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Acute Care Hospital

United Regional Health Care System

Wichita Falls, Texas · Wichita County · Emergency services listed

Summary

United Regional Health Care System is an acute care hospital in Wichita Falls, Texas. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 50 services, specialties and programs. Medicare lists 471 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

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

Call(940) 764‑7000 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
471Doctors and clinicians
50Services listed

Quick answers

Does United Regional Health Care System have an emergency room?
Yes. Medicare (CMS) data lists emergency services at United Regional Health Care System. In a medical emergency, call 911.
Where is United Regional Health Care System?
1600 11th Street, Wichita Falls, TX 76301, in Wichita County, Texas.
What is the phone number of United Regional Health Care System?
(940) 764-7000, as listed by Medicare (CMS).
What is the Medicare star rating of United Regional Health Care System?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][6][10][12][13][15][17][18][19][20]

Conditions treated[6][12][17]

Treatments[6][11][17][18]

  • Chemotherapy infusion
  • Bone marrow transplant
  • Stem cell transplant
  • Radiation therapy
  • Stereotactic radiosurgery
  • Total hip and total knee replacement
  • Virtual nursing

Procedures[19][20][22]

Programs and centers[4][5][6][11][12][14][15][17][18]

  • Neonatal Intensive Care Unit (NICU)
  • Diabetes Self-Management Program
  • Outpatient Nutrition Services
  • Orthopedics Express
  • CarePlus
  • Virtual nursing
  • Obstetrics emergency department (OBED), 24/7
  • Neonatal special care nursery (Level II)
  • Oncology navigator
  • Cardiac rehabilitation
  • Pulmonary rehabilitation
  • Heart failure clinic

Emergency care (hospital website)[4][6][10][13][17]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel II

Visiting and practical information

VisitingHospital visiting hours are 7 a.m. to 9 p.m. daily; one support person may stay overnight in PCU, Med/Surg and Mother/Baby[4][7]
Interpreters and languagesInterpreters in many languages at no cost; ASL interpreters available. Ask your nurse or call 940-764-7000[9]
Patient portalMyChart

Recognition[8][17][19]

  • Newsweek America's Best-In-State Hospitals (Texas #15) 2026
  • American College of Radiology Designated Comprehensive Breast Imaging Center

Doctors and clinicians (471)

471 doctors and other clinicians list United Regional Health Care System 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 (471)

And 447 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

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 United Regional Health Care System 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 hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night5 of 5 stars
Rated the hospital 9 or 10 out of 1071%National average: 72%
Would definitely recommend the hospital73%National average: 71%
Nurses “always” communicated well79%National average: 80%
Doctors “always” communicated well76%National average: 80%
Staff “always” explained medicines before giving them60%National average: 62%
Were given information about recovery at home88%National average: 86%
Room and bathroom “always” clean77%National average: 74%
Area around the room “always” quiet at night65%National average: 60%
Completed surveys488Response rate: 21%

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)0.269Better than the national benchmark
Surgical site infections after colon surgery1.591No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.271No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.097Better 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 patients13.1%
Deaths within 30 days: heart failure patients11.3%
Deaths within 30 days: pneumonia patients17.2%
Deaths within 30 days: COPD patients9.6%
Deaths within 30 days: stroke patients8%
Deaths within 30 days: coronary bypass surgery (CABG)4.9%
Serious complications (patient safety indicator PSI-90)1.34Worse than the national rate
Complications after hip or knee replacement4.3%

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 attack15.6%
Readmitted within 30 days: heart failure23.9%
Readmitted within 30 days: pneumonia21.5%
Readmitted within 30 days: COPD20.7%
Readmitted within 30 days: coronary bypass surgery13.2%
Readmitted within 30 days: hip or knee replacementToo 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)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)172 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)69%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in TexasBest hospitals in Texas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 65 common services exactly as United Regional Health Care System lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EM LVL 3 $821 $726.59 $410.50 – $779.95
Emergency room visit (moderate): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $779.95
  • AETNA — AETNA: $615.75
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $615.75
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $306.86
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $615.75
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $615.75
  • AETNA WEB TPA — AETNA WEB TPA: $615.75
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $779.95
  • ALL SAVERS — ALL SAVERS: $615.75
  • ALLIED BENEFIT — ALLIED BENEFIT: $615.75
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB EM LVL 3 $821 $726.59 $410.50 – $779.95
Emergency room visit (moderate): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $779.95
  • AETNA — AETNA: $615.75
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $615.75
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $306.86
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $615.75
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $615.75
  • AETNA WEB TPA — AETNA WEB TPA: $615.75
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $779.95
  • ALL SAVERS — ALL SAVERS: $615.75
  • ALLIED BENEFIT — ALLIED BENEFIT: $615.75
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SA EXAM W/O COLPOSCOPE $439 $388.52 $219.50 – $417.05
Emergency room visit (moderate): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $417.05
  • AETNA — AETNA: $329.25
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $329.25
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $306.86
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $329.25
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $329.25
  • AETNA WEB TPA — AETNA WEB TPA: $329.25
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $417.05
  • ALL SAVERS — ALL SAVERS: $329.25
  • ALLIED BENEFIT — ALLIED BENEFIT: $329.25
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EM LVL 4 $1,410 $1,247.85 $705 – $1,339.50
Emergency room visit (moderately high): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $1,339.50
  • AETNA — AETNA: $1,057.50
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $1,057.50
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $469.06
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $1,057.50
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $1,057.50
  • AETNA WEB TPA — AETNA WEB TPA: $1,057.50
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $1,339.50
  • ALL SAVERS — ALL SAVERS: $1,057.50
  • ALLIED BENEFIT — ALLIED BENEFIT: $1,057.50
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB EM LVL 4 $1,410 $1,247.85 $705 – $1,339.50
Emergency room visit (moderately high): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $1,339.50
  • AETNA — AETNA: $1,057.50
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $1,057.50
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $469.06
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $1,057.50
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $1,057.50
  • AETNA WEB TPA — AETNA WEB TPA: $1,057.50
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $1,339.50
  • ALL SAVERS — ALL SAVERS: $1,057.50
  • ALLIED BENEFIT — ALLIED BENEFIT: $1,057.50
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EM LVL 4 $1,410 $1,247.85 $705 – $1,339.50
Emergency room visit (moderately high): 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $1,339.50
  • AETNA — AETNA: $1,057.50
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $1,057.50
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $1,057.50
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $1,057.50
  • AETNA WEB TPA — AETNA WEB TPA: $1,057.50
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $1,339.50
  • ALL SAVERS — ALL SAVERS: $1,057.50
  • ALLIED BENEFIT — ALLIED BENEFIT: $1,057.50
  • ALLIED INSURANCE — ALLIED INSURANCE: $1,339.50
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EM LVL 5 $2,600 $2,301 $1,300 – $2,470
Emergency room visit (high): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $2,470
  • AETNA — AETNA: $1,950
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $1,950
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $669.46
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $1,950
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $1,950
  • AETNA WEB TPA — AETNA WEB TPA: $1,950
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $2,470
  • ALL SAVERS — ALL SAVERS: $1,950
  • ALLIED BENEFIT — ALLIED BENEFIT: $1,950
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB EM LVL 5 $2,600 $2,301 $1,300 – $2,470
Emergency room visit (high): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $2,470
  • AETNA — AETNA: $1,950
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $1,950
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $669.46
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $1,950
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $1,950
  • AETNA WEB TPA — AETNA WEB TPA: $1,950
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $2,470
  • ALL SAVERS — ALL SAVERS: $1,950
  • ALLIED BENEFIT — ALLIED BENEFIT: $1,950
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EM LVL 5 $2,600 $2,301 $1,300 – $2,470
Emergency room visit (high): 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $2,470
  • AETNA — AETNA: $1,950
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $1,950
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $1,950
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $1,950
  • AETNA WEB TPA — AETNA WEB TPA: $1,950
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $2,470
  • ALL SAVERS — ALL SAVERS: $1,950
  • ALLIED BENEFIT — ALLIED BENEFIT: $1,950
  • ALLIED INSURANCE — ALLIED INSURANCE: $2,470

