Does The Hospital at Westlake Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at The Hospital at Westlake Medical Center. In a medical emergency, call 911.

Where is The Hospital at Westlake Medical Center?

5656 Bee Caves Road, Suite M-302, Austin, TX 78746, in Travis County, Texas.

What is the phone number of The Hospital at Westlake Medical Center?

(512) 327-0000, as listed by Medicare (CMS).

What is the Medicare star rating of The Hospital at Westlake Medical Center?

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

The Hospital at Westlake Medical Center

Quick answers

Does The Hospital at Westlake Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at The Hospital at Westlake Medical Center. In a medical emergency, call 911.
Where is The Hospital at Westlake Medical Center?: 5656 Bee Caves Road, Suite M-302, Austin, TX 78746, in Travis County, Texas.
What is the phone number of The Hospital at Westlake Medical Center?: (512) 327-0000, as listed by Medicare (CMS).
What is the Medicare star rating of The Hospital at Westlake Medical Center?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4]

Orthopedics & Spine
Ambulatory Surgery
Diagnostic imaging
Physical therapy

Conditions treated^[4]

Joint injuries
Joint disease

Treatments^[4]

Inpatient Physical Therapy
Ambulatory surgery
Arthroscopy
Total joint replacement
Spinal fusion
Outpatient spine procedures
Plastic surgery procedures
Image-guided navigation
CT scan
MRI
Ultrasound
X-ray
Fluoroscopy

Procedures^[4]

Arthroscopy
Multi-level spinal fusion
Total joint replacement
Outpatient spine procedures
CT
MRI
Ultrasound
X-ray
Fluoroscopy

Emergency care (hospital website)^[4]

Emergency room	Yes

Visiting and practical information

Patient portal	https://westlakemedical.yourcarecommunity.com

Doctors and clinicians (58)

58 doctors and other clinicians list The Hospital at Westlake Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (58)

Alexandria S. RossPhysician Assistant
Andrew B. Pham, MDOrthopedic Surgery
Ashley L. Wells, AAAnesthesiology Assistant
Ashley N. Heuss, CNACertified Registered Nurse Anesthetist (CRNA)
Cameron J. Prather, PAPhysician Assistant
Chandeli Ramos, CNACertified Registered Nurse Anesthetist (CRNA)
Charles V. Wiseman, MDDiagnostic Radiology
Chloe Knox, CNACertified Registered Nurse Anesthetist (CRNA)
Daniel L. Munton, MDPhysical Medicine and Rehabilitation
Daniel L. Peterson, MDNeurosurgery
Daniel W. Deming, MDAnesthesiology
Douglas H. McMichael, MDAnesthesiology
Edward D. Buckingham, MDPlastic and Reconstructive Surgery
Emily Glassner, CNACertified Registered Nurse Anesthetist (CRNA)
Erin J. Smith, MDOtolaryngology
Fanny Morales Hyder, MDAnesthesiology
Guilherme M. Rocha, CNACertified Registered Nurse Anesthetist (CRNA)
Hudson M. Frey, MDOtolaryngology
James Lyons, MDFamily Practice
Jamie A. Thomas, DOFamily Practice
Jase R. Hoffman, CNACertified Registered Nurse Anesthetist (CRNA)
Jeffrey Halsell, DOPhysical Medicine and Rehabilitation
Jessica M. Cooke, MDAnesthesiology
Jessica S. Hellums, MDAnesthesiology

And 34 more: the button below opens the full list.

Other emergency rooms nearby

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

Baylor Scott & White Medical Center- Austin4.1 mi · Austin, TX · Acute Care Hospital
Ascension Seton Medical Center Austin4.8 mi · Austin, TX · Acute Care Hospital
Dell Seton Med Center at the University of TX5.5 mi · Austin, TX · Acute Care Hospital
St David's South Austin Medical Center5.5 mi · Austin, TX · Acute Care Hospital
St David's Medical Center5.8 mi · Austin, TX · Acute Care Hospital

Other hospitals nearby

Cornerstone Specialty Hospitals Round Rock5.0 mi · Austin, TX · Long-Term Acute Care Hospital
Austin State Hospital5.3 mi · Austin, TX · Psychiatric Hospital
Central Texas Rehabilitation Hospital5.5 mi · Austin, TX · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Querencia at Barton Creek2.6 mi · Austin, TX · 5 of 5 stars
Brookdale Westlake Hills2.9 mi · Austin, TX · 3 of 5 stars
Barton Valley Rehabilitation and Healthcare Center4.2 mi · Austin, TX · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Robinson Creek Home Health and Hospice3.2 mi · Austin, TX
Beacon Hospice of Central Texas, LP5.0 mi · Austin, TX
Heart to Heart Hospice of Austin Ltd5.0 mi · Austin, TX · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Life Unlimited Home Health LLC3.2 mi · Austin, TX · 3 of 5 stars
Robinson Creek Home Health and Hospice3.2 mi · Austin, TX · 4 of 5 stars
Accentcare Home Health of Texas5.0 mi · Austin, TX · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

DaVita El Milagro Dialysis Unit5.0 mi · Austin, TX · 3 of 5 stars
SHC Southwood5.0 mi · Austin, TX · 3 of 5 stars
DaVita Waterloo Dialysis Center5.4 mi · Austin, TX · 4 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.

