Does St David's South Austin Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at St David's South Austin Medical Center. In a medical emergency, call 911.

Where is St David's South Austin Medical Center?

901 West Ben White Blvd, Austin, TX 78704, in Travis County, Texas.

What is the phone number of St David's South Austin Medical Center?

(512) 448-7107, as listed by Medicare (CMS).

What is the Medicare star rating of St David's South Austin Medical Center?

3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

St David's South Austin Medical Center

Quick answers

Does St David's South Austin Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at St David's South Austin Medical Center. In a medical emergency, call 911.
Where is St David's South Austin Medical Center?: 901 West Ben White Blvd, Austin, TX 78704, in Travis County, Texas.
What is the phone number of St David's South Austin Medical Center?: (512) 448-7107, as listed by Medicare (CMS).
What is the Medicare star rating of St David's South Austin Medical Center?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][6]

Cardiac care
Stroke care
Maternity and newborn care
Orthopedics
Oncology
Transplant and cellular therapy
Trauma care
Robotic surgery

Conditions treated^[4]

Heart disease
Blood cancer

Treatments^[4]

Autologous stem cell transplant
Allogeneic stem cell transplant

Procedures^[4][6]

Robotic open-heart surgery
Robotic lung surgery
Robotic orthopedic surgery
Robotic complex GI surgery

Programs and centers^[4][6]

Transplant and Cellular Therapy Program
Shock Trauma Intensive Care Unit
Comprehensive stroke program

Emergency care (hospital website)^[4][6]

Trauma designation	Level II

Visiting and practical information

Visiting	Visiting hours 5 a.m. to 9 p.m^[5]
Patient portal	MyHealthONE

Recognition^[4][6]

FACT-accredited blood and marrow transplant program
Level II Trauma Center

Doctors and clinicians (737)

737 doctors and other clinicians list St David's South Austin Medical Center 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 713 more: the button below opens the full list.

Other emergency rooms nearby

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

Baylor Scott & White Medical Center- Austin3.6 mi · Austin, TX · Acute Care Hospital
Dell Seton Med Center at the University of TX4.1 mi · Austin, TX · Acute Care Hospital
St David's Medical Center5.2 mi · Austin, TX · Acute Care Hospital
The Hospital at Westlake Medical Center5.5 mi · Austin, TX · Acute Care Hospital
Ascension Seton Medical Center Austin5.7 mi · Austin, TX · Acute Care Hospital

Other hospitals nearby

Encompass Health Rehabilitation Hospital of Austin0.4 mi · Austin, TX · Inpatient Rehabilitation Hospital
Austin Oaks Hospital2.0 mi · Austin, TX · Psychiatric Hospital
Texas Neuro Rehabilitation Center3.4 mi · Austin, TX · Long-Term Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Barton Valley Rehabilitation and Healthcare Center2.0 mi · Austin, TX · 3 of 5 stars
Brookdale Westlake Hills2.8 mi · Austin, TX · 3 of 5 stars
Brush Country Nursing and Rehabilitation4.0 mi · Austin, TX · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Beacon Hospice of Central Texas, LP1.2 mi · Austin, TX
Heart to Heart Hospice of Austin Ltd1.2 mi · Austin, TX · 3 of 5 stars
Enhabit Hospice4.5 mi · Austin, TX · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Aveanna Healthcare3.6 mi · Austin, TX
Enhabit Home Health4.5 mi · Austin, TX · 3 of 5 stars
Accentcare Home Health of Texas5.5 mi · Austin, TX

All home health agencies in the state →

Dialysis facilities

DaVita El Milagro Dialysis Unit1.2 mi · Austin, TX · 3 of 5 stars
SHC Southwood1.2 mi · Austin, TX · 3 of 5 stars
DaVita South Austin Dialysis Center2.0 mi · Austin, TX · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Howerton Surgical Center, LLC1.2 mi · Austin, TX
Austin Endoscopy Center2.0 mi · Austin, TX
South Austin Surgery Center LLC2.0 mi · Austin, TX

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

Care Connections Clinic0.3 mi · Austin, TX · Community health center
Lone Star Circle of Care at Ben White Health Clinic0.3 mi · Austin, TX · Community health center
Lone Star Circle of Care at Ben White Health Clinic0.3 mi · Austin, TX · Community health center

Clinics and urgent care

American Current Care P.A.1.2 mi · Austin, TX · Urgent care center
Privia Medical Group Gulf Coast PLLC1.2 mi · Austin, TX · Urgent care center
Wellspring Medical Associates LLC3.5 mi · Austin, TX · Urgent care center

Pharmacies

340B Partners Pharmacy - Dallas LLC1.2 mi · Austin, TX · Community/retail pharmacy
Cypress Capital Management1.2 mi · Austin, TX · Pharmacy
H-E-B, LP1.2 mi · Austin, TX · Community/retail pharmacy

Assisted living nearby

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

Soco Village1.2 mi · Austin, TX
Sodalis Austin2.0 mi · Austin, TX
Texas Neuro Rehab Center2.0 mi · Austin, TX
Texas Neurorehab Center2.0 mi · Austin, TX

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	66%National average: 72%
Would definitely recommend the hospital	70%National average: 71%
Nurses “always” communicated well	76%National average: 80%
Doctors “always” communicated well	76%National average: 80%
Staff “always” explained medicines before giving them	56%National average: 62%
Were given information about recovery at home	84%National average: 86%
Room and bathroom “always” clean	76%National average: 74%
Area around the room “always” quiet at night	57%National average: 60%
Completed surveys	574Response rate: 16%

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)	0.788No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.065Better than the national benchmark
Surgical site infections after colon surgery	1.188No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	1.123No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.209Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	10.9%
Deaths within 30 days: heart failure patients	10.6%
Deaths within 30 days: pneumonia patients	18.3%
Deaths within 30 days: COPD patients	8.9%
Deaths within 30 days: stroke patients	11.4%
Deaths within 30 days: coronary bypass surgery (CABG)	2.7%
Serious complications (patient safety indicator PSI-90)	0.98No different from the national rate
Complications after hip or knee replacement	4.9%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.6%
Readmitted within 30 days: heart failure	20.4%
Readmitted within 30 days: pneumonia	17%
Readmitted within 30 days: COPD	18.8%
Readmitted within 30 days: coronary bypass surgery	9.7%
Readmitted within 30 days: hip or knee replacement	7.2%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	138 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	79%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Austin Best hospitals in Austin