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PNL $197 $174.35 $8.88 – $187.15
Basic metabolic panel (blood test): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $187.15
  • AETNA — AETNA: $147.75
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $147.75
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $8.88
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $147.75
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $147.75
  • AETNA WEB TPA — AETNA WEB TPA: $147.75
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $187.15
  • ALL SAVERS — ALL SAVERS: $147.75
  • ALLIED BENEFIT — ALLIED BENEFIT: $147.75
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PNL $197 $174.35 $98.50 – $187.15
Basic metabolic panel (blood test): 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $187.15
  • AETNA — AETNA: $147.75
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $147.75
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $147.75
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $147.75
  • AETNA WEB TPA — AETNA WEB TPA: $147.75
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $187.15
  • ALL SAVERS — ALL SAVERS: $147.75
  • ALLIED BENEFIT — ALLIED BENEFIT: $147.75
  • ALLIED INSURANCE — ALLIED INSURANCE: $187.15
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPR METABOLIC PNL $286.50 $253.55 $11.09 – $272.18
Comprehensive metabolic panel (blood test): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $272.18
  • AETNA — AETNA: $214.88
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $214.88
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $11.09
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $214.88
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $214.88
  • AETNA WEB TPA — AETNA WEB TPA: $214.88
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $272.18
  • ALL SAVERS — ALL SAVERS: $214.88
  • ALLIED BENEFIT — ALLIED BENEFIT: $214.88
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPR METABOLIC PNL $286.50 $253.55 $143.25 – $272.18
Comprehensive metabolic panel (blood test): 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $272.18
  • AETNA — AETNA: $214.88
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $214.88
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $214.88
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $214.88
  • AETNA WEB TPA — AETNA WEB TPA: $214.88
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $272.18
  • ALL SAVERS — ALL SAVERS: $214.88
  • ALLIED BENEFIT — ALLIED BENEFIT: $214.88
  • ALLIED INSURANCE — ALLIED INSURANCE: $272.18
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PNL $228.95 $202.62 $14.06 – $217.50
Cholesterol panel (lipid panel): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $217.50
  • AETNA — AETNA: $171.71
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $171.71
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $14.06
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $171.71
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $171.71
  • AETNA WEB TPA — AETNA WEB TPA: $171.71
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $217.50
  • ALL SAVERS — ALL SAVERS: $171.71
  • ALLIED BENEFIT — ALLIED BENEFIT: $171.71
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC @LIPID PNL $241 $213.29 $14.06 – $228.95
Cholesterol panel (lipid panel): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $228.95
  • AETNA — AETNA: $180.75
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $180.75
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $14.06
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $180.75
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $180.75
  • AETNA WEB TPA — AETNA WEB TPA: $180.75
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $228.95
  • ALL SAVERS — ALL SAVERS: $180.75
  • ALLIED BENEFIT — ALLIED BENEFIT: $180.75
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PNL $228.95 $202.62 $114.47 – $217.50
Cholesterol panel (lipid panel): 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $217.50
  • AETNA — AETNA: $171.71
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $171.71
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $171.71
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $171.71
  • AETNA WEB TPA — AETNA WEB TPA: $171.71
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $217.50
  • ALL SAVERS — ALL SAVERS: $171.71
  • ALLIED BENEFIT — ALLIED BENEFIT: $171.71
  • ALLIED INSURANCE — ALLIED INSURANCE: $217.50
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $26.05 $23.05 $9.11 – $24.75
Kidney function panel: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $24.75
  • AETNA — AETNA: $19.54
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $19.54
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $9.11
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $19.54
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $19.54
  • AETNA WEB TPA — AETNA WEB TPA: $19.54
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $24.75
  • ALL SAVERS — ALL SAVERS: $19.54
  • ALLIED BENEFIT — ALLIED BENEFIT: $19.54
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $26.05 $23.05 $13.03 – $24.75
Kidney function panel: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $24.75
  • AETNA — AETNA: $19.54
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $19.54
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $19.54
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $19.54
  • AETNA WEB TPA — AETNA WEB TPA: $19.54
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $24.75
  • ALL SAVERS — ALL SAVERS: $19.54
  • ALLIED BENEFIT — ALLIED BENEFIT: $19.54
  • ALLIED INSURANCE — ALLIED INSURANCE: $24.75
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PNL $181.60 $160.72 $8.58 – $172.52
Liver function panel: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $172.52
  • AETNA — AETNA: $136.20
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $136.20
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $8.58
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $136.20
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $136.20
  • AETNA WEB TPA — AETNA WEB TPA: $136.20
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $172.52
  • ALL SAVERS — ALL SAVERS: $136.20
  • ALLIED BENEFIT — ALLIED BENEFIT: $136.20
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PNL $181.60 $160.72 $90.80 – $172.52
Liver function panel: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $172.52
  • AETNA — AETNA: $136.20
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $136.20
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $136.20
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $136.20
  • AETNA WEB TPA — AETNA WEB TPA: $136.20
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $172.52
  • ALL SAVERS — ALL SAVERS: $136.20
  • ALLIED BENEFIT — ALLIED BENEFIT: $136.20
  • ALLIED INSURANCE — ALLIED INSURANCE: $172.52
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UA AUTOMATED W/MICROSCOPY $100.10 $88.59 $3.33 – $95.10
Urine test (automated, with microscope): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $95.09
  • AETNA — AETNA: $75.07
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $75.07
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $3.33
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $75.07
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $75.07
  • AETNA WEB TPA — AETNA WEB TPA: $75.07
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $95.09
  • ALL SAVERS — ALL SAVERS: $75.07
  • ALLIED BENEFIT — ALLIED BENEFIT: $75.07
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC UA AUTOMATED W/MICROSCOPY $100.10 $88.59 $50.05 – $95.10
Urine test (automated, with microscope): 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $95.09
  • AETNA — AETNA: $75.07
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $75.07
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $75.07
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $75.07
  • AETNA WEB TPA — AETNA WEB TPA: $75.07
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $95.09
  • ALL SAVERS — ALL SAVERS: $75.07
  • ALLIED BENEFIT — ALLIED BENEFIT: $75.07
  • ALLIED INSURANCE — ALLIED INSURANCE: $95.10
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UA N/AUTO W/O MICROSCOPY $80.30 $71.07 $3.65 – $76.28
Urine test (manual, without microscope): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $76.28
  • AETNA — AETNA: $60.22
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $60.22
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $3.65
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $60.22
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $60.22
  • AETNA WEB TPA — AETNA WEB TPA: $60.22
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $76.28
  • ALL SAVERS — ALL SAVERS: $60.22
  • ALLIED BENEFIT — ALLIED BENEFIT: $60.22
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC UA N/AUTO W/O MICROSCOPY $80.30 $71.07 $40.15 – $76.28
Urine test (manual, without microscope): 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $76.28
  • AETNA — AETNA: $60.22
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $60.22
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $60.22
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $60.22
  • AETNA WEB TPA — AETNA WEB TPA: $60.22
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $76.28
  • ALL SAVERS — ALL SAVERS: $60.22
  • ALLIED BENEFIT — ALLIED BENEFIT: $60.22
  • ALLIED INSURANCE — ALLIED INSURANCE: $76.28
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UA AUTOMATED W/O MICRO $77 $68.15 $2.36 – $73.15
Urine test (automated, without microscope): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $73.15
  • AETNA — AETNA: $57.75
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $57.75
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $2.36
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $57.75
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $57.75
  • AETNA WEB TPA — AETNA WEB TPA: $57.75
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $73.15
  • ALL SAVERS — ALL SAVERS: $57.75
  • ALLIED BENEFIT — ALLIED BENEFIT: $57.75
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UA DIPSTICK ONLY $77 $68.15 $2.36 – $73.15
Urine test (automated, without microscope): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $73.15
  • AETNA — AETNA: $57.75
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $57.75
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $2.36
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $57.75
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $57.75
  • AETNA WEB TPA — AETNA WEB TPA: $57.75
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $73.15
  • ALL SAVERS — ALL SAVERS: $57.75
  • ALLIED BENEFIT — ALLIED BENEFIT: $57.75
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC UA AUTOMATED W/O MICRO $77 $68.15 $38.50 – $73.15
Urine test (automated, without microscope): 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $73.15
