Does Yoakum Community Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Yoakum Community Hospital. In a medical emergency, call 911.

Where is Yoakum Community Hospital?

1200 Carl Ramert Drive, Yoakum, TX 77995, in Lavaca County, Texas.

What is the phone number of Yoakum Community Hospital?

(361) 293-2321, as listed by Medicare (CMS).

What is the Medicare star rating of Yoakum Community Hospital?

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

Yoakum Community Hospital — Yoakum, TX

Quick answers

Does Yoakum Community Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Yoakum Community Hospital. In a medical emergency, call 911.
Where is Yoakum Community Hospital?: 1200 Carl Ramert Drive, Yoakum, TX 77995, in Lavaca County, Texas.
What is the phone number of Yoakum Community Hospital?: (361) 293-2321, as listed by Medicare (CMS).
What is the Medicare star rating of Yoakum Community Hospital?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5]

Treatments^[4]

Procedures^[4]

Mammogram screening

Programs and centers^[4]

Therapy Center
New Horizons Counseling Center
Wound Care Clinic
Outpatient Clinic
Yoakum Family Practice

Emergency care (hospital website)^[4][5]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level IV

Visiting and practical information

Patient portal	Yoakum Community Hospital Patient Portal

Recognition^[4][5]

Level IV Trauma Facility (Texas DSHS, designated 1996)
Chartis Top 100 Critical Access Hospitals (2024)
Women's Choice Award
CIHQ accreditation

Doctors and clinicians (98)

98 doctors and other clinicians list Yoakum Community Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 74 more: the button below opens the full list.

Other emergency rooms nearby

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

Lavaca Medical Center16 mi · Hallettsville, TX · Critical Access Hospital
Cuero Regional Hospital16 mi · Cuero, TX · Acute Care Hospital
Memorial Hospital24 mi · Gonzales, TX · Acute Care Hospital
De Tar Hospital Navarro35 mi · Victoria, TX · Acute Care Hospital
Citizens Medical Center35 mi · Victoria, TX · Acute Care Hospital

Other hospitals nearby

PAM Rehabilitation Hospital of Victoria32 mi · Victoria, TX · Inpatient Rehabilitation Hospital
PAM Specialty Hospital of Victoria North32 mi · Victoria, TX · Long-Term Acute Care 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

Yoakum Nursing and Rehabilitation Center0.1 mi · Yoakum, TX · 3 of 5 stars
Paradigm at Stevens1.9 mi · Yoakum, TX · 3 of 5 stars
Shiner Nursing and Rehabilitation Center9.2 mi · Shiner, TX · 2 of 5 stars

All nursing homes in the state →

Home health agencies

Cuero Home Health Inc18 mi · Cuero, TX
Memorial Hospital Home Health Agency22 mi · Gonzales, TX

All home health agencies in the state →

Dialysis facilities

DaVita Cuero Lakeview Dialysis18 mi · Cuero, TX · 2 of 5 stars
DaVita Gonzales Dialysis Center22 mi · Gonzales, TX · 3 of 5 stars

All dialysis facilities in the state →

Community care nearby

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

Community health centers

Community Health Centers of South Central Texas, Inc.24 mi · Gonzales, TX · Community health center
CHC of South Central Texas Administration and WIC Center24 mi · Gonzales, TX · Community health center

Clinics and urgent care

Sievers Medical Clinic - Shiner12 mi · Shiner, TX · Rural health clinic
Wagner Medical Clinic L.L.P.12 mi · Shiner, TX · Rural health clinic
Cuero Medical Clinic18 mi · Cuero, TX · Rural health clinic

Pharmacies

Yoakum Discount Pharmacy7.8 mi · Yoakum, TX · Community/retail pharmacy

Assisted living nearby

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

Today's Assisted Living7.8 mi · Yoakum, 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 Yoakum Community Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

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

Summary star rating (all survey topics)	Not reported to Medicare
Overall rating of the hospital	Not reported to Medicare
Would recommend the hospital	Not reported to Medicare
Nurses communicated well	Not reported to Medicare
Doctors communicated well	Not reported to Medicare
Staff explained medicines	Not reported to Medicare
Information about recovery at home	Not reported to Medicare
Room and bathroom kept clean	Not reported to Medicare
Quiet at night	Not reported to Medicare
Rated the hospital 9 or 10 out of 10	78%National average: 72%
Would definitely recommend the hospital	82%National average: 71%
Nurses “always” communicated well	90%National average: 80%
Doctors “always” communicated well	88%National average: 80%
Staff “always” explained medicines before giving them	59%National average: 62%
Were given information about recovery at home	91%National average: 86%
Room and bathroom “always” clean	82%National average: 74%
Area around the room “always” quiet at night	63%National average: 60%
Completed surveys	68Response rate: 25%

