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Acute Care Hospital

Starr County Memorial Hospital

Rio Grande City, Texas · Starr County · Emergency services listed

Summary

Starr County Memorial Hospital is an acute care hospital in Rio Grande City, Texas. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 59 services, specialties and programs. Medicare lists 77 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Call(956) 487‑5561 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
48Beds (hospital website)
77Doctors and clinicians
59Services listed

Quick answers

Does Starr County Memorial Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Starr County Memorial Hospital. In a medical emergency, call 911.
Where is Starr County Memorial Hospital?
128 N FM Rd 3167, Rio Grande City, TX 78582, in Starr County, Texas.
What is the phone number of Starr County Memorial Hospital?
(956) 487-5561, as listed by Medicare (CMS).
What is the Medicare star rating of Starr County Memorial Hospital?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][6][12][14][15][16][18][21]

Treatments[4][9][10][11][14]

  • Wound care
  • Nutrition counseling
  • Vascular studies
  • Echocardiograms
  • Resting electrocardiogram
  • 24-hour ambulatory Holter monitor
  • Pulmonary function studies
  • Arterial blood gases
  • Inhalation therapy
  • Oxygen therapy
  • CPAP/BIPAP
  • Ventilator therapy
  • Chest physiotherapy
  • CT scan
  • CT angiography (CTA)
  • DXA scan (bone density)
  • Digital mammogram
  • MRI

Procedures[7][12][16][18]

Programs and centers[4][6][7][15][17][19]

  • Nursery
  • Outpatient care
  • 24-hour emergency department
  • Labor and delivery
  • Postpartum care
  • Telemetry care
  • EMS (911 ambulance service for Starr County)

Emergency care (hospital website)[4][6][15]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel 4

Visiting and practical information

VisitingVisiting hours 8 a.m. to 9 p.m[5]

Recognition[7][14][20]

  • Level I Neonatal Facility Designation (Texas Department of Health and Human Services)
  • Level I Maternal Facility Designation (Texas Health and Human Services Department)
  • CLIA accredited laboratory

Doctors and clinicians (77)

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

Main specialties

Doctors with a page on this site (77)

And 53 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

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

What patients said (patient survey)

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

Summary star rating (all survey topics)Not reported to Medicare
Overall rating of the hospitalNot reported to Medicare
Would recommend the hospitalNot reported to Medicare
Nurses communicated wellNot reported to Medicare
Doctors communicated wellNot reported to Medicare
Staff explained medicinesNot reported to Medicare
Information about recovery at homeNot reported to Medicare
Room and bathroom kept cleanNot reported to Medicare
Quiet at nightNot reported to Medicare
Rated the hospital 9 or 10 out of 1067%National average: 72%
Would definitely recommend the hospital62%National average: 71%
Nurses “always” communicated well82%National average: 80%
Doctors “always” communicated well84%National average: 80%
Staff “always” explained medicines before giving them71%National average: 62%
Were given information about recovery at home90%National average: 86%
Room and bathroom “always” clean82%National average: 74%
Area around the room “always” quiet at night72%National average: 60%
Completed surveys62Response rate: 8%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0.785No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patientsToo few cases to report
Deaths within 30 days: pneumonia patients13.8%
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)Too few cases to report
Complications after hip or knee replacementNot reported to Medicare