  • AETNA — AETNA: $57.75
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $57.75
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $57.75
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $57.75
  • AETNA WEB TPA — AETNA WEB TPA: $57.75
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $73.15
  • ALL SAVERS — ALL SAVERS: $57.75
  • ALLIED BENEFIT — ALLIED BENEFIT: $57.75
  • ALLIED INSURANCE — ALLIED INSURANCE: $73.15
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATIC SPECIFIC AG:TTL $245.10 $216.91 $19.31 – $232.84
PSA (prostate specific antigen) blood test: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $232.84
  • AETNA — AETNA: $183.82
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $183.82
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $19.31
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $183.82
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $183.82
  • AETNA WEB TPA — AETNA WEB TPA: $183.82
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $232.84
  • ALL SAVERS — ALL SAVERS: $183.82
  • ALLIED BENEFIT — ALLIED BENEFIT: $183.82
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC @PROSTATIC SPECIFIC AG:TTL $258 $228.33 $19.31 – $245.10
PSA (prostate specific antigen) blood test: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $245.10
  • AETNA — AETNA: $193.50
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $193.50
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $19.31
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $193.50
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $193.50
  • AETNA WEB TPA — AETNA WEB TPA: $193.50
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $245.10
  • ALL SAVERS — ALL SAVERS: $193.50
  • ALLIED BENEFIT — ALLIED BENEFIT: $193.50
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROSTATIC SPECIFIC AG:TTL $245.10 $216.91 $122.55 – $232.84
PSA (prostate specific antigen) blood test: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $232.84
  • AETNA — AETNA: $183.82
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $183.82
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $183.82
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $183.82
  • AETNA WEB TPA — AETNA WEB TPA: $183.82
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $232.84
  • ALL SAVERS — ALL SAVERS: $183.82
  • ALLIED BENEFIT — ALLIED BENEFIT: $183.82
  • ALLIED INSURANCE — ALLIED INSURANCE: $232.84
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THYROID STIM HORMONE (THS $245.10 $216.91 $17.64 – $232.84
Thyroid stimulating hormone (TSH) test: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $232.84
  • AETNA — AETNA: $183.82
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $183.82
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $17.64
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $183.82
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $183.82
  • AETNA WEB TPA — AETNA WEB TPA: $183.82
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $232.84
  • ALL SAVERS — ALL SAVERS: $183.82
  • ALLIED BENEFIT — ALLIED BENEFIT: $183.82
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH REFLEX $258 $228.33 $17.64 – $245.10
Thyroid stimulating hormone (TSH) test: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $245.10
  • AETNA — AETNA: $193.50
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $193.50
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $17.64
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $193.50
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $193.50
  • AETNA WEB TPA — AETNA WEB TPA: $193.50
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $245.10
  • ALL SAVERS — ALL SAVERS: $193.50
  • ALLIED BENEFIT — ALLIED BENEFIT: $193.50
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THYROID STIM HORMONE (THS $245.10 $216.91 $122.55 – $232.84
Thyroid stimulating hormone (TSH) test: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $232.84
  • AETNA — AETNA: $183.82
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $183.82
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $183.82
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $183.82
  • AETNA WEB TPA — AETNA WEB TPA: $183.82
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $232.84
  • ALL SAVERS — ALL SAVERS: $183.82
  • ALLIED BENEFIT — ALLIED BENEFIT: $183.82
  • ALLIED INSURANCE — ALLIED INSURANCE: $232.84
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CMPLT CBC W/AUTO DIFF WBC $193.80 $171.51 $8.16 – $184.11
Complete blood count (CBC) with differential: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $184.11
  • AETNA — AETNA: $145.35
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $145.35
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $8.16
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $145.35
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $145.35
  • AETNA WEB TPA — AETNA WEB TPA: $145.35
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $184.11
  • ALL SAVERS — ALL SAVERS: $145.35
  • ALLIED BENEFIT — ALLIED BENEFIT: $145.35
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CMPLT CBC W/AUTO DIFF WBC $193.80 $171.51 $96.90 – $184.11
Complete blood count (CBC) with differential: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $184.11
  • AETNA — AETNA: $145.35
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $145.35
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $145.35
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $145.35
  • AETNA WEB TPA — AETNA WEB TPA: $145.35
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $184.11
  • ALL SAVERS — ALL SAVERS: $145.35
  • ALLIED BENEFIT — ALLIED BENEFIT: $145.35
  • ALLIED INSURANCE — ALLIED INSURANCE: $184.11
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BLD CNT:CBC $175.75 $155.54 $6.79 – $166.96
Complete blood count (CBC), automated: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $166.96
  • AETNA — AETNA: $131.81
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $131.81
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $6.79
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $131.81
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $131.81
  • AETNA WEB TPA — AETNA WEB TPA: $131.81
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $166.96
  • ALL SAVERS — ALL SAVERS: $131.81
  • ALLIED BENEFIT — ALLIED BENEFIT: $131.81
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BLD CNT:CBC $175.75 $155.54 $87.88 – $166.96
Complete blood count (CBC), automated: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $166.96
  • AETNA — AETNA: $131.81
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $131.81
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $131.81
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $131.81
  • AETNA WEB TPA — AETNA WEB TPA: $131.81
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $166.96
  • ALL SAVERS — ALL SAVERS: $131.81
  • ALLIED BENEFIT — ALLIED BENEFIT: $131.81
  • ALLIED INSURANCE — ALLIED INSURANCE: $166.96
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME $106.40 $94.16 $4.50 – $101.08
Blood clotting time test (prothrombin time, PT): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $101.08
  • AETNA — AETNA: $79.80
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $79.80
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $4.50
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $79.80
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $79.80
  • AETNA WEB TPA — AETNA WEB TPA: $79.80
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $101.08
  • ALL SAVERS — ALL SAVERS: $79.80
  • ALLIED BENEFIT — ALLIED BENEFIT: $79.80
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC @PROTHROMBIN TIME $112 $99.12 $4.50 – $106.40
Blood clotting time test (prothrombin time, PT): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $106.40
  • AETNA — AETNA: $84
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $84
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $4.50
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $84
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $84
  • AETNA WEB TPA — AETNA WEB TPA: $84
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $106.40
  • ALL SAVERS — ALL SAVERS: $84
  • ALLIED BENEFIT — ALLIED BENEFIT: $84
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC @LUPUS ANTICOAGULANT PANEL CPT 85610 $12 $10.62 $4.50 – $11.40
Blood clotting time test (prothrombin time, PT): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $11.40
  • AETNA — AETNA: $9
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $9
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $4.50
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $9
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $9
  • AETNA WEB TPA — AETNA WEB TPA: $9
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $11.40
  • ALL SAVERS — ALL SAVERS: $9
  • ALLIED BENEFIT — ALLIED BENEFIT: $9
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PTT-THROMBOPLASTIN T,PART $162.45 $143.77 $6.31 – $154.33
Blood clotting test (partial thromboplastin time, PTT): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $154.33
  • AETNA — AETNA: $121.84
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $121.84
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $6.31
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $121.84
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $121.84
  • AETNA WEB TPA — AETNA WEB TPA: $121.84
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $154.33
  • ALL SAVERS — ALL SAVERS: $121.84
  • ALLIED BENEFIT — ALLIED BENEFIT: $121.84
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC @PTT-D HEPARIN REFLEX BILL $42.19 $37.34 $6.31 – $40.08
Blood clotting test (partial thromboplastin time, PTT): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $40.08
  • AETNA — AETNA: $31.64
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $31.64
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $6.31
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $31.64
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $31.64
  • AETNA WEB TPA — AETNA WEB TPA: $31.64
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $40.08
  • ALL SAVERS — ALL SAVERS: $31.64
  • ALLIED BENEFIT — ALLIED BENEFIT: $31.64
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC @LUPUS ANTICOAGULANT PANEL CPT 85730 $12 $10.62 $6 – $11.40
Blood clotting test (partial thromboplastin time, PTT): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $11.40
  • AETNA — AETNA: $9
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $9
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $6.31
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $9
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $9
  • AETNA WEB TPA — AETNA WEB TPA: $9
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $11.40
  • ALL SAVERS — ALL SAVERS: $9
  • ALLIED BENEFIT — ALLIED BENEFIT: $9

