panel): 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $93.43 AETNA — HEALTHEZ: $149.53 AHC APIPA — ALL PRODUCTS: $13.66 AHC CARE FIRST — ALL PRODUCTS: $13.66 AHC CMDP — ALL PRODUCTS: $13.66 AHC CRS — BEHAVIORAL HEALTH: $13.66 AHC CRS — FULLY: $13.66 AHC CRS — ONLY: $13.66 AHC CRS — PARTIAL: $13.66 AHC HEALTHCHOICE — ALL PRODUCTS: $12.72
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL	$204	Not listed in the file	$81.60 – $163.20
Cholesterol panel (lipid panel): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $154.84
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PNL	$260	Not listed in the file	$104 – $208
Kidney function panel: 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $119.08 AETNA — HEALTHEZ: $190.58 AHC APIPA — ALL PRODUCTS: $8.85 AHC CARE FIRST — ALL PRODUCTS: $8.85 AHC CMDP — ALL PRODUCTS: $8.85 AHC CRS — BEHAVIORAL HEALTH: $8.85 AHC CRS — FULLY: $8.85 AHC CRS — ONLY: $8.85 AHC CRS — PARTIAL: $8.85 AHC HEALTHCHOICE — ALL PRODUCTS: $8.25
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PNL	$260	Not listed in the file	$104 – $208
Kidney function panel: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $197.34
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PNL	$214	Not listed in the file	$85.60 – $171.20
Liver function panel: 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $98.01 AETNA — HEALTHEZ: $156.86 AHC APIPA — ALL PRODUCTS: $8.33 AHC CARE FIRST — ALL PRODUCTS: $8.33 AHC CMDP — ALL PRODUCTS: $8.33 AHC CRS — BEHAVIORAL HEALTH: $8.33 AHC CRS — FULLY: $8.33 AHC CRS — ONLY: $8.33 AHC CRS — PARTIAL: $8.33 AHC HEALTHCHOICE — ALL PRODUCTS: $7.76
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PNL	$214	Not listed in the file	$85.60 – $171.20
Liver function panel: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $162.43
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA AUTO W/MICRO	$80	Not listed in the file	$32 – $64
Urine test (automated, with microscope): 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $36.64 AETNA — HEALTHEZ: $58.64 AHC APIPA — ALL PRODUCTS: $3.23 AHC CARE FIRST — ALL PRODUCTS: $3.23 AHC CMDP — ALL PRODUCTS: $3.23 AHC CRS — BEHAVIORAL HEALTH: $3.23 AHC CRS — FULLY: $3.23 AHC CRS — ONLY: $3.23 AHC CRS — PARTIAL: $3.23 AHC HEALTHCHOICE — ALL PRODUCTS: $3.01
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/MC	$80	Not listed in the file	$32 – $64
Urine test (automated, with microscope): 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $36.64 AETNA — HEALTHEZ: $58.64 AHC APIPA — ALL PRODUCTS: $3.23 AHC CARE FIRST — ALL PRODUCTS: $3.23 AHC CMDP — ALL PRODUCTS: $3.23 AHC CRS — BEHAVIORAL HEALTH: $3.23 AHC CRS — FULLY: $3.23 AHC CRS — ONLY: $3.23 AHC CRS — PARTIAL: $3.23 AHC HEALTHCHOICE — ALL PRODUCTS: $3.01
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA AUTO W/MICRO	$80	Not listed in the file	$32 – $64
Urine test (automated, with microscope): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $60.72
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA NON-AUTO W/O MICRO	$44	Not listed in the file	$17.60 – $35.20
Urine test (manual, without microscope): 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $20.15 AETNA — HEALTHEZ: $32.25 AHC APIPA — ALL PRODUCTS: $3.55 AHC CARE FIRST — ALL PRODUCTS: $3.55 AHC CMDP — ALL PRODUCTS: $3.55 AHC CRS — BEHAVIORAL HEALTH: $3.55 AHC CRS — FULLY: $3.55 AHC CRS — ONLY: $3.55 AHC CRS — PARTIAL: $3.55 AHC HEALTHCHOICE — ALL PRODUCTS: $3.31
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UA NON-AUTO W/O MICRO	$44	Not listed in the file	$17.60 – $35.20
Urine test (manual, without microscope): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $33.40
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA AUTO W/O MICRO	$66	Not listed in the file	$26.40 – $52.80
Urine test (automated, without microscope): 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $30.23 AETNA — HEALTHEZ: $48.38 AHC APIPA — ALL PRODUCTS: $2.30 AHC CARE FIRST — ALL PRODUCTS: $2.30 AHC CMDP — ALL PRODUCTS: $2.30 AHC CRS — BEHAVIORAL HEALTH: $2.30 AHC CRS — FULLY: $2.30 AHC CRS — ONLY: $2.30 AHC CRS — PARTIAL: $2.30 AHC HEALTHCHOICE — ALL PRODUCTS: $2.14
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SPECIFIC GRAVITY	$66	Not listed in the file	$26.40 – $52.80
Urine test (automated, without microscope): 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $30.23 AETNA — HEALTHEZ: $48.38 AHC APIPA — ALL PRODUCTS: $2.30 AHC CARE FIRST — ALL PRODUCTS: $2.30 AHC CMDP — ALL PRODUCTS: $2.30 AHC CRS — BEHAVIORAL HEALTH: $2.30 AHC CRS — FULLY: $2.30 AHC CRS — ONLY: $2.30 AHC CRS — PARTIAL: $2.30 AHC HEALTHCHOICE — ALL PRODUCTS: $2.14
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KETONE URINE	$66	Not listed in the file	$26.40 – $52.80
Urine test (automated, without microscope): 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $30.23 AETNA — HEALTHEZ: $48.38 AHC APIPA — ALL PRODUCTS: $2.30 AHC CARE FIRST — ALL PRODUCTS: $2.30 AHC CMDP — ALL PRODUCTS: $2.30 AHC CRS — BEHAVIORAL HEALTH: $2.30 AHC CRS — FULLY: $2.30 AHC CRS — ONLY: $2.30 AHC CRS — PARTIAL: $2.30 AHC HEALTHCHOICE — ALL PRODUCTS: $2.14
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL	Not listed in the file	Not listed in the file	$17.47 – $107.36
PSA (prostate specific antigen) blood test: 10 of 23 insurance plan rates AHC APIPA — ALL PRODUCTS: $18.76 AHC CARE FIRST — ALL PRODUCTS: $18.76 AHC CMDP — ALL PRODUCTS: $18.76 AHC CRS — BEHAVIORAL HEALTH: $18.76 AHC CRS — FULLY: $18.76 AHC CRS — ONLY: $18.76 AHC CRS — PARTIAL: $18.76 AHC HEALTHCHOICE — ALL PRODUCTS: $17.47 AHC IHS — ALL PRODUCTS: $18.76 AHC LCD — ALL PRODUCTS: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMO	$240	Not listed in the file	$96 – $192
Thyroid stimulating hormone (TSH) test: 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $109.92 AETNA — HEALTHEZ: $175.92 AHC APIPA — ALL PRODUCTS: $17.14 AHC CARE FIRST — ALL PRODUCTS: $17.14 AHC CMDP — ALL PRODUCTS: $17.14 AHC CRS — BEHAVIORAL HEALTH: $17.14 AHC CRS — FULLY: $17.14 AHC CRS — ONLY: $17.14 AHC CRS — PARTIAL: $17.14 AHC HEALTHCHOICE — ALL PRODUCTS: $15.96
