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Critical Access Hospital

UT Health East Texas Quitman Hospital

Quitman, Texas · Wood County · Emergency services listed

Summary

UT Health East Texas Quitman Hospital is a critical access hospital in Quitman, Texas. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 26 services, specialties and programs. Medicare lists 74 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

Compare

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
4 of 5 stars4 of 5 stars · Medicare rating
26Services listed

Quick answers

Does UT Health East Texas Quitman Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at UT Health East Texas Quitman Hospital. In a medical emergency, call 911.
Where is UT Health East Texas Quitman Hospital?
117 Winnsboro Street, Quitman, TX 75783, in Wood County, Texas.
What is the phone number of UT Health East Texas Quitman Hospital?
(903) 763-6300, as listed by Medicare (CMS).
What is the Medicare star rating of UT Health East Texas Quitman Hospital?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5]

Conditions treated[5]

Treatments[4][5]

Procedures[5]

  • Joint replacement

Programs and centers[4]

  • Swing bed program
  • Sleep lab

Emergency care (hospital website)[4]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel IV
Stroke designationLevel IV Acute Stroke Ready

Visiting and practical information

ParkingFree parking[6]
Interpreters and languagesFree language assistance is offered[6]
Patient portalMyChart

Recognition[4]

  • Critical access hospital

Doctors and clinicians (74)

74 doctors and other clinicians list UT Health East Texas Quitman Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (74)

And 50 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Community care nearby

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

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well5 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home5 of 5 stars
Room and bathroom kept clean5 of 5 stars
Quiet at night5 of 5 stars
Rated the hospital 9 or 10 out of 1081%National average: 72%
Would definitely recommend the hospital79%National average: 71%
Nurses “always” communicated well83%National average: 80%
Doctors “always” communicated well85%National average: 80%
Staff “always” explained medicines before giving them62%National average: 62%
Were given information about recovery at home94%National average: 86%
Room and bathroom “always” clean82%National average: 74%
Area around the room “always” quiet at night79%National average: 60%
Completed surveys150Response rate: 26%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)0No different from the national benchmark
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infections0No different from the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patients13.1%
Deaths within 30 days: pneumonia patients12%
Deaths within 30 days: COPD patients9%
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)Not reported to Medicare
Complications after hip or knee replacementToo few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failure21.7%
Readmitted within 30 days: pneumonia18.8%
Readmitted within 30 days: COPD19%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
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)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)136 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)67%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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 42 common services exactly as UT Health East Texas Quitman Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency department visit with low level of medical decision making $1,306.05 $130.60 $164.56 – $1,174.77
Emergency room visit (moderate): 10 of 28 insurance plan rates
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $186.50
  • AMBETTER [2930] — AMBETTER [293000]: $208.97
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $326.51
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $164.56
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $182.85
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $326.51
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $875.05
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $182.85
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $875.05
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $326.51
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency department visit with moderate level of medical decision making $2,825.81 $282.58 $356.05 – $1,893.29
Emergency room visit (moderately high): 10 of 28 insurance plan rates
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $403.53
  • AMBETTER [2930] — AMBETTER [293000]: $452.13
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $706.45
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $356.05
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $395.61
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $706.45
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $1,893.29
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $395.61
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $1,893.29
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $706.45
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency department visit with high level of medical decision making $4,440.56 $444.06 $500 – $6,120
Emergency room visit (high): 10 of 36 insurance plan rates
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $634.11
  • AMBETTER [2930] — AMBETTER [293000]: $710.49
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $1,110.14
  • AMERIGROUP MEDICAID [1095] — WELLPOINT MEDICAID STAR [109500]: $1,478.71
  • AMERIGROUP MEDICAID [1095] — WELLPOINT MEDICAID STAR PLUS [1095001]: $1,478.71
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $559.51
  • BCBS MEDICAID [1165] — BCBS MEDICAID [116504]: $1,478.71
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $621.68
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $1,110.14
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $2,975.18