Austin Eye Laser and Surgicenter0.9 mi · Austin, TX
Lone Star Endoscopy of Austin PLLC0.9 mi · Austin, TX
Howerton Surgical Center, LLC5.0 mi · Austin, TX

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

CommUnityCare at Sunrise Church5.0 mi · Austin, TX · Community health center
CommUnityCare Oak Hill5.2 mi · Austin, TX · Community health center
CommUnityCare South Austin5.3 mi · Austin, TX · Community health center

Clinics and urgent care

Carbon Health Urgent Care of Texas PLLC0.9 mi · West Lake Hills, TX · Urgent care center
Medspring of Texas, PA0.9 mi · Austin, TX · Urgent care center
The Seton Cove0.9 mi · West Lake Hills, TX · Urgent care center

Pharmacies

Albertsons LLC0.9 mi · West Lake Hills, TX · Community/retail pharmacy
Austin Compounding Pharmacy, LLC0.9 mi · Austin, TX · Community/retail pharmacy
CPRX Pharmacy LP0.9 mi · West Lake Hills, TX · Community/retail pharmacy

Assisted living nearby

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

Belmont Village West Lake Hills Tenant, LLC0.9 mi · West Lake Hills, TX
Brookdale Westlake Hills0.9 mi · Austin, TX
Brookdale Gaines Ranch3.2 mi · Austin, TX
Querencia at Barton Creek3.2 mi · Austin, TX

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	5 of 5 stars
Rated the hospital 9 or 10 out of 10	62%National average: 72%
Would definitely recommend the hospital	65%National average: 71%
Nurses “always” communicated well	74%National average: 80%
Doctors “always” communicated well	77%National average: 80%
Staff “always” explained medicines before giving them	67%National average: 62%
Were given information about recovery at home	81%National average: 86%
Room and bathroom “always” clean	72%National average: 74%
Area around the room “always” quiet at night	77%National average: 60%
Completed surveys	143Response rate: 33%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

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

Deaths within 30 days: heart attack patients	Not reported to Medicare
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	Too few cases to report
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Not reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.9No different from the national rate
Complications after hip or knee replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2024.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Not reported to Medicare
Readmitted within 30 days: heart failure	Not reported to Medicare
Readmitted within 30 days: pneumonia	Not reported to Medicare
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Austin Best hospitals in Austin

Prices

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

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: ER VISIT LEVEL 3	$1,445.70	$533.77	$51.36 – $1,445.70
Emergency room visit (moderate): 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $382.82 AETNA — AETNA: $801 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $255.21 AMBETTER_MCR — AMBETTER MEDICARE: $255.21 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $735 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $665 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $51.36 BEECH_STREET — BEECH STREET COMMERCIAL: $1,011.99 CIGNA — CIGNA: $421.17 EDHP — EMPLOYER DIRECT HEALTH PLAN: $255.21
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: ER VISIT LEVEL 4	$2,270.54	$829.88	$359.65 – $2,270.54
Emergency room visit (moderately high): 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $594.26 AETNA — AETNA: $1,034 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $396.17 AMBETTER_MCR — AMBETTER MEDICARE: $396.17 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $1,920 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $1,720 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $359.65 BEECH_STREET — BEECH STREET COMMERCIAL: $1,589.38 CIGNA — CIGNA: $662.04 EDHP — EMPLOYER DIRECT HEALTH PLAN: $396.17
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: ER VISIT LEVEL 5	$3,259.18	$1,198.02	$516.25 – $3,054.47
Emergency room visit (high): 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $861.80 AETNA — AETNA: $1,583 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $574.54 AMBETTER_MCR — AMBETTER MEDICARE: $574.54 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $2,120 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $1,920 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $516.25 BEECH_STREET — BEECH STREET COMMERCIAL: $2,281.43 CIGNA — CIGNA: $950.26 EDHP — EMPLOYER DIRECT HEALTH PLAN: $574.54