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMO	$240	Not listed in the file	$96 – $192
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $182.16
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC & PLATELET /AUTO DIFF	$190	Not listed in the file	$76 – $152
Complete blood count (CBC) with differential: 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $87.02 AETNA — HEALTHEZ: $139.27 AHC APIPA — ALL PRODUCTS: $7.93 AHC CARE FIRST — ALL PRODUCTS: $7.93 AHC CMDP — ALL PRODUCTS: $7.93 AHC CRS — BEHAVIORAL HEALTH: $7.93 AHC CRS — FULLY: $7.93 AHC CRS — ONLY: $7.93 AHC CRS — PARTIAL: $7.93 AHC HEALTHCHOICE — ALL PRODUCTS: $7.38
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC & PLT (AUTO DIFF)	$190	Not listed in the file	$76 – $152
Complete blood count (CBC) with differential: 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $87.02 AETNA — HEALTHEZ: $139.27 AHC APIPA — ALL PRODUCTS: $7.93 AHC CARE FIRST — ALL PRODUCTS: $7.93 AHC CMDP — ALL PRODUCTS: $7.93 AHC CRS — BEHAVIORAL HEALTH: $7.93 AHC CRS — FULLY: $7.93 AHC CRS — ONLY: $7.93 AHC CRS — PARTIAL: $7.93 AHC HEALTHCHOICE — ALL PRODUCTS: $7.38
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC & PLATELET /AUTO DIFF	$190	Not listed in the file	$76 – $152
Complete blood count (CBC) with differential: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $144.21
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC & PLATELET /MAN DIFF	$98	Not listed in the file	$39.20 – $78.40
Complete blood count (CBC), automated: 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $44.88 AETNA — HEALTHEZ: $71.83 AHC APIPA — ALL PRODUCTS: $6.60 AHC CARE FIRST — ALL PRODUCTS: $6.60 AHC CMDP — ALL PRODUCTS: $6.60 AHC CRS — BEHAVIORAL HEALTH: $6.60 AHC CRS — FULLY: $6.60 AHC CRS — ONLY: $6.60 AHC CRS — PARTIAL: $6.60 AHC HEALTHCHOICE — ALL PRODUCTS: $6.15
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC & PLATELET	$98	Not listed in the file	$39.20 – $78.40
Complete blood count (CBC), automated: 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $44.88 AETNA — HEALTHEZ: $71.83 AHC APIPA — ALL PRODUCTS: $6.60 AHC CARE FIRST — ALL PRODUCTS: $6.60 AHC CMDP — ALL PRODUCTS: $6.60 AHC CRS — BEHAVIORAL HEALTH: $6.60 AHC CRS — FULLY: $6.60 AHC CRS — ONLY: $6.60 AHC CRS — PARTIAL: $6.60 AHC HEALTHCHOICE — ALL PRODUCTS: $6.15
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC & PLATELET /MAN DIFF	$98	Not listed in the file	$39.20 – $78.40
Complete blood count (CBC), automated: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $74.38
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$85	Not listed in the file	$34 – $68
Blood clotting time test (prothrombin time, PT): 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $38.93 AETNA — HEALTHEZ: $62.31 AHC APIPA — ALL PRODUCTS: $4.38 AHC CARE FIRST — ALL PRODUCTS: $4.38 AHC CMDP — ALL PRODUCTS: $4.38 AHC CRS — BEHAVIORAL HEALTH: $4.38 AHC CRS — FULLY: $4.38 AHC CRS — ONLY: $4.38 AHC CRS — PARTIAL: $4.38 AHC HEALTHCHOICE — ALL PRODUCTS: $4.08
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT BASELINE	$100	Not listed in the file	$40 – $80
Blood clotting time test (prothrombin time, PT): 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $45.80 AETNA — HEALTHEZ: $73.30 AHC APIPA — ALL PRODUCTS: $4.38 AHC CARE FIRST — ALL PRODUCTS: $4.38 AHC CMDP — ALL PRODUCTS: $4.38 AHC CRS — BEHAVIORAL HEALTH: $4.38 AHC CRS — FULLY: $4.38 AHC CRS — ONLY: $4.38 AHC CRS — PARTIAL: $4.38 AHC HEALTHCHOICE — ALL PRODUCTS: $4.08
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT REF LAB	$6	Not listed in the file	$2.40 – $4.80
Blood clotting time test (prothrombin time, PT): 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $2.75 AETNA — HEALTHEZ: $4.40 AHC APIPA — ALL PRODUCTS: $4.38 AHC CARE FIRST — ALL PRODUCTS: $4.38 AHC CMDP — ALL PRODUCTS: $4.38 AHC CRS — BEHAVIORAL HEALTH: $4.38 AHC CRS — FULLY: $4.38 AHC CRS — ONLY: $4.38 AHC CRS — PARTIAL: $4.38 AHC HEALTHCHOICE — ALL PRODUCTS: $4.08
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PART	$132	Not listed in the file	$52.80 – $105.60
Blood clotting test (partial thromboplastin time, PTT): 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $60.46 AETNA — HEALTHEZ: $96.76 AHC APIPA — ALL PRODUCTS: $6.13 AHC CARE FIRST — ALL PRODUCTS: $6.13 AHC CMDP — ALL PRODUCTS: $6.13 AHC CRS — BEHAVIORAL HEALTH: $6.13 AHC CRS — FULLY: $6.13 AHC CRS — ONLY: $6.13 AHC CRS — PARTIAL: $6.13 AHC HEALTHCHOICE — ALL PRODUCTS: $5.71
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: APTT BASELINE	$150	Not listed in the file	$60 – $120
Blood clotting test (partial thromboplastin time, PTT): 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $68.70 AETNA — HEALTHEZ: $109.95 AHC APIPA — ALL PRODUCTS: $6.13 AHC CARE FIRST — ALL PRODUCTS: $6.13 AHC CMDP — ALL PRODUCTS: $6.13 AHC CRS — BEHAVIORAL HEALTH: $6.13 AHC CRS — FULLY: $6.13 AHC CRS — ONLY: $6.13 AHC CRS — PARTIAL: $6.13 AHC HEALTHCHOICE — ALL PRODUCTS: $5.71
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT REF LAB	$12	Not listed in the file	$4.80 – $9.60
Blood clotting test (partial thromboplastin time, PTT): 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $5.50 AETNA — HEALTHEZ: $8.80 AHC APIPA — ALL PRODUCTS: $6.13 AHC CARE FIRST — ALL PRODUCTS: $6.13 AHC CMDP — ALL PRODUCTS: $6.13 AHC CRS — BEHAVIORAL HEALTH: $6.13 AHC CRS — FULLY: $6.13 AHC CRS — ONLY: $6.13 AHC CRS — PARTIAL: $6.13 AHC HEALTHCHOICE — ALL PRODUCTS: $5.71

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 WO CONTRAST	$2,500	Not listed in the file	$1,000 – $2,000
CT scan of the head or brain, without contrast: 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $1,145 AETNA — HEALTHEZ: $1,832.50 AHC APIPA — ALL PRODUCTS: $143.43 AHC CARE FIRST — ALL PRODUCTS: $143.43 AHC CMDP — ALL PRODUCTS: $143.43 AHC CRS — BEHAVIORAL HEALTH: $143.43 AHC CRS — FULLY: $143.43 AHC CRS — ONLY: $143.43 AHC CRS — PARTIAL: $143.43 AHC HEALTHCHOICE — ALL PRODUCTS: $75.05
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST	$2,500	Not listed in the file	$1,000 – $2,000
