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Inpatient Rehabilitation Hospital

Rehabilitation Institute of South San Antonio

San Antonio, Texas · Bexar County

Summary

Rehabilitation Institute of South San Antonio is an inpatient rehabilitation hospital in San Antonio, Texas. Its official website lists 33 services, specialties and programs. Source: CMS Inpatient Rehabilitation Facility - General Information, data updated 2026-08-12.

What is an inpatient rehabilitation hospital?

A hospital where people recover after a stroke, injury or surgery with daily physical, occupational and speech therapy. More about hospital types

Call(469) 713‑1145 Directions Website Medicare Care Compare
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

36Beds (hospital website)
33Services listed

Quick answers

Where is Rehabilitation Institute of South San Antonio?
12011 S E Loop 410, San Antonio, TX 78221, in Bexar County, Texas.
What is the phone number of Rehabilitation Institute of South San Antonio?
(469) 713-1145, as listed by Medicare (CMS).

Specialties and care areas[4][9]

Conditions treated[4][6][7]

Treatments[5][14]

Programs and centers[8][9]

  • Neurological Rehabilitation
  • Stroke Rehabilitation
  • Brain Injuries
  • Spinal Cord Injuries
  • Amputation
  • Orthopedics
  • Language assistance program

Visiting and practical information

VisitingRegular visiting hours generally 8 a.m. to 8 p.m. daily; children under 12 need an adult[13]
ParkingFree parking for patients and visitors in campus parking lots[13]
Interpreters and languagesTranslated materials and bilingual staff are available[4]

Nearest emergency rooms

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

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 San AntonioBest hospitals in San Antonio

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 37 common services exactly as Rehabilitation Institute of South San Antonio lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: OP VISIT NEW PT LEVEL IV $1,941.50 $1,941.50 $1,941.50
New patient office visit (about 45–59 minutes): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $1,941.50
  • Aetna - Exchange — Aetna - Exchange: $1,941.50
  • Aetna - Medicare — Aetna - Medicare: $1,941.50
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $1,941.50
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $1,941.50
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $1,941.50
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $1,941.50
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $1,941.50
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $1,941.50
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $1,941.50
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: OP VISIT NEW PT LEVEL V $1,904.71 $1,904.71 $1,904.71
New patient office visit (about 60–74 minutes): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $1,904.71
  • Aetna - Exchange — Aetna - Exchange: $1,904.71
  • Aetna - Medicare — Aetna - Medicare: $1,904.71
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $1,904.71
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $1,904.71
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $1,904.71
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $1,904.71
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $1,904.71
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $1,904.71
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $1,904.71
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: OP VISIT EST PT LEVEL III $175.46 $175.46 $175.46
Established patient office visit (about 20–29 minutes): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $175.46
  • Aetna - Exchange — Aetna - Exchange: $175.46
  • Aetna - Medicare — Aetna - Medicare: $175.46
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $175.46
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $175.46
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $175.46
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $175.46
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $175.46
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $175.46
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $175.46
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: OP VISIT EST PT LEVEL IV $767.19 $767.19 $767.19
Established patient office visit (about 30–39 minutes): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $767.19
  • Aetna - Exchange — Aetna - Exchange: $767.19
  • Aetna - Medicare — Aetna - Medicare: $767.19
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $767.19
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $767.19
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $767.19
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $767.19
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $767.19
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $767.19
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $767.19

