Does Valley Regional Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Valley Regional Medical Center. In a medical emergency, call 911.

Where is Valley Regional Medical Center?

100 a Alton Gloor, Brownsville, TX 78526, in Cameron County, Texas.

What is the phone number of Valley Regional Medical Center?

(956) 350-7000, as listed by Medicare (CMS).

What is the Medicare star rating of Valley Regional Medical Center?

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

Valley Regional Medical Center

Quick answers

Does Valley Regional Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Valley Regional Medical Center. In a medical emergency, call 911.
Where is Valley Regional Medical Center?: 100 a Alton Gloor, Brownsville, TX 78526, in Cameron County, Texas.
What is the phone number of Valley Regional Medical Center?: (956) 350-7000, as listed by Medicare (CMS).
What is the Medicare star rating of Valley Regional Medical Center?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][6][15]

Cardiology
Diabetes care
Emergency care
Neurological care
Surgery
Women's care
Urgent care
Allergies
Occupational medicine
Imaging services
Diagnostics and laboratory
Outpatient physical rehabilitation
Labor and delivery

Conditions treated^{[8][11][13][18]}

Abdominal aortic aneurysms
Aortic valve stenosis
Arrhythmia
Atherosclerosis
Congestive heart failure
Coronary artery disease
Deep vein clot
Mitral valve disease
Pulmonary hypertension
Peripheral artery disease
Varicose veins
Chest pain
Heart attack
Sepsis
Stroke
Brain tumors
Epilepsy
Parkinson's disease
Spine injuries
Type 1 diabetes
Type 2 diabetes
Gestational diabetes
Prediabetes

Treatments^{[4][6][7][8][9][10][13][14]}

Cardiac rehabilitation
Immunizations
Atrial fibrillation ablation
Pacemaker insertion
Stent placement
Left atrial appendage closure
Transcatheter aortic valve replacement (TAVR)
Coronary artery bypass grafting
Fractional flow reserve CT
Microwave ablation
Bronchial thermoplasty
Mechanical thrombectomy
Thrombolysis
Continuous EEG monitoring
Carotid artery stenting
Cerebral aneurysm coiling
Spinal fusion
Appendectomy
Gallbladder removal
Hernia repair
Colonoscopy
Endoscopic retrograde cholangiopancreatography (ERCP)
Stereotactic breast biopsy
Ultrasound-guided breast biopsy
3D mammography
Bone density scan
Magnetic resonance imaging (MRI)

Procedures^{[7][8][9][11][13]}

Angioplasty
Atherectomy
Stent grafting
Percutaneous atrial septal defect closure
Radial and femoral catheterization
Cardiac catheterization
Heart surgery
Neurosurgery
Orthopedic surgery
Spine surgery
Vascular surgery
Colorectal surgery
Gynecological surgery
Urologic surgery
Pediatric surgery
Craniotomy
Endoscopic sinus procedures
Bronchoscopy
Echocardiogram
Electrocardiogram (EKG)

Programs and centers^{[4][6][11][15]}

Chest Pain Center with PCI (ACC)
Cardiac Catheterization Lab with PCI (ACC accreditation)
Cardiac Rehabilitation Program (AACVPR accredited)
Diabetes Management Center
Level III NICU
Labor and delivery
Level III Neonatal Intensive Care Unit
24/7 emergency department
ST-segment elevation myocardial infarction (STEMI) program

Emergency care (hospital website)^[4][11]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level III
Stroke designation	Advanced Primary Stroke Center (The Joint Commission)

Visiting and practical information

Visiting	Visiting hours 7:30 a.m. to 7:30 p.m.; legal ID required; most units allow two visitors at a time^[5]
Parking	Free self-parking is offered^[5]
Interpreters and languages	Interpreters are available for non-English-speaking patients and families^[5]
Patient portal	MyHealthONE

Recognition^{[4][8][11][14][15][18]}

Joint Commission Gold Seal of Approval
Joint Commission Pathology and Clinical Laboratory accreditation
ACC Chest Pain Center with PCI accreditation
American College of Radiology accreditation
AACVPR Cardiac Rehabilitation accreditation
Designated Diabetes Management Center
Chest Pain Center with PCI accreditation (American College of Cardiology)
Cardiac Catheterization Lab with PCI accreditation (American College of Cardiology)
Cardiac Rehabilitation Program accreditation (AACVPR)
Diabetes Education Center accreditation (ADCES)
Management of Sepsis Certificate of Distinction (The Joint Commission)
Designated Advanced Level III Trauma Center (Texas DSHS)
Level III Neonatal Intensive Care Unit designation (Texas DSHS)
Specialty Care Level II Texas Maternal designation
Top Performer Hospital in Key Quality Measures (The Joint Commission)

Doctors and clinicians (201)

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

Main specialties

And 177 more: the button below opens the full list.

Other emergency rooms nearby

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

Valley Baptist Medical Center- Brownsville4.3 mi · Brownsville, TX · Acute Care Hospital
VHS Harlingen Hospital Company LLC17 mi · Harlingen, TX · Acute Care Hospital
Harlingen Medical Center21 mi · Harlingen, TX · Acute Care Hospital
Knapp Medical Center31 mi · Weslaco, TX · Acute Care Hospital
South Texas Health System46 mi · Edinburg, TX · Acute Care Hospital

Other hospitals nearby

South Texas Rehabiltation Hospital4.2 mi · Brownsville, TX · Inpatient Rehabilitation Hospital
Solara Specialty Hospitals Harlingen16 mi · Harlingen, TX · Long-Term Acute Care Hospital
Rio Grande State Center17 mi · Harlingen, TX · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Brownsville Nursing and Rehabilitation Center0.5 mi · Brownsville, TX · 1 of 5 stars
Fox Hollow Post Acute2.6 mi · Brownsville, TX · 1 of 5 stars
Mesa Hills Post Acute2.8 mi · Brownsville, TX · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Mesquite Hospice Care LLC4.2 mi · Brownsville, TX
Our Caring Hands Hospice and Palliative Care LLC4.3 mi · Rancho Viejo, TX
El Sinai Hospice and Palliative Care LLC13 mi · Brownsville, TX

All hospice providers in the state →

Home health agencies

Flor de la Fe Home Health LLC2.4 mi · Brownsville, TX
Gold Star Care Home Health, LLC2.4 mi · Brownsville, TX
Para Ninos del Valle Pediatric Home Health, PLLC2.4 mi · Brownsville, TX

All home health agencies in the state →

Dialysis facilities

DaVita Brownsville Renal Center2.4 mi · Brownsville, TX · 3 of 5 stars
US Renal Care Brownsville Dialysis4.2 mi · Brownsville, TX
USRC San Benito Dialysis12 mi · San Benito, TX · 5 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Brownsville Surgery Center4.2 mi · Brownsville, TX
RGV Surgery Center Brownsville4.3 mi · Olmito, TX
Harlingen Surgical Center, LLC21 mi · Harlingen, TX

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Su Clinica - Brownsville0.2 mi · Brownsville, TX · Community health center
New Horizon Medical4.3 mi · Brownsville, TX · Community health center
New Horizon Medical Center4.7 mi · Brownsville, TX · Community health center

Clinics and urgent care

Cornerstone Healthcare & Associates, PLLC2.4 mi · Brownsville, TX · Urgent care center
Gracepoint Healthcare Associates PLLC2.4 mi · Brownsville, TX · Urgent care center
Brownsville Urgent Care, PLLC4.2 mi · Brownsville, TX · Urgent care center

Pharmacies

Avita Drugs LLC2.4 mi · Brownsville, TX · Community/retail pharmacy
Brownsville Central RX LLC2.4 mi · Brownsville, TX · Community/retail pharmacy
DMHC LLC2.4 mi · Brownsville, TX · Community/retail pharmacy

Assisted living nearby

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

Bella Villa Assisted Living2.4 mi · Villa Nueva, TX
Spanish Meadows2.4 mi · Brownsville, TX

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	2 of 5 stars
Rated the hospital 9 or 10 out of 10	62%National average: 72%
Would definitely recommend the hospital	65%National average: 71%
Nurses “always” communicated well	73%National average: 80%
Doctors “always” communicated well	70%National average: 80%
Staff “always” explained medicines before giving them	56%National average: 62%
Were given information about recovery at home	79%National average: 86%
Room and bathroom “always” clean	75%National average: 74%
Area around the room “always” quiet at night	48%National average: 60%
Completed surveys	809Response rate: 12%

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)	0.87No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.556No different from the national benchmark
Surgical site infections after colon surgery	1.635No different from the national benchmark
Surgical site infections after abdominal hysterectomy	0.664No different from the national benchmark
MRSA bloodstream infections	0.501No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.095Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	10.7%
Deaths within 30 days: heart failure patients	10.9%
Deaths within 30 days: pneumonia patients	13.8%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	13.3%
Deaths within 30 days: coronary bypass surgery (CABG)	3%
Serious complications (patient safety indicator PSI-90)	1.13No different from the national rate
Complications after hip or knee replacement	4.1%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.2%
Readmitted within 30 days: heart failure	21.1%
Readmitted within 30 days: pneumonia	18.2%
Readmitted within 30 days: COPD	19.3%
Readmitted within 30 days: coronary bypass surgery	12%
Readmitted within 30 days: hip or knee replacement	6.6%

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)	176 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	67%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Brownsville Best hospitals in Texas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 80 common services exactly as Valley Regional Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