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 83 common services exactly as St David's South Austin Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 3 NP	$3,132	$3,132	$532.44 – $3,132
New patient office visit (about 30–44 minutes): 10 of 72 insurance plan rates Aetna — ASA: $1,663.09 Aetna — COMM: $1,425.06 Aetna — Meritain: $1,425.06 Aetna — NarrowNetwork: $1,412.53 Aetna — OON: $1,678.75 Austin FC — WORKERSCOMP: $1,566 BCBS — Traditional: $999.11 Cigna — HMO: $1,071.14 Cigna — NewBusinessNetwork: $1,005.37 Cigna — OpenAccess: $1,071.14
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e	Not listed in the file	Not listed in the file	$47.31 – $445.51
New patient office visit (about 30–44 minutes): rates for 8 insurance plans Amerigroup — CHIP: $47.31 Amerigroup — MCD: $47.31 BCBS — BlueAdvantage: $234.76 BCBS — BlueEssentials: $371.13 BCBS — BlueEssentialsAccess: $371.13 BCBS — EPOSOA: $408.32 BCBS — MyBlueHealth: $215.39 BCBS — PPO: $445.51
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 4 NP	$1,049	$1,049	$52.45 – $1,049
New patient office visit (about 45–59 minutes): 10 of 72 insurance plan rates Aetna — ASA: $557.02 Aetna — COMM: $477.30 Aetna — Meritain: $477.30 Aetna — NarrowNetwork: $473.10 Aetna — OON: $562.26 Austin FC — WORKERSCOMP: $524.50 BCBS — Traditional: $334.63 Cigna — HMO: $1,376.89 Cigna — NewBusinessNetwork: $1,292.35 Cigna — OpenAccess: $1,376.89
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e	Not listed in the file	Not listed in the file	$69.23 – $754.29
New patient office visit (about 45–59 minutes): rates for 8 insurance plans Amerigroup — CHIP: $69.23 Amerigroup — MCD: $69.23 BCBS — BlueAdvantage: $397.48 BCBS — BlueEssentials: $628.35 BCBS — BlueEssentialsAccess: $628.35 BCBS — EPOSOA: $691.32 BCBS — MyBlueHealth: $364.68 BCBS — PPO: $754.29
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 5 NP	$1,341	$1,341	$937.36
New patient office visit (about 60–74 minutes): 10 of 72 insurance plan rates Aetna — ASA: $712.07 Aetna — COMM: $610.15 Aetna — Meritain: $610.15 Aetna — NarrowNetwork: $604.79 Aetna — OON: $718.78 Austin FC — WORKERSCOMP: $670.50 BCBS — Traditional: $427.78 Cigna — HMO: $1,685.38 Cigna — NewBusinessNetwork: $1,581.89 Cigna — OpenAccess: $1,685.38
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e	Not listed in the file	Not listed in the file	$86.07 – $984.34
New patient office visit (about 60–74 minutes): rates for 8 insurance plans Amerigroup — CHIP: $86.07 Amerigroup — MCD: $86.07 BCBS — BlueAdvantage: $518.71 BCBS — BlueEssentials: $820 BCBS — BlueEssentialsAccess: $820 BCBS — EPOSOA: $902.17 BCBS — MyBlueHealth: $475.91 BCBS — PPO: $984.34
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 3 EST	$2,241	$2,241	$380.97 – $2,241
Established patient office visit (about 20–29 minutes): 10 of 72 insurance plan rates Aetna — ASA: $1,189.97 Aetna — COMM: $1,019.65 Aetna — Meritain: $1,019.65 Aetna — NarrowNetwork: $1,010.69 Aetna — OON: $1,201.18 Austin FC — WORKERSCOMP: $1,120.50 BCBS — Traditional: $714.88 Cigna — HMO: $766.42 Cigna — NewBusinessNetwork: $719.36 Cigna — OpenAccess: $766.42
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history	Not listed in the file	Not listed in the file	$28.93 – $298.43
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans Amerigroup — CHIP: $28.93 Amerigroup — MCD: $28.93 BCBS — BlueAdvantage: $157.26 BCBS — BlueEssentials: $248.60 BCBS — BlueEssentialsAccess: $248.60 BCBS — EPOSOA: $273.51 BCBS — MyBlueHealth: $144.28 BCBS — PPO: $298.43
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 4 EST	$480	$480	$24 – $480
Established patient office visit (about 30–39 minutes): 10 of 72 insurance plan rates Aetna — ASA: $254.88 Aetna — COMM: $218.40 Aetna — Meritain: $218.40 Aetna — NarrowNetwork: $216.48 Aetna — OON: $257.28 Austin FC — WORKERSCOMP: $240 BCBS — Traditional: $153.12 Cigna — HMO: $1,071.14 Cigna — NewBusinessNetwork: $1,005.37 Cigna — OpenAccess: $1,071.14
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history	Not listed in the file	Not listed in the file	$40.63 – $460.06
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans Amerigroup — CHIP: $40.63 Amerigroup — MCD: $40.63 BCBS — BlueAdvantage: $242.43 BCBS — BlueEssentials: $383.25 BCBS — BlueEssentialsAccess: $383.25 BCBS — EPOSOA: $421.65 BCBS — MyBlueHealth: $222.43 BCBS — PPO: $460.06
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$69.77 – $559.53
Office consultation with a specialist (moderate): rates for 8 insurance plans Amerigroup — CHIP: $69.77 Amerigroup — MCD: $69.77 BCBS — BlueAdvantage: $294.85 BCBS — BlueEssentials: $466.11 BCBS — BlueEssentialsAccess: $466.11 BCBS — EPOSOA: $512.82 BCBS — MyBlueHealth: $270.52 BCBS — PPO: $559.53
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$97.83 – $899.36
Office consultation with a specialist (moderate to high): rates for 8 insurance plans Amerigroup — CHIP: $97.83 Amerigroup — MCD: $97.83 BCBS — BlueAdvantage: $473.92 BCBS — BlueEssentials: $749.20 BCBS — BlueEssentialsAccess: $749.20 BCBS — EPOSOA: $824.28 BCBS — MyBlueHealth: $434.82 BCBS — PPO: $899.36
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examin	Not listed in the file	Not listed in the file	$70.26 – $571.95
Preventive checkup, new patient, age 18–39: rates for 9 insurance plans Amerigroup — CHIP: $89.25 Amerigroup — MCD: $89.25 BCBS — BlueAdvantage: $301.39 BCBS — BlueEssentials: $476.46 BCBS — BlueEssentialsAccess: $476.46 BCBS — EPOSOA: $524.21 BCBS — MyBlueHealth: $276.53 BCBS — PPO: $571.95 TriWest Health Alliance — TRCR: $70.26
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examin	Not listed in the file	Not listed in the file	$85.38 – $696.27
Preventive checkup, new patient, age 40–64: rates for 9 insurance plans Amerigroup — CHIP: $105.16 Amerigroup — MCD: $105.16 BCBS — BlueAdvantage: $366.90 BCBS — BlueEssentials: $580.02 BCBS — BlueEssentialsAccess: $580.02 BCBS — EPOSOA: $638.14 BCBS — MyBlueHealth: $336.63 BCBS — PPO: $696.27 TriWest Health Alliance — TRCR: $85.38
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: LVL 3 EMER DEPT	$1,825	$1,825	$310.25 – $1,825
Emergency room visit (moderate): 10 of 34 insurance plan rates BCBS — Traditional: $582.17 Cigna Lifesource — COMM: $529.25 Coastal Comp Health Networks — WORKERSCOMP: $1,186.25 Comanche County — LOCALGOV: $912.50 Emerging Therapy Solutions — COMM: $1,149.75 Emerging Therapy Solutions — MGMCR: $894.25 First Health — PPO: $1,043.90 HealthSmart Preferred Care — Accel: $1,003.75 HealthSmart Preferred Care — COMM: $1,460 Humana — HMO: $506.99
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$200 – $2,476
Emergency room visit (moderate): 10 of 50 insurance plan rates Aetna — ASA: $1,613 Aetna — COMM: $1,383 Aetna — Meritain: $1,383 Aetna — NarrowNetwork: $999 Aetna — OON: $1,628 Aetna Better Health — MCD: $90.14 Amerigroup — CHIP: $47.31 Amerigroup — MCD: $47.31 BCBS — BlueAdvantage: $1,029 BCBS — BlueEssentials: $1,603
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · modifier ER In the file: LVL 3 FREE STD EMER DEPT	$1,825	$1,825	$1,230.05
Emergency room visit (moderate): 10 of 34 insurance plan rates BCBS — Traditional: $582.17 Cigna Lifesource — COMM: $529.25 Coastal Comp Health Networks — WORKERSCOMP: $1,186.25 Comanche County — LOCALGOV: $912.50 Emerging Therapy Solutions — COMM: $1,149.75 Emerging Therapy Solutions — MGMCR: $894.25 First Health — PPO: $1,230.05 HealthSmart Preferred Care — Accel: $1,003.75 HealthSmart Preferred Care — COMM: $1,460 Humana — HMO: $506.99
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: LVL 4 EMER DEPT	$3,745	$3,745	$1,835.05
Emergency room visit (moderately high): 10 of 34 insurance plan rates BCBS — Traditional: $1,194.65 Cigna Lifesource — COMM: $1,086.05 Coastal Comp Health Networks — WORKERSCOMP: $2,434.25 Comanche County — LOCALGOV: $1,872.50 Emerging Therapy Solutions — COMM: $2,359.35 Emerging Therapy Solutions — MGMCR: $1,835.05 First Health — PPO: $2,524.13 HealthSmart Preferred Care — Accel: $2,059.75 HealthSmart Preferred Care — COMM: $2,996 Humana — HMO: $1,040.36
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$320 – $4,206
Emergency room visit (moderately high): 10 of 43 insurance plan rates Aetna — ASA: $2,096 Aetna — COMM: $1,799 Aetna — Meritain: $1,799 Aetna — NarrowNetwork: $1,297 Aetna — OON: $2,116 Amerigroup — CHIP: $69.23 Amerigroup — MCD: $69.23 BCBS — BlueAdvantage: $2,460 BCBS — BlueEssentials: $3,240 BCBS — BlueEssentialsAccess: $3,240
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier ER In the file: LVL 4 FREE STD EMER DEPT	$3,745	$3,745	$2,617.76
Emergency room visit (moderately high): 10 of 34 insurance plan rates BCBS — Traditional: $1,194.65 Cigna Lifesource — COMM: $1,086.05 Coastal Comp Health Networks — WORKERSCOMP: $2,434.25 Comanche County — LOCALGOV: $1,872.50 Emerging Therapy Solutions — COMM: $2,359.35 Emerging Therapy Solutions — MGMCR: $1,835.05 First Health — PPO: $2,617.76 HealthSmart Preferred Care — Accel: $2,059.75 HealthSmart Preferred Care — COMM: $2,996 Humana — HMO: $1,040.36
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: LVL 5 EMER DEPT	$5,318	$5,318	$3,584.33
Emergency room visit (high): 10 of 34 insurance plan rates BCBS — Traditional: $1,696.44 Cigna Lifesource — COMM: $1,542.22 Coastal Comp Health Networks — WORKERSCOMP: $3,456.70 Comanche County — LOCALGOV: $2,659 Emerging Therapy Solutions — COMM: $3,350.34 Emerging Therapy Solutions — MGMCR: $2,605.82 First Health — PPO: $3,584.33 HealthSmart Preferred Care — Accel: $2,924.90 HealthSmart Preferred Care — COMM: $4,254.40 Humana — HMO: $1,477.34
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$400 – $7,640
Emergency room visit (high): 10 of 43 insurance plan rates Aetna — ASA: $3,089 Aetna — COMM: $2,653 Aetna — Meritain: $2,653 Aetna — NarrowNetwork: $1,914 Aetna — OON: $3,119 Amerigroup — CHIP: $86.07 Amerigroup — MCD: $86.07 BCBS — BlueAdvantage: $4,960 BCBS — BlueEssentials: $6,240 BCBS — BlueEssentialsAccess: $6,240
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier ER In the file: LVL 5 FREE STD EMER DEPT	$5,318	$5,318	$2,605.82
Emergency room visit (high): 10 of 34 insurance plan rates BCBS — Traditional: $1,696.44 Cigna Lifesource — COMM: $1,542.22 Coastal Comp Health Networks — WORKERSCOMP: $3,456.70 Comanche County — LOCALGOV: $2,659 Emerging Therapy Solutions — COMM: $3,350.34 Emerging Therapy Solutions — MGMCR: $2,605.82 First Health — PPO: $3,041.90 HealthSmart Preferred Care — Accel: $2,924.90 HealthSmart Preferred Care — COMM: $4,254.40 Humana — HMO: $1,477.34