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD OR BRAIN WO CONTR $1,606.05 $1,421.35 $803.02 – $1,525.75
CT scan of the head or brain, without contrast: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $1,525.75
  • AETNA — AETNA: $1,204.54
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $1,204.54
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $117.53
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $1,204.54
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $1,204.54
  • AETNA WEB TPA — AETNA WEB TPA: $1,204.54
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $1,525.75
  • ALL SAVERS — ALL SAVERS: $1,204.54
  • ALLIED BENEFIT — ALLIED BENEFIT: $1,204.54
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD OR BRAIN WO CONTR $1,606.05 $1,421.35 $803.02 – $1,525.75
CT scan of the head or brain, without contrast: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $1,525.75
  • AETNA — AETNA: $1,204.54
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $1,204.54
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $1,204.54
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $1,204.54
  • AETNA WEB TPA — AETNA WEB TPA: $1,204.54
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $1,525.75
  • ALL SAVERS — ALL SAVERS: $1,204.54
  • ALLIED BENEFIT — ALLIED BENEFIT: $1,204.54
  • ALLIED INSURANCE — ALLIED INSURANCE: $1,525.75
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE Not listed in the file Not listed in the file $112.15 – $117.49
CT scan of the head or brain, without contrast: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $112.15
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $117.49
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $112.15
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN W & WO CONTR $1,642.15 $1,453.30 $821.08 – $1,560.04
MRI of the brain, before and after contrast: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $1,560.04
  • AETNA — AETNA: $1,231.61
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $1,231.61
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $392.19
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $1,231.61
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $1,231.61
  • AETNA WEB TPA — AETNA WEB TPA: $1,231.61
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $1,560.04
  • ALL SAVERS — ALL SAVERS: $1,231.61
  • ALLIED BENEFIT — ALLIED BENEFIT: $1,231.61
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI BRAIN W & WO CONTR $1,642.15 $1,453.30 $821.08 – $1,560.04
MRI of the brain, before and after contrast: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $1,560.04
  • AETNA — AETNA: $1,231.61
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $1,231.61
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $1,231.61
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $1,231.61
  • AETNA WEB TPA — AETNA WEB TPA: $1,231.61
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $1,560.04
  • ALL SAVERS — ALL SAVERS: $1,231.61
  • ALLIED BENEFIT — ALLIED BENEFIT: $1,231.61
  • ALLIED INSURANCE — ALLIED INSURANCE: $1,560.04
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CHEST 2 VIEW $296.40 $262.31 $148.20 – $281.58
Chest X-ray, 2 views: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $281.58
  • AETNA — AETNA: $222.30
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $222.30
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $97.83
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $222.30
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $222.30
  • AETNA WEB TPA — AETNA WEB TPA: $222.30
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $281.58
  • ALL SAVERS — ALL SAVERS: $222.30
  • ALLIED BENEFIT — ALLIED BENEFIT: $222.30
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CHEST 2 VIEW $296.40 $262.31 $148.20 – $281.58
Chest X-ray, 2 views: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $281.58
  • AETNA — AETNA: $222.30
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $222.30
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $222.30
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $222.30
  • AETNA WEB TPA — AETNA WEB TPA: $222.30
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $281.58
  • ALL SAVERS — ALL SAVERS: $222.30
  • ALLIED BENEFIT — ALLIED BENEFIT: $222.30
  • ALLIED INSURANCE — ALLIED INSURANCE: $281.58
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS Not listed in the file Not listed in the file $93.36 – $97.80
Chest X-ray, 2 views: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $93.36
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $97.80
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $93.36
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SPINE LUMB MIN 4 VWS $718.05 $635.47 $359.02 – $682.15
X-ray of the lower spine, at least 4 views: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $682.15
  • AETNA — AETNA: $538.54
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $538.54
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $117.53
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $538.54
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $538.54
  • AETNA WEB TPA — AETNA WEB TPA: $538.54
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $682.15
  • ALL SAVERS — ALL SAVERS: $538.54
  • ALLIED BENEFIT — ALLIED BENEFIT: $538.54
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SPINE LUMB MIN 4 VWS $718.05 $635.47 $359.02 – $682.15
X-ray of the lower spine, at least 4 views: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $682.15
  • AETNA — AETNA: $538.54
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $538.54
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $538.54
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $538.54
  • AETNA WEB TPA — AETNA WEB TPA: $538.54
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $682.15
  • ALL SAVERS — ALL SAVERS: $538.54
  • ALLIED BENEFIT — ALLIED BENEFIT: $538.54
  • ALLIED INSURANCE — ALLIED INSURANCE: $682.15
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI L SPINE WO CONTR $3,163.65 $2,799.83 $1,581.83 – $3,005.47
MRI of the lower back (lumbar spine), without contrast: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $3,005.47
  • AETNA — AETNA: $2,372.74
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $2,372.74
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $268.22
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $2,372.74
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $2,372.74
  • AETNA WEB TPA — AETNA WEB TPA: $2,372.74
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $3,005.47
  • ALL SAVERS — ALL SAVERS: $2,372.74
  • ALLIED BENEFIT — ALLIED BENEFIT: $2,372.74
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI L SPINE WO CONTR $3,163.65 $2,799.83 $1,581.83 – $3,005.47
MRI of the lower back (lumbar spine), without contrast: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $3,005.47
  • AETNA — AETNA: $2,372.74
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $2,372.74
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $2,372.74
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $2,372.74
  • AETNA WEB TPA — AETNA WEB TPA: $2,372.74
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $3,005.47
  • ALL SAVERS — ALL SAVERS: $2,372.74
  • ALLIED BENEFIT — ALLIED BENEFIT: $2,372.74
  • ALLIED INSURANCE — ALLIED INSURANCE: $3,005.47
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W CONTR $2,863.25 $2,533.98 $1,431.63 – $2,720.09
CT scan of the pelvis, with contrast: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $2,720.09
  • AETNA — AETNA: $2,147.44
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $2,147.44
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $197.18
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $2,147.44
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $2,147.44
  • AETNA WEB TPA — AETNA WEB TPA: $2,147.44
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $2,720.09
  • ALL SAVERS — ALL SAVERS: $2,147.44
  • ALLIED BENEFIT — ALLIED BENEFIT: $2,147.44
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT PELVIS W CONTR $2,863.25 $2,533.98 $1,431.63 – $2,720.09
CT scan of the pelvis, with contrast: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $2,720.09
  • AETNA — AETNA: $2,147.44
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $2,147.44
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $2,147.44
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $2,147.44
  • AETNA WEB TPA — AETNA WEB TPA: $2,147.44
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $2,720.09
  • ALL SAVERS — ALL SAVERS: $2,147.44
  • ALLIED BENEFIT — ALLIED BENEFIT: $2,147.44
  • ALLIED INSURANCE — ALLIED INSURANCE: $2,720.09
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: HC MRI EXT LOWER JNT W/O LT $2,971.15 $2,629.47 $1,485.58 – $2,822.59
MRI of a leg joint (such as the knee), without contrast: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $2,822.59
  • AETNA — AETNA: $2,228.36
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $2,228.36
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $268.22
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $2,228.36
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $2,228.36
  • AETNA WEB TPA — AETNA WEB TPA: $2,228.36
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $2,822.59
  • ALL SAVERS — ALL SAVERS: $2,228.36
  • ALLIED BENEFIT — ALLIED BENEFIT: $2,228.36
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: HC MRI EXT LWR JOINT W/O RT $2,971.15 $2,629.47 $1,485.58 – $2,822.59
MRI of a leg joint (such as the knee), without contrast: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $2,822.59
  • AETNA — AETNA: $2,228.36
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $2,228.36
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $268.22
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $2,228.36
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $2,228.36
  • AETNA WEB TPA — AETNA WEB TPA: $2,228.36
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $2,822.59
  • ALL SAVERS — ALL SAVERS: $2,228.36
  • ALLIED BENEFIT — ALLIED BENEFIT: $2,228.36
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee · modifier LT In the file: HC MRI EXT LOWER JNT W/O LT $2,971.15 $2,629.47 $1,485.58 – $2,822.59
MRI of a leg joint (such as the knee), without contrast: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $2,822.59
  • AETNA — AETNA: $2,228.36
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $2,228.36
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $2,228.36
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $2,228.36
  • AETNA WEB TPA — AETNA WEB TPA: $2,228.36
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $2,822.59
  • ALL SAVERS — ALL SAVERS: $2,228.36
  • ALLIED BENEFIT — ALLIED BENEFIT: $2,228.36
  • ALLIED INSURANCE — ALLIED INSURANCE: $2,822.59
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABD/PELVIS W CONT $5,776.85 $5,112.51 $2,888.43 – $5,488.01
CT scan of the abdomen and pelvis, with contrast: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $5,488.01
  • AETNA — AETNA: $4,332.64
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $4,332.64
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $392.19
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $4,332.64
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $4,332.64
  • AETNA WEB TPA — AETNA WEB TPA: $4,332.64
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $5,488.01
  • ALL SAVERS — ALL SAVERS: $4,332.64
  • ALLIED BENEFIT — ALLIED BENEFIT: $4,332.64
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABD/PELVIS W CONT $5,776.85 $5,112.51 $2,888.43 – $5,488.01
CT scan of the abdomen and pelvis, with contrast: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $5,488.01
  • AETNA — AETNA: $4,332.64
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $4,332.64
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $4,332.64
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $4,332.64
  • AETNA WEB TPA — AETNA WEB TPA: $4,332.64
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $5,488.01
  • ALL SAVERS — ALL SAVERS: $4,332.64
  • ALLIED BENEFIT — ALLIED BENEFIT: $4,332.64
  • ALLIED INSURANCE — ALLIED INSURANCE: $5,488.01
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ECHO ABDOMINAL COMP $1,310.10 $1,159.44 $655.05 – $1,244.60
Ultrasound of the abdomen, complete: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $1,244.59
  • AETNA — AETNA: $982.57
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $982.58
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $117.53
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $982.58
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $982.57
  • AETNA WEB TPA — AETNA WEB TPA: $982.57
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $1,244.59
  • ALL SAVERS — ALL SAVERS: $982.57
  • ALLIED BENEFIT — ALLIED BENEFIT: $982.58
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ECHO ABDOMINAL COMP $1,310.10 $1,159.44 $655.05 – $1,244.60
Ultrasound of the abdomen, complete: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $1,244.59
  • AETNA — AETNA: $982.57
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $982.58
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $982.58
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $982.57
  • AETNA WEB TPA — AETNA WEB TPA: $982.57
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $1,244.59
  • ALL SAVERS — ALL SAVERS: $982.57
  • ALLIED BENEFIT — ALLIED BENEFIT: $982.58
  • ALLIED INSURANCE — ALLIED INSURANCE: $1,244.60
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US PREG COMP 1ST GESTATIO $955.90 $845.97 $477.95 – $908.10
Pregnancy ultrasound (after the first trimester): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $908.10
  • AETNA — AETNA: $716.92
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $716.92
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $117.53
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $716.92
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $716.92
  • AETNA WEB TPA — AETNA WEB TPA: $716.92
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $908.10
  • ALL SAVERS — ALL SAVERS: $716.92
  • ALLIED BENEFIT — ALLIED BENEFIT: $716.92
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US PREG COMP 1ST GESTATIO $955.90 $845.97 $477.95 – $908.10
Pregnancy ultrasound (after the first trimester): 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $908.10
  • AETNA — AETNA: $716.92
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $716.92
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $716.92
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $716.92
  • AETNA WEB TPA — AETNA WEB TPA: $716.92
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $908.10
  • ALL SAVERS — ALL SAVERS: $716.92
  • ALLIED BENEFIT — ALLIED BENEFIT: $716.92
  • ALLIED INSURANCE — ALLIED INSURANCE: $908.10
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ECHO TRANSVAGINAL $1,057.10 $935.53 $528.55 – $1,004.24
Transvaginal ultrasound: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $1,004.24
  • AETNA — AETNA: $792.82
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $792.82
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $117.53
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $792.82
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $792.82
  • AETNA WEB TPA — AETNA WEB TPA: $792.82
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $1,004.24
  • ALL SAVERS — ALL SAVERS: $792.82
  • ALLIED BENEFIT — ALLIED BENEFIT: $792.82
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ECHO TRANSVAGINAL $1,057.10 $935.53 $528.55 – $1,004.24
Transvaginal ultrasound: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $1,004.24