$ 1 amount is marked with “!”: it is more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. It is shown exactly as listed; ask the hospital before relying on it.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 3 NP	$484	$484	$33.88 – $600
New patient office visit (about 30–44 minutes): 10 of 45 insurance plan rates Aetna — ASA: $199.41 Aetna — CommercialBaseNetwork: $153.43 Aetna — Meritain: $153.43 Aetna — NewBusiness: $149.07 Aetna — OON: $179.56 Affiliated Healthcare — COMM: $329.12 Averde Health — COMM: $159.72 BCBS — BlueEssentials: $112.29 BCBS — BlueEssentialsAccess: $112.29 BCBS — Traditional: $217.80
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e	Not listed in the file	Not listed in the file	$253.36 – $451.71
New patient office visit (about 30–44 minutes): rates for 3 insurance plans BCBS — BlueAdvantage: $253.36 BCBS — HealthSelectOpenAccess(EPOSOA): $436.21 BCBS — PPO: $451.71
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 4 NP	$614	$614	$42.98 – $600
New patient office visit (about 45–59 minutes): 10 of 40 insurance plan rates Aetna — ASA: $252.97 Aetna — CommercialBaseNetwork: $194.64 Aetna — Meritain: $194.64 Aetna — NewBusiness: $189.11 Aetna — OON: $227.79 Affiliated Healthcare — COMM: $417.52 Averde Health — COMM: $202.62 BCBS — BlueEssentials: $142.45 BCBS — BlueEssentialsAccess: $142.45 BCBS — Traditional: $276.30
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e	$614	$614	$428.96 – $764.78
New patient office visit (about 45–59 minutes): rates for 3 insurance plans BCBS — BlueAdvantage: $428.96 BCBS — HealthSelectOpenAccess(EPOSOA): $738.54 BCBS — PPO: $764.78
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 5 NP	$868	$868	$60.76 – $737.80
New patient office visit (about 60–74 minutes): 10 of 40 insurance plan rates Aetna — ASA: $357.62 Aetna — CommercialBaseNetwork: $275.16 Aetna — Meritain: $275.16 Aetna — NewBusiness: $267.34 Aetna — OON: $322.03 Affiliated Healthcare — COMM: $590.24 Averde Health — COMM: $286.44 BCBS — BlueEssentials: $201.38 BCBS — BlueEssentialsAccess: $201.38 BCBS — Traditional: $390.60
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or e	$868	$868	$559.79 – $998.04
New patient office visit (about 60–74 minutes): rates for 3 insurance plans BCBS — BlueAdvantage: $559.79 BCBS — HealthSelectOpenAccess(EPOSOA): $963.80 BCBS — PPO: $998.04
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 3 EST	$376	$376	$26.32 – $600
Established patient office visit (about 20–29 minutes): 10 of 45 insurance plan rates Aetna — ASA: $154.91 Aetna — CommercialBaseNetwork: $119.19 Aetna — Meritain: $119.19 Aetna — NewBusiness: $115.81 Aetna — OON: $139.50 Affiliated Healthcare — COMM: $255.68 Averde Health — COMM: $124.08 BCBS — BlueEssentials: $87.23 BCBS — BlueEssentialsAccess: $87.23 BCBS — Traditional: $169.20
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history	Not listed in the file	Not listed in the file	$169.71 – $302.58
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans BCBS — BlueAdvantage: $169.71 BCBS — HealthSelectOpenAccess(EPOSOA): $292.20 BCBS — PPO: $302.58
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OP VISIT LEVEL 4 EST	$908.53	$908.53	$158.99 – $772.25
Established patient office visit (about 30–39 minutes): 10 of 45 insurance plan rates Aetna — ASA: $374.31 Aetna — CommercialBaseNetwork: $288 Aetna — Meritain: $288 Aetna — NewBusiness: $279.83 Aetna — OON: $337.06 Affiliated Healthcare — COMM: $617.80 Averde Health — COMM: $299.81 BCBS — BlueEssentials: $210.78 BCBS — BlueEssentialsAccess: $210.78 BCBS — Traditional: $408.84
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history	Not listed in the file	Not listed in the file	$261.63 – $466.46
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans BCBS — BlueAdvantage: $261.63 BCBS — HealthSelectOpenAccess(EPOSOA): $450.46 BCBS — PPO: $466.46
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$318.20 – $567.32
Office consultation with a specialist (moderate): rates for 3 insurance plans BCBS — BlueAdvantage: $318.20 BCBS — HealthSelectOpenAccess(EPOSOA): $547.86 BCBS — PPO: $567.32
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$511.46 – $911.87
Office consultation with a specialist (moderate to high): rates for 3 insurance plans BCBS — BlueAdvantage: $511.46 BCBS — HealthSelectOpenAccess(EPOSOA): $880.59 BCBS — PPO: $911.87
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examin	Not listed in the file	Not listed in the file	$325.27 – $579.91
Preventive checkup, new patient, age 18–39: rates for 3 insurance plans BCBS — BlueAdvantage: $325.27 BCBS — HealthSelectOpenAccess(EPOSOA): $560.02 BCBS — PPO: $579.91
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examin	Not listed in the file	Not listed in the file	$395.96 – $705.95
Preventive checkup, new patient, age 40–64: rates for 3 insurance plans BCBS — BlueAdvantage: $395.96 BCBS — HealthSelectOpenAccess(EPOSOA): $681.74 BCBS — PPO: $705.95
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: LVL 3 EMER DEPT	$2,871.69	$2,871.69	$603.05 – $2,440.94
Emergency room visit (moderate): 10 of 25 insurance plan rates Affiliated Healthcare — COMM: $1,952.75 Averde Health — COMM: $947.66 BCBS — BlueEssentials: $666.23 BCBS — BlueEssentialsAccess: $666.23 BCBS — Traditional: $1,292.26 Coastal Comp — COMM: $1,866.60 First Health — Exclusive: $1,605.27 First Health — NonExclusive: $1,605.27 HealthSmart Preferred Care — ACCEL: $1,234.83 HealthSmart Preferred Care — ACCOUNTABLEPPO: $2,440.94
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$77.04 – $3,136
Emergency room visit (moderate): 10 of 26 insurance plan rates Aetna — ASA: $3,332 Aetna — CommercialBaseNetwork: $2,560 Aetna — Meritain: $2,560 Aetna — NewBusiness: $2,489 Aetna — OON: $3,012 Aetna Better Health — MGMCD: $77.04 BCBS — BlueAdvantage: $833 BCBS — HealthSelectOpenAccess(EPOSOA): $2,065 BCBS — PPO: $2,205 Curative Administrators — COMM: $1,359
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · modifier ER In the file: LVL 3 FREE STD EMER DEPT	$2,871.69	$2,871.69	$603.05 – $2,440.94
Emergency room visit (moderate): 10 of 25 insurance plan rates Affiliated Healthcare — COMM: $1,952.75 Averde Health — COMM: $947.66 BCBS — BlueEssentials: $666.23 BCBS — BlueEssentialsAccess: $666.23 BCBS — Traditional: $1,292.26 Coastal Comp — COMM: $1,866.60 First Health — Exclusive: $1,605.27 First Health — NonExclusive: $1,605.27 HealthSmart Preferred Care — ACCEL: $1,234.83 HealthSmart Preferred Care — ACCOUNTABLEPPO: $2,440.94
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: LVL 4 EMER DEPT	$5,074.22	$5,074.22	$1,065.59 – $4,313.09
Emergency room visit (moderately high): 10 of 25 insurance plan rates Affiliated Healthcare — COMM: $3,450.47 Averde Health — COMM: $1,674.49 BCBS — BlueEssentials: $1,177.22 BCBS — BlueEssentialsAccess: $1,177.22 BCBS — Traditional: $2,283.40 Coastal Comp — COMM: $3,298.24 First Health — Exclusive: $2,836.49 First Health — NonExclusive: $2,836.49 HealthSmart Preferred Care — ACCEL: $2,181.91 HealthSmart Preferred Care — ACCOUNTABLEPPO: $4,313.09
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$320 – $5,574
Emergency room visit (moderately high): 10 of 21 insurance plan rates Aetna — ASA: $13,271 Aetna — CommercialBaseNetwork: $10,189 Aetna — Meritain: $10,189 Aetna — NewBusiness: $9,910 Aetna — OON: $11,985 BCBS — BlueAdvantage: $2,360 BCBS — HealthSelectOpenAccess(EPOSOA): $4,420 BCBS — PPO: $4,820 Curative Administrators — COMM: $4,206 Healthcare Highways — NarrowNetwork: $2,920
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier ER In the file: LVL 4 FREE STD EMER DEPT	$5,074.22	$5,074.22	$1,065.59 – $4,313.09
Emergency room visit (moderately high): 10 of 25 insurance plan rates Affiliated Healthcare — COMM: $3,450.47 Averde Health — COMM: $1,674.49 BCBS — BlueEssentials: $1,177.22 BCBS — BlueEssentialsAccess: $1,177.22 BCBS — Traditional: $2,283.40 Coastal Comp — COMM: $3,298.24 First Health — Exclusive: $2,836.49 First Health — NonExclusive: $2,836.49 HealthSmart Preferred Care — ACCEL: $2,181.91 HealthSmart Preferred Care — ACCOUNTABLEPPO: $4,313.09
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: LVL 5 EMER DEPT	$8,342.21	$8,342.21	$1,751.86 – $7,090.88
Emergency room visit (high): 10 of 25 insurance plan rates Affiliated Healthcare — COMM: $5,672.70 Averde Health — COMM: $2,752.93 BCBS — BlueEssentials: $1,935.39 BCBS — BlueEssentialsAccess: $1,935.39 BCBS — Traditional: $3,753.99 Coastal Comp — COMM: $5,422.44 First Health — Exclusive: $4,663.30 First Health — NonExclusive: $4,663.30 HealthSmart Preferred Care — ACCEL: $3,587.15 HealthSmart Preferred Care — ACCOUNTABLEPPO: $7,090.88
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination	Not listed in the file	Not listed in the file	$400 – $8,360
Emergency room visit (high): 10 of 21 insurance plan rates Aetna — ASA: $14,135 Aetna — CommercialBaseNetwork: $10,853 Aetna — Meritain: $10,853 Aetna — NewBusiness: $10,557 Aetna — OON: $12,767 BCBS — BlueAdvantage: $4,920 BCBS — HealthSelectOpenAccess(EPOSOA): $7,760 BCBS — PPO: $8,360 Curative Administrators — COMM: $5,622 Healthcare Highways — NarrowNetwork: $4,258
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier ER In the file: LVL 5 FREE STD EMER DEPT	$8,342.21	$8,342.21	$1,751.86 – $7,090.88
Emergency room visit (high): 10 of 25 insurance plan rates Affiliated Healthcare — COMM: $5,672.70 Averde Health — COMM: $2,752.93 BCBS — BlueEssentials: $1,935.39 BCBS — BlueEssentialsAccess: $1,935.39 BCBS — Traditional: $3,753.99 Coastal Comp — COMM: $5,422.44 First Health — Exclusive: $4,663.30 First Health — NonExclusive: $4,663.30 HealthSmart Preferred Care — ACCEL: $3,587.15 HealthSmart Preferred Care — ACCOUNTABLEPPO: $7,090.88

