Does Texas Health Presbyterian Hospital Denton have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Texas Health Presbyterian Hospital Denton. In a medical emergency, call 911.

Where is Texas Health Presbyterian Hospital Denton?

3000 N I-35, Denton, TX 76201, in Denton County, Texas.

What is the phone number of Texas Health Presbyterian Hospital Denton?

(940) 898-7000, as listed by Medicare (CMS).

What is the Medicare star rating of Texas Health Presbyterian Hospital Denton?

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

Texas Health Presbyterian Hospital Denton

Quick answers

Does Texas Health Presbyterian Hospital Denton have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Texas Health Presbyterian Hospital Denton. In a medical emergency, call 911.
Where is Texas Health Presbyterian Hospital Denton?: 3000 N I-35, Denton, TX 76201, in Denton County, Texas.
What is the phone number of Texas Health Presbyterian Hospital Denton?: (940) 898-7000, as listed by Medicare (CMS).
What is the Medicare star rating of Texas Health Presbyterian Hospital Denton?: 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Cancer care
Digestive health
Heart and vascular
Neonatal intensive care
Orthopedics
Rehabilitation
Robotic surgery
Weight loss surgery
Women and infants (labor and delivery)
Mammography

Conditions treated^[4]

Digestive disorders
Heart disease
Stroke

Treatments^[4]

Cardiac and vascular rehabilitation

Procedures^[4]

Endoscopic procedures
Minimally invasive gastrointestinal surgery
Robotic-assisted surgery
Bariatric surgery
Heart valve therapies
Mammography
Robotic surgery
Bariatric (weight loss) surgery

Programs and centers^[4][5]

Primary Stroke Center (Joint Commission)
Chest Pain Center (Joint Commission)
Level III NICU
Neonatal intensive care unit (Level III)
Labor and delivery
Joint Camp (preoperative joint replacement class)

Emergency care (hospital website)^[4]

Emergency room	Yes
Stroke designation	Primary Stroke Center (Joint Commission)

Visiting and practical information

Parking	Free parking on campus; free valet Mon-Fri 7 a.m.-6 p.m. between main hospital and ER entrances^[4]
Patient portal	MyChart

Recognition^[4]

Primary Stroke Center (Joint Commission)
Chest Pain Center (Joint Commission)
Level III designated Neonatal Intensive Care Unit

Doctors and clinicians (415)

415 doctors and other clinicians list Texas Health Presbyterian Hospital Denton 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 391 more: the button below opens the full list.

Other emergency rooms nearby

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

Medical City Denton4.4 mi · Denton, TX · Acute Care Hospital
The Heart Hospital Baylor Denton4.5 mi · Denton, TX · Acute Care Hospital
Baylor Scott White the Heart Hospital Corinth4.6 mi · Denton, TX · Acute Care Hospital
Baylor Scott & White Emergency Hospital12 mi · Aubrey, TX · Acute Care Hospital
Texas Health Presbyterian Hospital Flower Mound13 mi · Flower Mound, TX · Acute Care Hospital

Other hospitals nearby

University Behavioral Health of Denton0.9 mi · Denton, TX · Psychiatric Hospital
Select Rehabilitation Hospital of Denton1.2 mi · Denton, TX · Inpatient Rehabilitation Hospital
Mayhill Hospital4.6 mi · Denton, TX · 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

Vintage Health Care Center0.9 mi · Denton, TX · 1 of 5 stars
Cottonwood Nursing & Rehabilitation1.0 mi · Denton, TX · 1 of 5 stars
Denton Village by PureHealth1.1 mi · Denton, TX · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Klarus Hospice0.0 mi · Denton, TX
Klarus Hospice Care0.0 mi · Denton, TX
Trio Hospice0.0 mi · Denton, TX · 2 of 5 stars

All hospice providers in the state →

Home health agencies

Trio Home Care0.0 mi · Denton, TX · 3 of 5 stars
A C T Home Health Inc1.7 mi · Denton, TX
Premier Golden Heart Health Care Services, LLC2.2 mi · Denton, TX

All home health agencies in the state →

Dialysis facilities

DaVita Renal Center of North Denton1.7 mi · Denton, TX · 2 of 5 stars
Liberty Dialysis Lake Lewisville5.3 mi · Corinth, TX · 3 of 5 stars
Fresenius Kidney Care South Denton5.7 mi · Denton, 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.

Texas Health Surgery Center Denton0.0 mi · Denton, TX
Baylor Scott and White Surgicare Denton2.2 mi · Denton, TX
Mariposa Surgery Center PLLC5.3 mi · Corinth, 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

HSNT Denton Medical Center 43042.0 mi · Denton, TX · Community health center
HSNT Denton Medical Center 43082.0 mi · Denton, TX · Community health center
HSNT Serve Denton Center3.3 mi · Denton, TX · Community health center

Clinics and urgent care

American Current Care P.A.0.0 mi · Denton, TX · Urgent care center
Primary Health Physicians, PLLC0.0 mi · Denton, TX · Urgent care center
American Current Care P.A.2.2 mi · Denton, TX · Urgent care center

Pharmacies

1918 Winter Street Operating Co LLC0.0 mi · Denton, TX · Community/retail pharmacy
Albertsons LLC0.0 mi · Denton, TX · Community/retail pharmacy
CVS Pharmacy Inc0.0 mi · Denton, TX · Pharmacy

Assisted living nearby

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

Brookdale Denton North0.0 mi · Denton, TX
Carriage House Assisted Living0.0 mi · Denton, TX
Denton Village by Purehealth0.0 mi · Denton, TX
Titan Fairhaven Holdings, LLC0.0 mi · Denton, 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 Texas Health Presbyterian Hospital Denton 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)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	78%National average: 72%
Would definitely recommend the hospital	79%National average: 71%
Nurses “always” communicated well	80%National average: 80%
Doctors “always” communicated well	77%National average: 80%
Staff “always” explained medicines before giving them	62%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	76%National average: 74%
Area around the room “always” quiet at night	63%National average: 60%
Completed surveys	1,027Response rate: 18%

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)	0Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.617No different from the national benchmark
Surgical site infections after colon surgery	0No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.084Better 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	12.3%
Deaths within 30 days: heart failure patients	9.3%
Deaths within 30 days: pneumonia patients	14.3%
Deaths within 30 days: COPD patients	9.9%
Deaths within 30 days: stroke patients	9%
Deaths within 30 days: coronary bypass surgery (CABG)	1.8%
Serious complications (patient safety indicator PSI-90)	0.89No different from the national rate
Complications after hip or knee replacement	Too few cases to report

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	13.3%
Readmitted within 30 days: heart failure	19.5%
Readmitted within 30 days: pneumonia	17.7%
Readmitted within 30 days: COPD	20.8%
Readmitted within 30 days: coronary bypass surgery	10.5%
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	158 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	85%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 Denton Best hospitals in Denton

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Texas Health Presbyterian Hospital Denton lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99203 NEW PATIENT E&M LVL III	$660.50	$396.30	$61.82 – $636.27
New patient office visit (about 30–44 minutes): 10 of 38 insurance plan rates Aetna — ASA: $463.01 Aetna — Commercial: $361.62 Aetna — Coventry: $463.01 Aetna — Managed Medicaid: $68.03 Aetna — Whole Health: $271.20 American Health — Medicare Advantage: $114.05 Amerigroup — Managed Medicaid: $61.82 Amerigroup — Medicare Advantage: $119.76 Blue Cross Blue Shield — Exchange: $105.22 Blue Cross Blue Shield — HMO: $216.09
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 99203 NEW PATIENT E&M LVL III	$660.50	$396.30	$251.65 – $621.53
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $251.65 Blue Cross Blue Shield — HMO: $496.70 Blue Cross Blue Shield — PPO: $551.52 Blue Cross Blue Shield — Traditional: $605.68 Cigna — Indemnity: $621.53 City of Fort Worth — Commercial: $310.44 Fort Worth Firefighters — Commercial: $403.24 Galaxy — Commercial: $581.24 Healthsmart — Commercial: $554.82 Multiplan — Commercial: $574.64
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99204 NEW PATIENT E&M LVL IV	$807.25	$484.35	$75.56 – $1,077.25
New patient office visit (about 45–59 minutes): 10 of 38 insurance plan rates Aetna — ASA: $565.88 Aetna — Commercial: $441.97 Aetna — Coventry: $565.88 Aetna — Managed Medicaid: $83.15 Aetna — Whole Health: $331.46 American Health — Medicare Advantage: $172.37 Amerigroup — Managed Medicaid: $75.56 Amerigroup — Medicare Advantage: $180.99 Blue Cross Blue Shield — Exchange: $178.14 Blue Cross Blue Shield — HMO: $365.86
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 99204 NEW PATIENT E&M LVL IV	$807.25	$484.35	$307.56 – $759.62
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $307.56 Blue Cross Blue Shield — HMO: $607.05 Blue Cross Blue Shield — PPO: $674.05 Blue Cross Blue Shield — Traditional: $740.25 Cigna — Indemnity: $759.62 City of Fort Worth — Commercial: $379.41 Fort Worth Firefighters — Commercial: $492.83 Galaxy — Commercial: $710.38 Healthsmart — Commercial: $678.09 Multiplan — Commercial: $702.31
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99205 NEW PATIENT E&M LVL V	$187.25	$112.35	$17.53 – $1,405.81
New patient office visit (about 60–74 minutes): 10 of 38 insurance plan rates Aetna — ASA: $131.26 Aetna — Commercial: $102.52 Aetna — Coventry: $131.26 Aetna — Managed Medicaid: $19.29 Aetna — Whole Health: $76.88 American Health — Medicare Advantage: $230.14 Amerigroup — Managed Medicaid: $17.53 Amerigroup — Medicare Advantage: $241.65 Blue Cross Blue Shield — Exchange: $232.48 Blue Cross Blue Shield — HMO: $477.45
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 99205 NEW PATIENT E&M LVL V	$187.25	$112.35	$71.34 – $176.20
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $71.34 Blue Cross Blue Shield — HMO: $140.81 Blue Cross Blue Shield — PPO: $156.35 Blue Cross Blue Shield — Traditional: $171.71 Cigna — Indemnity: $176.20 City of Fort Worth — Commercial: $88.01 Fort Worth Firefighters — Commercial: $114.32 Galaxy — Commercial: $164.78 Healthsmart — Commercial: $157.29 Multiplan — Commercial: $162.91
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99213 EST PATIENT E&M LVL III	$587.50	$352.50	$54.99 – $552.84
Established patient office visit (about 20–29 minutes): 10 of 38 insurance plan rates Aetna — ASA: $411.84 Aetna — Commercial: $321.66 Aetna — Coventry: $411.84 Aetna — Managed Medicaid: $60.51 Aetna — Whole Health: $241.23 American Health — Medicare Advantage: $92.41 Amerigroup — Managed Medicaid: $54.99 Amerigroup — Medicare Advantage: $97.03 Blue Cross Blue Shield — Exchange: $70.48 Blue Cross Blue Shield — HMO: $144.75
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 99213 EST PATIENT E&M LVL III	$587.50	$352.50	$223.84 – $552.84
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $223.84 Blue Cross Blue Shield — HMO: $441.80 Blue Cross Blue Shield — PPO: $490.56 Blue Cross Blue Shield — Traditional: $538.74 Cigna — Indemnity: $552.84 City of Fort Worth — Commercial: $276.13 Fort Worth Firefighters — Commercial: $358.67 Galaxy — Commercial: $517 Healthsmart — Commercial: $493.50 Multiplan — Commercial: $511.13
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 99214 EST PATIENT E&M LVL IV	$237.75	$142.65	$22.25 – $657.04
Established patient office visit (about 30–39 minutes): 10 of 38 insurance plan rates Aetna — ASA: $166.66 Aetna — Commercial: $130.17 Aetna — Coventry: $166.66 Aetna — Managed Medicaid: $24.49 Aetna — Whole Health: $97.62 American Health — Medicare Advantage: $131.75 Amerigroup — Managed Medicaid: $22.25 Amerigroup — Medicare Advantage: $138.33 Blue Cross Blue Shield — Exchange: $108.65 Blue Cross Blue Shield — HMO: $223.15
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 99214 EST PATIENT E&M LVL IV	$237.75	$142.65	$90.58 – $223.72
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $90.58 Blue Cross Blue Shield — HMO: $178.79 Blue Cross Blue Shield — PPO: $198.52 Blue Cross Blue Shield — Traditional: $218.02 Cigna — Indemnity: $223.72 City of Fort Worth — Commercial: $111.74 Fort Worth Firefighters — Commercial: $145.15 Galaxy — Commercial: $209.22 Healthsmart — Commercial: $199.71 Multiplan — Commercial: $206.84
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$109.72 – $799.11
Office consultation with a specialist (moderate): 10 of 14 insurance plan rates American Health — Medicare Advantage: $109.72 Amerigroup — Medicare Advantage: $115.20 Blue Cross Blue Shield — Exchange: $132.15 Blue Cross Blue Shield — HMO: $271.40 Blue Cross Blue Shield — Medicare Advantage: $109.72 Blue Cross Blue Shield — PPO: $301.56 Blue Cross Blue Shield — Traditional: $799.11 HealthSpring — Medicare Advantage: $111.91 Humana — Medicare Advantage: $114.11 Molina — Medicare Advantage: $115.20
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$157.10 – $1,284.44
Office consultation with a specialist (moderate to high): 10 of 14 insurance plan rates American Health — Medicare Advantage: $157.10 Amerigroup — Medicare Advantage: $164.96 Blue Cross Blue Shield — Exchange: $212.40 Blue Cross Blue Shield — HMO: $436.23 Blue Cross Blue Shield — Medicare Advantage: $157.10 Blue Cross Blue Shield — PPO: $484.71 Blue Cross Blue Shield — Traditional: $1,284.44 HealthSpring — Medicare Advantage: $160.24 Humana — Medicare Advantage: $163.39 Molina — Medicare Advantage: $164.96
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$130.83 – $816.85
Preventive checkup, new patient, age 18–39: 10 of 14 insurance plan rates American Health — Medicare Advantage: $130.83 Amerigroup — Medicare Advantage: $137.37 Blue Cross Blue Shield — Exchange: $135.08 Blue Cross Blue Shield — HMO: $277.42 Blue Cross Blue Shield — Medicare Advantage: $130.83 Blue Cross Blue Shield — PPO: $308.26 Blue Cross Blue Shield — Traditional: $816.85 HealthSpring — Medicare Advantage: $133.44 Humana — Medicare Advantage: $136.06 Molina — Medicare Advantage: $137.37
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$151.45 – $994.39
Preventive checkup, new patient, age 40–64: 10 of 14 insurance plan rates American Health — Medicare Advantage: $151.45 Amerigroup — Medicare Advantage: $159.02 Blue Cross Blue Shield — Exchange: $164.44 Blue Cross Blue Shield — HMO: $337.72 Blue Cross Blue Shield — Medicare Advantage: $151.45 Blue Cross Blue Shield — PPO: $375.26 Blue Cross Blue Shield — Traditional: $994.39 HealthSpring — Medicare Advantage: $154.48 Humana — Medicare Advantage: $157.51 Molina — Medicare Advantage: $159.02
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERG DEPT LV 3	$965.25	$579.15	$90.35 – $9,653
Emergency room visit (moderate): 10 of 38 insurance plan rates Aetna — ASA: $676.64 Aetna — Commercial: $672.30 Aetna — Coventry: $676.64 Aetna — Managed Medicaid: $99.42 Aetna — Whole Health: $504.25 American Health — Medicare Advantage: $274.22 Amerigroup — Managed Medicaid: $90.35 Amerigroup — Medicare Advantage: $287.93 Blue Cross Blue Shield — Exchange: $4,735 Blue Cross Blue Shield — HMO: $8,688
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SANE EXAM W/O COLPOSCOPE	$233	$139.80	$21.81 – $9,653
Emergency room visit (moderate): 10 of 38 insurance plan rates Aetna — ASA: $163.33 Aetna — Commercial: $162.28 Aetna — Coventry: $163.33 Aetna — Managed Medicaid: $24 Aetna — Whole Health: $121.72 American Health — Medicare Advantage: $274.22 Amerigroup — Managed Medicaid: $21.81 Amerigroup — Medicare Advantage: $287.93 Blue Cross Blue Shield — Exchange: $4,735 Blue Cross Blue Shield — HMO: $8,688
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERG DEPT LV 3	$965.25	$579.15	$367.76 – $908.30
Emergency room visit (moderate): 10 of 15 insurance plan rates Aetna — Commercial: $660.33 Aetna — Whole Health: $495.27 Blue Cross Blue Shield — Exchange: $367.76 Blue Cross Blue Shield — HMO: $725.87 Blue Cross Blue Shield — PPO: $805.98 Blue Cross Blue Shield — Traditional: $885.13 Cigna — Indemnity: $908.30 City of Fort Worth — Commercial: $453.67 Fort Worth Firefighters — Commercial: $589.29 Galaxy — Commercial: $849.42
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERG DEPT LV 4	$1,408.50	$845.10	$131.84 – $24,138
Emergency room visit (moderately high): 10 of 38 insurance plan rates Aetna — ASA: $987.36 Aetna — Commercial: $981.02 Aetna — Coventry: $987.36 Aetna — Managed Medicaid: $145.08 Aetna — Whole Health: $735.80 American Health — Medicare Advantage: $419.16 Amerigroup — Managed Medicaid: $131.84 Amerigroup — Medicare Advantage: $440.12 Blue Cross Blue Shield — Exchange: $11,439 Blue Cross Blue Shield — HMO: $21,724
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERG DEPT LV 4	$1,408.50	$845.10	$536.64 – $1,325.40
Emergency room visit (moderately high): 10 of 15 insurance plan rates Aetna — Commercial: $963.55 Aetna — Whole Health: $722.70 Blue Cross Blue Shield — Exchange: $536.64 Blue Cross Blue Shield — HMO: $1,059.19 Blue Cross Blue Shield — PPO: $1,176.10 Blue Cross Blue Shield — Traditional: $1,291.59 Cigna — Indemnity: $1,325.40 City of Fort Worth — Commercial: $662 Fort Worth Firefighters — Commercial: $859.89 Galaxy — Commercial: $1,239.48
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERG DEPT LV 5	$2,652	$1,591.20	$248.23 – $45,861
Emergency room visit (high): 10 of 38 insurance plan rates Aetna — ASA: $1,859.05 Aetna — Commercial: $1,847.12 Aetna — Coventry: $1,859.05 Aetna — Managed Medicaid: $273.16 Aetna — Whole Health: $1,385.40 American Health — Medicare Advantage: $598.24 Amerigroup — Managed Medicaid: $248.23 Amerigroup — Medicare Advantage: $628.16 Blue Cross Blue Shield — Exchange: $22,089 Blue Cross Blue Shield — HMO: $41,275
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERG DEPT LV 5	$2,652	$1,591.20	$1,010.41 – $2,495.53
Emergency room visit (high): 10 of 15 insurance plan rates Aetna — Commercial: $1,814.23 Aetna — Whole Health: $1,360.74 Blue Cross Blue Shield — Exchange: $1,010.41 Blue Cross Blue Shield — HMO: $1,994.30 Blue Cross Blue Shield — PPO: $2,214.42 Blue Cross Blue Shield — Traditional: $2,431.88 Cigna — Indemnity: $2,495.53 City of Fort Worth — Commercial: $1,246.44 Fort Worth Firefighters — Commercial: $1,619.05 Galaxy — Commercial: $2,333.76