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

Infections caught in the hospital

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

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

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	12.6%
Deaths within 30 days: pneumonia patients	16.1%
Deaths within 30 days: COPD patients	7.9%
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	Not reported to Medicare

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	Too few cases to report
Readmitted within 30 days: heart failure	21.5%
Readmitted within 30 days: pneumonia	17.7%
Readmitted within 30 days: COPD	19.4%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

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

Average (median) time patients spent in the emergency room before leaving (OP-18b)	92 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)	80%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

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 Texas Best hospitals in Texas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 46 common services exactly as Yoakum Community Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

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: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	$238	$154.70	$97.58 – $284.35
New patient office visit (about 30–44 minutes): 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $214.20 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $178.50 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $202.30 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $173.07 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $221.59 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $178.20 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $178.12 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $98.56 BCBSTX PPO POS — BCBSTX PPO POS: $284.35 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $284.35
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	$270	$175.50	$110.70 – $481.43
New patient office visit (about 45–59 minutes): 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $243 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $202.50 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $229.50 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $196.34 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $375.17 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $301.71 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $202.07 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $111.81 BCBSTX PPO POS — BCBSTX PPO POS: $481.43 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $481.43
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	$300	$195	$123 – $628.27
New patient office visit (about 60–74 minutes): 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $270 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $225 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $255 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $218.16 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $489.60 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $393.74 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $224.52 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $124.23 BCBSTX PPO POS — BCBSTX PPO POS: $628.27 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $628.27
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more	$194	$126.10	$79.54 – $194
Established patient office visit (about 20–29 minutes): 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $174.60 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $145.50 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $164.90 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $141.08 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $148.43 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $119.37 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $145.19 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $80.34 BCBSTX PPO POS — BCBSTX PPO POS: $190.47 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $190.47
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$216	$140.40	$88.56 – $293.64
Established patient office visit (about 30–39 minutes): 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $194.40 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $162 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $183.60 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $157.08 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $228.83 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $184.02 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $161.65 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $89.45 BCBSTX PPO POS — BCBSTX PPO POS: $293.64 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $293.64
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency department visit with low level of medical decision making	$561	$364.65	$175 – $735
Emergency room visit (moderate): 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $504.90 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $420.75 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $476.85 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $175 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $609 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $721 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $250 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $232.31 BCBSTX PPO POS — BCBSTX PPO POS: $735 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $735
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making	$936	$608.40	$175 – $3,400
Emergency room visit (moderately high): 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $842.40 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $702 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $795.60 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $175 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $2,000 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $2,100 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $250 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $387.60 BCBSTX PPO POS — BCBSTX PPO POS: $3,400 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $3,400
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making	$1,730	$1,124.50	$175 – $5,720
Emergency room visit (high): 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $1,557 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $1,297.50 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $1,470.50 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $175 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $5,200 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $3,280 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $250 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $716.39 BCBSTX PPO POS — BCBSTX PPO POS: $5,720 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $5,720