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BMP TOTAL CALCIUM	$1,995.40	$1,995.40	$139.68 – $1,696.09
Basic metabolic panel (blood test): 10 of 30 insurance plan rates Affiliated Healthcare — COMM: $1,356.87 Averde Health — COMM: $658.48 BCBS — BlueEssentials: $462.93 BCBS — BlueEssentialsAccess: $462.93 BCBS — Traditional: $897.93 Coastal Comp — COMM: $1,297.01 First Health — Exclusive: $1,115.43 First Health — NonExclusive: $1,115.43 HealthSmart Preferred Care — ACCEL: $858.02 HealthSmart Preferred Care — ACCOUNTABLEPPO: $1,696.09
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Ch	Not listed in the file	Not listed in the file	$8.46 – $9.93
Basic metabolic panel (blood test): 10 of 59 insurance plan rates Aetna — ASA: $93.97 Aetna — CommercialBaseNetwork: $72.24 Aetna — MCR: $8.53 Aetna — Meritain: $72.24 Aetna — NewBusiness: $70.20 Aetna — OON: $84.90 Aetna Better Health — MGMCD: $10.52 American Health Plan — MGMCR: $8.88 BCBS — BlueAdvantage: $17 BCBS — HealthSelectOpenAccess(EPOSOA): $25.21
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMP METABOLIC PANEL	$2,339.80	$2,339.80	$163.79 – $1,988.83
Comprehensive metabolic panel (blood test): 10 of 30 insurance plan rates Affiliated Healthcare — COMM: $1,591.06 Averde Health — COMM: $772.13 BCBS — BlueEssentials: $542.83 BCBS — BlueEssentialsAccess: $542.83 BCBS — Traditional: $1,052.91 Coastal Comp — COMM: $1,520.87 First Health — Exclusive: $1,307.95 First Health — NonExclusive: $1,307.95 HealthSmart Preferred Care — ACCEL: $1,006.11 HealthSmart Preferred Care — ACCOUNTABLEPPO: $1,988.83
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon	Not listed in the file	Not listed in the file	$9.61 – $10.56
Comprehensive metabolic panel (blood test): 10 of 59 insurance plan rates Aetna — ASA: $117.29 Aetna — CommercialBaseNetwork: $90.16 Aetna — MCR: $10.65 Aetna — Meritain: $90.16 Aetna — NewBusiness: $87.63 Aetna — OON: $105.96 Aetna Better Health — MGMCD: $10.17 American Health Plan — MGMCR: $11.09 BCBS — BlueAdvantage: $21.23 BCBS — HealthSelectOpenAccess(EPOSOA): $31.47
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or	Not listed in the file	Not listed in the file	$47.81
Obstetric blood test panel: 10 of 50 insurance plan rates Aetna — ASA: $530.91 Aetna — CommercialBaseNetwork: $408.13 Aetna — MCR: $48.22 Aetna — Meritain: $408.13 Aetna — NewBusiness: $396.65 Aetna — OON: $479.65 American Health Plan — MGMCR: $50.20 BCBS — BlueAdvantage: $96.10 BCBS — HealthSelectOpenAccess(EPOSOA): $142.47 BCBS — MGMCRHMO: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL	$1,867	$1,867	$130.69 – $1,586.95
Cholesterol panel (lipid panel): 10 of 30 insurance plan rates Affiliated Healthcare — COMM: $1,269.56 Averde Health — COMM: $616.11 BCBS — BlueEssentials: $433.14 BCBS — BlueEssentialsAccess: $433.14 BCBS — Traditional: $840.15 Coastal Comp — COMM: $1,213.55 First Health — Exclusive: $1,043.65 First Health — NonExclusive: $1,043.65 HealthSmart Preferred Care — ACCEL: $802.81 HealthSmart Preferred Care — ACCOUNTABLEPPO: $1,586.95
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholester	Not listed in the file	Not listed in the file	$7.81
Cholesterol panel (lipid panel): 10 of 59 insurance plan rates Aetna — ASA: $148.65 Aetna — CommercialBaseNetwork: $114.28 Aetna — MCR: $13.50 Aetna — Meritain: $114.28 Aetna — NewBusiness: $111.06 Aetna — OON: $134.30 Aetna Better Health — MGMCD: $8.27 American Health Plan — MGMCR: $14.06 BCBS — BlueAdvantage: $26.91 BCBS — HealthSelectOpenAccess(EPOSOA): $39.90
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL	$1,703.87	$1,703.87	$119.27 – $1,448.29
Kidney function panel: 10 of 30 insurance plan rates Affiliated Healthcare — COMM: $1,158.63 Averde Health — COMM: $562.28 BCBS — BlueEssentials: $395.30 BCBS — BlueEssentialsAccess: $395.30 BCBS — Traditional: $766.74 Coastal Comp — COMM: $1,107.52 First Health — Exclusive: $952.46 First Health — NonExclusive: $952.46 HealthSmart Preferred Care — ACCEL: $732.66 HealthSmart Preferred Care — ACCOUNTABLEPPO: $1,448.29
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chlo	Not listed in the file	Not listed in the file	$6.13 – $8.68
Kidney function panel: 10 of 59 insurance plan rates Aetna — ASA: $96.33 Aetna — CommercialBaseNetwork: $74.05 Aetna — MCR: $8.75 Aetna — Meritain: $74.05 Aetna — NewBusiness: $71.97 Aetna — OON: $87.03 Aetna Better Health — MGMCD: $6.49 American Health Plan — MGMCR: $9.11 BCBS — BlueAdvantage: $17.45 BCBS — HealthSelectOpenAccess(EPOSOA): $25.87
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL	$2,129.84	$2,129.84	$149.09 – $1,810.36
Liver function panel: 10 of 30 insurance plan rates Affiliated Healthcare — COMM: $1,448.29 Averde Health — COMM: $702.85 BCBS — BlueEssentials: $494.12 BCBS — BlueEssentialsAccess: $494.12 BCBS — Traditional: $958.43 Coastal Comp — COMM: $1,384.40 First Health — Exclusive: $1,190.58 First Health — NonExclusive: $1,190.58 HealthSmart Preferred Care — ACCEL: $915.83 HealthSmart Preferred Care — ACCOUNTABLEPPO: $1,810.36
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase	Not listed in the file	Not listed in the file	$6.13 – $8.17
Liver function panel: 10 of 59 insurance plan rates Aetna — ASA: $90.78 Aetna — CommercialBaseNetwork: $69.78 Aetna — MCR: $8.24 Aetna — Meritain: $69.78 Aetna — NewBusiness: $67.82 Aetna — OON: $82.01 Aetna Better Health — MGMCD: $6.49 American Health Plan — MGMCR: $8.58 BCBS — BlueAdvantage: $16.42 BCBS — HealthSelectOpenAccess(EPOSOA): $24.35
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: UA W MICRO AUTO	$380.66	$380.66	$26.65 – $323.56
Urine test (automated, with microscope): 10 of 30 insurance plan rates Affiliated Healthcare — COMM: $258.85 Averde Health — COMM: $125.62 BCBS — BlueEssentials: $88.31 BCBS — BlueEssentialsAccess: $88.31 BCBS — Traditional: $171.30 Coastal Comp — COMM: $247.43 First Health — Exclusive: $212.79 First Health — NonExclusive: $212.79 HealthSmart Preferred Care — ACCEL: $163.68 HealthSmart Preferred Care — ACCOUNTABLEPPO: $323.56
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity,	Not listed in the file	Not listed in the file	$2.71 – $3.17
Urine test (automated, with microscope): 10 of 59 insurance plan rates Aetna — ASA: $35.26 Aetna — CommercialBaseNetwork: $27.10 Aetna — MCR: $3.20 Aetna — Meritain: $27.10 Aetna — NewBusiness: $26.34 Aetna — OON: $31.85 Aetna Better Health — MGMCD: $2.87 American Health Plan — MGMCR: $3.33 BCBS — BlueAdvantage: $6.37 BCBS — HealthSelectOpenAccess(EPOSOA): $9.45
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity,	$190.32	$190.32	$2.98 – $3.48
Urine test (manual, without microscope): 10 of 59 insurance plan rates Aetna — ASA: $38.59 Aetna — CommercialBaseNetwork: $29.66 Aetna — MCR: $3.51 Aetna — Meritain: $29.66 Aetna — NewBusiness: $28.83 Aetna — OON: $34.86 Aetna Better Health — MGMCD: $3.15 American Health Plan — MGMCR: $3.65 BCBS — BlueAdvantage: $6.99 BCBS — HealthSelectOpenAccess(EPOSOA): $10.37
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: BLOOD URINE MANUAL	$190.32	$190.32	$13.32 – $161.77
Urine test (manual, without microscope): 10 of 30 insurance plan rates Affiliated Healthcare — COMM: $129.42 Averde Health — COMM: $62.81 BCBS — BlueEssentials: $44.15 BCBS — BlueEssentialsAccess: $44.15 BCBS — Traditional: $85.64 Coastal Comp — COMM: $123.71 First Health — Exclusive: $106.39 First Health — NonExclusive: $106.39 HealthSmart Preferred Care — ACCEL: $81.84 HealthSmart Preferred Care — ACCOUNTABLEPPO: $161.77
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: KETONES UR AUTO	$379.13	$379.13	$26.54 – $322.26
Urine test (automated, without microscope): 10 of 30 insurance plan rates Affiliated Healthcare — COMM: $257.81 Averde Health — COMM: $125.11 BCBS — BlueEssentials: $87.96 BCBS — BlueEssentialsAccess: $87.96 BCBS — Traditional: $170.61 Coastal Comp — COMM: $246.43 First Health — Exclusive: $211.93 First Health — NonExclusive: $211.93 HealthSmart Preferred Care — ACCEL: $163.03 HealthSmart Preferred Care — ACCOUNTABLEPPO: $322.26
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: PH UR AUTO	$234.13	$234.13	$16.39 – $199.01
Urine test (automated, without microscope): 10 of 30 insurance plan rates Affiliated Healthcare — COMM: $159.21 Averde Health — COMM: $77.26 BCBS — BlueEssentials: $54.32 BCBS — BlueEssentialsAccess: $54.32 BCBS — Traditional: $105.36 Coastal Comp — COMM: $152.18 First Health — Exclusive: $130.88 First Health — NonExclusive: $130.88 HealthSmart Preferred Care — ACCEL: $100.68 HealthSmart Preferred Care — ACCOUNTABLEPPO: $199.01
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: UA W O MICRO AUTO	$549.83	$549.83	$38.49 – $467.36
Urine test (automated, without microscope): 10 of 30 insurance plan rates Affiliated Healthcare — COMM: $373.88 Averde Health — COMM: $181.44 BCBS — BlueEssentials: $127.56 BCBS — BlueEssentialsAccess: $127.56 BCBS — Traditional: $247.42 Coastal Comp — COMM: $357.39 First Health — Exclusive: $307.35 First Health — NonExclusive: $307.35 HealthSmart Preferred Care — ACCEL: $236.43 HealthSmart Preferred Care — ACCOUNTABLEPPO: $467.36
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PROS SPEC AG (PSA) TOTAL	$1,427.44	$1,427.44	$99.92 – $1,213.32
PSA (prostate specific antigen) blood test: 10 of 30 insurance plan rates Affiliated Healthcare — COMM: $970.66 Averde Health — COMM: $471.06 BCBS — BlueEssentials: $331.17 BCBS — BlueEssentialsAccess: $331.17 BCBS — Traditional: $642.35 Coastal Comp — COMM: $927.84 First Health — Exclusive: $797.94 First Health — NonExclusive: $797.94 HealthSmart Preferred Care — ACCEL: $613.80 HealthSmart Preferred Care — ACCOUNTABLEPPO: $1,213.32
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostate specific antigen (PSA); total	Not listed in the file	Not listed in the file	$15.76
PSA (prostate specific antigen) blood test: 10 of 59 insurance plan rates Aetna — ASA: $204.17 Aetna — CommercialBaseNetwork: $156.96 Aetna — MCR: $18.55 Aetna — Meritain: $156.96 Aetna — NewBusiness: $152.54 Aetna — OON: $184.46 Aetna Better Health — MGMCD: $16.69 American Health Plan — MGMCR: $19.31 BCBS — BlueAdvantage: $36.96 BCBS — HealthSelectOpenAccess(EPOSOA): $54.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: TSH	$1,743.15	$1,743.15	$122.02 – $1,481.68
Thyroid stimulating hormone (TSH) test: 10 of 30 insurance plan rates Affiliated Healthcare — COMM: $1,185.34 Averde Health — COMM: $575.24 BCBS — BlueEssentials: $404.41 BCBS — BlueEssentialsAccess: $404.41 BCBS — Traditional: $784.42 Coastal Comp — COMM: $1,133.05 First Health — Exclusive: $974.42 First Health — NonExclusive: $974.42 HealthSmart Preferred Care — ACCEL: $749.55 HealthSmart Preferred Care — ACCOUNTABLEPPO: $1,481.68
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid stimulating hormone (TSH)	Not listed in the file	Not listed in the file	$14.39
Thyroid stimulating hormone (TSH) test: 10 of 59 insurance plan rates Aetna — ASA: $186.55 Aetna — CommercialBaseNetwork: $143.40 Aetna — MCR: $16.94 Aetna — Meritain: $143.40 Aetna — NewBusiness: $139.37 Aetna — OON: $168.54 Aetna Better Health — MGMCD: $15.24 American Health Plan — MGMCR: $17.64 BCBS — BlueAdvantage: $33.77 BCBS — HealthSelectOpenAccess(EPOSOA): $50.06
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count	Not listed in the file	Not listed in the file	$6.66
Complete blood count (CBC) with differential: 10 of 59 insurance plan rates Aetna — ASA: $86.33 Aetna — CommercialBaseNetwork: $66.37 Aetna — MCR: $7.84 Aetna — Meritain: $66.37 Aetna — NewBusiness: $64.50 Aetna — OON: $78 Aetna Better Health — MGMCD: $7.05 American Health Plan — MGMCR: $8.16 BCBS — BlueAdvantage: $15.62 BCBS — HealthSelectOpenAccess(EPOSOA): $23.15
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: CBC AUTOMATED	$1,108.73	$1,108.73	$77.61 – $942.42
Complete blood count (CBC), automated: 10 of 30 insurance plan rates Affiliated Healthcare — COMM: $753.94 Averde Health — COMM: $365.88 BCBS — BlueEssentials: $257.23 BCBS — BlueEssentialsAccess: $257.23 BCBS — Traditional: $498.93 Coastal Comp — COMM: $720.67 First Health — Exclusive: $619.78 First Health — NonExclusive: $619.78 HealthSmart Preferred Care — ACCEL: $476.75 HealthSmart Preferred Care — ACCOUNTABLEPPO: $942.42
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)	Not listed in the file	Not listed in the file	$5.54 – $6.47
Complete blood count (CBC), automated: 10 of 59 insurance plan rates Aetna — ASA: $71.90 Aetna — CommercialBaseNetwork: $55.27 Aetna — MCR: $6.52 Aetna — Meritain: $55.27 Aetna — NewBusiness: $53.72 Aetna — OON: $64.96 Aetna Better Health — MGMCD: $5.86 American Health Plan — MGMCR: $6.79 BCBS — BlueAdvantage: $13 BCBS — HealthSelectOpenAccess(EPOSOA): $19.28
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTIME	$907.82	$907.82	$63.55 – $771.65
Blood clotting time test (prothrombin time, PT): 10 of 30 insurance plan rates Affiliated Healthcare — COMM: $617.32 Averde Health — COMM: $299.58 BCBS — BlueEssentials: $210.61 BCBS — BlueEssentialsAccess: $210.61 BCBS — Traditional: $408.52 Coastal Comp — COMM: $590.08 First Health — Exclusive: $507.47 First Health — NonExclusive: $507.47 HealthSmart Preferred Care — ACCEL: $390.36 HealthSmart Preferred Care — ACCOUNTABLEPPO: $771.65
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin time;	Not listed in the file	Not listed in the file	$3.67 – $4.29
Blood clotting time test (prothrombin time, PT): 10 of 59 insurance plan rates Aetna — ASA: $47.61 Aetna — CommercialBaseNetwork: $36.60 Aetna — MCR: $4.33 Aetna — Meritain: $36.60 Aetna — NewBusiness: $35.57 Aetna — OON: $43.01 Aetna Better Health — MGMCD: $3.89 American Health Plan — MGMCR: $4.50 BCBS — BlueAdvantage: $8.62 BCBS — HealthSelectOpenAccess(EPOSOA): $12.78
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: PTT	$752.23	$752.23	$52.66 – $639.40
Blood clotting test (partial thromboplastin time, PTT): 10 of 30 insurance plan rates Affiliated Healthcare — COMM: $511.52 Averde Health — COMM: $248.24 BCBS — BlueEssentials: $174.52 BCBS — BlueEssentialsAccess: $174.52 BCBS — Traditional: $338.50 Coastal Comp — COMM: $488.95 First Health — Exclusive: $420.50 First Health — NonExclusive: $420.50 HealthSmart Preferred Care — ACCEL: $323.46 HealthSmart Preferred Care — ACCOUNTABLEPPO: $639.40
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin time, partial (PTT); plasma or whole blood	Not listed in the file	Not listed in the file	$5.15 – $6.01
Blood clotting test (partial thromboplastin time, PTT): 10 of 59 insurance plan rates Aetna — ASA: $66.76 Aetna — CommercialBaseNetwork: $51.32 Aetna — MCR: $6.06 Aetna — Meritain: $51.32 Aetna — NewBusiness: $49.88 Aetna — OON: $60.32 Aetna Better Health — MGMCD: $5.45 American Health Plan — MGMCR: $6.31 BCBS — BlueAdvantage: $12.08 BCBS — HealthSelectOpenAccess(EPOSOA): $17.91