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC BMP	$425.25	$255.15	$7.11 – $400.16
Basic metabolic panel (blood test): 10 of 38 insurance plan rates Aetna — ASA: $298.10 Aetna — Commercial: $37.59 Aetna — Coventry: $298.10 Aetna — Managed Medicaid: $7.82 Aetna — Whole Health: $28.19 American Health — Medicare Advantage: $8.46 Amerigroup — Managed Medicaid: $7.11 Amerigroup — Medicare Advantage: $8.88 Blue Cross Blue Shield — Exchange: $9.41 Blue Cross Blue Shield — HMO: $16.75
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PNL	$425.25	$255.15	$7.11 – $400.16
Basic metabolic panel (blood test): 10 of 38 insurance plan rates Aetna — ASA: $298.10 Aetna — Commercial: $37.59 Aetna — Coventry: $298.10 Aetna — Managed Medicaid: $7.82 Aetna — Whole Health: $28.19 American Health — Medicare Advantage: $8.46 Amerigroup — Managed Medicaid: $7.11 Amerigroup — Medicare Advantage: $8.88 Blue Cross Blue Shield — Exchange: $9.41 Blue Cross Blue Shield — HMO: $16.75
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: POC BMP	$425.25	$255.15	$162.02 – $400.16
Basic metabolic panel (blood test): 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $162.02 Blue Cross Blue Shield — HMO: $319.79 Blue Cross Blue Shield — PPO: $355.08 Blue Cross Blue Shield — Traditional: $389.95 Cigna — Indemnity: $400.16 City of Fort Worth — Commercial: $199.87 Fort Worth Firefighters — Commercial: $259.62 Galaxy — Commercial: $374.22 Healthsmart — Commercial: $357.21 Multiplan — Commercial: $369.97
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NEONATAL COMPRHNSVE META PANEL	$679.25	$407.55	$8.87 – $639.17
Comprehensive metabolic panel (blood test): 10 of 38 insurance plan rates Aetna — ASA: $476.15 Aetna — Commercial: $46.99 Aetna — Coventry: $476.15 Aetna — Managed Medicaid: $9.76 Aetna — Whole Health: $35.24 American Health — Medicare Advantage: $10.56 Amerigroup — Managed Medicaid: $8.87 Amerigroup — Medicare Advantage: $11.09 Blue Cross Blue Shield — Exchange: $11.74 Blue Cross Blue Shield — HMO: $20.91
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP METABOLIC PNL	$653	$391.80	$8.87 – $614.47
Comprehensive metabolic panel (blood test): 10 of 38 insurance plan rates Aetna — ASA: $457.75 Aetna — Commercial: $46.99 Aetna — Coventry: $457.75 Aetna — Managed Medicaid: $9.76 Aetna — Whole Health: $35.24 American Health — Medicare Advantage: $10.56 Amerigroup — Managed Medicaid: $8.87 Amerigroup — Medicare Advantage: $11.09 Blue Cross Blue Shield — Exchange: $11.74 Blue Cross Blue Shield — HMO: $20.91
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: NEONATAL COMPRHNSVE META PANEL	$679.25	$407.55	$258.79 – $639.17
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $258.79 Blue Cross Blue Shield — HMO: $510.80 Blue Cross Blue Shield — PPO: $567.17 Blue Cross Blue Shield — Traditional: $622.87 Cigna — Indemnity: $639.17 City of Fort Worth — Commercial: $319.25 Fort Worth Firefighters — Commercial: $414.68 Galaxy — Commercial: $597.74 Healthsmart — Commercial: $570.57 Multiplan — Commercial: $590.95
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRENATAL PROFILE	$1,647.25	$988.35	$47.81 – $1,550.06
Obstetric blood test panel: 10 of 38 insurance plan rates Aetna — ASA: $1,154.72 Aetna — Commercial: $190.13 Aetna — Coventry: $1,154.72 Aetna — Managed Medicaid: $169.67 Aetna — Whole Health: $142.60 American Health — Medicare Advantage: $47.81 Amerigroup — Managed Medicaid: $154.18 Amerigroup — Medicare Advantage: $50.20 Blue Cross Blue Shield — Exchange: $53.16 Blue Cross Blue Shield — HMO: $94.66
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PRENATAL PROFILE	$1,647.25	$988.35	$627.60 – $1,550.06
Obstetric blood test panel: 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $627.60 Blue Cross Blue Shield — HMO: $1,238.73 Blue Cross Blue Shield — PPO: $1,375.45 Blue Cross Blue Shield — Traditional: $1,510.53 Cigna — Indemnity: $1,550.06 City of Fort Worth — Commercial: $774.21 Fort Worth Firefighters — Commercial: $1,005.65 Galaxy — Commercial: $1,449.58 Healthsmart — Commercial: $1,383.69 Multiplan — Commercial: $1,433.11
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC LIPID PROFILE	$597.50	$358.50	$11.25 – $562.25
Cholesterol panel (lipid panel): 10 of 38 insurance plan rates Aetna — ASA: $418.85 Aetna — Commercial: $59.55 Aetna — Coventry: $418.85 Aetna — Managed Medicaid: $12.38 Aetna — Whole Health: $44.66 American Health — Medicare Advantage: $13.39 Amerigroup — Managed Medicaid: $11.25 Amerigroup — Medicare Advantage: $14.06 Blue Cross Blue Shield — Exchange: $14.89 Blue Cross Blue Shield — HMO: $26.51
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$653	$391.80	$11.25 – $614.47
Cholesterol panel (lipid panel): 10 of 38 insurance plan rates Aetna — ASA: $457.75 Aetna — Commercial: $59.55 Aetna — Coventry: $457.75 Aetna — Managed Medicaid: $12.38 Aetna — Whole Health: $44.66 American Health — Medicare Advantage: $13.39 Amerigroup — Managed Medicaid: $11.25 Amerigroup — Medicare Advantage: $14.06 Blue Cross Blue Shield — Exchange: $14.89 Blue Cross Blue Shield — HMO: $26.51
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE	$653	$391.80	$11.25 – $614.47
Cholesterol panel (lipid panel): 10 of 38 insurance plan rates Aetna — ASA: $457.75 Aetna — Commercial: $59.55 Aetna — Coventry: $457.75 Aetna — Managed Medicaid: $12.38 Aetna — Whole Health: $44.66 American Health — Medicare Advantage: $13.39 Amerigroup — Managed Medicaid: $11.25 Amerigroup — Medicare Advantage: $14.06 Blue Cross Blue Shield — Exchange: $14.89 Blue Cross Blue Shield — HMO: $26.51
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PNL	$587.50	$352.50	$7.29 – $552.84
Kidney function panel: 10 of 38 insurance plan rates Aetna — ASA: $411.84 Aetna — Commercial: $38.56 Aetna — Coventry: $411.84 Aetna — Managed Medicaid: $8.02 Aetna — Whole Health: $28.92 American Health — Medicare Advantage: $8.68 Amerigroup — Managed Medicaid: $7.29 Amerigroup — Medicare Advantage: $9.11 Blue Cross Blue Shield — Exchange: $9.65 Blue Cross Blue Shield — HMO: $17.19
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PNL	$587.50	$352.50	$223.84 – $552.84
Kidney function panel: 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $223.84 Blue Cross Blue Shield — HMO: $441.80 Blue Cross Blue Shield — PPO: $490.56 Blue Cross Blue Shield — Traditional: $538.74 Cigna — Indemnity: $552.84 City of Fort Worth — Commercial: $276.13 Fort Worth Firefighters — Commercial: $358.67 Galaxy — Commercial: $517 Healthsmart — Commercial: $493.50 Multiplan — Commercial: $511.13
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER PROFILE	$617	$370.20	$6.86 – $580.60
Liver function panel: 10 of 38 insurance plan rates Aetna — ASA: $432.52 Aetna — Commercial: $36.31 Aetna — Coventry: $432.52 Aetna — Managed Medicaid: $7.55 Aetna — Whole Health: $27.23 American Health — Medicare Advantage: $8.17 Amerigroup — Managed Medicaid: $6.86 Amerigroup — Medicare Advantage: $8.58 Blue Cross Blue Shield — Exchange: $9.09 Blue Cross Blue Shield — HMO: $16.18
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIVER PANEL	$527	$316.20	$6.86 – $495.91
Liver function panel: 10 of 38 insurance plan rates Aetna — ASA: $369.43 Aetna — Commercial: $36.31 Aetna — Coventry: $369.43 Aetna — Managed Medicaid: $7.55 Aetna — Whole Health: $27.23 American Health — Medicare Advantage: $8.17 Amerigroup — Managed Medicaid: $6.86 Amerigroup — Medicare Advantage: $8.58 Blue Cross Blue Shield — Exchange: $9.09 Blue Cross Blue Shield — HMO: $16.18
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIVER PROFILE	$617	$370.20	$235.08 – $580.60
Liver function panel: 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $235.08 Blue Cross Blue Shield — HMO: $463.98 Blue Cross Blue Shield — PPO: $515.20 Blue Cross Blue Shield — Traditional: $565.79 Cigna — Indemnity: $580.60 City of Fort Worth — Commercial: $289.99 Fort Worth Firefighters — Commercial: $376.68 Galaxy — Commercial: $542.96 Healthsmart — Commercial: $518.28 Multiplan — Commercial: $536.79
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS ROUTINE	$179.75	$107.85	$2.66 – $169.14
Urine test (automated, with microscope): 10 of 38 insurance plan rates Aetna — ASA: $126 Aetna — Commercial: $14.09 Aetna — Coventry: $126 Aetna — Managed Medicaid: $2.93 Aetna — Whole Health: $10.57 American Health — Medicare Advantage: $3.17 Amerigroup — Managed Medicaid: $2.66 Amerigroup — Medicare Advantage: $3.33 Blue Cross Blue Shield — Exchange: $3.53 Blue Cross Blue Shield — HMO: $6.28
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS ROUTINE	$179.75	$107.85	$68.48 – $169.14
Urine test (automated, with microscope): 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $68.48 Blue Cross Blue Shield — HMO: $135.17 Blue Cross Blue Shield — PPO: $150.09 Blue Cross Blue Shield — Traditional: $164.83 Cigna — Indemnity: $169.14 City of Fort Worth — Commercial: $84.48 Fort Worth Firefighters — Commercial: $109.74 Galaxy — Commercial: $158.18 Healthsmart — Commercial: $150.99 Multiplan — Commercial: $156.38
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$2.92 – $22.66
Urine test (manual, without microscope): 10 of 28 insurance plan rates Aetna — Commercial: $11.35 Aetna — Managed Medicaid: $3.21 Aetna — Whole Health: $8.51 American Health — Medicare Advantage: $3.48 Amerigroup — Managed Medicaid: $2.92 Amerigroup — Medicare Advantage: $3.65 Blue Cross Blue Shield — Exchange: $3.87 Blue Cross Blue Shield — HMO: $6.89 Blue Cross Blue Shield — Managed Medicaid: $2.92 Blue Cross Blue Shield — Medicare Advantage: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POC CHEMISTRY URINALYSIS	$50	$30	$1.89 – $47.05
Urine test (automated, without microscope): 10 of 38 insurance plan rates Aetna — ASA: $35.05 Aetna — Commercial: $9.98 Aetna — Coventry: $35.05 Aetna — Managed Medicaid: $2.08 Aetna — Whole Health: $7.49 American Health — Medicare Advantage: $2.25 Amerigroup — Managed Medicaid: $1.89 Amerigroup — Medicare Advantage: $2.36 Blue Cross Blue Shield — Exchange: $2.50 Blue Cross Blue Shield — HMO: $4.46
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS SCRN W RFLX MICRO	$179.75	$107.85	$1.89 – $169.14
Urine test (automated, without microscope): 10 of 38 insurance plan rates Aetna — ASA: $126 Aetna — Commercial: $9.98 Aetna — Coventry: $126 Aetna — Managed Medicaid: $2.08 Aetna — Whole Health: $7.49 American Health — Medicare Advantage: $2.25 Amerigroup — Managed Medicaid: $1.89 Amerigroup — Medicare Advantage: $2.36 Blue Cross Blue Shield — Exchange: $2.50 Blue Cross Blue Shield — HMO: $4.46
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS SCREEN ONLY	$179.75	$107.85	$1.89 – $169.14
Urine test (automated, without microscope): 10 of 38 insurance plan rates Aetna — ASA: $126 Aetna — Commercial: $9.98 Aetna — Coventry: $126 Aetna — Managed Medicaid: $2.08 Aetna — Whole Health: $7.49 American Health — Medicare Advantage: $2.25 Amerigroup — Managed Medicaid: $1.89 Amerigroup — Medicare Advantage: $2.36 Blue Cross Blue Shield — Exchange: $2.50 Blue Cross Blue Shield — HMO: $4.46
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOTAL	$211.75	$127.05	$15.45 – $199.26
PSA (prostate specific antigen) blood test: 10 of 38 insurance plan rates Aetna — ASA: $148.44 Aetna — Commercial: $81.75 Aetna — Coventry: $148.44 Aetna — Managed Medicaid: $17 Aetna — Whole Health: $61.31 American Health — Medicare Advantage: $18.39 Amerigroup — Managed Medicaid: $15.45 Amerigroup — Medicare Advantage: $19.31 Blue Cross Blue Shield — Exchange: $20.45 Blue Cross Blue Shield — HMO: $36.41
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA ULTRA-SENSITIVE	$250.75	$150.45	$15.45 – $235.96
PSA (prostate specific antigen) blood test: 10 of 38 insurance plan rates Aetna — ASA: $175.78 Aetna — Commercial: $81.75 Aetna — Coventry: $175.78 Aetna — Managed Medicaid: $17 Aetna — Whole Health: $61.31 American Health — Medicare Advantage: $18.39 Amerigroup — Managed Medicaid: $15.45 Amerigroup — Medicare Advantage: $19.31 Blue Cross Blue Shield — Exchange: $20.45 Blue Cross Blue Shield — HMO: $36.41
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA TOTAL REF1	$43.05	$25.83	$15.45 – $107.78
PSA (prostate specific antigen) blood test: 10 of 38 insurance plan rates Aetna — ASA: $30.18 Aetna — Commercial: $81.75 Aetna — Coventry: $30.18 Aetna — Managed Medicaid: $17 Aetna — Whole Health: $61.31 American Health — Medicare Advantage: $18.39 Amerigroup — Managed Medicaid: $15.45 Amerigroup — Medicare Advantage: $19.31 Blue Cross Blue Shield — Exchange: $20.45 Blue Cross Blue Shield — HMO: $36.41
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH 3RD GENERATION REF1	$217.25	$130.35	$14.11 – $204.43
Thyroid stimulating hormone (TSH) test: 10 of 38 insurance plan rates Aetna — ASA: $152.29 Aetna — Commercial: $74.64 Aetna — Coventry: $152.29 Aetna — Managed Medicaid: $15.52 Aetna — Whole Health: $55.98 American Health — Medicare Advantage: $16.80 Amerigroup — Managed Medicaid: $14.11 Amerigroup — Medicare Advantage: $17.64 Blue Cross Blue Shield — Exchange: $18.68 Blue Cross Blue Shield — HMO: $33.26
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH	$540	$324	$14.11 – $508.14
Thyroid stimulating hormone (TSH) test: 10 of 38 insurance plan rates Aetna — ASA: $378.54 Aetna — Commercial: $74.64 Aetna — Coventry: $378.54 Aetna — Managed Medicaid: $15.52 Aetna — Whole Health: $55.98 American Health — Medicare Advantage: $16.80 Amerigroup — Managed Medicaid: $14.11 Amerigroup — Medicare Advantage: $17.64 Blue Cross Blue Shield — Exchange: $18.68 Blue Cross Blue Shield — HMO: $33.26
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID FUNCT CASCADE	$269.50	$161.70	$14.11 – $253.60
Thyroid stimulating hormone (TSH) test: 10 of 38 insurance plan rates Aetna — ASA: $188.92 Aetna — Commercial: $74.64 Aetna — Coventry: $188.92 Aetna — Managed Medicaid: $15.52 Aetna — Whole Health: $55.98 American Health — Medicare Advantage: $16.80 Amerigroup — Managed Medicaid: $14.11 Amerigroup — Medicare Advantage: $17.64 Blue Cross Blue Shield — Exchange: $18.68 Blue Cross Blue Shield — HMO: $33.26
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC HEMOGRAM W AUTO DIFF	$224.50	$134.70	$6.53 – $211.25
Complete blood count (CBC) with differential: 10 of 38 insurance plan rates Aetna — ASA: $157.37 Aetna — Commercial: $34.57 Aetna — Coventry: $157.37 Aetna — Managed Medicaid: $7.18 Aetna — Whole Health: $25.93 American Health — Medicare Advantage: $7.77 Amerigroup — Managed Medicaid: $6.53 Amerigroup — Medicare Advantage: $8.16 Blue Cross Blue Shield — Exchange: $8.64 Blue Cross Blue Shield — HMO: $15.38
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC HEMOGRAM W AUTO DIFF	$224.50	$134.70	$85.53 – $211.25
Complete blood count (CBC) with differential: 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $85.53 Blue Cross Blue Shield — HMO: $168.82 Blue Cross Blue Shield — PPO: $187.46 Blue Cross Blue Shield — Traditional: $205.87 Cigna — Indemnity: $211.25 City of Fort Worth — Commercial: $105.52 Fort Worth Firefighters — Commercial: $137.06 Galaxy — Commercial: $197.56 Healthsmart — Commercial: $188.58 Multiplan — Commercial: $195.32
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEMOGRAM W/PLTS	$200.50	$120.30	$5.43 – $188.67
Complete blood count (CBC), automated: 10 of 38 insurance plan rates Aetna — ASA: $140.55 Aetna — Commercial: $28.77 Aetna — Coventry: $140.55 Aetna — Managed Medicaid: $5.97 Aetna — Whole Health: $21.58 American Health — Medicare Advantage: $6.47 Amerigroup — Managed Medicaid: $5.43 Amerigroup — Medicare Advantage: $6.79 Blue Cross Blue Shield — Exchange: $7.19 Blue Cross Blue Shield — HMO: $12.81
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC W/O DIFF	$200.50	$120.30	$5.43 – $188.67
Complete blood count (CBC), automated: 10 of 38 insurance plan rates Aetna — ASA: $140.55 Aetna — Commercial: $28.77 Aetna — Coventry: $140.55 Aetna — Managed Medicaid: $5.97 Aetna — Whole Health: $21.58 American Health — Medicare Advantage: $6.47 Amerigroup — Managed Medicaid: $5.43 Amerigroup — Medicare Advantage: $6.79 Blue Cross Blue Shield — Exchange: $7.19 Blue Cross Blue Shield — HMO: $12.81
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEMOGRAM W/PLTS	$200.50	$120.30	$76.39 – $188.67
Complete blood count (CBC), automated: 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $76.39 Blue Cross Blue Shield — HMO: $150.78 Blue Cross Blue Shield — PPO: $167.42 Blue Cross Blue Shield — Traditional: $183.86 Cigna — Indemnity: $188.67 City of Fort Worth — Commercial: $94.24 Fort Worth Firefighters — Commercial: $122.41 Galaxy — Commercial: $176.44 Healthsmart — Commercial: $168.42 Multiplan — Commercial: $174.44
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME W/INR	$151.75	$91.05	$3.60 – $142.80
Blood clotting time test (prothrombin time, PT): 10 of 38 insurance plan rates Aetna — ASA: $106.38 Aetna — Commercial: $17.45 Aetna — Coventry: $106.38 Aetna — Managed Medicaid: $3.96 Aetna — Whole Health: $13.09 American Health — Medicare Advantage: $4.29 Amerigroup — Managed Medicaid: $3.60 Amerigroup — Medicare Advantage: $4.50 Blue Cross Blue Shield — Exchange: $4.77 Blue Cross Blue Shield — HMO: $8.49
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$198.50	$119.10	$3.60 – $186.79
Blood clotting time test (prothrombin time, PT): 10 of 38 insurance plan rates Aetna — ASA: $139.15 Aetna — Commercial: $17.45 Aetna — Coventry: $139.15 Aetna — Managed Medicaid: $3.96 Aetna — Whole Health: $13.09 American Health — Medicare Advantage: $4.29 Amerigroup — Managed Medicaid: $3.60 Amerigroup — Medicare Advantage: $4.50 Blue Cross Blue Shield — Exchange: $4.77 Blue Cross Blue Shield — HMO: $8.49
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME REF1	$39.50	$23.70	$3.60 – $37.17
Blood clotting time test (prothrombin time, PT): 10 of 38 insurance plan rates Aetna — ASA: $27.69 Aetna — Commercial: $17.45 Aetna — Coventry: $27.69 Aetna — Managed Medicaid: $3.96 Aetna — Whole Health: $13.09 American Health — Medicare Advantage: $4.29 Amerigroup — Managed Medicaid: $3.60 Amerigroup — Medicare Advantage: $4.50 Blue Cross Blue Shield — Exchange: $4.77 Blue Cross Blue Shield — HMO: $8.49
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT REF1	$57.50	$34.50	$5.05 – $54.11
Blood clotting test (partial thromboplastin time, PTT): 10 of 38 insurance plan rates Aetna — ASA: $40.31 Aetna — Commercial: $26.67 Aetna — Coventry: $40.31 Aetna — Managed Medicaid: $5.56 Aetna — Whole Health: $20 American Health — Medicare Advantage: $6.01 Amerigroup — Managed Medicaid: $5.05 Amerigroup — Medicare Advantage: $6.31 Blue Cross Blue Shield — Exchange: $6.68 Blue Cross Blue Shield — HMO: $11.90
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT	$217.75	$130.65	$5.05 – $204.90
Blood clotting test (partial thromboplastin time, PTT): 10 of 38 insurance plan rates Aetna — ASA: $152.64 Aetna — Commercial: $26.67 Aetna — Coventry: $152.64 Aetna — Managed Medicaid: $5.56 Aetna — Whole Health: $20 American Health — Medicare Advantage: $6.01 Amerigroup — Managed Medicaid: $5.05 Amerigroup — Medicare Advantage: $6.31 Blue Cross Blue Shield — Exchange: $6.68 Blue Cross Blue Shield — HMO: $11.90
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PTT REF1	$57.50	$34.50	$21.91 – $54.11
Blood clotting test (partial thromboplastin time, PTT): 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $21.91 Blue Cross Blue Shield — HMO: $43.24 Blue Cross Blue Shield — PPO: $48.01 Blue Cross Blue Shield — Traditional: $52.73 Cigna — Indemnity: $54.11 City of Fort Worth — Commercial: $27.03 Fort Worth Firefighters — Commercial: $35.10 Galaxy — Commercial: $50.60 Healthsmart — Commercial: $48.30 Multiplan — Commercial: $50.03