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackNot reported to Medicare
Readmitted within 30 days: heart failure20.7%
Readmitted within 30 days: pneumonia17.5%
Readmitted within 30 days: COPD20.1%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)188 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)52%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in TexasBest hospitals in Texas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 49 common services exactly as Starr County Memorial Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: 99203 OV NP L-3 $180 $180 $156.60 – $180
New patient office visit (about 30–44 minutes): rates for 3 insurance plans
  • Aetna — Default: $156.60
  • Blue Cross Blue Shield of TX — Default: $180
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $180
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OV W/ CLINICAL BREAST EXAM AND PELVIC EX $102.90 $102.90 $89.52 – $102.90
New patient office visit (about 30–44 minutes): rates for 3 insurance plans
  • Aetna — Default: $89.52
  • Blue Cross Blue Shield of TX — Default: $102.90
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $102.90
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: 99203 OV NP L-3 SLIDING FEE SCALE $80 $80 $69.60 – $80
New patient office visit (about 30–44 minutes): rates for 3 insurance plans
  • Aetna — Default: $69.60
  • Blue Cross Blue Shield of TX — Default: $80
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $80
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: 99204 OV NP L-4 $220 $220 $191.40 – $220
New patient office visit (about 45–59 minutes): rates for 3 insurance plans
  • Aetna — Default: $191.40
  • Blue Cross Blue Shield of TX — Default: $220
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $220
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: 99204 OV NP L-4 COMM INS $240 $240 $208.80 – $240
New patient office visit (about 45–59 minutes): rates for 3 insurance plans
  • Aetna — Default: $208.80
  • Blue Cross Blue Shield of TX — Default: $240
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $240
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: 99205 OV NP L-5 $260 $260 $226.20 – $260
New patient office visit (about 60–74 minutes): rates for 3 insurance plans
  • Aetna — Default: $226.20
  • Blue Cross Blue Shield of TX — Default: $260
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $260
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: 99205 OV NP L-5 COMM INS $285 $285 $247.95 – $285
New patient office visit (about 60–74 minutes): rates for 3 insurance plans
  • Aetna — Default: $247.95
  • Blue Cross Blue Shield of TX — Default: $285
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $285
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: OP VISIT LEVEL 3 $275 $275 $221.17 – $275
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans
  • Aetna — Default: $239.25
  • Blue Cross Blue Shield of TX — Default: $221.17
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $275
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: LEVEL 3 EST. PT VISIT $250 $250 $217.50 – $250
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans
  • Aetna — Default: $217.50
  • Blue Cross Blue Shield of TX — Default: $221.17
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $250
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: 99213 OV EP L-3 $135 $135 $117.45 – $135
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans
  • Aetna — Default: $117.45
  • Blue Cross Blue Shield of TX — Default: $135
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $135
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: OP VISIT LEVEL 4 $350 $350 $304.50 – $350
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans
  • Aetna — Default: $304.50
  • Blue Cross Blue Shield of TX — Default: $338.60
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $350
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: LEVEL 4 EST. PT VISIT $272 $272 $236.64 – $272
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans
  • Aetna — Default: $236.64
  • Blue Cross Blue Shield of TX — Default: $272
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $272
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: 99214 OV EP L-4 $180 $180 $156.60 – $180
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans
  • Aetna — Default: $156.60
  • Blue Cross Blue Shield of TX — Default: $180
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $180
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: 99385 NP 18-39 YO $110 $110 $95.70 – $110
Preventive checkup, new patient, age 18–39: rates for 3 insurance plans
  • Aetna — Default: $95.70
  • Blue Cross Blue Shield of TX — Default: $110
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $110
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: 99386 NP 40-64 YO $110 $110 $95.70 – $110
Preventive checkup, new patient, age 40–64: rates for 3 insurance plans
  • Aetna — Default: $95.70
  • Blue Cross Blue Shield of TX — Default: $110
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $110
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: ER VISIT - LEVEL III $1,020 $1,020 $273.43 – $931.18
Emergency room visit (moderate): rates for 9 insurance plans
  • Aetna — Default: $887.40
  • Aetna — Medicare Advantage: $287.82
  • Blue Cross Blue Shield of TX — Default: $931.18
  • Molina Healthcare of Texas — HMO: $800
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $577.83
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $287.82
  • Superior Health Plan MCR Adv — Medicare Advantage: $296.45
  • UHC Community Plan TX — Medicaid Replacement: $273.43
  • UHC MedicareComplete — Medicare Advantage: $273.43
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: ER VISIT - LEVEL IV $1,585 $1,585 $417.94 – $1,585
Emergency room visit (moderately high): rates for 9 insurance plans
  • Aetna — Default: $1,378.95
  • Aetna — Medicare Advantage: $439.94
  • Blue Cross Blue Shield of TX — Default: $1,511
  • Molina Healthcare of Texas — HMO: $800
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $1,585
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $439.94
  • Superior Health Plan MCR Adv — Medicare Advantage: $453.14
  • UHC Community Plan TX — Medicaid Replacement: $417.94
  • UHC MedicareComplete — Medicare Advantage: $417.94
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: ER VISIT - LEVEL V $2,300 $2,300 $596.51 – $2,300
Emergency room visit (high): rates for 9 insurance plans
  • Aetna — Default: $2,001
  • Aetna — Medicare Advantage: $627.91
  • Blue Cross Blue Shield of TX — Default: $2,213.61
  • Molina Healthcare of Texas — HMO: $800
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $2,300
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $627.91
  • Superior Health Plan MCR Adv — Medicare Advantage: $646.74
  • UHC Community Plan TX — Medicaid Replacement: $596.51
  • UHC MedicareComplete — Medicare Advantage: $596.51