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: Blood test, basic group of blood chemicals (Calcium, total)	$125	$81.25	$31.30 – $125
Basic metabolic panel (blood test): 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $112.50 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $93.75 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $106.25 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $90.90 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $57.78 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $31.30 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $93.55 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $51.76 BCBSTX PPO POS — BCBSTX PPO POS: $68.44 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $68.44
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals	$155	$100.75	$39.07 – $155
Comprehensive metabolic panel (blood test): 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $139.50 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $116.25 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $131.75 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $112.72 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $72.12 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $39.07 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $116 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $64.19 BCBSTX PPO POS — BCBSTX PPO POS: $85.43 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $85.43
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides)	$155	$100.75	$49.54 – $155
Cholesterol panel (lipid panel): 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $139.50 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $116.25 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $131.75 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $112.72 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $91.45 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $49.54 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $116 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $64.19 BCBSTX PPO POS — BCBSTX PPO POS: $108.33 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $108.33
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel	$132	$85.80	$32.12 – $132
Kidney function panel: 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $118.80 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $99 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $112.20 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $95.99 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $59.28 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $32.12 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $98.79 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $54.66 BCBSTX PPO POS — BCBSTX PPO POS: $70.22 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $70.22
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel	$131	$85.15	$30.23 – $131
Liver function panel: 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $117.90 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $98.25 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $111.35 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $95.26 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $55.80 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $30.23 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $98.04 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $54.25 BCBSTX PPO POS — BCBSTX PPO POS: $66.10 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $66.10
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated	$37	$24.05	$11.73 – $37
Urine test (automated, with microscope): 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $33.30 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $27.75 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $31.45 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $26.91 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $21.65 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $11.73 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $27.69 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $15.32 BCBSTX PPO POS — BCBSTX PPO POS: $25.65 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $25.65
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test	$36	$23.40	$8.33 – $36
Urine test (automated, without microscope): 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $32.40 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $27 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $30.60 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $26.18 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $15.37 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $8.33 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $26.94 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $14.91 BCBSTX PPO POS — BCBSTX PPO POS: $18.20 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $18.20
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total	$172	$111.80	$68.04 – $172
PSA (prostate specific antigen) blood test: 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $154.80 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $129 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $146.20 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $125.08 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $125.60 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $68.04 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $128.72 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $71.23 BCBSTX PPO POS — BCBSTX PPO POS: $148.78 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $148.78
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH)	$110	$71.50	$45.10 – $135.91
Thyroid stimulating hormone (TSH) test: 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $99 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $82.50 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $93.50 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $79.99 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $114.74 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $62.16 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $82.32 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $45.55 BCBSTX PPO POS — BCBSTX PPO POS: $135.91 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $135.91
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	$100	$65	$28.75 – $100
Complete blood count (CBC) with differential: 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $90 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $75 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $85 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $72.72 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $53.07 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $28.75 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $74.84 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $41.41 BCBSTX PPO POS — BCBSTX PPO POS: $62.86 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $62.86
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time	$72	$46.80	$15.87 – $72
Blood clotting time test (prothrombin time, PT): 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $64.80 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $54 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $61.20 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $52.36 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $29.30 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $15.87 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $53.88 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $29.82 BCBSTX PPO POS — BCBSTX PPO POS: $34.71 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $34.71
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood	$69	$44.85	$22.24 – $69
Blood clotting test (partial thromboplastin time, PTT): 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $62.10 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $51.75 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $58.65 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $50.18 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $41.05 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $22.24 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $51.64 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $28.57 BCBSTX PPO POS — BCBSTX PPO POS: $48.62 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $48.62