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD/BRAIN W/O CONT	$13,374.52	$13,374.52	$936.22 – $11,368.34
CT scan of the head or brain, without contrast: 10 of 30 insurance plan rates Affiliated Healthcare — COMM: $9,094.67 Averde Health — COMM: $4,413.59 BCBS — BlueEssentials: $3,102.89 BCBS — BlueEssentialsAccess: $3,102.89 BCBS — Traditional: $6,018.53 Coastal Comp — COMM: $8,693.44 First Health — Exclusive: $7,476.36 First Health — NonExclusive: $7,476.36 HealthSmart Preferred Care — ACCEL: $5,751.04 HealthSmart Preferred Care — ACCOUNTABLEPPO: $11,368.34
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Computed tomography, head or brain; without contrast material	Not listed in the file	Not listed in the file	$109.02
CT scan of the head or brain, without contrast: 10 of 19 insurance plan rates Aetna — ASA: $2,423 Aetna — CommercialBaseNetwork: $1,859 Aetna — Meritain: $1,859 Aetna — NewBusiness: $1,808 Aetna — OON: $2,188 Aetna Better Health — MGMCD: $115.43 BCBS — BlueAdvantage: $274.60 BCBS — HealthSelectOpenAccess(EPOSOA): $544.71 BCBS — PPO: $574.97 Driscoll Childrens Health Plan — MCD: $107.89
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN W&WO CONT	$26,933.57	$26,933.57	$1,885.35 – $22,893.53
MRI of the brain, before and after contrast: 10 of 30 insurance plan rates Affiliated Healthcare — COMM: $18,314.83 Averde Health — COMM: $8,888.08 BCBS — BlueEssentials: $6,248.59 BCBS — BlueEssentialsAccess: $6,248.59 BCBS — Traditional: $12,120.11 Coastal Comp — COMM: $17,506.82 First Health — Exclusive: $15,055.87 First Health — NonExclusive: $15,055.87 HealthSmart Preferred Care — ACCEL: $11,581.44 HealthSmart Preferred Care — ACCOUNTABLEPPO: $22,893.53
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and furth	$26,933.57	$26,933.57	$339.46
MRI of the brain, before and after contrast: 10 of 19 insurance plan rates Aetna — ASA: $3,022 Aetna — CommercialBaseNetwork: $2,318 Aetna — Meritain: $2,318 Aetna — NewBusiness: $2,255 Aetna — OON: $2,730 Aetna Better Health — MGMCD: $359.42 BCBS — BlueAdvantage: $935.53 BCBS — HealthSelectOpenAccess(EPOSOA): $1,855.79 BCBS — PPO: $1,958.89 Driscoll Childrens Health Plan — MCD: $337.95
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: CHEST XRAY 2 V	$1,895.71	$1,895.71	$132.70 – $1,611.35
Chest X-ray, 2 views: 10 of 32 insurance plan rates Affiliated Healthcare — COMM: $1,289.08 Averde Health — COMM: $625.58 BCBS — BlueEssentials: $439.80 BCBS — BlueEssentialsAccess: $439.80 BCBS — Traditional: $853.07 Coastal Comp — COMM: $1,232.21 Curative Administrators — COMM: $758.28 First Health — Exclusive: $1,059.70 First Health — NonExclusive: $1,059.70 Healthcare Highways — NarrowNetwork: $483.41
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Radiologic examination, chest; 2 views	Not listed in the file	Not listed in the file	$34.42
Chest X-ray, 2 views: 10 of 17 insurance plan rates Aetna Better Health — MGMCD: $36.45 BCBS — BlueAdvantage: $179.57 BCBS — HealthSelectOpenAccess(EPOSOA): $305.67 BCBS — PPO: $330.41 Cigna — NewBusinessNetwork: $445.93 Cigna — OpenAccessPlus: $505.29 Cigna — PPO: $596.45 Driscoll Childrens Health Plan — MCD: $34.76 Molina Healthcare — CHIP: $37.13 Molina Healthcare — STAR: $37.13
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier TC In the file: Radiologic examination, chest; 2 views	Not listed in the file	Not listed in the file	$194.41 – $260.09
Chest X-ray, 2 views: rates for 5 insurance plans Aetna — ASA: $260.09 Aetna — CommercialBaseNetwork: $199.87 Aetna — Meritain: $199.87 Aetna — NewBusiness: $194.41 Aetna — OON: $235.06
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: XR L-SPINE 4 + VIEWS	$4,498.33	$4,498.33	$314.88 – $3,823.58
X-ray of the lower spine, at least 4 views: 10 of 32 insurance plan rates Affiliated Healthcare — COMM: $3,058.86 Averde Health — COMM: $1,484.45 BCBS — BlueEssentials: $1,043.61 BCBS — BlueEssentialsAccess: $1,043.61 BCBS — Traditional: $2,024.25 Coastal Comp — COMM: $2,923.91 Curative Administrators — COMM: $1,799.33 First Health — Exclusive: $2,514.57 First Health — NonExclusive: $2,514.57 Healthcare Highways — NarrowNetwork: $1,147.07
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views	Not listed in the file	Not listed in the file	$52.48
X-ray of the lower spine, at least 4 views: 10 of 17 insurance plan rates Aetna Better Health — MGMCD: $55.57 BCBS — BlueAdvantage: $252.18 BCBS — HealthSelectOpenAccess(EPOSOA): $429.27 BCBS — PPO: $464.01 Cigna — NewBusinessNetwork: $626.27 Cigna — OpenAccessPlus: $709.64 Cigna — PPO: $837.67 Driscoll Childrens Health Plan — MCD: $53.69 Molina Healthcare — CHIP: $57.34 Molina Healthcare — STAR: $57.34
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier TC In the file: Radiologic examination, spine, lumbosacral; minimum of 4 views	Not listed in the file	Not listed in the file	$327.56 – $438.23
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans Aetna — ASA: $438.23 Aetna — CommercialBaseNetwork: $336.76 Aetna — Meritain: $336.76 Aetna — NewBusiness: $327.56 Aetna — OON: $396.06
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI L-SPINE W/O CONT	$21,919.61	$21,919.61	$1,534.37 – $18,631.67
MRI of the lower back (lumbar spine), without contrast: 10 of 30 insurance plan rates Affiliated Healthcare — COMM: $14,905.33 Averde Health — COMM: $7,233.47 BCBS — BlueEssentials: $5,085.35 BCBS — BlueEssentialsAccess: $5,085.35 BCBS — Traditional: $9,863.82 Coastal Comp — COMM: $14,247.75 First Health — Exclusive: $12,253.06 First Health — NonExclusive: $12,253.06 HealthSmart Preferred Care — ACCEL: $9,425.43 HealthSmart Preferred Care — ACCOUNTABLEPPO: $18,631.67
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material	$21,919.61	$21,919.61	$203.12 – $3,022
MRI of the lower back (lumbar spine), without contrast: 10 of 19 insurance plan rates Aetna — ASA: $3,022 Aetna — CommercialBaseNetwork: $2,318 Aetna — Meritain: $2,318 Aetna — NewBusiness: $2,255 Aetna — OON: $2,730 Aetna Better Health — MGMCD: $215.07 BCBS — BlueAdvantage: $570.95 BCBS — HealthSelectOpenAccess(EPOSOA): $1,132.57 BCBS — PPO: $1,195.50 Driscoll Childrens Health Plan — MCD: $203.05
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/CONTRAST	$14,560.87	$14,560.87	$1,019.26 – $12,376.74
CT scan of the pelvis, with contrast: 10 of 30 insurance plan rates Affiliated Healthcare — COMM: $9,901.39 Averde Health — COMM: $4,805.09 BCBS — BlueEssentials: $3,378.12 BCBS — BlueEssentialsAccess: $3,378.12 BCBS — Traditional: $6,552.39 Coastal Comp — COMM: $9,464.57 First Health — Exclusive: $8,139.53 First Health — NonExclusive: $8,139.53 HealthSmart Preferred Care — ACCEL: $6,261.17 HealthSmart Preferred Care — ACCOUNTABLEPPO: $12,376.74
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Computed tomography, pelvis; with contrast material(s)	Not listed in the file	Not listed in the file	$183.95
CT scan of the pelvis, with contrast: 10 of 19 insurance plan rates Aetna — ASA: $2,423 Aetna — CommercialBaseNetwork: $1,859 Aetna — Meritain: $1,859 Aetna — NewBusiness: $1,808 Aetna — OON: $2,188 Aetna Better Health — MGMCD: $194.77 BCBS — BlueAdvantage: $446.44 BCBS — HealthSelectOpenAccess(EPOSOA): $885.59 BCBS — PPO: $934.79 Driscoll Childrens Health Plan — MCD: $180.31
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material	Not listed in the file	Not listed in the file	$215.06
MRI of a leg joint (such as the knee), without contrast: 10 of 19 insurance plan rates Aetna — ASA: $3,022 Aetna — CommercialBaseNetwork: $2,318 Aetna — Meritain: $2,318 Aetna — NewBusiness: $2,255 Aetna — OON: $2,730 Aetna Better Health — MGMCD: $227.71 BCBS — BlueAdvantage: $570.95 BCBS — HealthSelectOpenAccess(EPOSOA): $1,132.57 BCBS — PPO: $1,195.50 Driscoll Childrens Health Plan — MCD: $215.11
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier 50 In the file: MRI LW JNT W/O CONT BI	$20,206.65	$20,206.65	$1,414.47 – $17,175.65
MRI of a leg joint (such as the knee), without contrast: 10 of 30 insurance plan rates Affiliated Healthcare — COMM: $13,740.52 Averde Health — COMM: $6,668.19 BCBS — BlueEssentials: $4,687.94 BCBS — BlueEssentialsAccess: $4,687.94 BCBS — Traditional: $9,092.99 Coastal Comp — COMM: $13,134.32 First Health — Exclusive: $11,295.52 First Health — NonExclusive: $11,295.52 HealthSmart Preferred Care — ACCEL: $8,688.86 HealthSmart Preferred Care — ACCOUNTABLEPPO: $17,175.65
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier LT In the file: MRI LW JNT W/O CONT LT	$20,206.65	$20,206.65	$1,414.47 – $17,175.65
MRI of a leg joint (such as the knee), without contrast: 10 of 30 insurance plan rates Affiliated Healthcare — COMM: $13,740.52 Averde Health — COMM: $6,668.19 BCBS — BlueEssentials: $4,687.94 BCBS — BlueEssentialsAccess: $4,687.94 BCBS — Traditional: $9,092.99 Coastal Comp — COMM: $13,134.32 First Health — Exclusive: $11,295.52 First Health — NonExclusive: $11,295.52 HealthSmart Preferred Care — ACCEL: $8,688.86 HealthSmart Preferred Care — ACCOUNTABLEPPO: $17,175.65
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD&PELVIS W/CONT	$21,892.93	$21,892.93	$1,532.51 – $18,608.99
CT scan of the abdomen and pelvis, with contrast: 10 of 30 insurance plan rates Affiliated Healthcare — COMM: $14,887.19 Averde Health — COMM: $7,224.67 BCBS — BlueEssentials: $5,079.16 BCBS — BlueEssentialsAccess: $5,079.16 BCBS — Traditional: $9,851.82 Coastal Comp — COMM: $14,230.40 First Health — Exclusive: $12,238.15 First Health — NonExclusive: $12,238.15 HealthSmart Preferred Care — ACCEL: $9,413.96 HealthSmart Preferred Care — ACCOUNTABLEPPO: $18,608.99
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Computed tomography, abdomen and pelvis; with contrast material(s)	Not listed in the file	Not listed in the file	$324.45
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates Aetna — ASA: $2,423 Aetna — CommercialBaseNetwork: $1,859 Aetna — Meritain: $1,859 Aetna — NewBusiness: $1,808 Aetna — OON: $2,188 Aetna Better Health — MGMCD: $343.54 BCBS — BlueAdvantage: $935.53 BCBS — HealthSelectOpenAccess(EPOSOA): $1,855.79 BCBS — PPO: $1,958.89 Driscoll Childrens Health Plan — MCD: $321.44
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US ABDOMEN COMPLETE	$6,881.39	$6,881.39	$300 – $5,849.18
Ultrasound of the abdomen, complete: 10 of 37 insurance plan rates Affiliated Healthcare — COMM: $4,679.35 Averde Health — COMM: $2,270.86 BCBS — BlueEssentials: $1,596.48 BCBS — BlueEssentialsAccess: $1,596.48 BCBS — Traditional: $3,096.63 Cigna — NewBusinessNetwork: $2,229.57 Cigna — OpenAccessPlus: $2,491.06 Cigna — PPO: $2,938.35 Coastal Comp — COMM: $4,472.90 Curative Administrators — COMM: $2,752.56
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Ultrasound, abdominal, real time with image documentation; complete	Not listed in the file	Not listed in the file	$109.02
Ultrasound of the abdomen, complete: 10 of 15 insurance plan rates Aetna Better Health — MGMCD: $115.43 BCBS — BlueAdvantage: $252.18 BCBS — HealthSelectOpenAccess(EPOSOA): $429.27 BCBS — PPO: $464.01 Driscoll Childrens Health Plan — MCD: $107.89 Healthcare Highways — NarrowNetwork: $213 Molina Healthcare — CHIP: $115.23 Molina Healthcare — STAR: $115.23 Molina Healthcare — STARKIDS: $115.23 Molina Healthcare — STARPLUS: $115.23
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier TC In the file: Ultrasound, abdominal, real time with image documentation; complete	Not listed in the file	Not listed in the file	$676.10 – $904.52
Ultrasound of the abdomen, complete: rates for 5 insurance plans Aetna — ASA: $904.52 Aetna — CommercialBaseNetwork: $695.08 Aetna — Meritain: $695.08 Aetna — NewBusiness: $676.10 Aetna — OON: $817.47
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US PREG AFTER 1ST TRI	$6,133.25	$6,133.25	$300 – $5,213.26
Pregnancy ultrasound (after the first trimester): 10 of 37 insurance plan rates Affiliated Healthcare — COMM: $4,170.61 Averde Health — COMM: $2,023.97 BCBS — BlueEssentials: $1,422.91 BCBS — BlueEssentialsAccess: $1,422.91 BCBS — Traditional: $2,759.96 Cigna — NewBusinessNetwork: $1,987.17 Cigna — OpenAccessPlus: $2,220.24 Cigna — PPO: $2,618.90 Coastal Comp — COMM: $3,986.61 Curative Administrators — COMM: $2,453.30
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day	Not listed in the file	Not listed in the file	$109.02
Pregnancy ultrasound (after the first trimester): 10 of 15 insurance plan rates Aetna Better Health — MGMCD: $115.43 BCBS — BlueAdvantage: $205.97 BCBS — HealthSelectOpenAccess(EPOSOA): $350.60 BCBS — PPO: $378.98 Driscoll Childrens Health Plan — MCD: $107.89 Healthcare Highways — NarrowNetwork: $213 Molina Healthcare — CHIP: $115.23 Molina Healthcare — STAR: $115.23 Molina Healthcare — STARKIDS: $115.23 Molina Healthcare — STARPLUS: $115.23
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier TC In the file: Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 day	Not listed in the file	Not listed in the file	$749.75 – $1,003.06
Pregnancy ultrasound (after the first trimester): rates for 5 insurance plans Aetna — ASA: $1,003.06 Aetna — CommercialBaseNetwork: $770.80 Aetna — Meritain: $770.80 Aetna — NewBusiness: $749.75 Aetna — OON: $906.52
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US TRANSVAGINAL	$8,995.65	$8,995.65	$300 – $7,646.30
Transvaginal ultrasound: 10 of 37 insurance plan rates Affiliated Healthcare — COMM: $6,117.04 Averde Health — COMM: $2,968.56 BCBS — BlueEssentials: $2,086.99 BCBS — BlueEssentialsAccess: $2,086.99 BCBS — Traditional: $4,048.04 Cigna — NewBusinessNetwork: $2,914.59 Cigna — OpenAccessPlus: $3,256.43 Cigna — PPO: $3,841.14 Coastal Comp — COMM: $5,847.17 Curative Administrators — COMM: $3,598.26
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound, transvaginal	Not listed in the file	Not listed in the file	$109.02
Transvaginal ultrasound: 10 of 15 insurance plan rates Aetna Better Health — MGMCD: $115.43 BCBS — BlueAdvantage: $198.67 BCBS — HealthSelectOpenAccess(EPOSOA): $338.19 BCBS — PPO: $365.56 Driscoll Childrens Health Plan — MCD: $107.89 Healthcare Highways — NarrowNetwork: $213 Molina Healthcare — CHIP: $115.23 Molina Healthcare — STAR: $115.23 Molina Healthcare — STARKIDS: $115.23 Molina Healthcare — STARPLUS: $115.23
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier TC In the file: Ultrasound, transvaginal	Not listed in the file	Not listed in the file	$744.17 – $995.59
Transvaginal ultrasound: rates for 5 insurance plans Aetna — ASA: $995.59 Aetna — CommercialBaseNetwork: $765.06 Aetna — Meritain: $765.06 Aetna — NewBusiness: $744.17 Aetna — OON: $899.78
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: MAMMO DIAG CAD UNI	$870.83	$870.83	$60.96 – $740.21
Diagnostic mammogram, one breast: 10 of 37 insurance plan rates Affiliated Healthcare — COMM: $592.16 Averde Health — COMM: $287.37 BCBS — BlueEssentials: $202.03 BCBS — BlueEssentialsAccess: $202.03 BCBS — Traditional: $391.87 Cigna — NewBusinessNetwork: $282.15 Cigna — OpenAccessPlus: $315.24 Cigna — PPO: $371.84 Coastal Comp — COMM: $566.04 Curative Administrators — COMM: $348.33
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral	Not listed in the file	Not listed in the file	$205.70
Diagnostic mammogram, one breast: 10 of 40 insurance plan rates Aetna — MCR: $82.45 American Health Plan — MGMCR: $85.85 BCBS — BlueAdvantage: $211.63 BCBS — HealthSelectOpenAccess(EPOSOA): $360.25 BCBS — MGMCRHMO: $81.76 BCBS — MGMCRPOS: $81.76 BCBS — MGMCRPPO: $81.76 BCBS — PPO: $389.41 Cigna HealthSpring — MCRHMO: $81.76 Cigna HealthSpring — MCRPPO: $81.76
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier RT In the file: MAMMO DIAG CAD UNI RT	$870.83	$870.83	$60.96 – $740.21
Diagnostic mammogram, one breast: 10 of 37 insurance plan rates Affiliated Healthcare — COMM: $592.16 Averde Health — COMM: $287.37 BCBS — BlueEssentials: $202.03 BCBS — BlueEssentialsAccess: $202.03 BCBS — Traditional: $391.87 Cigna — NewBusinessNetwork: $282.15 Cigna — OpenAccessPlus: $315.24 Cigna — PPO: $371.84 Coastal Comp — COMM: $566.04 Curative Administrators — COMM: $348.33
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: MAMMO DIAG CAD BI	$1,651.90	$1,651.90	$115.63 – $1,404.12
Diagnostic mammogram, both breasts: 10 of 37 insurance plan rates Affiliated Healthcare — COMM: $1,123.29 Averde Health — COMM: $545.13 BCBS — BlueEssentials: $383.24 BCBS — BlueEssentialsAccess: $383.24 BCBS — Traditional: $743.36 Cigna — NewBusinessNetwork: $535.22 Cigna — OpenAccessPlus: $597.99 Cigna — PPO: $705.36 Coastal Comp — COMM: $1,073.73 Curative Administrators — COMM: $660.76
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral	Not listed in the file	Not listed in the file	$263
Diagnostic mammogram, both breasts: 10 of 40 insurance plan rates Aetna — MCR: $105.78 American Health Plan — MGMCR: $110.13 BCBS — BlueAdvantage: $270.83 BCBS — HealthSelectOpenAccess(EPOSOA): $461.02 BCBS — MGMCRHMO: $104.89 BCBS — MGMCRPOS: $104.89 BCBS — MGMCRPPO: $104.89 BCBS — PPO: $498.33 Cigna HealthSpring — MCRHMO: $104.89 Cigna HealthSpring — MCRPPO: $104.89
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier TC In the file: Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral	Not listed in the file	Not listed in the file	$945.30 – $1,264.67
Diagnostic mammogram, both breasts: rates for 5 insurance plans Aetna — ASA: $1,264.67 Aetna — CommercialBaseNetwork: $971.84 Aetna — Meritain: $971.84 Aetna — NewBusiness: $945.30 Aetna — OON: $1,142.96
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: MAMMO SCR CAD BI	$1,497.79	$1,497.79	$104.85 – $1,273.12
Screening mammogram, both breasts: 10 of 37 insurance plan rates Affiliated Healthcare — COMM: $1,018.50 Averde Health — COMM: $494.27 BCBS — BlueEssentials: $347.49 BCBS — BlueEssentialsAccess: $347.49 BCBS — Traditional: $674.01 Cigna — NewBusinessNetwork: $485.28 Cigna — OpenAccessPlus: $542.20 Cigna — PPO: $639.56 Coastal Comp — COMM: $973.56 Curative Administrators — COMM: $599.12
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed	Not listed in the file	Not listed in the file	$217.46
Screening mammogram, both breasts: 10 of 40 insurance plan rates Aetna — MCR: $87.26 American Health Plan — MGMCR: $90.85 BCBS — BlueAdvantage: $223.81 BCBS — HealthSelectOpenAccess(EPOSOA): $380.97 BCBS — MGMCRHMO: $86.52 BCBS — MGMCRPOS: $86.52 BCBS — MGMCRPPO: $86.52 BCBS — PPO: $411.81 Cigna HealthSpring — MCRHMO: $86.52 Cigna HealthSpring — MCRPPO: $86.52
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier TC In the file: Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed	Not listed in the file	Not listed in the file	$780.95 – $1,044.79
Screening mammogram, both breasts: rates for 5 insurance plans Aetna — ASA: $1,044.79 Aetna — CommercialBaseNetwork: $802.87 Aetna — Meritain: $802.87 Aetna — NewBusiness: $780.95 Aetna — OON: $944.24