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: BASIC METABOLIC PANEL $27 $27 $7.32 – $27
Basic metabolic panel (blood test): rates for 9 insurance plans
  • Aetna — Default: $23.49
  • Aetna — Medicare Advantage: $8.29
  • Blue Cross Blue Shield of TX — Default: $27
  • Molina Healthcare of Texas — HMO: $10.15
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $7.32
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $8.29
  • Superior Health Plan MCR Adv — Medicare Advantage: $8.54
  • UHC Community Plan TX — Medicaid Replacement: $7.88
  • UHC MedicareComplete — Medicare Advantage: $7.88
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: COMPREHENSIVE METABOLI $34 $34 $9.14 – $34
Comprehensive metabolic panel (blood test): rates for 9 insurance plans
  • Aetna — Default: $29.58
  • Aetna — Medicare Advantage: $10.35
  • Blue Cross Blue Shield of TX — Default: $34
  • Molina Healthcare of Texas — HMO: $12.67
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $9.14
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $10.35
  • Superior Health Plan MCR Adv — Medicare Advantage: $10.66
  • UHC Community Plan TX — Medicaid Replacement: $9.83
  • UHC MedicareComplete — Medicare Advantage: $9.83
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: LIPID PANEL $44 $44 $11.59 – $44
Cholesterol panel (lipid panel): rates for 9 insurance plans
  • Aetna — Default: $38.28
  • Aetna — Medicare Advantage: $13.12
  • Blue Cross Blue Shield of TX — Default: $44
  • Molina Healthcare of Texas — HMO: $16.07
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $11.59
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $13.12
  • Superior Health Plan MCR Adv — Medicare Advantage: $13.51
  • UHC Community Plan TX — Medicaid Replacement: $12.47
  • UHC MedicareComplete — Medicare Advantage: $12.47
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: RENAL PANEL $28 $28 $7.51 – $28
Kidney function panel: rates for 9 insurance plans
  • Aetna — Default: $24.36
  • Aetna — Medicare Advantage: $8.51
  • Blue Cross Blue Shield of TX — Default: $28
  • Molina Healthcare of Texas — HMO: $10.42
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $7.51
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $8.51
  • Superior Health Plan MCR Adv — Medicare Advantage: $8.76
  • UHC Community Plan TX — Medicaid Replacement: $8.08
  • UHC MedicareComplete — Medicare Advantage: $8.08
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HEPATIC FUNCTION PANEL $27 $27 $7.07 – $27
Liver function panel: rates for 9 insurance plans
  • Aetna — Default: $23.49
  • Aetna — Medicare Advantage: $8.01
  • Blue Cross Blue Shield of TX — Default: $27
  • Molina Healthcare of Texas — HMO: $9.80
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $7.07
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $8.01
  • Superior Health Plan MCR Adv — Medicare Advantage: $8.25
  • UHC Community Plan TX — Medicaid Replacement: $7.60
  • UHC MedicareComplete — Medicare Advantage: $7.60
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: URINALYSIS $10 $10 $2.74 – $10
Urine test (automated, with microscope): rates for 9 insurance plans
  • Aetna — Default: $8.70
  • Aetna — Medicare Advantage: $3.11
  • Blue Cross Blue Shield of TX — Default: $10
  • Molina Healthcare of Texas — HMO: $3.80
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $2.74
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $3.11
  • Superior Health Plan MCR Adv — Medicare Advantage: $3.20
  • UHC Community Plan TX — Medicaid Replacement: $2.95
  • UHC MedicareComplete — Medicare Advantage: $2.95
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: SPECIFIC GRAVITY URIN $7 $7 $3.01 – $7
Urine test (manual, without microscope): rates for 9 insurance plans
  • Aetna — Default: $6.09
  • Aetna — Medicare Advantage: $3.41
  • Blue Cross Blue Shield of TX — Default: $7
  • Molina Healthcare of Texas — HMO: $4.18
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $3.01
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $3.41
  • Superior Health Plan MCR Adv — Medicare Advantage: $3.51
  • UHC Community Plan TX — Medicaid Replacement: $3.24
  • UHC MedicareComplete — Medicare Advantage: $3.24
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS (60) $14.50 $14.50 $3.01 – $14.50
Urine test (manual, without microscope): rates for 9 insurance plans
  • Aetna — Default: $12.62
  • Aetna — Medicare Advantage: $3.41
  • Blue Cross Blue Shield of TX — Default: $14.50
  • Molina Healthcare of Texas — HMO: $4.18
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $3.01
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $3.41
  • Superior Health Plan MCR Adv — Medicare Advantage: $3.51
  • UHC Community Plan TX — Medicaid Replacement: $3.24
  • UHC MedicareComplete — Medicare Advantage: $3.24
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS (70) $14.50 $14.50 $3.01 – $14.50
Urine test (manual, without microscope): rates for 9 insurance plans
  • Aetna — Default: $12.62
  • Aetna — Medicare Advantage: $3.41
  • Blue Cross Blue Shield of TX — Default: $14.50
  • Molina Healthcare of Texas — HMO: $4.18