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 scan head or brain without contrast	$1,706	$1,108.90	$300 – $1,706
CT scan of the head or brain, without contrast: 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $1,535.40 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $1,279.50 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $1,450.10 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $300 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $768.87 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $317.19 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $375 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $706.45 BCBSTX PPO POS — BCBSTX PPO POS: $896.64 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $896.64
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI scan of brain before and after contrast	$2,648.10	$1,721.27	$300 – $3,054.80
MRI of the brain, before and after contrast: 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $2,383.29 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $1,986.08 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $2,250.89 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $300 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $2,619.49 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $1,080.64 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $375 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $1,096.58 BCBSTX PPO POS — BCBSTX PPO POS: $3,054.80 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $3,054.80
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray of chest, 2 views	$281.19	$182.77	$115.29 – $296.89
Chest X-ray, 2 views: 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $253.07 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $210.89 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $239.01 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $204.48 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $215.49 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $217.88 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $210.44 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $116.44 BCBSTX PPO POS — BCBSTX PPO POS: $296.89 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $296.89
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray of lower and sacral spine, minimum of 4 views	$395.52	$257.09	$162.16 – $416.94
X-ray of the lower spine, at least 4 views: 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $355.97 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $296.64 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $336.19 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $287.62 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $302.62 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $305.98 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $296.01 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $163.78 BCBSTX PPO POS — BCBSTX PPO POS: $416.94 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $416.94
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal without contrast	$2,274	$1,478.10	$300 – $2,274
MRI of the lower back (lumbar spine), without contrast: 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $2,046.60 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $1,705.50 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $1,932.90 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $300 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $1,598.65 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $659.50 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $375 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $941.66 BCBSTX PPO POS — BCBSTX PPO POS: $1,864.32 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $1,864.32
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT scan of pelvis with contrast	$2,027	$1,317.55	$300 – $2,027
CT scan of the pelvis, with contrast: 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $1,824.30 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $1,520.25 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $1,722.95 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $300 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $1,250.03 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $515.68 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $375 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $839.38 BCBSTX PPO POS — BCBSTX PPO POS: $1,457.76 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $1,457.76
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI scan of leg joint without contrast	$2,227.05	$1,447.58	$300 – $2,227.05
MRI of a leg joint (such as the knee), without contrast: 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $2,004.35 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $1,670.29 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $1,892.99 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $300 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $1,598.65 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $659.50 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $375 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $922.22 BCBSTX PPO POS — BCBSTX PPO POS: $1,864.32 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $1,864.32
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT scan of abdomen and pelvis with contrast	$4,228	$2,748.20	$300 – $4,228
CT scan of the abdomen and pelvis, with contrast: 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $3,805.20 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $3,171 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $3,593.80 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $300 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $2,619.49 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $1,080.64 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $375 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $1,750.81 BCBSTX PPO POS — BCBSTX PPO POS: $3,054.80 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $3,054.80
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Complete ultrasound scan of abdomen	$918.09	$596.76	$302.62 – $918.09
Ultrasound of the abdomen, complete: 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $826.28 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $688.57 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $780.38 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $667.64 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $302.62 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $305.98 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $687.10 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $380.18 BCBSTX PPO POS — BCBSTX PPO POS: $416.94 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $416.94
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus	$637.31	$414.25	$247.16 – $637.31
Pregnancy ultrasound (after the first trimester): 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $573.58 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $477.98 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $541.71 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $463.45 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $247.16 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $249.90 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $476.96 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $263.91 BCBSTX PPO POS — BCBSTX PPO POS: $340.53 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $340.53
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina	$407.03	$264.57	$166.88 – $407.03
Transvaginal ultrasound: 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $366.33 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $305.27 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $345.98 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $295.99 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $238.41 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $241.06 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $304.62 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $168.55 BCBSTX PPO POS — BCBSTX PPO POS: $328.48 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $328.48
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography of 1 breast	$318	$206.70	$130.38 – $349.90
Diagnostic mammogram, one breast: 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $286.20 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $238.50 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $270.30 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $231.25 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $253.96 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $256.78 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $237.99 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $131.68 BCBSTX PPO POS — BCBSTX PPO POS: $349.90 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $349.90
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography of both breasts	$405	$263.25	$166.05 – $447.78
Diagnostic mammogram, both breasts: 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $364.50 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $303.75 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $344.25 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $294.52 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $325 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $328.61 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $303.10 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $167.71 BCBSTX PPO POS — BCBSTX PPO POS: $447.78 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $447.78
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography	$361	$234.65	$148.01 – $370.03
Screening mammogram, both breasts: 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $324.90 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $270.75 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $306.85 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $262.52 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $268.57 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $271.55 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $270.17 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $149.49 BCBSTX PPO POS — BCBSTX PPO POS: $370.03 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $370.03

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Sleep study in sleep lab (6 years or older)	$3,131	$2,035.15	$1,152.16 – $3,131
Sleep study (overnight, in a sleep lab): 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $2,817.90 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $2,348.25 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $2,661.35 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $2,276.86 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $1,432.69 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $1,152.16 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $2,343.24 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $1,296.55 BCBSTX PPO POS — BCBSTX PPO POS: $1,838.45 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $1,838.45