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Blood test, basic group of blood chemicals (Calcium, total) $349.88 $34.99 $5.08 – $269.41
Basic metabolic panel (blood test): 10 of 32 insurance plan rates
  • AETNA [1015] — AETNA [101529]: $269.41
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $49.96
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $87.47
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $44.08
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $48.98
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $87.47
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $234.42
  • CIGNA [1260] — CIGNA PPO [126025]: $199.08
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $48.98
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $234.42
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Blood test, comprehensive group of blood chemicals $437.03 $43.70 $6.34 – $336.51
Comprehensive metabolic panel (blood test): 10 of 32 insurance plan rates
  • AETNA [1015] — AETNA [101529]: $336.51
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $62.41
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $109.26
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $55.07
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $61.18
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $109.26
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $292.81
  • CIGNA [1260] — CIGNA PPO [126025]: $248.67
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $61.18
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $292.81
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Blood test, lipids (cholesterol and triglycerides) $400 $40 $8.03 – $308
Cholesterol panel (lipid panel): 10 of 32 insurance plan rates
  • AETNA [1015] — AETNA [101529]: $308
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $57.12
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $100
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $50.40
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $56
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $100
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $268
  • CIGNA [1260] — CIGNA PPO [126025]: $227.60
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $56
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $268
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Kidney function blood test panel $358.88 $35.89 $5.21 – $276.34
Kidney function panel: 10 of 32 insurance plan rates
  • AETNA [1015] — AETNA [101529]: $276.34
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $51.25
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $89.72
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $45.22
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $50.24
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $89.72
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $240.45
  • CIGNA [1260] — CIGNA PPO [126025]: $204.20
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $50.24
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $240.45
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Liver function blood test panel $337.66 $33.77 $4.90 – $260
Liver function panel: 10 of 32 insurance plan rates
  • AETNA [1015] — AETNA [101529]: $260
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $48.22
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $84.42
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $42.55
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $47.27
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $84.42
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $226.23
  • CIGNA [1260] — CIGNA PPO [126025]: $192.13
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $47.27
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $226.23
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Manual urinalysis test with examination using microscope, automated $145.08 $14.51 $1.90 – $111.71
Urine test (automated, with microscope): 10 of 27 insurance plan rates
  • AETNA [1015] — AETNA [101529]: $111.71
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $20.72
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $36.27
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $18.28
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $20.31
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $36.27
  • CIGNA [1260] — CIGNA PPO [126025]: $82.55
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $20.31
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $36.27
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $36.27
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee · modifier REFLAB In the file: Manual urinalysis test with examination using microscope, automated|REFLAB $145.08 $14.51 $1.90 – $111.71
Urine test (automated, with microscope): rates for 5 insurance plans
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $97.20
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $97.20
  • HUMANA COMMERCIAL [2140] — HUMANA COMMERCIAL [214001]: $97.20
  • PHCS [1780] — PHCS MULTIPLAN [178000]: $97.20
  • TML [1980] — TML [198000]: $97.20
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis, manual test $120.58 $12.06 $2.09 – $92.85
Urine test (manual, without microscope): 10 of 27 insurance plan rates
  • AETNA [1015] — AETNA [101529]: $92.85
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $17.22
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $30.15
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $15.19
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $16.88
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $30.15
  • CIGNA [1260] — CIGNA PPO [126025]: $68.61
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $16.88
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $30.15
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $30.15
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Automated urinalysis test $116.47 $11.65 $1.35 – $89.68
Urine test (automated, without microscope): 10 of 29 insurance plan rates
  • AETNA [1015] — AETNA [101529]: $89.68
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $16.63
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $29.12
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $14.68
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $29.12
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $78.03
  • CIGNA [1260] — CIGNA PPO [126025]: $66.27
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $78.03
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $29.12
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $29.12
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee · modifier QW In the file: Automated urinalysis test|CLIA WAIVED TEST $116.47 $11.65 $1.35 – $89.68
Urine test (automated, without microscope): rates for 3 insurance plans
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $16.31