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report	Not listed in the file	Not listed in the file	$34.77 – $54.32
Electrocardiogram (ECG/EKG) with reading: rates for 3 insurance plans BCBS — BlueAdvantage: $34.77 BCBS — HealthSelectOpenAccess(EPOSOA): $51.55 BCBS — PPO: $54.32
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: CATH HRT LT/INJ L VENT	$50,453.92	$50,453.92	$300 – $42,885.83
Left heart catheterization (diagnostic): 10 of 28 insurance plan rates Affiliated Healthcare — COMM: $34,308.67 Averde Health — COMM: $16,649.79 BCBS — BlueEssentials: $11,705.31 BCBS — BlueEssentialsAccess: $11,705.31 BCBS — Traditional: $22,704.26 Coastal Comp — COMM: $32,795.05 First Health — Exclusive: $28,203.74 First Health — NonExclusive: $28,203.74 HealthSmart Preferred Care — ACCEL: $21,695.19 HealthSmart Preferred Care — ACCOUNTABLEPPO: $42,885.83
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when pe	Not listed in the file	Not listed in the file	$5,471 – $22,885.10
Left heart catheterization (diagnostic): 10 of 22 insurance plan rates Aetna — ASA: $16,935 Aetna — CommercialBaseNetwork: $13,002 Aetna — Meritain: $13,002 Aetna — NewBusiness: $12,648 Aetna — OON: $15,298 BCBS — BlueAdvantage: $12,710.78 BCBS — HealthSelectOpenAccess(EPOSOA): $19,436.66 BCBS — PPO: $22,885.10 Cigna — NewBusinessNetwork: $12,884 Cigna — OpenAccessPlus: $14,599
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · modifier 59 In the file: CATH HRT LT/INJ L VENT59	$50,453.92	$50,453.92	$300 – $42,885.83
Left heart catheterization (diagnostic): 10 of 28 insurance plan rates Affiliated Healthcare — COMM: $34,308.67 Averde Health — COMM: $16,649.79 BCBS — BlueEssentials: $11,705.31 BCBS — BlueEssentialsAccess: $11,705.31 BCBS — Traditional: $22,704.26 Coastal Comp — COMM: $32,795.05 First Health — Exclusive: $28,203.74 First Health — NonExclusive: $28,203.74 HealthSmart Preferred Care — ACCEL: $21,695.19 HealthSmart Preferred Care — ACCOUNTABLEPPO: $42,885.83
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: EP W/O ARRHYTHMIA	$36,359.51	$36,359.51	$300 – $30,905.58
Heart rhythm study (electrophysiology evaluation): 10 of 31 insurance plan rates Affiliated Healthcare — COMM: $24,724.47 Averde Health — COMM: $11,998.64 BCBS — BlueEssentials: $8,435.41 BCBS — BlueEssentialsAccess: $8,435.41 BCBS — Traditional: $16,361.78 Cigna — NewBusinessNetwork: $11,780.48 Cigna — OpenAccessPlus: $13,162.14 Cigna — PPO: $15,525.51 Coastal Comp — COMM: $23,633.68 First Health — Exclusive: $20,324.97
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recor	$36,359.51	$36,359.51	$16,647 – $30,861
Heart rhythm study (electrophysiology evaluation): 10 of 19 insurance plan rates Aetna — ASA: $11,326 Aetna — CommercialBaseNetwork: $8,696 Aetna — Meritain: $8,696 Aetna — NewBusiness: $8,459 Aetna — OON: $10,231 BCBS — BlueAdvantage: $19,246.27 BCBS — HealthSelectOpenAccess(EPOSOA): $33,136.55 BCBS — PPO: $34,313.69 Curative Administrators — COMM: $43,890 Healthcare Highways — NarrowNetwork: $21,231
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: COM EP REPO CTH TX AFIB	$128,573.82	$128,573.82	$300 – $109,287.75
Heart rhythm study with ablation for atrial fibrillation: 10 of 31 insurance plan rates Affiliated Healthcare — COMM: $87,430.20 Averde Health — COMM: $42,429.36 BCBS — BlueEssentials: $29,829.13 BCBS — BlueEssentialsAccess: $29,829.13 BCBS — Traditional: $57,858.22 Cigna — NewBusinessNetwork: $41,657.92 Cigna — OpenAccessPlus: $46,543.72 Cigna — PPO: $54,901.02 Coastal Comp — COMM: $83,572.98 First Health — Exclusive: $71,872.77
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters,	$128,573.82	$128,573.82	$10,185 – $58,649.22
Heart rhythm study with ablation for atrial fibrillation: 10 of 19 insurance plan rates BCBS — BlueAdvantage: $37,600.90 BCBS — HealthSelectOpenAccess(EPOSOA): $56,401.35 BCBS — PPO: $58,649.22 Curative Administrators — COMM: $43,890 Healthcare Highways — NarrowNetwork: $21,231 Independent Medical System — COMM: $10,694 Oscar — HIX: $10,185 Superior Health Plan — CHIP: $7,818 Superior Health Plan — CHPFC: $7,818 Superior Health Plan — STAR: $7,818
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist	Not listed in the file	Not listed in the file	$2,073 – $3,843
Sleep study (overnight, in a sleep lab): rates for 5 insurance plans BCBS — BlueAdvantage: $1,638.07 BCBS — HealthSelectOpenAccess(EPOSOA): $2,820.29 BCBS — PPO: $2,920.48 United — AllPayerAppendix: $3,843 United — SmallGroup: $2,073
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · modifier TC In the file: Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist	Not listed in the file	Not listed in the file	$5,795.97 – $7,764.86
Sleep study (overnight, in a sleep lab): rates for 5 insurance plans Aetna — ASA: $7,764.86 Aetna — CommercialBaseNetwork: $5,959.08 Aetna — Meritain: $5,959.08 Aetna — NewBusiness: $5,795.97 Aetna — OON: $7,013.42