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD WO CONT STROKE ONSET	$3,429.50	$2,057.70	$104.75 – $3,227.16
CT scan of the head or brain, without contrast: 10 of 38 insurance plan rates Aetna — ASA: $2,404.08 Aetna — Commercial: $1,222 Aetna — Coventry: $2,404.08 Aetna — Managed Medicaid: $115.23 Aetna — Whole Health: $916.50 American Health — Medicare Advantage: $105.02 Amerigroup — Managed Medicaid: $104.75 Amerigroup — Medicare Advantage: $110.27 Blue Cross Blue Shield — Exchange: $310.91 Blue Cross Blue Shield — HMO: $378.27
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD WO CONT	$3,429.50	$2,057.70	$104.75 – $3,227.16
CT scan of the head or brain, without contrast: 10 of 38 insurance plan rates Aetna — ASA: $2,404.08 Aetna — Commercial: $1,222 Aetna — Coventry: $2,404.08 Aetna — Managed Medicaid: $115.23 Aetna — Whole Health: $916.50 American Health — Medicare Advantage: $105.02 Amerigroup — Managed Medicaid: $104.75 Amerigroup — Medicare Advantage: $110.27 Blue Cross Blue Shield — Exchange: $310.91 Blue Cross Blue Shield — HMO: $378.27
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD WO CONT STROKE ONSET	$3,429.50	$2,057.70	$1,306.64 – $3,227.16
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $1,306.64 Blue Cross Blue Shield — HMO: $2,578.98 Blue Cross Blue Shield — PPO: $2,863.63 Blue Cross Blue Shield — Traditional: $3,144.85 Cigna — Indemnity: $3,227.16 City of Fort Worth — Commercial: $1,611.87 Fort Worth Firefighters — Commercial: $2,093.71 Galaxy — Commercial: $3,017.96 Healthsmart — Commercial: $2,880.78 Multiplan — Commercial: $2,983.67
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN W WO CONT	$4,716.75	$2,830.05	$328.11 – $4,438.46
MRI of the brain, before and after contrast: 10 of 38 insurance plan rates Aetna — ASA: $3,306.44 Aetna — Commercial: $1,600 Aetna — Coventry: $3,306.44 Aetna — Managed Medicaid: $360.92 Aetna — Whole Health: $1,200 American Health — Medicare Advantage: $350.46 Amerigroup — Managed Medicaid: $328.11 Amerigroup — Medicare Advantage: $367.99 Blue Cross Blue Shield — Exchange: $1,059.25 Blue Cross Blue Shield — HMO: $1,288.74
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN W WO CONT	$4,716.75	$2,830.05	$1,797.08 – $4,438.46
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $1,797.08 Blue Cross Blue Shield — HMO: $3,547 Blue Cross Blue Shield — PPO: $3,938.49 Blue Cross Blue Shield — Traditional: $4,325.26 Cigna — Indemnity: $4,438.46 City of Fort Worth — Commercial: $2,216.87 Fort Worth Firefighters — Commercial: $2,879.58 Galaxy — Commercial: $4,150.74 Healthsmart — Commercial: $3,962.07 Multiplan — Commercial: $4,103.57
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST 2 VIEWS	$761.75	$457.05	$33.75 – $722
Chest X-ray, 2 views: 10 of 38 insurance plan rates Aetna — ASA: $533.99 Aetna — Commercial: $417.06 Aetna — Coventry: $533.99 Aetna — Managed Medicaid: $37.13 Aetna — Whole Health: $312.77 American Health — Medicare Advantage: $87.42 Amerigroup — Managed Medicaid: $33.75 Amerigroup — Medicare Advantage: $91.79 Blue Cross Blue Shield — Exchange: $123.31 Blue Cross Blue Shield — HMO: $209.66
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CHEST 2 VIEWS	$761.75	$457.05	$290.23 – $716.81
Chest X-ray, 2 views: 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $290.23 Blue Cross Blue Shield — HMO: $572.84 Blue Cross Blue Shield — PPO: $636.06 Blue Cross Blue Shield — Traditional: $698.52 Cigna — Indemnity: $716.81 City of Fort Worth — Commercial: $358.02 Fort Worth Firefighters — Commercial: $465.05 Galaxy — Commercial: $670.34 Healthsmart — Commercial: $639.87 Multiplan — Commercial: $662.72
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SPINE LUMBAR 4 VIEWS MIN	$1,087.50	$652.50	$52.13 – $1,023.34
X-ray of the lower spine, at least 4 views: 10 of 38 insurance plan rates Aetna — ASA: $762.34 Aetna — Commercial: $595.41 Aetna — Coventry: $762.34 Aetna — Managed Medicaid: $57.34 Aetna — Whole Health: $446.53 American Health — Medicare Advantage: $105.02 Amerigroup — Managed Medicaid: $52.13 Amerigroup — Medicare Advantage: $110.27 Blue Cross Blue Shield — Exchange: $173.16 Blue Cross Blue Shield — HMO: $294.43
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINE LUMBAR 4 VIEWS MIN	$1,087.50	$652.50	$414.34 – $1,023.34
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $414.34 Blue Cross Blue Shield — HMO: $817.80 Blue Cross Blue Shield — PPO: $908.06 Blue Cross Blue Shield — Traditional: $997.24 Cigna — Indemnity: $1,023.34 City of Fort Worth — Commercial: $511.13 Fort Worth Firefighters — Commercial: $663.92 Galaxy — Commercial: $957 Healthsmart — Commercial: $913.50 Multiplan — Commercial: $946.13
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SPINE LUMBAR WO CONT	$3,990.25	$2,394.15	$197.14 – $3,754.83
MRI of the lower back (lumbar spine), without contrast: 10 of 38 insurance plan rates Aetna — ASA: $2,797.17 Aetna — Commercial: $1,600 Aetna — Coventry: $2,797.17 Aetna — Managed Medicaid: $216.85 Aetna — Whole Health: $1,200 American Health — Medicare Advantage: $239.69 Amerigroup — Managed Medicaid: $197.14 Amerigroup — Medicare Advantage: $251.67 Blue Cross Blue Shield — Exchange: $646.45 Blue Cross Blue Shield — HMO: $786.51
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI SPINE LUMBAR WO CONT	$3,990.25	$2,394.15	$1,520.29 – $3,754.83
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $1,520.29 Blue Cross Blue Shield — HMO: $3,000.67 Blue Cross Blue Shield — PPO: $3,331.86 Blue Cross Blue Shield — Traditional: $3,659.06 Cigna — Indemnity: $3,754.83 City of Fort Worth — Commercial: $1,875.42 Fort Worth Firefighters — Commercial: $2,436.05 Galaxy — Commercial: $3,511.42 Healthsmart — Commercial: $3,351.81 Multiplan — Commercial: $3,471.52
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W CONT	$4,354.75	$2,612.85	$175.06 – $4,097.82
CT scan of the pelvis, with contrast: 10 of 38 insurance plan rates Aetna — ASA: $3,052.68 Aetna — Commercial: $1,222 Aetna — Coventry: $3,052.68 Aetna — Managed Medicaid: $192.57 Aetna — Whole Health: $916.50 American Health — Medicare Advantage: $176.20 Amerigroup — Managed Medicaid: $175.06 Amerigroup — Medicare Advantage: $185.01 Blue Cross Blue Shield — Exchange: $505.48 Blue Cross Blue Shield — HMO: $614.99
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W CONT	$4,354.75	$2,612.85	$1,659.16 – $4,097.82
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $1,659.16 Blue Cross Blue Shield — HMO: $3,274.77 Blue Cross Blue Shield — PPO: $3,636.22 Blue Cross Blue Shield — Traditional: $3,993.31 Cigna — Indemnity: $4,097.82 City of Fort Worth — Commercial: $2,046.73 Fort Worth Firefighters — Commercial: $2,658.57 Galaxy — Commercial: $3,832.18 Healthsmart — Commercial: $3,657.99 Multiplan — Commercial: $3,788.63
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI EXT LWR LT JOINT WO CONT	$5,441.50	$3,264.90	$208.84 – $5,120.45
MRI of a leg joint (such as the knee), without contrast: 10 of 38 insurance plan rates Aetna — ASA: $3,814.49 Aetna — Commercial: $1,600 Aetna — Coventry: $3,814.49 Aetna — Managed Medicaid: $229.72 Aetna — Whole Health: $1,200 American Health — Medicare Advantage: $239.69 Amerigroup — Managed Medicaid: $208.84 Amerigroup — Medicare Advantage: $251.67 Blue Cross Blue Shield — Exchange: $646.45 Blue Cross Blue Shield — HMO: $786.51
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI EXT LWR RT JOINT WO CONT	$5,441.50	$3,264.90	$208.84 – $5,120.45
MRI of a leg joint (such as the knee), without contrast: 10 of 38 insurance plan rates Aetna — ASA: $3,814.49 Aetna — Commercial: $1,600 Aetna — Coventry: $3,814.49 Aetna — Managed Medicaid: $229.72 Aetna — Whole Health: $1,200 American Health — Medicare Advantage: $239.69 Amerigroup — Managed Medicaid: $208.84 Amerigroup — Medicare Advantage: $251.67 Blue Cross Blue Shield — Exchange: $646.45 Blue Cross Blue Shield — HMO: $786.51
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI EXT LWR LT JOINT WO CONT	$5,441.50	$3,264.90	$2,073.21 – $5,120.45
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $2,073.21 Blue Cross Blue Shield — HMO: $4,092.01 Blue Cross Blue Shield — PPO: $4,543.65 Blue Cross Blue Shield — Traditional: $4,989.86 Cigna — Indemnity: $5,120.45 City of Fort Worth — Commercial: $2,557.51 Fort Worth Firefighters — Commercial: $3,322.04 Galaxy — Commercial: $4,788.52 Healthsmart — Commercial: $4,570.86 Multiplan — Commercial: $4,734.11
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABDOMEN PELVIS W CONT	$6,534	$3,920.40	$312.08 – $6,148.49
CT scan of the abdomen and pelvis, with contrast: 10 of 38 insurance plan rates Aetna — ASA: $4,580.33 Aetna — Commercial: $1,222 Aetna — Coventry: $4,580.33 Aetna — Managed Medicaid: $343.29 Aetna — Whole Health: $916.50 American Health — Medicare Advantage: $350.46 Amerigroup — Managed Medicaid: $312.08 Amerigroup — Medicare Advantage: $367.99 Blue Cross Blue Shield — Exchange: $1,059.25 Blue Cross Blue Shield — HMO: $1,288.74
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABDOMEN PELVIS W CONT	$6,534	$3,920.40	$2,489.45 – $6,148.49
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $2,489.45 Blue Cross Blue Shield — HMO: $4,913.57 Blue Cross Blue Shield — PPO: $5,455.89 Blue Cross Blue Shield — Traditional: $5,991.68 Cigna — Indemnity: $6,148.49 City of Fort Worth — Commercial: $3,070.98 Fort Worth Firefighters — Commercial: $3,989.01 Galaxy — Commercial: $5,749.92 Healthsmart — Commercial: $5,488.56 Multiplan — Commercial: $5,684.58
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE	$1,309.25	$785.55	$104.75 – $1,232
Ultrasound of the abdomen, complete: 10 of 38 insurance plan rates Aetna — ASA: $917.78 Aetna — Commercial: $716.81 Aetna — Coventry: $917.78 Aetna — Managed Medicaid: $115.23 Aetna — Whole Health: $537.58 American Health — Medicare Advantage: $105.02 Amerigroup — Managed Medicaid: $104.75 Amerigroup — Medicare Advantage: $110.27 Blue Cross Blue Shield — Exchange: $173.16 Blue Cross Blue Shield — HMO: $294.43
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE	$1,309.25	$785.55	$498.82 – $1,232
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $498.82 Blue Cross Blue Shield — HMO: $984.56 Blue Cross Blue Shield — PPO: $1,093.22 Blue Cross Blue Shield — Traditional: $1,200.58 Cigna — Indemnity: $1,232 City of Fort Worth — Commercial: $615.35 Fort Worth Firefighters — Commercial: $799.30 Galaxy — Commercial: $1,152.14 Healthsmart — Commercial: $1,099.77 Multiplan — Commercial: $1,139.05
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US OB COMPLETE SNGL FETUS	$636.25	$381.75	$104.75 – $722.43
Pregnancy ultrasound (after the first trimester): 10 of 38 insurance plan rates Aetna — ASA: $446.01 Aetna — Commercial: $348.35 Aetna — Coventry: $446.01 Aetna — Managed Medicaid: $115.23 Aetna — Whole Health: $261.24 American Health — Medicare Advantage: $105.02 Amerigroup — Managed Medicaid: $104.75 Amerigroup — Medicare Advantage: $110.27 Blue Cross Blue Shield — Exchange: $141.43 Blue Cross Blue Shield — HMO: $240.48
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US OB COMPLETE SNGL FETUS	$636.25	$381.75	$242.41 – $598.71
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $242.41 Blue Cross Blue Shield — HMO: $478.46 Blue Cross Blue Shield — PPO: $531.27 Blue Cross Blue Shield — Traditional: $583.44 Cigna — Indemnity: $598.71 City of Fort Worth — Commercial: $299.04 Fort Worth Firefighters — Commercial: $388.43 Galaxy — Commercial: $559.90 Healthsmart — Commercial: $534.45 Multiplan — Commercial: $553.54
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL NON-OB	$983	$589.80	$104.75 – $925
Transvaginal ultrasound: 10 of 38 insurance plan rates Aetna — ASA: $689.08 Aetna — Commercial: $538.19 Aetna — Coventry: $689.08 Aetna — Managed Medicaid: $115.23 Aetna — Whole Health: $403.62 American Health — Medicare Advantage: $105.02 Amerigroup — Managed Medicaid: $104.75 Amerigroup — Medicare Advantage: $110.27 Blue Cross Blue Shield — Exchange: $136.42 Blue Cross Blue Shield — HMO: $231.96
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED US TRANSVAGINAL NON OB LTD	$983	$589.80	$104.75 – $925
Transvaginal ultrasound: 10 of 38 insurance plan rates Aetna — ASA: $689.08 Aetna — Commercial: $538.19 Aetna — Coventry: $689.08 Aetna — Managed Medicaid: $115.23 Aetna — Whole Health: $403.62 American Health — Medicare Advantage: $105.02 Amerigroup — Managed Medicaid: $104.75 Amerigroup — Medicare Advantage: $110.27 Blue Cross Blue Shield — Exchange: $136.42 Blue Cross Blue Shield — HMO: $231.96
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL NON-OB	$983	$589.80	$374.52 – $925
Transvaginal ultrasound: 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $374.52 Blue Cross Blue Shield — HMO: $739.22 Blue Cross Blue Shield — PPO: $820.81 Blue Cross Blue Shield — Traditional: $901.41 Cigna — Indemnity: $925 City of Fort Worth — Commercial: $462.01 Fort Worth Firefighters — Commercial: $600.12 Galaxy — Commercial: $865.04 Healthsmart — Commercial: $825.72 Multiplan — Commercial: $855.21
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DIAG DIG UNI LT	$610.25	$366.15	$57.12 – $742.32
Diagnostic mammogram, one breast: 10 of 38 insurance plan rates Aetna — ASA: $427.79 Aetna — Commercial: $276.44 Aetna — Coventry: $427.79 Aetna — Managed Medicaid: $62.86 Aetna — Whole Health: $207.36 American Health — Medicare Advantage: $118.85 Amerigroup — Managed Medicaid: $57.12 Amerigroup — Medicare Advantage: $124.79 Blue Cross Blue Shield — Exchange: $145.32 Blue Cross Blue Shield — HMO: $247.10
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DIAG DIG UNI W IMP RT	$610.25	$366.15	$57.12 – $742.32
Diagnostic mammogram, one breast: 10 of 38 insurance plan rates Aetna — ASA: $427.79 Aetna — Commercial: $276.44 Aetna — Coventry: $427.79 Aetna — Managed Medicaid: $62.86 Aetna — Whole Health: $207.36 American Health — Medicare Advantage: $118.85 Amerigroup — Managed Medicaid: $57.12 Amerigroup — Medicare Advantage: $124.79 Blue Cross Blue Shield — Exchange: $145.32 Blue Cross Blue Shield — HMO: $247.10
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DIAG DIG UNI W IMP LT	$610.25	$366.15	$57.12 – $742.32
Diagnostic mammogram, one breast: 10 of 38 insurance plan rates Aetna — ASA: $427.79 Aetna — Commercial: $276.44 Aetna — Coventry: $427.79 Aetna — Managed Medicaid: $62.86 Aetna — Whole Health: $207.36 American Health — Medicare Advantage: $118.85 Amerigroup — Managed Medicaid: $57.12 Amerigroup — Medicare Advantage: $124.79 Blue Cross Blue Shield — Exchange: $145.32 Blue Cross Blue Shield — HMO: $247.10
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DIAG DIG BIL	$610.25	$366.15	$57.12 – $949.96
Diagnostic mammogram, both breasts: 10 of 38 insurance plan rates Aetna — ASA: $427.79 Aetna — Commercial: $276.44 Aetna — Coventry: $427.79 Aetna — Managed Medicaid: $62.86 Aetna — Whole Health: $207.36 American Health — Medicare Advantage: $150.52 Amerigroup — Managed Medicaid: $57.12 Amerigroup — Medicare Advantage: $158.05 Blue Cross Blue Shield — Exchange: $185.97 Blue Cross Blue Shield — HMO: $316.21
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DIAG DIG BIL W IMP	$610.25	$366.15	$57.12 – $949.96
Diagnostic mammogram, both breasts: 10 of 38 insurance plan rates Aetna — ASA: $427.79 Aetna — Commercial: $276.44 Aetna — Coventry: $427.79 Aetna — Managed Medicaid: $62.86 Aetna — Whole Health: $207.36 American Health — Medicare Advantage: $150.52 Amerigroup — Managed Medicaid: $57.12 Amerigroup — Medicare Advantage: $158.05 Blue Cross Blue Shield — Exchange: $185.97 Blue Cross Blue Shield — HMO: $316.21
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DIAG DIG BIL	$610.25	$366.15	$232.51 – $574.25
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $232.51 Blue Cross Blue Shield — HMO: $458.91 Blue Cross Blue Shield — PPO: $509.56 Blue Cross Blue Shield — Traditional: $559.60 Cigna — Indemnity: $574.25 City of Fort Worth — Commercial: $286.82 Fort Worth Firefighters — Commercial: $372.56 Galaxy — Commercial: $537.02 Healthsmart — Commercial: $512.61 Multiplan — Commercial: $530.92
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO SCRN DIG BIL	$522.25	$313.35	$48.88 – $785.02
Screening mammogram, both breasts: 10 of 38 insurance plan rates Aetna — ASA: $366.10 Aetna — Commercial: $236.58 Aetna — Coventry: $366.10 Aetna — Managed Medicaid: $53.79 Aetna — Whole Health: $177.46 American Health — Medicare Advantage: $121 Amerigroup — Managed Medicaid: $48.88 Amerigroup — Medicare Advantage: $127.05 Blue Cross Blue Shield — Exchange: $153.68 Blue Cross Blue Shield — HMO: $261.31
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO SCRN DIG BIL W IMP	$522.25	$313.35	$48.88 – $785.02
Screening mammogram, both breasts: 10 of 38 insurance plan rates Aetna — ASA: $366.10 Aetna — Commercial: $236.58 Aetna — Coventry: $366.10 Aetna — Managed Medicaid: $53.79 Aetna — Whole Health: $177.46 American Health — Medicare Advantage: $121 Amerigroup — Managed Medicaid: $48.88 Amerigroup — Medicare Advantage: $127.05 Blue Cross Blue Shield — Exchange: $153.68 Blue Cross Blue Shield — HMO: $261.31
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO SCRN DIG BIL	$522.25	$313.35	$198.98 – $491.44
Screening mammogram, both breasts: 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $198.98 Blue Cross Blue Shield — HMO: $392.73 Blue Cross Blue Shield — PPO: $436.08 Blue Cross Blue Shield — Traditional: $478.90 Cigna — Indemnity: $491.44 City of Fort Worth — Commercial: $245.46 Fort Worth Firefighters — Commercial: $318.83 Galaxy — Commercial: $459.58 Healthsmart — Commercial: $438.69 Multiplan — Commercial: $454.36