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $16.31
  • MANAGED MEDICARE [1600] — MANAGED MEDICARE OTHER [160000]: $16.31
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee · modifier 91 In the file: Automated urinalysis test|REPEAT CLINICAL DIAGNOSTIC LABORATORY TEST $116.47 $11.65 $1.35 – $89.68
Urine test (automated, without microscope): rates for 3 insurance plans
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $16.31
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $16.31
  • MANAGED MEDICARE [1600] — MANAGED MEDICARE OTHER [160000]: $16.31
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA (prostate specific antigen) measurement, total $250 $25 $11.03 – $192.50
PSA (prostate specific antigen) blood test: 10 of 32 insurance plan rates
  • AETNA [1015] — AETNA [101529]: $192.50
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $35.70
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $62.50
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $31.50
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $35
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $62.50
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $167.50
  • CIGNA [1260] — CIGNA PPO [126025]: $142.25
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $35
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $167.50
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Blood test, thyroid stimulating hormone (TSH) $539.75 $53.97 $10.08 – $415.61
Thyroid stimulating hormone (TSH) test: 10 of 32 insurance plan rates
  • AETNA [1015] — AETNA [101529]: $415.61
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $77.08
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $134.94
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $68.01
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $75.57
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $134.94
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $361.63
  • CIGNA [1260] — CIGNA PPO [126025]: $307.12
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $75.57
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $361.63
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count $250.43 $25.04 $4.66 – $192.83
Complete blood count (CBC) with differential: 10 of 32 insurance plan rates
  • AETNA [1015] — AETNA [101529]: $192.83
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $35.76
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $62.61
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $31.55
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $35.06
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $62.61
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $167.79
  • CIGNA [1260] — CIGNA PPO [126025]: $142.49
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $35.06
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $167.79
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee · modifier CWO In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count|CHARGE $250.43 $25.04 $4.66 – $192.83
Complete blood count (CBC) with differential: rates for 2 insurance plans
  • AMBETTER [2930] — AMBETTER [293000]: $40.07
  • WORKER'S COMP [2125] — TEXAS A&M UNIVERSITY RISK MGT [2125109]: $75.13
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test $176.48 $17.65 $3.88 – $135.89
Complete blood count (CBC), automated: 10 of 27 insurance plan rates
  • AETNA [1015] — AETNA [101529]: $135.89
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $25.20
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $44.12
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $22.24
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $24.71
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $44.12
  • CIGNA [1260] — CIGNA PPO [126025]: $100.42
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $24.71
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $44.12
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $44.12
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee · modifier 91 In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test|REPEAT CLINICAL DIAGNOSTIC LABORATORY TEST $176.48 $17.65 $3.88 – $135.89
Complete blood count (CBC), automated: rates for 5 insurance plans
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $118.24
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $118.24
  • HUMANA COMMERCIAL [2140] — HUMANA COMMERCIAL [214001]: $118.24
  • PHCS [1780] — PHCS MULTIPLAN [178000]: $118.24
  • TML [1980] — TML [198000]: $118.24
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Blood test, clotting time $126.59 $12.66 $2.57 – $97.47
Blood clotting time test (prothrombin time, PT): 10 of 32 insurance plan rates
  • AETNA [1015] — AETNA [101529]: $97.47
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $18.08
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $31.65
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $15.95
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $17.72
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $31.65
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $84.82
  • CIGNA [1260] — CIGNA PPO [126025]: $72.03
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $17.72
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $84.82
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee · modifier QW|91 In the file: Blood test, clotting time|CLIA WAIVED TEST|REPEAT CLINICAL DIAGNOSTIC LABORATORY TEST $126.59 $12.66 $2.57 – $97.47
Blood clotting time test (prothrombin time, PT): rates for 2 insurance plans
  • AMBETTER [2930] — AMBETTER [293000]: $20.25
  • WORKER'S COMP [2125] — TEXAS A&M UNIVERSITY RISK MGT [2125109]: $37.98
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Coagulation assessment blood test, plasma or whole blood $193.27 $19.33 $3.61 – $148.82
Blood clotting test (partial thromboplastin time, PTT): 10 of 27 insurance plan rates
  • AETNA [1015] — AETNA [101529]: $148.82
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $27.60
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $48.32
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $24.35
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $27.06
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $48.32
  • CIGNA [1260] — CIGNA PPO [126025]: $109.97
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $27.06
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $48.32
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $48.32
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee · modifier REFLAB In the file: Coagulation assessment blood test, plasma or whole blood|REFLAB $193.27 $19.33 $3.61 – $148.82
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $129.49
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $129.49
  • HUMANA COMMERCIAL [2140] — HUMANA COMMERCIAL [214001]: $129.49
  • PHCS [1780] — PHCS MULTIPLAN [178000]: $129.49
  • TML [1980] — TML [198000]: $129.49