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: BASIC METABOLIC PANEL $26.65 $26.65 $26.65
Basic metabolic panel (blood test): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $26.65
  • Aetna - Exchange — Aetna - Exchange: $26.65
  • Aetna - Medicare — Aetna - Medicare: $26.65
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $26.65
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $26.65
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $26.65
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $26.65
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $26.65
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $26.65
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $26.65
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: METABOLIC PANEL TOTAL CA $250.50 $250.50 $250.50
Basic metabolic panel (blood test): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $250.50
  • Aetna - Exchange — Aetna - Exchange: $250.50
  • Aetna - Medicare — Aetna - Medicare: $250.50
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $250.50
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $250.50
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $250.50
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $250.50
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $250.50
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $250.50
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $250.50
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · modifier QW In the file: MET PANEL TTL CA CHEM 8+ $269.85 $269.85 $269.85
Basic metabolic panel (blood test): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $269.85
  • Aetna - Exchange — Aetna - Exchange: $269.85
  • Aetna - Medicare — Aetna - Medicare: $269.85
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $269.85
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $269.85
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $269.85
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $269.85
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $269.85
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $269.85
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $269.85
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: COMP METABOLIC PANEL $33.26 $33.26 $33.26
Comprehensive metabolic panel (blood test): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $33.26
  • Aetna - Exchange — Aetna - Exchange: $33.26
  • Aetna - Medicare — Aetna - Medicare: $33.26
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $33.26
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $33.26
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $33.26
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $33.26
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $33.26
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $33.26
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $33.26
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: COMPREHEN METABOLIC PANEL $59.85 $59.85 $59.85
Comprehensive metabolic panel (blood test): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $59.85
  • Aetna - Exchange — Aetna - Exchange: $59.85
  • Aetna - Medicare — Aetna - Medicare: $59.85
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $59.85
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $59.85
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $59.85
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $59.85
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $59.85
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $59.85
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $59.85
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) In the file: OBSTETRIC PANEL $63 $63 $63
Obstetric blood test panel: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $63
  • Aetna - Exchange — Aetna - Exchange: $63
  • Aetna - Medicare — Aetna - Medicare: $63
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $63
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $63
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $63
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $63
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $63
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $63
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $63
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: LIPID PANEL $164.93 $164.93 $164.93
Cholesterol panel (lipid panel): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $164.93
  • Aetna - Exchange — Aetna - Exchange: $164.93
  • Aetna - Medicare — Aetna - Medicare: $164.93
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $164.93
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $164.93
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $164.93
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $164.93
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $164.93
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $164.93
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $164.93
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: LIPID PROFILE $164.93 $164.93 $164.93
Cholesterol panel (lipid panel): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $164.93
  • Aetna - Exchange — Aetna - Exchange: $164.93
  • Aetna - Medicare — Aetna - Medicare: $164.93
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $164.93
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $164.93
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $164.93
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $164.93
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $164.93
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $164.93
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $164.93
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL PANEL $30.59 $30.59 $30.59
Kidney function panel: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $30.59
  • Aetna - Exchange — Aetna - Exchange: $30.59
  • Aetna - Medicare — Aetna - Medicare: $30.59
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $30.59
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $30.59
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $30.59
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $30.59
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $30.59
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $30.59
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $30.59
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: RENAL FUNCTION PANEL $210 $210 $210
Kidney function panel: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $210
  • Aetna - Exchange — Aetna - Exchange: $210
  • Aetna - Medicare — Aetna - Medicare: $210
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $210
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $210
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $210
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $210
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $210
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $210
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $210
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HEPATIC FUNCTION PANEL $36.29 $36.29 $36.29
Liver function panel: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $36.29
  • Aetna - Exchange — Aetna - Exchange: $36.29
  • Aetna - Medicare — Aetna - Medicare: $36.29
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $36.29
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $36.29
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $36.29
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $36.29
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $36.29
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $36.29
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $36.29
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: URINALYSIS AUTO W/MICROSCOPIC $8.40 $8.40 $8.40
Urine test (automated, with microscope): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $8.40
  • Aetna - Exchange — Aetna - Exchange: $8.40
  • Aetna - Medicare — Aetna - Medicare: $8.40
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $8.40
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $8.40
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $8.40
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $8.40
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $8.40
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $8.40
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $8.40
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: URINALYSIS AND MICROSCOPI $6.22 $6.22 $6.22
Urine test (automated, with microscope): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $6.22
  • Aetna - Exchange — Aetna - Exchange: $6.22
  • Aetna - Medicare — Aetna - Medicare: $6.22
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $6.22
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $6.22
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $6.22
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $6.22
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $6.22
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $6.22
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $6.22
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: URINALYSIS NONAUTO W/O MICROSC $92.11 $92.11 $92.11
Urine test (manual, without microscope): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $92.11
  • Aetna - Exchange — Aetna - Exchange: $92.11
  • Aetna - Medicare — Aetna - Medicare: $92.11
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $92.11
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $92.11
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $92.11
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $92.11
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $92.11
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $92.11
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $92.11
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: URINALYSIS AUTO W/O MICRO $13.46 $13.46 $13.46
Urine test (automated, without microscope): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $13.46
  • Aetna - Exchange — Aetna - Exchange: $13.46
  • Aetna - Medicare — Aetna - Medicare: $13.46
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $13.46
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $13.46
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $13.46
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $13.46
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $13.46
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $13.46
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $13.46