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $3.01
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $3.41
  • Superior Health Plan MCR Adv — Medicare Advantage: $3.51
  • UHC Community Plan TX — Medicaid Replacement: $3.24
  • UHC MedicareComplete — Medicare Advantage: $3.24
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: ALBUMIN URINE $7 $7 $1.95 – $7
Urine test (automated, without microscope): rates for 9 insurance plans
  • Aetna — Default: $6.09
  • Aetna — Medicare Advantage: $2.20
  • Blue Cross Blue Shield of TX — Default: $7
  • Molina Healthcare of Texas — HMO: $2.70
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $1.95
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $2.20
  • Superior Health Plan MCR Adv — Medicare Advantage: $2.27
  • UHC Community Plan TX — Medicaid Replacement: $2.10
  • UHC MedicareComplete — Medicare Advantage: $2.10
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: UA DIPSTICK $7 $7 $1.95 – $7
Urine test (automated, without microscope): rates for 9 insurance plans
  • Aetna — Default: $6.09
  • Aetna — Medicare Advantage: $2.20
  • Blue Cross Blue Shield of TX — Default: $7
  • Molina Healthcare of Texas — HMO: $2.70
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $1.95
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $2.20
  • Superior Health Plan MCR Adv — Medicare Advantage: $2.27
  • UHC Community Plan TX — Medicaid Replacement: $2.10
  • UHC MedicareComplete — Medicare Advantage: $2.10
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: TOTAL PSA $60 $60 $15.91 – $60
PSA (prostate specific antigen) blood test: rates for 9 insurance plans
  • Aetna — Default: $52.20
  • Aetna — Medicare Advantage: $18.02
  • Blue Cross Blue Shield of TX — Default: $60
  • Molina Healthcare of Texas — HMO: $22.07
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $15.91
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $18.02
  • Superior Health Plan MCR Adv — Medicare Advantage: $18.56
  • UHC Community Plan TX — Medicaid Replacement: $17.12
  • UHC MedicareComplete — Medicare Advantage: $17.12
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: THYROID STI HORM-TSH $55 $55 $14.53 – $55
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans
  • Aetna — Default: $47.85
  • Aetna — Medicare Advantage: $16.46
  • Blue Cross Blue Shield of TX — Default: $55
  • Molina Healthcare of Texas — HMO: $20.16
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $14.53
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $16.46
  • Superior Health Plan MCR Adv — Medicare Advantage: $16.95
  • UHC Community Plan TX — Medicaid Replacement: $15.64
  • UHC MedicareComplete — Medicare Advantage: $15.64
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: CBC & COMP DIFF $25 $25 $6.73 – $25
Complete blood count (CBC) with differential: rates for 9 insurance plans
  • Aetna — Default: $21.75
  • Aetna — Medicare Advantage: $7.61
  • Blue Cross Blue Shield of TX — Default: $25
  • Molina Healthcare of Texas — HMO: $9.32
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $6.73
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $7.61
  • Superior Health Plan MCR Adv — Medicare Advantage: $7.84
  • UHC Community Plan TX — Medicaid Replacement: $7.23
  • UHC MedicareComplete — Medicare Advantage: $7.23
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: CBC $21 $21 $5.59 – $21
Complete blood count (CBC), automated: rates for 9 insurance plans
  • Aetna — Default: $18.27
  • Aetna — Medicare Advantage: $6.34
  • Blue Cross Blue Shield of TX — Default: $21
  • Molina Healthcare of Texas — HMO: $7.76
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $5.59
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $6.34
  • Superior Health Plan MCR Adv — Medicare Advantage: $6.53
  • UHC Community Plan TX — Medicaid Replacement: $6.03
  • UHC MedicareComplete — Medicare Advantage: $6.03
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: PROTHROMBIN TIME $14 $14 $3.71 – $14
Blood clotting time test (prothrombin time, PT): rates for 9 insurance plans
  • Aetna — Default: $12.18
  • Aetna — Medicare Advantage: $4.20
  • Blue Cross Blue Shield of TX — Default: $14
  • Molina Healthcare of Texas — HMO: $5.15
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $3.71
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $4.20
  • Superior Health Plan MCR Adv — Medicare Advantage: $4.33
  • UHC Community Plan TX — Medicaid Replacement: $4
  • UHC MedicareComplete — Medicare Advantage: $4
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: THROMBOPLASTIN TIME (P $20 $20 $5.20 – $20
Blood clotting test (partial thromboplastin time, PTT): rates for 9 insurance plans
  • Aetna — Default: $17.40
  • Aetna — Medicare Advantage: $5.89
  • Blue Cross Blue Shield of TX — Default: $20
  • Molina Healthcare of Texas — HMO: $7.21
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $5.20
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $5.89
  • Superior Health Plan MCR Adv — Medicare Advantage: $6.07
  • UHC Community Plan TX — Medicaid Replacement: $5.60
  • UHC MedicareComplete — Medicare Advantage: $5.60