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT scan head or brain without contrast $2,337.40 $233.74 $131.99 – $1,566.06
CT scan of the head or brain, without contrast: 10 of 24 insurance plan rates
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $333.78
  • AMBETTER [2930] — AMBETTER [293000]: $373.98
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $584.35
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $294.51
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $327.24
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $584.35
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $327.24
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $584.35
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $584.35
  • HEALTHCARE HIGHWAYS [2210] — HCH JOHN SOULES FOODS [221011]: $584.35
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee · modifier TC|XP In the file: CT scan head or brain without contrast|TECHNICAL COMPONENT|SEPARATE PRACTITIONER $2,337.40 $233.74 $131.99 – $1,566.06
CT scan of the head or brain, without contrast: rates for 5 insurance plans
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $1,566.06
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $1,566.06
  • HUMANA COMMERCIAL [2140] — HUMANA COMMERCIAL [214001]: $1,566.06
  • PHCS [1780] — PHCS MULTIPLAN [178000]: $1,566.06
  • TML [1980] — TML [198000]: $1,566.06
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI scan of brain before and after contrast $5,480.80 $548.08 $460.54 – $3,672.14
MRI of the brain, before and after contrast: 10 of 29 insurance plan rates
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $782.66
  • AMBETTER [2930] — AMBETTER [293000]: $876.93
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $1,370.20
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $690.58
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $767.31
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $1,370.20
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $3,672.14
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $767.31
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $3,672.14
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $1,370.20
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Chest 2 Views $346.58 $34.66 $14.70 – $468.48
Chest X-ray, 2 views: 10 of 34 insurance plan rates
  • AETNA [1015] — AETNA [101529]: $266.87
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $49.49
  • AMBETTER [2930] — AMBETTER [293000]: $55.45
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $86.65
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $43.67
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $48.52
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $86.65
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $232.21
  • CIGNA [1260] — CIGNA PPO [126025]: $197.20
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $48.52
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: X-ray of lower and sacral spine, minimum of 4 views $604.50 $60.45 $76.17 – $657.91
X-ray of the lower spine, at least 4 views: 10 of 29 insurance plan rates
  • AETNA [1015] — AETNA [101529]: $465.47
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $86.32
  • AMBETTER [2930] — AMBETTER [293000]: $96.72
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $151.13
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $76.17
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $84.63
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $151.13
  • CIGNA [1260] — CIGNA PPO [126025]: $343.96
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $84.63
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $151.13
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI scan of lower spinal canal without contrast $3,707.60 $370.76 $291.90 – $2,484.09
MRI of the lower back (lumbar spine), without contrast: 10 of 29 insurance plan rates
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $529.45
  • AMBETTER [2930] — AMBETTER [293000]: $593.22
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $926.90
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $467.16
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $519.06
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $926.90
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $2,484.09
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $519.06
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $2,484.09
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $926.90
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT scan of pelvis with contrast $2,740.40 $274.04 $220.58 – $1,836.07
CT scan of the pelvis, with contrast: 10 of 29 insurance plan rates
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $391.33
  • AMBETTER [2930] — AMBETTER [293000]: $438.46
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $685.10
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $345.29
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $383.66
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $685.10
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $1,836.07
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $383.66
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $1,836.07
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $685.10
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI scan of leg joint without contrast $3,707.60 $370.76 $291.90 – $3,726.14
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $529.45
  • AMBETTER [2930] — AMBETTER [293000]: $593.22
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $926.90
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $467.16
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $519.06
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $926.90
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $2,484.09
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $519.06
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $2,484.09
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $926.90
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier TC|50 In the file: MRI scan of leg joint without contrast|TECHNICAL COMPONENT|BILATERAL PROCEDURE $5,561.40 $556.14 $291.90 – $3,726.14
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $794.17
  • AMBETTER [2930] — AMBETTER [293000]: $889.82
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $1,390.35
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $700.74
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $778.60
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $1,390.35
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $3,726.14
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $778.60
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $3,726.14
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $1,390.35
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT scan of abdomen and pelvis with contrast $2,740.40 $274.04 $345.29 – $1,851.97
CT scan of the abdomen and pelvis, with contrast: 10 of 29 insurance plan rates
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $391.33
  • AMBETTER [2930] — AMBETTER [293000]: $438.46
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $685.10
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $345.29
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $383.66
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $685.10
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $1,836.07
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $383.66
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $1,836.07
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $685.10
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Complete ultrasound scan of abdomen $1,226.73 $122.67 $131.99 – $944.58
Ultrasound of the abdomen, complete: 10 of 29 insurance plan rates
  • AETNA [1015] — AETNA [101529]: $944.58
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $175.18
  • AMBETTER [2930] — AMBETTER [293000]: $196.28
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $306.68
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $154.57
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $171.74
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $306.68
  • CIGNA [1260] — CIGNA PPO [126025]: $698.01
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $171.74
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $306.68
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus $1,042.96 $104.30 $131.41 – $803.08
Pregnancy ultrasound (after the first trimester): 10 of 34 insurance plan rates
  • AETNA [1015] — AETNA [101529]: $803.08
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $148.93
  • AMBETTER [2930] — AMBETTER [293000]: $166.87
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $260.74
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $131.41
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $146.01
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $260.74
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $698.78
  • CIGNA [1260] — CIGNA PPO [126025]: $593.44
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $146.01
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina $873.70 $87.37 $110.09 – $672.75
Transvaginal ultrasound: 10 of 34 insurance plan rates
  • AETNA [1015] — AETNA [101529]: $672.75
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $124.76
  • AMBETTER [2930] — AMBETTER [293000]: $139.79
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $218.43
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $110.09
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $122.32
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $218.43
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $585.38
  • CIGNA [1260] — CIGNA PPO [126025]: $497.14
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $122.32

