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Acute Care Hospital

UT of Texas Southwestern University Hospital - William P. Clements Jr.

Dallas, Texas · Dallas County · Emergency services listed

Summary

UT of Texas Southwestern University Hospital - William P. Clements Jr. is an acute care hospital in Dallas, Texas. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 63 services, specialties and programs. Medicare lists 2,346 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(214) 633‑5555 Directions Website Medicare profile
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Exterior of UT of Texas Southwestern University Hospital - William P. Clements Jr.
Photo: Nightryder84, CC BY-SA 4.0, via Wikimedia Commons · source · licence

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-29). 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
YesBirthing-friendly (CMS)
2,346Doctors and clinicians
63Services listed

Quick answers

Does UT of Texas Southwestern University Hospital - William P. Clements Jr. have an emergency room?
Yes. Medicare (CMS) data lists emergency services at UT of Texas Southwestern University Hospital - William P. Clements Jr.. In a medical emergency, call 911.
Where is UT of Texas Southwestern University Hospital - William P. Clements Jr.?
6201 Harry Hines Blvd, Dallas, TX 75390, in Dallas County, Texas.
What is the phone number of UT of Texas Southwestern University Hospital - William P. Clements Jr.?
(214) 633-5555, as listed by Medicare (CMS).
What is the Medicare star rating of UT of Texas Southwestern University Hospital - William P. Clements Jr.?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][9][10][12][15][17]

Conditions treated[9][10][12][15][17]

Treatments[4][10][11][14][15][16]

Procedures[10][11][16]

  • Coronary artery bypass grafting (CABG)
  • Valve replacement
  • Esophagectomy
  • Pacemaker placement
  • Post-percutaneous coronary intervention care
  • Cardiothoracic surgery
  • Endovascular surgery
  • Organ transplant surgery
  • Urology surgery
  • Plastic surgery
  • Gynecological surgery
  • Eye surgery
  • Breast and prostate cancer surgery
  • Echocardiogram

Programs and centers[4][5][9][10][13][14][16][19]

  • Neonatal Intensive Care Unit (NICU)
  • Neuro ICU
  • Intensive care units
  • Peter O'Donnell Jr. Brain Institute clinical home
  • Level 1 Geriatric Accredited Emergency Department
  • UTSW POSH Program (surgery for older patients)
  • American College of Cardiology Patient Navigator Program
  • Texas Ten Step Program (breastfeeding)
  • Women's Resource Center
  • Patient and Family Resource Center
  • Child Life Services
  • Music Therapy
  • Hospital-to-hospital patient transfer service

Emergency care (hospital website)[4][5][9][12][18]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel IV (Basic Trauma Facility, Texas DSHS)
Stroke designationRecognized by Dallas Fire-Rescue EMS for stroke patient management

Visiting and practical information

VisitingFlexible visiting 24 hours a day; one overnight visitor per patient 10 p.m.-5 a.m.; check in at the lobby desk[6]
ParkingValet at main entrance ($10 with validation); self-park garage at Record Crossing Rd and Southwestern Medical Ave[7]
Patient portalMyChart

Recognition[4][5][10][11]

  • Level 1 Geriatric Accredited Emergency Department
  • U.S. News & World Report: #1 hospital in Dallas-Fort Worth (as stated on site)
  • Joint Commission accredited VAD/LVAD program
  • Imaging department accredited by the American College of Radiology

Doctors and clinicians (2,346)

2,346 doctors and other clinicians list UT of Texas Southwestern University Hospital - William P. Clements Jr. 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 (2,346)

And 2,322 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 UT of Texas Southwestern University Hospital - William P. Clements Jr. 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 hospital5 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night5 of 5 stars
Rated the hospital 9 or 10 out of 1083%National average: 72%
Would definitely recommend the hospital84%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well83%National average: 80%
Staff “always” explained medicines before giving them64%National average: 62%
Were given information about recovery at home89%National average: 86%
Room and bathroom “always” clean70%National average: 74%
Area around the room “always” quiet at night72%National average: 60%
Completed surveys3,378Response rate: 16%

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)0.582Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.416Better than the national benchmark
Surgical site infections after colon surgery0.466Better than the national benchmark
Surgical site infections after abdominal hysterectomy1.59No different from the national benchmark
MRSA bloodstream infections1.084No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.258Better 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 patients10.3%
Deaths within 30 days: heart failure patients7%
Deaths within 30 days: pneumonia patients9.1%
Deaths within 30 days: COPD patients6.1%
Deaths within 30 days: stroke patients10.2%
Deaths within 30 days: coronary bypass surgery (CABG)1.9%
Serious complications (patient safety indicator PSI-90)1.13No different from the national rate
Complications after hip or knee replacement3.6%

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%
Readmitted within 30 days: heart failure19.2%
Readmitted within 30 days: pneumonia17.3%
Readmitted within 30 days: COPD19.4%
Readmitted within 30 days: coronary bypass surgery11.8%
Readmitted within 30 days: hip or knee replacement5.3%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)300 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)42%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 DallasBest hospitals in Dallas

Prices

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

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

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

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES $362 $271.50 $55.52 – $471
New patient office visit (about 30–44 minutes): 10 of 37 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $251.05
  • Aetna — Whole Health: $251.05
  • Aetna Better Health — Managed Medicaid: $63.85
  • Blue Cross Blue Shield — HMO: $151.63
  • Blue Cross Blue Shield — Medicare Advantage: $83.31
  • Blue Cross Blue Shield — MyBlueHealth: $108.94
  • Blue Cross Blue Shield — PPO: $151.63
  • Blue Cross Blue Shield — Traditional: $99.39
  • Cigna — HMO-PPO: $234.19
  • Cigna Behavioral Health — Commercial: $162
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE/OUTPATIENT NEW LOW MDM 30 MIN $362 $271.50 $55.52 – $471
New patient office visit (about 30–44 minutes): 10 of 37 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $251.05
  • Aetna — Whole Health: $251.05
  • Aetna Better Health — Managed Medicaid: $63.85
  • Blue Cross Blue Shield — HMO: $151.63
  • Blue Cross Blue Shield — Medicare Advantage: $83.31
  • Blue Cross Blue Shield — MyBlueHealth: $108.94
  • Blue Cross Blue Shield — PPO: $151.63
  • Blue Cross Blue Shield — Traditional: $99.39
  • Cigna — HMO-PPO: $234.19
  • Cigna Behavioral Health — Commercial: $162
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG VISIT NEW LEVEL III W/PROC $619 $309.50 $89.42 – $544.72
New patient office visit (about 30–44 minutes): 10 of 24 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $299.60
  • Aetna — Whole Health: $239.55
  • Aetna Better Health — Managed Medicaid: $89.42
  • Blue Cross Blue Shield — HMO: $383.68
  • Blue Cross Blue Shield — MyBlueHealth: $276.14
  • Blue Cross Blue Shield — PPO: $426.29
  • Blue Cross Blue Shield — Traditional: $481.07
  • Coventry — National/Medical Rental Products: $432.68
  • Galaxy Health Network — Commercial: $544.72
  • HealthFirst — Commercial: $347.88
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: TRAVEL OFF/OP NEW MODERATE MDM 45 MINS $100 $75 $70 – $724.58
New patient office visit (about 45–59 minutes): 10 of 37 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $419.40
  • Aetna — Whole Health: $419.40
  • Aetna Better Health — Managed Medicaid: $93.43
  • Blue Cross Blue Shield — HMO: $256.72
  • Blue Cross Blue Shield — Medicare Advantage: $135.75
  • Blue Cross Blue Shield — MyBlueHealth: $184.44
  • Blue Cross Blue Shield — PPO: $256.72
  • Blue Cross Blue Shield — Traditional: $168.28
  • Cigna — HMO-PPO: $396.04
  • Cigna Behavioral Health — Commercial: $248
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE/OUTPATIENT NEW MODERATE MDM 45 MIN $556 $417 $81.24 – $724.58
New patient office visit (about 45–59 minutes): 10 of 37 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $419.40
  • Aetna — Whole Health: $419.40
  • Aetna Better Health — Managed Medicaid: $93.43
  • Blue Cross Blue Shield — HMO: $256.72
  • Blue Cross Blue Shield — Medicare Advantage: $135.75
  • Blue Cross Blue Shield — MyBlueHealth: $184.44
  • Blue Cross Blue Shield — PPO: $256.72
  • Blue Cross Blue Shield — Traditional: $168.28
  • Cigna — HMO-PPO: $396.04
  • Cigna Behavioral Health — Commercial: $248
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES $556 $417 $81.24 – $724.58
New patient office visit (about 45–59 minutes): 10 of 37 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $419.40
  • Aetna — Whole Health: $419.40
  • Aetna Better Health — Managed Medicaid: $93.43
  • Blue Cross Blue Shield — HMO: $256.72
  • Blue Cross Blue Shield — Medicare Advantage: $135.75
  • Blue Cross Blue Shield — MyBlueHealth: $184.44
  • Blue Cross Blue Shield — PPO: $256.72
  • Blue Cross Blue Shield — Traditional: $168.28
  • Cigna — HMO-PPO: $396.04
  • Cigna Behavioral Health — Commercial: $248
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES $693 $519.75 $101 – $902.10
New patient office visit (about 60–74 minutes): 10 of 37 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $545.42
  • Aetna — Whole Health: $545.42
  • Aetna Better Health — Managed Medicaid: $116.15
  • Blue Cross Blue Shield — HMO: $335.01
  • Blue Cross Blue Shield — Medicare Advantage: $184.68
  • Blue Cross Blue Shield — MyBlueHealth: $240.68
  • Blue Cross Blue Shield — PPO: $335.01
  • Blue Cross Blue Shield — Traditional: $219.59
  • Cigna — HMO-PPO: $509.02
  • Cigna Behavioral Health — Commercial: $313
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: TRAVEL OFF/OP NEW HIGH MDM 60 MINS $100 $75 $70 – $902.10
New patient office visit (about 60–74 minutes): 10 of 37 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $545.42
  • Aetna — Whole Health: $545.42
  • Aetna Better Health — Managed Medicaid: $116.15
  • Blue Cross Blue Shield — HMO: $335.01
  • Blue Cross Blue Shield — Medicare Advantage: $184.68
  • Blue Cross Blue Shield — MyBlueHealth: $240.68
  • Blue Cross Blue Shield — PPO: $335.01
  • Blue Cross Blue Shield — Traditional: $219.59
  • Cigna — HMO-PPO: $509.02
  • Cigna Behavioral Health — Commercial: $313
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: PG INITIAL CONSULT $286 $214.50 $101 – $902.10
New patient office visit (about 60–74 minutes): 10 of 37 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $545.42
  • Aetna — Whole Health: $545.42
  • Aetna Better Health — Managed Medicaid: $116.15
  • Blue Cross Blue Shield — HMO: $335.01
  • Blue Cross Blue Shield — Medicare Advantage: $184.68
  • Blue Cross Blue Shield — MyBlueHealth: $240.68
  • Blue Cross Blue Shield — PPO: $335.01
  • Blue Cross Blue Shield — Traditional: $219.59
  • Cigna — HMO-PPO: $509.02
  • Cigna Behavioral Health — Commercial: $313
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN $242 $181.50 $33.95 – $315.69
Established patient office visit (about 20–29 minutes): 10 of 38 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $164.35
  • Aetna — Whole Health: $164.35
  • Aetna Better Health — Managed Medicaid: $39.04
  • Blue Cross Blue Shield — HMO: $101.56
  • Blue Cross Blue Shield — Medicare Advantage: $67.12
  • Blue Cross Blue Shield — MyBlueHealth: $72.96
  • Blue Cross Blue Shield — PPO: $101.56
  • Blue Cross Blue Shield — Traditional: $66.57
  • Cigna — HMO-PPO: $154.46
  • Cigna Behavioral Health — Commercial: $117
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: REHABILITATION ADJUSTMENT COUNSELING LIMITED 20-29 MIN $255 $191.25 $33.95 – $315.69
Established patient office visit (about 20–29 minutes): 10 of 38 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $164.35
  • Aetna — Whole Health: $164.35
  • Aetna Better Health — Managed Medicaid: $39.04
  • Blue Cross Blue Shield — HMO: $101.56
  • Blue Cross Blue Shield — Medicare Advantage: $67.12
  • Blue Cross Blue Shield — MyBlueHealth: $72.96
  • Blue Cross Blue Shield — PPO: $101.56
  • Blue Cross Blue Shield — Traditional: $66.57
  • Cigna — HMO-PPO: $154.46
  • Cigna Behavioral Health — Commercial: $117
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG L&D TRIAGE LEVEL 3 $565 $282.50 $81.62 – $497.20
Established patient office visit (about 20–29 minutes): 10 of 25 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $273.46
  • Aetna — Whole Health: $218.66
  • Aetna Better Health — Managed Medicaid: $81.62
  • Blue Cross Blue Shield — HMO: $154
  • Blue Cross Blue Shield — MyBlueHealth: $135
  • Blue Cross Blue Shield — PPO: $171
  • Blue Cross Blue Shield — Traditional: $164
  • Cigna — HMO-PPO: $416.12
  • Coventry — National/Medical Rental Products: $394.94
  • Galaxy Health Network — Commercial: $497.20
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: PG ESTABLISHED OFFICE VISIT $170 $127.50 $45 – $468.18
Established patient office visit (about 30–39 minutes): 10 of 38 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $254.51
  • Aetna — Whole Health: $254.51
  • Aetna Better Health — Managed Medicaid: $54.83
  • Blue Cross Blue Shield — HMO: $156.57
  • Blue Cross Blue Shield — Medicare Advantage: $98.78
  • Blue Cross Blue Shield — MyBlueHealth: $112.49
  • Blue Cross Blue Shield — PPO: $156.57
  • Blue Cross Blue Shield — Traditional: $102.63
  • Cigna — HMO-PPO: $237.58
  • Cigna Behavioral Health — Commercial: $173
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: TRAVEL OFF/OP ESTABLISHED MOD MDM 30 MINS $100 $75 $45 – $468.18
Established patient office visit (about 30–39 minutes): 10 of 38 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $254.51
  • Aetna — Whole Health: $254.51
  • Aetna Better Health — Managed Medicaid: $54.83
  • Blue Cross Blue Shield — HMO: $156.57
  • Blue Cross Blue Shield — Medicare Advantage: $98.78
  • Blue Cross Blue Shield — MyBlueHealth: $112.49
  • Blue Cross Blue Shield — PPO: $156.57
  • Blue Cross Blue Shield — Traditional: $102.63
  • Cigna — HMO-PPO: $237.58
  • Cigna Behavioral Health — Commercial: $173
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN $373 $279.75 $45 – $468.18
Established patient office visit (about 30–39 minutes): 10 of 38 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $254.51
  • Aetna — Whole Health: $254.51
  • Aetna Better Health — Managed Medicaid: $54.83
  • Blue Cross Blue Shield — HMO: $156.57
  • Blue Cross Blue Shield — Medicare Advantage: $98.78
  • Blue Cross Blue Shield — MyBlueHealth: $112.49
  • Blue Cross Blue Shield — PPO: $156.57
  • Blue Cross Blue Shield — Traditional: $102.63
  • Cigna — HMO-PPO: $237.58
  • Cigna Behavioral Health — Commercial: $173
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFIC.CONS NEW/ESTAB MODERATE SEVERITY 40 MIN $468 $351 $81.87 – $547.34
Office consultation with a specialist (moderate): 10 of 32 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $358.65
  • Aetna — Whole Health: $358.65
  • Aetna Better Health — Managed Medicaid: $94.15
  • Blue Cross Blue Shield — HMO: $190.42
  • Blue Cross Blue Shield — MyBlueHealth: $136.81
  • Blue Cross Blue Shield — PPO: $190.42
  • Blue Cross Blue Shield — Traditional: $124.82
  • Cigna — HMO-PPO: $294.93
  • Cigna Behavioral Health — Commercial: $186
  • Coventry — National/Medical Rental Products: $240.43
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES $486 $364.50 $81.87 – $547.34
Office consultation with a specialist (moderate): 10 of 32 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $358.65
  • Aetna — Whole Health: $358.65
  • Aetna Better Health — Managed Medicaid: $94.15
  • Blue Cross Blue Shield — HMO: $190.42
  • Blue Cross Blue Shield — MyBlueHealth: $136.81
  • Blue Cross Blue Shield — PPO: $190.42
  • Blue Cross Blue Shield — Traditional: $124.82
  • Cigna — HMO-PPO: $294.93
  • Cigna Behavioral Health — Commercial: $186
  • Coventry — National/Medical Rental Products: $240.43
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 Not listed in the file Not listed in the file $346.81 – $604.20
Office consultation with a specialist (moderate): rates for 4 insurance plans
  • Blue Cross Blue Shield — HMO: $481.88
  • Blue Cross Blue Shield — MyBlueHealth: $346.81
  • Blue Cross Blue Shield — PPO: $535.40
  • Blue Cross Blue Shield — Traditional: $604.20
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES $718 $538.50 $114.80 – $922.96
Office consultation with a specialist (moderate to high): 10 of 32 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $566.60
  • Aetna — Whole Health: $566.60
  • Aetna Better Health — Managed Medicaid: $132.02
  • Blue Cross Blue Shield — HMO: $306.09
  • Blue Cross Blue Shield — MyBlueHealth: $219.91
  • Blue Cross Blue Shield — PPO: $306.09
  • Blue Cross Blue Shield — Traditional: $200.64
  • Cigna — HMO-PPO: $466.62
  • Cigna Behavioral Health — Commercial: $277
  • Coventry — National/Medical Rental Products: $355.62
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 Not listed in the file Not listed in the file $557.45 – $971.15
Office consultation with a specialist (moderate to high): rates for 4 insurance plans
  • Blue Cross Blue Shield — HMO: $774.54
  • Blue Cross Blue Shield — MyBlueHealth: $557.45
  • Blue Cross Blue Shield — PPO: $860.57
  • Blue Cross Blue Shield — Traditional: $971.15
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee · modifier GT In the file: OFF/OP CNSLTJ NEW/EST MOD 40 Not listed in the file Not listed in the file $676.97
Office consultation with a specialist (moderate to high): rates for 2 insurance plans
  • Aetna — HMO/POS/EPO/PPO: $676.97
  • Aetna — Whole Health: $676.97
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS $453 $339.75 $85.29 – $503.88
Preventive checkup, new patient, age 18–39: 10 of 30 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $281.04
  • Aetna — Whole Health: $281.04
  • Aetna Better Health — Managed Medicaid: $98.08
  • Blue Cross Blue Shield — HMO: $194.65
  • Blue Cross Blue Shield — MyBlueHealth: $139.85
  • Blue Cross Blue Shield — PPO: $194.65
  • Blue Cross Blue Shield — Traditional: $127.59
  • Cigna — HMO-PPO: $243.97
  • Coventry — National/Medical Rental Products: $258.34
  • Galaxy Health Network — Commercial: $407.70
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39 Not listed in the file Not listed in the file $354.51 – $617.61
Preventive checkup, new patient, age 18–39: rates for 4 insurance plans
  • Blue Cross Blue Shield — HMO: $492.58
  • Blue Cross Blue Shield — MyBlueHealth: $354.51
  • Blue Cross Blue Shield — PPO: $547.28
  • Blue Cross Blue Shield — Traditional: $617.61
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee · modifier AM In the file: NEW PATIENT, (AGE 18 THROUGH 20 YEARS) $453 $339.75 $85.29 – $503.88
Preventive checkup, new patient, age 18–39: 10 of 30 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $281.04
  • Aetna — Whole Health: $281.04
  • Aetna Better Health — Managed Medicaid: $98.08
  • Blue Cross Blue Shield — HMO: $194.65
  • Blue Cross Blue Shield — MyBlueHealth: $139.85
  • Blue Cross Blue Shield — PPO: $194.65
  • Blue Cross Blue Shield — Traditional: $127.59
  • Cigna — HMO-PPO: $243.97
  • Coventry — National/Medical Rental Products: $258.34
  • Galaxy Health Network — Commercial: $407.70
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS $526 $394.50 $94.10 – $586.42
Preventive checkup, new patient, age 40–64: 10 of 30 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $344.64
  • Aetna — Whole Health: $344.64
  • Aetna Better Health — Managed Medicaid: $108.22
  • Blue Cross Blue Shield — HMO: $236.97
  • Blue Cross Blue Shield — MyBlueHealth: $170.25
  • Blue Cross Blue Shield — PPO: $236.97
  • Blue Cross Blue Shield — Traditional: $155.33
  • Cigna — HMO-PPO: $299.38
  • Coventry — National/Medical Rental Products: $299.41
  • Galaxy Health Network — Commercial: $473.40
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64 Not listed in the file Not listed in the file $431.56 – $751.85
Preventive checkup, new patient, age 40–64: rates for 4 insurance plans
  • Blue Cross Blue Shield — HMO: $599.64
  • Blue Cross Blue Shield — MyBlueHealth: $431.56
  • Blue Cross Blue Shield — PPO: $666.24
  • Blue Cross Blue Shield — Traditional: $751.85
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: EMERGENCY DEPARTMENT VISIT LOW MDM $304 $228 $55.52 – $280.30
Emergency room visit (moderate): 10 of 36 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $226.08
  • Aetna — Whole Health: $226.08
  • Aetna Better Health — Managed Medicaid: $63.85
  • Blue Cross Blue Shield — HMO: $123.42
  • Blue Cross Blue Shield — Medicare Advantage: $71.67
  • Blue Cross Blue Shield — MyBlueHealth: $88.67
  • Blue Cross Blue Shield — PPO: $123.42
  • Blue Cross Blue Shield — Traditional: $80.90
  • Cigna — HMO-PPO: $191.81
  • Coventry — National/Medical Rental Products: $120.57
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG EMERGENCY ROOM LEVEL 3 $1,541 $770.50 $51.36 – $4,165
Emergency room visit (moderate): 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,004.73
  • Aetna — Whole Health: $804.40
  • Aetna Better Health — Managed Medicaid: $56.50
  • Blue Cross Blue Shield — HMO: $3,752
  • Blue Cross Blue Shield — Medicare Advantage: $290.73
  • Blue Cross Blue Shield — MyBlueHealth: $2,695
  • Blue Cross Blue Shield — PPO: $4,165
  • Blue Cross Blue Shield — Traditional: $3,607
  • Cigna — HMO-PPO: $1,134.95
  • Coventry — National/Medical Rental Products: $1,077.16
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG EMERGENCY ROOM LEVEL 3 $1,541 $770.50 $555.92 – $1,356.08
Emergency room visit (moderate): rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $1,356.08
  • HealthFirst — Commercial: $866.04
  • HealthSmart — Commercial: $1,279.03
  • Maestro Health/Fort Worth Firefighters — Commercial: $823.82
  • Multiplan — Commercial: $1,340.67
  • PHCS — Commercial: $1,163.46
  • QuikTrip — Commercial: $970.83
  • Rockwall County — Commercial: $1,078.70
  • United Healthcare — Managed Medicaid: $555.92
  • United Healthcare W500 — Commercial: $1,112.60
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: EMERGENCY DEPARTMENT VISIT MODERATE MDM $446 $334.50 $81.24 – $529.37
Emergency room visit (moderately high): 10 of 36 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $421.26
  • Aetna — Whole Health: $421.26
  • Aetna Better Health — Managed Medicaid: $93.43
  • Blue Cross Blue Shield — HMO: $234.15
  • Blue Cross Blue Shield — Medicare Advantage: $122.22
  • Blue Cross Blue Shield — MyBlueHealth: $168.22
  • Blue Cross Blue Shield — PPO: $234.15
  • Blue Cross Blue Shield — Traditional: $153.48
  • Cigna — HMO-PPO: $362.23
  • Coventry — National/Medical Rental Products: $229.18
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG EMERGENCY ROOM LEVEL 4 $2,443 $1,221.50 $352.92 – $6,740
Emergency room visit (moderately high): 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,592.84
  • Aetna — Whole Health: $1,275.25
  • Aetna Better Health — Managed Medicaid: $352.92
  • Blue Cross Blue Shield — HMO: $6,060
  • Blue Cross Blue Shield — Medicare Advantage: $447.11
  • Blue Cross Blue Shield — MyBlueHealth: $4,360
  • Blue Cross Blue Shield — PPO: $6,740
  • Blue Cross Blue Shield — Traditional: $5,944
  • Cigna — HMO-PPO: $1,799.27
  • Coventry — National/Medical Rental Products: $1,707.66
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG EMERGENCY ROOM LEVEL 4 $2,443 $1,221.50 $881.31 – $2,149.84
Emergency room visit (moderately high): rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $2,149.84
  • HealthFirst — Commercial: $1,372.97
  • HealthSmart — Commercial: $2,027.69
  • Maestro Health/Fort Worth Firefighters — Commercial: $1,306.03
  • Multiplan — Commercial: $2,125.41
  • PHCS — Commercial: $1,844.47
  • QuikTrip — Commercial: $1,539.09
  • Rockwall County — Commercial: $1,710.10
  • United Healthcare — Managed Medicaid: $881.31
  • United Healthcare W500 — Commercial: $1,763.85
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: EMERGENCY DEPARTMENT VISIT HIGH MDM $691 $518.25 $101 – $775.56
Emergency room visit (high): 10 of 36 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $627.54
  • Aetna — Whole Health: $627.54
  • Aetna Better Health — Managed Medicaid: $116.15
  • Blue Cross Blue Shield — HMO: $344.88
  • Blue Cross Blue Shield — Medicare Advantage: $177.18
  • Blue Cross Blue Shield — MyBlueHealth: $247.78
  • Blue Cross Blue Shield — PPO: $344.88
  • Blue Cross Blue Shield — Traditional: $226.06
  • Cigna — HMO-PPO: $530.68
  • Coventry — National/Medical Rental Products: $336.20
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG EMERGENCY ROOM LEVEL 5 $3,758 $1,879 $542.88 – $10,480
Emergency room visit (high): 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $2,450.22
  • Aetna — Whole Health: $1,961.68
  • Aetna Better Health — Managed Medicaid: $542.88
  • Blue Cross Blue Shield — HMO: $9,440
  • Blue Cross Blue Shield — Medicare Advantage: $643.76
  • Blue Cross Blue Shield — MyBlueHealth: $6,800
  • Blue Cross Blue Shield — PPO: $10,480
  • Blue Cross Blue Shield — Traditional: $9,065
  • Cigna — HMO-PPO: $2,767.77
  • Coventry — National/Medical Rental Products: $2,626.84
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG EMERGENCY ROOM LEVEL 5 $3,758 $1,879 $1,355.70 – $3,307.04
Emergency room visit (high): rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $3,307.04
  • HealthFirst — Commercial: $2,112
  • HealthSmart — Commercial: $3,119.14
  • Maestro Health/Fort Worth Firefighters — Commercial: $2,009.03
  • Multiplan — Commercial: $3,269.46
  • PHCS — Commercial: $2,837.29
  • QuikTrip — Commercial: $2,367.54
  • Rockwall County — Commercial: $2,630.60
  • United Healthcare — Managed Medicaid: $1,355.70
  • United Healthcare W500 — Commercial: $2,713.28