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BMP TOTAL CALCIUM	$1,160	$1,160	$810.84
Basic metabolic panel (blood test): 10 of 50 insurance plan rates BCBS — Traditional: $370.04 Cigna Lifesource — COMM: $336.40 Coastal Comp Health Networks — WORKERSCOMP: $754 Comanche County — LOCALGOV: $580 Covenant Management Systems — HMO: $309.72 Emerging Therapy Solutions — COMM: $664.65 Emerging Therapy Solutions — MGMCR: $568.40 Evry Health — BroadNetwork: $426.88 First Health — PPO: $810.84 Harbor Health Team — COMMPPO: $464
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Ch	Not listed in the file	Not listed in the file	$8.46 – $9.93
Basic metabolic panel (blood test): 10 of 84 insurance plan rates Aetna — CSCAMCR: $8.46 Aetna — MCR: $8.53 Aetna Better Health — MCD: $12.27 American Health Plan of Texas — MGMCRHMO: $8.88 Amerigroup — CHIP: $11.59 Amerigroup — MCD: $11.59 Austin FC — WORKERSCOMP: $10.58 BCBS — BlueAdvantage: $19.71 BCBS — BlueEssentials: $36.29 BCBS — BlueEssentialsAccess: $36.29
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL	$1,602	$1,602	$80.10 – $1,602
Comprehensive metabolic panel (blood test): 10 of 50 insurance plan rates BCBS — Traditional: $511.04 Cigna Lifesource — COMM: $464.58 Coastal Comp Health Networks — WORKERSCOMP: $1,041.30 Comanche County — LOCALGOV: $801 Covenant Management Systems — HMO: $427.73 Emerging Therapy Solutions — COMM: $919.17 Emerging Therapy Solutions — MGMCR: $714.91 Evry Health — BroadNetwork: $589.54 First Health — PPO: $916.34 Harbor Health Team — COMMPPO: $640.80
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon	Not listed in the file	Not listed in the file	$9.61
Comprehensive metabolic panel (blood test): 10 of 84 insurance plan rates Aetna — CSCAMCR: $10.56 Aetna — MCR: $10.65 Aetna Better Health — MCD: $11.87 American Health Plan of Texas — MGMCRHMO: $11.09 Amerigroup — CHIP: $14.47 Amerigroup — MCD: $14.47 Austin FC — WORKERSCOMP: $13.20 BCBS — BlueAdvantage: $24.60 BCBS — BlueEssentials: $45.30 BCBS — BlueEssentialsAccess: $45.30
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or	Not listed in the file	Not listed in the file	$47.81
Obstetric blood test panel: 10 of 73 insurance plan rates Aetna — CSCAMCR: $47.81 Aetna — MCR: $48.22 American Health Plan of Texas — MGMCRHMO: $50.20 Amerigroup — CHIP: $41.05 Amerigroup — MCD: $41.05 Austin FC — WORKERSCOMP: $59.76 BCBS — BlueAdvantage: $111.40 BCBS — BlueEssentials: $205.10 BCBS — BlueEssentialsAccess: $205.10 BCBS — EPOSOA: $220.40
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholester	$1,160	$1,160	$7.81 – $13.39
Cholesterol panel (lipid panel): 10 of 84 insurance plan rates Aetna — CSCAMCR: $13.39 Aetna — MCR: $13.50 Aetna Better Health — MCD: $9.65 American Health Plan of Texas — MGMCRHMO: $14.06 Amerigroup — CHIP: $18.35 Amerigroup — MCD: $18.35 Austin FC — WORKERSCOMP: $16.74 BCBS — BlueAdvantage: $31.20 BCBS — BlueEssentials: $57.44 BCBS — BlueEssentialsAccess: $57.44
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	$1,160	$1,160	$568.40
Cholesterol panel (lipid panel): 10 of 50 insurance plan rates BCBS — Traditional: $370.04 Cigna Lifesource — COMM: $336.40 Coastal Comp Health Networks — WORKERSCOMP: $754 Comanche County — LOCALGOV: $580 Covenant Management Systems — HMO: $309.72 Emerging Therapy Solutions — COMM: $730.80 Emerging Therapy Solutions — MGMCR: $568.40 Evry Health — BroadNetwork: $426.88 First Health — PPO: $781.84 Harbor Health Team — COMMPPO: $464
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$1,055	$1,055	$711.07
Kidney function panel: 10 of 50 insurance plan rates BCBS — Traditional: $370.04 Cigna Lifesource — COMM: $336.40 Coastal Comp Health Networks — WORKERSCOMP: $754 Comanche County — LOCALGOV: $580 Covenant Management Systems — HMO: $309.72 Emerging Therapy Solutions — COMM: $664.65 Emerging Therapy Solutions — MGMCR: $516.95 Evry Health — BroadNetwork: $426.88 First Health — PPO: $711.07 Harbor Health Team — COMMPPO: $464
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chlo	Not listed in the file	Not listed in the file	$6.13 – $8.68
Kidney function panel: 10 of 84 insurance plan rates Aetna — CSCAMCR: $8.68 Aetna — MCR: $8.75 Aetna Better Health — MCD: $7.57 American Health Plan of Texas — MGMCRHMO: $9.11 Amerigroup — CHIP: $11.89 Amerigroup — MCD: $11.89 Austin FC — WORKERSCOMP: $10.85 BCBS — BlueAdvantage: $20.22 BCBS — BlueEssentials: $37.24 BCBS — BlueEssentialsAccess: $37.24
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	$1,375	$1,375	$673.75
Liver function panel: 10 of 50 insurance plan rates BCBS — Traditional: $438.63 Cigna Lifesource — COMM: $398.75 Coastal Comp Health Networks — WORKERSCOMP: $893.75 Comanche County — LOCALGOV: $687.50 Covenant Management Systems — HMO: $367.13 Emerging Therapy Solutions — COMM: $951.93 Emerging Therapy Solutions — MGMCR: $673.75 Evry Health — BroadNetwork: $506 First Health — PPO: $1,018.41 Harbor Health Team — COMMPPO: $550
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase	Not listed in the file	Not listed in the file	$6.13 – $8.17
Liver function panel: 10 of 84 insurance plan rates Aetna — CSCAMCR: $8.17 Aetna — MCR: $8.24 Aetna Better Health — MCD: $7.57 American Health Plan of Texas — MGMCRHMO: $8.58 Amerigroup — CHIP: $11.19 Amerigroup — MCD: $11.19 Austin FC — WORKERSCOMP: $10.21 BCBS — BlueAdvantage: $19.04 BCBS — BlueEssentials: $35.05 BCBS — BlueEssentialsAccess: $35.05
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA W MICRO AUTO	$406	$406	$283.79
Urine test (automated, with microscope): 10 of 50 insurance plan rates BCBS — Traditional: $129.51 Cigna Lifesource — COMM: $117.74 Coastal Comp Health Networks — WORKERSCOMP: $263.90 Comanche County — LOCALGOV: $203 Covenant Management Systems — HMO: $108.40 Emerging Therapy Solutions — COMM: $255.78 Emerging Therapy Solutions — MGMCR: $198.94 Evry Health — BroadNetwork: $149.41 First Health — PPO: $283.79 Harbor Health Team — COMMPPO: $162.40
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity,	Not listed in the file	Not listed in the file	$2.71
Urine test (automated, with microscope): 10 of 89 insurance plan rates Aetna — ASA: $28.44 Aetna — COMM: $24.37 Aetna — CSCAMCR: $3.17 Aetna — MCR: $3.20 Aetna — Meritain: $24.37 Aetna — NarrowNetwork: $17.59 Aetna — OON: $28.68 Aetna Better Health — MCD: $3.35 American Health Plan of Texas — MGMCRHMO: $3.33 Amerigroup — CHIP: $4.34
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: KETONES UR MANUAL	$219	$219	$137.97
Urine test (manual, without microscope): 10 of 50 insurance plan rates BCBS — Traditional: $69.86 Cigna Lifesource — COMM: $63.51 Coastal Comp Health Networks — WORKERSCOMP: $142.35 Comanche County — LOCALGOV: $109.50 Covenant Management Systems — HMO: $58.47 Emerging Therapy Solutions — COMM: $137.97 Emerging Therapy Solutions — MGMCR: $107.31 Evry Health — BroadNetwork: $80.59 First Health — PPO: $153.08 Harbor Health Team — COMMPPO: $87.60
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: UA W O MICRO MANUAL	$198	$198	$138.40
Urine test (manual, without microscope): 10 of 50 insurance plan rates BCBS — Traditional: $72.09 Cigna Lifesource — COMM: $65.54 Coastal Comp Health Networks — WORKERSCOMP: $146.90 Comanche County — LOCALGOV: $113 Covenant Management Systems — HMO: $60.34 Emerging Therapy Solutions — COMM: $142.38 Emerging Therapy Solutions — MGMCR: $110.74 Evry Health — BroadNetwork: $83.17 First Health — PPO: $138.40 Harbor Health Team — COMMPPO: $90.40
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity,	Not listed in the file	Not listed in the file	$2.98
Urine test (manual, without microscope): 10 of 84 insurance plan rates Aetna — CSCAMCR: $3.48 Aetna — MCR: $3.51 Aetna Better Health — MCD: $3.68 American Health Plan of Texas — MGMCRHMO: $3.65 Amerigroup — CHIP: $3.50 Amerigroup — MCD: $3.50 Austin FC — WORKERSCOMP: $4.35 BCBS — BlueAdvantage: $8.11 BCBS — BlueEssentials: $14.93 BCBS — BlueEssentialsAccess: $14.93
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: PROTEIN UR QUAL AUTO	$248	$248	$156.24
Urine test (automated, without microscope): 10 of 50 insurance plan rates BCBS — Traditional: $72.09 Cigna Lifesource — COMM: $65.54 Coastal Comp Health Networks — WORKERSCOMP: $146.90 Comanche County — LOCALGOV: $113 Covenant Management Systems — HMO: $60.34 Emerging Therapy Solutions — COMM: $156.24 Emerging Therapy Solutions — MGMCR: $110.74 Evry Health — BroadNetwork: $83.17 First Health — PPO: $152.32 Harbor Health Team — COMMPPO: $90.40
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: BLOOD URINE AUTO	$226	$226	$142.38
Urine test (automated, without microscope): 10 of 50 insurance plan rates BCBS — Traditional: $79.11 Cigna Lifesource — COMM: $71.92 Coastal Comp Health Networks — WORKERSCOMP: $161.20 Comanche County — LOCALGOV: $124 Covenant Management Systems — HMO: $66.22 Emerging Therapy Solutions — COMM: $142.38 Emerging Therapy Solutions — MGMCR: $110.74 Evry Health — BroadNetwork: $91.26 First Health — PPO: $167.15 Harbor Health Team — COMMPPO: $99.20
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: SPEC GRAV UR AUTO	$226	$226	$110.74
Urine test (automated, without microscope): 10 of 50 insurance plan rates BCBS — Traditional: $79.11 Cigna Lifesource — COMM: $71.92 Coastal Comp Health Networks — WORKERSCOMP: $161.20 Comanche County — LOCALGOV: $124 Covenant Management Systems — HMO: $66.22 Emerging Therapy Solutions — COMM: $156.24 Emerging Therapy Solutions — MGMCR: $110.74 Evry Health — BroadNetwork: $91.26 First Health — PPO: $141.86 Harbor Health Team — COMMPPO: $99.20
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostate specific antigen (PSA); total	$614	$614	$15.76 – $18.39
PSA (prostate specific antigen) blood test: 10 of 84 insurance plan rates Aetna — CSCAMCR: $18.39 Aetna — MCR: $18.55 Aetna Better Health — MCD: $19.47 American Health Plan of Texas — MGMCRHMO: $19.31 Amerigroup — CHIP: $25.19 Amerigroup — MCD: $25.19 Austin FC — WORKERSCOMP: $22.99 BCBS — BlueAdvantage: $42.85 BCBS — BlueEssentials: $78.89 BCBS — BlueEssentialsAccess: $78.89
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROS SPEC AG (PSA) TOTAL	$614	$614	$413.84
PSA (prostate specific antigen) blood test: 10 of 50 insurance plan rates BCBS — Traditional: $195.87 Cigna Lifesource — COMM: $178.06 Coastal Comp Health Networks — WORKERSCOMP: $399.10 Comanche County — LOCALGOV: $307 Covenant Management Systems — HMO: $163.94 Emerging Therapy Solutions — COMM: $386.82 Emerging Therapy Solutions — MGMCR: $300.86 Evry Health — BroadNetwork: $225.95 First Health — PPO: $413.84 Harbor Health Team — COMMPPO: $245.60
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH	$1,561	$1,561	$78.05 – $1,561
Thyroid stimulating hormone (TSH) test: 10 of 50 insurance plan rates BCBS — Traditional: $497.96 Cigna Lifesource — COMM: $452.69 Coastal Comp Health Networks — WORKERSCOMP: $1,014.65 Comanche County — LOCALGOV: $780.50 Covenant Management Systems — HMO: $416.79 Emerging Therapy Solutions — COMM: $983.43 Emerging Therapy Solutions — MGMCR: $696.78 Evry Health — BroadNetwork: $574.45 First Health — PPO: $892.89 Harbor Health Team — COMMPPO: $624.40
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid stimulating hormone (TSH)	Not listed in the file	Not listed in the file	$14.39 – $16.80
Thyroid stimulating hormone (TSH) test: 10 of 84 insurance plan rates Aetna — CSCAMCR: $16.80 Aetna — MCR: $16.94 Aetna Better Health — MCD: $17.78 American Health Plan of Texas — MGMCRHMO: $17.64 Amerigroup — CHIP: $23 Amerigroup — MCD: $23 Austin FC — WORKERSCOMP: $21 BCBS — BlueAdvantage: $39.14 BCBS — BlueEssentials: $72.07 BCBS — BlueEssentialsAccess: $72.07
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count	Not listed in the file	Not listed in the file	$6.66
Complete blood count (CBC) with differential: 10 of 89 insurance plan rates Aetna — ASA: $69.74 Aetna — COMM: $59.75 Aetna — CSCAMCR: $7.77 Aetna — MCR: $7.84 Aetna — Meritain: $59.75 Aetna — NarrowNetwork: $43.14 Aetna — OON: $70.33 Aetna Better Health — MCD: $8.23 American Health Plan of Texas — MGMCRHMO: $8.16 Amerigroup — CHIP: $10.64
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC AUTOMATED	$428	$428	$209.72
Complete blood count (CBC), automated: 10 of 50 insurance plan rates BCBS — Traditional: $136.53 Cigna Lifesource — COMM: $124.12 Coastal Comp Health Networks — WORKERSCOMP: $278.20 Comanche County — LOCALGOV: $214 Covenant Management Systems — HMO: $114.28 Emerging Therapy Solutions — COMM: $297.36 Emerging Therapy Solutions — MGMCR: $209.72 Evry Health — BroadNetwork: $157.50 First Health — PPO: $244.82 Harbor Health Team — COMMPPO: $171.20
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)	Not listed in the file	Not listed in the file	$5.54 – $6.47
Complete blood count (CBC), automated: 10 of 89 insurance plan rates Aetna — ASA: $58.06 Aetna — COMM: $49.74 Aetna — CSCAMCR: $6.47 Aetna — MCR: $6.52 Aetna — Meritain: $49.74 Aetna — NarrowNetwork: $35.92 Aetna — OON: $58.55 Aetna Better Health — MCD: $6.84 American Health Plan of Texas — MGMCRHMO: $6.79 Amerigroup — CHIP: $8.86
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME	$434	$434	$273.42
Blood clotting time test (prothrombin time, PT): 10 of 50 insurance plan rates BCBS — Traditional: $152.16 Cigna Lifesource — COMM: $138.33 Coastal Comp Health Networks — WORKERSCOMP: $310.05 Comanche County — LOCALGOV: $238.50 Covenant Management Systems — HMO: $127.36 Emerging Therapy Solutions — COMM: $273.42 Emerging Therapy Solutions — MGMCR: $212.66 Evry Health — BroadNetwork: $175.54 First Health — PPO: $272.84 Harbor Health Team — COMMPPO: $190.80
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time;	Not listed in the file	Not listed in the file	$3.67 – $4.29
Blood clotting time test (prothrombin time, PT): 10 of 89 insurance plan rates Aetna — ASA: $38.47 Aetna — COMM: $32.96 Aetna — CSCAMCR: $4.29 Aetna — MCR: $4.33 Aetna — Meritain: $32.96 Aetna — NarrowNetwork: $23.80 Aetna — OON: $38.79 Aetna Better Health — MCD: $4.54 American Health Plan of Texas — MGMCRHMO: $4.50 Amerigroup — CHIP: $5.38
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT	$588	$588	$396.31
Blood clotting test (partial thromboplastin time, PTT): 10 of 50 insurance plan rates BCBS — Traditional: $187.57 Cigna Lifesource — COMM: $170.52 Coastal Comp Health Networks — WORKERSCOMP: $382.20 Comanche County — LOCALGOV: $294 Covenant Management Systems — HMO: $157 Emerging Therapy Solutions — COMM: $370.44 Emerging Therapy Solutions — MGMCR: $318.99 Evry Health — BroadNetwork: $216.38 First Health — PPO: $396.31 Harbor Health Team — COMMPPO: $235.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time, partial (PTT); plasma or whole blood	Not listed in the file	Not listed in the file	$5.15 – $6.01
Blood clotting test (partial thromboplastin time, PTT): 10 of 89 insurance plan rates Aetna — ASA: $53.93 Aetna — COMM: $46.20 Aetna — CSCAMCR: $6.01 Aetna — MCR: $6.06 Aetna — Meritain: $46.20 Aetna — NarrowNetwork: $33.36 Aetna — OON: $54.38 Aetna Better Health — MCD: $6.36 American Health Plan of Texas — MGMCRHMO: $6.31 Amerigroup — CHIP: $8.21