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexib	Not listed in the file	Not listed in the file	$28.25 – $299.66
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 42 insurance plan rates Aetna — ASA: $299.66 Aetna — CommercialBaseNetwork: $229.97 Aetna — MCR: $28.57 Aetna — Meritain: $229.97 Aetna — NewBusiness: $223.68 Aetna — OON: $270.66 American Health Plan — MGMCR: $29.75 BCBS — BlueAdvantage: $102.51 BCBS — HealthSelectOpenAccess(EPOSOA): $176.50 BCBS — MGMCRHMO: $28.33
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: THER EXERCISES 15 MIN PT	$903.28	$903.28	$63.23 – $767.79
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 34 insurance plan rates Affiliated Healthcare — COMM: $614.23 Averde Health — COMM: $298.08 BCBS — BlueEssentials: $209.56 BCBS — BlueEssentialsAccess: $209.56 BCBS — Traditional: $406.48 Coastal Comp — COMM: $587.13 First Health — Exclusive: $504.93 First Health — NonExclusive: $504.93 HealthSmart Preferred Care — ACCEL: $388.41 HealthSmart Preferred Care — ACCOUNTABLEPPO: $767.79
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: THER EXERCISES 15 MIN OT	$903.28	$903.28	$63.23 – $767.79
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 34 insurance plan rates Affiliated Healthcare — COMM: $614.23 Averde Health — COMM: $298.08 BCBS — BlueEssentials: $209.56 BCBS — BlueEssentialsAccess: $209.56 BCBS — Traditional: $406.48 Coastal Comp — COMM: $587.13 First Health — Exclusive: $504.93 First Health — NonExclusive: $504.93 HealthSmart Preferred Care — ACCEL: $388.41 HealthSmart Preferred Care — ACCOUNTABLEPPO: $767.79
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact	$379.13	$379.13	$95.19 – $1,019.48
Physical therapy evaluation (low complexity): 10 of 42 insurance plan rates Aetna — ASA: $1,019.48 Aetna — CommercialBaseNetwork: $782.39 Aetna — MCR: $96.29 Aetna — Meritain: $782.39 Aetna — NewBusiness: $760.98 Aetna — OON: $920.82 American Health Plan — MGMCR: $100.25 BCBS — BlueAdvantage: $282.82 BCBS — HealthSelectOpenAccess(EPOSOA): $486.94 BCBS — MGMCRHMO: $95.48
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP\|CQ In the file: Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact	$379.13	$379.13	$83.77 – $176.45
Physical therapy evaluation (low complexity): 10 of 34 insurance plan rates Aetna — MCR: $84.74 American Health Plan — MGMCR: $88.22 BCBS — MGMCRHMO: $84.02 BCBS — MGMCRPOS: $84.02 BCBS — MGMCRPPO: $84.02 Cigna HealthSpring — MCRHMO: $84.02 Cigna HealthSpring — MCRPPO: $84.02 Cigna HealthSpring — MCRSNP: $84.02 Cigna HealthSpring — MMP: $84.02 Cigna HealthSpring — PFFS: $84.02
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT LOW COMPLEX	$379.13	$379.13	$26.54 – $600
Physical therapy evaluation (low complexity): 10 of 34 insurance plan rates Affiliated Healthcare — COMM: $257.81 Averde Health — COMM: $125.11 BCBS — BlueEssentials: $87.96 BCBS — BlueEssentialsAccess: $87.96 BCBS — Traditional: $170.61 Coastal Comp — COMM: $246.43 First Health — Exclusive: $211.93 First Health — NonExclusive: $211.93 HealthSmart Preferred Care — ACCEL: $163.03 HealthSmart Preferred Care — ACCOUNTABLEPPO: $322.26
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or	$758.29	$758.29	$95.19 – $1,019.48
Physical therapy evaluation (moderate complexity): 10 of 42 insurance plan rates Aetna — ASA: $1,019.48 Aetna — CommercialBaseNetwork: $782.39 Aetna — MCR: $96.29 Aetna — Meritain: $782.39 Aetna — NewBusiness: $760.98 Aetna — OON: $920.82 American Health Plan — MGMCR: $100.25 BCBS — BlueAdvantage: $282.82 BCBS — HealthSelectOpenAccess(EPOSOA): $486.94 BCBS — MGMCRHMO: $95.48
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP\|CQ In the file: Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or	$758.29	$758.29	$83.77 – $176.45
Physical therapy evaluation (moderate complexity): 10 of 34 insurance plan rates Aetna — MCR: $84.74 American Health Plan — MGMCR: $88.22 BCBS — MGMCRHMO: $84.02 BCBS — MGMCRPOS: $84.02 BCBS — MGMCRPPO: $84.02 Cigna HealthSpring — MCRHMO: $84.02 Cigna HealthSpring — MCRPPO: $84.02 Cigna HealthSpring — MCRSNP: $84.02 Cigna HealthSpring — MMP: $84.02 Cigna HealthSpring — PFFS: $84.02
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT MOD COMPLEX	$758.29	$758.29	$53.08 – $644.55
Physical therapy evaluation (moderate complexity): 10 of 34 insurance plan rates Affiliated Healthcare — COMM: $515.64 Averde Health — COMM: $250.24 BCBS — BlueEssentials: $175.92 BCBS — BlueEssentialsAccess: $175.92 BCBS — Traditional: $341.23 Coastal Comp — COMM: $492.89 First Health — Exclusive: $423.88 First Health — NonExclusive: $423.88 HealthSmart Preferred Care — ACCEL: $326.06 HealthSmart Preferred Care — ACCOUNTABLEPPO: $644.55
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o	$1,137.42	$1,137.42	$95.19 – $1,019.48
Physical therapy evaluation (high complexity): 10 of 42 insurance plan rates Aetna — ASA: $1,019.48 Aetna — CommercialBaseNetwork: $782.39 Aetna — MCR: $96.29 Aetna — Meritain: $782.39 Aetna — NewBusiness: $760.98 Aetna — OON: $920.82 American Health Plan — MGMCR: $100.25 BCBS — BlueAdvantage: $282.82 BCBS — HealthSelectOpenAccess(EPOSOA): $486.94 BCBS — MGMCRHMO: $95.48
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP\|CQ In the file: Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/o	$1,137.42	$1,137.42	$83.77 – $176.45
Physical therapy evaluation (high complexity): 10 of 34 insurance plan rates Aetna — MCR: $84.74 American Health Plan — MGMCR: $88.22 BCBS — MGMCRHMO: $84.02 BCBS — MGMCRPOS: $84.02 BCBS — MGMCRPPO: $84.02 Cigna HealthSpring — MCRHMO: $84.02 Cigna HealthSpring — MCRPPO: $84.02 Cigna HealthSpring — MCRSNP: $84.02 Cigna HealthSpring — MMP: $84.02 Cigna HealthSpring — PFFS: $84.02
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: EVAL PT HIGH COMPLEX	$1,137.42	$1,137.42	$79.62 – $966.81
Physical therapy evaluation (high complexity): 10 of 34 insurance plan rates Affiliated Healthcare — COMM: $773.45 Averde Health — COMM: $375.35 BCBS — BlueEssentials: $263.88 BCBS — BlueEssentialsAccess: $263.88 BCBS — Traditional: $511.84 Coastal Comp — COMM: $739.32 First Health — Exclusive: $635.82 First Health — NonExclusive: $635.82 HealthSmart Preferred Care — ACCEL: $489.09 HealthSmart Preferred Care — ACCOUNTABLEPPO: $966.81