CT scan of the head or brain, without contrast: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $1,897.50
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI STLTH BRAIN W/WO CONT	$6,025	Not listed in the file	$2,410 – $4,820
MRI of the brain, before and after contrast: 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $2,759.45 AETNA — HEALTHEZ: $4,416.33 AHC APIPA — ALL PRODUCTS: $484.56 AHC CARE FIRST — ALL PRODUCTS: $484.56 AHC CMDP — ALL PRODUCTS: $484.56 AHC CRS — BEHAVIORAL HEALTH: $484.56 AHC CRS — FULLY: $484.56 AHC CRS — ONLY: $484.56 AHC CRS — PARTIAL: $484.56 AHC HEALTHCHOICE — ALL PRODUCTS: $253.55
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI STLTH BRAIN W/WO CONT	$6,025	Not listed in the file	$2,410 – $4,820
MRI of the brain, before and after contrast: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $4,572.98
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XRAY CHEST 2 VIEW	$694	Not listed in the file	$277.60 – $555.20
Chest X-ray, 2 views: 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $317.85 AETNA — HEALTHEZ: $508.70 AHC APIPA — ALL PRODUCTS: $106.49 AHC CARE FIRST — ALL PRODUCTS: $106.49 AHC CMDP — ALL PRODUCTS: $106.49 AHC CRS — BEHAVIORAL HEALTH: $106.49 AHC CRS — FULLY: $106.49 AHC CRS — ONLY: $106.49 AHC CRS — PARTIAL: $106.49 AHC HEALTHCHOICE — ALL PRODUCTS: $55.72
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XRAY CHEST 2 VIEW	$694	Not listed in the file	$277.60 – $555.20
Chest X-ray, 2 views: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $526.75
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XRAY LS-SPINE 4+ VIEW	$975	Not listed in the file	$390 – $780
X-ray of the lower spine, at least 4 views: 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $446.55 AETNA — HEALTHEZ: $714.68 AHC APIPA — ALL PRODUCTS: $143.43 AHC CARE FIRST — ALL PRODUCTS: $143.43 AHC CMDP — ALL PRODUCTS: $143.43 AHC CRS — BEHAVIORAL HEALTH: $143.43 AHC CRS — FULLY: $143.43 AHC CRS — ONLY: $143.43 AHC CRS — PARTIAL: $143.43 AHC HEALTHCHOICE — ALL PRODUCTS: $75.05
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XRAY LS-SPINE 4+ VIEW	$975	Not listed in the file	$390 – $780
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $740.03
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	$3,080	Not listed in the file	$1,232 – $2,464
MRI of the lower back (lumbar spine), without contrast: 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $1,410.64 AETNA — HEALTHEZ: $2,257.64 AHC APIPA — ALL PRODUCTS: $302.92 AHC CARE FIRST — ALL PRODUCTS: $302.92 AHC CMDP — ALL PRODUCTS: $302.92 AHC CRS — BEHAVIORAL HEALTH: $302.92 AHC CRS — FULLY: $302.92 AHC CRS — ONLY: $302.92 AHC CRS — PARTIAL: $302.92 AHC HEALTHCHOICE — ALL PRODUCTS: $158.50
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	$3,080	Not listed in the file	$1,232 – $2,464
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $2,337.72
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI L-SPINE LTD WO CONT	$3,080	Not listed in the file	$1,232 – $2,464
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $2,337.72
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST	$3,729	Not listed in the file	$1,491.60 – $2,983.20
CT scan of the pelvis, with contrast: 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $1,707.88 AETNA — HEALTHEZ: $2,733.36 AHC APIPA — ALL PRODUCTS: $235.03 AHC CARE FIRST — ALL PRODUCTS: $235.03 AHC CMDP — ALL PRODUCTS: $235.03 AHC CRS — BEHAVIORAL HEALTH: $235.03 AHC CRS — FULLY: $235.03 AHC CRS — ONLY: $235.03 AHC CRS — PARTIAL: $235.03 AHC HEALTHCHOICE — ALL PRODUCTS: $122.98
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST	$3,729	Not listed in the file	$1,491.60 – $2,983.20
CT scan of the pelvis, with contrast: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $2,830.31
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LO EXT JT WO CONT LT	$4,594	Not listed in the file	$1,837.60 – $3,675.20
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $3,486.85
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LO EXT JT WO CONT RT	$4,594	Not listed in the file	$1,837.60 – $3,675.20
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $3,486.85
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LO EXT JT WO CONT BIL	$6,891	Not listed in the file	$2,756.40 – $5,512.80
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $5,230.27
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	$5,015	Not listed in the file	$2,006 – $4,012
CT scan of the abdomen and pelvis, with contrast: 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $2,296.87 AETNA — HEALTHEZ: $3,676 AHC APIPA — ALL PRODUCTS: $439.05 AHC CARE FIRST — ALL PRODUCTS: $439.05 AHC CMDP — ALL PRODUCTS: $439.05 AHC CRS — BEHAVIORAL HEALTH: $439.05 AHC CRS — FULLY: $439.05 AHC CRS — ONLY: $439.05 AHC CRS — PARTIAL: $439.05 AHC HEALTHCHOICE — ALL PRODUCTS: $229.73
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	$5,015	Not listed in the file	$2,006 – $4,012
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $3,806.39
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE	$1,080	Not listed in the file	$432 – $864
Ultrasound of the abdomen, complete: 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $494.64 AETNA — HEALTHEZ: $791.64 AHC APIPA — ALL PRODUCTS: $143.43 AHC CARE FIRST — ALL PRODUCTS: $143.43 AHC CMDP — ALL PRODUCTS: $143.43 AHC CRS — BEHAVIORAL HEALTH: $143.43 AHC CRS — FULLY: $143.43 AHC CRS — ONLY: $143.43 AHC CRS — PARTIAL: $143.43 AHC HEALTHCHOICE — ALL PRODUCTS: $75.05
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE	$1,080	Not listed in the file	$432 – $864
Ultrasound of the abdomen, complete: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $819.72
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US 2ND TRIMESTER FIRST	$958	Not listed in the file	$383.20 – $766.40
Pregnancy ultrasound (after the first trimester): 10 of 17 insurance plan rates AETNA — ALL PRODUCTS: $438.76 AETNA — HEALTHEZ: $702.21 AHC HEALTHCHOICE — ALL PRODUCTS: $75.05 AHC LCD — ALL PRODUCTS: $79 ANTIDOTE — ALL PRODUCTS: $622.70 BLUE CROSS — ALL PRODUCTS: $446.40 BLUE CROSS — EXCLUSIVE NETWORK: $606.31 CIGNA — ALL PRODUCTS: $355.10 CIGNA — BEHAVIORAL HEALTH: $766.40 CIGNA — SUREFIT: $316.26