  • AETNA — AETNA: $792.82
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $792.82
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $792.82
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $792.82
  • AETNA WEB TPA — AETNA WEB TPA: $792.82
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $1,004.24
  • ALL SAVERS — ALL SAVERS: $792.82
  • ALLIED BENEFIT — ALLIED BENEFIT: $792.82
  • ALLIED INSURANCE — ALLIED INSURANCE: $1,004.24
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: HC MAMMO DX DIGITAL UNI LT $267.40 $236.65 $85.85 – $254.03
Diagnostic mammogram, one breast: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $254.03
  • AETNA — AETNA: $200.55
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $200.55
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $85.85
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $200.55
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $200.55
  • AETNA WEB TPA — AETNA WEB TPA: $200.55
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $254.03
  • ALL SAVERS — ALL SAVERS: $200.55
  • ALLIED BENEFIT — ALLIED BENEFIT: $200.55
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: HC MAMMO DX DIGITAL UNI RT $267.40 $236.65 $85.85 – $254.03
Diagnostic mammogram, one breast: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $254.03
  • AETNA — AETNA: $200.55
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $200.55
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $85.85
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $200.55
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $200.55
  • AETNA WEB TPA — AETNA WEB TPA: $200.55
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $254.03
  • ALL SAVERS — ALL SAVERS: $200.55
  • ALLIED BENEFIT — ALLIED BENEFIT: $200.55
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee · modifier LT In the file: HC MAMMO DX DIGITAL UNI LT $267.40 $236.65 $133.70 – $254.03
Diagnostic mammogram, one breast: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $254.03
  • AETNA — AETNA: $200.55
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $200.55
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $200.55
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $200.55
  • AETNA WEB TPA — AETNA WEB TPA: $200.55
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $254.03
  • ALL SAVERS — ALL SAVERS: $200.55
  • ALLIED BENEFIT — ALLIED BENEFIT: $200.55
  • ALLIED INSURANCE — ALLIED INSURANCE: $254.03
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO DX DIGITAL BIL $320.40 $283.55 $110.13 – $304.38
Diagnostic mammogram, both breasts: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $304.38
  • AETNA — AETNA: $240.30
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $240.30
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $110.13
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $240.30
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $240.30
  • AETNA WEB TPA — AETNA WEB TPA: $240.30
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $304.38
  • ALL SAVERS — ALL SAVERS: $240.30
  • ALLIED BENEFIT — ALLIED BENEFIT: $240.30
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMO DX DIGITAL BIL $320.40 $283.55 $160.20 – $304.38
Diagnostic mammogram, both breasts: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $304.38
  • AETNA — AETNA: $240.30
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $240.30
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $240.30
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $240.30
  • AETNA WEB TPA — AETNA WEB TPA: $240.30
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $304.38
  • ALL SAVERS — ALL SAVERS: $240.30
  • ALLIED BENEFIT — ALLIED BENEFIT: $240.30
  • ALLIED INSURANCE — ALLIED INSURANCE: $304.38
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO DIGITAL SCREEN BIL $140 $123.90 $70 – $133
Screening mammogram, both breasts: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $133
  • AETNA — AETNA: $105
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $105
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $90.85
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $105
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $105
  • AETNA WEB TPA — AETNA WEB TPA: $105
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $133
  • ALL SAVERS — ALL SAVERS: $105
  • ALLIED BENEFIT — ALLIED BENEFIT: $105
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMO DIGITAL SCREEN BIL $140 $123.90 $70 – $133
Screening mammogram, both breasts: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $133
  • AETNA — AETNA: $105
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $105
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $105
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $105
  • AETNA WEB TPA — AETNA WEB TPA: $105
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $133
  • ALL SAVERS — ALL SAVERS: $105
  • ALLIED BENEFIT — ALLIED BENEFIT: $105
  • ALLIED INSURANCE — ALLIED INSURANCE: $133
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCR MAMMO BI INCL CAD Not listed in the file Not listed in the file $90.85 – $95.17
Screening mammogram, both breasts: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $90.85
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $95.17
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $90.85
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC L HRT CATH W/NJX VENTRICULOGRAPHY IMG $15,846.80 $14,024.42 $7,923.40 – $15,054.46
Left heart catheterization (diagnostic): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $15,054.46
  • AETNA — AETNA: $11,885.10
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $11,885.10
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $3,644.38
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $11,885.10
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $11,885.10
  • AETNA WEB TPA — AETNA WEB TPA: $11,885.10
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $15,054.46
  • ALL SAVERS — ALL SAVERS: $11,885.10
  • ALLIED BENEFIT — ALLIED BENEFIT: $11,885.10
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC L HRT CATH W/NJX VENTRICULOGRAPHY IMG $15,846.80 $14,024.42 $7,923.40 – $15,054.46
Left heart catheterization (diagnostic): 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $15,054.46
  • AETNA — AETNA: $11,885.10
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $11,885.10
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $11,885.10
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $11,885.10
  • AETNA WEB TPA — AETNA WEB TPA: $11,885.10
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $15,054.46
  • ALL SAVERS — ALL SAVERS: $11,885.10
  • ALLIED BENEFIT — ALLIED BENEFIT: $11,885.10
  • ALLIED INSURANCE — ALLIED INSURANCE: $15,054.46
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ELECTROPHYSIOLOGY EVAL $9,392.65 $8,312.50 $4,696.32 – $8,923.02
Heart rhythm study (electrophysiology evaluation): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $8,923.02
  • AETNA — AETNA: $7,044.49
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $7,044.49
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $8,767.91
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $7,044.49
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $7,044.49
  • AETNA WEB TPA — AETNA WEB TPA: $7,044.49
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $8,923.02
  • ALL SAVERS — ALL SAVERS: $7,044.49
  • ALLIED BENEFIT — ALLIED BENEFIT: $7,044.49
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ELECTROPHYSIOLOGY EVAL $9,392.65 $8,312.50 $4,696.32 – $8,923.02
Heart rhythm study (electrophysiology evaluation): 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $8,923.02
  • AETNA — AETNA: $7,044.49
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $7,044.49
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $7,044.49
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $7,044.49
  • AETNA WEB TPA — AETNA WEB TPA: $7,044.49
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $8,923.02
  • ALL SAVERS — ALL SAVERS: $7,044.49
  • ALLIED BENEFIT — ALLIED BENEFIT: $7,044.49
  • ALLIED INSURANCE — ALLIED INSURANCE: $8,923.02
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMP EP EVAL ABLAT PULM $47,853.65 $42,350.48 $23,926.83 – $45,460.97
Heart rhythm study with ablation for atrial fibrillation: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $45,460.97
  • AETNA — AETNA: $35,890.24
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $35,890.24
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $29,382.59
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $35,890.24
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $35,890.24
  • AETNA WEB TPA — AETNA WEB TPA: $35,890.24
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $45,460.97
  • ALL SAVERS — ALL SAVERS: $35,890.24
  • ALLIED BENEFIT — ALLIED BENEFIT: $35,890.24
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMP EP EVAL ABLAT PULM $47,853.65 $42,350.48 $23,926.83 – $45,460.97
Heart rhythm study with ablation for atrial fibrillation: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $45,460.97
  • AETNA — AETNA: $35,890.24
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $35,890.24
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $35,890.24
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $35,890.24
  • AETNA WEB TPA — AETNA WEB TPA: $35,890.24
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $45,460.97
  • ALL SAVERS — ALL SAVERS: $35,890.24
  • ALLIED BENEFIT — ALLIED BENEFIT: $35,890.24
  • ALLIED INSURANCE — ALLIED INSURANCE: $45,460.97
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 $28,039.19 – $29,374.39
Heart rhythm study with ablation for atrial fibrillation: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $28,039.19
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $29,374.39
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $28,039.19
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EXERCISE RX EA 15 MIN $110 $97.35 $29.75 – $104.50
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $104.50
  • AETNA — AETNA: $82.50
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $82.50
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $29.75
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $82.50
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $82.50
  • AETNA WEB TPA — AETNA WEB TPA: $82.50
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $104.50
  • ALL SAVERS — ALL SAVERS: $82.50
  • ALLIED BENEFIT — ALLIED BENEFIT: $82.50
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: HC OT EXERCISE RX PER 15 MIN $110 $97.35 $29.75 – $104.50
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $104.50
  • AETNA — AETNA: $82.50
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $82.50
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $29.75
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $82.50
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $82.50
  • AETNA WEB TPA — AETNA WEB TPA: $82.50
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $104.50
  • ALL SAVERS — ALL SAVERS: $82.50
  • ALLIED BENEFIT — ALLIED BENEFIT: $82.50
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC PT EXERCISE RX EA 15 MIN $110 $97.35 $55 – $104.50
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $104.50
  • AETNA — AETNA: $82.50
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $82.50
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $82.50
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $82.50
  • AETNA WEB TPA — AETNA WEB TPA: $82.50
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $104.50
  • ALL SAVERS — ALL SAVERS: $82.50
  • ALLIED BENEFIT — ALLIED BENEFIT: $82.50
  • ALLIED INSURANCE — ALLIED INSURANCE: $104.50
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVAL 1-2 ELEMENTS $197.60 $174.88 $98.80 – $187.72
Physical therapy evaluation (low complexity): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $187.72
  • AETNA — AETNA: $148.20
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $148.20
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $100.25
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $148.20
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $148.20
  • AETNA WEB TPA — AETNA WEB TPA: $148.20
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $187.72
  • ALL SAVERS — ALL SAVERS: $148.20
  • ALLIED BENEFIT — ALLIED BENEFIT: $148.20
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVAL 1-2 ELEMENTS $197.60 $174.88 $98.80 – $187.72
Physical therapy evaluation (low complexity): 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $187.72
  • AETNA — AETNA: $148.20
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $148.20
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $148.20
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $148.20
  • AETNA WEB TPA — AETNA WEB TPA: $148.20
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $187.72
  • ALL SAVERS — ALL SAVERS: $148.20
  • ALLIED BENEFIT — ALLIED BENEFIT: $148.20
  • ALLIED INSURANCE — ALLIED INSURANCE: $187.72
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVAL 3 OR MORE ELEMENT $244.20 $216.12 $100.25 – $231.99
Physical therapy evaluation (moderate complexity): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $231.99
  • AETNA — AETNA: $183.15
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $183.15
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $100.25
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $183.15
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $183.15
  • AETNA WEB TPA — AETNA WEB TPA: $183.15
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $231.99
  • ALL SAVERS — ALL SAVERS: $183.15
  • ALLIED BENEFIT — ALLIED BENEFIT: $183.15
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVAL 3 OR MORE ELEMENT $244.20 $216.12 $122.10 – $231.99
Physical therapy evaluation (moderate complexity): 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $231.99
  • AETNA — AETNA: $183.15
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $183.15
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $183.15
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $183.15
  • AETNA WEB TPA — AETNA WEB TPA: $183.15
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $231.99
  • ALL SAVERS — ALL SAVERS: $183.15
  • ALLIED BENEFIT — ALLIED BENEFIT: $183.15
  • ALLIED INSURANCE — ALLIED INSURANCE: $231.99
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVAL 4 OR MORE ELEMENT $290.55 $257.14 $100.25 – $276.02
Physical therapy evaluation (high complexity): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $276.02
  • AETNA — AETNA: $217.91
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $217.91
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $100.25
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $217.91
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $217.91
  • AETNA WEB TPA — AETNA WEB TPA: $217.91
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $276.02
  • ALL SAVERS — ALL SAVERS: $217.91
  • ALLIED BENEFIT — ALLIED BENEFIT: $217.91
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: HC PT EVAL 4 OR MORE ELEMENT $290.55 $257.14 $145.28 – $276.02
Physical therapy evaluation (high complexity): 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $276.02
  • AETNA — AETNA: $217.91
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $217.91
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $217.91
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $217.91
  • AETNA WEB TPA — AETNA WEB TPA: $217.91
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $276.02
  • ALL SAVERS — ALL SAVERS: $217.91
  • ALLIED BENEFIT — ALLIED BENEFIT: $217.91
  • ALLIED INSURANCE — ALLIED INSURANCE: $276.02