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19	Not listed in the file	Not listed in the file	$1,034.05 – $13,940
Removal of breast growth (open surgery): 10 of 31 insurance plan rates Aetna — ASA: $5,329 Aetna — CommercialBaseNetwork: $4,093 Aetna — Meritain: $4,093 Aetna — NewBusiness: $3,982 Aetna — OON: $4,815 Aetna Better Health — MGMCD: $1,216.52 BCBS — BlueAdvantage: $5,574.37 BCBS — HealthSelectOpenAccess(EPOSOA): $8,361.56 BCBS — PPO: $8,694.81 Cigna — NewBusinessNetwork: $5,263
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft	Not listed in the file	Not listed in the file	$948 – $55,338.30
Total hip replacement: 10 of 29 insurance plan rates Aetna — ASA: $8,551 Aetna — CommercialBaseNetwork: $6,567 Aetna — Meritain: $6,567 Aetna — NewBusiness: $6,388 Aetna — OON: $7,724 American Health Plan — MGMCR: $12,000 BCBS — BlueAdvantage: $34,631.07 BCBS — HealthSelectOpenAccess(EPOSOA): $52,363.12 BCBS — PPO: $55,338.30 Cigna — NewBusinessNetwork: $19,996
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)	Not listed in the file	Not listed in the file	$948 – $55,338.30
Total knee replacement: 10 of 29 insurance plan rates Aetna — ASA: $8,551 Aetna — CommercialBaseNetwork: $6,567 Aetna — Meritain: $6,567 Aetna — NewBusiness: $6,388 Aetna — OON: $7,724 American Health Plan — MGMCR: $12,000 BCBS — BlueAdvantage: $34,631.07 BCBS — HealthSelectOpenAccess(EPOSOA): $52,363.12 BCBS — PPO: $55,338.30 Cigna — NewBusinessNetwork: $19,996
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) rele	Not listed in the file	Not listed in the file	$2,369
Shoulder arthroscopy: shaving of shoulder bone: 10 of 19 insurance plan rates Aetna — ASA: $7,995 Aetna — CommercialBaseNetwork: $6,137 Aetna — Meritain: $6,137 Aetna — NewBusiness: $5,970 Aetna — OON: $7,222 Cigna — NewBusinessNetwork: $5,263 Cigna — OpenAccessPlus: $5,963 Cigna — PPO: $7,037 Curative Administrators — COMM: $1,672 Healthcare Highways — NarrowNetwork: $5,841
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articula	Not listed in the file	Not listed in the file	$1,167.76 – $15,613
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 31 insurance plan rates Aetna — ASA: $7,995 Aetna — CommercialBaseNetwork: $6,137 Aetna — Meritain: $6,137 Aetna — NewBusiness: $5,970 Aetna — OON: $7,222 Aetna Better Health — MGMCD: $1,373.83 BCBS — BlueAdvantage: $5,036.91 BCBS — HealthSelectOpenAccess(EPOSOA): $7,555.36 BCBS — PPO: $7,856.48 Cigna — NewBusinessNetwork: $6,315
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Tonsillectomy and adenoidectomy; younger than age 12	Not listed in the file	Not listed in the file	$3,041
Removal of tonsils and adenoids (under age 12): 10 of 31 insurance plan rates Aetna — ASA: $5,329 Aetna — CommercialBaseNetwork: $4,093 Aetna — Meritain: $4,093 Aetna — NewBusiness: $3,982 Aetna — OON: $4,815 Aetna Better Health — MGMCD: $2,467.01 BCBS — BlueAdvantage: $8,924.98 BCBS — HealthSelectOpenAccess(EPOSOA): $13,387.46 BCBS — PPO: $13,921.02 Cigna — NewBusinessNetwork: $5,263
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (sep	Not listed in the file	Not listed in the file	$331.60 – $3,552
Upper GI endoscopy (diagnostic): 10 of 31 insurance plan rates Aetna — ASA: $3,552 Aetna — CommercialBaseNetwork: $2,729 Aetna — Meritain: $2,729 Aetna — NewBusiness: $2,653 Aetna — OON: $3,208 Aetna Better Health — MGMCD: $422.84 BCBS — BlueAdvantage: $1,446.09 BCBS — HealthSelectOpenAccess(EPOSOA): $2,169.14 BCBS — PPO: $2,255.59 Cigna — NewBusinessNetwork: $2,946
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple	Not listed in the file	Not listed in the file	$359.42 – $8,580
Upper GI endoscopy with biopsy: 10 of 31 insurance plan rates Aetna — ASA: $4,109 Aetna — CommercialBaseNetwork: $3,154 Aetna — Meritain: $3,154 Aetna — NewBusiness: $3,068 Aetna — OON: $3,712 Aetna Better Health — MGMCD: $422.84 BCBS — BlueAdvantage: $1,446.09 BCBS — HealthSelectOpenAccess(EPOSOA): $2,169.14 BCBS — PPO: $2,255.59 Cigna — NewBusinessNetwork: $4,104
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)	Not listed in the file	Not listed in the file	$352.49 – $8,580
Colonoscopy (diagnostic): 10 of 31 insurance plan rates Aetna — ASA: $4,109 Aetna — CommercialBaseNetwork: $3,154 Aetna — Meritain: $3,154 Aetna — NewBusiness: $3,068 Aetna — OON: $3,712 Aetna Better Health — MGMCD: $414.70 BCBS — BlueAdvantage: $1,405.54 BCBS — HealthSelectOpenAccess(EPOSOA): $2,108.31 BCBS — PPO: $2,192.34 Cigna — NewBusinessNetwork: $4,104
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with biopsy, single or multiple	Not listed in the file	Not listed in the file	$460.61 – $8,580
Colonoscopy with biopsy: 10 of 31 insurance plan rates Aetna — ASA: $4,109 Aetna — CommercialBaseNetwork: $3,154 Aetna — Meritain: $3,154 Aetna — NewBusiness: $3,068 Aetna — OON: $3,712 Aetna Better Health — MGMCD: $541.90 BCBS — BlueAdvantage: $1,847.76 BCBS — HealthSelectOpenAccess(EPOSOA): $2,771.65 BCBS — PPO: $2,882.11 Cigna — NewBusinessNetwork: $4,104
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique	Not listed in the file	Not listed in the file	$460.61 – $8,580
Colonoscopy with removal of polyps (snare): 10 of 31 insurance plan rates Aetna — ASA: $4,109 Aetna — CommercialBaseNetwork: $3,154 Aetna — Meritain: $3,154 Aetna — NewBusiness: $3,068 Aetna — OON: $3,712 Aetna Better Health — MGMCD: $541.90 BCBS — BlueAdvantage: $1,847.76 BCBS — HealthSelectOpenAccess(EPOSOA): $2,771.65 BCBS — PPO: $2,882.11 Cigna — NewBusinessNetwork: $4,104
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and	Not listed in the file	Not listed in the file	$460.61 – $8,580
Ultrasound of the lower bowel by endoscope: 10 of 31 insurance plan rates Aetna — ASA: $4,109 Aetna — CommercialBaseNetwork: $3,154 Aetna — Meritain: $3,154 Aetna — NewBusiness: $3,068 Aetna — OON: $3,712 Aetna Better Health — MGMCD: $541.90 BCBS — BlueAdvantage: $1,847.76 BCBS — HealthSelectOpenAccess(EPOSOA): $2,771.65 BCBS — PPO: $2,882.11 Cigna — NewBusinessNetwork: $4,104
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	Not listed in the file	Not listed in the file	$325.21 – $4,109
Screening colonoscopy (not high risk): 10 of 26 insurance plan rates Aetna — ASA: $4,109 Aetna — CommercialBaseNetwork: $3,154 Aetna — Meritain: $3,154 Aetna — NewBusiness: $3,068 Aetna — OON: $3,712 Aetna Better Health — MGMCD: $414.70 BCBS — BlueAdvantage: $1,405.54 BCBS — HealthSelectOpenAccess(EPOSOA): $2,108.31 BCBS — PPO: $2,192.34 Cigna — NewBusinessNetwork: $4,104
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical; cholecystectomy	Not listed in the file	Not listed in the file	$2,026.81 – $26,535
Gallbladder removal by laparoscope: 10 of 26 insurance plan rates Aetna — ASA: $7,995 Aetna — CommercialBaseNetwork: $6,137 Aetna — Meritain: $6,137 Aetna — NewBusiness: $5,970 Aetna — OON: $7,222 Aetna Better Health — MGMCD: $2,384.48 BCBS — BlueAdvantage: $8,894.03 BCBS — HealthSelectOpenAccess(EPOSOA): $13,341.04 BCBS — PPO: $13,872.75 Cigna — NewBusinessNetwork: $9,999
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical; cholecystectomy High Cost Surgery	Not listed in the file	Not listed in the file	$2,369
Gallbladder removal by laparoscope: rates for 5 insurance plans Superior Health Plan — CHIP: $2,369 Superior Health Plan — CHPFC: $2,369 Superior Health Plan — STAR: $2,369 Superior Health Plan — STARKids: $2,369 Superior Health Plan — STARPLUS: $2,369
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair initial inguinal hernia, age 5 years or older; reducible	Not listed in the file	Not listed in the file	$1,235.65 – $15,613
Groin (inguinal) hernia repair, age 5 or older: 10 of 26 insurance plan rates Aetna — ASA: $7,104 Aetna — CommercialBaseNetwork: $5,455 Aetna — Meritain: $5,455 Aetna — NewBusiness: $5,305 Aetna — OON: $6,417 Aetna Better Health — MGMCD: $1,453.70 BCBS — BlueAdvantage: $5,721.19 BCBS — HealthSelectOpenAccess(EPOSOA): $8,581.78 BCBS — PPO: $8,923.81 Cigna — NewBusinessNetwork: $6,315
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair initial inguinal hernia, age 5 years or older; reducible High Cost Surgery	Not listed in the file	Not listed in the file	$2,369
Groin (inguinal) hernia repair, age 5 or older: rates for 5 insurance plans Superior Health Plan — CHIP: $2,369 Superior Health Plan — CHPFC: $2,369 Superior Health Plan — STAR: $2,369 Superior Health Plan — STARKids: $2,369 Superior Health Plan — STARPLUS: $2,369
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy, prostate; needle or punch, single or multiple, any approach	Not listed in the file	Not listed in the file	$700.49 – $3,537
Prostate biopsy: 10 of 12 insurance plan rates Aetna Better Health — MGMCD: $824.10 Driscoll Childrens Health Plan — MCD: $672.38 Healthcare Highways — NarrowNetwork: $2,434 Independent Medical System — COMM: $3,537 Molina Healthcare — CHIP: $718.08 Molina Healthcare — STAR: $718.08 Molina Healthcare — STARKIDS: $718.08 Molina Healthcare — STARPLUS: $718.08 Oscar — HIX: $2,993 Texas Health Network — MCD: $646.27
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed;	Not listed in the file	Not listed in the file	$948 – $24,145.63
Prostate removal by laparoscope (radical prostatectomy): 10 of 22 insurance plan rates Aetna — ASA: $7,995 Aetna — CommercialBaseNetwork: $6,137 Aetna — Meritain: $6,137 Aetna — NewBusiness: $5,970 Aetna — OON: $7,222 BCBS — BlueAdvantage: $15,480.12 BCBS — HealthSelectOpenAccess(EPOSOA): $23,220.18 BCBS — PPO: $24,145.63 Cigna — NewBusinessNetwork: $5,263 Cigna — OpenAccessPlus: $5,963
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C High Cost Surgery	Not listed in the file	Not listed in the file	$2,369
Hysteroscopy with biopsy of the uterus lining: 10 of 31 insurance plan rates Aetna — ASA: $7,995 Aetna — CommercialBaseNetwork: $6,137 Aetna — Meritain: $6,137 Aetna — NewBusiness: $5,970 Aetna — OON: $7,222 Aetna Better Health — MGMCD: $1,342.58 BCBS — BlueAdvantage: $4,596.50 BCBS — HealthSelectOpenAccess(EPOSOA): $6,894.76 BCBS — PPO: $7,169.55 Cigna — NewBusinessNetwork: $5,263
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neur	Not listed in the file	Not listed in the file	$2,946 – $3,941
Spinal injection, lower back (epidural), with imaging guidance: 10 of 31 insurance plan rates Aetna — ASA: $3,552 Aetna — CommercialBaseNetwork: $2,729 Aetna — Meritain: $2,729 Aetna — NewBusiness: $2,653 Aetna — OON: $3,208 Aetna Better Health — MGMCD: $331.84 BCBS — BlueAdvantage: $1,150.09 BCBS — HealthSelectOpenAccess(EPOSOA): $1,725.14 BCBS — PPO: $1,793.89 Cigna — NewBusinessNetwork: $2,946
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, sing	Not listed in the file	Not listed in the file	$2,251
Nerve root injection, lower back, with imaging guidance: 10 of 31 insurance plan rates Aetna — ASA: $3,552 Aetna — CommercialBaseNetwork: $2,729 Aetna — Meritain: $2,729 Aetna — NewBusiness: $2,653 Aetna — OON: $3,208 Aetna Better Health — MGMCD: $430.19 BCBS — BlueAdvantage: $1,494.17 BCBS — HealthSelectOpenAccess(EPOSOA): $2,241.26 BCBS — PPO: $2,330.58 Cigna — NewBusinessNetwork: $2,946
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel	Not listed in the file	Not listed in the file	$708.15 – $13,940
Carpal tunnel release: 10 of 26 insurance plan rates Aetna — ASA: $4,109 Aetna — CommercialBaseNetwork: $3,154 Aetna — Meritain: $3,154 Aetna — NewBusiness: $3,068 Aetna — OON: $3,712 Aetna Better Health — MGMCD: $833.11 BCBS — BlueAdvantage: $3,163.60 BCBS — HealthSelectOpenAccess(EPOSOA): $4,745.41 BCBS — PPO: $4,934.53 Cigna — NewBusinessNetwork: $4,104
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty and/or transposition; median nerve at carpal tunnel High Cost Surgery	Not listed in the file	Not listed in the file	$2,369
Carpal tunnel release: rates for 5 insurance plans Superior Health Plan — CHIP: $2,369 Superior Health Plan — CHPFC: $2,369 Superior Health Plan — STAR: $2,369 Superior Health Plan — STARKids: $2,369 Superior Health Plan — STARPLUS: $2,369
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg, YAG laser) (1 or	Not listed in the file	Not listed in the file	$223.54 – $5,487
Laser treatment of clouding after cataract surgery: 10 of 31 insurance plan rates Aetna — ASA: $4,109 Aetna — CommercialBaseNetwork: $3,154 Aetna — Meritain: $3,154 Aetna — NewBusiness: $3,068 Aetna — OON: $3,712 Aetna Better Health — MGMCD: $262.99 BCBS — BlueAdvantage: $932.75 BCBS — HealthSelectOpenAccess(EPOSOA): $1,399.13 BCBS — PPO: $1,454.89 Cigna — NewBusinessNetwork: $4,104
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irriga	Not listed in the file	Not listed in the file	$912.02 – $13,940
Cataract removal with lens implant: 10 of 31 insurance plan rates Aetna — ASA: $7,886 Aetna — CommercialBaseNetwork: $6,057 Aetna — Meritain: $6,057 Aetna — NewBusiness: $5,890 Aetna — OON: $7,124 Aetna Better Health — MGMCD: $1,072.97 BCBS — BlueAdvantage: $3,720.22 BCBS — HealthSelectOpenAccess(EPOSOA): $5,580.33 BCBS — PPO: $5,802.74 Cigna — NewBusinessNetwork: $7,684