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: CT HEAD W/O CONTRAST $525 $525 $104.72 – $486.46
CT scan of the head or brain, without contrast: rates for 9 insurance plans
  • Aetna — Default: $456.75
  • Aetna — Medicare Advantage: $110.23
  • Blue Cross Blue Shield of TX — Default: $486.46
  • Molina Healthcare of Texas — HMO: $126.02
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $135.95
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $110.23
  • Superior Health Plan MCR Adv — Medicare Advantage: $113.53
  • UHC Community Plan TX — Medicaid Replacement: $104.72
  • UHC MedicareComplete — Medicare Advantage: $104.72
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: MRI BRAIN WWO $1,800 $1,800 $349.44 – $1,800
MRI of the brain, before and after contrast: rates for 9 insurance plans
  • Aetna — Default: $1,566
  • Aetna — Medicare Advantage: $367.83
  • Blue Cross Blue Shield of TX — Default: $1,800
  • Molina Healthcare of Texas — HMO: $420.55
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $475.54
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $367.83
  • Superior Health Plan MCR Adv — Medicare Advantage: $378.87
  • UHC Community Plan TX — Medicaid Replacement: $349.44
  • UHC MedicareComplete — Medicare Advantage: $349.44
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: CHEST 2V $350 $350 $87.17 – $304.50
Chest X-ray, 2 views: rates for 9 insurance plans
  • Aetna — Default: $304.50
  • Aetna — Medicare Advantage: $91.76
  • Blue Cross Blue Shield of TX — Default: $264.01
  • Molina Healthcare of Texas — HMO: $104.90
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $112.36
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $91.76
  • Superior Health Plan MCR Adv — Medicare Advantage: $94.51
  • UHC Community Plan TX — Medicaid Replacement: $87.17
  • UHC MedicareComplete — Medicare Advantage: $87.17
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: LUMBAR COMPLETE $420 $420 $104.72 – $420
X-ray of the lower spine, at least 4 views: rates for 9 insurance plans
  • Aetna — Default: $365.40
  • Aetna — Medicare Advantage: $110.23
  • Blue Cross Blue Shield of TX — Default: $420
  • Molina Healthcare of Texas — HMO: $126.02
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $135.95
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $110.23
  • Superior Health Plan MCR Adv — Medicare Advantage: $113.53
  • UHC Community Plan TX — Medicaid Replacement: $104.72
  • UHC MedicareComplete — Medicare Advantage: $104.72
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: MRI L SPINE WO $1,200 $1,200 $238.99 – $1,044
MRI of the lower back (lumbar spine), without contrast: rates for 9 insurance plans
  • Aetna — Default: $1,044
  • Aetna — Medicare Advantage: $251.58
  • Blue Cross Blue Shield of TX — Default: $987.32
  • Molina Healthcare of Texas — HMO: $287.63
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $303
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $251.58
  • Superior Health Plan MCR Adv — Medicare Advantage: $259.12
  • UHC Community Plan TX — Medicaid Replacement: $238.99
  • UHC MedicareComplete — Medicare Advantage: $238.99
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: CT PELVIS W/ CONTRAST $900 $900 $175.68 – $900
CT scan of the pelvis, with contrast: rates for 9 insurance plans
  • Aetna — Default: $783
  • Aetna — Medicare Advantage: $184.94
  • Blue Cross Blue Shield of TX — Default: $900
  • Molina Healthcare of Texas — HMO: $211.44
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $227.20
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $184.94
  • Superior Health Plan MCR Adv — Medicare Advantage: $190.48
  • UHC Community Plan TX — Medicaid Replacement: $175.68
  • UHC MedicareComplete — Medicare Advantage: $175.68
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier RT In the file: MRI L E J WO RT,Right Side $1,200 $1,200 $238.99 – $1,044
MRI of a leg joint (such as the knee), without contrast: rates for 9 insurance plans
  • Aetna — Default: $1,044
  • Aetna — Medicare Advantage: $251.58
  • Blue Cross Blue Shield of TX — Default: $987.32
  • Molina Healthcare of Texas — HMO: $287.63
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $303
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $251.58
  • Superior Health Plan MCR Adv — Medicare Advantage: $259.12
  • UHC Community Plan TX — Medicaid Replacement: $238.99
  • UHC MedicareComplete — Medicare Advantage: $238.99
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier LT In the file: MRI L E J WO LT,Left Side $1,200 $1,200 $238.99 – $1,044
MRI of a leg joint (such as the knee), without contrast: rates for 9 insurance plans
  • Aetna — Default: $1,044
  • Aetna — Medicare Advantage: $251.58
  • Blue Cross Blue Shield of TX — Default: $987.32
  • Molina Healthcare of Texas — HMO: $287.63
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $303
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $251.58
  • Superior Health Plan MCR Adv — Medicare Advantage: $259.12
  • UHC Community Plan TX — Medicaid Replacement: $238.99
  • UHC MedicareComplete — Medicare Advantage: $238.99
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: CT ABD PELVIS W/ CONTRAST $1,850 $1,850 $349.44 – $1,609.50
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans
  • Aetna — Default: $1,609.50
  • Aetna — Medicare Advantage: $367.83
  • Blue Cross Blue Shield of TX — Default: $1,074.15
  • Molina Healthcare of Texas — HMO: $420.55
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $475.54
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $367.83
  • Superior Health Plan MCR Adv — Medicare Advantage: $378.87
  • UHC Community Plan TX — Medicaid Replacement: $349.44
  • UHC MedicareComplete — Medicare Advantage: $349.44
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US ABD COM ECHO B-MODE $420 $420 $104.72 – $420
Ultrasound of the abdomen, complete: rates for 9 insurance plans
  • Aetna — Default: $365.40
  • Aetna — Medicare Advantage: $110.23
  • Blue Cross Blue Shield of TX — Default: $420
  • Molina Healthcare of Texas — HMO: $126.02
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $135.95
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $110.23
  • Superior Health Plan MCR Adv — Medicare Advantage: $113.53
  • UHC Community Plan TX — Medicaid Replacement: $104.72
  • UHC MedicareComplete — Medicare Advantage: $104.72