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: HCHG BASIC METABOLIC PANEL $137 $68.50 $7.11 – $120.56
Basic metabolic panel (blood test): 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $46.24
  • Aetna — Whole Health: $36.99
  • Aetna Better Health — Managed Medicaid: $7.82
  • Blue Cross Blue Shield — HMO: $60.80
  • Blue Cross Blue Shield — Medicare Advantage: $8.88
  • Blue Cross Blue Shield — MyBlueHealth: $43.76
  • Blue Cross Blue Shield — PPO: $67.56
  • Blue Cross Blue Shield — Traditional: $76.25
  • Cigna — HMO-PPO: $100.90
  • Coventry — National/Medical Rental Products: $95.76
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Doctor (professional) fee In the file: BASIC METABOLIC PANEL CALCIUM TOTAL $65 $48.75 $4.80 – $58.50
Basic metabolic panel (blood test): 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $15.26
  • Aetna — Whole Health: $15.26
  • Aetna Better Health — Managed Medicaid: $8.18
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $12.28
  • Coventry — National/Medical Rental Products: $20.37
  • Galaxy Health Network — Commercial: $58.50
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Doctor (professional) fee In the file: BMP (BASIC METABOLIC PANEL) $65 $48.75 $4.80 – $58.50
Basic metabolic panel (blood test): 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $15.26
  • Aetna — Whole Health: $15.26
  • Aetna Better Health — Managed Medicaid: $8.18
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $12.28
  • Coventry — National/Medical Rental Products: $20.37
  • Galaxy Health Network — Commercial: $58.50
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG COMPREHENSIVE METABOLIC PANEL $152 $76 $8.87 – $133.76
Comprehensive metabolic panel (blood test): 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $57.80
  • Aetna — Whole Health: $46.24
  • Aetna Better Health — Managed Medicaid: $9.76
  • Blue Cross Blue Shield — HMO: $75.89
  • Blue Cross Blue Shield — Medicare Advantage: $11.09
  • Blue Cross Blue Shield — MyBlueHealth: $54.63
  • Blue Cross Blue Shield — PPO: $84.33
  • Blue Cross Blue Shield — Traditional: $95.18
  • Cigna — HMO-PPO: $111.95
  • Coventry — National/Medical Rental Products: $106.25
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPREHENSIVE METABOLIC PANEL $113 $84.75 $5 – $101.70
Comprehensive metabolic panel (blood test): 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $19.07
  • Aetna — Whole Health: $19.07
  • Aetna Better Health — Managed Medicaid: $10.20
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $10.54
  • Coventry — National/Medical Rental Products: $25.45
  • Galaxy Health Network — Commercial: $101.70
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPREHENSIVE METABOLIC PANEL... $113 $84.75 $5 – $101.70
Comprehensive metabolic panel (blood test): 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $19.07
  • Aetna — Whole Health: $19.07
  • Aetna Better Health — Managed Medicaid: $10.20
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $10.54
  • Coventry — National/Medical Rental Products: $25.45
  • Galaxy Health Network — Commercial: $101.70
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Doctor (professional) fee In the file: OBSTETRIC PANEL $86 $64.50 $5 – $105.87
Obstetric blood test panel: 10 of 22 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $80.41
  • Aetna — Whole Health: $80.41
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $41.69
  • Coventry — National/Medical Rental Products: $99.45
  • Galaxy Health Network — Commercial: $77.40
  • HealthFirst — Commercial: $93.23
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $47.81 – $430.91
Obstetric blood test panel: 10 of 16 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $233.86
  • Aetna — Whole Health: $187.09
  • Blue Cross Blue Shield — HMO: $343.61
  • Blue Cross Blue Shield — Medicare Advantage: $50.20
  • Blue Cross Blue Shield — MyBlueHealth: $247.32
  • Blue Cross Blue Shield — PPO: $381.81
  • Blue Cross Blue Shield — Traditional: $430.91
  • Humana — Medicare Advantage: $49.72
  • Molina — Medicare Advantage: $50.20
  • Procare — Medicare Advantage: $47.81
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: EPO OB PANEL $86 $64.50 $1.89 – $105.87
Obstetric blood test panel: 10 of 22 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $80.41
  • Aetna — Whole Health: $80.41
  • Blue Cross Blue Shield — HMO: $1.89
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $1.89
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $41.69
  • Coventry — National/Medical Rental Products: $99.45
  • Galaxy Health Network — Commercial: $77.40
  • HealthFirst — Commercial: $93.23
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG LIPID PANEL $142 $71 $11.25 – $124.96
Cholesterol panel (lipid panel): 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $73.25
  • Aetna — Whole Health: $58.60
  • Aetna Better Health — Managed Medicaid: $12.38
  • Blue Cross Blue Shield — HMO: $96.23
  • Blue Cross Blue Shield — Medicare Advantage: $14.06
  • Blue Cross Blue Shield — MyBlueHealth: $69.27
  • Blue Cross Blue Shield — PPO: $106.93
  • Blue Cross Blue Shield — Traditional: $120.68
  • Cigna — HMO-PPO: $104.58
  • Coventry — National/Medical Rental Products: $99.26
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Doctor (professional) fee In the file: LIPID PANEL $63 $47.25 $5 – $56.70
Cholesterol panel (lipid panel): 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $24.17
  • Aetna — Whole Health: $24.17
  • Aetna Better Health — Managed Medicaid: $12.94
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $24.20
  • Coventry — National/Medical Rental Products: $32.25
  • Galaxy Health Network — Commercial: $56.70
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Doctor (professional) fee In the file: LIPID PROFILE. $78 $58.50 $5 – $70.20
Cholesterol panel (lipid panel): 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $24.17
  • Aetna — Whole Health: $24.17
  • Aetna Better Health — Managed Medicaid: $12.94
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $24.20
  • Coventry — National/Medical Rental Products: $32.25
  • Galaxy Health Network — Commercial: $70.20
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RENAL FUNCTION PANEL $139 $69.50 $7.29 – $122.32
Kidney function panel: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $47.43
  • Aetna — Whole Health: $37.94
  • Aetna Better Health — Managed Medicaid: $8.02
  • Blue Cross Blue Shield — HMO: $62.38
  • Blue Cross Blue Shield — Medicare Advantage: $9.11
  • Blue Cross Blue Shield — MyBlueHealth: $44.90
  • Blue Cross Blue Shield — PPO: $69.32
  • Blue Cross Blue Shield — Traditional: $78.23
  • Cigna — HMO-PPO: $102.37
  • Coventry — National/Medical Rental Products: $97.16
Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: RENAL FUNCTION PANEL $52 $39 $4.92 – $46.80
Kidney function panel: 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $15.66
  • Aetna — Whole Health: $15.66
  • Aetna Better Health — Managed Medicaid: $8.38
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $8.62
  • Coventry — National/Medical Rental Products: $20.91
  • Galaxy Health Network — Commercial: $46.80
Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: RENAL FUNCTION PANEL.. $80 $60 $4.92 – $72
Kidney function panel: 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $15.66
  • Aetna — Whole Health: $15.66
  • Aetna Better Health — Managed Medicaid: $8.38
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $8.62
  • Coventry — National/Medical Rental Products: $20.91
  • Galaxy Health Network — Commercial: $72
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG HEPATIC FUNCTION PANEL $116 $58 $6.86 – $102.08
Liver function panel: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $44.66
  • Aetna — Whole Health: $35.73
  • Aetna Better Health — Managed Medicaid: $7.55
  • Blue Cross Blue Shield — HMO: $58.72
  • Blue Cross Blue Shield — Medicare Advantage: $8.58
  • Blue Cross Blue Shield — MyBlueHealth: $42.26
  • Blue Cross Blue Shield — PPO: $65.25
  • Blue Cross Blue Shield — Traditional: $73.64
  • Cigna — HMO-PPO: $85.43
  • Coventry — National/Medical Rental Products: $81.08
Liver function panel CPT 80076 · Inpatient or outpatient · Doctor (professional) fee In the file: HEPATIC FUNCTION PANEL.. $56 $42 $4.63 – $50.40
Liver function panel: 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $14.73
  • Aetna — Whole Health: $14.73
  • Aetna Better Health — Managed Medicaid: $7.89
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $8.15
  • Coventry — National/Medical Rental Products: $19.67
  • Galaxy Health Network — Commercial: $50.40
Liver function panel CPT 80076 · Inpatient or outpatient · Doctor (professional) fee In the file: HEPATIC FUNCTION PANEL $16 $12 $4.63 – $28.50
Liver function panel: 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $14.73
  • Aetna — Whole Health: $14.73
  • Aetna Better Health — Managed Medicaid: $7.89
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $8.15
  • Coventry — National/Medical Rental Products: $19.67
  • Galaxy Health Network — Commercial: $14.40
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG URINALYSIS AUTO W/MICRO $51 $25.50 $2.66 – $44.88
Urine test (automated, with microscope): 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $17.33
  • Aetna — Whole Health: $13.86
  • Aetna Better Health — Managed Medicaid: $2.93
  • Blue Cross Blue Shield — HMO: $22.78
  • Blue Cross Blue Shield — Medicare Advantage: $3.33
  • Blue Cross Blue Shield — MyBlueHealth: $16.40
  • Blue Cross Blue Shield — PPO: $25.32
  • Blue Cross Blue Shield — Traditional: $28.57
  • Cigna — HMO-PPO: $37.56
  • Coventry — National/Medical Rental Products: $35.65
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Doctor (professional) fee In the file: URINALYSIS, AUTOMATED WITH MICRO. $26 $19.50 $2.29 – $23.40
Urine test (automated, with microscope): 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $5.72
  • Aetna — Whole Health: $5.72
  • Aetna Better Health — Managed Medicaid: $3.06
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $4.56
  • Coventry — National/Medical Rental Products: $7.62
  • Galaxy Health Network — Commercial: $23.40
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Doctor (professional) fee In the file: URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY $21 $15.75 $2.29 – $18.90
Urine test (automated, with microscope): 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $5.72
  • Aetna — Whole Health: $5.72
  • Aetna Better Health — Managed Medicaid: $3.06
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $4.56
  • Coventry — National/Medical Rental Products: $7.62
  • Galaxy Health Network — Commercial: $18.90
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG URINALYSIS NONAUTO W/O MICRO $32 $16 $2.92 – $31.37
Urine test (manual, without microscope): 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $13.96
  • Aetna — Whole Health: $11.17
  • Aetna Better Health — Managed Medicaid: $3.21
  • Blue Cross Blue Shield — HMO: $25.01
  • Blue Cross Blue Shield — Medicare Advantage: $3.65
  • Blue Cross Blue Shield — MyBlueHealth: $18
  • Blue Cross Blue Shield — PPO: $27.79
  • Blue Cross Blue Shield — Traditional: $31.37
  • Cigna — HMO-PPO: $23.57
  • Coventry — National/Medical Rental Products: $22.37
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: SAD. $11 $8.25 $2.51 – $9.90
Urine test (manual, without microscope): 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $4.62
  • Aetna — Whole Health: $4.62
  • Aetna Better Health — Managed Medicaid: $3.36
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $3.86
  • Coventry — National/Medical Rental Products: $6.15
  • Galaxy Health Network — Commercial: $9.90
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP $19 $14.25 $2.51 – $17.10
Urine test (manual, without microscope): 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $4.62
  • Aetna — Whole Health: $4.62
  • Aetna Better Health — Managed Medicaid: $3.36
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $3.86
  • Coventry — National/Medical Rental Products: $6.15
  • Galaxy Health Network — Commercial: $17.10
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG URINE AUTO W/O MICRO $32 $16 $1.89 – $28.16
Urine test (automated, without microscope): 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $12.28
  • Aetna — Whole Health: $9.82
  • Aetna Better Health — Managed Medicaid: $2.08
  • Blue Cross Blue Shield — HMO: $16.17
  • Blue Cross Blue Shield — Medicare Advantage: $2.36
  • Blue Cross Blue Shield — MyBlueHealth: $11.64
  • Blue Cross Blue Shield — PPO: $17.97
  • Blue Cross Blue Shield — Traditional: $20.28
  • Cigna — HMO-PPO: $23.57
  • Coventry — National/Medical Rental Products: $22.37
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Doctor (professional) fee In the file: URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY $8 $6 $1.62 – $7.85
Urine test (automated, without microscope): 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $4.05
  • Aetna — Whole Health: $4.05
  • Aetna Better Health — Managed Medicaid: $2.17
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $3.16
  • Coventry — National/Medical Rental Products: $5.41
  • Galaxy Health Network — Commercial: $7.20
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Doctor (professional) fee In the file: SPECIFIC GRAVITY URINE $18 $13.50 $1.62 – $16.20
Urine test (automated, without microscope): 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $4.05
  • Aetna — Whole Health: $4.05
  • Aetna Better Health — Managed Medicaid: $2.17
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $3.16
  • Coventry — National/Medical Rental Products: $5.41
  • Galaxy Health Network — Commercial: $16.20
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PROSTATIC SPECIFIC ANTIGEN TOTAL $217 $108.50 $15.45 – $190.96
PSA (prostate specific antigen) blood test: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $100.55
  • Aetna — Whole Health: $80.44
  • Aetna Better Health — Managed Medicaid: $17
  • Blue Cross Blue Shield — HMO: $132.17
  • Blue Cross Blue Shield — Medicare Advantage: $19.31
  • Blue Cross Blue Shield — MyBlueHealth: $95.13
  • Blue Cross Blue Shield — PPO: $146.86
  • Blue Cross Blue Shield — Traditional: $165.75
  • Cigna — HMO-PPO: $159.82
  • Coventry — National/Medical Rental Products: $151.68
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PROSTATIC SPECIFIC ANITGEN TOTAL SCREEN $167 $83.50 $15.45 – $165.75
PSA (prostate specific antigen) blood test: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $100.55
  • Aetna — Whole Health: $80.44
  • Aetna Better Health — Managed Medicaid: $17
  • Blue Cross Blue Shield — HMO: $132.17
  • Blue Cross Blue Shield — Medicare Advantage: $19.31
  • Blue Cross Blue Shield — MyBlueHealth: $95.13
  • Blue Cross Blue Shield — PPO: $146.86
  • Blue Cross Blue Shield — Traditional: $165.75
  • Cigna — HMO-PPO: $123
  • Coventry — National/Medical Rental Products: $116.73
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Doctor (professional) fee In the file: PROSTATE SPECIFIC ANT $104 $78 $5 – $93.60
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $33.15
  • Aetna — Whole Health: $33.15
  • Aetna Better Health — Managed Medicaid: $17.77
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $18.21
  • Coventry — National/Medical Rental Products: $44.30
  • Galaxy Health Network — Commercial: $93.60
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG THYROID STIMULATING HORMONE (TSH) $197 $98.50 $14.11 – $173.36
Thyroid stimulating hormone (TSH) test: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $91.81
  • Aetna — Whole Health: $73.45
  • Aetna Better Health — Managed Medicaid: $15.52
  • Blue Cross Blue Shield — HMO: $120.74
  • Blue Cross Blue Shield — Medicare Advantage: $17.64
  • Blue Cross Blue Shield — MyBlueHealth: $86.91
  • Blue Cross Blue Shield — PPO: $134.16
  • Blue Cross Blue Shield — Traditional: $151.42
  • Cigna — HMO-PPO: $145.09
  • Coventry — National/Medical Rental Products: $137.70
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Doctor (professional) fee In the file: THYROID STIMULATING H $99 $74.25 $5 – $89.10
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $30.29
  • Aetna — Whole Health: $30.29
  • Aetna Better Health — Managed Medicaid: $16.23
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $24.55
  • Coventry — National/Medical Rental Products: $40.46
  • Galaxy Health Network — Commercial: $89.10
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Doctor (professional) fee In the file: RE TSH - REFLEX FT4 $69 $51.75 $5 – $62.10
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $30.29
  • Aetna — Whole Health: $30.29
  • Aetna Better Health — Managed Medicaid: $16.23
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $24.55
  • Coventry — National/Medical Rental Products: $40.46
  • Galaxy Health Network — Commercial: $62.10
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG BLOOD COUNT CBC AUTO W/AUTO DIFF $119 $59.50 $6.53 – $104.72
Complete blood count (CBC) with differential: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $42.52
  • Aetna — Whole Health: $34.02
  • Aetna Better Health — Managed Medicaid: $7.18
  • Blue Cross Blue Shield — HMO: $55.84
  • Blue Cross Blue Shield — Medicare Advantage: $8.16
  • Blue Cross Blue Shield — MyBlueHealth: $40.19
  • Blue Cross Blue Shield — PPO: $62.05
  • Blue Cross Blue Shield — Traditional: $70.03
  • Cigna — HMO-PPO: $87.64
  • Coventry — National/Medical Rental Products: $83.18
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC $47 $35.25 $4.41 – $42.30
Complete blood count (CBC) with differential: 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $14.01
  • Aetna — Whole Health: $14.01
  • Aetna Better Health — Managed Medicaid: $7.51
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $11.22
  • Coventry — National/Medical Rental Products: $18.73
  • Galaxy Health Network — Commercial: $42.30
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: CBC WITH DIFFERENTIAL $47 $35.25 $4.41 – $42.30
Complete blood count (CBC) with differential: 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $14.01
  • Aetna — Whole Health: $14.01
  • Aetna Better Health — Managed Medicaid: $7.51
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $11.22
  • Coventry — National/Medical Rental Products: $18.73
  • Galaxy Health Network — Commercial: $42.30
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG BLOOD COUNT CBC AUTO W/O DIFF $110 $55 $5.43 – $96.80
Complete blood count (CBC), automated: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $35.39
  • Aetna — Whole Health: $28.31
  • Aetna Better Health — Managed Medicaid: $5.97
  • Blue Cross Blue Shield — HMO: $46.50
  • Blue Cross Blue Shield — Medicare Advantage: $6.79
  • Blue Cross Blue Shield — MyBlueHealth: $33.47
  • Blue Cross Blue Shield — PPO: $51.67
  • Blue Cross Blue Shield — Traditional: $58.31
  • Cigna — HMO-PPO: $81.02
  • Coventry — National/Medical Rental Products: $76.89
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: CBC WITHOUT DIFFERENTIAL $42 $31.50 $3.67 – $37.80
Complete blood count (CBC), automated: 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $11.67
  • Aetna — Whole Health: $11.67
  • Aetna Better Health — Managed Medicaid: $6.24
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $9.47
  • Coventry — National/Medical Rental Products: $15.59
  • Galaxy Health Network — Commercial: $37.80
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: BLOOD COUNT COMPLETE AUTOMATED $42 $31.50 $3.67 – $37.80
Complete blood count (CBC), automated: 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $11.67
  • Aetna — Whole Health: $11.67
  • Aetna Better Health — Managed Medicaid: $6.24
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $9.47
  • Coventry — National/Medical Rental Products: $15.59
  • Galaxy Health Network — Commercial: $37.80
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PROTHROMBIN TIME (PT) $71 $35.50 $3.60 – $62.48
Blood clotting time test (prothrombin time, PT): 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $21.46
  • Aetna — Whole Health: $17.17
  • Aetna Better Health — Managed Medicaid: $3.96
  • Blue Cross Blue Shield — HMO: $30.83
  • Blue Cross Blue Shield — Medicare Advantage: $4.50
  • Blue Cross Blue Shield — MyBlueHealth: $22.19
  • Blue Cross Blue Shield — PPO: $34.26
  • Blue Cross Blue Shield — Traditional: $38.67
  • Cigna — HMO-PPO: $52.29
  • Coventry — National/Medical Rental Products: $49.63
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Doctor (professional) fee In the file: INR GROUP. $31 $23.25 $3.10 – $27.90
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $7.09
  • Aetna — Whole Health: $7.09
  • Aetna Better Health — Managed Medicaid: $4.14
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $5.61
  • Coventry — National/Medical Rental Products: $9.45
  • Galaxy Health Network — Commercial: $27.90
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Doctor (professional) fee In the file: PROTIME MIXING STUDY $38 $28.50 $3.10 – $34.20
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $7.09
  • Aetna — Whole Health: $7.09
  • Aetna Better Health — Managed Medicaid: $4.14
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $5.61
  • Coventry — National/Medical Rental Products: $9.45
  • Galaxy Health Network — Commercial: $34.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PARTIAL THROMBOPLASTIN TIME (PTT) $108 $54 $5.05 – $95.04
Blood clotting test (partial thromboplastin time, PTT): 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $32.80
  • Aetna — Whole Health: $26.24
  • Aetna Better Health — Managed Medicaid: $5.56
  • Blue Cross Blue Shield — HMO: $43.19
  • Blue Cross Blue Shield — Medicare Advantage: $6.31
  • Blue Cross Blue Shield — MyBlueHealth: $31.09
  • Blue Cross Blue Shield — PPO: $48
  • Blue Cross Blue Shield — Traditional: $54.17
  • Cigna — HMO-PPO: $79.54
  • Coventry — National/Medical Rental Products: $75.49
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Doctor (professional) fee In the file: PTT MIXING STUDY $37 $27.75 $3.41 – $33.30
Blood clotting test (partial thromboplastin time, PTT): 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $10.82
  • Aetna — Whole Health: $10.82
  • Aetna Better Health — Managed Medicaid: $5.81
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $5.99
  • Coventry — National/Medical Rental Products: $14.45
  • Galaxy Health Network — Commercial: $33.30
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Doctor (professional) fee In the file: PTT $37 $27.75 $3.41 – $33.30
Blood clotting test (partial thromboplastin time, PTT): 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $10.82
  • Aetna — Whole Health: $10.82
  • Aetna Better Health — Managed Medicaid: $5.81
  • Blue Cross Blue Shield — HMO: $5
  • Blue Cross Blue Shield — MyBlueHealth: $5
  • Blue Cross Blue Shield — PPO: $5.50
  • Blue Cross Blue Shield — Traditional: $5.50
  • Cigna — HMO-PPO: $5.99
  • Coventry — National/Medical Rental Products: $14.45
  • Galaxy Health Network — Commercial: $33.30