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BASIC METABOLIC PANE	$123.60	$9.31	$7.11 – $86.52
Basic metabolic panel (blood test): 10 of 24 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $12.69 AETNA — AETNA: $8.86 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $8.46 AMBETTER_MCR — AMBETTER MEDICARE: $8.46 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $10.15 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $18.96 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $16.85 BEECH_STREET — BEECH STREET COMMERCIAL: $86.52 CIGNA — CIGNA: $12.69 EDHP — EMPLOYER DIRECT HEALTH PLAN: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL	$154.40	$11.62	$8.87 – $108.08
Comprehensive metabolic panel (blood test): 10 of 24 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $15.84 AETNA — AETNA: $11.06 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $10.56 AMBETTER_MCR — AMBETTER MEDICARE: $10.56 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $12.67 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $23.68 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $21.04 BEECH_STREET — BEECH STREET COMMERCIAL: $108.08 CIGNA — CIGNA: $15.84 EDHP — EMPLOYER DIRECT HEALTH PLAN: $10.56
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	$187.20	$14.73	$11.25 – $131.04
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $20.09 AETNA — AETNA: $14.03 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $13.39 AMBETTER_MCR — AMBETTER MEDICARE: $13.39 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $16.07 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $24.60 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $17.26 BEECH_STREET — BEECH STREET COMMERCIAL: $131.04 CIGNA — CIGNA: $20.09 EDHP — EMPLOYER DIRECT HEALTH PLAN: $13.39
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNC PANEL	$119.30	$8.99	$6.86 – $83.51
Liver function panel: 10 of 24 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $12.26 AETNA — AETNA: $8.55 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $8.17 AMBETTER_MCR — AMBETTER MEDICARE: $8.17 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $9.80 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $18.30 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $16.28 BEECH_STREET — BEECH STREET COMMERCIAL: $83.51 CIGNA — CIGNA: $12.26 EDHP — EMPLOYER DIRECT HEALTH PLAN: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY	$20.61	$3.49	$2.66 – $14.43
Urine test (automated, with microscope): 10 of 24 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $4.76 AETNA — AETNA: $3.32 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $3.17 AMBETTER_MCR — AMBETTER MEDICARE: $3.17 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $3.80 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $7.09 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $2.66 BEECH_STREET — BEECH STREET COMMERCIAL: $14.43 CIGNA — CIGNA: $4.76 EDHP — EMPLOYER DIRECT HEALTH PLAN: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: UA MACROSCOPIC NURSI	$22.62	$3.83	$2.92 – $15.83
Urine test (manual, without microscope): 10 of 23 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $5.22 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $3.48 AMBETTER_MCR — AMBETTER MEDICARE: $3.48 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $4.18 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $4.01 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $2.92 BEECH_STREET — BEECH STREET COMMERCIAL: $15.83 CIGNA — CIGNA: $5.22 EDHP — EMPLOYER DIRECT HEALTH PLAN: $3.48 HUMANA — HUMANA HMO: $14.70
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: PH	$56.75	$2.48	$1.89 – $39.73
Urine test (automated, without microscope): 10 of 23 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $3.38 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $2.25 AMBETTER_MCR — AMBETTER MEDICARE: $2.25 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $2.70 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $3.98 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $1.89 BEECH_STREET — BEECH STREET COMMERCIAL: $39.73 CIGNA — CIGNA: $3.38 EDHP — EMPLOYER DIRECT HEALTH PLAN: $2.25 HUMANA — HUMANA HMO: $36.89
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINE MACROSCOPIC	$16.40	$2.48	$1.89 – $11.48
Urine test (automated, without microscope): 10 of 23 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $3.38 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $2.25 AMBETTER_MCR — AMBETTER MEDICARE: $2.25 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $2.70 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $3.98 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $1.89 BEECH_STREET — BEECH STREET COMMERCIAL: $11.48 CIGNA — CIGNA: $3.38 EDHP — EMPLOYER DIRECT HEALTH PLAN: $2.25 HUMANA — HUMANA HMO: $10.66
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: SPECIFIC GRAVITY	$34.50	$2.48	$1.89 – $24.15
Urine test (automated, without microscope): 10 of 23 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $3.38 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $2.25 AMBETTER_MCR — AMBETTER MEDICARE: $2.25 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $2.70 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $3.98 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $1.89 BEECH_STREET — BEECH STREET COMMERCIAL: $24.15 CIGNA — CIGNA: $3.38 EDHP — EMPLOYER DIRECT HEALTH PLAN: $2.25 HUMANA — HUMANA HMO: $22.43
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA TOTAL	$134.25	$20.23	$15.45 – $107.52
PSA (prostate specific antigen) blood test: 10 of 23 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $27.59 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $18.39 AMBETTER_MCR — AMBETTER MEDICARE: $18.39 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $22.07 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $41.22 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $15.45 BEECH_STREET — BEECH STREET COMMERCIAL: $93.98 CIGNA — CIGNA: $27.59 EDHP — EMPLOYER DIRECT HEALTH PLAN: $18.39 HUMANA — HUMANA HMO: $87.26
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA SCREEN	$153.60	$20.23	$15.45 – $107.52
PSA (prostate specific antigen) blood test: 10 of 23 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $27.59 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $18.39 AMBETTER_MCR — AMBETTER MEDICARE: $18.39 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $22.07 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $41.22 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $15.45 BEECH_STREET — BEECH STREET COMMERCIAL: $107.52 CIGNA — CIGNA: $27.59 EDHP — EMPLOYER DIRECT HEALTH PLAN: $18.39 HUMANA — HUMANA HMO: $99.84
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH 3RD GENERATION	$116.85	$18.48	$14.11 – $120.20
Thyroid stimulating hormone (TSH) test: 10 of 23 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $25.20 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $16.80 AMBETTER_MCR — AMBETTER MEDICARE: $16.80 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $20.16 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $37.65 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $14.11 BEECH_STREET — BEECH STREET COMMERCIAL: $81.80 CIGNA — CIGNA: $25.20 EDHP — EMPLOYER DIRECT HEALTH PLAN: $16.80 HUMANA — HUMANA HMO: $75.95
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH	$171.71	$18.48	$14.11 – $120.20
Thyroid stimulating hormone (TSH) test: 10 of 23 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $25.20 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $16.80 AMBETTER_MCR — AMBETTER MEDICARE: $16.80 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $20.16 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $37.65 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $14.11 BEECH_STREET — BEECH STREET COMMERCIAL: $120.20 CIGNA — CIGNA: $25.20 EDHP — EMPLOYER DIRECT HEALTH PLAN: $16.80 HUMANA — HUMANA HMO: $111.61
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: CBC AUTO DIFF	$54.30	$8.55	$6.53 – $38.01
Complete blood count (CBC) with differential: 10 of 24 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $11.66 AETNA — AETNA: $8.15 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $7.77 AMBETTER_MCR — AMBETTER MEDICARE: $7.77 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $9.32 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $17.42 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $6.53 BEECH_STREET — BEECH STREET COMMERCIAL: $38.01 CIGNA — CIGNA: $11.66 EDHP — EMPLOYER DIRECT HEALTH PLAN: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC W/O DIFF	$45.20	$7.12	$5.43 – $31.64
Complete blood count (CBC), automated: 10 of 24 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $9.71 AETNA — AETNA: $11.74 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $6.47 AMBETTER_MCR — AMBETTER MEDICARE: $6.47 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $7.76 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $14.49 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $5.43 BEECH_STREET — BEECH STREET COMMERCIAL: $31.64 CIGNA — CIGNA: $9.71 EDHP — EMPLOYER DIRECT HEALTH PLAN: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME AND INR	$27.89	$4.72	$3.60 – $161.03
Blood clotting time test (prothrombin time, PT): 10 of 24 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $6.44 AETNA — AETNA: $4.12 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $4.29 AMBETTER_MCR — AMBETTER MEDICARE: $4.29 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $5.15 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $8.80 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $3.60 BEECH_STREET — BEECH STREET COMMERCIAL: $19.52 CIGNA — CIGNA: $6.44 EDHP — EMPLOYER DIRECT HEALTH PLAN: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: LUPUS ANTICOAGULANT	$230.04	$4.72	$3.60 – $161.03
Blood clotting time test (prothrombin time, PT): 10 of 24 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $6.44 AETNA — AETNA: $4.12 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $4.29 AMBETTER_MCR — AMBETTER MEDICARE: $4.29 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $5.15 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $8.80 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $3.60 BEECH_STREET — BEECH STREET COMMERCIAL: $161.03 CIGNA — CIGNA: $6.44 EDHP — EMPLOYER DIRECT HEALTH PLAN: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: APTT	$41.90	$6.61	$5.05 – $29.33
Blood clotting test (partial thromboplastin time, PTT): 10 of 24 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $9.02 AETNA — AETNA: $6.29 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $6.01 AMBETTER_MCR — AMBETTER MEDICARE: $6.01 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $7.21 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $13.45 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $5.05 BEECH_STREET — BEECH STREET COMMERCIAL: $29.33 CIGNA — CIGNA: $9.02 EDHP — EMPLOYER DIRECT HEALTH PLAN: $6.01