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: US GALLBLADDER ECHO $420 $420 $104.72 – $420
Ultrasound of the abdomen, complete: rates for 9 insurance plans
  • Aetna — Default: $365.40
  • Aetna — Medicare Advantage: $110.23
  • Blue Cross Blue Shield of TX — Default: $420
  • Molina Healthcare of Texas — HMO: $126.02
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $135.95
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $110.23
  • Superior Health Plan MCR Adv — Medicare Advantage: $113.53
  • UHC Community Plan TX — Medicaid Replacement: $104.72
  • UHC MedicareComplete — Medicare Advantage: $104.72
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: US PREGNANT UTERUS > 14 WEEKS GESTATION $420 $420 $104.72 – $399.63
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans
  • Aetna — Default: $365.40
  • Aetna — Medicare Advantage: $110.23
  • Blue Cross Blue Shield of TX — Default: $399.63
  • Molina Healthcare of Texas — HMO: $126.02
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $135.95
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $110.23
  • Superior Health Plan MCR Adv — Medicare Advantage: $113.53
  • UHC Community Plan TX — Medicaid Replacement: $104.72
  • UHC MedicareComplete — Medicare Advantage: $104.72
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: US TRANS-VAGINAL ULTRASOU $420 $420 $104.72 – $379.78
Transvaginal ultrasound: rates for 9 insurance plans
  • Aetna — Default: $365.40
  • Aetna — Medicare Advantage: $110.23
  • Blue Cross Blue Shield of TX — Default: $379.78
  • Molina Healthcare of Texas — HMO: $126.02
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $135.95
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $110.23
  • Superior Health Plan MCR Adv — Medicare Advantage: $113.53
  • UHC Community Plan TX — Medicaid Replacement: $104.72
  • UHC MedicareComplete — Medicare Advantage: $104.72
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: MG SPOT COMPRESSION MAMMO 2D WITH CAD $420 $420 $76.12 – $420
Diagnostic mammogram, one breast: rates for 9 insurance plans
  • Aetna — Default: $365.40
  • Aetna — Medicare Advantage: $80.12
  • Blue Cross Blue Shield of TX — Default: $407.24
  • Molina Healthcare of Texas — HMO: $98.11
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $420
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $80.12
  • Superior Health Plan MCR Adv — Medicare Advantage: $82.53
  • UHC Community Plan TX — Medicaid Replacement: $76.12
  • UHC MedicareComplete — Medicare Advantage: $76.12
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier LT In the file: MG MAMMO LT UNILATERAL DIAG 2D WITH CAD,Left Side $420 $420 $76.12 – $420
Diagnostic mammogram, one breast: rates for 9 insurance plans
  • Aetna — Default: $365.40
  • Aetna — Medicare Advantage: $80.12
  • Blue Cross Blue Shield of TX — Default: $407.24
  • Molina Healthcare of Texas — HMO: $98.11
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $420
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $80.12
  • Superior Health Plan MCR Adv — Medicare Advantage: $82.53
  • UHC Community Plan TX — Medicaid Replacement: $76.12
  • UHC MedicareComplete — Medicare Advantage: $76.12
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier RT In the file: MG MAMMO RT UNILATERAL DIAG 2D WITH CAD,Right Side $420 $420 $76.12 – $420
Diagnostic mammogram, one breast: rates for 9 insurance plans
  • Aetna — Default: $365.40
  • Aetna — Medicare Advantage: $80.12
  • Blue Cross Blue Shield of TX — Default: $407.24
  • Molina Healthcare of Texas — HMO: $98.11
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $420
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $80.12
  • Superior Health Plan MCR Adv — Medicare Advantage: $82.53
  • UHC Community Plan TX — Medicaid Replacement: $76.12
  • UHC MedicareComplete — Medicare Advantage: $76.12
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: MG MAMMO DIAGNOSTIC 2D WITH CAD $600 $600 $97.66 – $600
Diagnostic mammogram, both breasts: rates for 9 insurance plans
  • Aetna — Default: $522
  • Aetna — Medicare Advantage: $102.79
  • Blue Cross Blue Shield of TX — Default: $520.12
  • Molina Healthcare of Texas — HMO: $125.87
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $600
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $102.79
  • Superior Health Plan MCR Adv — Medicare Advantage: $105.88
  • UHC Community Plan TX — Medicaid Replacement: $97.66
  • UHC MedicareComplete — Medicare Advantage: $97.66
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MG MAMMOGRAM SCREENING 2D WITH CAD $420 $420 $80.55 – $420
Screening mammogram, both breasts: rates for 9 insurance plans
  • Aetna — Default: $365.40
  • Aetna — Medicare Advantage: $84.79
  • Blue Cross Blue Shield of TX — Default: $420
  • Molina Healthcare of Texas — HMO: $103.82
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $420
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $84.79
  • Superior Health Plan MCR Adv — Medicare Advantage: $87.34
  • UHC Community Plan TX — Medicaid Replacement: $80.55
  • UHC MedicareComplete — Medicare Advantage: $80.55
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: MG UNINSURED MAMMOGRAM 2D WITH CAD $160 $160 $80.55 – $160
Screening mammogram, both breasts: rates for 9 insurance plans
  • Aetna — Default: $139.20
  • Aetna — Medicare Advantage: $84.79
  • Blue Cross Blue Shield of TX — Default: $160
  • Molina Healthcare of Texas — HMO: $103.82
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $160
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $84.79
  • Superior Health Plan MCR Adv — Medicare Advantage: $87.34
  • UHC Community Plan TX — Medicaid Replacement: $80.55
  • UHC MedicareComplete — Medicare Advantage: $80.55
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: UNINSURED MAMMOGRAM SCREENING $130 $130 $80.55 – $130
Screening mammogram, both breasts: rates for 9 insurance plans
  • Aetna — Default: $113.10
  • Aetna — Medicare Advantage: $84.79
  • Blue Cross Blue Shield of TX — Default: $130
  • Molina Healthcare of Texas — HMO: $103.82
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $130
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $84.79
  • Superior Health Plan MCR Adv — Medicare Advantage: $87.34
  • UHC Community Plan TX — Medicaid Replacement: $80.55
  • UHC MedicareComplete — Medicare Advantage: $80.55