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care	Not listed in the file	Not listed in the file	$948 – $31,012.44
Vaginal delivery, with care before and after: 10 of 15 insurance plan rates Aetna — ASA: $7,104 Aetna — CommercialBaseNetwork: $5,455 Aetna — Meritain: $5,455 Aetna — NewBusiness: $5,305 Aetna — OON: $6,417 BCBS — BlueAdvantage: $21,582.39 BCBS — HealthSelectOpenAccess(EPOSOA): $31,012.44 BCBS — PPO: $31,012.44 Healthcare Highways — NarrowNetwork: $5,841 Oscar — HIX: $3,675
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Routine obstetric care including antepartum care, cesarean delivery, and postpartum care	Not listed in the file	Not listed in the file	$3,675 – $34,384.19
Cesarean delivery (C-section), with care before and after: 10 of 15 insurance plan rates Aetna — ASA: $7,104 Aetna — CommercialBaseNetwork: $5,455 Aetna — Meritain: $5,455 Aetna — NewBusiness: $5,305 Aetna — OON: $6,417 BCBS — BlueAdvantage: $23,928.88 BCBS — HealthSelectOpenAccess(EPOSOA): $34,384.19 BCBS — PPO: $34,384.19 Healthcare Highways — NarrowNetwork: $5,841 Oscar — HIX: $3,675
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after p	Not listed in the file	Not listed in the file	$948 – $32,541.82
Vaginal delivery after a previous C-section, with care before and after: 10 of 15 insurance plan rates Aetna — ASA: $7,104 Aetna — CommercialBaseNetwork: $5,455 Aetna — Meritain: $5,455 Aetna — NewBusiness: $5,305 Aetna — OON: $6,417 BCBS — BlueAdvantage: $22,646.73 BCBS — HealthSelectOpenAccess(EPOSOA): $32,541.82 BCBS — PPO: $32,541.82 Healthcare Highways — NarrowNetwork: $5,841 Oscar — HIX: $3,675

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZA Pediatric	Not listed in the file	Not listed in the file	$118,533 – $158,493
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 76 insurance plan rates Aetna — ASA: $95,609 Aetna — CommercialBaseNetwork: $73,405 Aetna — MCR: $77,718.81 Aetna — Meritain: $73,405 Aetna — NewBusiness: $71,401 Aetna — OON: $86,360 American Health Plan — MGMCR: $1,275 BCBS — BlueAdvantage: $117,188.75 BCBS — HealthSelectOpenAccess(EPOSOA): $252,468.32 BCBS — MGMCRHMO: $78,742.46
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT	Not listed in the file	Not listed in the file	$1,275 – $4,693
Hip or knee replacement (major joint of the leg), without major complications: 10 of 73 insurance plan rates Aetna — ASA: $29,316 Aetna — CommercialBaseNetwork: $22,508 Aetna — MCR: $17,377.07 Aetna — Meritain: $22,508 Aetna — NewBusiness: $21,892 Aetna — OON: $26,481 American Health Plan — MGMCR: $1,275 BCBS — BlueAdvantage: $33,240.05 BCBS — HealthSelectOpenAccess(EPOSOA): $51,612.15 BCBS — MGMCRHMO: $17,605.95
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT Pediatric	Not listed in the file	Not listed in the file	$29,981 – $40,088
Hip or knee replacement (major joint of the leg), without major complications: rates for 3 insurance plans Cigna — NewBusinessNetwork: $29,981 Cigna — OpenAccessPlus: $33,973 Cigna — PPO: $40,088
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$250 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $69,568.60
Neck (cervical) spinal fusion, without complications: 10 of 73 insurance plan rates Aetna — ASA: $14,659 Aetna — CommercialBaseNetwork: $11,254 Aetna — MCR: $21,313.85 Aetna — Meritain: $11,254 Aetna — NewBusiness: $10,946 Aetna — OON: $13,239 American Health Plan — MGMCR: $22,674.31 BCBS — BlueAdvantage: $38,318.59 BCBS — HealthSelectOpenAccess(EPOSOA): $67,133.70 BCBS — MGMCRHMO: $21,594.58
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Pediatric	Not listed in the file	Not listed in the file	$23,542 – $31,478
Neck (cervical) spinal fusion, without complications: rates for 3 insurance plans Cigna — NewBusinessNetwork: $23,542 Cigna — OpenAccessPlus: $26,676 Cigna — PPO: $31,478
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Adult	Not listed in the file	Not listed in the file	$22,421 – $29,979
Neck (cervical) spinal fusion, without complications: rates for 3 insurance plans Cigna — NewBusinessNetwork: $22,421 Cigna — OpenAccessPlus: $25,406 Cigna — PPO: $29,979
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$1,275 – $4,693
Uterus and ovary surgery (not for cancer), without complications: 10 of 68 insurance plan rates Aetna — MCR: $12,089.61 American Health Plan — MGMCR: $1,275 BCBS — BlueAdvantage: $15,348.31 BCBS — HealthSelectOpenAccess(EPOSOA): $22,351.28 BCBS — MGMCRHMO: $12,248.85 BCBS — MGMCRPOS: $12,248.85 BCBS — MGMCRPPO: $12,248.85 BCBS — PPO: $24,554.57 Cigna HealthSpring — MCRHMO: $12,126.36 Cigna HealthSpring — MCRPPO: $12,126.36
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Pediatric	Not listed in the file	Not listed in the file	$14,358 – $19,198
Uterus and ovary surgery (not for cancer), without complications: rates for 6 insurance plans BCBS — BlueAdvantage: $16,265.88 BCBS — HealthSelectOpenAccess(EPOSOA): $28,432.15 BCBS — PPO: $32,518.16 Cigna — NewBusinessNetwork: $14,358 Cigna — OpenAccessPlus: $16,270 Cigna — PPO: $19,198
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Adult	Not listed in the file	Not listed in the file	$13,675 – $18,285
Uterus and ovary surgery (not for cancer), without complications: rates for 3 insurance plans Cigna — NewBusinessNetwork: $13,675 Cigna — OpenAccessPlus: $15,496 Cigna — PPO: $18,285

Source: Valley Regional Medical Center’s standard charges file (stctrprodsnsvc00455826e6.blob.core.windows.net, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	100 a Alton Gloor, Brownsville, TX 78526
County	Cameron County
State	Texas
Phone	(956) 350‑7000
Emergency services	Yes
Ownership	Proprietary
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	450662
Name in Medicare records	VALLEY REGIONAL MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	valleyregionalmedicalcenter.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Valley Regional Medical Center — valleyregionalmedicalcenter.com
Visitors — valleyregionalmedicalcenter.com
Specialties — valleyregionalmedicalcenter.com
Diagnostic Imaging | Valley Regional Medical Center — valleyregionalmedicalcenter.com
Cardiology | Valley Regional Medical Center — valleyregionalmedicalcenter.com
Surgical Services | Valley Regional Medical Center — valleyregionalmedicalcenter.com
Breast Health | Valley Regional Medical Center — valleyregionalmedicalcenter.com
Emergency Services | Valley Regional Medical Center — valleyregionalmedicalcenter.com
Neurological Care | Valley Regional Medical Center — valleyregionalmedicalcenter.com
Awards & Recognition | Valley Regional Medical Center — valleyregionalmedicalcenter.com
Labor and Delivery | Valley Regional Medical Center — valleyregionalmedicalcenter.com
Diabetes Care | Valley Regional Medical Center — valleyregionalmedicalcenter.com