Procedures and surgery

ServiceHospital chargeCash priceInsurance 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 $4,200.25 – $4,400.26
Removal of breast growth (open surgery): 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $4,200.25
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $4,400.26
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $4,200.25
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $4,200.25 – $4,400.26
Removal of breast growth (open surgery): 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $4,200.25
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $4,400.26
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $4,200.25
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 51 In the file: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $4,200.25 – $4,400.26
Removal of breast growth (open surgery): 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $4,200.25
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $4,400.26
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $4,200.25
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
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 $13,772.60 – $14,428.44
Total hip replacement: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $13,772.60
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $14,428.44
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $13,772.60
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74LT In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $13,772.60 – $14,428.44
Total hip replacement: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $13,772.60
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $14,428.44
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $13,772.60
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74RT In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $13,772.60 – $14,428.44
Total hip replacement: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $13,772.60
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $14,428.44
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $13,772.60
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
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 $13,772.60 – $14,428.44
Total knee replacement: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $13,772.60
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $14,428.44
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $13,772.60
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $13,772.60 – $14,428.44
Total knee replacement: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $13,772.60
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $14,428.44
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $13,772.60
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $13,772.60 – $14,428.44
Total knee replacement: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $13,772.60
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $14,428.44
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $13,772.60
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
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 Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
  • ALL SAVERS — ALL SAVERS: 75% (a percentage in the contract, not a dollar amount)
  • ALLIED BENEFIT — ALLIED BENEFIT: 75% (a percentage in the contract, not a dollar amount)
  • ALLIED INSURANCE — ALLIED INSURANCE: 95% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
  • ALL SAVERS — ALL SAVERS: 75% (a percentage in the contract, not a dollar amount)
  • ALLIED BENEFIT — ALLIED BENEFIT: 75% (a percentage in the contract, not a dollar amount)
  • ALLIED INSURANCE — ALLIED INSURANCE: 95% (a percentage in the contract, not a dollar amount)
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LTXU In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file Not listed in the file
Shoulder arthroscopy: shaving of shoulder bone: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
  • ALL SAVERS — ALL SAVERS: 75% (a percentage in the contract, not a dollar amount)
  • ALLIED BENEFIT — ALLIED BENEFIT: 75% (a percentage in the contract, not a dollar amount)
  • ALLIED INSURANCE — ALLIED INSURANCE: 95% (a percentage in the contract, not a dollar amount)
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 $3,510.01 – $3,677.16
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $3,510.01
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $3,677.16
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $3,510.01
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 59LT In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file Not listed in the file $3,510.01 – $3,677.16
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $3,510.01
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $3,677.16
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $3,510.01
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74RT In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file Not listed in the file $3,510.01 – $3,677.16
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $3,510.01
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $3,677.16
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $3,510.01
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
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 $6,350.45 – $6,652.86
Removal of tonsils and adenoids (under age 12): 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $6,350.45
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $6,652.85
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $6,350.45
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XU In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $6,350.45 – $6,652.86
Removal of tonsils and adenoids (under age 12): 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $6,350.45
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $6,652.85
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $6,350.45
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EGD TRANSORAL DIAGNOSTIC BRUSH WASH $3,170 $2,805.45 $1,585 – $3,011.50
Upper GI endoscopy (diagnostic): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $3,011.50
  • AETNA — AETNA: $2,377.50
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $2,377.50
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $1,019.58
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $2,377.50
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $2,377.50
  • AETNA WEB TPA — AETNA WEB TPA: $2,377.50
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $3,011.50
  • ALL SAVERS — ALL SAVERS: $2,377.50
  • ALLIED BENEFIT — ALLIED BENEFIT: $2,377.50
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EGD TRANSORAL DIAGNOSTIC BRUSH WASH $3,170 $2,805.45 $1,585 – $3,011.50
Upper GI endoscopy (diagnostic): 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $3,011.50
  • AETNA — AETNA: $2,377.50
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $2,377.50
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $2,377.50
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $2,377.50
  • AETNA WEB TPA — AETNA WEB TPA: $2,377.50
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $3,011.50
  • ALL SAVERS — ALL SAVERS: $2,377.50
  • ALLIED BENEFIT — ALLIED BENEFIT: $2,377.50
  • ALLIED INSURANCE — ALLIED INSURANCE: $3,011.50
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $972.96 – $1,019.29
Upper GI endoscopy (diagnostic): 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $972.96
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $1,019.29
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $972.96
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE $3,256 $2,881.56 $1,628 – $3,093.20
Upper GI endoscopy with biopsy: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $3,093.20
  • AETNA — AETNA: $2,442
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $2,442
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $1,019.58
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $2,442
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $2,442
  • AETNA WEB TPA — AETNA WEB TPA: $2,442
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $3,093.20
  • ALL SAVERS — ALL SAVERS: $2,442
  • ALLIED BENEFIT — ALLIED BENEFIT: $2,442
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE $3,256 $2,881.56 $1,628 – $3,093.20
Upper GI endoscopy with biopsy: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $3,093.20
  • AETNA — AETNA: $2,442
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $2,442
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $2,442
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $2,442
  • AETNA WEB TPA — AETNA WEB TPA: $2,442
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $3,093.20
  • ALL SAVERS — ALL SAVERS: $2,442
  • ALLIED BENEFIT — ALLIED BENEFIT: $2,442
  • ALLIED INSURANCE — ALLIED INSURANCE: $3,093.20
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $972.96 – $1,019.29
Upper GI endoscopy with biopsy: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $972.96
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $1,019.29
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $972.96
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $3,187 $2,820.50 $1,593.50 – $3,027.65
Colonoscopy (diagnostic): 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $3,027.65
  • AETNA — AETNA: $2,390.25
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $2,390.25
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $1,045.40
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $2,390.25
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $2,390.25
  • AETNA WEB TPA — AETNA WEB TPA: $2,390.25
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $3,027.65
  • ALL SAVERS — ALL SAVERS: $2,390.25
  • ALLIED BENEFIT — ALLIED BENEFIT: $2,390.25
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $3,187 $2,820.50 $1,593.50 – $3,027.65
Colonoscopy (diagnostic): 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $3,027.65
  • AETNA — AETNA: $2,390.25
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $2,390.25
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $2,390.25
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $2,390.25
  • AETNA WEB TPA — AETNA WEB TPA: $2,390.25
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $3,027.65
  • ALL SAVERS — ALL SAVERS: $2,390.25
  • ALLIED BENEFIT — ALLIED BENEFIT: $2,390.25
  • ALLIED INSURANCE — ALLIED INSURANCE: $3,027.65
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $997.61 – $1,045.11
Colonoscopy (diagnostic): 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $997.61
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $1,045.11
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $997.61
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY WITH BIOPSY SINGLE OR MULTIPLE $3,477 $3,077.15 $1,738.50 – $3,303.15
Colonoscopy with biopsy: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $3,303.15
  • AETNA — AETNA: $2,607.75
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $2,607.75
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $1,345.19
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $2,607.75
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $2,607.75
  • AETNA WEB TPA — AETNA WEB TPA: $2,607.75
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $3,303.15
  • ALL SAVERS — ALL SAVERS: $2,607.75
  • ALLIED BENEFIT — ALLIED BENEFIT: $2,607.75
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLONOSCOPY WITH BIOPSY SINGLE OR MULTIPLE $3,477 $3,077.15 $1,738.50 – $3,303.15
Colonoscopy with biopsy: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $3,303.15
  • AETNA — AETNA: $2,607.75
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $2,607.75
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $2,607.75
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $2,607.75
  • AETNA WEB TPA — AETNA WEB TPA: $2,607.75
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $3,303.15
  • ALL SAVERS — ALL SAVERS: $2,607.75
  • ALLIED BENEFIT — ALLIED BENEFIT: $2,607.75
  • ALLIED INSURANCE — ALLIED INSURANCE: $3,303.15
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $1,283.69 – $1,344.82
Colonoscopy with biopsy: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $1,283.69
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $1,344.82
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $1,283.69
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $1,283.69 – $1,344.82
Colonoscopy with removal of polyps (snare): 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $1,283.69
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $1,344.82
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $1,283.69
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $1,283.69 – $1,344.82
Colonoscopy with removal of polyps (snare): 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $1,283.69
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $1,344.82
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $1,283.69
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PT In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $1,283.69 – $1,344.82
Colonoscopy with removal of polyps (snare): 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $1,283.69