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD OR BRAIN W/O	$1,396	$218.55	$98.34 – $977.20
CT scan of the head or brain, without contrast: 10 of 24 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $147.51 AETNA — AETNA: $948 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $98.34 AMBETTER_MCR — AMBETTER MEDICARE: $98.34 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $159.15 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $249.96 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $106.88 BEECH_STREET — BEECH STREET COMMERCIAL: $977.20 CIGNA — CIGNA: $198.13 EDHP — EMPLOYER DIRECT HEALTH PLAN: $98.34
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL	$3,290	$758.86	$332.80 – $2,439.55
MRI of the brain, before and after contrast: 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $515.99 AETNA — AETNA: $1,116 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $344 AMBETTER_MCR — AMBETTER MEDICARE: $344 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $542.23 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $791.24 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $332.80 BEECH_STREET — BEECH STREET COMMERCIAL: $2,303 CIGNA — CIGNA: $670.16 EDHP — EMPLOYER DIRECT HEALTH PLAN: $344
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI IAC	$3,290	$758.86	$332.80 – $2,439.55
MRI of the brain, before and after contrast: 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $515.99 AETNA — AETNA: $1,116 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $344 AMBETTER_MCR — AMBETTER MEDICARE: $344 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $542.23 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $791.24 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $332.80 BEECH_STREET — BEECH STREET COMMERCIAL: $2,303 CIGNA — CIGNA: $670.16 EDHP — EMPLOYER DIRECT HEALTH PLAN: $344
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: LUMBAR SPINE MINIMUM	$680.21	$218.55	$47.55 – $476.15
X-ray of the lower spine, at least 4 views: 10 of 24 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $147.51 AETNA — AETNA: $47.55 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $98.34 AMBETTER_MCR — AMBETTER MEDICARE: $98.34 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $114.32 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $77.22 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $51.45 BEECH_STREET — BEECH STREET COMMERCIAL: $476.15 CIGNA — CIGNA: $198.13 EDHP — EMPLOYER DIRECT HEALTH PLAN: $98.34
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI LUMBAR SPINE W/O	$2,197	$482.25	$199.14 – $1,592.87
MRI of the lower back (lumbar spine), without contrast: 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $328.77 AETNA — AETNA: $1,116 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $219.18 AMBETTER_MCR — AMBETTER MEDICARE: $219.18 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $330.92 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $487.43 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $199.14 BEECH_STREET — BEECH STREET COMMERCIAL: $1,537.90 CIGNA — CIGNA: $418.75 EDHP — EMPLOYER DIRECT HEALTH PLAN: $219.18
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI LUM SPINE W/O CO	$2,197	$482.25	$199.14 – $1,592.87
MRI of the lower back (lumbar spine), without contrast: 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $328.77 AETNA — AETNA: $1,116 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $219.18 AMBETTER_MCR — AMBETTER MEDICARE: $219.18 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $330.92 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $487.43 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $199.14 BEECH_STREET — BEECH STREET COMMERCIAL: $1,537.90 CIGNA — CIGNA: $418.75 EDHP — EMPLOYER DIRECT HEALTH PLAN: $219.18
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/CONT	$1,893	$367.01	$164.35 – $1,341.81
CT scan of the pelvis, with contrast: 10 of 24 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $246.52 AETNA — AETNA: $948 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $164.35 AMBETTER_MCR — AMBETTER MEDICARE: $164.35 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $258.75 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $427.90 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $180.34 BEECH_STREET — BEECH STREET COMMERCIAL: $1,325.10 CIGNA — CIGNA: $325.08 EDHP — EMPLOYER DIRECT HEALTH PLAN: $164.35
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI LOWER EXT LT JOI	$2,197	$482.25	$210.84 – $3,076.50
MRI of a leg joint (such as the knee), without contrast: 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $328.77 AETNA — AETNA: $1,116 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $219.18 AMBETTER_MCR — AMBETTER MEDICARE: $219.18 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $330.92 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $487.43 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $210.84 BEECH_STREET — BEECH STREET COMMERCIAL: $1,537.90 CIGNA — CIGNA: $418.75 EDHP — EMPLOYER DIRECT HEALTH PLAN: $219.18
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI LOWER EXT RT JOI	$2,197	$482.25	$210.84 – $3,076.50
MRI of a leg joint (such as the knee), without contrast: 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $328.77 AETNA — AETNA: $1,116 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $219.18 AMBETTER_MCR — AMBETTER MEDICARE: $219.18 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $330.92 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $487.43 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $210.84 BEECH_STREET — BEECH STREET COMMERCIAL: $1,537.90 CIGNA — CIGNA: $418.75 EDHP — EMPLOYER DIRECT HEALTH PLAN: $219.18
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI LOW EXT BILAT JO	$4,395	$482.25	$210.84 – $3,076.50
MRI of a leg joint (such as the knee), without contrast: 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $328.77 AETNA — AETNA: $1,116 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $219.18 AMBETTER_MCR — AMBETTER MEDICARE: $219.18 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $330.92 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $487.43 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $210.84 BEECH_STREET — BEECH STREET COMMERCIAL: $3,076.50 CIGNA — CIGNA: $418.75 EDHP — EMPLOYER DIRECT HEALTH PLAN: $219.18
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABDOMEN PELVIS W/CONTRAST MATERIAL	$2,297.88	$758.86	$318.09 – $1,893.88
CT scan of the abdomen and pelvis, with contrast: 10 of 24 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $515.99 AETNA — AETNA: $948 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $344 AMBETTER_MCR — AMBETTER MEDICARE: $344 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $542.23 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $694.92 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $318.09 BEECH_STREET — BEECH STREET COMMERCIAL: $1,608.52 CIGNA — CIGNA: $670.16 EDHP — EMPLOYER DIRECT HEALTH PLAN: $344
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMPLETE	$680.21	$218.55	$98.34 – $559.05
Ultrasound of the abdomen, complete: 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $147.51 AETNA — AETNA: $121.42 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $98.34 AMBETTER_MCR — AMBETTER MEDICARE: $98.34 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $114.32 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $108.26 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $106.88 BEECH_STREET — BEECH STREET COMMERCIAL: $476.15 CIGNA — CIGNA: $198.13 EDHP — EMPLOYER DIRECT HEALTH PLAN: $98.34
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG DIAG-UNDER 1	$680.21	$218.55	$93.37 – $559.05
Pregnancy ultrasound (after the first trimester): 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $147.51 AETNA — AETNA: $135.03 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $98.34 AMBETTER_MCR — AMBETTER MEDICARE: $98.34 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $93.37 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $111.84 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $106.88 BEECH_STREET — BEECH STREET COMMERCIAL: $476.15 CIGNA — CIGNA: $198.13 EDHP — EMPLOYER DIRECT HEALTH PLAN: $98.34
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL NON	$680.21	$218.55	$47.40 – $559.05
Transvaginal ultrasound: 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $147.51 AETNA — AETNA: $128.75 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $98.34 AMBETTER_MCR — AMBETTER MEDICARE: $98.34 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $90.07 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $47.40 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $106.88 BEECH_STREET — BEECH STREET COMMERCIAL: $476.15 CIGNA — CIGNA: $198.13 EDHP — EMPLOYER DIRECT HEALTH PLAN: $98.34