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: URINALYSIS MACRO ONLY $13.46 $13.46 $13.46
Urine test (automated, without microscope): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $13.46
  • Aetna - Exchange — Aetna - Exchange: $13.46
  • Aetna - Medicare — Aetna - Medicare: $13.46
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $13.46
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $13.46
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $13.46
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $13.46
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $13.46
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $13.46
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $13.46
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: PROSTATE SPECIFIC ATG (TOTAL) $30.28 $30.28 $30.28
PSA (prostate specific antigen) blood test: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $30.28
  • Aetna - Exchange — Aetna - Exchange: $30.28
  • Aetna - Medicare — Aetna - Medicare: $30.28
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $30.28
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $30.28
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $30.28
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $30.28
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $30.28
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $30.28
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $30.28
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: PROSTATE SPECIFIC ANTIGEN $35.69 $35.69 $35.69
PSA (prostate specific antigen) blood test: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $35.69
  • Aetna - Exchange — Aetna - Exchange: $35.69
  • Aetna - Medicare — Aetna - Medicare: $35.69
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $35.69
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $35.69
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $35.69
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $35.69
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $35.69
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $35.69
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $35.69
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: TSH $52.92 $52.92 $52.92
Thyroid stimulating hormone (TSH) test: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $52.92
  • Aetna - Exchange — Aetna - Exchange: $52.92
  • Aetna - Medicare — Aetna - Medicare: $52.92
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $52.92
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $52.92
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $52.92
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $52.92
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $52.92
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $52.92
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $52.92
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: THYROID CASCADE $142.99 $142.99 $142.99
Thyroid stimulating hormone (TSH) test: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $142.99
  • Aetna - Exchange — Aetna - Exchange: $142.99
  • Aetna - Medicare — Aetna - Medicare: $142.99
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $142.99
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $142.99
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $142.99
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $142.99
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $142.99
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $142.99
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $142.99
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: TSH ULTRA SENSITIVE $211.05 $211.05 $211.05
Thyroid stimulating hormone (TSH) test: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $211.05
  • Aetna - Exchange — Aetna - Exchange: $211.05
  • Aetna - Medicare — Aetna - Medicare: $211.05
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $211.05
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $211.05
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $211.05
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $211.05
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $211.05
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $211.05
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $211.05
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: CBC, W/ AUTO DIFF $46.46 $46.46 $46.46
Complete blood count (CBC) with differential: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $46.46
  • Aetna - Exchange — Aetna - Exchange: $46.46
  • Aetna - Medicare — Aetna - Medicare: $46.46
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $46.46
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $46.46
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $46.46
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $46.46
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $46.46
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $46.46
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $46.46
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: CBC W/AUTO DIFF $20.38 $20.38 $20.38
Complete blood count (CBC) with differential: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $20.38
  • Aetna - Exchange — Aetna - Exchange: $20.38
  • Aetna - Medicare — Aetna - Medicare: $20.38
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $20.38
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $20.38
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $20.38
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $20.38
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $20.38
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $20.38
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $20.38
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: CBC, AUTO W/O DIFF $24.48 $24.48 $24.48
Complete blood count (CBC), automated: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $24.48
  • Aetna - Exchange — Aetna - Exchange: $24.48
  • Aetna - Medicare — Aetna - Medicare: $24.48
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $24.48
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $24.48
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $24.48
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $24.48
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $24.48
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $24.48
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $24.48
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: AUTOMATED CBC $37.96 $37.96 $37.96
Complete blood count (CBC), automated: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $37.96
  • Aetna - Exchange — Aetna - Exchange: $37.96
  • Aetna - Medicare — Aetna - Medicare: $37.96
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $37.96
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $37.96
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $37.96
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $37.96
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $37.96
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $37.96
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $37.96
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: PROTHROMBIN TIME $9.99 $9.99 $9.99
Blood clotting time test (prothrombin time, PT): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $9.99
  • Aetna - Exchange — Aetna - Exchange: $9.99
  • Aetna - Medicare — Aetna - Medicare: $9.99
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $9.99
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $9.99
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $9.99
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $9.99
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $9.99
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $9.99
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $9.99
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: DIC SCREEN $59.85 $59.85 $59.85
Blood clotting time test (prothrombin time, PT): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $59.85
  • Aetna - Exchange — Aetna - Exchange: $59.85
  • Aetna - Medicare — Aetna - Medicare: $59.85
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $59.85
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $59.85
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $59.85
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $59.85
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $59.85
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $59.85
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $59.85
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: PT/PTT $77.70 $77.70 $77.70
Blood clotting time test (prothrombin time, PT): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $77.70
  • Aetna - Exchange — Aetna - Exchange: $77.70
  • Aetna - Medicare — Aetna - Medicare: $77.70
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $77.70
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $77.70
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $77.70
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $77.70
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $77.70
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $77.70
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $77.70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: PTT $28.41 $28.41 $28.41
Blood clotting test (partial thromboplastin time, PTT): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $28.41
  • Aetna - Exchange — Aetna - Exchange: $28.41
  • Aetna - Medicare — Aetna - Medicare: $28.41
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $28.41
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $28.41
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $28.41
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $28.41
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $28.41
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $28.41
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $28.41
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: APTT $42.56 $42.56 $42.56
Blood clotting test (partial thromboplastin time, PTT): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $42.56
  • Aetna - Exchange — Aetna - Exchange: $42.56
  • Aetna - Medicare — Aetna - Medicare: $42.56
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $42.56
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $42.56
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $42.56
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $42.56
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $42.56
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $42.56
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $42.56