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) In the file: CT HEAD/BRAIN W/O CONT	$4,984	$4,984	$3,359.22
CT scan of the head or brain, without contrast: 10 of 37 insurance plan rates BCBS — Traditional: $1,589.90 Cigna Lifesource — COMM: $1,445.36 Coastal Comp Health Networks — WORKERSCOMP: $3,239.60 Comanche County — LOCALGOV: $2,492 Emerging Therapy Solutions — COMM: $3,139.92 Emerging Therapy Solutions — MGMCR: $2,442.16 First Health — PPO: $3,359.22 HealthSmart Preferred Care — Accel: $2,741.20 HealthSmart Preferred Care — COMM: $3,987.20 Humana — HMO: $1,384.56
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Computed tomography, head or brain; without contrast material	Not listed in the file	Not listed in the file	$109.02
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates Aetna Better Health — MCD: $131.99 Amerigroup — CHIP: $171.08 Amerigroup — MCD: $171.08 BCBS — BlueAdvantage: $311.58 BCBS — BlueEssentials: $431.51 BCBS — BlueEssentialsAccess: $431.51 BCBS — CHIP: $109.99 BCBS — EPOSOA: $477.46 BCBS — MCD: $109.99 BCBS — MyBlueHealth: $300.37
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Computed tomography, head or brain; without contrast material CAT Scan	Not listed in the file	Not listed in the file	$1,678 – $2,739
CT scan of the head or brain, without contrast: rates for 5 insurance plans Aetna — ASA: $2,711 Aetna — COMM: $2,327 Aetna — Meritain: $2,327 Aetna — NarrowNetwork: $1,678 Aetna — OON: $2,739
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN W&WO CONT	$8,116	$8,116	$5,673.08
MRI of the brain, before and after contrast: 10 of 37 insurance plan rates BCBS — Traditional: $2,589 Cigna Lifesource — COMM: $2,353.64 Coastal Comp Health Networks — WORKERSCOMP: $5,275.40 Comanche County — LOCALGOV: $4,058 Emerging Therapy Solutions — COMM: $5,113.08 Emerging Therapy Solutions — MGMCR: $3,976.84 First Health — PPO: $5,673.08 HealthSmart Preferred Care — Accel: $4,463.80 HealthSmart Preferred Care — COMM: $6,492.80 Humana — HMO: $2,254.62
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and furth	$8,116	$8,116	$339.46
MRI of the brain, before and after contrast: 10 of 27 insurance plan rates Aetna — ASA: $3,088 Aetna — COMM: $2,652 Aetna — Meritain: $2,652 Aetna — NarrowNetwork: $1,911 Aetna — OON: $3,118 Aetna Better Health — MCD: $413.42 Amerigroup — CHIP: $811 Amerigroup — MCD: $811 BCBS — BlueAdvantage: $1,061.54 BCBS — BlueEssentials: $1,470.12
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST XRAY 2 V	$1,045	$1,045	$658.35
Chest X-ray, 2 views: 10 of 53 insurance plan rates Amerigroup — CHIP: $146.30 Amerigroup — MCD: $146.30 BCBS — Traditional: $333.36 Cigna Lifesource — COMM: $303.05 Coastal Comp Health Networks — WORKERSCOMP: $679.25 Comanche County — LOCALGOV: $522.50 Covenant Management Systems — HMO: $279.01 Curative Administrators — COMM: $418 Emerging Therapy Solutions — COMM: $658.35 Emerging Therapy Solutions — MGMCR: $512.05
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Radiologic examination, chest; 2 views	Not listed in the file	Not listed in the file	$34.42
Chest X-ray, 2 views: 10 of 25 insurance plan rates Aetna Better Health — MCD: $42.52 BCBS — BlueAdvantage: $144.46 BCBS — BlueEssentials: $207.51 BCBS — BlueEssentialsAccess: $207.51 BCBS — CHIP: $35.44 BCBS — EPOSOA: $225.86 BCBS — MCD: $35.44 BCBS — MyBlueHealth: $114.93 BCBS — PPO: $244.22 Cigna — HMO: $115.19
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier TC In the file: Radiologic examination, chest; 2 views	Not listed in the file	Not listed in the file	$141.47 – $230.62
Chest X-ray, 2 views: rates for 5 insurance plans Aetna — ASA: $228.68 Aetna — COMM: $195.93 Aetna — Meritain: $195.93 Aetna — NarrowNetwork: $141.47 Aetna — OON: $230.62
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR L-SPINE 4 + VIEWS	$1,783	$1,783	$873.67
X-ray of the lower spine, at least 4 views: 10 of 51 insurance plan rates BCBS — Traditional: $568.78 Cigna Lifesource — COMM: $517.07 Coastal Comp Health Networks — WORKERSCOMP: $1,158.95 Comanche County — LOCALGOV: $891.50 Covenant Management Systems — HMO: $476.06 Curative Administrators — COMM: $713.20 Emerging Therapy Solutions — COMM: $1,040.76 Emerging Therapy Solutions — MGMCR: $873.67 Evry Health — BroadNetwork: $656.14 First Health — PPO: $1,019.88
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views	Not listed in the file	Not listed in the file	$52.48
X-ray of the lower spine, at least 4 views: 10 of 27 insurance plan rates Aetna Better Health — MCD: $65.68 Amerigroup — CHIP: $39.02 Amerigroup — MCD: $39.02 BCBS — BlueAdvantage: $202.86 BCBS — BlueEssentials: $291.41 BCBS — BlueEssentialsAccess: $291.41 BCBS — CHIP: $54.74 BCBS — EPOSOA: $317.19 BCBS — MCD: $54.74 BCBS — MyBlueHealth: $161.40
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier TC In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views	Not listed in the file	Not listed in the file	$237.98 – $387.94
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans Aetna — ASA: $384.68 Aetna — COMM: $329.59 Aetna — Meritain: $329.59 Aetna — NarrowNetwork: $237.98 Aetna — OON: $387.94
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI L-SPINE W/O CONT	$7,458	$7,458	$5,026.69
MRI of the lower back (lumbar spine), without contrast: 10 of 37 insurance plan rates BCBS — Traditional: $2,379.10 Cigna Lifesource — COMM: $2,162.82 Coastal Comp Health Networks — WORKERSCOMP: $4,847.70 Comanche County — LOCALGOV: $3,729 Emerging Therapy Solutions — COMM: $4,698.54 Emerging Therapy Solutions — MGMCR: $3,654.42 First Health — PPO: $5,026.69 HealthSmart Preferred Care — Accel: $4,101.90 HealthSmart Preferred Care — COMM: $5,966.40 Humana — HMO: $2,071.83
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material MRI/MRA	$7,458	$7,458	$1,911 – $3,118
MRI of the lower back (lumbar spine), without contrast: 10 of 27 insurance plan rates Aetna — ASA: $3,088 Aetna — COMM: $2,652 Aetna — Meritain: $2,652 Aetna — NarrowNetwork: $1,911 Aetna — OON: $3,118 Aetna Better Health — MCD: $248.40 Amerigroup — CHIP: $418.07 Amerigroup — MCD: $418.07 BCBS — BlueAdvantage: $647.85 BCBS — BlueEssentials: $897.20
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/CONTRAST	$6,838	$6,838	$4,307.94
CT scan of the pelvis, with contrast: 10 of 37 insurance plan rates BCBS — Traditional: $2,181.32 Cigna Lifesource — COMM: $1,983.02 Coastal Comp Health Networks — WORKERSCOMP: $4,444.70 Comanche County — LOCALGOV: $3,419 Emerging Therapy Solutions — COMM: $4,307.94 Emerging Therapy Solutions — MGMCR: $3,105.62 First Health — PPO: $4,969.89 HealthSmart Preferred Care — Accel: $3,760.90 HealthSmart Preferred Care — COMM: $5,470.40 Humana — HMO: $1,899.60
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Computed tomography, pelvis; with contrast material(s)	Not listed in the file	Not listed in the file	$183.95
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates Aetna Better Health — MCD: $220.58 Amerigroup — CHIP: $244.59 Amerigroup — MCD: $244.59 BCBS — BlueAdvantage: $506.57 BCBS — BlueEssentials: $701.55 BCBS — BlueEssentialsAccess: $701.55 BCBS — CHIP: $183.81 BCBS — EPOSOA: $776.26 BCBS — MCD: $183.81 BCBS — MyBlueHealth: $488.35
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Computed tomography, pelvis; with contrast material(s) CAT Scan	Not listed in the file	Not listed in the file	$1,678 – $2,739
CT scan of the pelvis, with contrast: rates for 5 insurance plans Aetna — ASA: $2,711 Aetna — COMM: $2,327 Aetna — Meritain: $2,327 Aetna — NarrowNetwork: $1,678 Aetna — OON: $2,739
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material	Not listed in the file	Not listed in the file	$215.06
MRI of a leg joint (such as the knee), without contrast: 10 of 27 insurance plan rates Aetna — ASA: $3,088 Aetna — COMM: $2,652 Aetna — Meritain: $2,652 Aetna — NarrowNetwork: $1,911 Aetna — OON: $3,118 Aetna Better Health — MCD: $263.14 Amerigroup — CHIP: $360.06 Amerigroup — MCD: $360.06 BCBS — BlueAdvantage: $647.85 BCBS — BlueEssentials: $897.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier LT In the file: MRI LW JNT W/O CONT LT	$7,151	$7,151	$4,819.77
MRI of a leg joint (such as the knee), without contrast: 10 of 37 insurance plan rates BCBS — Traditional: $2,281.17 Cigna Lifesource — COMM: $2,073.79 Coastal Comp Health Networks — WORKERSCOMP: $4,648.15 Comanche County — LOCALGOV: $3,575.50 Emerging Therapy Solutions — COMM: $4,505.13 Emerging Therapy Solutions — MGMCR: $3,503.99 First Health — PPO: $4,819.77 HealthSmart Preferred Care — Accel: $3,933.05 HealthSmart Preferred Care — COMM: $5,720.80 Humana — HMO: $1,986.55
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier RT In the file: MRI LW JNT W/O CONT RT	$7,151	$7,151	$357.55 – $7,151
MRI of a leg joint (such as the knee), without contrast: 10 of 37 insurance plan rates BCBS — Traditional: $2,281.17 Cigna Lifesource — COMM: $2,073.79 Coastal Comp Health Networks — WORKERSCOMP: $4,648.15 Comanche County — LOCALGOV: $3,575.50 Emerging Therapy Solutions — COMM: $4,505.13 Emerging Therapy Solutions — MGMCR: $3,503.99 First Health — PPO: $4,090.37 HealthSmart Preferred Care — Accel: $3,933.05 HealthSmart Preferred Care — COMM: $5,720.80 Humana — HMO: $1,986.55
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD&PELVIS W/CONT	$15,623	$15,623	$10,529.90
CT scan of the abdomen and pelvis, with contrast: 10 of 37 insurance plan rates BCBS — Traditional: $4,983.74 Cigna Lifesource — COMM: $4,530.67 Coastal Comp Health Networks — WORKERSCOMP: $10,154.95 Comanche County — LOCALGOV: $7,811.50 Emerging Therapy Solutions — COMM: $9,842.49 Emerging Therapy Solutions — MGMCR: $7,655.27 First Health — PPO: $10,529.90 HealthSmart Preferred Care — Accel: $8,592.65 HealthSmart Preferred Care — COMM: $12,498.40 Humana — HMO: $4,340.07
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Computed tomography, abdomen and pelvis; with contrast material(s)	Not listed in the file	Not listed in the file	$324.45
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates Aetna Better Health — MCD: $393.22 Amerigroup — CHIP: $269.83 Amerigroup — MCD: $269.83 BCBS — BlueAdvantage: $1,061.54 BCBS — BlueEssentials: $1,470.12 BCBS — BlueEssentialsAccess: $1,470.12 BCBS — CHIP: $327.68 BCBS — EPOSOA: $1,626.68 BCBS — MCD: $327.68 BCBS — MyBlueHealth: $1,023.36
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Computed tomography, abdomen and pelvis; with contrast material(s) CAT Scan	Not listed in the file	Not listed in the file	$1,678 – $2,739
CT scan of the abdomen and pelvis, with contrast: rates for 5 insurance plans Aetna — ASA: $2,711 Aetna — COMM: $2,327 Aetna — Meritain: $2,327 Aetna — NarrowNetwork: $1,678 Aetna — OON: $2,739
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMPLETE	$2,238	$2,238	$1,564.36
Ultrasound of the abdomen, complete: 10 of 51 insurance plan rates BCBS — Traditional: $726.36 Cigna Lifesource — COMM: $660.33 Coastal Comp Health Networks — WORKERSCOMP: $1,480.05 Comanche County — LOCALGOV: $1,138.50 Covenant Management Systems — HMO: $607.96 Curative Administrators — COMM: $910.80 Emerging Therapy Solutions — COMM: $1,409.94 Emerging Therapy Solutions — MGMCR: $1,115.73 Evry Health — BroadNetwork: $837.94 First Health — PPO: $1,564.36
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Ultrasound, abdominal, real time with image documentation; complete	Not listed in the file	Not listed in the file	$109.02
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates Aetna Better Health — MCD: $131.99 Amerigroup — CHIP: $90.08 Amerigroup — MCD: $90.08 BCBS — BlueAdvantage: $202.86 BCBS — BlueEssentials: $291.41 BCBS — BlueEssentialsAccess: $291.41 BCBS — CHIP: $109.99 BCBS — EPOSOA: $317.19 BCBS — MCD: $109.99 BCBS — MyBlueHealth: $161.40
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier TC In the file: Ultrasound, abdominal, real time with image documentation; complete	Not listed in the file	Not listed in the file	$490.56 – $799.68
Ultrasound of the abdomen, complete: rates for 5 insurance plans Aetna — ASA: $792.96 Aetna — COMM: $679.39 Aetna — Meritain: $679.39 Aetna — NarrowNetwork: $490.56 Aetna — OON: $799.68
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG AFTER 1ST TRI	$2,458	$2,458	$122.90 – $2,458
Pregnancy ultrasound (after the first trimester): 10 of 51 insurance plan rates BCBS — Traditional: $784.10 Cigna Lifesource — COMM: $712.82 Coastal Comp Health Networks — WORKERSCOMP: $1,597.70 Comanche County — LOCALGOV: $1,229 Covenant Management Systems — HMO: $656.29 Curative Administrators — COMM: $983.20 Emerging Therapy Solutions — COMM: $1,548.54 Emerging Therapy Solutions — MGMCR: $1,204.42 Evry Health — BroadNetwork: $904.54 First Health — PPO: $1,405.98
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day	Not listed in the file	Not listed in the file	$109.02
Pregnancy ultrasound (after the first trimester): 10 of 22 insurance plan rates Aetna Better Health — MCD: $131.99 Amerigroup — CHIP: $124.63 Amerigroup — MCD: $124.63 BCBS — BlueAdvantage: $165.69 BCBS — BlueEssentials: $238 BCBS — BlueEssentialsAccess: $238 BCBS — CHIP: $109.99 BCBS — EPOSOA: $259.06 BCBS — MCD: $109.99 BCBS — MyBlueHealth: $131.82
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier TC In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day	Not listed in the file	Not listed in the file	$543.92 – $886.67
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans Aetna — ASA: $879.22 Aetna — COMM: $753.30 Aetna — Meritain: $753.30 Aetna — NarrowNetwork: $543.92 Aetna — OON: $886.67
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL	$893	$893	$601.88
Transvaginal ultrasound: 10 of 51 insurance plan rates BCBS — Traditional: $337.18 Cigna Lifesource — COMM: $306.53 Coastal Comp Health Networks — WORKERSCOMP: $687.05 Comanche County — LOCALGOV: $528.50 Covenant Management Systems — HMO: $282.22 Curative Administrators — COMM: $422.80 Emerging Therapy Solutions — COMM: $665.91 Emerging Therapy Solutions — MGMCR: $437.57 Evry Health — BroadNetwork: $388.98 First Health — PPO: $601.88
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound, transvaginal	Not listed in the file	Not listed in the file	$109.02
Transvaginal ultrasound: 10 of 22 insurance plan rates Aetna Better Health — MCD: $131.99 Amerigroup — CHIP: $73.25 Amerigroup — MCD: $73.25 BCBS — BlueAdvantage: $159.82 BCBS — BlueEssentials: $229.58 BCBS — BlueEssentialsAccess: $229.58 BCBS — CHIP: $109.99 BCBS — EPOSOA: $249.89 BCBS — MCD: $109.99 BCBS — MyBlueHealth: $127.15
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier TC In the file: Ultrasound, transvaginal	Not listed in the file	Not listed in the file	$539.84 – $880.01
Transvaginal ultrasound: rates for 5 insurance plans Aetna — ASA: $872.61 Aetna — COMM: $747.63 Aetna — Meritain: $747.63 Aetna — NarrowNetwork: $539.84 Aetna — OON: $880.01
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral	Not listed in the file	Not listed in the file	$139.87 – $205.70
Diagnostic mammogram, one breast: 10 of 60 insurance plan rates Aetna — CSCAMCR: $91.11 Aetna — MCR: $91.88 American Health Plan of Texas — MGMCRHMO: $95.67 Austin FC — WORKERSCOMP: $113.89 BCBS — BlueAdvantage: $170.25 BCBS — BlueEssentials: $244.56 BCBS — BlueEssentialsAccess: $244.56 BCBS — EPOSOA: $266.19 BCBS — MCRPPO: $91.11 BCBS — MGMCRHMO: $91.11
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier LT In the file: MAMMO DIAG CAD UNI LT	$451	$451	$303.97
Diagnostic mammogram, one breast: 10 of 53 insurance plan rates Amerigroup — CHIP: $63.14 Amerigroup — MCD: $63.14 BCBS — Traditional: $143.87 Cigna Lifesource — COMM: $130.79 Coastal Comp Health Networks — WORKERSCOMP: $293.15 Comanche County — LOCALGOV: $225.50 Covenant Management Systems — HMO: $120.42 Curative Administrators — COMM: $180.40 Emerging Therapy Solutions — COMM: $284.13 Emerging Therapy Solutions — MGMCR: $220.99
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier RT In the file: MAMMO DIAG CAD UNI RT	$451	$451	$22.55 – $451
Diagnostic mammogram, one breast: 10 of 53 insurance plan rates Amerigroup — CHIP: $63.14 Amerigroup — MCD: $63.14 BCBS — Traditional: $143.87 Cigna Lifesource — COMM: $130.79 Coastal Comp Health Networks — WORKERSCOMP: $293.15 Comanche County — LOCALGOV: $225.50 Covenant Management Systems — HMO: $120.42 Curative Administrators — COMM: $180.40 Emerging Therapy Solutions — COMM: $284.13 Emerging Therapy Solutions — MGMCR: $220.99
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral	$729	$729	$113.34 – $368.33
Diagnostic mammogram, both breasts: 10 of 60 insurance plan rates Aetna — CSCAMCR: $116.85 Aetna — MCR: $117.84 American Health Plan of Texas — MGMCRHMO: $122.69 Austin FC — WORKERSCOMP: $146.06 BCBS — BlueAdvantage: $217.87 BCBS — BlueEssentials: $312.96 BCBS — BlueEssentialsAccess: $312.96 BCBS — EPOSOA: $340.65 BCBS — MCRPPO: $116.85 BCBS — MGMCRHMO: $116.85
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MAMMO DIAG CAD BI	$729	$729	$357.21
Diagnostic mammogram, both breasts: 10 of 53 insurance plan rates Amerigroup — CHIP: $102.06 Amerigroup — MCD: $102.06 BCBS — Traditional: $232.55 Cigna Lifesource — COMM: $211.41 Coastal Comp Health Networks — WORKERSCOMP: $473.85 Comanche County — LOCALGOV: $364.50 Covenant Management Systems — HMO: $194.64 Curative Administrators — COMM: $291.60 Emerging Therapy Solutions — COMM: $459.27 Emerging Therapy Solutions — MGMCR: $357.21
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier TC In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral	$729	$729	$685.62 – $1,117.65
Diagnostic mammogram, both breasts: rates for 5 insurance plans Aetna — ASA: $1,108.26 Aetna — COMM: $949.53 Aetna — Meritain: $949.53 Aetna — NarrowNetwork: $685.62 Aetna — OON: $1,117.65
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed	$520	$520	$93.53 – $304.38
Screening mammogram, both breasts: 10 of 60 insurance plan rates Aetna — CSCAMCR: $96.42 Aetna — MCR: $97.24 American Health Plan of Texas — MGMCRHMO: $101.24 Austin FC — WORKERSCOMP: $120.53 BCBS — BlueAdvantage: $180.04 BCBS — BlueEssentials: $258.62 BCBS — BlueEssentialsAccess: $258.62 BCBS — EPOSOA: $281.50 BCBS — MCRPPO: $96.42 BCBS — MGMCRHMO: $96.42
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MAMMO SCR CAD BI	$520	$520	$350.48
Screening mammogram, both breasts: 10 of 53 insurance plan rates Amerigroup — CHIP: $72.80 Amerigroup — MCD: $72.80 BCBS — Traditional: $165.88 Cigna Lifesource — COMM: $150.80 Coastal Comp Health Networks — WORKERSCOMP: $338 Comanche County — LOCALGOV: $260 Covenant Management Systems — HMO: $138.84 Curative Administrators — COMM: $208 Emerging Therapy Solutions — COMM: $327.60 Emerging Therapy Solutions — MGMCR: $254.80
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier TC In the file: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed	$520	$520	$566.55 – $923.56
Screening mammogram, both breasts: rates for 5 insurance plans Aetna — ASA: $915.80 Aetna — COMM: $784.64 Aetna — Meritain: $784.64 Aetna — NarrowNetwork: $566.55 Aetna — OON: $923.56