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HEART CATH W/VE	$18,096.29	$2,777.40	$1,061 – $12,667.40
Left heart catheterization (diagnostic): 10 of 24 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $4,372.08 AETNA — AETNA: $5,230 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $2,914.72 AMBETTER_MCR — AMBETTER MEDICARE: $2,914.72 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $1,880.97 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $1,061 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $2,866.45 BEECH_STREET — BEECH STREET COMMERCIAL: $12,667.40 CIGNA — CIGNA: $3,908.36 EDHP — EMPLOYER DIRECT HEALTH PLAN: $2,914.72
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: AFIB ABLATION PULM V	$99,999	$22,044.24	$69,999.30
Heart rhythm study with ablation for atrial fibrillation: 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $31,866.43 AETNA — AETNA: $46,028.92 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $21,244.28 AMBETTER_MCR — AMBETTER MEDICARE: $21,244.28 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $69,756.39 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $52,999.47 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $15,839.84 BEECH_STREET — BEECH STREET COMMERCIAL: $69,999.30 CIGNA — CIGNA: $28,486.55 EDHP — EMPLOYER DIRECT HEALTH PLAN: $21,244.28
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: AFIB ABLATION PULMON	Not listed in the file	Not listed in the file	$69,999.30
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$5,741.71	$1,993.66	$935.21 – $4,019.20
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $1,402.82 AETNA — AETNA: $2,560.80 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $935.21 AMBETTER_MCR — AMBETTER MEDICARE: $935.21 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $3,453.88 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $3,821.01 BEECH_STREET — BEECH STREET COMMERCIAL: $4,019.20 CIGNA — CIGNA: $1,254.03 EDHP — EMPLOYER DIRECT HEALTH PLAN: $935.21 HUMANA — HUMANA HMO: $3,732.11