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$14.84 – $112.66
Electrocardiogram (ECG/EKG) with reading: 10 of 14 insurance plan rates American Health — Medicare Advantage: $14.84 Amerigroup — Medicare Advantage: $15.58 Blue Cross Blue Shield — Exchange: $19.24 Blue Cross Blue Shield — HMO: $34.25 Blue Cross Blue Shield — Medicare Advantage: $14.84 Blue Cross Blue Shield — PPO: $38.06 Blue Cross Blue Shield — Traditional: $101.40 HealthSpring — Medicare Advantage: $15.14 Humana — Medicare Advantage: $15.43 Molina — Medicare Advantage: $15.58
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CATH LT HEART +/- LV GRAM	$15,527.25	$9,316.35	$1,453.35 – $17,117
Left heart catheterization (diagnostic): 10 of 38 insurance plan rates Aetna — ASA: $10,884.60 Aetna — Commercial: $8,156.46 Aetna — Coventry: $10,884.60 Aetna — Managed Medicaid: $1,599.31 Aetna — Whole Health: $6,117.74 American Health — Medicare Advantage: $3,256.70 Amerigroup — Managed Medicaid: $1,453.35 Amerigroup — Medicare Advantage: $3,419.54 Blue Cross Blue Shield — Exchange: $4,502.90 Blue Cross Blue Shield — HMO: $7,173.59
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CATH LT HEART +/- LV GRAM	$15,527.25	$9,316.35	$5,915.88 – $14,611.14
Left heart catheterization (diagnostic): 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $5,915.88 Blue Cross Blue Shield — HMO: $11,676.49 Blue Cross Blue Shield — PPO: $12,965.25 Blue Cross Blue Shield — Traditional: $14,238.49 Cigna — Indemnity: $14,611.14 City of Fort Worth — Commercial: $7,297.81 Fort Worth Firefighters — Commercial: $9,479.39 Galaxy — Commercial: $13,663.98 Healthsmart — Commercial: $13,042.89 Multiplan — Commercial: $13,508.71
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$4,693.87 – $23,814.18
Left heart catheterization (diagnostic): rates for 4 insurance plans Blue Cross Blue Shield — Exchange: $4,693.87 Blue Cross Blue Shield — HMO: $7,173.32 Blue Cross Blue Shield — PPO: $7,968.46 Blue Cross Blue Shield — Traditional: $23,814.18
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$7,162.91 – $48,333.45
Heart rhythm study (electrophysiology evaluation): 10 of 17 insurance plan rates American Health — Medicare Advantage: $7,835.21 Amerigroup — Medicare Advantage: $8,226.97 Blue Cross Blue Shield — Exchange: $7,162.91 Blue Cross Blue Shield — HMO: $14,767.25 Blue Cross Blue Shield — Medicare Advantage: $7,835.21 Blue Cross Blue Shield — PPO: $16,409.36 Blue Cross Blue Shield — Traditional: $43,501.28 Fort Worth Firefighters — Commercial: $10,576 HealthSpring — Medicare Advantage: $7,991.91 Humana — Medicare Advantage: $8,148.61
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ABLATION FOR AFIB	$24,652.50	$14,791.50	$2,307.47 – $151,037.08
Heart rhythm study with ablation for atrial fibrillation: 10 of 38 insurance plan rates Aetna — ASA: $17,281.40 Aetna — Commercial: $12,696.04 Aetna — Coventry: $17,281.40 Aetna — Managed Medicaid: $2,539.21 Aetna — Whole Health: $9,520.80 American Health — Medicare Advantage: $26,256.97 Amerigroup — Managed Medicaid: $2,307.47 Amerigroup — Medicare Advantage: $27,569.81 Blue Cross Blue Shield — Exchange: $24,869.72 Blue Cross Blue Shield — HMO: $51,272.09
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ABLATION FOR AFIB	$24,652.50	$14,791.50	$9,392.60 – $23,198
Heart rhythm study with ablation for atrial fibrillation: 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $9,392.60 Blue Cross Blue Shield — HMO: $18,538.68 Blue Cross Blue Shield — PPO: $20,584.84 Blue Cross Blue Shield — Traditional: $22,606.34 Cigna — Indemnity: $23,198 City of Fort Worth — Commercial: $11,586.68 Fort Worth Firefighters — Commercial: $15,050.35 Galaxy — Commercial: $21,694.20 Healthsmart — Commercial: $20,708.10 Multiplan — Commercial: $21,447.68
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$10,893 – $170,757.12
Heart rhythm study with ablation for atrial fibrillation: rates for 7 insurance plans Blue Cross Blue Shield — Exchange: $25,687.13 Blue Cross Blue Shield — HMO: $48,022.88 Blue Cross Blue Shield — PPO: $53,356.49 Blue Cross Blue Shield — Traditional: $170,757.12 Fort Worth Firefighters — Commercial: $10,893 United Healthcare — All Payer: $14,789 United Healthcare Options — PPO: $18,813
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FULL POLYSOMN 4>PARAM	$8,050.50	$4,830.30	$609.64 – $7,575.52
Sleep study (overnight, in a sleep lab): 10 of 38 insurance plan rates Aetna — ASA: $5,643.40 Aetna — Commercial: $4,407.65 Aetna — Coventry: $5,643.40 Aetna — Managed Medicaid: $829.20 Aetna — Whole Health: $3,305.54 American Health — Medicare Advantage: $862.65 Amerigroup — Managed Medicaid: $753.53 Amerigroup — Medicare Advantage: $905.79 Blue Cross Blue Shield — Exchange: $609.64 Blue Cross Blue Shield — HMO: $1,256.86
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FULL POLYSOMN 4>PARAM	$8,050.50	$4,830.30	$3,067.24 – $7,575.52
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $3,067.24 Blue Cross Blue Shield — HMO: $6,053.98 Blue Cross Blue Shield — PPO: $6,722.17 Blue Cross Blue Shield — Traditional: $7,382.31 Cigna — Indemnity: $7,575.52 City of Fort Worth — Commercial: $3,783.74 Fort Worth Firefighters — Commercial: $4,914.83 Galaxy — Commercial: $7,084.44 Healthsmart — Commercial: $6,762.42 Multiplan — Commercial: $7,003.94