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) In the file: Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report	Not listed in the file	Not listed in the file	$13.45 – $85.29
Electrocardiogram (ECG/EKG) with reading: rates for 9 insurance plans Amerigroup — CHIP: $18.98 Amerigroup — MCD: $18.98 BCBS — BlueAdvantage: $40.31 BCBS — BlueEssentials: $74.22 BCBS — BlueEssentialsAccess: $74.22 BCBS — EPOSOA: $79.75 BCBS — MyBlueHealth: $34.25 BCBS — PPO: $85.29 TriWest Health Alliance — TRCR: $13.45
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: CATH HRT LT/INJ L VENT	$21,847	$21,847	$10,705.03
Left heart catheterization (diagnostic): 10 of 36 insurance plan rates Amerigroup — CHIP: $3,058.58 Amerigroup — MCD: $3,058.58 BCBS — Traditional: $6,969.19 Cigna Lifesource — COMM: $6,335.63 Coastal Comp Health Networks — WORKERSCOMP: $14,200.55 Comanche County — LOCALGOV: $10,923.50 Emerging Therapy Solutions — COMM: $13,763.61 Emerging Therapy Solutions — MGMCR: $10,705.03 First Health — PPO: $12,496.48 HealthSmart Preferred Care — Accel: $12,015.85
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when pe	Not listed in the file	Not listed in the file	$5,528.90 – $17,384
Left heart catheterization (diagnostic): 10 of 40 insurance plan rates Aetna — ASA: $13,450 Aetna — COMM: $11,540 Aetna — Meritain: $11,540 Aetna — NarrowNetwork: $8,328 Aetna — OON: $13,578 BCBS — BlueAdvantage: $9,347.84 BCBS — BlueEssentials: $12,283.28 BCBS — BlueEssentialsAccess: $12,283.28 BCBS — EPOSOA: $14,278.25 BCBS — MyBlueHealth: $5,528.90
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · modifier 59 In the file: CATH HRT LT/INJ L VENT59	$21,847	$21,847	$10,705.03
Left heart catheterization (diagnostic): 10 of 36 insurance plan rates Amerigroup — CHIP: $3,058.58 Amerigroup — MCD: $3,058.58 BCBS — Traditional: $6,969.19 Cigna Lifesource — COMM: $6,335.63 Coastal Comp Health Networks — WORKERSCOMP: $14,200.55 Comanche County — LOCALGOV: $10,923.50 Emerging Therapy Solutions — COMM: $13,763.61 Emerging Therapy Solutions — MGMCR: $10,705.03 First Health — PPO: $14,724.88 HealthSmart Preferred Care — Accel: $12,015.85
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: EP W/O ARRHYTHMIA	$30,641	$30,641	$15,014.09
Heart rhythm study (electrophysiology evaluation): 10 of 39 insurance plan rates BCBS — Traditional: $9,774.48 Cigna — HMO: $10,479.22 Cigna — NewBusinessNetwork: $9,835.76 Cigna — OpenAccess: $10,479.22 Cigna — OpenAccessPlus: $10,479.22 Cigna — PPO: $12,562.81 Cigna Lifesource — COMM: $8,885.89 Coastal Comp Health Networks — WORKERSCOMP: $19,916.65 Comanche County — LOCALGOV: $15,320.50 Emerging Therapy Solutions — COMM: $19,303.83
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recor	$30,641	$30,641	$21,415 – $43,890
Heart rhythm study (electrophysiology evaluation): 10 of 36 insurance plan rates Aetna — ASA: $35,663 Aetna — COMM: $30,603 Aetna — Meritain: $30,603 Aetna — NarrowNetwork: $22,079 Aetna — OON: $36,002 Amerigroup — CHIP: $723.86 Amerigroup — MCD: $723.86 BCBS — BlueAdvantage: $17,833.70 BCBS — BlueEssentials: $28,192.55 BCBS — BlueEssentialsAccess: $28,192.55
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: COM EP REPO CTH TX AFIB	$106,297	$106,297	$14,881.58 – $106,297
Heart rhythm study with ablation for atrial fibrillation: 10 of 41 insurance plan rates Amerigroup — CHIP: $14,881.58 Amerigroup — MCD: $14,881.58 BCBS — Traditional: $33,908.74 Cigna — HMO: $36,353.57 Cigna — NewBusinessNetwork: $34,121.34 Cigna — OpenAccess: $36,353.57 Cigna — OpenAccessPlus: $36,353.57 Cigna — PPO: $43,581.77 Cigna Lifesource — COMM: $30,826.13 Coastal Comp Health Networks — WORKERSCOMP: $69,093.05
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters,	$106,297	$106,297	$8,710 – $55,788.29
Heart rhythm study with ablation for atrial fibrillation: 10 of 34 insurance plan rates Aetna — ASA: $35,663 Aetna — COMM: $30,603 Aetna — Meritain: $30,603 Aetna — NarrowNetwork: $8,328 Aetna — OON: $36,002 BCBS — BlueAdvantage: $35,966.08 BCBS — BlueEssentials: $50,475.12 BCBS — BlueEssentialsAccess: $50,475.12 BCBS — EPOSOA: $53,131.70 BCBS — MyBlueHealth: $34,535.61
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOMNOGRAPHY >4 PAR	$9,556	$9,556	$6,020.28
Sleep study (overnight, in a sleep lab): 10 of 61 insurance plan rates BCBS — Traditional: $3,018.06 Cigna — HMO: $3,235.66 Cigna — NewBusinessNetwork: $3,036.98 Cigna — OpenAccess: $3,235.66 Cigna — OpenAccessPlus: $3,235.66 Cigna — PPO: $3,879.01 Cigna Lifesource — COMM: $2,743.69 Coastal Comp Health Networks — WORKERSCOMP: $6,149.65 Comanche County — LOCALGOV: $4,730.50 Covenant Management Systems — HMO: $2,526.09
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist	Not listed in the file	Not listed in the file	$1,142 – $2,571
Sleep study (overnight, in a sleep lab): 10 of 11 insurance plan rates Amerigroup — CHIP: $352.57 Amerigroup — MCD: $352.57 BCBS — BlueAdvantage: $1,517.85 BCBS — BlueEssentials: $2,399.50 BCBS — BlueEssentialsAccess: $2,399.50 BCBS — EPOSOA: $2,639.95 BCBS — MyBlueHealth: $1,392.61 BCBS — PPO: $2,880.41 United — AllPayerAppendix: $2,571 United — NarrowNetworkHIX: $1,142
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · modifier TC In the file: Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist	Not listed in the file	Not listed in the file	$2,872.03 – $4,688.83
Sleep study (overnight, in a sleep lab): rates for 5 insurance plans Aetna — ASA: $4,642.95 Aetna — COMM: $3,986.89 Aetna — Meritain: $3,986.89 Aetna — NarrowNetwork: $2,872.03 Aetna — OON: $4,688.83