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT BRAIN/HEAD WO CONTRAST $413.81 $413.81 $413.81
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $413.81
  • Aetna - Exchange — Aetna - Exchange: $413.81
  • Aetna - Medicare — Aetna - Medicare: $413.81
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $413.81
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $413.81
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $413.81
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $413.81
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $413.81
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $413.81
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $413.81
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MRI BRAIN W/WO CONTRAST $3,880.80 $3,880.80 $3,880.80
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $3,880.80
  • Aetna - Exchange — Aetna - Exchange: $3,880.80
  • Aetna - Medicare — Aetna - Medicare: $3,880.80
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $3,880.80
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $3,880.80
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $3,880.80
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $3,880.80
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $3,880.80
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $3,880.80
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $3,880.80
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: CHEST 2 VIEWS FRONTAL & LAT $393.75 $393.75 $393.75
Chest X-ray, 2 views: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $393.75
  • Aetna - Exchange — Aetna - Exchange: $393.75
  • Aetna - Medicare — Aetna - Medicare: $393.75
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $393.75
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $393.75
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $393.75
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $393.75
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $393.75
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $393.75
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $393.75
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: CHEST 2 VIEWS $204.75 $204.75 $204.75
Chest X-ray, 2 views: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $204.75
  • Aetna - Exchange — Aetna - Exchange: $204.75
  • Aetna - Medicare — Aetna - Medicare: $204.75
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $204.75
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $204.75
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $204.75
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $204.75
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $204.75
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $204.75
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $204.75
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: LUMBOSACRAL SP 4+ VIEWS $568.55 $568.55 $568.55
X-ray of the lower spine, at least 4 views: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $568.55
  • Aetna - Exchange — Aetna - Exchange: $568.55
  • Aetna - Medicare — Aetna - Medicare: $568.55
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $568.55
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $568.55
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $568.55
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $568.55
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $568.55
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $568.55
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $568.55
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MRI LUMBAR SPINE WO CONTRAST $2,808.75 $2,808.75 $2,808.75
MRI of the lower back (lumbar spine), without contrast: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $2,808.75
  • Aetna - Exchange — Aetna - Exchange: $2,808.75
  • Aetna - Medicare — Aetna - Medicare: $2,808.75
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $2,808.75
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $2,808.75
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $2,808.75
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $2,808.75
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $2,808.75
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $2,808.75
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $2,808.75
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT PELVIS W/CONTRAST $3,680.62 $3,680.62 $3,680.62
CT scan of the pelvis, with contrast: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $3,680.62
  • Aetna - Exchange — Aetna - Exchange: $3,680.62
  • Aetna - Medicare — Aetna - Medicare: $3,680.62
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $3,680.62
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $3,680.62
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $3,680.62
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $3,680.62
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $3,680.62
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $3,680.62
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $3,680.62
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · modifier 50 In the file: MRI LOW EXT JOINT W/O CONT BIL $2,192.06 $2,192.06 $2,192.06
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $2,192.06
  • Aetna - Exchange — Aetna - Exchange: $2,192.06
  • Aetna - Medicare — Aetna - Medicare: $2,192.06
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $2,192.06
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $2,192.06
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $2,192.06
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $2,192.06
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $2,192.06
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $2,192.06
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $2,192.06
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · modifier LT In the file: MRI LOW EXT JOINT W/O CONT LT $2,752.58 $2,752.58 $2,752.58
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $2,752.58
  • Aetna - Exchange — Aetna - Exchange: $2,752.58
  • Aetna - Medicare — Aetna - Medicare: $2,752.58
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $2,752.58
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $2,752.58
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $2,752.58
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $2,752.58
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $2,752.58
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $2,752.58
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $2,752.58
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT ABD & PELVIS W/CONTRAST $5,581.81 $5,581.81 $5,581.81
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $5,581.81
  • Aetna - Exchange — Aetna - Exchange: $5,581.81
  • Aetna - Medicare — Aetna - Medicare: $5,581.81
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $5,581.81
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $5,581.81
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $5,581.81
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $5,581.81
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $5,581.81
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $5,581.81
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $5,581.81
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US ABDOMEN COMPLETE $378 $378 $378
Ultrasound of the abdomen, complete: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $378
  • Aetna - Exchange — Aetna - Exchange: $378
  • Aetna - Medicare — Aetna - Medicare: $378
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $378
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $378
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $378
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $378
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $378
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $378
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $378
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: US PREG UTERUS >14 WEEKS $903.92 $903.92 $903.92
Pregnancy ultrasound (after the first trimester): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $903.92
  • Aetna - Exchange — Aetna - Exchange: $903.92
  • Aetna - Medicare — Aetna - Medicare: $903.92
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $903.92
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $903.92
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $903.92
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $903.92
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $903.92
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $903.92
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $903.92
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: US TRANSVAGINAL $963.38 $963.38 $963.38
Transvaginal ultrasound: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $963.38
  • Aetna - Exchange — Aetna - Exchange: $963.38
  • Aetna - Medicare — Aetna - Medicare: $963.38
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $963.38
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $963.38
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $963.38
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $963.38
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $963.38
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $963.38
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $963.38
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: MAMMOGRAM DIAG BILATERAL $480.99 $480.99 $480.99
Diagnostic mammogram, both breasts: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $480.99
  • Aetna - Exchange — Aetna - Exchange: $480.99
  • Aetna - Medicare — Aetna - Medicare: $480.99
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $480.99
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $480.99
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $480.99
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $480.99
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $480.99
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $480.99
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $480.99
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: MAMMOGRAM SCREEN BILATERAL $210.99 $210.99 $210.99
Screening mammogram, both breasts: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $210.99
  • Aetna - Exchange — Aetna - Exchange: $210.99
  • Aetna - Medicare — Aetna - Medicare: $210.99
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $210.99
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $210.99
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $210.99
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $210.99
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $210.99
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $210.99
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $210.99