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: EKG HOOK-UP/REPORT $45 $45 $39.15 – $45
Electrocardiogram (ECG/EKG) with reading: rates for 3 insurance plans
  • Aetna — Default: $39.15
  • Blue Cross Blue Shield of TX — Default: $45
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $45

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: EXCIS OF CYST FIBROADENOMA 1+ LES $10,895 $10,895 $992.57 – $10,895
Removal of breast growth (open surgery): rates for 9 insurance plans
  • Aetna — Default: $9,478.65
  • Aetna — Medicare Advantage: $4,128.29
  • Blue Cross Blue Shield of TX — Default: $10,895
  • Molina Healthcare of Texas — HMO: $4,719.94
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $992.57
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $4,128.29
  • Superior Health Plan MCR Adv — Medicare Advantage: $4,252.14
  • UHC Community Plan TX — Medicaid Replacement: $3,921.87
  • UHC MedicareComplete — Medicare Advantage: $3,921.87
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: EGD DIAG BRUSH WASH $2,591 $2,591 $908.48 – $2,591
Upper GI endoscopy (diagnostic): rates for 9 insurance plans
  • Aetna — Default: $2,254.17
  • Aetna — Medicare Advantage: $956.29
  • Blue Cross Blue Shield of TX — Default: $2,591
  • Molina Healthcare of Texas — HMO: $1,093.34
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $2,591
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $956.29
  • Superior Health Plan MCR Adv — Medicare Advantage: $984.98
  • UHC Community Plan TX — Medicaid Replacement: $908.48
  • UHC MedicareComplete — Medicare Advantage: $908.48
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: EGD FLEXIBLE TRANSORAL W BX SNGL, MULTI $3,100 $3,100 $908.48 – $3,100
Upper GI endoscopy with biopsy: rates for 9 insurance plans
  • Aetna — Default: $2,697
  • Aetna — Medicare Advantage: $956.29
  • Blue Cross Blue Shield of TX — Default: $3,100
  • Molina Healthcare of Texas — HMO: $1,093.34
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $3,100
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $956.29
  • Superior Health Plan MCR Adv — Medicare Advantage: $984.98
  • UHC Community Plan TX — Medicaid Replacement: $908.48
  • UHC MedicareComplete — Medicare Advantage: $908.48
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFR $3,000 $3,000 $931.49 – $3,000
Colonoscopy (diagnostic): rates for 9 insurance plans
  • Aetna — Default: $2,610
  • Aetna — Medicare Advantage: $980.52
  • Blue Cross Blue Shield of TX — Default: $3,000
  • Molina Healthcare of Texas — HMO: $1,121.04
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $3,000
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $980.52
  • Superior Health Plan MCR Adv — Medicare Advantage: $1,009.94
  • UHC Community Plan TX — Medicaid Replacement: $931.49
  • UHC MedicareComplete — Medicare Advantage: $931.49
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: COLNSCPY FLEX SPLEN BX $3,900 $3,900 $1,198.61 – $3,900
Colonoscopy with biopsy: rates for 9 insurance plans
  • Aetna — Default: $3,393
  • Aetna — Medicare Advantage: $1,261.69
  • Blue Cross Blue Shield of TX — Default: $3,900
  • Molina Healthcare of Texas — HMO: $1,442.51
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $3,900
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $1,261.69
  • Superior Health Plan MCR Adv — Medicare Advantage: $1,299.54
  • UHC Community Plan TX — Medicaid Replacement: $1,198.61
  • UHC MedicareComplete — Medicare Advantage: $1,198.61
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: COLONOSCOPY LESN REMOV SNARE $3,900 $3,900 $1,198.61 – $3,900
Colonoscopy with removal of polyps (snare): rates for 9 insurance plans
  • Aetna — Default: $3,393
  • Aetna — Medicare Advantage: $1,261.69
  • Blue Cross Blue Shield of TX — Default: $3,900
  • Molina Healthcare of Texas — HMO: $1,442.51
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $3,900
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $1,261.69
  • Superior Health Plan MCR Adv — Medicare Advantage: $1,299.54
  • UHC Community Plan TX — Medicaid Replacement: $1,198.61
  • UHC MedicareComplete — Medicare Advantage: $1,198.61
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: LAPAROSCOPIC CHOLECYSTECTOMY $16,493 $16,493 $6,055.48 – $16,493
Gallbladder removal by laparoscope: rates for 9 insurance plans
  • Aetna — Default: $14,348.91
  • Aetna — Medicare Advantage: $6,374.18
  • Blue Cross Blue Shield of TX — Default: $16,493
  • Molina Healthcare of Texas — HMO: $7,287.70
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $16,493
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $6,374.18
  • Superior Health Plan MCR Adv — Medicare Advantage: $6,565.41
  • UHC Community Plan TX — Medicaid Replacement: $6,055.48
  • UHC MedicareComplete — Medicare Advantage: $6,055.48
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: REPR INIT ING HERNIA >5YRS $10,300 $10,300 $1,186.09 – $10,300
Groin (inguinal) hernia repair, age 5 or older: rates for 9 insurance plans
  • Aetna — Default: $8,961
  • Aetna — Medicare Advantage: $3,775.05
  • Blue Cross Blue Shield of TX — Default: $10,300
  • Molina Healthcare of Texas — HMO: $4,316.06
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $1,186.09
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $3,775.05
  • Superior Health Plan MCR Adv — Medicare Advantage: $3,888.30
  • UHC Community Plan TX — Medicaid Replacement: $3,586.30
  • UHC MedicareComplete — Medicare Advantage: $3,586.30
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: HYSTEROSCOPY SURGICAL W SAMP $9,200 $9,200 $1,095.43 – $9,200
Hysteroscopy with biopsy of the uterus lining: rates for 9 insurance plans
  • Aetna — Default: $8,004
  • Aetna — Medicare Advantage: $3,413.10
  • Blue Cross Blue Shield of TX — Default: $9,200
  • Molina Healthcare of Texas — HMO: $3,902.26
  • Molina Healthcare of TX MCD Rep — Medicaid Replacement: $1,095.43
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $3,413.10
  • Superior Health Plan MCR Adv — Medicare Advantage: $3,515.50
  • UHC Community Plan TX — Medicaid Replacement: $3,242.45
  • UHC MedicareComplete — Medicare Advantage: $3,242.45