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexib	Not listed in the file	Not listed in the file	$28.95 – $189.68
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 64 insurance plan rates Aetna — ASA: $187.83 Aetna — COMM: $161.29 Aetna — CSCAMCR: $29.85 Aetna — MCR: $30.10 Aetna — Meritain: $161.29 Aetna — NarrowNetwork: $116.19 Aetna — OON: $189.68 American Health Plan of Texas — MGMCRHMO: $31.34 Amerigroup — CHIP: $34.30 Amerigroup — MCD: $34.30
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: THER EXERCISES 15 MIN PT	$167	$167	$112.56
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 49 insurance plan rates BCBS — Traditional: $53.27 Cigna Lifesource — COMM: $48.43 Coastal Comp Health Networks — WORKERSCOMP: $108.55 Comanche County — LOCALGOV: $83.50 Covenant Management Systems — HMO: $44.59 Emerging Therapy Solutions — COMM: $105.21 Emerging Therapy Solutions — MGMCR: $81.83 First Health — PPO: $112.56 Healthcare Highways — EPO: $48.60 Healthcare Highways — PPO: $50.10
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: THER EXERCISES 15 MIN OT	$145	$145	$71.05
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 49 insurance plan rates BCBS — Traditional: $46.26 Cigna Lifesource — COMM: $42.05 Coastal Comp Health Networks — WORKERSCOMP: $94.25 Comanche County — LOCALGOV: $72.50 Covenant Management Systems — HMO: $38.72 Emerging Therapy Solutions — COMM: $91.35 Emerging Therapy Solutions — MGMCR: $71.05 First Health — PPO: $97.73 Healthcare Highways — EPO: $42.20 Healthcare Highways — PPO: $43.50
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact	Not listed in the file	Not listed in the file	$97.58 – $645.39
Physical therapy evaluation (low complexity): 10 of 64 insurance plan rates Aetna — ASA: $639.08 Aetna — COMM: $548.77 Aetna — CSCAMCR: $100.60 Aetna — MCR: $101.46 Aetna — Meritain: $548.77 Aetna — NarrowNetwork: $395.32 Aetna — OON: $645.39 American Health Plan of Texas — MGMCRHMO: $105.63 Amerigroup — CHIP: $137.20 Amerigroup — MCD: $137.20
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT LOW COMPLEX	$258	$258	$12.90 – $258
Physical therapy evaluation (low complexity): 10 of 49 insurance plan rates BCBS — Traditional: $82.30 Cigna Lifesource — COMM: $74.82 Coastal Comp Health Networks — WORKERSCOMP: $167.70 Comanche County — LOCALGOV: $129 Covenant Management Systems — HMO: $68.89 Emerging Therapy Solutions — COMM: $162.54 Emerging Therapy Solutions — MGMCR: $102.41 First Health — PPO: $147.58 Healthcare Highways — EPO: $75.08 Healthcare Highways — PPO: $77.40
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP\|CQ In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact	Not listed in the file	Not listed in the file	$85.87 – $221.32
Physical therapy evaluation (low complexity): 10 of 50 insurance plan rates Aetna — CSCAMCR: $88.53 Aetna — MCR: $89.28 American Health Plan of Texas — MGMCRHMO: $92.95 Austin FC — WORKERSCOMP: $110.66 BCBS — MCRPPO: $88.53 BCBS — MGMCRHMO: $88.53 Cigna Healthspring — DualEligible: $88.53 Cigna Healthspring — MedicareAdvantageHMO: $88.53 Cigna Healthspring — PFFS: $88.53 Cigna Healthspring — POS: $88.53
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or	Not listed in the file	Not listed in the file	$97.58 – $645.39
Physical therapy evaluation (moderate complexity): 10 of 64 insurance plan rates Aetna — ASA: $639.08 Aetna — COMM: $548.77 Aetna — CSCAMCR: $100.60 Aetna — MCR: $101.46 Aetna — Meritain: $548.77 Aetna — NarrowNetwork: $395.32 Aetna — OON: $645.39 American Health Plan of Texas — MGMCRHMO: $105.63 Amerigroup — CHIP: $137.20 Amerigroup — MCD: $137.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT MOD COMPLEX	$270	$270	$132.30
Physical therapy evaluation (moderate complexity): 10 of 49 insurance plan rates BCBS — Traditional: $86.13 Cigna Lifesource — COMM: $78.30 Coastal Comp Health Networks — WORKERSCOMP: $175.50 Comanche County — LOCALGOV: $135 Covenant Management Systems — HMO: $72.09 Emerging Therapy Solutions — COMM: $201.60 Emerging Therapy Solutions — MGMCR: $132.30 First Health — PPO: $154.44 Healthcare Highways — EPO: $78.57 Healthcare Highways — PPO: $81
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP\|CQ In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or	Not listed in the file	Not listed in the file	$85.87 – $221.32
Physical therapy evaluation (moderate complexity): 10 of 50 insurance plan rates Aetna — CSCAMCR: $88.53 Aetna — MCR: $89.28 American Health Plan of Texas — MGMCRHMO: $92.95 Austin FC — WORKERSCOMP: $110.66 BCBS — MCRPPO: $88.53 BCBS — MGMCRHMO: $88.53 Cigna Healthspring — DualEligible: $88.53 Cigna Healthspring — MedicareAdvantageHMO: $88.53 Cigna Healthspring — PFFS: $88.53 Cigna Healthspring — POS: $88.53
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o	Not listed in the file	Not listed in the file	$97.58 – $645.39
Physical therapy evaluation (high complexity): 10 of 64 insurance plan rates Aetna — ASA: $639.08 Aetna — COMM: $548.77 Aetna — CSCAMCR: $100.60 Aetna — MCR: $101.46 Aetna — Meritain: $548.77 Aetna — NarrowNetwork: $395.32 Aetna — OON: $645.39 American Health Plan of Texas — MGMCRHMO: $105.63 Amerigroup — CHIP: $137.20 Amerigroup — MCD: $137.20
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT HIGH COMPLEX	$331	$331	$208.53
Physical therapy evaluation (high complexity): 10 of 49 insurance plan rates BCBS — Traditional: $105.59 Cigna Lifesource — COMM: $95.99 Coastal Comp Health Networks — WORKERSCOMP: $215.15 Comanche County — LOCALGOV: $165.50 Covenant Management Systems — HMO: $88.38 Emerging Therapy Solutions — COMM: $208.53 Emerging Therapy Solutions — MGMCR: $162.19 First Health — PPO: $256.12 Healthcare Highways — EPO: $96.32 Healthcare Highways — PPO: $99.30
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP\|CQ In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o	Not listed in the file	Not listed in the file	$85.87 – $221.32
Physical therapy evaluation (high complexity): 10 of 50 insurance plan rates Aetna — CSCAMCR: $88.53 Aetna — MCR: $89.28 American Health Plan of Texas — MGMCRHMO: $92.95 Austin FC — WORKERSCOMP: $110.66 BCBS — MCRPPO: $88.53 BCBS — MGMCRHMO: $88.53 Cigna Healthspring — DualEligible: $88.53 Cigna Healthspring — MedicareAdvantageHMO: $88.53 Cigna Healthspring — PFFS: $88.53 Cigna Healthspring — POS: $88.53
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy (without the patient present), 50 minutes	Not listed in the file	Not listed in the file	$71.60
Family psychotherapy, without the patient: rates for 2 insurance plans Amerigroup — CHIP: $71.60 Amerigroup — MCD: $71.60
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes	Not listed in the file	Not listed in the file	$75.38
Family psychotherapy, with the patient: rates for 2 insurance plans Amerigroup — CHIP: $75.38 Amerigroup — MCD: $75.38
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy (other than of a multiple-family group)	Not listed in the file	Not listed in the file	$19.25
Group psychotherapy: rates for 2 insurance plans Amerigroup — CHIP: $19.25 Amerigroup — MCD: $19.25