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: THERAP EX EA 15 MINS	$200.59	$32.90	$25.71 – $140.41
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $44.87 AETNA — AETNA: $27.82 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $29.91 AMBETTER_MCR — AMBETTER MEDICARE: $29.91 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $25.71 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $47.27 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $31.77 BEECH_STREET — BEECH STREET COMMERCIAL: $140.41 CIGNA — CIGNA: $120 EDHP — EMPLOYER DIRECT HEALTH PLAN: $29.91
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: CPM INITIAL APPLICAT	$200.59	$32.90	$25.71 – $140.41
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $44.87 AETNA — AETNA: $27.82 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $29.91 AMBETTER_MCR — AMBETTER MEDICARE: $29.91 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $25.71 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $47.27 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $31.77 BEECH_STREET — BEECH STREET COMMERCIAL: $140.41 CIGNA — CIGNA: $120 EDHP — EMPLOYER DIRECT HEALTH PLAN: $29.91
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: THERAP EX EA 15MINS	$200.59	$32.90	$25.71 – $140.41
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $44.87 AETNA — AETNA: $27.82 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $29.91 AMBETTER_MCR — AMBETTER MEDICARE: $29.91 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $25.71 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $47.27 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $31.77 BEECH_STREET — BEECH STREET COMMERCIAL: $140.41 CIGNA — CIGNA: $120 EDHP — EMPLOYER DIRECT HEALTH PLAN: $29.91
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL-MOD	$674.83	$112.50	$70.92 – $472.38
Physical therapy evaluation (moderate complexity): 10 of 24 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $153.41 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $102.27 AMBETTER_MCR — AMBETTER MEDICARE: $102.27 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $70.92 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $120.65 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $106.89 BEECH_STREET — BEECH STREET COMMERCIAL: $472.38 CIGNA — CIGNA: $120 EDHP — EMPLOYER DIRECT HEALTH PLAN: $102.27 HUMANA — HUMANA HMO: $438.64