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
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/ $18,265.71 $18,265.71 $9,842.65 – $17,161.20
Uterus and ovary surgery (not for cancer), without complications: rates for 8 insurance plans
  • Aetna — Default: $15,891.17
  • Aetna — Medicare Advantage: $14,007.72
  • Blue Cross Blue Shield of TX — Default: $9,842.65
  • Molina Healthcare of Texas — HMO: $17,161.20
  • Molina Healthcare of TX MCR Adv — Medicare Advantage: $14,007.72
  • Superior Health Plan MCR Adv — Medicare Advantage: $14,427.95
  • UHC Community Plan TX — Medicaid Replacement: $13,307.33
  • UHC MedicareComplete — Medicare Advantage: $13,307.33

Source: Starr County Memorial Hospital’s standard charges file (starrcountyhospital.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on May 15, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address128 N FM Rd 3167, Rio Grande City, TX 78582
CountyStarr County
StateTexas
Phone(956) 487‑5561
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number450654
Name in Medicare recordsSTARR COUNTY MEMORIAL HOSPITAL
Profile levelMedicare data + hospital website
Official websitestarrcountyhospital.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Starr County Memorial Hospital — starrcountyhospital.com
  2. Visitor Information — starrcountyhospital.com
  3. Emergency Department — starrcountyhospital.com
  4. Obstetrics — starrcountyhospital.com
  5. Cardiopulmonary — starrcountyhospital.com
  6. Outpatient Care — starrcountyhospital.com
  7. Radiology — starrcountyhospital.com
  8. Surgical Services — starrcountyhospital.com
  9. Laboratory — starrcountyhospital.com
  10. Emergency Department — starrcountyhospital.com
  11. Surgical Services — starrcountyhospital.com
  12. EMS — starrcountyhospital.com
  13. Gastrointestinal — starrcountyhospital.com
  14. Nursing — starrcountyhospital.com
  15. Nursery — starrcountyhospital.com
  16. Nutrition — starrcountyhospital.com