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19	Not listed in the file	Not listed in the file	$1,034.05 – $10,285
Removal of breast growth (open surgery): 10 of 52 insurance plan rates Aetna — ASA: $5,668 Aetna — COMM: $4,863 Aetna — Meritain: $4,863 Aetna — NarrowNetwork: $3,511 Aetna — OON: $5,722 Aetna Better Health — MCD: $1,349.12 Amerigroup — CHIP: $234.69 Amerigroup — MCD: $234.69 BCBS — BlueAdvantage: $5,332.01 BCBS — BlueEssentials: $7,482.99
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft	Not listed in the file	Not listed in the file	$1,462.96 – $26,482
Total hip replacement: 10 of 52 insurance plan rates Aetna — ASA: $5,668 Aetna — COMM: $4,863 Aetna — Meritain: $4,863 Aetna — NarrowNetwork: $3,511 Aetna — OON: $5,722 American Health Plan of Texas — MGMCRHMO: $12,000 Amerigroup — CHIP: $1,462.96 Amerigroup — MCD: $1,462.96 BCBS — BlueAdvantage: $31,893.90 BCBS — BlueEssentials: $43,437.59
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)	Not listed in the file	Not listed in the file	$929 – $51,768.09
Total knee replacement: 10 of 52 insurance plan rates Aetna — ASA: $5,668 Aetna — COMM: $4,863 Aetna — Meritain: $4,863 Aetna — NarrowNetwork: $3,511 Aetna — OON: $5,722 American Health Plan of Texas — MGMCRHMO: $12,000 Amerigroup — CHIP: $1,565.61 Amerigroup — MCD: $1,565.61 BCBS — BlueAdvantage: $31,893.90 BCBS — BlueEssentials: $43,437.59
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) rele	Not listed in the file	Not listed in the file	$1,444 – $17,365
Shoulder arthroscopy: shaving of shoulder bone: 10 of 35 insurance plan rates Aetna — ASA: $7,641 Aetna — COMM: $6,556 Aetna — Meritain: $6,556 Aetna — NarrowNetwork: $4,732 Aetna — OON: $7,714 Amerigroup — CHIP: $517.50 Amerigroup — MCD: $517.50 Cigna — HMO: $11,143 Cigna — NewBusinessNetwork: $10,441 Cigna — OpenAccess: $11,143
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articula	Not listed in the file	Not listed in the file	$1,167.76 – $11,764
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 52 insurance plan rates Aetna — ASA: $7,641 Aetna — COMM: $6,556 Aetna — Meritain: $6,556 Aetna — NarrowNetwork: $4,732 Aetna — OON: $7,714 Aetna Better Health — MCD: $1,523.58 Amerigroup — CHIP: $578.72 Amerigroup — MCD: $578.72 BCBS — BlueAdvantage: $4,817.91 BCBS — BlueEssentials: $6,761.50
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Tonsillectomy and adenoidectomy; younger than age 12	Not listed in the file	Not listed in the file	$198.61 – $5,722
Removal of tonsils and adenoids (under age 12): 10 of 52 insurance plan rates Aetna — ASA: $5,668 Aetna — COMM: $4,863 Aetna — Meritain: $4,863 Aetna — NarrowNetwork: $3,511 Aetna — OON: $5,722 Aetna Better Health — MCD: $2,735.91 Amerigroup — CHIP: $198.61 Amerigroup — MCD: $198.61 BCBS — BlueAdvantage: $8,536.93 BCBS — BlueEssentials: $11,980.81
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (sep	Not listed in the file	Not listed in the file	$359.42 – $5,947
Upper GI endoscopy (diagnostic): 10 of 52 insurance plan rates Aetna — ASA: $5,668 Aetna — COMM: $4,863 Aetna — Meritain: $4,863 Aetna — NarrowNetwork: $3,511 Aetna — OON: $5,722 Aetna Better Health — MCD: $468.93 Amerigroup — CHIP: $178.56 Amerigroup — MCD: $178.56 BCBS — BlueAdvantage: $1,383.22 BCBS — BlueEssentials: $1,941.22
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	Not listed in the file	Not listed in the file	$359.42 – $5,947
Upper GI endoscopy with biopsy: 10 of 52 insurance plan rates Aetna — ASA: $5,668 Aetna — COMM: $4,863 Aetna — Meritain: $4,863 Aetna — NarrowNetwork: $3,511 Aetna — OON: $5,722 Aetna Better Health — MCD: $468.93 Amerigroup — CHIP: $203.68 Amerigroup — MCD: $203.68 BCBS — BlueAdvantage: $1,383.22 BCBS — BlueEssentials: $1,941.22
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)	Not listed in the file	Not listed in the file	$352.49 – $5,947
Colonoscopy (diagnostic): 10 of 52 insurance plan rates Aetna — ASA: $5,668 Aetna — COMM: $4,863 Aetna — Meritain: $4,863 Aetna — NarrowNetwork: $3,511 Aetna — OON: $5,722 Aetna Better Health — MCD: $459.90 Amerigroup — CHIP: $226.67 Amerigroup — MCD: $226.67 BCBS — BlueAdvantage: $1,344.43 BCBS — BlueEssentials: $1,886.78
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with biopsy, single or multiple	Not listed in the file	Not listed in the file	$460.61 – $5,947
Colonoscopy with biopsy: 10 of 52 insurance plan rates Aetna — ASA: $5,668 Aetna — COMM: $4,863 Aetna — Meritain: $4,863 Aetna — NarrowNetwork: $3,511 Aetna — OON: $5,722 Aetna Better Health — MCD: $600.96 Amerigroup — CHIP: $253.67 Amerigroup — MCD: $253.67 BCBS — BlueAdvantage: $1,767.43 BCBS — BlueEssentials: $2,480.42
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique	Not listed in the file	Not listed in the file	$460.61 – $5,947
Colonoscopy with removal of polyps (snare): 10 of 52 insurance plan rates Aetna — ASA: $5,668 Aetna — COMM: $4,863 Aetna — Meritain: $4,863 Aetna — NarrowNetwork: $3,511 Aetna — OON: $5,722 Aetna Better Health — MCD: $600.96 Amerigroup — CHIP: $333.06 Amerigroup — MCD: $333.06 BCBS — BlueAdvantage: $1,767.43 BCBS — BlueEssentials: $2,480.42
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and	Not listed in the file	Not listed in the file	$460.61 – $5,947
Ultrasound of the lower bowel by endoscope: 10 of 52 insurance plan rates Aetna — ASA: $5,668 Aetna — COMM: $4,863 Aetna — Meritain: $4,863 Aetna — NarrowNetwork: $3,511 Aetna — OON: $5,722 Aetna Better Health — MCD: $600.96 Amerigroup — CHIP: $252.34 Amerigroup — MCD: $252.34 BCBS — BlueAdvantage: $1,767.43 BCBS — BlueEssentials: $2,480.42
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	Not listed in the file	Not listed in the file	$352.49 – $4,496
Screening colonoscopy (not high risk): 10 of 43 insurance plan rates Aetna Better Health — MCD: $413.91 Amerigroup — CHIP: $289.25 Amerigroup — MCD: $289.25 BCBS — BlueAdvantage: $1,344.43 BCBS — BlueEssentials: $1,886.78 BCBS — BlueEssentialsAccess: $1,886.78 BCBS — CHIP: $344.93 BCBS — EPOSOA: $1,986.09 BCBS — MCD: $344.93 BCBS — MyBlueHealth: $1,290.96
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical; cholecystectomy	Not listed in the file	Not listed in the file	$508.41 – $13,329
Gallbladder removal by laparoscope: 10 of 52 insurance plan rates Aetna — ASA: $10,643 Aetna — COMM: $9,132 Aetna — Meritain: $9,132 Aetna — NarrowNetwork: $6,589 Aetna — OON: $10,744 Aetna Better Health — MCD: $2,644.39 Amerigroup — CHIP: $508.41 Amerigroup — MCD: $508.41 BCBS — BlueAdvantage: $8,507.33 BCBS — BlueEssentials: $11,939.26
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair initial inguinal hernia, age 5 years or older; reducible	Not listed in the file	Not listed in the file	$1,235.65 – $11,764
Groin (inguinal) hernia repair, age 5 or older: 10 of 52 insurance plan rates Aetna — ASA: $5,668 Aetna — COMM: $4,863 Aetna — Meritain: $4,863 Aetna — NarrowNetwork: $3,511 Aetna — OON: $5,722 Aetna Better Health — MCD: $1,612.16 Amerigroup — CHIP: $289.23 Amerigroup — MCD: $289.23 BCBS — BlueAdvantage: $5,472.44 BCBS — BlueEssentials: $7,680.07
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy, prostate; needle or punch, single or multiple, any approach	Not listed in the file	Not listed in the file	$700.49 – $4,304
Prostate biopsy: 10 of 33 insurance plan rates Aetna Better Health — MCD: $913.92 Amerigroup — CHIP: $90.62 Amerigroup — MCD: $90.62 BCBS — CHIP: $685.44 BCBS — MCD: $685.44 Cigna — HMO: $3,598 Cigna — NewBusinessNetwork: $3,375 Cigna — OpenAccess: $3,598 Cigna — OpenAccessPlus: $3,598 Cigna — PPO: $4,304
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed;	Not listed in the file	Not listed in the file	$8,681 – $10,177
Prostate removal by laparoscope (radical prostatectomy): 10 of 42 insurance plan rates Aetna — ASA: $10,643 Aetna — COMM: $9,132 Aetna — Meritain: $9,132 Aetna — NarrowNetwork: $6,589 Aetna — OON: $10,744 Amerigroup — CHIP: $1,173.47 Amerigroup — MCD: $1,173.47 BCBS — BlueAdvantage: $14,807.07 BCBS — BlueEssentials: $20,780.38 BCBS — BlueEssentialsAccess: $20,780.38
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C	Not listed in the file	Not listed in the file	$4,836 – $6,046
Hysteroscopy with biopsy of the uterus lining: 10 of 52 insurance plan rates Aetna — ASA: $5,668 Aetna — COMM: $4,863 Aetna — Meritain: $4,863 Aetna — NarrowNetwork: $3,511 Aetna — OON: $5,722 Aetna Better Health — MCD: $1,488.93 Amerigroup — CHIP: $206.62 Amerigroup — MCD: $206.62 BCBS — BlueAdvantage: $4,396.66 BCBS — BlueEssentials: $6,170.31
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neur	Not listed in the file	Not listed in the file	$282.06 – $14,612
Spinal injection, lower back (epidural), with imaging guidance: 10 of 50 insurance plan rates Aetna — ASA: $5,668 Aetna — COMM: $4,863 Aetna — Meritain: $4,863 Aetna — NarrowNetwork: $3,511 Aetna — OON: $5,722 Aetna Better Health — MCD: $368 BCBS — BlueAdvantage: $1,100.09 BCBS — BlueEssentials: $1,543.87 BCBS — BlueEssentialsAccess: $1,543.87 BCBS — CHIP: $276
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, sing	Not listed in the file	Not listed in the file	$365.66 – $51,322
Nerve root injection, lower back, with imaging guidance: 10 of 54 insurance plan rates Aetna — ASA: $5,668 Aetna — COMM: $4,863 Aetna — Meritain: $4,863 Aetna — NarrowNetwork: $3,511 Aetna — OON: $5,722 Aetna Better Health — MCD: $477.08 Amerigroup — CHIP: $149.16 Amerigroup — MCD: $149.16 BCBS — BlueAdvantage: $1,429.21 BCBS — BlueEssentials: $2,005.76
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier 50 In the file: BLOCK L-SPINE SGL BI	$19,157	$19,157	$9,386.93
Nerve root injection, lower back, with imaging guidance: 10 of 33 insurance plan rates BCBS — Traditional: $6,111.08 Cigna Lifesource — COMM: $5,555.53 Coastal Comp Health Networks — WORKERSCOMP: $12,452.05 Comanche County — LOCALGOV: $9,578.50 Emerging Therapy Solutions — COMM: $12,068.91 Emerging Therapy Solutions — MGMCR: $9,386.93 First Health — PPO: $12,911.82 HealthSmart Preferred Care — Accel: $10,536.35 HealthSmart Preferred Care — COMM: $15,325.60 Humana — HMO: $5,321.81
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · modifier RT In the file: BLOCK L-SPINE SGL RT	$9,580	$9,580	$6,035.40
Nerve root injection, lower back, with imaging guidance: 10 of 33 insurance plan rates BCBS — Traditional: $3,056.02 Cigna Lifesource — COMM: $2,778.20 Coastal Comp Health Networks — WORKERSCOMP: $6,227 Comanche County — LOCALGOV: $4,790 Emerging Therapy Solutions — COMM: $6,035.40 Emerging Therapy Solutions — MGMCR: $4,694.20 First Health — PPO: $5,479.76 HealthSmart Preferred Care — Accel: $5,269 HealthSmart Preferred Care — COMM: $7,664 Humana — HMO: $2,661.32
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel	Not listed in the file	Not listed in the file	$708.15 – $10,285
Carpal tunnel release: 10 of 52 insurance plan rates Aetna — ASA: $5,668 Aetna — COMM: $4,863 Aetna — Meritain: $4,863 Aetna — NarrowNetwork: $3,511 Aetna — OON: $5,722 Aetna Better Health — MCD: $923.92 Amerigroup — CHIP: $273.45 Amerigroup — MCD: $273.45 BCBS — BlueAdvantage: $3,026.06 BCBS — BlueEssentials: $4,246.79
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or	Not listed in the file	Not listed in the file	$223.54 – $4,496
Laser treatment of clouding after cataract surgery: 10 of 52 insurance plan rates Aetna — ASA: $5,668 Aetna — COMM: $4,863 Aetna — Meritain: $4,863 Aetna — NarrowNetwork: $3,511 Aetna — OON: $5,722 Aetna Better Health — MCD: $291.66 Amerigroup — CHIP: $281.74 Amerigroup — MCD: $281.74 BCBS — BlueAdvantage: $892.20 BCBS — BlueEssentials: $1,252.12
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irriga	Not listed in the file	Not listed in the file	$912.02 – $10,285
Cataract removal with lens implant: 10 of 52 insurance plan rates Aetna — ASA: $5,668 Aetna — COMM: $4,863 Aetna — Meritain: $4,863 Aetna — NarrowNetwork: $3,511 Aetna — OON: $5,722 Aetna Better Health — MCD: $1,189.92 Amerigroup — CHIP: $811 Amerigroup — MCD: $811 BCBS — BlueAdvantage: $3,558.47 BCBS — BlueEssentials: $4,993.99