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Sleep study in sleep lab (6 years or older) $7,645.31 $764.53 $384.49 – $4,350.18
Sleep study (overnight, in a sleep lab): 10 of 32 insurance plan rates
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $1,091.75
  • AMBETTER [2930] — AMBETTER [293000]: $1,223.25
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $1,911.33
  • AMERIGROUP MEDICAID [1095] — WELLPOINT MEDICAID STAR [109500]: $2,545.89
  • AMERIGROUP MEDICAID [1095] — WELLPOINT MEDICAID STAR PLUS [1095001]: $2,545.89
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $963.31
  • BCBS MEDICAID [1165] — BCBS MEDICAID [116504]: $2,545.89
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $1,070.34
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $1,911.33
  • CIGNA [1260] — CIGNA PPO [126025]: $4,350.18

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes $136.58 $13.66 $17.21 – $204
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 38 insurance plan rates
  • AETNA [1015] — AETNA [101529]: $105.17
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $19.50
  • AMBETTER [2930] — AMBETTER [293000]: $21.85
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $34.15
  • AMERIGROUP MEDICAID [1095] — WELLPOINT MEDICAID STAR [109500]: $45.48
  • AMERIGROUP MEDICAID [1095] — WELLPOINT MEDICAID STAR PLUS [1095001]: $45.48
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $17.21
  • ANDREWS CENTER BEHAVIORAL HEALTH [3950] — ANDREWS CENTER BEHAVIORAL HEALTH [395000]: $68.29
  • BCBS MEDICAID [1165] — BCBS MEDICAID [116504]: $45.48
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $19.12
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GO In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes|OP OCCUPATIONAL THERAPY S $136.58 $13.66 $17.21 – $204
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $91.51
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $91.51
  • HUMANA COMMERCIAL [2140] — HUMANA COMMERCIAL [214001]: $91.51
  • PHCS [1780] — PHCS MULTIPLAN [178000]: $91.51
  • TML [1980] — TML [198000]: $91.51
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee · modifier GP|59 In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes|OP PT SERVICES|DISTINCT P $136.58 $13.66 $17.21 – $204
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $91.51
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $91.51
  • HUMANA COMMERCIAL [2140] — HUMANA COMMERCIAL [214001]: $91.51
  • PHCS [1780] — PHCS MULTIPLAN [178000]: $91.51
  • TML [1980] — TML [198000]: $91.51
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: Evaluation for physical therapy, typically 20 minutes $245.70 $24.57 $30.96 – $454.94
Physical therapy evaluation (low complexity): 10 of 37 insurance plan rates
  • AETNA [1015] — AETNA [101529]: $189.19
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $35.09
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $61.43
  • AMERIGROUP MEDICAID [1095] — WELLPOINT MEDICAID STAR [109500]: $81.82
  • AMERIGROUP MEDICAID [1095] — WELLPOINT MEDICAID STAR PLUS [1095001]: $81.82
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $30.96
  • ANDREWS CENTER BEHAVIORAL HEALTH [3950] — ANDREWS CENTER BEHAVIORAL HEALTH [395000]: $122.85
  • BCBS MEDICAID [1165] — BCBS MEDICAID [116504]: $81.82
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $34.40
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $61.43
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Moderate Complexity $313.20 $31.32 $39.46 – $454.94
Physical therapy evaluation (moderate complexity): 10 of 42 insurance plan rates
  • AETNA [1015] — AETNA [101529]: $241.16
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $44.72
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $78.30
  • AMERIGROUP MEDICAID [1095] — WELLPOINT MEDICAID STAR [109500]: $104.30
  • AMERIGROUP MEDICAID [1095] — WELLPOINT MEDICAID STAR PLUS [1095001]: $104.30
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $39.46
  • ANDREWS CENTER BEHAVIORAL HEALTH [3950] — ANDREWS CENTER BEHAVIORAL HEALTH [395000]: $156.60
  • BCBS MEDICAID [1165] — BCBS MEDICAID [116504]: $104.30
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $43.85
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $78.30
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: Evaluation for physical therapy, typically 45 minutes $382.50 $38.25 $48.20 – $454.94
Physical therapy evaluation (high complexity): 10 of 34 insurance plan rates
  • AETNA [1015] — AETNA [101529]: $294.53
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $54.62
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $95.63
  • AMERIGROUP MEDICAID [1095] — WELLPOINT MEDICAID STAR [109500]: $127.37
  • AMERIGROUP MEDICAID [1095] — WELLPOINT MEDICAID STAR PLUS [1095001]: $127.37
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $48.20
  • ANDREWS CENTER BEHAVIORAL HEALTH [3950] — ANDREWS CENTER BEHAVIORAL HEALTH [395000]: $191.25
  • BCBS MEDICAID [1165] — BCBS MEDICAID [116504]: $127.37
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $95.63
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $256.28