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: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$141	$91.65	$57.81 – $141
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $126.90 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $105.75 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $119.85 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $102.54 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $89.66 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $72.11 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $105.52 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $58.39 BCBSTX PPO POS — BCBSTX PPO POS: $115.05 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $115.05
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 20 minutes	$194	$126.10	$79.54 – $317.42
Physical therapy evaluation (low complexity): 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $174.60 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $145.50 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $164.90 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $141.08 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $247.36 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $198.93 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $145.19 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $80.34 BCBSTX PPO POS — BCBSTX PPO POS: $317.42 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $317.42
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 30 minutes	$233	$151.45	$95.53 – $317.42
Physical therapy evaluation (moderate complexity): 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $209.70 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $174.75 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $198.05 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $169.44 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $247.36 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $198.93 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $174.38 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $96.49 BCBSTX PPO POS — BCBSTX PPO POS: $317.42 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $317.42
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 45 minutes	$273	$177.45	$111.93 – $317.42
Physical therapy evaluation (high complexity): 10 of 38 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $245.70 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $204.75 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $232.05 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $198.53 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $247.36 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $198.93 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $204.31 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $113.05 BCBSTX PPO POS — BCBSTX PPO POS: $317.42 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $317.42
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes	$152	$98.80	$62.32 – $152
Psychotherapy, 30 minutes: 10 of 37 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $136.80 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $114 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $129.20 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $110.53 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $91.20 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $85.12 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $113.76 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $62.94 BCBSTX PPO POS — BCBSTX PPO POS: $106.40 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $106.40
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes	$155	$100.75	$63.55 – $155
Psychotherapy, 45 minutes: 10 of 37 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $139.50 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $116.25 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $131.75 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $112.72 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $93 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $86.80 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $116 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $64.19 BCBSTX PPO POS — BCBSTX PPO POS: $108.50 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $108.50
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 1 hour	$215	$139.75	$88.15 – $215
Psychotherapy, 60 minutes: 10 of 37 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $193.50 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $161.25 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $182.75 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $156.35 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $129 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $120.40 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $160.91 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $89.03 BCBSTX PPO POS — BCBSTX PPO POS: $150.50 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $150.50
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy without patient, 50 minutes	$215	$139.75	$88.15 – $215
Family psychotherapy, without the patient: 10 of 37 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $193.50 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $161.25 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $182.75 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $156.35 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $129 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $120.40 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $160.91 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $89.03 BCBSTX PPO POS — BCBSTX PPO POS: $150.50 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $150.50
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy with patient, 50 minutes	$215	$139.75	$88.15 – $215
Family psychotherapy, with the patient: 10 of 37 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $193.50 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $161.25 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $182.75 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $156.35 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $129 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $120.40 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $160.91 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $89.03 BCBSTX PPO POS — BCBSTX PPO POS: $150.50 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $150.50
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy	$231	$150.15	$94.71 – $231
Group psychotherapy: 10 of 37 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $207.90 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $173.25 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $196.35 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $167.98 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $138.60 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $129.36 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $172.88 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $95.66 BCBSTX PPO POS — BCBSTX PPO POS: $161.70 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $161.70

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
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 MCC	$10,446	$6,789.90	$5,200 – $25,861
Hip or knee replacement (major joint of the leg), without major complications: 10 of 37 insurance plan rates AETNA HMO PPO-ALL PLANS — AETNA HMO PPO-ALL PLANS: $9,401.40 AMERA-NET-ALL PLANS — AMERA-NET-ALL PLANS: $7,834.50 AMERICAS HEALTH PLAN-ALL PLANS — AMERICAS HEALTH PLAN-ALL PLANS: $8,879.10 AMERIGROUP WELLPOINT MEDICAID-ALL PLANS — AMERIGROUP WELLPOINT MEDICAID-ALL PLANS: $8,499.91 BCBSTX BLUE ADVANTAGE — BCBSTX BLUE ADVANTAGE: $10,446 BCBSTX BLUE ESSENTIALS — BCBSTX BLUE ESSENTIALS: $10,446 BCBSTX HMO MEDICAID — BCBSTX HMO MEDICAID: $8,747.48 BCBSTX MCR ADVANTAGE HMO PPO — BCBSTX MCR ADVANTAGE HMO PPO: $12,332 BCBSTX PPO POS — BCBSTX PPO POS: $10,446 BCBSTX TRADITIONAL-ALL OTHER PLANS — BCBSTX TRADITIONAL-ALL OTHER PLANS: $10,446

Source: Yoakum Community Hospital’s standard charges file (apps.para-hcfs.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 24, 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	Critical Access Hospital
Address	1200 Carl Ramert Drive, Yoakum, TX 77995
County	Lavaca County
State	Texas
Phone	(361) 293‑2321
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
CMS Certification Number	451346
Name in Medicare records	YOAKUM COMMUNITY HOSPITAL
Profile level	Medicare data + hospital website
Official website	yoakumhospital.org
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.

Yoakum Community Hospital — yoakumhospital.org
Emergency — yoakumhospital.org

Yoakum Community Hospital

Summary

Profile from official sources

At a glance