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 · Doctor (professional) fee In the file: CT HEAD/BRAIN W/O CONTRAST MATERIAL $127 $95.25 $31.81 – $653.95
CT scan of the head or brain, without contrast: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $653.95
  • Aetna — Whole Health: $653.95
  • Aetna Better Health — Managed Medicaid: $36.58
  • Blue Cross Blue Shield — HMO: $81.35
  • Blue Cross Blue Shield — Medicare Advantage: $111.05
  • Blue Cross Blue Shield — MyBlueHealth: $53.52
  • Blue Cross Blue Shield — PPO: $220.05
  • Blue Cross Blue Shield — Traditional: $81.48
  • Cigna — HMO-PPO: $534.85
  • Coventry — National/Medical Rental Products: $280.62
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CT HEAD W/O CONTRAST $2,125 $1,062.50 $106.34 – $1,870
CT scan of the head or brain, without contrast: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,241
  • Aetna — Whole Health: $993
  • Aetna Better Health — Managed Medicaid: $117.57
  • Blue Cross Blue Shield — HMO: $1,015.33
  • Blue Cross Blue Shield — Medicare Advantage: $111.66
  • Blue Cross Blue Shield — MyBlueHealth: $730.76
  • Blue Cross Blue Shield — PPO: $1,128.20
  • Blue Cross Blue Shield — Traditional: $1,273.12
  • Cigna — HMO-PPO: $1,565.06
  • Coventry — National/Medical Rental Products: $1,485.38
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CT HEAD W/O CONTRAST $2,125 $1,062.50 $766.59 – $1,870
CT scan of the head or brain, without contrast: rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $1,870
  • HealthFirst — Commercial: $1,194.25
  • HealthSmart — Commercial: $1,763.75
  • Maestro Health/Fort Worth Firefighters — Commercial: $1,136.03
  • Multiplan — Commercial: $1,848.75
  • PHCS — Commercial: $1,604.38
  • QuikTrip — Commercial: $1,338.75
  • Rockwall County — Commercial: $1,487.50
  • United Healthcare — Managed Medicaid: $766.59
  • United Healthcare W500 — Commercial: $1,534.25
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL $2,772 $2,079 $85.80 – $2,494.80
MRI of the brain, before and after contrast: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,972.45
  • Aetna — Whole Health: $1,972.45
  • Aetna Better Health — Managed Medicaid: $98.67
  • Blue Cross Blue Shield — HMO: $218.50
  • Blue Cross Blue Shield — Medicare Advantage: $331.71
  • Blue Cross Blue Shield — MyBlueHealth: $143.75
  • Blue Cross Blue Shield — PPO: $705.38
  • Blue Cross Blue Shield — Traditional: $218.86
  • Cigna — HMO-PPO: $1,971.38
  • Coventry — National/Medical Rental Products: $1,001.85
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MRI BRAIN W/WO CONTRAST $5,169 $2,584.50 $332.80 – $4,548.72
MRI of the brain, before and after contrast: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,566
  • Aetna — Whole Health: $1,253
  • Aetna Better Health — Managed Medicaid: $366.08
  • Blue Cross Blue Shield — HMO: $3,459.18
  • Blue Cross Blue Shield — Medicare Advantage: $374.99
  • Blue Cross Blue Shield — MyBlueHealth: $2,489.66
  • Blue Cross Blue Shield — PPO: $3,843.70
  • Blue Cross Blue Shield — Traditional: $4,337.43
  • Cigna — HMO-PPO: $3,806.97
  • Coventry — National/Medical Rental Products: $3,613.13
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MRI BRAIN W/WO CONTRAST $5,169 $2,584.50 $1,864.72 – $4,548.72
MRI of the brain, before and after contrast: rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $4,548.72
  • HealthFirst — Commercial: $2,904.98
  • HealthSmart — Commercial: $4,290.27
  • Maestro Health/Fort Worth Firefighters — Commercial: $2,763.35
  • Multiplan — Commercial: $4,497.03
  • PHCS — Commercial: $3,902.60
  • QuikTrip — Commercial: $3,256.47
  • Rockwall County — Commercial: $3,618.30
  • United Healthcare — Managed Medicaid: $1,864.72
  • United Healthcare W500 — Commercial: $3,732.02
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG XR CHEST 2 VIEWS $667 $333.50 $33.75 – $586.96
Chest X-ray, 2 views: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $322.83
  • Aetna — Whole Health: $258.13
  • Aetna Better Health — Managed Medicaid: $37.13
  • Blue Cross Blue Shield — HMO: $388.52
  • Blue Cross Blue Shield — Medicare Advantage: $92.45
  • Blue Cross Blue Shield — MyBlueHealth: $279.65
  • Blue Cross Blue Shield — PPO: $431.69
  • Blue Cross Blue Shield — Traditional: $487.16
  • Cigna — HMO-PPO: $491.25
  • Coventry — National/Medical Rental Products: $466.23
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: RADIOLOGIC EXAM CHEST 2 VIEWS $124 $93 $8.29 – $111.60
Chest X-ray, 2 views: 10 of 31 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $92.67
  • Aetna — Whole Health: $92.67
  • Aetna Better Health — Managed Medicaid: $9.53
  • Blue Cross Blue Shield — HMO: $20.84
  • Blue Cross Blue Shield — Medicare Advantage: $34.48
  • Blue Cross Blue Shield — MyBlueHealth: $13.71
  • Blue Cross Blue Shield — PPO: $60.07
  • Blue Cross Blue Shield — Traditional: $20.88
  • Cigna — HMO-PPO: $79.20
  • Galaxy Health Network — Commercial: $111.60
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG XR CHEST 2 VIEWS $667 $333.50 $240.62 – $586.96
Chest X-ray, 2 views: rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $586.96
  • HealthFirst — Commercial: $374.85
  • HealthSmart — Commercial: $553.61
  • Maestro Health/Fort Worth Firefighters — Commercial: $356.58
  • Multiplan — Commercial: $580.29
  • PHCS — Commercial: $503.59
  • QuikTrip — Commercial: $420.21
  • Rockwall County — Commercial: $466.90
  • United Healthcare — Managed Medicaid: $240.62
  • United Healthcare W500 — Commercial: $481.57
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS $48 $36 $9.89 – $161.74
X-ray of the lower spine, at least 4 views: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $159.80
  • Aetna — Whole Health: $159.80
  • Aetna Better Health — Managed Medicaid: $11.37
  • Blue Cross Blue Shield — HMO: $30.25
  • Blue Cross Blue Shield — Medicare Advantage: $53.30
  • Blue Cross Blue Shield — MyBlueHealth: $19.90
  • Blue Cross Blue Shield — PPO: $97.20
  • Blue Cross Blue Shield — Traditional: $30.30
  • Cigna — HMO-PPO: $151.87
  • Coventry — National/Medical Rental Products: $77.91
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG XR L-SPINE 4+ VIEWS $470 $235 $51.45 – $684.14
X-ray of the lower spine, at least 4 views: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $227.48
  • Aetna — Whole Health: $181.89
  • Aetna Better Health — Managed Medicaid: $56.60
  • Blue Cross Blue Shield — HMO: $545.61
  • Blue Cross Blue Shield — Medicare Advantage: $111.66
  • Blue Cross Blue Shield — MyBlueHealth: $392.73
  • Blue Cross Blue Shield — PPO: $606.24
  • Blue Cross Blue Shield — Traditional: $684.14
  • Cigna — HMO-PPO: $346.16
  • Coventry — National/Medical Rental Products: $328.53
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG XR L-SPINE 4+ VIEWS $470 $235 $169.55 – $413.60
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $413.60
  • HealthFirst — Commercial: $264.14
  • HealthSmart — Commercial: $390.10
  • Maestro Health/Fort Worth Firefighters — Commercial: $251.26
  • Multiplan — Commercial: $408.90
  • PHCS — Commercial: $354.85
  • QuikTrip — Commercial: $296.10
  • Rockwall County — Commercial: $329
  • United Healthcare — Managed Medicaid: $169.55
  • United Healthcare W500 — Commercial: $339.34
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL $1,423 $1,067.25 $55.87 – $1,352.53
MRI of the lower back (lumbar spine), without contrast: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,266.70
  • Aetna — Whole Health: $1,266.70
  • Aetna Better Health — Managed Medicaid: $64.25
  • Blue Cross Blue Shield — HMO: $142.53
  • Blue Cross Blue Shield — Medicare Advantage: $198.86
  • Blue Cross Blue Shield — MyBlueHealth: $93.77
  • Blue Cross Blue Shield — PPO: $420.53
  • Blue Cross Blue Shield — Traditional: $142.76
  • Cigna — HMO-PPO: $1,270.01
  • Coventry — National/Medical Rental Products: $657.29
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MRI L-SPINE W/O CONT $2,846 $1,423 $199.14 – $2,647.10
MRI of the lower back (lumbar spine), without contrast: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,566
  • Aetna — Whole Health: $1,253
  • Aetna Better Health — Managed Medicaid: $219.05
  • Blue Cross Blue Shield — HMO: $2,111.11
  • Blue Cross Blue Shield — Medicare Advantage: $253.81
  • Blue Cross Blue Shield — MyBlueHealth: $1,519.42
  • Blue Cross Blue Shield — PPO: $2,345.78
  • Blue Cross Blue Shield — Traditional: $2,647.10
  • Cigna — HMO-PPO: $2,096.08
  • Coventry — National/Medical Rental Products: $1,989.35
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MRI L-SPINE W/O CONT $2,846 $1,423 $1,026.69 – $2,504.48
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $2,504.48
  • HealthFirst — Commercial: $1,599.45
  • HealthSmart — Commercial: $2,362.18
  • Maestro Health/Fort Worth Firefighters — Commercial: $1,521.47
  • Multiplan — Commercial: $2,476.02
  • PHCS — Commercial: $2,148.73
  • QuikTrip — Commercial: $1,792.98
  • Rockwall County — Commercial: $1,992.20
  • United Healthcare — Managed Medicaid: $1,026.69
  • United Healthcare W500 — Commercial: $2,054.81
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee In the file: CT PELVIS W/CONTRAST MATERIAL $192 $144 $43.57 – $970.87
CT scan of the pelvis, with contrast: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $970.87
  • Aetna — Whole Health: $970.87
  • Aetna Better Health — Managed Medicaid: $50.11
  • Blue Cross Blue Shield — HMO: $111.60
  • Blue Cross Blue Shield — Medicare Advantage: $235.84
  • Blue Cross Blue Shield — MyBlueHealth: $73.42
  • Blue Cross Blue Shield — PPO: $444.83
  • Blue Cross Blue Shield — Traditional: $111.78
  • Cigna — HMO-PPO: $800.79
  • Coventry — National/Medical Rental Products: $421.44
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CT PELVIS W/CONTRAST $2,755 $1,377.50 $178.02 – $2,424.40
CT scan of the pelvis, with contrast: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,241
  • Aetna — Whole Health: $993
  • Aetna Better Health — Managed Medicaid: $198.37
  • Blue Cross Blue Shield — HMO: $1,650.73
  • Blue Cross Blue Shield — Medicare Advantage: $186.92
  • Blue Cross Blue Shield — MyBlueHealth: $1,188.07
  • Blue Cross Blue Shield — PPO: $1,834.23
  • Blue Cross Blue Shield — Traditional: $2,069.84
  • Cigna — HMO-PPO: $2,029.06
  • Coventry — National/Medical Rental Products: $1,925.75
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CT PELVIS W/CONTRAST $2,755 $1,377.50 $993.87 – $2,424.40
CT scan of the pelvis, with contrast: rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $2,424.40
  • HealthFirst — Commercial: $1,548.31
  • HealthSmart — Commercial: $2,286.65
  • Maestro Health/Fort Worth Firefighters — Commercial: $1,472.82
  • Multiplan — Commercial: $2,396.85
  • PHCS — Commercial: $2,080.03
  • QuikTrip — Commercial: $1,735.65
  • Rockwall County — Commercial: $1,928.50
  • United Healthcare — Managed Medicaid: $993.87
  • United Healthcare W500 — Commercial: $1,989.11
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL $204 $153 $51.06 – $1,438.62
MRI of a leg joint (such as the knee), without contrast: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,243.77
  • Aetna — Whole Health: $1,243.77
  • Aetna Better Health — Managed Medicaid: $58.72
  • Blue Cross Blue Shield — HMO: $130.43
  • Blue Cross Blue Shield — Medicare Advantage: $211.49
  • Blue Cross Blue Shield — MyBlueHealth: $85.81
  • Blue Cross Blue Shield — PPO: $443.48
  • Blue Cross Blue Shield — Traditional: $130.64
  • Cigna — HMO-PPO: $1,350.85
  • Coventry — National/Medical Rental Products: $708.75
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MRI LWR EXT JOINT W/O CONT $2,769 $1,384.50 $210.84 – $2,647.10
MRI of a leg joint (such as the knee), without contrast: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,566
  • Aetna — Whole Health: $1,253
  • Aetna Better Health — Managed Medicaid: $231.92
  • Blue Cross Blue Shield — HMO: $2,111.11
  • Blue Cross Blue Shield — Medicare Advantage: $253.81
  • Blue Cross Blue Shield — MyBlueHealth: $1,519.42
  • Blue Cross Blue Shield — PPO: $2,345.78
  • Blue Cross Blue Shield — Traditional: $2,647.10
  • Cigna — HMO-PPO: $2,039.37
  • Coventry — National/Medical Rental Products: $1,935.53
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MRI LWR EXT JOINT W/O CONT $2,769 $1,384.50 $998.92 – $2,436.72
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $2,436.72
  • HealthFirst — Commercial: $1,556.18
  • HealthSmart — Commercial: $2,298.27
  • Maestro Health/Fort Worth Firefighters — Commercial: $1,480.31
  • Multiplan — Commercial: $2,409.03
  • PHCS — Commercial: $2,090.60
  • QuikTrip — Commercial: $1,744.47
  • Rockwall County — Commercial: $1,938.30
  • United Healthcare — Managed Medicaid: $998.92
  • United Healthcare W500 — Commercial: $1,999.22
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: CT ABDOMEN & PELVIS W/CONTRAST MATERIAL $272 $204 $68.16 – $1,012.30
CT scan of the abdomen and pelvis, with contrast: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,012.30
  • Aetna — Whole Health: $1,012.30
  • Aetna Better Health — Managed Medicaid: $78.38
  • Blue Cross Blue Shield — HMO: $174.80
  • Blue Cross Blue Shield — Medicare Advantage: $314.03
  • Blue Cross Blue Shield — MyBlueHealth: $115
  • Blue Cross Blue Shield — PPO: $606.83
  • Blue Cross Blue Shield — Traditional: $175.08
  • Cigna — HMO-PPO: $921.68
  • Coventry — National/Medical Rental Products: $543.95
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CT ABDOMEN & PELVIS WITH CONTRAST $3,946 $1,973 $318.09 – $4,337.43
CT scan of the abdomen and pelvis, with contrast: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,241
  • Aetna — Whole Health: $993
  • Aetna Better Health — Managed Medicaid: $349.90
  • Blue Cross Blue Shield — HMO: $3,459.18
  • Blue Cross Blue Shield — Medicare Advantage: $374.99
  • Blue Cross Blue Shield — MyBlueHealth: $2,489.66
  • Blue Cross Blue Shield — PPO: $3,843.70
  • Blue Cross Blue Shield — Traditional: $4,337.43
  • Cigna — HMO-PPO: $2,906.23
  • Coventry — National/Medical Rental Products: $2,758.25
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CT ABDOMEN & PELVIS WITH CONTRAST $3,946 $1,973 $1,423.52 – $3,472.48
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $3,472.48
  • HealthFirst — Commercial: $2,217.65
  • HealthSmart — Commercial: $3,275.18
  • Maestro Health/Fort Worth Firefighters — Commercial: $2,109.53
  • Multiplan — Commercial: $3,433.02
  • PHCS — Commercial: $2,979.23
  • QuikTrip — Commercial: $2,485.98
  • Rockwall County — Commercial: $2,762.20
  • United Healthcare — Managed Medicaid: $1,423.52
  • United Healthcare W500 — Commercial: $2,849.01
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION $402 $301.50 $30.21 – $407.95
Ultrasound of the abdomen, complete: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $406.71
  • Aetna — Whole Health: $406.71
  • Aetna Better Health — Managed Medicaid: $34.74
  • Blue Cross Blue Shield — HMO: $77.31
  • Blue Cross Blue Shield — Medicare Advantage: $118.18
  • Blue Cross Blue Shield — MyBlueHealth: $50.86
  • Blue Cross Blue Shield — PPO: $231.52
  • Blue Cross Blue Shield — Traditional: $77.44
  • Cigna — HMO-PPO: $383.06
  • Coventry — National/Medical Rental Products: $218.32
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG US ABDOMEN CMPL $871 $435.50 $106.34 – $766.48
Ultrasound of the abdomen, complete: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $421.56
  • Aetna — Whole Health: $337.08
  • Aetna Better Health — Managed Medicaid: $117.57
  • Blue Cross Blue Shield — HMO: $545.61
  • Blue Cross Blue Shield — Medicare Advantage: $111.66
  • Blue Cross Blue Shield — MyBlueHealth: $392.73
  • Blue Cross Blue Shield — PPO: $606.24
  • Blue Cross Blue Shield — Traditional: $684.14
  • Cigna — HMO-PPO: $641.49
  • Coventry — National/Medical Rental Products: $608.83
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG US ABDOMEN CMPL $871 $435.50 $314.21 – $766.48
Ultrasound of the abdomen, complete: rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $766.48
  • HealthFirst — Commercial: $489.50
  • HealthSmart — Commercial: $722.93
  • Maestro Health/Fort Worth Firefighters — Commercial: $465.64
  • Multiplan — Commercial: $757.77
  • PHCS — Commercial: $657.61
  • QuikTrip — Commercial: $548.73
  • Rockwall County — Commercial: $609.70
  • United Healthcare — Managed Medicaid: $314.21
  • United Healthcare W500 — Commercial: $628.86
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee In the file: US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION $146 $109.50 $37.42 – $434.87
Pregnancy ultrasound (after the first trimester): 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $434.87
  • Aetna — Whole Health: $434.87
  • Aetna Better Health — Managed Medicaid: $43.03
  • Blue Cross Blue Shield — HMO: $96.14
  • Blue Cross Blue Shield — Medicare Advantage: $137.36
  • Blue Cross Blue Shield — MyBlueHealth: $63.25
  • Blue Cross Blue Shield — PPO: $267.97
  • Blue Cross Blue Shield — Traditional: $96.30
  • Cigna — HMO-PPO: $406.22
  • Coventry — National/Medical Rental Products: $231.84
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee In the file: ULTRASOUND PREG UTER AFTER FIRST TRIMESTER MORE THAN 14 WKS 0 $448 $336 $37.42 – $434.87
Pregnancy ultrasound (after the first trimester): 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $434.87
  • Aetna — Whole Health: $434.87
  • Aetna Better Health — Managed Medicaid: $43.03
  • Blue Cross Blue Shield — HMO: $96.14
  • Blue Cross Blue Shield — Medicare Advantage: $137.36
  • Blue Cross Blue Shield — MyBlueHealth: $63.25
  • Blue Cross Blue Shield — PPO: $267.97
  • Blue Cross Blue Shield — Traditional: $96.30
  • Cigna — HMO-PPO: $406.22
  • Coventry — National/Medical Rental Products: $231.84
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG US PREGNANCY >14 WEEKS SINGLE $785 $392.50 $106.34 – $690.80
Pregnancy ultrasound (after the first trimester): 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $379.94
  • Aetna — Whole Health: $303.80
  • Aetna Better Health — Managed Medicaid: $117.57
  • Blue Cross Blue Shield — HMO: $445.62
  • Blue Cross Blue Shield — Medicare Advantage: $111.66
  • Blue Cross Blue Shield — MyBlueHealth: $320.76
  • Blue Cross Blue Shield — PPO: $495.14
  • Blue Cross Blue Shield — Traditional: $558.76
  • Cigna — HMO-PPO: $578.15
  • Coventry — National/Medical Rental Products: $548.72
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: US TRANSVAGINAL $103 $77.25 $25.93 – $362.82
Transvaginal ultrasound: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $357.05
  • Aetna — Whole Health: $357.05
  • Aetna Better Health — Managed Medicaid: $29.82
  • Blue Cross Blue Shield — HMO: $66.56
  • Blue Cross Blue Shield — Medicare Advantage: $120.60
  • Blue Cross Blue Shield — MyBlueHealth: $43.79
  • Blue Cross Blue Shield — PPO: $232.20
  • Blue Cross Blue Shield — Traditional: $66.67
  • Cigna — HMO-PPO: $340.69
  • Coventry — National/Medical Rental Products: $196.14
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: PG DIAGNOSTIC ULTRASOUND $157 $117.75 $25.93 – $362.82
Transvaginal ultrasound: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $357.05
  • Aetna — Whole Health: $357.05
  • Aetna Better Health — Managed Medicaid: $29.82
  • Blue Cross Blue Shield — HMO: $66.56
  • Blue Cross Blue Shield — Medicare Advantage: $120.60
  • Blue Cross Blue Shield — MyBlueHealth: $43.79
  • Blue Cross Blue Shield — PPO: $232.20
  • Blue Cross Blue Shield — Traditional: $66.67
  • Cigna — HMO-PPO: $340.69
  • Coventry — National/Medical Rental Products: $196.14
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: SONO PELVIC TRANSVAG LIMITED $375 $281.25 $25.93 – $362.82
Transvaginal ultrasound: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $357.05
  • Aetna — Whole Health: $357.05
  • Aetna Better Health — Managed Medicaid: $29.82
  • Blue Cross Blue Shield — HMO: $66.56
  • Blue Cross Blue Shield — Medicare Advantage: $120.60
  • Blue Cross Blue Shield — MyBlueHealth: $43.79
  • Blue Cross Blue Shield — PPO: $232.20
  • Blue Cross Blue Shield — Traditional: $66.67
  • Cigna — HMO-PPO: $340.69
  • Coventry — National/Medical Rental Products: $196.14
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee In the file: DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI $541 $405.75 $30.47 – $486.90
Diagnostic mammogram, one breast: 10 of 31 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $404.33
  • Aetna — Whole Health: $404.33
  • Aetna Better Health — Managed Medicaid: $35.04
  • Blue Cross Blue Shield — HMO: $77.99
  • Blue Cross Blue Shield — Medicare Advantage: $128.78
  • Blue Cross Blue Shield — MyBlueHealth: $51.31
  • Blue Cross Blue Shield — PPO: $254.47
  • Blue Cross Blue Shield — Traditional: $78.11
  • Cigna — HMO-PPO: $346.24
  • Galaxy Health Network — Commercial: $486.90
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MAMMOGRAM DIAG UNILATERAL INCL CAD $614 $307 $88.70 – $574.14
Diagnostic mammogram, one breast: 10 of 25 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $297.18
  • Aetna — Whole Health: $237.62
  • Aetna Better Health — Managed Medicaid: $88.70
  • Blue Cross Blue Shield — HMO: $457.88
  • Blue Cross Blue Shield — MyBlueHealth: $329.59
  • Blue Cross Blue Shield — PPO: $508.77
  • Blue Cross Blue Shield — Traditional: $574.14
  • Cigna — HMO-PPO: $452.21
  • Coventry — National/Medical Rental Products: $429.19
  • Galaxy Health Network — Commercial: $540.32
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MAMMOGRAM DIAG UNILATERAL INCL CAD $614 $307 $221.50 – $540.32
Diagnostic mammogram, one breast: rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $540.32
  • HealthFirst — Commercial: $345.07
  • HealthSmart — Commercial: $509.62
  • Maestro Health/Fort Worth Firefighters — Commercial: $328.24
  • Multiplan — Commercial: $534.18
  • PHCS — Commercial: $463.57
  • QuikTrip — Commercial: $386.82
  • Rockwall County — Commercial: $429.80
  • United Healthcare — Managed Medicaid: $221.50
  • United Healthcare W500 — Commercial: $443.31
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee In the file: DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI $686 $514.50 $37.42 – $617.40
Diagnostic mammogram, both breasts: 10 of 31 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $513.07
  • Aetna — Whole Health: $513.07
  • Aetna Better Health — Managed Medicaid: $43.03
  • Blue Cross Blue Shield — HMO: $96.14
  • Blue Cross Blue Shield — Medicare Advantage: $162.33
  • Blue Cross Blue Shield — MyBlueHealth: $63.25
  • Blue Cross Blue Shield — PPO: $321.98
  • Blue Cross Blue Shield — Traditional: $96.30
  • Cigna — HMO-PPO: $439.25
  • Galaxy Health Network — Commercial: $617.40
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MAMMOGRAM DIAG BILAT INCL CAD $787 $393.50 $113.69 – $734.74
Diagnostic mammogram, both breasts: 10 of 25 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $380.91
  • Aetna — Whole Health: $304.57
  • Aetna Better Health — Managed Medicaid: $113.69
  • Blue Cross Blue Shield — HMO: $585.96
  • Blue Cross Blue Shield — MyBlueHealth: $421.78
  • Blue Cross Blue Shield — PPO: $651.08
  • Blue Cross Blue Shield — Traditional: $734.74
  • Cigna — HMO-PPO: $579.63
  • Coventry — National/Medical Rental Products: $550.11
  • Galaxy Health Network — Commercial: $692.56
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MAMMOGRAM DIAG BILAT INCL CAD $787 $393.50 $283.91 – $692.56
Diagnostic mammogram, both breasts: rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $692.56
  • HealthFirst — Commercial: $442.29
  • HealthSmart — Commercial: $653.21
  • Maestro Health/Fort Worth Firefighters — Commercial: $420.73
  • Multiplan — Commercial: $684.69
  • PHCS — Commercial: $594.19
  • QuikTrip — Commercial: $495.81
  • Rockwall County — Commercial: $550.90
  • United Healthcare — Managed Medicaid: $283.91
  • United Healthcare W500 — Commercial: $568.21
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Doctor (professional) fee In the file: SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD $381 $285.75 $28.60 – $414.28
Screening mammogram, both breasts: 10 of 31 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $414.28
  • Aetna — Whole Health: $414.28
  • Aetna Better Health — Managed Medicaid: $32.89
  • Blue Cross Blue Shield — HMO: $72.61
  • Blue Cross Blue Shield — Medicare Advantage: $131.55
  • Blue Cross Blue Shield — MyBlueHealth: $47.77
  • Blue Cross Blue Shield — PPO: $259.20
  • Blue Cross Blue Shield — Traditional: $72.73
  • Cigna — HMO-PPO: $354.51
  • Galaxy Health Network — Commercial: $342.90
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG MAMMOGRAM SCRN BILAT INCL CAD $520 $260 $75.12 – $607.16
Screening mammogram, both breasts: 10 of 25 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $251.68
  • Aetna — Whole Health: $201.24
  • Aetna Better Health — Managed Medicaid: $75.12
  • Blue Cross Blue Shield — HMO: $484.22
  • Blue Cross Blue Shield — MyBlueHealth: $348.54
  • Blue Cross Blue Shield — PPO: $538.03
  • Blue Cross Blue Shield — Traditional: $607.16
  • Cigna — HMO-PPO: $382.98
  • Coventry — National/Medical Rental Products: $363.48
  • Galaxy Health Network — Commercial: $457.60
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG MAMMOGRAM SCRN BILAT INCL CAD $520 $260 $187.59 – $457.60
Screening mammogram, both breasts: rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $457.60
  • HealthFirst — Commercial: $292.24
  • HealthSmart — Commercial: $431.60
  • Maestro Health/Fort Worth Firefighters — Commercial: $277.99
  • Multiplan — Commercial: $452.40
  • PHCS — Commercial: $392.60
  • QuikTrip — Commercial: $327.60
  • Rockwall County — Commercial: $364
  • United Healthcare — Managed Medicaid: $187.59
  • United Healthcare W500 — Commercial: $375.44