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope $2,536.95 $253.69 $319.66 – $1,586
Upper GI endoscopy (diagnostic): 10 of 30 insurance plan rates
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $362.28
  • AMBETTER [2930] — AMBETTER [293000]: $405.91
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $634.24
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $319.66
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $355.17
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $634.24
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $1,572.91
  • CIGNA [1260] — CIGNA PPO [126025]: $1,443.52
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $355.17
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $1,572.91
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Egd Biopsy Single/Multiple $2,536.95 $253.69 $319.66 – $1,586
Upper GI endoscopy with biopsy: 10 of 30 insurance plan rates
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $362.28
  • AMBETTER [2930] — AMBETTER [293000]: $405.91
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $634.24
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $319.66
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $355.17
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $634.24
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $1,572.91
  • CIGNA [1260] — CIGNA PPO [126025]: $1,443.52
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $355.17
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $1,572.91
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: Diagnostic exam of large bowel using a flexible endoscope $2,850.35 $285.03 $328.50 – $1,621.85
Colonoscopy (diagnostic): 10 of 25 insurance plan rates
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $407.03
  • AMBETTER [2930] — AMBETTER [293000]: $456.06
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $712.59
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $359.14
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $399.05
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $712.59
  • CIGNA [1260] — CIGNA PPO [126025]: $1,621.85
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $399.05
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $712.59
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $712.59
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: Biopsy of large bowel using a flexible endoscope $2,850.35 $285.03 $359.14 – $1,767.22
Colonoscopy with biopsy: 10 of 30 insurance plan rates
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $407.03
  • AMBETTER [2930] — AMBETTER [293000]: $456.06
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $712.59
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $359.14
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $399.05
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $712.59
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $1,767.22
  • CIGNA [1260] — CIGNA PPO [126025]: $1,621.85
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $399.05
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $1,767.22
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare $2,850.35 $285.03 $359.14 – $1,767.22
Colonoscopy with removal of polyps (snare): 10 of 30 insurance plan rates
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $407.03
  • AMBETTER [2930] — AMBETTER [293000]: $456.06
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $712.59
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $359.14
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $399.05
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $712.59
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $1,767.22
  • CIGNA [1260] — CIGNA PPO [126025]: $1,621.85
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $399.05
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $1,767.22
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Colonoscopy Screen Not High Risk $2,749.93 $274.99 $328.50 – $1,704.96
Screening colonoscopy (not high risk): 10 of 30 insurance plan rates
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $392.69
  • AMBETTER [2930] — AMBETTER [293000]: $439.99
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $687.48
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $346.49
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $384.99
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $687.48
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $1,704.96
  • CIGNA [1260] — CIGNA PPO [126025]: $1,564.71
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $384.99
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $1,704.96
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Biopsy of prostate gland $3,710 $371 $467.46 – $2,976.20
Prostate biopsy: 10 of 30 insurance plan rates