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OB US 2ND TRIMESTER FIRST	$958	Not listed in the file	$383.20 – $766.40
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $727.12
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL NON-OB	$721	Not listed in the file	$288.40 – $576.80
Transvaginal ultrasound: 10 of 17 insurance plan rates AETNA — ALL PRODUCTS: $330.22 AETNA — HEALTHEZ: $528.49 AHC HEALTHCHOICE — ALL PRODUCTS: $75.05 AHC LCD — ALL PRODUCTS: $79 ANTIDOTE — ALL PRODUCTS: $468.65 BLUE CROSS — ALL PRODUCTS: $246.93 BLUE CROSS — EXCLUSIVE NETWORK: $318.54 CIGNA — ALL PRODUCTS: $355.10 CIGNA — BEHAVIORAL HEALTH: $576.80 CIGNA — SUREFIT: $316.26
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL NON-OB	$721	Not listed in the file	$288.40 – $576.80
Transvaginal ultrasound: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $547.24
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$249.78 – $538.55
Diagnostic mammogram, one breast: rates for 5 insurance plans BLUE CROSS — ALL PRODUCTS: $417.45 BLUE CROSS — EXCLUSIVE NETWORK: $538.55 CIGNA — ALL PRODUCTS: $303.37 CIGNA — SUREFIT: $269.77 CIGNA SELECT — ALL PRODUCTS: $249.78
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$318.45 – $689.01
Diagnostic mammogram, both breasts: rates for 5 insurance plans BLUE CROSS — ALL PRODUCTS: $534.09 BLUE CROSS — EXCLUSIVE NETWORK: $689.01 CIGNA — ALL PRODUCTS: $386.77 CIGNA — SUREFIT: $343.93 CIGNA SELECT — ALL PRODUCTS: $318.45
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD	Not listed in the file	Not listed in the file	$264.08 – $569.14
Screening mammogram, both breasts: rates for 5 insurance plans BLUE CROSS — ALL PRODUCTS: $441.12 BLUE CROSS — EXCLUSIVE NETWORK: $569.14 CIGNA — ALL PRODUCTS: $320.74 CIGNA — SUREFIT: $285.21 CIGNA SELECT — ALL PRODUCTS: $264.08

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	$170.57 – $230.86
Electrocardiogram (ECG/EKG) with reading: rates for 2 insurance plans BLUE CROSS — ALL PRODUCTS: $170.57 BLUE CROSS — EXCLUSIVE NETWORK: $230.86
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: L HEART CATH RETRO PERC	$15,750	Not listed in the file	$6,300 – $12,600
Left heart catheterization (diagnostic): 10 of 18 insurance plan rates AETNA — ALL PRODUCTS: $7,213.50 AETNA — HEALTHEZ: $11,544.75 AHC HEALTHCHOICE — ALL PRODUCTS: $1,996.70 AHC LCD — ALL PRODUCTS: $2,101.79 AHCCS — WITH UFC: $2,206.88 ANTIDOTE — ALL PRODUCTS: $10,237.50 BLUE CROSS — ALL PRODUCTS: $14,369.73 BLUE CROSS — EXCLUSIVE NETWORK: $15,750 CIGNA — ALL PRODUCTS: $7,213.50 CIGNA — BEHAVIORAL HEALTH: $12,600
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: L HEART CATH RETRO PERC	$15,750	Not listed in the file	$6,300 – $12,600
Left heart catheterization (diagnostic): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $11,954.25
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREH EPS	$15,750	Not listed in the file	$6,300 – $12,600
Heart rhythm study (electrophysiology evaluation): 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $7,213.50 AETNA — HEALTHEZ: $11,544.75 AHC APIPA — ALL PRODUCTS: $8,001.17 AHC CARE FIRST — ALL PRODUCTS: $8,001.17 AHC CMDP — ALL PRODUCTS: $8,001.17 AHC CRS — BEHAVIORAL HEALTH: $8,001.17 AHC CRS — FULLY: $8,001.17 AHC CRS — ONLY: $8,001.17 AHC CRS — PARTIAL: $8,001.17 AHC HEALTHCHOICE — ALL PRODUCTS: $4,186.56
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREH EPS	$15,750	Not listed in the file	$6,300 – $12,600
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $11,954.25
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EPS EVAL COMPLETE	$40,082	Not listed in the file	$16,032.80 – $32,065.60
Heart rhythm study with ablation for atrial fibrillation: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $18,357.56 AETNA — HEALTHEZ: $29,380.11 AHC APIPA — ALL PRODUCTS: $28,253.83 AHC CARE FIRST — ALL PRODUCTS: $28,253.83 AHC CMDP — ALL PRODUCTS: $28,253.83 AHC CRS — BEHAVIORAL HEALTH: $28,253.83 AHC CRS — FULLY: $28,253.83 AHC CRS — ONLY: $28,253.83 AHC CRS — PARTIAL: $28,253.83 AHC HEALTHCHOICE — ALL PRODUCTS: $14,783.62
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EPS EVAL COMPLETE	$40,082	Not listed in the file	$16,032.80 – $32,065.60
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $30,422.24
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSGRAM MIN 4 >6YRS OLD	$10,079	Not listed in the file	$4,031.60 – $8,063.20
Sleep study (overnight, in a sleep lab): 10 of 17 insurance plan rates AETNA — ALL PRODUCTS: $4,616.18 AETNA — HEALTHEZ: $7,387.91 AHC HEALTHCHOICE — ALL PRODUCTS: $633.53 AHC LCD — ALL PRODUCTS: $666.87 ANTIDOTE — ALL PRODUCTS: $6,551.35 BLUE CROSS — ALL PRODUCTS: $4,410.59 BLUE CROSS — EXCLUSIVE NETWORK: $5,969.23 CIGNA — ALL PRODUCTS: $4,757.29 CIGNA — BEHAVIORAL HEALTH: $8,063.20 CIGNA — SUREFIT: $4,233.18
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POLYSGRAM MIN 4 >6YRS OLD	$10,079	Not listed in the file	$4,031.60 – $8,063.20
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $7,649.96
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POLYSMNOGRM MIN 4 >6YRS	$10,079	Not listed in the file	$4,031.60 – $8,063.20
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $7,649.96

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TX ROM END STG FLEX 15MIN	$345	Not listed in the file	$138 – $276
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $261.86
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$149.10 – $201.79
Physical therapy: therapeutic exercise (each 15 minutes): rates for 2 insurance plans BLUE CROSS — ALL PRODUCTS: $149.10 BLUE CROSS — EXCLUSIVE NETWORK: $201.79
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: TX ROM END STG FLEX 15MIN	$345	Not listed in the file	$138 – $276