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THER EX 15M	$206.50	$123.90	$19.33 – $401
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 38 insurance plan rates Aetna — ASA: $144.76 Aetna — Commercial: $113.06 Aetna — Coventry: $144.76 Aetna — Managed Medicaid: $21.27 Aetna — Whole Health: $84.79 American Health — Medicare Advantage: $28.33 Amerigroup — Managed Medicaid: $19.33 Amerigroup — Medicare Advantage: $29.74 Blue Cross Blue Shield — Exchange: $42.57 Blue Cross Blue Shield — HMO: $87.44
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THER EX 15M	$206.50	$123.90	$78.68 – $194.32
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $78.68 Blue Cross Blue Shield — HMO: $155.29 Blue Cross Blue Shield — PPO: $172.43 Blue Cross Blue Shield — Traditional: $189.36 Cigna — Indemnity: $194.32 City of Fort Worth — Commercial: $97.06 Fort Worth Firefighters — Commercial: $126.07 Galaxy — Commercial: $181.72 Healthsmart — Commercial: $173.46 Multiplan — Commercial: $179.66
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INITIAL EVAL LOW COMP LEVEL 1	$206.50	$123.90	$19.33 – $710.26
Physical therapy evaluation (low complexity): 10 of 38 insurance plan rates Aetna — ASA: $144.76 Aetna — Commercial: $113.06 Aetna — Coventry: $144.76 Aetna — Managed Medicaid: $21.27 Aetna — Whole Health: $84.79 American Health — Medicare Advantage: $95.48 Amerigroup — Managed Medicaid: $19.33 Amerigroup — Medicare Advantage: $100.26 Blue Cross Blue Shield — Exchange: $117.45 Blue Cross Blue Shield — HMO: $241.22
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INITIAL EVAL LOW COMP LEVEL 2	$274.25	$164.55	$25.67 – $710.26
Physical therapy evaluation (low complexity): 10 of 38 insurance plan rates Aetna — ASA: $192.25 Aetna — Commercial: $150.15 Aetna — Coventry: $192.25 Aetna — Managed Medicaid: $28.25 Aetna — Whole Health: $112.61 American Health — Medicare Advantage: $95.48 Amerigroup — Managed Medicaid: $25.67 Amerigroup — Medicare Advantage: $100.26 Blue Cross Blue Shield — Exchange: $117.45 Blue Cross Blue Shield — HMO: $241.22
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INITIAL EVAL LOW COMP LEVEL 3	$410	$246	$38.38 – $710.26
Physical therapy evaluation (low complexity): 10 of 38 insurance plan rates Aetna — ASA: $287.41 Aetna — Commercial: $224.48 Aetna — Coventry: $287.41 Aetna — Managed Medicaid: $42.23 Aetna — Whole Health: $168.35 American Health — Medicare Advantage: $95.48 Amerigroup — Managed Medicaid: $38.38 Amerigroup — Medicare Advantage: $100.26 Blue Cross Blue Shield — Exchange: $117.45 Blue Cross Blue Shield — HMO: $241.22
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INITIAL EVAL MOD COMP LEVEL 1	$206.50	$123.90	$19.33 – $710.26
Physical therapy evaluation (moderate complexity): 10 of 38 insurance plan rates Aetna — ASA: $144.76 Aetna — Commercial: $113.06 Aetna — Coventry: $144.76 Aetna — Managed Medicaid: $21.27 Aetna — Whole Health: $84.79 American Health — Medicare Advantage: $95.48 Amerigroup — Managed Medicaid: $19.33 Amerigroup — Medicare Advantage: $100.26 Blue Cross Blue Shield — Exchange: $117.45 Blue Cross Blue Shield — HMO: $241.22
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INITIAL EVAL MOD COMP LEVEL 2	$283	$169.80	$26.49 – $710.26
Physical therapy evaluation (moderate complexity): 10 of 38 insurance plan rates Aetna — ASA: $198.38 Aetna — Commercial: $154.94 Aetna — Coventry: $198.38 Aetna — Managed Medicaid: $29.15 Aetna — Whole Health: $116.20 American Health — Medicare Advantage: $95.48 Amerigroup — Managed Medicaid: $26.49 Amerigroup — Medicare Advantage: $100.26 Blue Cross Blue Shield — Exchange: $117.45 Blue Cross Blue Shield — HMO: $241.22
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INITIAL EVAL MOD COMP LEVEL 3	$410	$246	$38.38 – $710.26
Physical therapy evaluation (moderate complexity): 10 of 38 insurance plan rates Aetna — ASA: $287.41 Aetna — Commercial: $224.48 Aetna — Coventry: $287.41 Aetna — Managed Medicaid: $42.23 Aetna — Whole Health: $168.35 American Health — Medicare Advantage: $95.48 Amerigroup — Managed Medicaid: $38.38 Amerigroup — Medicare Advantage: $100.26 Blue Cross Blue Shield — Exchange: $117.45 Blue Cross Blue Shield — HMO: $241.22
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INITIAL EVAL HIGH COMP LEVEL 1	$206.50	$123.90	$19.33 – $710.26
Physical therapy evaluation (high complexity): 10 of 38 insurance plan rates Aetna — ASA: $144.76 Aetna — Commercial: $113.06 Aetna — Coventry: $144.76 Aetna — Managed Medicaid: $21.27 Aetna — Whole Health: $84.79 American Health — Medicare Advantage: $95.48 Amerigroup — Managed Medicaid: $19.33 Amerigroup — Medicare Advantage: $100.26 Blue Cross Blue Shield — Exchange: $117.45 Blue Cross Blue Shield — HMO: $241.22
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INITIAL EVAL HIGH COMP LEVEL 2	$274.25	$164.55	$25.67 – $710.26
Physical therapy evaluation (high complexity): 10 of 38 insurance plan rates Aetna — ASA: $192.25 Aetna — Commercial: $150.15 Aetna — Coventry: $192.25 Aetna — Managed Medicaid: $28.25 Aetna — Whole Health: $112.61 American Health — Medicare Advantage: $95.48 Amerigroup — Managed Medicaid: $25.67 Amerigroup — Medicare Advantage: $100.26 Blue Cross Blue Shield — Exchange: $117.45 Blue Cross Blue Shield — HMO: $241.22
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INITIAL EVAL HIGH COMP LEVEL 3	$410	$246	$38.38 – $710.26
Physical therapy evaluation (high complexity): 10 of 38 insurance plan rates Aetna — ASA: $287.41 Aetna — Commercial: $224.48 Aetna — Coventry: $287.41 Aetna — Managed Medicaid: $42.23 Aetna — Whole Health: $168.35 American Health — Medicare Advantage: $95.48 Amerigroup — Managed Medicaid: $38.38 Amerigroup — Medicare Advantage: $100.26 Blue Cross Blue Shield — Exchange: $117.45 Blue Cross Blue Shield — HMO: $241.22
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$178.30 – $201.48
Psychotherapy, 30 minutes: rates for 10 insurance plans American Health — Medicare Advantage: $178.30 Amerigroup — Medicare Advantage: $187.22 Blue Cross Blue Shield — Medicare Advantage: $178.30 HealthSpring — Medicare Advantage: $181.87 Humana — Medicare Advantage: $185.44 Molina — Medicare Advantage: $187.22 Superior Wellcare — Medicare Advantage HMO: $187.22 Superior Wellcare — Medicare Advantage MMP: $196.13 United Healthcare — Medicare Advantage HMO: $201.48 United Healthcare — Medicare Advantage PPO: $197.92
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$178.30 – $201.48
Psychotherapy, 45 minutes: rates for 10 insurance plans American Health — Medicare Advantage: $178.30 Amerigroup — Medicare Advantage: $187.22 Blue Cross Blue Shield — Medicare Advantage: $178.30 HealthSpring — Medicare Advantage: $181.87 Humana — Medicare Advantage: $185.44 Molina — Medicare Advantage: $187.22 Superior Wellcare — Medicare Advantage HMO: $187.22 Superior Wellcare — Medicare Advantage MMP: $196.13 United Healthcare — Medicare Advantage HMO: $201.48 United Healthcare — Medicare Advantage PPO: $197.92
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$178.30 – $201.48
Psychotherapy, 60 minutes: rates for 10 insurance plans American Health — Medicare Advantage: $178.30 Amerigroup — Medicare Advantage: $187.22 Blue Cross Blue Shield — Medicare Advantage: $178.30 HealthSpring — Medicare Advantage: $181.87 Humana — Medicare Advantage: $185.44 Molina — Medicare Advantage: $187.22 Superior Wellcare — Medicare Advantage HMO: $187.22 Superior Wellcare — Medicare Advantage MMP: $196.13 United Healthcare — Medicare Advantage HMO: $201.48 United Healthcare — Medicare Advantage PPO: $197.92
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$178.30 – $201.48
Family psychotherapy, without the patient: rates for 10 insurance plans American Health — Medicare Advantage: $178.30 Amerigroup — Medicare Advantage: $187.22 Blue Cross Blue Shield — Medicare Advantage: $178.30 HealthSpring — Medicare Advantage: $181.87 Humana — Medicare Advantage: $185.44 Molina — Medicare Advantage: $187.22 Superior Wellcare — Medicare Advantage HMO: $187.22 Superior Wellcare — Medicare Advantage MMP: $196.13 United Healthcare — Medicare Advantage HMO: $201.48 United Healthcare — Medicare Advantage PPO: $197.92
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$178.30 – $201.48
Family psychotherapy, with the patient: rates for 10 insurance plans American Health — Medicare Advantage: $178.30 Amerigroup — Medicare Advantage: $187.22 Blue Cross Blue Shield — Medicare Advantage: $178.30 HealthSpring — Medicare Advantage: $181.87 Humana — Medicare Advantage: $185.44 Molina — Medicare Advantage: $187.22 Superior Wellcare — Medicare Advantage HMO: $187.22 Superior Wellcare — Medicare Advantage MMP: $196.13 United Healthcare — Medicare Advantage HMO: $201.48 United Healthcare — Medicare Advantage PPO: $197.92
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$102.05 – $115.32
Group psychotherapy: rates for 10 insurance plans American Health — Medicare Advantage: $102.05 Amerigroup — Medicare Advantage: $107.16 Blue Cross Blue Shield — Medicare Advantage: $102.05 HealthSpring — Medicare Advantage: $104.09 Humana — Medicare Advantage: $106.13 Molina — Medicare Advantage: $107.16 Superior Wellcare — Medicare Advantage HMO: $107.16 Superior Wellcare — Medicare Advantage MMP: $112.26 United Healthcare — Medicare Advantage HMO: $115.32 United Healthcare — Medicare Advantage PPO: $113.28