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: ECG ROUTINE ECG W/LEAST 12 LDS W/I&R $132 $99 $11.49 – $118.80
Electrocardiogram (ECG/EKG) with reading: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $84.88
  • Aetna — Whole Health: $84.88
  • Aetna Better Health — Managed Medicaid: $13.21
  • Blue Cross Blue Shield — HMO: $38.66
  • Blue Cross Blue Shield — Medicare Advantage: $14.64
  • Blue Cross Blue Shield — MyBlueHealth: $27.92
  • Blue Cross Blue Shield — PPO: $38.93
  • Blue Cross Blue Shield — Traditional: $27.12
  • Cigna — HMO-PPO: $61.21
  • Coventry — National/Medical Rental Products: $38.43
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE Not listed in the file Not listed in the file $89.49 – $155.92
Electrocardiogram (ECG/EKG) with reading: rates for 4 insurance plans
  • Blue Cross Blue Shield — HMO: $124.34
  • Blue Cross Blue Shield — MyBlueHealth: $89.49
  • Blue Cross Blue Shield — PPO: $138.16
  • Blue Cross Blue Shield — Traditional: $155.92
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee In the file: L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I $1,102 $826.50 $390.35 – $3,869.89
Left heart catheterization (diagnostic): 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $3,412.29
  • Aetna — Whole Health: $3,412.29
  • Aetna Better Health — Managed Medicaid: $829.98
  • Blue Cross Blue Shield — HMO: $557.47
  • Blue Cross Blue Shield — Medicare Advantage: $874.39
  • Blue Cross Blue Shield — MyBlueHealth: $401.89
  • Blue Cross Blue Shield — PPO: $1,995.56
  • Blue Cross Blue Shield — Traditional: $390.35
  • Cigna — HMO-PPO: $2,630.27
  • Coventry — National/Medical Rental Products: $1,779.03
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CATH LEFT HEART W/ VENTRICULOGRAPY $15,002 $7,501 $2,167.19 – $19,062
Left heart catheterization (diagnostic): 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $7,260.97
  • Aetna — Whole Health: $5,805.77
  • Aetna Better Health — Managed Medicaid: $2,167.19
  • Blue Cross Blue Shield — HMO: $11,331.40
  • Blue Cross Blue Shield — Medicare Advantage: $3,377.23
  • Blue Cross Blue Shield — MyBlueHealth: $8,145.16
  • Blue Cross Blue Shield — PPO: $12,591.08
  • Blue Cross Blue Shield — Traditional: $11,083.46
  • Cigna — HMO-PPO: $11,048.97
  • Coventry — National/Medical Rental Products: $10,486.40
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CATH LEFT HEART W/ VENTRICULOGRAPY $15,002 $7,501 $5,411.97 – $13,201.76
Left heart catheterization (diagnostic): rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $13,201.76
  • HealthFirst — Commercial: $8,431.12
  • HealthSmart — Commercial: $12,451.66
  • Maestro Health/Fort Worth Firefighters — Commercial: $8,020.07
  • Multiplan — Commercial: $13,051.74
  • PHCS — Commercial: $11,326.51
  • QuikTrip — Commercial: $9,451.26
  • Rockwall County — Commercial: $10,501.40
  • United Healthcare — Managed Medicaid: $5,411.97
  • United Healthcare W500 — Commercial: $10,831.44
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION $1,929 $1,446.75 $359.65 – $2,329.76
Heart rhythm study (electrophysiology evaluation): 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,214.66
  • Aetna — Whole Health: $1,214.66
  • Aetna Better Health — Managed Medicaid: $666.90
  • Blue Cross Blue Shield — HMO: $858.89
  • Blue Cross Blue Shield — Medicare Advantage: $377.63
  • Blue Cross Blue Shield — MyBlueHealth: $661.28
  • Blue Cross Blue Shield — PPO: $862.07
  • Blue Cross Blue Shield — Traditional: $642.29
  • Cigna — HMO-PPO: $2,329.76
  • Coventry — National/Medical Rental Products: $1,436.13
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG EP COMPREHENSIVE W/O ARRHYTHMIA $24,915 $12,457.50 $2,648 – $36,544.37
Heart rhythm study (electrophysiology evaluation): 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $12,058.86
  • Aetna — Whole Health: $9,642.11
  • Aetna Better Health — Managed Medicaid: $3,599.22
  • Blue Cross Blue Shield — HMO: $29,146.04
  • Blue Cross Blue Shield — Medicare Advantage: $7,967.51
  • Blue Cross Blue Shield — MyBlueHealth: $20,976.67
  • Blue Cross Blue Shield — PPO: $32,383.18
  • Blue Cross Blue Shield — Traditional: $36,544.37
  • Cigna — HMO-PPO: $18,349.90
  • Coventry — National/Medical Rental Products: $17,415.59
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG EP COMPREHENSIVE W/O ARRHYTHMIA $24,915 $12,457.50 $8,988.09 – $21,925.20
Heart rhythm study (electrophysiology evaluation): rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $21,925.20
  • HealthFirst — Commercial: $14,002.23
  • HealthSmart — Commercial: $20,679.45
  • Maestro Health/Fort Worth Firefighters — Commercial: $13,319.56
  • Multiplan — Commercial: $21,676.05
  • PHCS — Commercial: $18,810.83
  • QuikTrip — Commercial: $15,696.45
  • Rockwall County — Commercial: $17,440.50
  • United Healthcare — Managed Medicaid: $8,988.09
  • United Healthcare W500 — Commercial: $17,988.63
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG TX ATRIAL FIB PULM VEIN ISOL $80,213 $40,106.50 $2,648 – $126,882.59
Heart rhythm study with ablation for atrial fibrillation: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $38,823.09
  • Aetna — Whole Health: $31,042.43
  • Aetna Better Health — Managed Medicaid: $11,587.57
  • Blue Cross Blue Shield — HMO: $101,195.46
  • Blue Cross Blue Shield — Medicare Advantage: $25,758.92
  • Blue Cross Blue Shield — MyBlueHealth: $72,831.30
  • Blue Cross Blue Shield — PPO: $112,434.86
  • Blue Cross Blue Shield — Traditional: $126,882.59
  • Cigna — HMO-PPO: $59,076.87
  • Coventry — National/Medical Rental Products: $56,068.89
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION $4,378 $3,283.50 $748.72 – $4,359.91
Heart rhythm study with ablation for atrial fibrillation: 10 of 32 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $4,359.91
  • Aetna — Whole Health: $4,359.91
  • Aetna Better Health — Managed Medicaid: $861.03
  • Blue Cross Blue Shield — HMO: $2,634.01
  • Blue Cross Blue Shield — Medicare Advantage: $933.56
  • Blue Cross Blue Shield — MyBlueHealth: $1,901.83
  • Blue Cross Blue Shield — PPO: $2,652.63
  • Blue Cross Blue Shield — Traditional: $1,847.22
  • Cigna — HMO-PPO: $3,404.76
  • Galaxy Health Network — Commercial: $3,940.20
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG TX ATRIAL FIB PULM VEIN ISOL $80,213 $40,106.50 $28,936.84 – $70,587.44
Heart rhythm study with ablation for atrial fibrillation: rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $70,587.44
  • HealthFirst — Commercial: $45,079.71
  • HealthSmart — Commercial: $66,576.79
  • Maestro Health/Fort Worth Firefighters — Commercial: $42,881.87
  • Multiplan — Commercial: $69,785.31
  • PHCS — Commercial: $60,560.82
  • QuikTrip — Commercial: $50,534.19
  • Rockwall County — Commercial: $56,149.10
  • United Healthcare — Managed Medicaid: $28,936.84
  • United Healthcare W500 — Commercial: $57,913.79
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND $3,128 $2,346 $194.89 – $3,170.48
Sleep study (overnight, in a sleep lab): 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $3,102.45
  • Aetna — Whole Health: $3,102.45
  • Aetna Better Health — Managed Medicaid: $557.93
  • Blue Cross Blue Shield — HMO: $278.33
  • Blue Cross Blue Shield — Medicare Advantage: $642.61
  • Blue Cross Blue Shield — MyBlueHealth: $200.65
  • Blue Cross Blue Shield — PPO: $1,407.43
  • Blue Cross Blue Shield — Traditional: $194.89
  • Cigna — HMO-PPO: $2,154.89
  • Coventry — National/Medical Rental Products: $1,343.98
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PSG 4+ PARAMETERS $3,175 $1,587.50 $458.66 – $3,990
Sleep study (overnight, in a sleep lab): 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,536.70
  • Aetna — Whole Health: $1,228.73
  • Aetna Better Health — Managed Medicaid: $458.66
  • Blue Cross Blue Shield — HMO: $2,480.65
  • Blue Cross Blue Shield — Medicare Advantage: $1,068.26
  • Blue Cross Blue Shield — MyBlueHealth: $1,785.35
  • Blue Cross Blue Shield — PPO: $2,756.17
  • Blue Cross Blue Shield — Traditional: $3,110.34
  • Cigna — HMO-PPO: $2,338.39
  • Coventry — National/Medical Rental Products: $2,219.33
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PSG 4+ PARAMETERS $3,175 $1,587.50 $1,145.38 – $2,794
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $2,794
  • HealthFirst — Commercial: $1,784.35
  • HealthSmart — Commercial: $2,635.25
  • Maestro Health/Fort Worth Firefighters — Commercial: $1,697.36
  • Multiplan — Commercial: $2,762.25
  • PHCS — Commercial: $2,397.13
  • QuikTrip — Commercial: $2,000.25
  • Rockwall County — Commercial: $2,222.50
  • United Healthcare — Managed Medicaid: $1,145.38
  • United Healthcare W500 — Commercial: $2,292.35