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates AETNA — ALL PRODUCTS: $158.01 AETNA — HEALTHEZ: $252.89 ANTIDOTE — ALL PRODUCTS: $224.25 CIGNA — ALL PRODUCTS: $473 CIGNA — BEHAVIORAL HEALTH: $276 CIGNA — SUREFIT: $421 CIGNA — TXP LIFESOURCE TRANSPLANT: $240.12 CIGNA SELECT — ALL PRODUCTS: $390 HEALTHCOMP — ALL PRODUCTS: $138 INTEL — ALL PRODUCTS: $138
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT LOW COMPLEX 20MIN	$742	Not listed in the file	$296.80 – $593.60
Physical therapy evaluation (low complexity): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $563.18
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT LOW 20 MIN MOBILITY	$742	Not listed in the file	$296.80 – $593.60
Physical therapy evaluation (low complexity): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $563.18
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT LOW COMPLEX 20 MIN OP	$742	Not listed in the file	$296.80 – $593.60
Physical therapy evaluation (low complexity): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $563.18
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT MOD COMPLEX 30MIN	$947	Not listed in the file	$378.80 – $757.60
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $718.77
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT MOD 30 MIN MOBILITY	$947	Not listed in the file	$378.80 – $757.60
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $718.77
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT MOD COMPLEX 30 MIN OP	$947	Not listed in the file	$378.80 – $757.60
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $718.77
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT HIGH COMPLEX 45MIN	$1,222	Not listed in the file	$488.80 – $977.60
Physical therapy evaluation (high complexity): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $927.50
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT HIGH 45MIN MOBILITY	$1,222	Not listed in the file	$488.80 – $977.60
Physical therapy evaluation (high complexity): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $927.50
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT HIGH COMPLEX 45MIN OP	$1,222	Not listed in the file	$488.80 – $977.60
Physical therapy evaluation (high complexity): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $927.50
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES	$372	Not listed in the file	$148.80 – $297.60
Psychotherapy, 30 minutes: 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $170.38 AETNA — HEALTHEZ: $272.68 AHC APIPA — ALL PRODUCTS: $18.83 AHC CARE FIRST — ALL PRODUCTS: $175.90 AHC CMDP — ALL PRODUCTS: $18.83 AHC CRS — BEHAVIORAL HEALTH: $18.83 AHC CRS — FULLY: $175.90 AHC CRS — ONLY: $18.83 AHC CRS — PARTIAL: $18.83 AHC HEALTHCHOICE — ALL PRODUCTS: $92.04
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES	$372	Not listed in the file	$148.80 – $297.60
Psychotherapy, 30 minutes: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $282.35
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES	$388	Not listed in the file	$155.20 – $310.40
Psychotherapy, 45 minutes: 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $177.70 AETNA — HEALTHEZ: $284.40 AHC APIPA — ALL PRODUCTS: $24.67 AHC CARE FIRST — ALL PRODUCTS: $175.90 AHC CMDP — ALL PRODUCTS: $24.67 AHC CRS — BEHAVIORAL HEALTH: $24.67 AHC CRS — FULLY: $175.90 AHC CRS — ONLY: $24.67 AHC CRS — PARTIAL: $24.67 AHC HEALTHCHOICE — ALL PRODUCTS: $92.04
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES	$388	Not listed in the file	$155.20 – $310.40
Psychotherapy, 45 minutes: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $294.49
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	$569	Not listed in the file	$227.60 – $455.20
Psychotherapy, 60 minutes: 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $260.60 AETNA — HEALTHEZ: $417.08 AHC APIPA — ALL PRODUCTS: $35.71 AHC CARE FIRST — ALL PRODUCTS: $175.90 AHC CMDP — ALL PRODUCTS: $35.71 AHC CRS — BEHAVIORAL HEALTH: $35.71 AHC CRS — FULLY: $175.90 AHC CRS — ONLY: $35.71 AHC CRS — PARTIAL: $35.71 AHC HEALTHCHOICE — ALL PRODUCTS: $92.04
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	$569	Not listed in the file	$227.60 – $455.20
Psychotherapy, 60 minutes: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $431.87
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50MN	$473	Not listed in the file	$189.20 – $378.40
Family psychotherapy, without the patient: 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $216.63 AETNA — HEALTHEZ: $346.71 AHC APIPA — ALL PRODUCTS: $1.37 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AHC CARE FIRST — ALL PRODUCTS: $175.90 AHC CMDP — ALL PRODUCTS: $1.37 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AHC CRS — BEHAVIORAL HEALTH: $1.37 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AHC CRS — FULLY: $175.90 AHC CRS — ONLY: $1.37 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AHC CRS — PARTIAL: $1.37 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AHC HEALTHCHOICE — ALL PRODUCTS: $92.04
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50MN	$473	Not listed in the file	$189.20 – $378.40
Family psychotherapy, without the patient: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $359.01
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN	$551	Not listed in the file	$220.40 – $440.80
Family psychotherapy, with the patient: 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $252.36 AETNA — HEALTHEZ: $403.88 AHC APIPA — ALL PRODUCTS: $0.69 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AHC CARE FIRST — ALL PRODUCTS: $175.90 AHC CMDP — ALL PRODUCTS: $0.69 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AHC CRS — BEHAVIORAL HEALTH: $0.69 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AHC CRS — FULLY: $175.90 AHC CRS — ONLY: $0.69 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AHC CRS — PARTIAL: $0.69 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AHC HEALTHCHOICE — ALL PRODUCTS: $92.04
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN	$551	Not listed in the file	$220.40 – $440.80
Family psychotherapy, with the patient: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $418.21
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP THERAPY	$202	Not listed in the file	$80.80 – $161.60