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REM OF BREAST LESION	$18,195.02	$3,227.41	$910 – $12,736.51
Removal of breast growth (open surgery): 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $5,114.29 AETNA — AETNA: $2,115 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $3,409.52 AMBETTER_MCR — AMBETTER MEDICARE: $3,409.52 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $1,999.50 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $910 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $963.66 BEECH_STREET — BEECH STREET COMMERCIAL: $12,736.51 CIGNA — CIGNA: $4,571.84 EDHP — EMPLOYER DIRECT HEALTH PLAN: $3,409.52
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLAS	$70,958.14	$12,249.54	$1,061 – $49,670.70
Total hip replacement: 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $17,658.57 AETNA — AETNA: $2,115 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $11,772.38 AMBETTER_MCR — AMBETTER MEDICARE: $11,772.38 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $7,854.47 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $1,061 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $11,239.77 BEECH_STREET — BEECH STREET COMMERCIAL: $49,670.70 CIGNA — CIGNA: $15,785.64 EDHP — EMPLOYER DIRECT HEALTH PLAN: $11,772.38
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLA	$70,958.14	$12,249.54	$1,061 – $49,670.70
Total knee replacement: 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $17,658.57 AETNA — AETNA: $2,115 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $11,772.38 AMBETTER_MCR — AMBETTER MEDICARE: $11,772.38 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $7,854.47 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $1,061 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $11,239.77 BEECH_STREET — BEECH STREET COMMERCIAL: $49,670.70 CIGNA — CIGNA: $15,785.64 EDHP — EMPLOYER DIRECT HEALTH PLAN: $11,772.38
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECO	$1,019.16	Not listed in the file	$161.43 – $3,888
Shoulder arthroscopy: shaving of shoulder bone: rates for 10 insurance plans AETNA — AETNA: $1,019.16 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $1,019.16 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $161.43 BEECH_STREET — BEECH STREET COMMERCIAL: $713.41 HUMANA — HUMANA HMO: $662.45 MEDICAID_TEXAS — MEDICAID TEXAS: $161.43 MULTIPLAN — MULTIPLAN: $1,019.16 SCOTT_AND_WHITE — SCOTT AND WHITE: $509.58 SUPERIOR_MCD — SUPERIOR MEDICAID OF TX: $161.43 TX_FREE_MARKET — TEXAS FREE MARKET: $3,888
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SUR	$16,308.88	$2,794.49	$1,088.27 – $11,416.22
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $4,342.93 AETNA — AETNA: $3,244 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $2,895.29 AMBETTER_MCR — AMBETTER MEDICARE: $2,895.29 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $1,806.72 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $1,778 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $1,088.27 BEECH_STREET — BEECH STREET COMMERCIAL: $11,416.22 CIGNA — CIGNA: $3,882.31 EDHP — EMPLOYER DIRECT HEALTH PLAN: $2,895.29
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND A	$29,306.02	$5,012.88	$910 – $20,514.21
Removal of tonsils and adenoids (under age 12): 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $7,857.35 AETNA — AETNA: $2,115 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $5,238.23 AMBETTER_MCR — AMBETTER MEDICARE: $5,238.23 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $3,201.35 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $910 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $1,954.22 BEECH_STREET — BEECH STREET COMMERCIAL: $20,514.21 CIGNA — CIGNA: $7,023.96 EDHP — EMPLOYER DIRECT HEALTH PLAN: $5,238.23
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: UPPER GI ENDOSCOPY W	$5,053.69	$1,744.40	$518.71 – $3,537.58
Upper GI endoscopy (diagnostic): 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $1,216.25 AETNA — AETNA: $2,115 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $810.83 AMBETTER_MCR — AMBETTER MEDICARE: $810.83 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $518.71 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $624 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $800.50 BEECH_STREET — BEECH STREET COMMERCIAL: $3,537.58 CIGNA — CIGNA: $1,087.25 EDHP — EMPLOYER DIRECT HEALTH PLAN: $810.83
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC	$5,053.69	$1,744.40	$518.71 – $3,537.58
Upper GI endoscopy (diagnostic): 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $1,216.25 AETNA — AETNA: $2,115 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $810.83 AMBETTER_MCR — AMBETTER MEDICARE: $810.83 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $518.71 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $624 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $800.50 BEECH_STREET — BEECH STREET COMMERCIAL: $3,537.58 CIGNA — CIGNA: $1,087.25 EDHP — EMPLOYER DIRECT HEALTH PLAN: $810.83
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: UPPER GI ENDOSCOPY I	$5,053.69	$1,744.40	$518.71 – $3,537.58
Upper GI endoscopy (diagnostic): 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $1,216.25 AETNA — AETNA: $2,115 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $810.83 AMBETTER_MCR — AMBETTER MEDICARE: $810.83 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $518.71 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $624 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $800.50 BEECH_STREET — BEECH STREET COMMERCIAL: $3,537.58 CIGNA — CIGNA: $1,087.25 EDHP — EMPLOYER DIRECT HEALTH PLAN: $810.83
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD TRANSORAL BIOPSY SINGLE/MULTIPLE	$5,053.69	$1,744.40	$518.71 – $3,537.58
Upper GI endoscopy with biopsy: 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $1,216.25 AETNA — AETNA: $2,115 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $810.83 AMBETTER_MCR — AMBETTER MEDICARE: $810.83 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $518.71 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $827 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $800.50 BEECH_STREET — BEECH STREET COMMERCIAL: $3,537.58 CIGNA — CIGNA: $1,087.25 EDHP — EMPLOYER DIRECT HEALTH PLAN: $810.83
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: UPPER GI ENDOSCOPY M	$5,053.69	$1,744.40	$518.71 – $3,537.58
Upper GI endoscopy with biopsy: 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $1,216.25 AETNA — AETNA: $2,115 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $810.83 AMBETTER_MCR — AMBETTER MEDICARE: $810.83 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $518.71 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $827 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $800.50 BEECH_STREET — BEECH STREET COMMERCIAL: $3,537.58 CIGNA — CIGNA: $1,087.25 EDHP — EMPLOYER DIRECT HEALTH PLAN: $810.83
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD	$4,954.13	$1,757.47	$504.16 – $3,467.89
Colonoscopy (diagnostic): 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $1,226.27 AETNA — AETNA: $2,115 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $817.52 AMBETTER_MCR — AMBETTER MEDICARE: $817.52 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $504.16 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $827 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $784.73 BEECH_STREET — BEECH STREET COMMERCIAL: $3,467.89 CIGNA — CIGNA: $1,096.22 EDHP — EMPLOYER DIRECT HEALTH PLAN: $817.52
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE	$6,472.92	$2,279.41	$662.79 – $4,531.04
Colonoscopy with biopsy: 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $1,583.32 AETNA — AETNA: $2,115 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $1,055.55 AMBETTER_MCR — AMBETTER MEDICARE: $1,055.55 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $662.79 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $827 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $1,025.31 BEECH_STREET — BEECH STREET COMMERCIAL: $4,531.04 CIGNA — CIGNA: $1,415.39 EDHP — EMPLOYER DIRECT HEALTH PLAN: $1,055.55