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Doctor (professional) fee In the file: THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES $157 $117.75 $29.01 – $141.30
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $114.07
  • Aetna — Whole Health: $114.07
  • Blue Cross Blue Shield — HMO: $70.07
  • Blue Cross Blue Shield — Medicare Advantage: $30.46
  • Blue Cross Blue Shield — MyBlueHealth: $50.60
  • Blue Cross Blue Shield — PPO: $70.57
  • Blue Cross Blue Shield — Traditional: $49.15
  • Cigna — HMO-PPO: $92.05
  • Coventry — National/Medical Rental Products: $61.94
  • Galaxy Health Network — Commercial: $141.30
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Doctor (professional) fee In the file: THERAPEUTIC PROCEDURE, EACH 15 MINUTES $115 $86.25 $29.01 – $135.43
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $114.07
  • Aetna — Whole Health: $114.07
  • Blue Cross Blue Shield — HMO: $70.07
  • Blue Cross Blue Shield — Medicare Advantage: $30.46
  • Blue Cross Blue Shield — MyBlueHealth: $50.60
  • Blue Cross Blue Shield — PPO: $70.57
  • Blue Cross Blue Shield — Traditional: $49.15
  • Cigna — HMO-PPO: $92.05
  • Coventry — National/Medical Rental Products: $61.94
  • Galaxy Health Network — Commercial: $103.50
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG EXERCISE THERAPEUTIC 15 MIN $239 $119.50 $34.53 – $298
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $115.68
  • Aetna — Whole Health: $92.49
  • Aetna Better Health — Managed Medicaid: $34.53
  • Blue Cross Blue Shield — HMO: $155.25
  • Blue Cross Blue Shield — MyBlueHealth: $111.73
  • Blue Cross Blue Shield — PPO: $172.49
  • Blue Cross Blue Shield — Traditional: $194.65
  • Cigna — HMO-PPO: $176.02
  • Coventry — National/Medical Rental Products: $167.06
  • Galaxy Health Network — Commercial: $210.32
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Doctor (professional) fee In the file: PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $327 $245.25 $90.42 – $329.99
Physical therapy evaluation (low complexity): 10 of 31 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $329.99
  • Aetna — Whole Health: $329.99
  • Aetna Better Health — Managed Medicaid: $133.62
  • Blue Cross Blue Shield — HMO: $193.32
  • Blue Cross Blue Shield — Medicare Advantage: $103.67
  • Blue Cross Blue Shield — MyBlueHealth: $139.58
  • Blue Cross Blue Shield — PPO: $194.68
  • Blue Cross Blue Shield — Traditional: $135.58
  • Cigna — HMO-PPO: $241
  • Galaxy Health Network — Commercial: $294.30
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PT EVALUATION LOW COMPLEXITY $428 $214 $61.83 – $537.02
Physical therapy evaluation (low complexity): 10 of 25 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $207.15
  • Aetna — Whole Health: $165.64
  • Aetna Better Health — Managed Medicaid: $61.83
  • Blue Cross Blue Shield — HMO: $428.30
  • Blue Cross Blue Shield — MyBlueHealth: $308.25
  • Blue Cross Blue Shield — PPO: $475.87
  • Blue Cross Blue Shield — Traditional: $537.02
  • Cigna — HMO-PPO: $315.22
  • Coventry — National/Medical Rental Products: $299.17
  • Galaxy Health Network — Commercial: $376.64
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PT EVALUATION LOW COMPLEXITY $428 $214 $154.40 – $376.64
Physical therapy evaluation (low complexity): rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $376.64
  • HealthFirst — Commercial: $240.54
  • HealthSmart — Commercial: $355.24
  • Maestro Health/Fort Worth Firefighters — Commercial: $228.81
  • Multiplan — Commercial: $372.36
  • PHCS — Commercial: $323.14
  • QuikTrip — Commercial: $269.64
  • Rockwall County — Commercial: $299.60
  • United Healthcare — Managed Medicaid: $154.40
  • United Healthcare W500 — Commercial: $309.02
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Doctor (professional) fee In the file: PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $369 $276.75 $90.42 – $332.10
Physical therapy evaluation (moderate complexity): 10 of 31 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $329.99
  • Aetna — Whole Health: $329.99
  • Aetna Better Health — Managed Medicaid: $133.62
  • Blue Cross Blue Shield — HMO: $193.32
  • Blue Cross Blue Shield — Medicare Advantage: $103.67
  • Blue Cross Blue Shield — MyBlueHealth: $139.58
  • Blue Cross Blue Shield — PPO: $194.68
  • Blue Cross Blue Shield — Traditional: $135.58
  • Cigna — HMO-PPO: $241
  • Galaxy Health Network — Commercial: $332.10
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PT EVALUATION MODERATE COMPLEXITY $497 $248.50 $71.80 – $537.02
Physical therapy evaluation (moderate complexity): 10 of 25 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $240.55
  • Aetna — Whole Health: $192.34
  • Aetna Better Health — Managed Medicaid: $71.80
  • Blue Cross Blue Shield — HMO: $428.30
  • Blue Cross Blue Shield — MyBlueHealth: $308.25
  • Blue Cross Blue Shield — PPO: $475.87
  • Blue Cross Blue Shield — Traditional: $537.02
  • Cigna — HMO-PPO: $366.04
  • Coventry — National/Medical Rental Products: $347.40
  • Galaxy Health Network — Commercial: $437.36
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PT EVALUATION MODERATE COMPLEXITY $497 $248.50 $179.29 – $437.36
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $437.36
  • HealthFirst — Commercial: $279.31
  • HealthSmart — Commercial: $412.51
  • Maestro Health/Fort Worth Firefighters — Commercial: $265.70
  • Multiplan — Commercial: $432.39
  • PHCS — Commercial: $375.24
  • QuikTrip — Commercial: $313.11
  • Rockwall County — Commercial: $347.90
  • United Healthcare — Managed Medicaid: $179.29
  • United Healthcare W500 — Commercial: $358.83
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Doctor (professional) fee In the file: PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $332 $249 $90.42 – $329.99
Physical therapy evaluation (high complexity): 10 of 31 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $329.99
  • Aetna — Whole Health: $329.99
  • Aetna Better Health — Managed Medicaid: $133.62
  • Blue Cross Blue Shield — HMO: $193.32
  • Blue Cross Blue Shield — Medicare Advantage: $103.67
  • Blue Cross Blue Shield — MyBlueHealth: $139.58
  • Blue Cross Blue Shield — PPO: $194.68
  • Blue Cross Blue Shield — Traditional: $135.58
  • Cigna — HMO-PPO: $241
  • Galaxy Health Network — Commercial: $298.80
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PT EVALUATION HIGH COMPLEXITY $612 $306 $88.41 – $538.56
Physical therapy evaluation (high complexity): 10 of 25 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $296.21
  • Aetna — Whole Health: $236.84
  • Aetna Better Health — Managed Medicaid: $88.41
  • Blue Cross Blue Shield — HMO: $428.30
  • Blue Cross Blue Shield — MyBlueHealth: $308.25
  • Blue Cross Blue Shield — PPO: $475.87
  • Blue Cross Blue Shield — Traditional: $537.02
  • Cigna — HMO-PPO: $450.74
  • Coventry — National/Medical Rental Products: $427.79
  • Galaxy Health Network — Commercial: $538.56
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PT EVALUATION HIGH COMPLEXITY $612 $306 $220.78 – $538.56
Physical therapy evaluation (high complexity): rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $538.56
  • HealthFirst — Commercial: $343.94
  • HealthSmart — Commercial: $507.96
  • Maestro Health/Fort Worth Firefighters — Commercial: $327.18
  • Multiplan — Commercial: $532.44
  • PHCS — Commercial: $462.06
  • QuikTrip — Commercial: $385.56
  • Rockwall County — Commercial: $428.40
  • United Healthcare — Managed Medicaid: $220.78
  • United Healthcare W500 — Commercial: $441.86
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYCHOTHERAPY W/PATIENT 30 MINUTES $250 $187.50 $52.66 – $227.07
Psychotherapy, 30 minutes: 10 of 36 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $227.07
  • Aetna — Whole Health: $227.07
  • Aetna Better Health — Managed Medicaid: $60.56
  • Blue Cross Blue Shield — HMO: $141.76
  • Blue Cross Blue Shield — Medicare Advantage: $72.92
  • Blue Cross Blue Shield — MyBlueHealth: $102.36
  • Blue Cross Blue Shield — PPO: $142.77
  • Blue Cross Blue Shield — Traditional: $99.42
  • Cigna — HMO-PPO: $152.67
  • Cigna Behavioral Health — Commercial: $106
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES $305 $228.75 $52.66 – $274.50
Psychotherapy, 30 minutes: 10 of 36 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $227.07
  • Aetna — Whole Health: $227.07
  • Aetna Better Health — Managed Medicaid: $60.56
  • Blue Cross Blue Shield — HMO: $141.76
  • Blue Cross Blue Shield — Medicare Advantage: $72.92
  • Blue Cross Blue Shield — MyBlueHealth: $102.36
  • Blue Cross Blue Shield — PPO: $142.77
  • Blue Cross Blue Shield — Traditional: $99.42
  • Cigna — HMO-PPO: $152.67
  • Cigna Behavioral Health — Commercial: $106
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PSYCHOTHERAPY 30MIN W PT $168 $84 $24.27 – $181.56
Psychotherapy, 30 minutes: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $81.31
  • Aetna — Whole Health: $65.02
  • Aetna Better Health — Managed Medicaid: $24.27
  • Blue Cross Blue Shield — HMO: $82.15
  • Blue Cross Blue Shield — Medicare Advantage: $168.70
  • Blue Cross Blue Shield — MyBlueHealth: $64.41
  • Blue Cross Blue Shield — PPO: $91.36
  • Blue Cross Blue Shield — Traditional: $97.49
  • Cigna — HMO-PPO: $123.73
  • Coventry — National/Medical Rental Products: $117.43
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES $333 $249.75 $69.77 – $302.18
Psychotherapy, 45 minutes: 10 of 36 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $302.18
  • Aetna — Whole Health: $302.18
  • Aetna Better Health — Managed Medicaid: $80.24
  • Blue Cross Blue Shield — HMO: $189.29
  • Blue Cross Blue Shield — Medicare Advantage: $96.22
  • Blue Cross Blue Shield — MyBlueHealth: $136.68
  • Blue Cross Blue Shield — PPO: $190.63
  • Blue Cross Blue Shield — Traditional: $132.75
  • Cigna — HMO-PPO: $229.04
  • Cigna Behavioral Health — Commercial: $141
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYCHOTHERAPY W/PATIENT 45 MINUTES $333 $249.75 $69.77 – $302.18
Psychotherapy, 45 minutes: 10 of 36 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $302.18
  • Aetna — Whole Health: $302.18
  • Aetna Better Health — Managed Medicaid: $80.24
  • Blue Cross Blue Shield — HMO: $189.29
  • Blue Cross Blue Shield — Medicare Advantage: $96.22
  • Blue Cross Blue Shield — MyBlueHealth: $136.68
  • Blue Cross Blue Shield — PPO: $190.63
  • Blue Cross Blue Shield — Traditional: $132.75
  • Cigna — HMO-PPO: $229.04
  • Cigna Behavioral Health — Commercial: $141
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PSYCHOTHERAPY 45MIN W PT $210 $105 $30.34 – $184.80
Psychotherapy, 45 minutes: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $101.64
  • Aetna — Whole Health: $81.27
  • Aetna Better Health — Managed Medicaid: $30.34
  • Blue Cross Blue Shield — HMO: $102.69
  • Blue Cross Blue Shield — Medicare Advantage: $168.70
  • Blue Cross Blue Shield — MyBlueHealth: $80.51
  • Blue Cross Blue Shield — PPO: $114.20
  • Blue Cross Blue Shield — Traditional: $121.86
  • Cigna — HMO-PPO: $154.67
  • Coventry — National/Medical Rental Products: $146.79
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES $483 $362.25 $100 – $434.70
Psychotherapy, 60 minutes: 10 of 36 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $425.79
  • Aetna — Whole Health: $425.79
  • Aetna Better Health — Managed Medicaid: $118.66
  • Blue Cross Blue Shield — HMO: $284.34
  • Blue Cross Blue Shield — Medicare Advantage: $142.42
  • Blue Cross Blue Shield — MyBlueHealth: $205.30
  • Blue Cross Blue Shield — PPO: $286.35
  • Blue Cross Blue Shield — Traditional: $199.41
  • Cigna — HMO-PPO: $345.64
  • Cigna Behavioral Health — Commercial: $211
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYCHOTHERAPY W/PATIENT 60 MINUTES $501 $375.75 $100 – $450.90
Psychotherapy, 60 minutes: 10 of 36 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $425.79
  • Aetna — Whole Health: $425.79
  • Aetna Better Health — Managed Medicaid: $118.66
  • Blue Cross Blue Shield — HMO: $284.34
  • Blue Cross Blue Shield — Medicare Advantage: $142.42
  • Blue Cross Blue Shield — MyBlueHealth: $205.30
  • Blue Cross Blue Shield — PPO: $286.35
  • Blue Cross Blue Shield — Traditional: $199.41
  • Cigna — HMO-PPO: $345.64
  • Cigna Behavioral Health — Commercial: $211
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PSYCHOTHERAPY 60MIN W PT $312 $156 $45.07 – $274.56
Psychotherapy, 60 minutes: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $151.01
  • Aetna — Whole Health: $120.74
  • Aetna Better Health — Managed Medicaid: $45.07
  • Blue Cross Blue Shield — HMO: $152.57
  • Blue Cross Blue Shield — Medicare Advantage: $168.70
  • Blue Cross Blue Shield — MyBlueHealth: $119.62
  • Blue Cross Blue Shield — PPO: $169.67
  • Blue Cross Blue Shield — Traditional: $181.05
  • Cigna — HMO-PPO: $229.79
  • Coventry — National/Medical Rental Products: $218.09
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee In the file: FAMILY PSYCHOTHERAPY (W/O PATIENT PRESENT) $382 $286.50 $97.91 – $386.55
Family psychotherapy, without the patient: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $345.35
  • Aetna — Whole Health: $345.35
  • Blue Cross Blue Shield — HMO: $229.57
  • Blue Cross Blue Shield — Medicare Advantage: $104.07
  • Blue Cross Blue Shield — MyBlueHealth: $165.76
  • Blue Cross Blue Shield — PPO: $231.19
  • Blue Cross Blue Shield — Traditional: $161
  • Cigna — HMO-PPO: $254.29
  • Cigna Behavioral Health — Commercial: $164
  • Coventry — National/Medical Rental Products: $164.98
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee In the file: FAMILY THERAPY W/O PATIENT PRESENT-PSYCHOLOGIST $372 $279 $97.91 – $386.55
Family psychotherapy, without the patient: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $345.35
  • Aetna — Whole Health: $345.35
  • Blue Cross Blue Shield — HMO: $229.57
  • Blue Cross Blue Shield — Medicare Advantage: $104.07
  • Blue Cross Blue Shield — MyBlueHealth: $165.76
  • Blue Cross Blue Shield — PPO: $231.19
  • Blue Cross Blue Shield — Traditional: $161
  • Cigna — HMO-PPO: $254.29
  • Cigna Behavioral Health — Commercial: $164
  • Coventry — National/Medical Rental Products: $164.98
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee In the file: FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS $372 $279 $97.91 – $386.55
Family psychotherapy, without the patient: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $345.35
  • Aetna — Whole Health: $345.35
  • Blue Cross Blue Shield — HMO: $229.57
  • Blue Cross Blue Shield — Medicare Advantage: $104.07
  • Blue Cross Blue Shield — MyBlueHealth: $165.76
  • Blue Cross Blue Shield — PPO: $231.19
  • Blue Cross Blue Shield — Traditional: $161
  • Cigna — HMO-PPO: $254.29
  • Cigna Behavioral Health — Commercial: $164
  • Coventry — National/Medical Rental Products: $164.98
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS $442 $331.50 $78.32 – $481.58
Family psychotherapy, with the patient: 10 of 38 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $414.14
  • Aetna — Whole Health: $414.14
  • Aetna Better Health — Managed Medicaid: $90.07
  • Blue Cross Blue Shield — HMO: $238.43
  • Blue Cross Blue Shield — Medicare Advantage: $108.53
  • Blue Cross Blue Shield — MyBlueHealth: $172.15
  • Blue Cross Blue Shield — PPO: $240.11
  • Blue Cross Blue Shield — Traditional: $167.21
  • Cigna — HMO-PPO: $302.01
  • Cigna Behavioral Health — Commercial: $171
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: FAMILY PSYCHOTHERAPY (CONJOINT PSYCHOTHERAPY) (W/PATIENT PRESENT) $454 $340.50 $78.32 – $481.58
Family psychotherapy, with the patient: 10 of 38 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $414.14
  • Aetna — Whole Health: $414.14
  • Aetna Better Health — Managed Medicaid: $90.07
  • Blue Cross Blue Shield — HMO: $238.43
  • Blue Cross Blue Shield — Medicare Advantage: $108.53
  • Blue Cross Blue Shield — MyBlueHealth: $172.15
  • Blue Cross Blue Shield — PPO: $240.11
  • Blue Cross Blue Shield — Traditional: $167.21
  • Cigna — HMO-PPO: $302.01
  • Cigna Behavioral Health — Commercial: $171
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: SPECIAL FAMILY THERAPY - PSYCHOLOGIST $442 $331.50 $78.32 – $481.58
Family psychotherapy, with the patient: 10 of 38 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $414.14
  • Aetna — Whole Health: $414.14
  • Aetna Better Health — Managed Medicaid: $90.07
  • Blue Cross Blue Shield — HMO: $238.43
  • Blue Cross Blue Shield — Medicare Advantage: $108.53
  • Blue Cross Blue Shield — MyBlueHealth: $172.15
  • Blue Cross Blue Shield — PPO: $240.11
  • Blue Cross Blue Shield — Traditional: $167.21
  • Cigna — HMO-PPO: $302.01
  • Cigna Behavioral Health — Commercial: $171
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee In the file: GROUP PSYCHOTHERAPY $139 $104.25 $18.44 – $146.38
Group psychotherapy: 10 of 38 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $118.41
  • Aetna — Whole Health: $118.41
  • Aetna Better Health — Managed Medicaid: $21.21
  • Blue Cross Blue Shield — HMO: $56.38
  • Blue Cross Blue Shield — Medicare Advantage: $25.65
  • Blue Cross Blue Shield — MyBlueHealth: $40.71
  • Blue Cross Blue Shield — PPO: $56.78
  • Blue Cross Blue Shield — Traditional: $39.54
  • Cigna — HMO-PPO: $92.10
  • Cigna Behavioral Health — Commercial: $42
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee In the file: GROUP THERAPY - PSYCHOLOGIST $130 $97.50 $18.44 – $146.38
Group psychotherapy: 10 of 38 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $118.41
  • Aetna — Whole Health: $118.41
  • Aetna Better Health — Managed Medicaid: $21.21
  • Blue Cross Blue Shield — HMO: $56.38
  • Blue Cross Blue Shield — Medicare Advantage: $25.65
  • Blue Cross Blue Shield — MyBlueHealth: $40.71
  • Blue Cross Blue Shield — PPO: $56.78
  • Blue Cross Blue Shield — Traditional: $39.54
  • Cigna — HMO-PPO: $92.10
  • Cigna Behavioral Health — Commercial: $42
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG GROUP THERAPY PATIENTS ONLY $280 $140 $40.45 – $246.40
Group psychotherapy: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $135.52
  • Aetna — Whole Health: $108.36
  • Aetna Better Health — Managed Medicaid: $40.45
  • Blue Cross Blue Shield — HMO: $136.92
  • Blue Cross Blue Shield — Medicare Advantage: $97.13
  • Blue Cross Blue Shield — MyBlueHealth: $107.35
  • Blue Cross Blue Shield — PPO: $152.26
  • Blue Cross Blue Shield — Traditional: $162.48
  • Cigna — HMO-PPO: $206.22
  • Coventry — National/Medical Rental Products: $195.72