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $1,344.82
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $1,283.69
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $1,283.69 – $1,344.82
Ultrasound of the lower bowel by endoscope: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $1,283.69
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $1,344.82
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $1,283.69
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
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 $6,485.29 – $6,794.12
Gallbladder removal by laparoscope: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $6,485.29
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $6,794.12
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $6,485.29
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $6,485.29 – $6,794.12
Gallbladder removal by laparoscope: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $6,485.29
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $6,794.12
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $6,485.29
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XU In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $6,485.29 – $6,794.12
Gallbladder removal by laparoscope: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $6,485.29
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $6,794.12
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $6,485.29
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
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 $3,840.85 – $4,023.75
Groin (inguinal) hernia repair, age 5 or older: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $3,840.85
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $4,023.74
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $3,840.85
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $6,512.51 – $6,822.63
Groin (inguinal) hernia repair, age 5 or older: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $6,512.51
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $6,822.63
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $6,512.51
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $3,840.85 – $4,023.75
Groin (inguinal) hernia repair, age 5 or older: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $3,840.85
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $4,023.74
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $3,840.85
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file Not listed in the file
Prostate biopsy: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
  • ALL SAVERS — ALL SAVERS: 75% (a percentage in the contract, not a dollar amount)
  • ALLIED BENEFIT — ALLIED BENEFIT: 75% (a percentage in the contract, not a dollar amount)
  • ALLIED INSURANCE — ALLIED INSURANCE: 95% (a percentage in the contract, not a dollar amount)
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 $11,403.07 – $11,946.08
Prostate removal by laparoscope (radical prostatectomy): 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $11,403.07
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $11,946.08
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $11,403.07
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $11,403.07 – $11,946.08
Prostate removal by laparoscope (radical prostatectomy): 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $11,403.07
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $11,946.08
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $11,403.07
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
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 $3,472.60 – $3,637.96
Hysteroscopy with biopsy of the uterus lining: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $3,472.60
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $3,637.96
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $3,472.60
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 74 In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $3,472.60 – $3,637.96
Hysteroscopy with biopsy of the uterus lining: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $3,472.60
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $3,637.96
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $3,472.60
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier XU In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $3,472.60 – $3,637.96
Hysteroscopy with biopsy of the uterus lining: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $3,472.60
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $3,637.96
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $3,472.60
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ SGL LUMB SACRAL W/FLO $2,029.20 $1,795.84 $1,014.60 – $1,927.74
Spinal injection, lower back (epidural), with imaging guidance: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $1,927.74
  • AETNA — AETNA: $1,521.90
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $1,521.90
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $793.51
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $1,521.90
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $1,521.90
  • AETNA WEB TPA — AETNA WEB TPA: $1,521.90
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $1,927.74
  • ALL SAVERS — ALL SAVERS: $1,521.90
  • ALLIED BENEFIT — ALLIED BENEFIT: $1,521.90
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJ SGL LUMB SACRAL W/FLO $2,029.20 $1,795.84 $1,014.60 – $1,927.74
Spinal injection, lower back (epidural), with imaging guidance: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $1,927.74
  • AETNA — AETNA: $1,521.90
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $1,521.90
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $1,521.90
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $1,521.90
  • AETNA WEB TPA — AETNA WEB TPA: $1,521.90
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $1,927.74
  • ALL SAVERS — ALL SAVERS: $1,521.90
  • ALLIED BENEFIT — ALLIED BENEFIT: $1,521.90
  • ALLIED INSURANCE — ALLIED INSURANCE: $1,927.74
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 $757.23 – $793.29
Spinal injection, lower back (epidural), with imaging guidance: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $757.23
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $793.29
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $757.23
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ ANS AGNT, TRANS LUMBA $1,898.10 $1,679.82 $949.05 – $1,803.20
Nerve root injection, lower back, with imaging guidance: 10 of 91 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $1,803.19
  • AETNA — AETNA: $1,423.57
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $1,423.57
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $994.27
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $1,423.57
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $1,423.57
  • AETNA WEB TPA — AETNA WEB TPA: $1,423.57
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $1,803.19
  • ALL SAVERS — ALL SAVERS: $1,423.57
  • ALLIED BENEFIT — ALLIED BENEFIT: $1,423.57
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJ ANS AGNT, TRANS LUMBA $1,898.10 $1,679.82 $949.05 – $1,803.20
Nerve root injection, lower back, with imaging guidance: 10 of 88 insurance plan rates
  • ADMIN CONCEPTS — ADMIN CONCEPTS: $1,803.19
  • AETNA — AETNA: $1,423.57
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: $1,423.57
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: $1,423.57
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: $1,423.57
  • AETNA WEB TPA — AETNA WEB TPA: $1,423.57
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: $1,803.19
  • ALL SAVERS — ALL SAVERS: $1,423.57
  • ALLIED BENEFIT — ALLIED BENEFIT: $1,423.57
  • ALLIED INSURANCE — ALLIED INSURANCE: $1,803.20
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 $948.81 – $993.99
Nerve root injection, lower back, with imaging guidance: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $948.81
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $993.99
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $948.81
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
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 $2,094.77 – $2,194.52
Carpal tunnel release: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $2,094.77
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $2,194.52
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $2,094.77
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $2,094.77 – $2,194.52
Carpal tunnel release: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $2,094.77
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $2,194.52
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $2,094.77
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50XU In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $2,094.77 – $2,194.52
Carpal tunnel release: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $2,094.77
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $2,194.52
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $2,094.77
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $590.01 – $618.10
Laser treatment of clouding after cataract surgery: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $590.01
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $618.10
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $590.01
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $590.01 – $618.10
Laser treatment of clouding after cataract surgery: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $590.01
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $618.10
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $590.01
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
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 $2,475.70 – $2,593.59
Cataract removal with lens implant: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $2,475.70
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $2,593.59
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $2,475.70
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $2,475.70 – $2,593.59
Cataract removal with lens implant: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $2,475.70
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $2,593.59
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $2,475.70
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $2,475.70 – $2,593.59
Cataract removal with lens implant: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $2,475.70
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $2,593.59
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $2,475.70
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance 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 $90,649.06 – $94,965.68
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $90,649.06
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $94,965.68
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $90,649.06
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $33,894.72 – $35,508.76
Spinal fusion (not neck), without major complications: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $33,894.72
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $35,508.76
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $33,894.72
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
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 $17,873.51 – $18,724.63
Hip or knee replacement (major joint of the leg), without major complications: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $17,873.51
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $18,724.63
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $17,873.51
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
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 $22,621.49 – $23,698.71
Neck (cervical) spinal fusion, without complications: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $22,621.49
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $23,698.71
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $22,621.49
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)
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 $11,496.53 – $12,043.99
Uterus and ovary surgery (not for cancer), without complications: 10 of 91 insurance plan rates
  • Aetna Better Health Medicare Advantage — Aetna Better Health Medicare Advantage: $11,496.53
  • AMERICAN HEALTH ADVANTAGE OF TEXAS — AMERICAN HEALTH ADVANTAGE OF TEXAS: $12,043.99
  • UNITED HEALTHCARE MEDICARE ADVANTAGE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $11,496.53
  • ADMIN CONCEPTS — ADMIN CONCEPTS: 95% (a percentage in the contract, not a dollar amount)
  • AETNA — AETNA: 75% (a percentage in the contract, not a dollar amount)
  • AETNA ASSURANT HEALTH — AETNA ASSURANT HEALTH: 75% (a percentage in the contract, not a dollar amount)
  • AETNA BOON CHAPMAN — AETNA BOON CHAPMAN: 75% (a percentage in the contract, not a dollar amount)
  • AETNA MAILHANDLERS — AETNA MAILHANDLERS: 75% (a percentage in the contract, not a dollar amount)
  • AETNA WEB TPA — AETNA WEB TPA: 75% (a percentage in the contract, not a dollar amount)
  • ALIERACARE MANAGED CARE — ALIERACARE MANAGED CARE: 95% (a percentage in the contract, not a dollar amount)