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/SNARE	$6,472.92	$2,279.41	$662.79 – $4,715.26
Colonoscopy with removal of polyps (snare): 10 of 24 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $1,583.32 AETNA — AETNA: $2,115 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $1,055.55 AMBETTER_MCR — AMBETTER MEDICARE: $1,055.55 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $662.79 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $827 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $1,025.31 BEECH_STREET — BEECH STREET COMMERCIAL: $4,531.04 CIGNA — CIGNA: $1,415.39 EDHP — EMPLOYER DIRECT HEALTH PLAN: $1,055.55
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION	$6,736.08	$2,279.41	$662.79 – $4,715.26
Colonoscopy with removal of polyps (snare): 10 of 24 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $1,583.32 AETNA — AETNA: $2,115 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $1,055.55 AMBETTER_MCR — AMBETTER MEDICARE: $1,055.55 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $662.79 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $827 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $1,067 BEECH_STREET — BEECH STREET COMMERCIAL: $4,715.26 CIGNA — CIGNA: $1,415.39 EDHP — EMPLOYER DIRECT HEALTH PLAN: $1,055.55
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR	$5,158.73	$1,757.47	$55 – $3,611.11
Screening colonoscopy (not high risk): 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $1,226.27 AETNA — AETNA: $2,300.79 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $817.52 AMBETTER_MCR — AMBETTER MEDICARE: $817.52 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $55 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $2,734.13 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $817.14 BEECH_STREET — BEECH STREET COMMERCIAL: $3,611.11 CIGNA — CIGNA: $1,096.22 EDHP — EMPLOYER DIRECT HEALTH PLAN: $817.52
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLON CA SCRN NOT HI	$5,169.39	$1,757.47	$504.16 – $3,618.57
Screening colonoscopy (not high risk): 10 of 24 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $1,226.27 AETNA — AETNA: $2,115 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $817.52 AMBETTER_MCR — AMBETTER MEDICARE: $817.52 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $504.16 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $827 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $818.83 BEECH_STREET — BEECH STREET COMMERCIAL: $3,618.57 CIGNA — CIGNA: $1,096.22 EDHP — EMPLOYER DIRECT HEALTH PLAN: $817.52
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECY	$32,183.24	$4,893.17	$1,888.85 – $22,528.27
Gallbladder removal by laparoscope: 10 of 24 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $7,741.71 AETNA — AETNA: $2,115 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $5,161.14 AMBETTER_MCR — AMBETTER MEDICARE: $5,161.14 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $3,190.25 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $1,976 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $1,888.85 BEECH_STREET — BEECH STREET COMMERCIAL: $22,528.27 CIGNA — CIGNA: $6,920.58 EDHP — EMPLOYER DIRECT HEALTH PLAN: $5,161.14
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPARO CHOLECYSTECTO	$31,588.33	$4,893.17	$1,976 – $22,111.83
Gallbladder removal by laparoscope: 10 of 24 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $7,741.71 AETNA — AETNA: $2,115 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $5,161.14 AMBETTER_MCR — AMBETTER MEDICARE: $5,161.14 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $3,190.25 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $1,976 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $5,003.59 BEECH_STREET — BEECH STREET COMMERCIAL: $22,111.83 CIGNA — CIGNA: $6,920.58 EDHP — EMPLOYER DIRECT HEALTH PLAN: $5,161.14
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDU	$18,342.94	$3,325.16	$1,061 – $12,840.06
Groin (inguinal) hernia repair, age 5 or older: 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $4,641.91 AETNA — AETNA: $2,115 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $3,094.60 AMBETTER_MCR — AMBETTER MEDICARE: $3,094.60 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $2,052.16 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $1,061 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $1,151.54 BEECH_STREET — BEECH STREET COMMERCIAL: $12,840.06 CIGNA — CIGNA: $4,149.56 EDHP — EMPLOYER DIRECT HEALTH PLAN: $3,094.60
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BX PROSTATE ANY APPR	$11,192.22	$1,741.36	$652.80 – $7,834.55
Prostate biopsy: 10 of 24 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $2,732.84 AETNA — AETNA: $2,115 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $1,821.89 AMBETTER_MCR — AMBETTER MEDICARE: $1,821.89 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $1,169.22 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $827 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $652.80 BEECH_STREET — BEECH STREET COMMERCIAL: $7,834.55 CIGNA — CIGNA: $2,442.98 EDHP — EMPLOYER DIRECT HEALTH PLAN: $1,821.89
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: EPIDURAL INJ LUMBAR/	$3,961.24	$1,345.83	$55 – $2,772.87
Spinal injection, lower back (epidural), with imaging guidance: 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $927.86 AETNA — AETNA: $1,766.71 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $618.58 AMBETTER_MCR — AMBETTER MEDICARE: $618.58 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $55 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $2,099.46 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $627.46 BEECH_STREET — BEECH STREET COMMERCIAL: $2,772.87 CIGNA — CIGNA: $829.44 EDHP — EMPLOYER DIRECT HEALTH PLAN: $618.58
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: NJX ANES/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL	$5,133.97	$1,776.86	$55 – $3,593.78
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $1,222.95 AETNA — AETNA: $2,455.27 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $815.30 AMBETTER_MCR — AMBETTER MEDICARE: $815.30 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $55 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $2,721 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $813.22 BEECH_STREET — BEECH STREET COMMERCIAL: $3,593.78 CIGNA — CIGNA: $1,093.24 EDHP — EMPLOYER DIRECT HEALTH PLAN: $815.30
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGER	$10,108.87	$1,687.51	$659.94 – $7,076.21
Carpal tunnel release: 10 of 24 insurance plan rates 90_DEGREE_BENEFITS — 90 DEGREE BENEFITS: $2,590.57 AETNA — AETNA: $2,115 AMBETTER_COMM_EXCH — AMBETTER COMMERCIAL EXCHANGE: $1,727.04 AMBETTER_MCR — AMBETTER MEDICARE: $1,727.04 BCBS_TEXAS — BLUE CROSS BLUE SHIELD TX PPO: $1,134.77 BCBS_TEXAS_HMO — BLUE CROSS BLUE SHIELD TX HMO: $827 BCBSTX_MEDICAID — BCBS OF TEXAS MEDICAID STAR: $659.94 BEECH_STREET — BEECH STREET COMMERCIAL: $7,076.21 CIGNA — CIGNA: $2,315.80 EDHP — EMPLOYER DIRECT HEALTH PLAN: $1,727.04

Source: The Hospital at Westlake Medical Center’s standard charges file (westlakemedical.com, CSV, CMS template 2.0.0; it can be a very large file), last updated by the hospital on September 2, 2024; 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	5656 Bee Caves Road, Suite M-302, Austin, TX 78746
County	Travis County
State	Texas
Phone	(512) 327‑0000
Emergency services	Yes
Ownership	Physician
Medicare overall rating	Not rated by CMS
CMS Certification Number	670006
Name in Medicare records	THE HOSPITAL AT WESTLAKE MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	westlakemedical.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

The Hospital at Westlake Medical Center - Austin Texas — westlakemedical.com