Group psychotherapy: 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $92.52 AETNA — HEALTHEZ: $148.07 AHC APIPA — ALL PRODUCTS: $6.17 AHC CARE FIRST — ALL PRODUCTS: $98.55 AHC CMDP — ALL PRODUCTS: $6.17 AHC CRS — BEHAVIORAL HEALTH: $6.17 AHC CRS — FULLY: $98.55 AHC CRS — ONLY: $6.17 AHC CRS — PARTIAL: $6.17 AHC HEALTHCHOICE — ALL PRODUCTS: $51.57
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: GROUP THERAPY	$202	Not listed in the file	$80.80 – $161.60
Group psychotherapy: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $153.32

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: REMOVAL BREAST LESION 1+	$8,034	Not listed in the file	$3,213.60 – $6,427.20
Removal of breast growth (open surgery): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $3,679.57 AETNA — HEALTHEZ: $5,888.92 AHC APIPA — ALL PRODUCTS: $194.78 AHC CARE FIRST — ALL PRODUCTS: $194.78 AHC CMDP — ALL PRODUCTS: $194.78 AHC CRS — BEHAVIORAL HEALTH: $194.78 AHC CRS — FULLY: $194.78 AHC CRS — ONLY: $194.78 AHC CRS — PARTIAL: $194.78 AHC HEALTHCHOICE — ALL PRODUCTS: $2,174.89
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: REMOVAL BREAST LESION 1+	$8,034	Not listed in the file	$3,213.60 – $6,427.20
Removal of breast growth (open surgery): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $6,097.81
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	$8,481.79 – $36,011.71
Total hip replacement: 10 of 17 insurance plan rates AHC APIPA — ALL PRODUCTS: $16,210.04 AHC CARE FIRST — ALL PRODUCTS: $16,210.04 AHC CMDP — ALL PRODUCTS: $16,210.04 AHC CRS — BEHAVIORAL HEALTH: $16,210.04 AHC CRS — FULLY: $16,210.04 AHC CRS — ONLY: $16,210.04 AHC CRS — PARTIAL: $16,210.04 AHC HEALTHCHOICE — ALL PRODUCTS: $8,481.79 AHC IHS — ALL PRODUCTS: $16,210.04 AHC LCD — ALL PRODUCTS: $8,928.20
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	$8,481.79 – $36,011.71
Total knee replacement: 10 of 17 insurance plan rates AHC APIPA — ALL PRODUCTS: $16,210.04 AHC CARE FIRST — ALL PRODUCTS: $16,210.04 AHC CMDP — ALL PRODUCTS: $16,210.04 AHC CRS — BEHAVIORAL HEALTH: $16,210.04 AHC CRS — FULLY: $16,210.04 AHC CRS — ONLY: $16,210.04 AHC CRS — PARTIAL: $16,210.04 AHC HEALTHCHOICE — ALL PRODUCTS: $8,481.79 AHC IHS — ALL PRODUCTS: $16,210.04 AHC LCD — ALL PRODUCTS: $8,928.20
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	$1,934.43 – $3,179.75
Shoulder arthroscopy: shaving of shoulder bone: rates for 4 insurance plans AHC HEALTHCHOICE — ALL PRODUCTS: $1,934.43 AHC LCD — ALL PRODUCTS: $2,036.24 AHCCS — WITH UFC: $2,138.05 BLUE CROSS — EXCLUSIVE NETWORK: $3,179.75
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	$1,949.44 – $7,845
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 7 insurance plans AHC HEALTHCHOICE — ALL PRODUCTS: $1,949.44 AHC LCD — ALL PRODUCTS: $2,052.04 AHCCS — WITH UFC: $2,154.64 BLUE CROSS — ALL PRODUCTS: $5,796.54 BLUE CROSS — EXCLUSIVE NETWORK: $7,845 CIGNA — ALL PRODUCTS: $10,089 UHC — NON OPTIONS: $14,903
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TONSILLECTOMY & ADENOIDEY	$11,991	Not listed in the file	$4,796.40 – $9,592.80
Removal of tonsils and adenoids (under age 12): 10 of 18 insurance plan rates AETNA — ALL PRODUCTS: $5,491.88 AETNA — HEALTHEZ: $8,789.40 AHC HEALTHCHOICE — ALL PRODUCTS: $3,503.02 AHC LCD — ALL PRODUCTS: $3,687.39 AHCCS — WITH UFC: $3,871.76 ANTIDOTE — ALL PRODUCTS: $7,794.15 BLUE CROSS — ALL PRODUCTS: $4,693 BLUE CROSS — EXCLUSIVE NETWORK: $6,351.49 CIGNA — ALL PRODUCTS: $8,437 CIGNA — BEHAVIORAL HEALTH: $9,592.80
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TONSILLECTOMY & ADENOIDEY	$11,991	Not listed in the file	$4,796.40 – $9,592.80
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $9,101.17
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAG BRUSH WASH	$2,596	Not listed in the file	$1,038.40 – $2,076.80
Upper GI endoscopy (diagnostic): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $1,188.97 AETNA — HEALTHEZ: $1,902.87 AHC APIPA — ALL PRODUCTS: $316.86 AHC CARE FIRST — ALL PRODUCTS: $316.86 AHC CMDP — ALL PRODUCTS: $316.86 AHC CRS — BEHAVIORAL HEALTH: $316.86 AHC CRS — FULLY: $316.86 AHC CRS — ONLY: $316.86 AHC CRS — PARTIAL: $316.86 AHC HEALTHCHOICE — ALL PRODUCTS: $557.61
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD DIAG BRUSH WASH	$2,596	Not listed in the file	$1,038.40 – $2,076.80
Upper GI endoscopy (diagnostic): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $1,970.36
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY	$2,916	Not listed in the file	$1,166.40 – $2,332.80
Upper GI endoscopy with biopsy: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $1,335.53 AETNA — HEALTHEZ: $2,137.43 AHC APIPA — ALL PRODUCTS: $454.50 AHC CARE FIRST — ALL PRODUCTS: $454.50 AHC CMDP — ALL PRODUCTS: $454.50 AHC CRS — BEHAVIORAL HEALTH: $454.50 AHC CRS — FULLY: $454.50 AHC CRS — ONLY: $454.50 AHC CRS — PARTIAL: $454.50 AHC HEALTHCHOICE — ALL PRODUCTS: $557.61
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD BIOPSY	$2,916	Not listed in the file	$1,166.40 – $2,332.80
Upper GI endoscopy with biopsy: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $2,213.24
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	$2,922	Not listed in the file	$1,168.80 – $2,337.60
Colonoscopy (diagnostic): 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $1,338.28 AETNA — HEALTHEZ: $2,141.83 AHC APIPA — ALL PRODUCTS: $300.60 AHC CARE FIRST — ALL PRODUCTS: $300.60 AHC CMDP — ALL PRODUCTS: $300.60 AHC CRS — BEHAVIORAL HEALTH: $300.60 AHC CRS — FULLY: $300.60 AHC CRS — ONLY: $300.60 AHC CRS — PARTIAL: $300.60 AHC HEALTHCHOICE — ALL PRODUCTS: $546.63
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	$2,922	Not listed in the file	$1,168.80 – $2,337.60
Colonoscopy (diagnostic): rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $2,217.80
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/BX	$3,602	Not listed in the file	$1,440.80 – $2,881.60