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION $1,642 $1,231.50 $338.41 – $2,139.78
Removal of breast growth (open surgery): 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,458.30
  • Aetna — Whole Health: $1,458.30
  • Aetna Better Health — Managed Medicaid: $389.17
  • Blue Cross Blue Shield — HMO: $960.16
  • Blue Cross Blue Shield — Medicare Advantage: $430.77
  • Blue Cross Blue Shield — MyBlueHealth: $693.27
  • Blue Cross Blue Shield — PPO: $966.95
  • Blue Cross Blue Shield — Traditional: $673.36
  • Cigna — HMO-PPO: $1,228.13
  • Coventry — National/Medical Rental Products: $965
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG EXC CYST/LESN BREAST $3,161 $1,580.50 $963.66 – $13,384.55
Removal of breast growth (open surgery): 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,539.41
  • Aetna — Whole Health: $1,232.79
  • Aetna Better Health — Managed Medicaid: $1,060.03
  • Blue Cross Blue Shield — HMO: $12,045.49
  • Blue Cross Blue Shield — Medicare Advantage: $4,020.74
  • Blue Cross Blue Shield — MyBlueHealth: $8,658.45
  • Blue Cross Blue Shield — PPO: $13,384.55
  • Blue Cross Blue Shield — Traditional: $11,781.92
  • Cigna — HMO-PPO: $2,328.08
  • Coventry — National/Medical Rental Products: $2,209.54
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG EXC CYST/LESN BREAST $3,161 $1,580.50 $1,140.33 – $2,781.68
Removal of breast growth (open surgery): rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $2,781.68
  • HealthFirst — Commercial: $1,776.48
  • HealthSmart — Commercial: $2,623.63
  • Maestro Health/Fort Worth Firefighters — Commercial: $1,689.87
  • Multiplan — Commercial: $2,750.07
  • PHCS — Commercial: $2,386.56
  • QuikTrip — Commercial: $1,991.43
  • Rockwall County — Commercial: $2,212.70
  • United Healthcare — Managed Medicaid: $1,140.33
  • United Healthcare W500 — Commercial: $2,282.24
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT $5,584 $4,188 $1,026.18 – $6,579.90
Total hip replacement: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $5,553.13
  • Aetna — Whole Health: $5,553.13
  • Aetna Better Health — Managed Medicaid: $1,180.11
  • Blue Cross Blue Shield — HMO: $3,148.73
  • Blue Cross Blue Shield — Medicare Advantage: $1,316.51
  • Blue Cross Blue Shield — MyBlueHealth: $2,273.47
  • Blue Cross Blue Shield — PPO: $3,170.99
  • Blue Cross Blue Shield — Traditional: $2,208.19
  • Cigna — HMO-PPO: $4,446.91
  • Coventry — National/Medical Rental Products: $2,874.99
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $12,866.82 – $39,732
Total hip replacement: 10 of 14 insurance plan rates
  • Blue Cross Blue Shield — HMO: $44,187.34
  • Blue Cross Blue Shield — Medicare Advantage: $13,510.16
  • Blue Cross Blue Shield — MyBlueHealth: $31,751.09
  • Blue Cross Blue Shield — PPO: $49,090.43
  • Blue Cross Blue Shield — Traditional: $46,281.86
  • Humana — Medicare Advantage: $13,381.49
  • Molina — Medicare Advantage: $13,510.16
  • Procare — Medicare Advantage: $12,866.82
  • Superior — Medicare Advantage: $13,510.16
  • United Healthcare — Commercial: $31,034
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS $6,937 $5,202.75 $1,025.11 – $7,033.16
Total knee replacement: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $5,948.41
  • Aetna — Whole Health: $5,948.41
  • Aetna Better Health — Managed Medicaid: $1,178.88
  • Blue Cross Blue Shield — HMO: $3,147.12
  • Blue Cross Blue Shield — Medicare Advantage: $1,314.85
  • Blue Cross Blue Shield — MyBlueHealth: $2,272.31
  • Blue Cross Blue Shield — PPO: $3,169.37
  • Blue Cross Blue Shield — Traditional: $2,207.06
  • Cigna — HMO-PPO: $4,753.25
  • Coventry — National/Medical Rental Products: $3,071.48
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $12,866.82 – $39,732
Total knee replacement: 10 of 14 insurance plan rates
  • Blue Cross Blue Shield — HMO: $44,187.34
  • Blue Cross Blue Shield — Medicare Advantage: $13,510.16
  • Blue Cross Blue Shield — MyBlueHealth: $31,751.09
  • Blue Cross Blue Shield — PPO: $49,090.43
  • Blue Cross Blue Shield — Traditional: $46,281.86
  • Humana — Medicare Advantage: $13,381.49
  • Molina — Medicare Advantage: $13,510.16
  • Procare — Medicare Advantage: $12,866.82
  • Superior — Medicare Advantage: $13,510.16
  • United Healthcare — Commercial: $31,034
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS $2,801 $2,100.75 $136.59 – $3,023.51
Shoulder arthroscopy: shaving of shoulder bone: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $2,541.95
  • Aetna — Whole Health: $2,541.95
  • Aetna Better Health — Managed Medicaid: $157.08
  • Blue Cross Blue Shield — HMO: $408.39
  • Blue Cross Blue Shield — Medicare Advantage: $173.94
  • Blue Cross Blue Shield — MyBlueHealth: $294.87
  • Blue Cross Blue Shield — PPO: $411.28
  • Blue Cross Blue Shield — Traditional: $286.40
  • Cigna — HMO-PPO: $2,043.40
  • Coventry — National/Medical Rental Products: $353.79
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 $2,667
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans
  • United Healthcare — Commercial: $2,113
  • United Options Nexus — Commercial: $2,667
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG $2,881 $2,160.75 $436.51 – $2,921.09
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $2,408.86
  • Aetna — Whole Health: $2,408.86
  • Aetna Better Health — Managed Medicaid: $501.99
  • Blue Cross Blue Shield — HMO: $1,254.17
  • Blue Cross Blue Shield — Medicare Advantage: $563.93
  • Blue Cross Blue Shield — MyBlueHealth: $905.55
  • Blue Cross Blue Shield — PPO: $1,263.04
  • Blue Cross Blue Shield — Traditional: $879.55
  • Cigna — HMO-PPO: $1,974.18
  • Coventry — National/Medical Rental Products: $1,097.90
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file Not listed in the file $1,088.27 – $20,334
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 20 insurance plan rates
  • Aetna Better Health — Managed Medicaid: $1,197.10
  • Blue Cross Blue Shield — HMO: $10,884.10
  • Blue Cross Blue Shield — Medicare Advantage: $3,406.84
  • Blue Cross Blue Shield — MyBlueHealth: $7,823.63
  • Blue Cross Blue Shield — PPO: $12,094.05
  • Blue Cross Blue Shield — Traditional: $10,645.94
  • Humana — Medicare Advantage: $3,374.39
  • Molina — Managed Medicaid: $1,175.33
  • Molina — Medicare Advantage: $3,406.84
  • Parkland — Managed Medicaid: $1,088.27
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: TONSILLECTOMY & ADENOIDECTOMY <AGE 12 $1,039 $779.25 $287.55 – $1,353.41
Removal of tonsils and adenoids (under age 12): 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,096.99
  • Aetna — Whole Health: $1,096.99
  • Blue Cross Blue Shield — HMO: $668.57
  • Blue Cross Blue Shield — Medicare Advantage: $301.93
  • Blue Cross Blue Shield — MyBlueHealth: $482.73
  • Blue Cross Blue Shield — PPO: $673.29
  • Blue Cross Blue Shield — Traditional: $468.87
  • Cigna — HMO-PPO: $914.68
  • Coventry — National/Medical Rental Products: $598.27
  • Galaxy Health Network — Commercial: $935.10
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $1,954.22 – $12,019
Removal of tonsils and adenoids (under age 12): 10 of 20 insurance plan rates
  • Aetna Better Health — Managed Medicaid: $2,149.64
  • Blue Cross Blue Shield — HMO: $19,285.71
  • Blue Cross Blue Shield — Medicare Advantage: $6,211.44
  • Blue Cross Blue Shield — MyBlueHealth: $13,862.81
  • Blue Cross Blue Shield — PPO: $21,429.64
  • Blue Cross Blue Shield — Traditional: $18,863.71
  • Humana — Medicare Advantage: $6,152.29
  • Molina — Managed Medicaid: $2,110.56
  • Molina — Medicare Advantage: $6,211.44
  • Parkland — Managed Medicaid: $1,954.22
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC $1,045 $783.75 $97.03 – $1,361.25
Upper GI endoscopy (diagnostic): 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $568.98
  • Aetna — Whole Health: $568.98
  • Aetna Better Health — Managed Medicaid: $111.58
  • Blue Cross Blue Shield — HMO: $288.37
  • Blue Cross Blue Shield — Medicare Advantage: $123.93
  • Blue Cross Blue Shield — MyBlueHealth: $208.21
  • Blue Cross Blue Shield — PPO: $290.41
  • Blue Cross Blue Shield — Traditional: $202.23
  • Cigna — HMO-PPO: $457.75
  • Coventry — National/Medical Rental Products: $613.72
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG EGD W OR WO COLL SPECIMEN BY BRUSH OR WASH $3,051 $1,525.50 $334.95 – $6,261
Upper GI endoscopy (diagnostic): 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,476.68
  • Aetna — Whole Health: $1,180.74
  • Aetna Better Health — Managed Medicaid: $368.45
  • Blue Cross Blue Shield — HMO: $3,124.82
  • Blue Cross Blue Shield — Medicare Advantage: $984.44
  • Blue Cross Blue Shield — MyBlueHealth: $2,246.16
  • Blue Cross Blue Shield — PPO: $3,472.19
  • Blue Cross Blue Shield — Traditional: $3,056.44
  • Cigna — HMO-PPO: $2,247.06
  • Coventry — National/Medical Rental Products: $2,132.65
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG EGD W OR WO COLL SPECIMEN BY BRUSH OR WASH $3,051 $1,525.50 $1,100.65 – $2,684.88
Upper GI endoscopy (diagnostic): rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $2,684.88
  • HealthFirst — Commercial: $1,714.66
  • HealthSmart — Commercial: $2,532.33
  • Maestro Health/Fort Worth Firefighters — Commercial: $1,631.06
  • Multiplan — Commercial: $2,654.37
  • PHCS — Commercial: $2,303.51
  • QuikTrip — Commercial: $1,922.13
  • Rockwall County — Commercial: $2,135.70
  • United Healthcare — Managed Medicaid: $1,100.65
  • United Healthcare W500 — Commercial: $2,202.82
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: EGD TRANSORAL BIOPSY SINGLE/MULTIPLE $1,704 $1,278 $109.60 – $1,577.17
Upper GI endoscopy with biopsy: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $673.08
  • Aetna — Whole Health: $673.08
  • Aetna Better Health — Managed Medicaid: $126.04
  • Blue Cross Blue Shield — HMO: $326.23
  • Blue Cross Blue Shield — Medicare Advantage: $139.27
  • Blue Cross Blue Shield — MyBlueHealth: $235.55
  • Blue Cross Blue Shield — PPO: $328.53
  • Blue Cross Blue Shield — Traditional: $228.78
  • Cigna — HMO-PPO: $539.74
  • Coventry — National/Medical Rental Products: $708.38
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG EGD BIOPSY $5,188 $2,594 $334.95 – $6,261
Upper GI endoscopy with biopsy: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $2,510.99
  • Aetna — Whole Health: $2,007.76
  • Aetna Better Health — Managed Medicaid: $368.45
  • Blue Cross Blue Shield — HMO: $3,124.82
  • Blue Cross Blue Shield — Medicare Advantage: $984.44
  • Blue Cross Blue Shield — MyBlueHealth: $2,246.16
  • Blue Cross Blue Shield — PPO: $3,472.19
  • Blue Cross Blue Shield — Traditional: $3,056.44
  • Cigna — HMO-PPO: $3,820.96
  • Coventry — National/Medical Rental Products: $3,626.41
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG EGD BIOPSY $5,188 $2,594 $1,871.57 – $4,565.44
Upper GI endoscopy with biopsy: rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $4,565.44
  • HealthFirst — Commercial: $2,915.66
  • HealthSmart — Commercial: $4,306.04
  • Maestro Health/Fort Worth Firefighters — Commercial: $2,773.50
  • Multiplan — Commercial: $4,513.56
  • PHCS — Commercial: $3,916.94
  • QuikTrip — Commercial: $3,268.44
  • Rockwall County — Commercial: $3,631.60
  • United Healthcare — Managed Medicaid: $1,871.57
  • United Healthcare W500 — Commercial: $3,745.74
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $1,388 $1,041 $145.68 – $1,808.40
Colonoscopy (diagnostic): 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $846.62
  • Aetna — Whole Health: $846.62
  • Aetna Better Health — Managed Medicaid: $167.53
  • Blue Cross Blue Shield — HMO: $435.78
  • Blue Cross Blue Shield — Medicare Advantage: $185.97
  • Blue Cross Blue Shield — MyBlueHealth: $314.65
  • Blue Cross Blue Shield — PPO: $438.86
  • Blue Cross Blue Shield — Traditional: $305.61
  • Cigna — HMO-PPO: $682.40
  • Coventry — National/Medical Rental Products: $809.66
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY CANCER SCREEN HIGH RISK PT $1,500 $1,125 $145.68 – $1,808.40
Colonoscopy (diagnostic): 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $846.62
  • Aetna — Whole Health: $846.62
  • Aetna Better Health — Managed Medicaid: $167.53
  • Blue Cross Blue Shield — HMO: $435.78
  • Blue Cross Blue Shield — Medicare Advantage: $185.97
  • Blue Cross Blue Shield — MyBlueHealth: $314.65
  • Blue Cross Blue Shield — PPO: $438.86
  • Blue Cross Blue Shield — Traditional: $305.61
  • Cigna — HMO-PPO: $682.40
  • Coventry — National/Medical Rental Products: $809.66
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY CANCER SCREEN NON HIGH RISK PT $1,500 $1,125 $145.68 – $1,808.40
Colonoscopy (diagnostic): 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $846.62
  • Aetna — Whole Health: $846.62
  • Aetna Better Health — Managed Medicaid: $167.53
  • Blue Cross Blue Shield — HMO: $435.78
  • Blue Cross Blue Shield — Medicare Advantage: $185.97
  • Blue Cross Blue Shield — MyBlueHealth: $314.65
  • Blue Cross Blue Shield — PPO: $438.86
  • Blue Cross Blue Shield — Traditional: $305.61
  • Cigna — HMO-PPO: $682.40
  • Coventry — National/Medical Rental Products: $809.66
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $1,659 $1,244.25 $158.24 – $2,160.98
Colonoscopy with biopsy: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,019.55
  • Aetna — Whole Health: $1,019.55
  • Aetna Better Health — Managed Medicaid: $181.98
  • Blue Cross Blue Shield — HMO: $472.83
  • Blue Cross Blue Shield — Medicare Advantage: $202.25
  • Blue Cross Blue Shield — MyBlueHealth: $341.40
  • Blue Cross Blue Shield — PPO: $476.17
  • Blue Cross Blue Shield — Traditional: $331.60
  • Cigna — HMO-PPO: $817.96
  • Coventry — National/Medical Rental Products: $966.80
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG COLONOSCOPY BIOPSY $5,938 $2,969 $429.26 – $6,261
Colonoscopy with biopsy: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $2,873.99
  • Aetna — Whole Health: $2,298.01
  • Aetna Better Health — Managed Medicaid: $472.19
  • Blue Cross Blue Shield — HMO: $3,992.78
  • Blue Cross Blue Shield — Medicare Advantage: $1,238.03
  • Blue Cross Blue Shield — MyBlueHealth: $2,870.06
  • Blue Cross Blue Shield — PPO: $4,436.64
  • Blue Cross Blue Shield — Traditional: $3,905.41
  • Cigna — HMO-PPO: $4,373.34
  • Coventry — National/Medical Rental Products: $4,150.66
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG COLONOSCOPY BIOPSY $5,938 $2,969 $2,142.13 – $5,225.44
Colonoscopy with biopsy: rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $5,225.44
  • HealthFirst — Commercial: $3,337.16
  • HealthSmart — Commercial: $4,928.54
  • Maestro Health/Fort Worth Firefighters — Commercial: $3,174.45
  • Multiplan — Commercial: $5,166.06
  • PHCS — Commercial: $4,483.19
  • QuikTrip — Commercial: $3,740.94
  • Rockwall County — Commercial: $4,156.60
  • United Healthcare — Managed Medicaid: $2,142.13
  • United Healthcare W500 — Commercial: $4,287.24
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ $1,869 $1,401.75 $200.21 – $2,435.91
Colonoscopy with removal of polyps (snare): 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,210.38
  • Aetna — Whole Health: $1,210.38
  • Aetna Better Health — Managed Medicaid: $230.24
  • Blue Cross Blue Shield — HMO: $600.10
  • Blue Cross Blue Shield — Medicare Advantage: $255
  • Blue Cross Blue Shield — MyBlueHealth: $433.29
  • Blue Cross Blue Shield — PPO: $604.34
  • Blue Cross Blue Shield — Traditional: $420.85
  • Cigna — HMO-PPO: $970.23
  • Coventry — National/Medical Rental Products: $1,087.25
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG COLONOSCOPY REMOVE POLYP/LESION SNARE $5,938 $2,969 $429.26 – $6,261
Colonoscopy with removal of polyps (snare): 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $2,873.99
  • Aetna — Whole Health: $2,298.01
  • Aetna Better Health — Managed Medicaid: $472.19
  • Blue Cross Blue Shield — HMO: $3,992.78
  • Blue Cross Blue Shield — Medicare Advantage: $1,238.03
  • Blue Cross Blue Shield — MyBlueHealth: $2,870.06
  • Blue Cross Blue Shield — PPO: $4,436.64
  • Blue Cross Blue Shield — Traditional: $3,905.41
  • Cigna — HMO-PPO: $4,373.34
  • Coventry — National/Medical Rental Products: $4,150.66
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG COLONOSCOPY REMOVE POLYP/LESION SNARE $5,938 $2,969 $2,142.13 – $5,225.44
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $5,225.44
  • HealthFirst — Commercial: $3,337.16
  • HealthSmart — Commercial: $4,928.54
  • Maestro Health/Fort Worth Firefighters — Commercial: $3,174.45
  • Multiplan — Commercial: $5,166.06
  • PHCS — Commercial: $4,483.19
  • QuikTrip — Commercial: $3,740.94
  • Rockwall County — Commercial: $4,156.60
  • United Healthcare — Managed Medicaid: $2,142.13
  • United Healthcare W500 — Commercial: $4,287.24
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Doctor (professional) fee In the file: COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX $1,361 $1,020.75 $202.88 – $1,379.86
Ultrasound of the lower bowel by endoscope: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,172.38
  • Aetna — Whole Health: $1,172.38
  • Aetna Better Health — Managed Medicaid: $233.31
  • Blue Cross Blue Shield — HMO: $608.16
  • Blue Cross Blue Shield — Medicare Advantage: $258.52
  • Blue Cross Blue Shield — MyBlueHealth: $439.11
  • Blue Cross Blue Shield — PPO: $612.45
  • Blue Cross Blue Shield — Traditional: $426.50
  • Cigna — HMO-PPO: $932.56
  • Coventry — National/Medical Rental Products: $598.07
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 $2,870.06 – $4,436.64
Ultrasound of the lower bowel by endoscope: 10 of 20 insurance plan rates
  • Aetna Better Health — Managed Medicaid: $472.19
  • Blue Cross Blue Shield — HMO: $3,992.78
  • Blue Cross Blue Shield — Medicare Advantage: $1,238.03
  • Blue Cross Blue Shield — MyBlueHealth: $2,870.06
  • Blue Cross Blue Shield — PPO: $4,436.64
  • Blue Cross Blue Shield — Traditional: $3,905.41
  • Humana — Medicare Advantage: $1,226.24
  • Molina — Managed Medicaid: $463.60
  • Molina — Medicare Advantage: $1,238.03
  • Parkland — Managed Medicaid: $429.26
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: COLON CA SCRN NOT HI RSK IND $1,388 $1,041 $145.15 – $1,808.40
Screening colonoscopy (not high risk): 10 of 32 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $745.11
  • Aetna — Whole Health: $745.11
  • Aetna Better Health — Managed Medicaid: $166.92
  • Blue Cross Blue Shield — Medicare Advantage: $186.27
  • Blue Cross Blue Shield — MyBlueHealth: $314.65
  • Blue Cross Blue Shield — PPO: $438.86
  • Blue Cross Blue Shield — Traditional: $305.61
  • Cigna — HMO-PPO: $902.20
  • Coventry — National/Medical Rental Products: $809.66
  • Galaxy Health Network — Commercial: $1,249.20
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $2,183.17 – $3,774
Screening colonoscopy (not high risk): 10 of 20 insurance plan rates
  • Aetna Better Health — Managed Medicaid: $361.35
  • Blue Cross Blue Shield — HMO: $3,037.19
  • Blue Cross Blue Shield — Medicare Advantage: $957.30
  • Blue Cross Blue Shield — MyBlueHealth: $2,183.17
  • Blue Cross Blue Shield — PPO: $3,374.82
  • Blue Cross Blue Shield — Traditional: $2,970.73
  • Humana — Medicare Advantage: $948.18
  • Molina — Managed Medicaid: $354.78
  • Molina — Medicare Advantage: $957.30
  • Parkland — Managed Medicaid: $328.50
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee · modifier 53 In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $88.86 – $628.60
Screening colonoscopy (not high risk): 10 of 14 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $211.61
  • Aetna — Whole Health: $211.61
  • Blue Cross Blue Shield — Medicare Advantage: $93.30
  • Coventry — National/Medical Rental Products: $288.51
  • HealthFirst — Commercial: $174.76
  • HealthSmart — Commercial: $628.60
  • Humana — Medicare Advantage: $93.30
  • Maestro Health/Fort Worth Firefighters — Commercial: $378.41
  • Molina — Medicare Advantage: $103.97
  • Procare — Medicare Advantage: $88.86
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: LAPAROSCOPY SURG CHOLECYSTECTOMY $2,564 $1,923 $532.47 – $3,341.29
Gallbladder removal by laparoscope: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $2,708.97
  • Aetna — Whole Health: $2,708.97
  • Aetna Better Health — Managed Medicaid: $612.34
  • Blue Cross Blue Shield — HMO: $1,536.10
  • Blue Cross Blue Shield — Medicare Advantage: $675.94
  • Blue Cross Blue Shield — MyBlueHealth: $1,109.11
  • Blue Cross Blue Shield — PPO: $1,546.96
  • Blue Cross Blue Shield — Traditional: $1,077.26
  • Cigna — HMO-PPO: $2,258.17
  • Coventry — National/Medical Rental Products: $1,475.43
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 $13,814.74 – $26,812
Gallbladder removal by laparoscope: 10 of 20 insurance plan rates
  • Aetna Better Health — Managed Medicaid: $2,077.74
  • Blue Cross Blue Shield — HMO: $19,218.83
  • Blue Cross Blue Shield — Medicare Advantage: $6,126.08
  • Blue Cross Blue Shield — MyBlueHealth: $13,814.74
  • Blue Cross Blue Shield — PPO: $21,355.33
  • Blue Cross Blue Shield — Traditional: $18,798.30
  • Humana — Medicare Advantage: $6,067.73
  • Molina — Managed Medicaid: $2,039.96
  • Molina — Medicare Advantage: $6,126.08
  • Parkland — Managed Medicaid: $1,888.85
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE $1,898 $1,423.50 $422.88 – $2,317.07
Groin (inguinal) hernia repair, age 5 or older: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,889.29
  • Aetna — Whole Health: $1,889.29
  • Aetna Better Health — Managed Medicaid: $486.31
  • Blue Cross Blue Shield — HMO: $1,213.90
  • Blue Cross Blue Shield — Medicare Advantage: $537.46
  • Blue Cross Blue Shield — MyBlueHealth: $876.47
  • Blue Cross Blue Shield — PPO: $1,222.48
  • Blue Cross Blue Shield — Traditional: $851.30
  • Cigna — HMO-PPO: $1,565.97
  • Coventry — National/Medical Rental Products: $1,023.86
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 $1,151.54 – $20,334
Groin (inguinal) hernia repair, age 5 or older: 10 of 20 insurance plan rates
  • Aetna Better Health — Managed Medicaid: $1,266.69
  • Blue Cross Blue Shield — HMO: $12,362.74
  • Blue Cross Blue Shield — Medicare Advantage: $3,705.51
  • Blue Cross Blue Shield — MyBlueHealth: $8,886.49
  • Blue Cross Blue Shield — PPO: $13,737.06
  • Blue Cross Blue Shield — Traditional: $12,092.22
  • Humana — Medicare Advantage: $3,670.22
  • Molina — Managed Medicaid: $1,243.66
  • Molina — Medicare Advantage: $3,705.51
  • Parkland — Managed Medicaid: $1,151.54
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: PROSTATE NEEDLE BIOPSY ANY APPROACH $960 $720 $101.84 – $1,067.36
Prostate biopsy: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $572.32
  • Aetna — Whole Health: $572.32
  • Aetna Better Health — Managed Medicaid: $117.12
  • Blue Cross Blue Shield — HMO: $303.67
  • Blue Cross Blue Shield — Medicare Advantage: $131.08
  • Blue Cross Blue Shield — MyBlueHealth: $219.26
  • Blue Cross Blue Shield — PPO: $305.82
  • Blue Cross Blue Shield — Traditional: $212.97
  • Cigna — HMO-PPO: $443.60
  • Coventry — National/Medical Rental Products: $451.60
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PROSTATE BIOPSY NDL/PUNCH SNGL OR MULTI $1,188 $594 $463.32 – $7,826.71
Prostate biopsy: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $578.56
  • Aetna — Whole Health: $463.32
  • Aetna Better Health — Managed Medicaid: $718.08
  • Blue Cross Blue Shield — HMO: $7,043.68
  • Blue Cross Blue Shield — Medicare Advantage: $2,150.94
  • Blue Cross Blue Shield — MyBlueHealth: $5,063.09
  • Blue Cross Blue Shield — PPO: $7,826.71
  • Blue Cross Blue Shield — Traditional: $6,889.56
  • Cigna — HMO-PPO: $874.96
  • Coventry — National/Medical Rental Products: $830.41
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PROSTATE BIOPSY NDL/PUNCH SNGL OR MULTI $1,188 $594 $428.57 – $1,045.44
Prostate biopsy: rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $1,045.44
  • HealthFirst — Commercial: $667.66
  • HealthSmart — Commercial: $986.04
  • Maestro Health/Fort Worth Firefighters — Commercial: $635.10
  • Multiplan — Commercial: $1,033.56
  • PHCS — Commercial: $896.94
  • QuikTrip — Commercial: $748.44
  • Rockwall County — Commercial: $831.60
  • United Healthcare — Managed Medicaid: $428.57
  • United Healthcare W500 — Commercial: $857.74
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT $7,387 $5,540.25 $940.38 – $8,214.11
Prostate removal by laparoscope (radical prostatectomy): 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $7,355.93
  • Aetna — Whole Health: $7,355.93
  • Aetna Better Health — Managed Medicaid: $1,081.44
  • Blue Cross Blue Shield — HMO: $3,365.42
  • Blue Cross Blue Shield — Medicare Advantage: $1,214
  • Blue Cross Blue Shield — MyBlueHealth: $2,429.93
  • Blue Cross Blue Shield — PPO: $3,389.21
  • Blue Cross Blue Shield — Traditional: $2,360.15
  • Cigna — HMO-PPO: $5,551.38
  • Coventry — National/Medical Rental Products: $3,499.40
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 $24,044.67 – $37,169.12
Prostate removal by laparoscope (radical prostatectomy): 10 of 14 insurance plan rates
  • Blue Cross Blue Shield — HMO: $33,450.53
  • Blue Cross Blue Shield — Medicare Advantage: $10,931.78
  • Blue Cross Blue Shield — MyBlueHealth: $24,044.67
  • Blue Cross Blue Shield — PPO: $37,169.12
  • Blue Cross Blue Shield — Traditional: $32,718.58
  • Humana — Medicare Advantage: $10,827.67
  • Molina — Medicare Advantage: $10,931.78
  • Procare — Medicare Advantage: $10,411.22
  • Superior — Medicare Advantage: $10,931.78
  • United Healthcare — Commercial: $31,034
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C $4,828 $3,621 $210.20 – $4,345.20
Hysteroscopy with biopsy of the uterus lining: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,053.85
  • Aetna — Whole Health: $1,053.85
  • Aetna Better Health — Managed Medicaid: $241.73
  • Blue Cross Blue Shield — HMO: $534.05
  • Blue Cross Blue Shield — Medicare Advantage: $234.79
  • Blue Cross Blue Shield — MyBlueHealth: $385.60
  • Blue Cross Blue Shield — PPO: $537.82
  • Blue Cross Blue Shield — Traditional: $374.53
  • Cigna — HMO-PPO: $834.55
  • Coventry — National/Medical Rental Products: $767.70
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $1,063.52 – $12,019
Hysteroscopy with biopsy of the uterus lining: 10 of 20 insurance plan rates
  • Aetna Better Health — Managed Medicaid: $1,169.87
  • Blue Cross Blue Shield — HMO: $9,932.45
  • Blue Cross Blue Shield — Medicare Advantage: $3,338.51
  • Blue Cross Blue Shield — MyBlueHealth: $7,139.57
  • Blue Cross Blue Shield — PPO: $11,036.61
  • Blue Cross Blue Shield — Traditional: $9,715.11
  • Humana — Medicare Advantage: $3,306.71
  • Molina — Managed Medicaid: $1,148.60
  • Molina — Medicare Advantage: $3,338.51
  • Parkland — Managed Medicaid: $1,063.52
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG INJ INTERLAMINAR LUMB/SACR W IMAGE GUIDE $1,502 $751 $262.86 – $4,750
Spinal injection, lower back (epidural), with imaging guidance: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $731.47
  • Aetna — Whole Health: $585.78
  • Aetna Better Health — Managed Medicaid: $289.15
  • Blue Cross Blue Shield — HMO: $2,485.20
  • Blue Cross Blue Shield — Medicare Advantage: $727.15
  • Blue Cross Blue Shield — MyBlueHealth: $1,786.39
  • Blue Cross Blue Shield — PPO: $2,761.47
  • Blue Cross Blue Shield — Traditional: $2,430.82
  • Cigna — HMO-PPO: $1,106.22
  • Coventry — National/Medical Rental Products: $1,049.90
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $666 $499.50 $79.12 – $599.40
Spinal injection, lower back (epidural), with imaging guidance: 10 of 31 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $415.83
  • Aetna — Whole Health: $415.83
  • Aetna Better Health — Managed Medicaid: $90.99
  • Blue Cross Blue Shield — HMO: $228.76
  • Blue Cross Blue Shield — Medicare Advantage: $101.07
  • Blue Cross Blue Shield — MyBlueHealth: $165.17
  • Blue Cross Blue Shield — PPO: $230.38
  • Blue Cross Blue Shield — Traditional: $160.43
  • Cigna — HMO-PPO: $303.75
  • Galaxy Health Network — Commercial: $599.40
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG INJ INTERLAMINAR LUMB/SACR W IMAGE GUIDE $1,502 $751 $541.85 – $1,321.76
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans
  • Galaxy Health Network — Commercial: $1,321.76
  • HealthFirst — Commercial: $844.12
  • HealthSmart — Commercial: $1,246.66
  • Maestro Health/Fort Worth Firefighters — Commercial: $802.97
  • Multiplan — Commercial: $1,306.74
  • PHCS — Commercial: $1,134.01
  • QuikTrip — Commercial: $946.26
  • Rockwall County — Commercial: $1,051.40
  • United Healthcare — Managed Medicaid: $541.85
  • United Healthcare W500 — Commercial: $1,084.44
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: INJ ANES/STEROID EPIDUR; LUMB/SAC 1 LEVE $1,001 $750.75 $88.75 – $1,097.91
Nerve root injection, lower back, with imaging guidance: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $410.40
  • Aetna — Whole Health: $410.40
  • Aetna Better Health — Managed Medicaid: $102.06
  • Blue Cross Blue Shield — HMO: $256.95
  • Blue Cross Blue Shield — Medicare Advantage: $113.44
  • Blue Cross Blue Shield — MyBlueHealth: $185.53
  • Blue Cross Blue Shield — PPO: $258.77
  • Blue Cross Blue Shield — Traditional: $180.20
  • Cigna — HMO-PPO: $317.50
  • Coventry — National/Medical Rental Products: $489.22
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL $986 $739.50 $88.75 – $1,097.91
Nerve root injection, lower back, with imaging guidance: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $410.40
  • Aetna — Whole Health: $410.40
  • Aetna Better Health — Managed Medicaid: $102.06
  • Blue Cross Blue Shield — HMO: $256.95
  • Blue Cross Blue Shield — Medicare Advantage: $113.44
  • Blue Cross Blue Shield — MyBlueHealth: $185.53
  • Blue Cross Blue Shield — PPO: $258.77
  • Blue Cross Blue Shield — Traditional: $180.20
  • Cigna — HMO-PPO: $317.50
  • Coventry — National/Medical Rental Products: $489.22
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG INJECT EPIDURAL LUMBAR/SACRAL SGL $2,844 $1,422 $340.77 – $4,750
Nerve root injection, lower back, with imaging guidance: 10 of 33 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,385.03
  • Aetna — Whole Health: $1,109.16
  • Aetna Better Health — Managed Medicaid: $374.85
  • Blue Cross Blue Shield — HMO: $3,228.71
  • Blue Cross Blue Shield — Medicare Advantage: $934.80
  • Blue Cross Blue Shield — MyBlueHealth: $2,320.84
  • Blue Cross Blue Shield — PPO: $3,587.64
  • Blue Cross Blue Shield — Traditional: $3,158.06
  • Cigna — HMO-PPO: $2,094.61
  • Coventry — National/Medical Rental Products: $1,987.96
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE $1,468 $1,101 $357.39 – $1,911.96
Carpal tunnel release: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,534.10
  • Aetna — Whole Health: $1,534.10
  • Aetna Better Health — Managed Medicaid: $411
  • Blue Cross Blue Shield — HMO: $992.38
  • Blue Cross Blue Shield — Medicare Advantage: $457.68
  • Blue Cross Blue Shield — MyBlueHealth: $716.53
  • Blue Cross Blue Shield — PPO: $999.40
  • Blue Cross Blue Shield — Traditional: $695.96
  • Cigna — HMO-PPO: $1,285.89
  • Coventry — National/Medical Rental Products: $855.34
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $659.94 – $12,019
Carpal tunnel release: 10 of 20 insurance plan rates
  • Aetna Better Health — Managed Medicaid: $725.93
  • Blue Cross Blue Shield — HMO: $6,836.14
  • Blue Cross Blue Shield — Medicare Advantage: $2,050.41
  • Blue Cross Blue Shield — MyBlueHealth: $4,913.90
  • Blue Cross Blue Shield — PPO: $7,596.09
  • Blue Cross Blue Shield — Traditional: $6,686.55
  • Humana — Medicare Advantage: $2,030.88
  • Molina — Managed Medicaid: $712.74
  • Molina — Medicare Advantage: $2,050.41
  • Parkland — Managed Medicaid: $659.94
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee In the file: POST-CATARACT LASER SURGERY $1,314 $985.50 $248.33 – $1,437.72
Laser treatment of clouding after cataract surgery: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $1,017.34
  • Aetna — Whole Health: $1,017.34
  • Aetna Better Health — Managed Medicaid: $285.58
  • Blue Cross Blue Shield — HMO: $712.87
  • Blue Cross Blue Shield — Medicare Advantage: $315.39
  • Blue Cross Blue Shield — MyBlueHealth: $514.72
  • Blue Cross Blue Shield — PPO: $717.91
  • Blue Cross Blue Shield — Traditional: $499.94
  • Cigna — HMO-PPO: $917.16
  • Coventry — National/Medical Rental Products: $654.78
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $208.33 – $4,750
Laser treatment of clouding after cataract surgery: 10 of 20 insurance plan rates
  • Aetna Better Health — Managed Medicaid: $229.16
  • Blue Cross Blue Shield — HMO: $2,015.55
  • Blue Cross Blue Shield — Medicare Advantage: $576.03
  • Blue Cross Blue Shield — MyBlueHealth: $1,448.81
  • Blue Cross Blue Shield — PPO: $2,239.62
  • Blue Cross Blue Shield — Traditional: $1,971.45
  • Humana — Medicare Advantage: $570.54
  • Molina — Managed Medicaid: $225
  • Molina — Medicare Advantage: $576.03
  • Parkland — Managed Medicaid: $208.33
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP $2,889 $2,166.75 $524.04 – $3,393.51
Cataract removal with lens implant: 10 of 34 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $2,588.99
  • Aetna — Whole Health: $2,588.99
  • Aetna Better Health — Managed Medicaid: $608.97
  • Blue Cross Blue Shield — HMO: $1,462.80
  • Blue Cross Blue Shield — Medicare Advantage: $550.24
  • Blue Cross Blue Shield — MyBlueHealth: $1,056.19
  • Blue Cross Blue Shield — PPO: $1,473.14
  • Blue Cross Blue Shield — Traditional: $1,025.86
  • Cigna — HMO-PPO: $2,293.45
  • Coventry — National/Medical Rental Products: $1,521.06
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 $5,778.48 – $9,545
Cataract removal with lens implant: 10 of 20 insurance plan rates
  • Aetna Better Health — Managed Medicaid: $934.93
  • Blue Cross Blue Shield — HMO: $8,038.92
  • Blue Cross Blue Shield — Medicare Advantage: $2,394.77
  • Blue Cross Blue Shield — MyBlueHealth: $5,778.48
  • Blue Cross Blue Shield — PPO: $8,932.58
  • Blue Cross Blue Shield — Traditional: $7,863.01
  • Humana — Medicare Advantage: $2,371.96
  • Molina — Managed Medicaid: $917.94
  • Molina — Medicare Advantage: $2,394.77
  • Parkland — Managed Medicaid: $849.94