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$963.66 – $4,444.60
Removal of breast growth (open surgery): 10 of 24 insurance plan rates Aetna — Managed Medicaid: $1,060.03 American Health — Medicare Advantage: $3,933.28 Amerigroup — Managed Medicaid: $963.66 Amerigroup — Medicare Advantage: $4,129.94 Blue Cross Blue Shield — Exchange: $3,808.14 Blue Cross Blue Shield — HMO: $7,119.44 Blue Cross Blue Shield — Managed Medicaid: $963.66 Blue Cross Blue Shield — Medicare Advantage: $3,933.28 Blue Cross Blue Shield — PPO: $7,910.16 Blue Cross Blue Shield — Traditional: $25,314.92
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$12,897.19 – $14,573.82
Total hip replacement: 10 of 17 insurance plan rates American Health — Medicare Advantage: $12,897.19 Amerigroup — Medicare Advantage: $13,542.04 Blue Cross Blue Shield — Exchange: $14,959.19 Blue Cross Blue Shield — HMO: $25,943.55 Blue Cross Blue Shield — Medicare Advantage: $12,897.19 Blue Cross Blue Shield — PPO: $28,823.52 Blue Cross Blue Shield — Traditional: $99,442.33 Fort Worth Firefighters — Commercial: $14,351 HealthSpring — Medicare Advantage: $13,155.13 Humana — Medicare Advantage: $13,413.07
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$12,897.19 – $14,573.82
Total knee replacement: 10 of 17 insurance plan rates American Health — Medicare Advantage: $12,897.19 Amerigroup — Medicare Advantage: $13,542.04 Blue Cross Blue Shield — Exchange: $14,959.19 Blue Cross Blue Shield — HMO: $25,943.55 Blue Cross Blue Shield — Medicare Advantage: $12,897.19 Blue Cross Blue Shield — PPO: $28,823.52 Blue Cross Blue Shield — Traditional: $99,442.33 Fort Worth Firefighters — Commercial: $14,351 HealthSpring — Medicare Advantage: $13,155.13 Humana — Medicare Advantage: $13,413.07
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$144.20 – $162.95
Shoulder arthroscopy: shaving of shoulder bone: 10 of 13 insurance plan rates American Health — Medicare Advantage: $144.20 Amerigroup — Medicare Advantage: $151.41 Blue Cross Blue Shield — Medicare Advantage: $144.20 Fort Worth Firefighters — Commercial: $996 HealthSpring — Medicare Advantage: $147.09 Humana — Medicare Advantage: $149.97 Molina — Medicare Advantage: $151.41 Superior Wellcare — Medicare Advantage HMO: $151.41 Superior Wellcare — Medicare Advantage MMP: $158.62 United Healthcare — All Payer: $1,247
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$1,088.27 – $3,714.21
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 24 insurance plan rates Aetna — Managed Medicaid: $1,197.10 American Health — Medicare Advantage: $3,286.91 Amerigroup — Managed Medicaid: $1,088.27 Amerigroup — Medicare Advantage: $3,451.26 Blue Cross Blue Shield — Exchange: $3,440.97 Blue Cross Blue Shield — HMO: $6,433.01 Blue Cross Blue Shield — Managed Medicaid: $1,088.27 Blue Cross Blue Shield — Medicare Advantage: $3,286.91 Blue Cross Blue Shield — PPO: $7,147.48 Blue Cross Blue Shield — Traditional: $22,874.13
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$1,954.22 – $6,719.89
Removal of tonsils and adenoids (under age 12): 10 of 24 insurance plan rates Aetna — Managed Medicaid: $2,149.64 American Health — Medicare Advantage: $5,946.81 Amerigroup — Managed Medicaid: $1,954.22 Amerigroup — Medicare Advantage: $6,244.15 Blue Cross Blue Shield — Exchange: $6,097.12 Blue Cross Blue Shield — HMO: $11,398.75 Blue Cross Blue Shield — Managed Medicaid: $1,954.22 Blue Cross Blue Shield — Medicare Advantage: $5,946.81 Blue Cross Blue Shield — PPO: $12,664.73 Blue Cross Blue Shield — Traditional: $40,531.03
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD	$3,041.25	$1,824.75	$334.95 – $6,567.15
Upper GI endoscopy (diagnostic): 10 of 38 insurance plan rates Aetna — ASA: $2,131.92 Aetna — Commercial: $1,566.24 Aetna — Coventry: $2,131.92 Aetna — Managed Medicaid: $368.45 Aetna — Whole Health: $1,174.53 American Health — Medicare Advantage: $911.12 Amerigroup — Managed Medicaid: $334.95 Amerigroup — Medicare Advantage: $956.67 Blue Cross Blue Shield — Exchange: $987.90 Blue Cross Blue Shield — HMO: $1,846.91
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD	$3,041.25	$1,824.75	$1,158.72 – $2,861.82
Upper GI endoscopy (diagnostic): 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $1,158.72 Blue Cross Blue Shield — HMO: $2,287.02 Blue Cross Blue Shield — PPO: $2,539.44 Blue Cross Blue Shield — Traditional: $2,788.83 Cigna — Indemnity: $2,861.82 City of Fort Worth — Commercial: $1,429.39 Fort Worth Firefighters — Commercial: $1,856.68 Galaxy — Commercial: $2,676.30 Healthsmart — Commercial: $2,554.65 Multiplan — Commercial: $2,645.89
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ENDOSCOPY W BX (EGD)	$1,219.50	$731.70	$334.95 – $6,567.15
Upper GI endoscopy with biopsy: 10 of 38 insurance plan rates Aetna — ASA: $854.87 Aetna — Commercial: $628.04 Aetna — Coventry: $854.87 Aetna — Managed Medicaid: $368.45 Aetna — Whole Health: $470.97 American Health — Medicare Advantage: $911.12 Amerigroup — Managed Medicaid: $334.95 Amerigroup — Medicare Advantage: $956.67 Blue Cross Blue Shield — Exchange: $987.90 Blue Cross Blue Shield — HMO: $1,846.91
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 43239 UPPER GI ENDOSCOPY BIOP	$2,846	$1,707.60	$334.95 – $2,678.09
Upper GI endoscopy with biopsy: 10 of 36 insurance plan rates Aetna — ASA: $1,995.05 Aetna — Commercial: $1,982.24 Aetna — Coventry: $1,995.05 Aetna — Managed Medicaid: $368.45 Aetna — Whole Health: $1,486.75 American Health — Medicare Advantage: $911.12 Amerigroup — Managed Medicaid: $334.95 Amerigroup — Medicare Advantage: $956.67 Blue Cross Blue Shield — Exchange: $1,144.09 Blue Cross Blue Shield — HMO: $1,807.21
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 43239 UPPER GI ENDOSCOPY BIOP	$2,846	$1,707.60	$1,084.33 – $2,678.09
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates Aetna — Commercial: $1,946.95 Aetna — Whole Health: $1,460.28 Blue Cross Blue Shield — Exchange: $1,084.33 Blue Cross Blue Shield — HMO: $2,140.19 Blue Cross Blue Shield — PPO: $2,376.41 Blue Cross Blue Shield — Traditional: $2,609.78 Cigna — Indemnity: $2,678.09 City of Fort Worth — Commercial: $1,337.62 Fort Worth Firefighters — Commercial: $1,737.48 Galaxy — Commercial: $2,504.48
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY	$3,165	$1,899	$328.50 – $6,382.98
Colonoscopy (diagnostic): 10 of 38 insurance plan rates Aetna — ASA: $2,218.67 Aetna — Commercial: $1,629.98 Aetna — Coventry: $2,218.67 Aetna — Managed Medicaid: $361.35 Aetna — Whole Health: $1,222.32 American Health — Medicare Advantage: $934.20 Amerigroup — Managed Medicaid: $328.50 Amerigroup — Medicare Advantage: $980.91 Blue Cross Blue Shield — Exchange: $960.20 Blue Cross Blue Shield — HMO: $1,795.12
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 45378 DIAGNOSTIC COLONOSCOPY	$3,030.50	$1,818.30	$328.50 – $2,851.70
Colonoscopy (diagnostic): 10 of 36 insurance plan rates Aetna — ASA: $2,124.38 Aetna — Commercial: $2,110.74 Aetna — Coventry: $2,124.38 Aetna — Managed Medicaid: $361.35 Aetna — Whole Health: $1,583.13 American Health — Medicare Advantage: $934.20 Amerigroup — Managed Medicaid: $328.50 Amerigroup — Medicare Advantage: $980.91 Blue Cross Blue Shield — Exchange: $1,218.26 Blue Cross Blue Shield — HMO: $1,924.37
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 45378 DIAGNOSTIC COLONOSCOPY	$3,030.50	$1,818.30	$1,154.62 – $2,851.70
Colonoscopy (diagnostic): 10 of 15 insurance plan rates Aetna — Commercial: $2,073.17 Aetna — Whole Health: $1,554.95 Blue Cross Blue Shield — Exchange: $1,154.62 Blue Cross Blue Shield — HMO: $2,278.94 Blue Cross Blue Shield — PPO: $2,530.47 Blue Cross Blue Shield — Traditional: $2,778.97 Cigna — Indemnity: $2,851.70 City of Fort Worth — Commercial: $1,424.34 Fort Worth Firefighters — Commercial: $1,850.12 Galaxy — Commercial: $2,666.84
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: W/BIOPSY (COLON)	$1,268.25	$760.95	$429.26 – $8,391.26
Colonoscopy with biopsy: 10 of 38 insurance plan rates Aetna — ASA: $889.04 Aetna — Commercial: $653.15 Aetna — Coventry: $889.04 Aetna — Managed Medicaid: $472.19 Aetna — Whole Health: $489.80 American Health — Medicare Advantage: $1,202.09 Amerigroup — Managed Medicaid: $429.26 Amerigroup — Medicare Advantage: $1,262.20 Blue Cross Blue Shield — Exchange: $1,262.30 Blue Cross Blue Shield — HMO: $2,359.92
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: W/BIOPSY (COLON)	$1,268.25	$760.95	$483.20 – $1,193.42
Colonoscopy with biopsy: 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $483.20 Blue Cross Blue Shield — HMO: $953.72 Blue Cross Blue Shield — PPO: $1,058.99 Blue Cross Blue Shield — Traditional: $1,162.99 Cigna — Indemnity: $1,193.42 City of Fort Worth — Commercial: $596.08 Fort Worth Firefighters — Commercial: $774.27 Galaxy — Commercial: $1,116.06 Healthsmart — Commercial: $1,065.33 Multiplan — Commercial: $1,103.38
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: W/BY SNARE (COLON)	$1,268.25	$760.95	$429.26 – $8,391.26
Colonoscopy with removal of polyps (snare): 10 of 38 insurance plan rates Aetna — ASA: $889.04 Aetna — Commercial: $653.15 Aetna — Coventry: $889.04 Aetna — Managed Medicaid: $472.19 Aetna — Whole Health: $489.80 American Health — Medicare Advantage: $1,202.09 Amerigroup — Managed Medicaid: $429.26 Amerigroup — Medicare Advantage: $1,262.20 Blue Cross Blue Shield — Exchange: $1,262.30 Blue Cross Blue Shield — HMO: $2,359.92
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: W/BY SNARE (COLON)	$1,268.25	$760.95	$483.20 – $1,193.42
Colonoscopy with removal of polyps (snare): 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $483.20 Blue Cross Blue Shield — HMO: $953.72 Blue Cross Blue Shield — PPO: $1,058.99 Blue Cross Blue Shield — Traditional: $1,162.99 Cigna — Indemnity: $1,193.42 City of Fort Worth — Commercial: $596.08 Fort Worth Firefighters — Commercial: $774.27 Galaxy — Commercial: $1,116.06 Healthsmart — Commercial: $1,065.33 Multiplan — Commercial: $1,103.38
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/EUS	$1,268.25	$760.95	$429.26 – $8,391.26
Ultrasound of the lower bowel by endoscope: 10 of 38 insurance plan rates Aetna — ASA: $889.04 Aetna — Commercial: $653.15 Aetna — Coventry: $889.04 Aetna — Managed Medicaid: $472.19 Aetna — Whole Health: $489.80 American Health — Medicare Advantage: $1,202.09 Amerigroup — Managed Medicaid: $429.26 Amerigroup — Medicare Advantage: $1,262.20 Blue Cross Blue Shield — Exchange: $1,262.30 Blue Cross Blue Shield — HMO: $2,359.92
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY W/EUS	$1,268.25	$760.95	$483.20 – $1,193.42
Ultrasound of the lower bowel by endoscope: 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $483.20 Blue Cross Blue Shield — HMO: $953.72 Blue Cross Blue Shield — PPO: $1,058.99 Blue Cross Blue Shield — Traditional: $1,162.99 Cigna — Indemnity: $1,193.42 City of Fort Worth — Commercial: $596.08 Fort Worth Firefighters — Commercial: $774.27 Galaxy — Commercial: $1,116.06 Healthsmart — Commercial: $1,065.33 Multiplan — Commercial: $1,103.38
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$328.50 – $1,055.64
Screening colonoscopy (not high risk): 10 of 24 insurance plan rates Aetna — Managed Medicaid: $361.35 American Health — Medicare Advantage: $934.20 Amerigroup — Managed Medicaid: $328.50 Amerigroup — Medicare Advantage: $980.91 Blue Cross Blue Shield — Exchange: $960.20 Blue Cross Blue Shield — HMO: $1,795.12 Blue Cross Blue Shield — Managed Medicaid: $328.50 Blue Cross Blue Shield — Medicare Advantage: $934.20 Blue Cross Blue Shield — PPO: $1,994.49 Blue Cross Blue Shield — Traditional: $6,382.98
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$1,888.85 – $6,862.58
Gallbladder removal by laparoscope: 10 of 24 insurance plan rates Aetna — Managed Medicaid: $2,077.74 American Health — Medicare Advantage: $6,073.08 Amerigroup — Managed Medicaid: $1,888.85 Amerigroup — Medicare Advantage: $6,376.73 Blue Cross Blue Shield — Exchange: $6,075.97 Blue Cross Blue Shield — HMO: $11,359.22 Blue Cross Blue Shield — Managed Medicaid: $1,888.85 Blue Cross Blue Shield — Medicare Advantage: $6,073.08 Blue Cross Blue Shield — PPO: $12,620.82 Blue Cross Blue Shield — Traditional: $40,390.48
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: 49505 REPAIR INGUINAL HERNIA	$4,773.25	$2,863.95	$1,151.54 – $4,491.63
Groin (inguinal) hernia repair, age 5 or older: 10 of 36 insurance plan rates Aetna — ASA: $3,346.05 Aetna — Commercial: $3,324.57 Aetna — Coventry: $3,346.05 Aetna — Managed Medicaid: $1,266.69 Aetna — Whole Health: $2,493.55 American Health — Medicare Advantage: $3,596.72 Amerigroup — Managed Medicaid: $1,151.54 Amerigroup — Medicare Advantage: $3,776.55 Blue Cross Blue Shield — Exchange: $1,918.85 Blue Cross Blue Shield — HMO: $3,031.01
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Hospital (facility) fee In the file: 49505 REPAIR INGUINAL HERNIA	$4,773.25	$2,863.95	$1,818.61 – $4,491.63
Groin (inguinal) hernia repair, age 5 or older: 10 of 15 insurance plan rates Aetna — Commercial: $3,265.38 Aetna — Whole Health: $2,449.15 Blue Cross Blue Shield — Exchange: $1,818.61 Blue Cross Blue Shield — HMO: $3,589.48 Blue Cross Blue Shield — PPO: $3,985.66 Blue Cross Blue Shield — Traditional: $4,377.07 Cigna — Indemnity: $4,491.63 City of Fort Worth — Commercial: $2,243.43 Fort Worth Firefighters — Commercial: $2,914.07 Galaxy — Commercial: $4,200.46
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$3,908.44 – $25,981.65
Groin (inguinal) hernia repair, age 5 or older: rates for 7 insurance plans Blue Cross Blue Shield — Exchange: $3,908.44 Blue Cross Blue Shield — HMO: $7,306.95 Blue Cross Blue Shield — PPO: $8,118.49 Blue Cross Blue Shield — Traditional: $25,981.65 Fort Worth Firefighters — Commercial: $7,612 United Healthcare — All Payer: $9,560 United Healthcare Options — PPO: $12,345
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT BX PROSTATE TRANS NDL	$5,015.75	$3,009.45	$652.80 – $14,803.07
Prostate biopsy: 10 of 28 insurance plan rates Aetna — ASA: $3,516.04 Aetna — Commercial: $2,583.11 Aetna — Coventry: $3,516.04 Aetna — Managed Medicaid: $718.08 Aetna — Whole Health: $1,937.08 Amerigroup — Managed Medicaid: $652.80 Blue Cross Blue Shield — Exchange: $2,226.84 Blue Cross Blue Shield — HMO: $4,163.14 Blue Cross Blue Shield — Managed Medicaid: $652.80 Blue Cross Blue Shield — PPO: $4,625.52
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT BX PROSTATE TRANS NDL	$5,015.75	$3,009.45	$1,911 – $4,719.82
Prostate biopsy: 10 of 13 insurance plan rates Blue Cross Blue Shield — Exchange: $1,911 Blue Cross Blue Shield — HMO: $3,771.84 Blue Cross Blue Shield — PPO: $4,188.15 Blue Cross Blue Shield — Traditional: $4,599.44 Cigna — Indemnity: $4,719.82 City of Fort Worth — Commercial: $2,357.40 Fort Worth Firefighters — Commercial: $3,062.12 Galaxy — Commercial: $4,413.86 Healthsmart — Commercial: $4,213.23 Multiplan — Commercial: $4,363.70
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$10,678.27 – $12,066.45
Prostate removal by laparoscope (radical prostatectomy): 10 of 17 insurance plan rates American Health — Medicare Advantage: $10,678.27 Amerigroup — Medicare Advantage: $11,212.19 Blue Cross Blue Shield — Exchange: $10,575.28 Blue Cross Blue Shield — HMO: $19,770.81 Blue Cross Blue Shield — Medicare Advantage: $10,678.27 Blue Cross Blue Shield — PPO: $21,966.63 Blue Cross Blue Shield — Traditional: $70,299.95 Fort Worth Firefighters — Commercial: $14,351 HealthSpring — Medicare Advantage: $10,891.84 Humana — Medicare Advantage: $11,105.40
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$1,063.52 – $3,674.62
Hysteroscopy with biopsy of the uterus lining: 10 of 24 insurance plan rates Aetna — Managed Medicaid: $1,169.87 American Health — Medicare Advantage: $3,251.88 Amerigroup — Managed Medicaid: $1,063.52 Amerigroup — Medicare Advantage: $3,414.47 Blue Cross Blue Shield — Exchange: $3,140.11 Blue Cross Blue Shield — HMO: $5,870.54 Blue Cross Blue Shield — Managed Medicaid: $1,063.52 Blue Cross Blue Shield — Medicare Advantage: $3,251.88 Blue Cross Blue Shield — PPO: $6,522.54 Blue Cross Blue Shield — Traditional: $20,874.12
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$262.86 – $801.28
Spinal injection, lower back (epidural), with imaging guidance: 10 of 24 insurance plan rates Aetna — Managed Medicaid: $289.15 American Health — Medicare Advantage: $709.10 Amerigroup — Managed Medicaid: $262.86 Amerigroup — Medicare Advantage: $744.55 Blue Cross Blue Shield — Exchange: $785.69 Blue Cross Blue Shield — HMO: $1,468.87 Blue Cross Blue Shield — Managed Medicaid: $262.86 Blue Cross Blue Shield — Medicare Advantage: $709.10 Blue Cross Blue Shield — PPO: $1,632.01 Blue Cross Blue Shield — Traditional: $5,222.92
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$340.77 – $1,004.01
Nerve root injection, lower back, with imaging guidance: 10 of 24 insurance plan rates Aetna — Managed Medicaid: $374.85 American Health — Medicare Advantage: $888.50 Amerigroup — Managed Medicaid: $340.77 Amerigroup — Medicare Advantage: $932.93 Blue Cross Blue Shield — Exchange: $1,020.75 Blue Cross Blue Shield — HMO: $1,908.32 Blue Cross Blue Shield — Managed Medicaid: $340.77 Blue Cross Blue Shield — Medicare Advantage: $888.50 Blue Cross Blue Shield — PPO: $2,120.26 Blue Cross Blue Shield — Traditional: $6,785.49
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$659.94 – $2,216.63
Carpal tunnel release: 10 of 24 insurance plan rates Aetna — Managed Medicaid: $725.93 American Health — Medicare Advantage: $1,961.62 Amerigroup — Managed Medicaid: $659.94 Amerigroup — Medicare Advantage: $2,059.70 Blue Cross Blue Shield — Exchange: $2,161.22 Blue Cross Blue Shield — HMO: $4,040.47 Blue Cross Blue Shield — Managed Medicaid: $659.94 Blue Cross Blue Shield — Medicare Advantage: $1,961.62 Blue Cross Blue Shield — PPO: $4,489.22 Blue Cross Blue Shield — Traditional: $14,366.89
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$208.33 – $624.33
Laser treatment of clouding after cataract surgery: 10 of 24 insurance plan rates Aetna — Managed Medicaid: $229.16 American Health — Medicare Advantage: $552.50 Amerigroup — Managed Medicaid: $208.33 Amerigroup — Medicare Advantage: $580.13 Blue Cross Blue Shield — Exchange: $637.21 Blue Cross Blue Shield — HMO: $1,191.29 Blue Cross Blue Shield — Managed Medicaid: $208.33 Blue Cross Blue Shield — Medicare Advantage: $552.50 Blue Cross Blue Shield — PPO: $1,323.59 Blue Cross Blue Shield — Traditional: $4,235.91
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$849.94 – $2,619.72
Cataract removal with lens implant: 10 of 24 insurance plan rates Aetna — Managed Medicaid: $934.93 American Health — Medicare Advantage: $2,318.34 Amerigroup — Managed Medicaid: $849.94 Amerigroup — Medicare Advantage: $2,434.26 Blue Cross Blue Shield — Exchange: $2,541.48 Blue Cross Blue Shield — HMO: $4,751.37 Blue Cross Blue Shield — Managed Medicaid: $849.94 Blue Cross Blue Shield — Medicare Advantage: $2,318.34 Blue Cross Blue Shield — PPO: $5,279.08 Blue Cross Blue Shield — Traditional: $16,894.66