Colonoscopy with biopsy: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $1,649.72 AETNA — HEALTHEZ: $2,640.27 AHC APIPA — ALL PRODUCTS: $447.34 AHC CARE FIRST — ALL PRODUCTS: $447.34 AHC CMDP — ALL PRODUCTS: $447.34 AHC CRS — BEHAVIORAL HEALTH: $447.34 AHC CRS — FULLY: $447.34 AHC CRS — ONLY: $447.34 AHC CRS — PARTIAL: $447.34 AHC HEALTHCHOICE — ALL PRODUCTS: $714.21
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY W/BX	$3,602	Not listed in the file	$1,440.80 – $2,881.60
Colonoscopy with biopsy: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $2,733.92
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$202.48 – $5,548.51
Colonoscopy with removal of polyps (snare): 10 of 18 insurance plan rates AHC APIPA — ALL PRODUCTS: $386.98 AHC CARE FIRST — ALL PRODUCTS: $386.98 AHC CMDP — ALL PRODUCTS: $386.98 AHC CRS — BEHAVIORAL HEALTH: $386.98 AHC CRS — FULLY: $386.98 AHC CRS — ONLY: $386.98 AHC CRS — PARTIAL: $386.98 AHC HEALTHCHOICE — ALL PRODUCTS: $202.48 AHC IHS — ALL PRODUCTS: $386.98 AHC LCD — ALL PRODUCTS: $751.80
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	$714.21 – $5,548.51
Ultrasound of the lower bowel by endoscope: rates for 4 insurance plans AHC HEALTHCHOICE — ALL PRODUCTS: $714.21 AHC LCD — ALL PRODUCTS: $751.80 AHCCS — WITH UFC: $789.39 BLUE CROSS — EXCLUSIVE NETWORK: $5,548.51
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$156.95 – $5,548.51
Screening colonoscopy (not high risk): 10 of 16 insurance plan rates AHC APIPA — ALL PRODUCTS: $299.95 AHC CARE FIRST — ALL PRODUCTS: $299.95 AHC CMDP — ALL PRODUCTS: $299.95 AHC CRS — BEHAVIORAL HEALTH: $299.95 AHC CRS — FULLY: $299.95 AHC CRS — ONLY: $299.95 AHC CRS — PARTIAL: $299.95 AHC HEALTHCHOICE — ALL PRODUCTS: $156.95 AHC IHS — ALL PRODUCTS: $299.95 AHC LCD — ALL PRODUCTS: $575.40
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPARSCPY CHOLECYSTECTOMY	$14,250	Not listed in the file	$5,700 – $11,400
Gallbladder removal by laparoscope: 10 of 18 insurance plan rates AETNA — ALL PRODUCTS: $6,526.50 AETNA — HEALTHEZ: $10,445.25 AHC HEALTHCHOICE — ALL PRODUCTS: $3,485.38 AHC LCD — ALL PRODUCTS: $3,668.82 AHCCS — WITH UFC: $3,852.26 ANTIDOTE — ALL PRODUCTS: $9,262.50 BLUE CROSS — ALL PRODUCTS: $12,310.98 BLUE CROSS — EXCLUSIVE NETWORK: $14,250 CIGNA — ALL PRODUCTS: $17,004 CIGNA — BEHAVIORAL HEALTH: $11,400
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAPARSCPY CHOLECYSTECTOMY	$14,250	Not listed in the file	$5,700 – $11,400
Gallbladder removal by laparoscope: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $10,815.75
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$2,192.57 – $7,845
Groin (inguinal) hernia repair, age 5 or older: rates for 7 insurance plans AHC HEALTHCHOICE — ALL PRODUCTS: $2,192.57 AHC LCD — ALL PRODUCTS: $2,307.97 AHCCS — WITH UFC: $2,423.37 BLUE CROSS — ALL PRODUCTS: $5,796.54 BLUE CROSS — EXCLUSIVE NETWORK: $7,845 CIGNA — ALL PRODUCTS: $10,089 UHC — NON OPTIONS: $14,903
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$111.44 – $5,548.51
Prostate biopsy: 10 of 16 insurance plan rates AHC APIPA — ALL PRODUCTS: $212.97 AHC CARE FIRST — ALL PRODUCTS: $212.97 AHC CMDP — ALL PRODUCTS: $212.97 AHC CRS — BEHAVIORAL HEALTH: $212.97 AHC CRS — FULLY: $212.97 AHC CRS — ONLY: $212.97 AHC CRS — PARTIAL: $212.97 AHC HEALTHCHOICE — ALL PRODUCTS: $111.44 AHC IHS — ALL PRODUCTS: $212.97 AHC LCD — ALL PRODUCTS: $1,299.92
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	$6,135.15 – $26,048.42
Prostate removal by laparoscope (radical prostatectomy): 10 of 17 insurance plan rates AHC APIPA — ALL PRODUCTS: $11,725.24 AHC CARE FIRST — ALL PRODUCTS: $11,725.24 AHC CMDP — ALL PRODUCTS: $11,725.24 AHC CRS — BEHAVIORAL HEALTH: $11,725.24 AHC CRS — FULLY: $11,725.24 AHC CRS — ONLY: $11,725.24 AHC CRS — PARTIAL: $11,725.24 AHC HEALTHCHOICE — ALL PRODUCTS: $6,135.15 AHC IHS — ALL PRODUCTS: $11,725.24 AHC LCD — ALL PRODUCTS: $6,458.05
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$1,080.70 – $6,351.49
Hysteroscopy with biopsy of the uterus lining: 10 of 16 insurance plan rates AHC APIPA — ALL PRODUCTS: $2,065.39 AHC CARE FIRST — ALL PRODUCTS: $2,065.39 AHC CMDP — ALL PRODUCTS: $2,065.39 AHC CRS — BEHAVIORAL HEALTH: $2,065.39 AHC CRS — FULLY: $2,065.39 AHC CRS — ONLY: $2,065.39 AHC CRS — PARTIAL: $2,065.39 AHC HEALTHCHOICE — ALL PRODUCTS: $1,080.70 AHC IHS — ALL PRODUCTS: $2,065.39 AHC LCD — ALL PRODUCTS: $1,901.83
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ THRPTIC/LUMB/W IMAGE	$2,324	Not listed in the file	$929.60 – $1,859.20
Spinal injection, lower back (epidural), with imaging guidance: 10 of 31 insurance plan rates AETNA — ALL PRODUCTS: $1,064.39 AETNA — HEALTHEZ: $1,703.49 AHC APIPA — ALL PRODUCTS: $303.86 AHC CARE FIRST — ALL PRODUCTS: $835.32 AHC CMDP — ALL PRODUCTS: $303.86 AHC CRS — BEHAVIORAL HEALTH: $303.86 AHC CRS — FULLY: $835.32 AHC CRS — ONLY: $303.86 AHC CRS — PARTIAL: $303.86 AHC HEALTHCHOICE — ALL PRODUCTS: $437.08
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INJ THRPTIC/LUMB/W IMAGE	$2,324	Not listed in the file	$929.60 – $1,859.20
Spinal injection, lower back (epidural), with imaging guidance: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $1,763.92
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ANES INJ TRNSFRML LMBR-S	$1,942	Not listed in the file	$776.80 – $1,553.60
Nerve root injection, lower back, with imaging guidance: 10 of 30 insurance plan rates AETNA — ALL PRODUCTS: $889.44 AETNA — HEALTHEZ: $1,423.49 AHC APIPA — ALL PRODUCTS: $258.42 AHC CARE FIRST — ALL PRODUCTS: $258.42 AHC CMDP — ALL PRODUCTS: $258.42 AHC CRS — BEHAVIORAL HEALTH: $258.42 AHC CRS — FULLY: $258.42 AHC CRS — ONLY: $258.42 AHC CRS — PARTIAL: $258.42 AHC HEALTHCHOICE — ALL PRODUCTS: $566.47
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ANES INJ TRNSFRML LMBR-S	$1,942	Not listed in the file	$776.80 – $1,553.60
Nerve root injection, lower back, with imaging guidance: rates for 1 insurance plan CIGNA — TXP LIFESOURCE TRANSPLANT: $1,473.98
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$7.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,548.51