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) In the file: EKG $514.29 $514.29 $514.29
Electrocardiogram (ECG/EKG) with reading: 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $514.29
  • Aetna - Exchange — Aetna - Exchange: $514.29
  • Aetna - Medicare — Aetna - Medicare: $514.29
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $514.29
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $514.29
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $514.29
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $514.29
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $514.29
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $514.29
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $514.29

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: THERAPEUTIC EXERCISES $115.23 $115.23 $115.23
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $115.23
  • Aetna - Exchange — Aetna - Exchange: $115.23
  • Aetna - Medicare — Aetna - Medicare: $115.23
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $115.23
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $115.23
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $115.23
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $115.23
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $115.23
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $115.23
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $115.23
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: THERAPEUTIC 1 OR MR $115.23 $115.23 $115.23
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $115.23
  • Aetna - Exchange — Aetna - Exchange: $115.23
  • Aetna - Medicare — Aetna - Medicare: $115.23
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $115.23
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $115.23
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $115.23
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $115.23
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $115.23
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $115.23
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $115.23
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · modifier GP In the file: THERAPEUTIC EXERCISE 15 MIN $102.21 $102.21 $102.21
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $102.21
  • Aetna - Exchange — Aetna - Exchange: $102.21
  • Aetna - Medicare — Aetna - Medicare: $102.21
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $102.21
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $102.21
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $102.21
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $102.21
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $102.21
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $102.21
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $102.21
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · modifier GP In the file: PT EVALUATION LOW COMPLEXITY $102.21 $102.21 $102.21
Physical therapy evaluation (low complexity): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $102.21
  • Aetna - Exchange — Aetna - Exchange: $102.21
  • Aetna - Medicare — Aetna - Medicare: $102.21
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $102.21
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $102.21
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $102.21
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $102.21
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $102.21
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $102.21
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $102.21
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: PT EVALUATION MOD COMPLEXITY $203.76 $203.76 $203.76
Physical therapy evaluation (moderate complexity): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $203.76
  • Aetna - Exchange — Aetna - Exchange: $203.76
  • Aetna - Medicare — Aetna - Medicare: $203.76
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $203.76
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $203.76
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $203.76
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $203.76
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $203.76
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $203.76
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $203.76
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: PT EVAL HIGH COMPLEXITY 45 MIN $377.14 $377.14 $377.14
Physical therapy evaluation (high complexity): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $377.14
  • Aetna - Exchange — Aetna - Exchange: $377.14
  • Aetna - Medicare — Aetna - Medicare: $377.14
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $377.14
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $377.14
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $377.14
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $377.14
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $377.14
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $377.14
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $377.14
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: PT EVAL HIGH COMPLEXITY 60 MIN $211.20 $211.20 $211.20
Physical therapy evaluation (high complexity): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $211.20
  • Aetna - Exchange — Aetna - Exchange: $211.20
  • Aetna - Medicare — Aetna - Medicare: $211.20
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $211.20
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $211.20
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $211.20
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $211.20
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $211.20
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $211.20
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $211.20
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · modifier GP In the file: PT EVAL - HIGH COMPLEX - 90 MI $315.79 $315.79 $315.79
Physical therapy evaluation (high complexity): 10 of 19 insurance plan rates
  • Aetna - Commercial — Aetna - Commercial: $315.79
  • Aetna - Exchange — Aetna - Exchange: $315.79
  • Aetna - Medicare — Aetna - Medicare: $315.79
  • Amerigroup (Wellpoint) - Medicare — Amerigroup (Wellpoint) - Medicare: $315.79
  • Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR — Blue Cross/Blue Shield (BCBS) - Blue Choice PPO/PAR: $315.79
  • Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr — Blue Cross/Blue Shield (BCBS) - HMO Blue Essentials, Blue Pr: $315.79
  • Blue Cross/Blue Shield (BCBS) - HMO-BAV — Blue Cross/Blue Shield (BCBS) - HMO-BAV: $315.79
  • Blue Cross/Blue Shield (BCBS) - Medicare — Blue Cross/Blue Shield (BCBS) - Medicare: $315.79
  • Blue Cross/Blue Shield (BCBS) - My Blue HMO — Blue Cross/Blue Shield (BCBS) - My Blue HMO: $315.79
  • Centene (Superior/Ambetter) - Commercial — Centene (Superior/Ambetter) - Commercial: $315.79