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM $7,359 $5,519.25 $2,334.44 – $8,680.83
Vaginal delivery, with care before and after: 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $6,942.07
  • Aetna — Whole Health: $6,942.07
  • Blue Cross Blue Shield — HMO: $4,867.69
  • Blue Cross Blue Shield — Medicare Advantage: $2,451.16
  • Blue Cross Blue Shield — MyBlueHealth: $3,514.61
  • Blue Cross Blue Shield — PPO: $4,902.10
  • Blue Cross Blue Shield — Traditional: $3,413.69
  • Cigna — HMO-PPO: $5,866.80
  • Coventry — National/Medical Rental Products: $4,184.05
  • Galaxy Health Network — Commercial: $6,623.10
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $6,224.27 – $9,621.70
Vaginal delivery, with care before and after: rates for 4 insurance plans
  • Blue Cross Blue Shield — HMO: $8,659.09
  • Blue Cross Blue Shield — MyBlueHealth: $6,224.27
  • Blue Cross Blue Shield — PPO: $9,621.70
  • Blue Cross Blue Shield — Traditional: $8,469.62
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM $7,419 $5,564.25 $2,588.41 – $9,665.74
Cesarean delivery (C-section), with care before and after: 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $7,862.39
  • Aetna — Whole Health: $7,862.39
  • Blue Cross Blue Shield — HMO: $5,396.91
  • Blue Cross Blue Shield — Medicare Advantage: $2,717.83
  • Blue Cross Blue Shield — MyBlueHealth: $3,896.72
  • Blue Cross Blue Shield — PPO: $5,435.06
  • Blue Cross Blue Shield — Traditional: $3,784.83
  • Cigna — HMO-PPO: $6,532.43
  • Coventry — National/Medical Rental Products: $4,636.72
  • Galaxy Health Network — Commercial: $6,677.10
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $6,900.98 – $10,667.79
Cesarean delivery (C-section), with care before and after: rates for 4 insurance plans
  • Blue Cross Blue Shield — HMO: $9,600.53
  • Blue Cross Blue Shield — MyBlueHealth: $6,900.98
  • Blue Cross Blue Shield — PPO: $10,667.79
  • Blue Cross Blue Shield — Traditional: $9,390.46
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB $9,021 $6,765.75 $2,440.30 – $9,146.04
Vaginal delivery after a previous C-section, with care before and after: 10 of 29 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $7,315.36
  • Aetna — Whole Health: $7,315.36
  • Blue Cross Blue Shield — HMO: $5,107.73
  • Blue Cross Blue Shield — Medicare Advantage: $2,562.32
  • Blue Cross Blue Shield — MyBlueHealth: $3,687.93
  • Blue Cross Blue Shield — PPO: $5,143.84
  • Blue Cross Blue Shield — Traditional: $3,582.03
  • Cigna — HMO-PPO: $6,181.19
  • Coventry — National/Medical Rental Products: $4,392.05
  • Galaxy Health Network — Commercial: $8,118.90
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $6,531.22 – $10,096.19
Vaginal delivery after a previous C-section, with care before and after: rates for 4 insurance plans
  • Blue Cross Blue Shield — HMO: $9,086.11
  • Blue Cross Blue Shield — MyBlueHealth: $6,531.22
  • Blue Cross Blue Shield — PPO: $10,096.19
  • Blue Cross Blue Shield — Traditional: $8,887.30