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) In the file: Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care	Not listed in the file	Not listed in the file	$929 – $18,881.87
Vaginal delivery, with care before and after: 10 of 28 insurance plan rates Aetna — ASA: $5,668 Aetna — COMM: $4,863 Aetna — Meritain: $4,863 Aetna — NarrowNetwork: $3,511 Aetna — OON: $5,722 Amerigroup — CHIP: $1,283.57 Amerigroup — MCD: $1,283.57 BCBS — BlueAdvantage: $14,047.07 BCBS — BlueEssentials: $16,442.69 BCBS — BlueEssentialsAccess: $16,442.69
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Routine obstetric care including antepartum care, cesarean delivery, and postpartum care	Not listed in the file	Not listed in the file	$3,346 – $20,934.76
Cesarean delivery (C-section), with care before and after: 10 of 28 insurance plan rates Aetna — ASA: $5,668 Aetna — COMM: $4,863 Aetna — Meritain: $4,863 Aetna — NarrowNetwork: $3,511 Aetna — OON: $5,722 Amerigroup — CHIP: $1,454.89 Amerigroup — MCD: $1,454.89 BCBS — BlueAdvantage: $15,574.30 BCBS — BlueEssentials: $18,230.38 BCBS — BlueEssentialsAccess: $18,230.38
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after p	Not listed in the file	Not listed in the file	$929 – $19,813.03
Vaginal delivery after a previous C-section, with care before and after: 10 of 28 insurance plan rates Aetna — ASA: $5,668 Aetna — COMM: $4,863 Aetna — Meritain: $4,863 Aetna — NarrowNetwork: $3,511 Aetna — OON: $5,722 Amerigroup — CHIP: $1,356.34 Amerigroup — MCD: $1,356.34 BCBS — BlueAdvantage: $14,739.80 BCBS — BlueEssentials: $17,253.56 BCBS — BlueEssentialsAccess: $17,253.56

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) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA	Not listed in the file	Not listed in the file	$1,000 – $246,856.35
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 129 insurance plan rates Aetna — ASA: $124,418 Aetna — COMM: $106,755 Aetna — CSCAMCR: $80,095.92 Aetna — MCR: $75,290.17 Aetna — Meritain: $106,755 Aetna — NarrowNetwork: $77,025 Aetna — OON: $125,597 Altus Hospice (Hospice of the Hills) — MCR: $68,653.65 American Health Plan of Texas — MGMCRHMO: $80,095.92 Angel Heart Hospice — COMM: $76,281.83
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT	Not listed in the file	Not listed in the file	$1,275 – $6,141
Hip or knee replacement (major joint of the leg), without major complications: 10 of 127 insurance plan rates Aetna — ASA: $6,082 Aetna — COMM: $5,218 Aetna — CSCAMCR: $17,597.50 Aetna — MCR: $16,541.65 Aetna — Meritain: $5,218 Aetna — NarrowNetwork: $3,765 Aetna — OON: $6,141 Altus Hospice (Hospice of the Hills) — MCR: $15,083.57 American Health Plan of Texas — MGMCRHMO: $1,275 Angel Heart Hospice — COMM: $16,759.52
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT Inpatient Outside Transplant	Not listed in the file	Not listed in the file	$18,435.47
Hip or knee replacement (major joint of the leg), without major complications: rates for 3 insurance plans American Health Plan of Texas — MGMCRHMO: $18,435.47 Cigna Lifesource — COMM: 54% (a percentage in the contract, not a dollar amount) Emerging Therapy Solutions — MGMCR: 49% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$1,000 – $73,024.18
Neck (cervical) spinal fusion, without complications: 10 of 127 insurance plan rates Aetna — ASA: $16,173 Aetna — COMM: $13,878 Aetna — CSCAMCR: $21,674.98 Aetna — MCR: $20,374.48 Aetna — Meritain: $13,878 Aetna — NarrowNetwork: $10,013 Aetna — OON: $16,327 Altus Hospice (Hospice of the Hills) — MCR: $18,578.56 American Health Plan of Texas — MGMCRHMO: $21,674.98 Angel Heart Hospice — COMM: $20,642.84
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Trauma	Not listed in the file	Not listed in the file	$22,707.12
Neck (cervical) spinal fusion, without complications: rates for 1 insurance plan American Health Plan of Texas — MGMCRHMO: $22,707.12
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Non Transplant Related Services	Not listed in the file	Not listed in the file	Not listed in the file
Neck (cervical) spinal fusion, without complications: rates for 1 insurance plan Cigna Lifesource — COMM: 38% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$3,765
Uterus and ovary surgery (not for cancer), without complications: 10 of 123 insurance plan rates Aetna — CSCAMCR: $12,121.05 Aetna — MCR: $11,393.79 Aetna — NarrowNetwork: $3,765 Altus Hospice (Hospice of the Hills) — MCR: $10,389.47 American Health Plan of Texas — MGMCRHMO: $1,275 Angel Heart Hospice — COMM: $11,543.86 Aseracare Hospice — COMM: $11,543.86 Austin FC — WORKERSCOMP: $14,429.83 BCBS — BlueAdvantage: $12,116.43 BCBS — BlueEssentials: $17,945.82
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Trauma	Not listed in the file	Not listed in the file	$12,698.25
Uterus and ovary surgery (not for cancer), without complications: rates for 1 insurance plan American Health Plan of Texas — MGMCRHMO: $12,698.25
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Other Inpatient Outside Transplant Zone 4	Not listed in the file	Not listed in the file	Not listed in the file
Uterus and ovary surgery (not for cancer), without complications: rates for 1 insurance plan Cigna Lifesource — COMM: 29% (a percentage in the contract, not a dollar amount)

Source: St David's South Austin Medical Center’s standard charges file (stctrprodsnsvc00455826e6.blob.core.windows.net, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 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	Acute Care Hospital
Address	901 West Ben White Blvd, Austin, TX 78704
County	Travis County
State	Texas
Phone	(512) 448‑7107
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	450713
Name in Medicare records	ST DAVID'S SOUTH AUSTIN MEDICAL CENTER
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(512) 447‑2211^[4]
Official website	stdavids.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

St. David's South Austin Medical Center — stdavids.com
For Visitors — stdavids.com
About Us — stdavids.com