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$2,148.37 – $2,427.66
Vaginal delivery, with care before and after: 10 of 14 insurance plan rates American Health — Medicare Advantage: $2,148.37 Amerigroup — Medicare Advantage: $2,255.79 Blue Cross Blue Shield — Exchange: $2,737.54 Blue Cross Blue Shield — HMO: $5,117.92 Blue Cross Blue Shield — Medicare Advantage: $2,148.37 Blue Cross Blue Shield — PPO: $5,686.34 Blue Cross Blue Shield — Traditional: $18,198.03 HealthSpring — Medicare Advantage: $2,191.34 Humana — Medicare Advantage: $2,234.31 Molina — Medicare Advantage: $2,255.79
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$2,397.15 – $2,708.78
Cesarean delivery (C-section), with care before and after: 10 of 14 insurance plan rates American Health — Medicare Advantage: $2,397.15 Amerigroup — Medicare Advantage: $2,517.01 Blue Cross Blue Shield — Exchange: $3,035.18 Blue Cross Blue Shield — HMO: $5,674.36 Blue Cross Blue Shield — Medicare Advantage: $2,397.15 Blue Cross Blue Shield — PPO: $6,304.57 Blue Cross Blue Shield — Traditional: $20,176.56 HealthSpring — Medicare Advantage: $2,445.09 Humana — Medicare Advantage: $2,493.04 Molina — Medicare Advantage: $2,517.01
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$2,258.68 – $2,552.30
Vaginal delivery after a previous C-section, with care before and after: 10 of 14 insurance plan rates American Health — Medicare Advantage: $2,258.68 Amerigroup — Medicare Advantage: $2,371.61 Blue Cross Blue Shield — Exchange: $2,872.55 Blue Cross Blue Shield — HMO: $5,370.31 Blue Cross Blue Shield — Medicare Advantage: $2,258.68 Blue Cross Blue Shield — PPO: $5,966.76 Blue Cross Blue Shield — Traditional: $19,095.47 HealthSpring — Medicare Advantage: $2,303.85 Humana — Medicare Advantage: $2,349.02 Molina — Medicare Advantage: $2,371.61