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $529.79
  • AMBETTER [2930] — AMBETTER [293000]: $593.60
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $927.50
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $467.46
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $519.40
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $927.50
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $2,300.20
  • CIGNA [1260] — CIGNA PPO [126025]: $2,110.99
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $519.40
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $2,300.20
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Inj Epidural Lumb/Caud W/Imaging $1,934 $193.40 $243.68 – $1,216
Spinal injection, lower back (epidural), with imaging guidance: 10 of 30 insurance plan rates
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $276.18
  • AMBETTER [2930] — AMBETTER [293000]: $309.44
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $483.50
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $243.68
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $270.76
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $483.50
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $1,199.08
  • CIGNA [1260] — CIGNA PPO [126025]: $1,100.45
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $270.76
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $1,199.08
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level $2,813.79 $281.38 $340.77 – $2,545.99
Nerve root injection, lower back, with imaging guidance: 10 of 30 insurance plan rates
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $401.81
  • AMBETTER [2930] — AMBETTER [293000]: $450.21
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $703.45
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $354.54
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $393.93
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $703.45
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $1,744.55
  • CIGNA [1260] — CIGNA PPO [126025]: $1,601.05
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $393.93
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $1,744.55
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Bilat Inj Anes/Steroid Trnsf Lumbr/Sac Sngl $2,983 $298.30 $340.77 – $2,545.99
Nerve root injection, lower back, with imaging guidance: 10 of 30 insurance plan rates
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $425.97
  • AMBETTER [2930] — AMBETTER [293000]: $477.28
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $745.75
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $375.86
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $417.62
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $745.75
  • CIGNA [1260] — CIGNA - GREAT WEST [126009]: $1,849.46
  • CIGNA [1260] — CIGNA PPO [126025]: $1,697.33
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $417.62
  • GROUP PENSION ADMIN [1450] — GPA [145000]: $1,849.46
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee · modifier 50 In the file: HC Bilat Inj Anes/Steroid Trnsf Lumbr/Sac Sngl|BILATERAL PROCEDURE $4,474.50 $447.45 $340.77 – $2,545.99
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates
  • AETNA MEDICARE REPLACEMENT [1020] — AETNA COVENTRY MEDICARE REPLACEMENT [102002]: $638.96
  • AMBETTER [2930] — AMBETTER [293000]: $715.92
  • AMERIGROUP COMMERCIAL [5055] — WELLPOINT FKA AMERIGROUP MCARE SUP [505501]: $1,118.63
  • AMERIGROUP MEDICARE [1100] — WELLPOINT FKA AMERIGROUP MEDICARE [110000]: $563.79
  • BCBS MEDICARE REPLACEMENT [1160] — BLUE CROSS MEDICARE ADVANTAGE OOS [116005]: $626.43
  • BLACK LUNG [6055] — BLACK LUNG [605500]: $1,118.63
  • CIGNA [1260] — CIGNA PPO [126025]: $2,545.99
  • CIGNA MEDICARE REPLACEMENT [1265] — CIGNA MEDICARE REPLACEMENT [126500]: $626.43
  • HEALTHCARE HIGHWAYS [2210] — HCH 90 DEGREE BENEFITS [221013]: $1,118.63
  • HEALTHCARE HIGHWAYS [2210] — HCH BROKEN ARROW [221012]: $1,118.63

Source: UT Health East Texas Quitman Hospital’s standard charges file (cdn.ardenthealthservices.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 12, 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 typeCritical Access Hospital
Address117 Winnsboro Street, Quitman, TX 75783
CountyWood County
StateTexas
Phone(903) 763‑6300
Emergency servicesYes
OwnershipVoluntary non-profit - Other
Medicare overall rating4 of 5 stars
CMS Certification Number451380
Name in Medicare recordsUT HEALTH EAST TEXAS QUITMAN HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteUT Health Quitman
Official websiteuthealtheasttexas.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. UT Health Quitman — uthealtheasttexas.com
  2. UT Health Quitman - Contact — uthealtheasttexas.com
  3. UT Health Quitman Visitor Information — uthealtheasttexas.com