Carpal tunnel release: 10 of 17 insurance plan rates AHC APIPA — ALL PRODUCTS: $14.29 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AHC CARE FIRST — ALL PRODUCTS: $14.29 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AHC CMDP — ALL PRODUCTS: $14.29 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AHC CRS — BEHAVIORAL HEALTH: $14.29 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AHC CRS — FULLY: $14.29 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AHC CRS — ONLY: $14.29 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AHC CRS — PARTIAL: $14.29 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AHC HEALTHCHOICE — ALL PRODUCTS: $7.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AHC IHS — ALL PRODUCTS: $14.29 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) AHC LCD — ALL PRODUCTS: $1,271.93
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	$23.10 – $5,548.51
Laser treatment of clouding after cataract surgery: 10 of 17 insurance plan rates AHC APIPA — ALL PRODUCTS: $44.16 AHC CARE FIRST — ALL PRODUCTS: $44.16 AHC CMDP — ALL PRODUCTS: $44.16 AHC CRS — BEHAVIORAL HEALTH: $44.16 AHC CRS — FULLY: $44.16 AHC CRS — ONLY: $44.16 AHC CRS — PARTIAL: $44.16 AHC HEALTHCHOICE — ALL PRODUCTS: $23.10 AHC IHS — ALL PRODUCTS: $44.16 AHC LCD — ALL PRODUCTS: $365.30
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$1,432.02 – $11,675.18
Cataract removal with lens implant: rates for 6 insurance plans AHC HEALTHCHOICE — ALL PRODUCTS: $1,432.02 AHC LCD — ALL PRODUCTS: $1,507.39 AHCCS — WITH UFC: $1,582.76 BLUE CROSS — EXCLUSIVE NETWORK: $11,675.18 CIGNA — ALL PRODUCTS: $12,150 UHC — NON OPTIONS: $11,210

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	$12,381.79
Vaginal delivery, with care before and after: rates for 1 insurance plan BLUE CROSS — EXCLUSIVE NETWORK: $12,381.79
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	$12,381.79
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan BLUE CROSS — EXCLUSIVE NETWORK: $12,381.79
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	$12,381.79
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan BLUE CROSS — EXCLUSIVE NETWORK: $12,381.79

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	$133,426.46 – $281,445.38
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 11 insurance plan rates AETNA — ALL PRODUCTS: $254,547.76 BLUE CROSS — EXCLUSIVE NETWORK: $220,174.50 CIGNA — ALL PRODUCTS: $281,445.38 CIGNA — SUREFIT: $250,484.65 CIGNA SELECT — ALL PRODUCTS: $231,935.24 HEALTHCOMP — ALL PRODUCTS: $133,426.46 INTEL — ALL PRODUCTS: $133,426.46 UHC — NAVIGATE: $176,750.25 UHC — NON OPTIONS: $183,805.20 AETNA — HEALTHEZ: 73.3% (a percentage in the contract, not a dollar amount)
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	Not listed in the file	Not listed in the file	Not listed in the file
Spinal fusion (not neck), without major complications: rates for 1 insurance plan AETNA — HEALTHEZ: 73.3% (a percentage in the contract, not a dollar amount)
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 joint replacement or reattachment of lower extremity w/o MCC	Not listed in the file	Not listed in the file	$26,067.04 – $80,053.56
Hip or knee replacement (major joint of the leg), without major complications: 10 of 11 insurance plan rates AETNA — ALL PRODUCTS: $49,730.06 BLUE CROSS — EXCLUSIVE NETWORK: $80,053.56 CIGNA — ALL PRODUCTS: $54,984.95 CIGNA — SUREFIT: $48,936.27 CIGNA SELECT — ALL PRODUCTS: $45,312.34 HEALTHCOMP — ALL PRODUCTS: $26,067.04 INTEL — ALL PRODUCTS: $26,067.04 UHC — NAVIGATE: $34,531.05 UHC — NON OPTIONS: $35,909.35 AETNA — HEALTHEZ: 73.3% (a percentage in the contract, not a dollar amount)
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	$32,729.31 – $69,038.12
Neck (cervical) spinal fusion, without complications: 10 of 11 insurance plan rates AETNA — ALL PRODUCTS: $62,440.18 BLUE CROSS — EXCLUSIVE NETWORK: $50,451.34 CIGNA — ALL PRODUCTS: $69,038.12 CIGNA — SUREFIT: $61,443.50 CIGNA SELECT — ALL PRODUCTS: $56,893.36 HEALTHCOMP — ALL PRODUCTS: $32,729.31 INTEL — ALL PRODUCTS: $32,729.31 UHC — NAVIGATE: $43,356.56 UHC — NON OPTIONS: $45,087.13 AETNA — HEALTHEZ: 73.3% (a percentage in the contract, not a dollar amount)
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	$16,572.03 – $34,956.49
Uterus and ovary surgery (not for cancer), without complications: 10 of 11 insurance plan rates AETNA — ALL PRODUCTS: $31,615.71 BLUE CROSS — EXCLUSIVE NETWORK: $23,454.60 CIGNA — ALL PRODUCTS: $34,956.49 CIGNA — SUREFIT: $31,111.06 CIGNA SELECT — ALL PRODUCTS: $28,807.16 HEALTHCOMP — ALL PRODUCTS: $16,572.03 INTEL — ALL PRODUCTS: $16,572.03 UHC — NAVIGATE: $21,952.99 UHC — NON OPTIONS: $22,829.24 AETNA — HEALTHEZ: 73.3% (a percentage in the contract, not a dollar amount)

Source: Phoenix Children's Hospital’s standard charges file (phoenixchildrens.pt.panaceainc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Children's Hospital
Address	1919 East Thomas Road, Phoenix, AZ 85016
County	Maricopa County
State	Arizona
Phone	(602) 933‑1000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	033302
Name in Medicare records	PHOENIX CHILDREN'S HOSPITAL
Profile level	Medicare data + hospital website
Name on the hospital’s website	Phoenix Children's Hospital - Thomas Campus
Official website	phoenixchildrens.org
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.

Phoenix Children's Hospital - Thomas Campus — phoenixchildrens.org
Magnetic Resonance Imaging (MRI) | Phoenix Children's Hospital — phoenixchildrens.org
Computed Tomography (CT) | Phoenix Children's Hospital — phoenixchildrens.org
Fluoroscopy | Phoenix Children's Hospital — phoenixchildrens.org
Nuclear Medicine | Phoenix Children's Hospital — phoenixchildrens.org
Ultrasound | Phoenix Children's Hospital — phoenixchildrens.org
X-ray | Phoenix Children's Hospital — phoenixchildrens.org
Neurotrauma Program | Phoenix Children's Hospital — phoenixchildrens.org
Inpatient Rehabilitation Program | Phoenix Children's Hospital — phoenixchildrens.org

Phoenix Children's Hospital

Summary

Profile from official sources

At a glance