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$78,165.42 – $536,253.72
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 21 insurance plan rates Aetna — Commercial: $218,790.44 Aetna — Whole Health: $164,097.65 American Health — Medicare Advantage: $78,165.42 Amerigroup — Medicare Advantage: $82,073.69 Blue Cross Blue Shield — Exchange: $138,010.73 Blue Cross Blue Shield — HMO: $267,132.80 Blue Cross Blue Shield — Medicare Advantage: $78,165.42 Blue Cross Blue Shield — PPO: $296,809.93 Blue Cross Blue Shield — Traditional: $536,253.72 Cigna — OAP/HMO: $297,000.71
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$17,214.93 – $156,624.71
Hip or knee replacement (major joint of the leg), without major complications: 10 of 21 insurance plan rates Aetna — Commercial: $42,744.28 Aetna — Whole Health: $32,059.16 American Health — Medicare Advantage: $17,214.93 Amerigroup — Medicare Advantage: $18,075.68 Blue Cross Blue Shield — Exchange: $32,724.74 Blue Cross Blue Shield — HMO: $50,035.51 Blue Cross Blue Shield — Medicare Advantage: $17,214.93 Blue Cross Blue Shield — PPO: $55,593.97 Blue Cross Blue Shield — Traditional: $156,624.71 Cigna — OAP/HMO: $45,593.28
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$21,191.43 – $124,972.68
Neck (cervical) spinal fusion, without complications: 10 of 21 insurance plan rates Aetna — Commercial: $53,668.96 Aetna — Whole Health: $40,252.90 American Health — Medicare Advantage: $21,191.43 Amerigroup — Medicare Advantage: $22,251 Blue Cross Blue Shield — Exchange: $26,041.40 Blue Cross Blue Shield — HMO: $97,094.18 Blue Cross Blue Shield — Medicare Advantage: $21,191.43 Blue Cross Blue Shield — PPO: $107,882.42 Blue Cross Blue Shield — Traditional: $124,972.68 Cigna — OAP/HMO: $64,548.81
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$11,874.14 – $86,829.03
Uterus and ovary surgery (not for cancer), without complications: 10 of 21 insurance plan rates Aetna — Commercial: $27,174.53 Aetna — Whole Health: $20,381.50 American Health — Medicare Advantage: $11,874.14 Amerigroup — Medicare Advantage: $12,467.85 Blue Cross Blue Shield — Exchange: $13,185.70 Blue Cross Blue Shield — HMO: $24,101.06 Blue Cross Blue Shield — Medicare Advantage: $11,874.14 Blue Cross Blue Shield — PPO: $26,778.96 Blue Cross Blue Shield — Traditional: $86,829.03 Cigna — OAP/HMO: $27,749.99

Source: Texas Health Presbyterian Hospital Denton’s standard charges file (thrpricetransparency01.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 23, 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	3000 N I-35, Denton, TX 76201
County	Denton County
State	Texas
Phone	(940) 898‑7000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	5 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	450743
Name in Medicare records	TEXAS HEALTH PRESBYTERIAN HOSPITAL DENTON
Profile level	Medicare data + hospital website
Name on the hospital’s website	Texas Health Denton (Texas Health Presbyterian Hospital Denton)
Official website	texashealth.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-29.

Texas Health Denton — texashealth.org
Joint Camp — texashealth.org