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 $23,784 – $328,928.79
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 19 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $286,906.39
  • Aetna — Whole Health: $23,784
  • Blue Cross Blue Shield — HMO: $267,229.31
  • Blue Cross Blue Shield — Medicare Advantage: $78,897.66
  • Blue Cross Blue Shield — MyBlueHealth: $174,501.54
  • Blue Cross Blue Shield — PPO: $296,925.74
  • Blue Cross Blue Shield — Traditional: $328,928.79
  • Cigna — HMO-PPO: $227,765.96
  • Coventry — National/Medical Rental Products: $176,814.63
  • Humana — Medicare Advantage: $78,146.26
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 $16,427.34 – $63,183.11
Hip or knee replacement (major joint of the leg), without major complications: 10 of 19 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $56,055.92
  • Aetna — Whole Health: $23,784
  • Blue Cross Blue Shield — HMO: $55,712.75
  • Blue Cross Blue Shield — Medicare Advantage: $17,248.71
  • Blue Cross Blue Shield — MyBlueHealth: $36,380.72
  • Blue Cross Blue Shield — PPO: $61,902.85
  • Blue Cross Blue Shield — Traditional: $47,365.65
  • Cigna — HMO-PPO: $38,181.38
  • Coventry — National/Medical Rental Products: $34,546.13
  • Humana — Medicare Advantage: $17,084.43
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 $20,070.83 – $79,324.87
Neck (cervical) spinal fusion, without complications: 10 of 19 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $70,376.86
  • Aetna — Whole Health: $23,784
  • Blue Cross Blue Shield — HMO: $53,249.93
  • Blue Cross Blue Shield — Medicare Advantage: $21,074.37
  • Blue Cross Blue Shield — MyBlueHealth: $35,013.85
  • Blue Cross Blue Shield — PPO: $59,166.06
  • Blue Cross Blue Shield — Traditional: $68,181.12
  • Cigna — HMO-PPO: $47,939.85
  • Coventry — National/Medical Rental Products: $43,371.84
  • Humana — Medicare Advantage: $20,873.66
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 $11,234.66 – $40,165.09
Uterus and ovary surgery (not for cancer), without complications: 10 of 19 insurance plan rates
  • Aetna — HMO/POS/EPO/PPO: $35,634.38
  • Aetna — Whole Health: $23,784
  • Blue Cross Blue Shield — HMO: $26,962.36
  • Blue Cross Blue Shield — Medicare Advantage: $11,796.39
  • Blue Cross Blue Shield — MyBlueHealth: $17,728.77
  • Blue Cross Blue Shield — PPO: $29,957.91
  • Blue Cross Blue Shield — Traditional: $34,522.56
  • Cigna — HMO-PPO: $24,273.68
  • Coventry — National/Medical Rental Products: $21,960.75
  • Humana — Medicare Advantage: $11,684.05

Source: UT of Texas Southwestern University Hospital - William P. Clements Jr.’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 10, 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
Address6201 Harry Hines Blvd, Dallas, TX 75390
CountyDallas County
StateTexas
Phone(214) 633‑5555
Emergency servicesYes
OwnershipGovernment - State
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number450044
Name in Medicare recordsUT OF TEXAS SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR.
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(214) 633‑4700[4]
Name on the hospital’s websiteWilliam P. Clements Jr. University Hospital
Official websiteutswmed.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 2026-10-29.

  1. William P. Clements Jr. University Hospital — utswmed.org
  2. Emergency Services — utswmed.org
  3. Visiting Hours — utswmed.org
  4. Parking — utswmed.org
  5. Hospital Services | William P. Clements Jr. University Hospital | UT Southwestern Medical Center — utswmed.org
  6. Heart Care | Hospital Services | UT Southwestern Medical Center — utswmed.org
  7. Imaging Services | Hospital Services | UT Southwestern Medical Center — utswmed.org
  8. Neurologic Care | Hospital Services | UT Southwestern Medical Center — utswmed.org
  9. Support Services | Patients | UT Southwestern Medical Center — utswmed.org
  10. Maternity Care | Hospital Services | UT Southwestern Medical Center — utswmed.org
  11. Cancer Care | Hospital Services | UT Southwestern Medical Center — utswmed.org
  12. Surgical Care | Hospital Services | UT Southwestern Medical Center — utswmed.org
  13. Neuro ICU | Neurologic Care | UT Southwestern Medical Center — utswmed.org
  14. Prepare for Your Hospital Visit | Patients | UT Southwestern Medical Center — utswmed.org
  15. Visitors | William P. Clements Jr. University Hospital | UT Southwestern Medical Center — utswmed.org