Source: United Regional Health Care System’s standard charges file (unitedregional.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 3, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital typeAcute Care Hospital
Address1600 11th Street, Wichita Falls, TX 76301
CountyWichita County
StateTexas
Phone(940) 764‑7000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number450010
Name in Medicare recordsUNITED REGIONAL HEALTH CARE SYSTEM
Profile levelMedicare data + hospital website
Official websiteunitedregional.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. United Regional — unitedregional.org
  2. United Regional services — unitedregional.org
  3. Emergency & Trauma — unitedregional.org
  4. Visitor Policy — unitedregional.org
  5. Home | United Regional Health Care System | Wichita Falls, TX — unitedregional.org
  6. Communication Services | United Regional Health Care System | Wichita Falls, TX — unitedregional.org
  7. Emergency Room, Same-Day Care, or Care from Home | United Regional Health Care System | Wichita Falls, TX — unitedregional.org
  8. Virtual Nursing with United Regional | United Regional Health Care System | Wichita Falls, TX — unitedregional.org
  9. United Regional Cardiovascular & Thoracic Surgery | United Regional Health Care System | Wichita Falls, TX — unitedregional.org
  10. United Regional Emergency Department | United Regional Health Care System | Wichita Falls, TX — unitedregional.org
  11. Neonatal Special Care Facility | United Regional Health Care System | Wichita Falls, TX — unitedregional.org
  12. Obstetrics Emergency Department (ED OB) | United Regional Health Care System | Wichita Falls, TX — unitedregional.org
  13. Awards & Outcomes | United Regional Health Care System | Wichita Falls, TX — unitedregional.org
  14. Cancer Care with United Regional | United Regional Health Care System | Wichita Falls, TX — unitedregional.org
  15. Imaging with United Regional | United Regional Health Care System | Wichita Falls, TX — unitedregional.org
  16. Magnetic Resonance Imaging (MRI) with United Regional | United Regional Health Care System | Wichita Falls, TX — unitedregional.org
  17. United Regional Joint Revision Surgery | United Regional Health Care System | Wichita Falls, TX — unitedregional.org