Source: Rehabilitation Institute of South San Antonio’s standard charges file (rehabsouthsanantonio.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 16, 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 typeInpatient Rehabilitation Hospital
Address12011 S E Loop 410, San Antonio, TX 78221
CountyBexar County
StateTexas
Phone(469) 713‑1145
OwnershipProprietary
CMS Certification Number743025
Name in Medicare recordsREHABILITATION INSTITUTE OF SOUTH SAN ANTONIO
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(210) 806‑9600[4]
Official websiterehabsouthsanantonio.com
CorrectionsReport an error or suggest an update →

Sources

  1. Inpatient Rehabilitation Facility - General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-08-12, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare tool to look up and compare this type of hospital
  3. U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

  1. Rehabilitation Institute of South San Antonio | Texas — rehabsouthsanantonio.com
  2. Stroke Rehabilitation Program | San Antonio, TX — rehabsouthsanantonio.com
  3. Neurological Rehabilitation Services | San Antonio, TX — rehabsouthsanantonio.com
  4. Orthopedic Rehabilitation Services | San Antonio, TX — rehabsouthsanantonio.com
  5. Language Assistance | Rehab Institute of South San Antonio — rehabsouthsanantonio.com
  6. Our Rehab Programs | Rehab Institute of South San Antonio — rehabsouthsanantonio.com
  7. Patients & Caregivers | Rehab Institute of South San Antonio — rehabsouthsanantonio.com
  8. Rehabilitation Team | Rehab Institute of South San Antonio — rehabsouthsanantonio.com