CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$299 - $6,060
from 3 insurers · median $1,256
Aetna$6,060
Insurer A*$299
Insurer B*$1,256
Medicare $344Nearby hospitals $74269% above nearby hospitals
Common here, based on CMS Medicare volume
Short Term Acute Care HospitalVoluntary Non-Profit - Private
Ut Health Carthage - First Physicians Clinic
University of Texas Health System · Carthage, TX
409 Cottage Road, Carthage, TX 75633(093) 693-3841
31
In-network payers
270
Disclosed rate categories
42
Beds
5
Care quality
About this hospital
Ut Health Carthage - First Physicians Clinic is a 42-bed voluntary non-profit - private hospital in Carthage, TX, affiliated with University of Texas Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 270 disclosed rate categories.
CCN (Medicare provider number)
450210
NPI
1538667035
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
42
Care Quality
5
Insurance Accepted
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene
Prices for common services
The 24 services Ut Health Carthage - First Physicians Clinic most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Cardiology and vascular testing
Complete echocardiogram with Doppler and color flow
CPT 93306
$513 - $4,592
from 4 insurers · median $3,165
Cigna$4,592
Insurer A*$513
Insurer B*$2,504
Insurer C*est.$3,827
Medicare $539Nearby hospitals $771311% above nearby hospitals
Common here, based on CMS Medicare volume
CT imaging
CT of the abdomen and pelvis, without contrast
CPT 74176
$204 - $4,694
from 3 insurers · median $1,037
Aetna$4,694
Insurer A*$204
Insurer B*$1,037
Medicare $235Nearby hospitals $54889% above nearby hospitals
Common here, based on CMS Medicare volume
Digestive procedures
Colonoscopy with polyp removal
CPT 45385
$1,496 - $3,241
from 4 insurers · median $2,239
Blue Cross$1,496
Insurer A*$1,518
Insurer B*$2,960
Insurer C*$3,241
Medicare $1,181Nearby hospitals $1,94315% above nearby hospitals
Common here, based on CMS Medicare volume
Digestive procedures
Colonoscopy with biopsy
CPT 45380
$1,518 - $2,810
from 4 insurers · median $2,166
Blue Cross$1,647
Insurer A*$1,518
Insurer B*$2,685
Insurer C*$2,810
Medicare $1,181Nearby hospitals $1,95911% above nearby hospitals
Common here, based on CMS Medicare volume
Mammography
Screening mammography, bilateral
CPT 77067
$87 - $505
from 2 insurers · median $296
Blue Cross$505
Insurer A*$87
Medicare $89Nearby hospitals $17074% above nearby hospitals
Common here, based on CMS Medicare volume
Digestive procedures
Upper GI endoscopy with biopsy
CPT 43239
$1,179 - $2,027
from 4 insurers · median $1,684
Blue Cross$1,179
Insurer A*$1,518
Insurer B*$1,851
Insurer C*$2,027
Medicare $895Nearby hospitals $1,94714% below nearby hospitals
Common here, based on CMS Medicare volume
X-ray and bone density
Chest X-ray, two views
CPT 71046
$75 - $402
from 4 insurers · median $360
UnitedHealthcare$75
Insurer A*$345
Insurer B*$374
Insurer C*$402
Medicare $86Nearby hospitals $164119% above nearby hospitals
Common here, based on CMS Medicare volume
CT imaging
CT head or brain without contrast
CPT 70450
$185 - $641
from 3 insurers · median $351
Aetna$641
Insurer A*$185
Insurer B*$351
Medicare $103Nearby hospitals $39210% below nearby hospitals
Common here, based on CMS Medicare volume
CT imaging
CT of the chest, with contrast
CPT 71260
$309 - $1,928
from 3 insurers · median $1,076
Aetna$1,928
Insurer A*$309
Insurer B*$1,076
Medicare $173Nearby hospitals $448140% above nearby hospitals
Common here, based on CMS Medicare volume
Cardiology and vascular testing
Ultrasound of veins in one limb or a limited bilateral study
CPT 93971
$424 - $1,773
from 4 insurers · median $1,580
Cigna$1,723
Insurer A*$424
Insurer B*est.$1,436
Insurer C*$1,773
Medicare $103Nearby hospitals $295435% above nearby hospitals
Common here, based on CMS Medicare volume
Gynecology
Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g
CPT 58571
$6,482 - $14,218
from 2 insurers · median $10,350
UnitedHealthcare$6,482
Insurer A*$14,218
Medicare $10,860Nearby hospitals $16,12736% below nearby hospitals
Typical for a hospital with this service line
Cardiology and vascular testing
Complete ultrasound of veins in both arms or both legs
CPT 93970
$2,755 - $3,401
from 3 insurers · median $3,306
Cigna$3,306
Insurer A*est.$2,755
Insurer B*$3,401
Medicare $235Nearby hospitals $517539% above nearby hospitals
Common here, based on CMS Medicare volume
MRI imaging
MRI brain before and after contrast
CPT 70553
$546 - $2,077
from 2 insurers · median $1,311
Blue Cross$2,077
Insurer A*$546
Medicare $344Nearby hospitals $1,294In line with nearby hospitals
Common here, based on CMS Medicare volume
Nuclear imaging
Nuclear imaging of blood flow to the heart, multiple studies
CPT 78452
$1,109 - $5,055
from 4 insurers · median $3,086
Cigna$5,055
Insurer A*$1,109
Insurer B*$2,000
Insurer C*$4,172
Medicare $1,277Nearby hospitals $1,61791% above nearby hospitals
Common here, based on CMS Medicare volume
Medicine & Surgery
Laparoscopic cholecystectomy
CPT 47562
$6,293 - $7,869
from 2 insurers · median $7,081
UnitedHealthcare$6,293
Insurer A*$7,869
Medicare $6,176Nearby hospitals $7,204In line with nearby hospitals
Typical for a hospital with this service line
Digestive procedures
Diagnostic colonoscopy
CPT 45378
$1,193 - $2,972
from 4 insurers · median $2,116
Blue Cross$1,193
Insurer A*$1,518
Insurer B*$2,714
Insurer C*$2,972
Medicare $918Nearby hospitals $1,79218% above nearby hospitals
Common here, based on CMS Medicare volume
Medicine & Surgery
Cataract removal with lens insertion
CPT 66984
$3,087 - $3,842
from 2 insurers · median $3,464
UnitedHealthcare$3,087
Insurer A*$3,842
Medicare $2,358Nearby hospitals $3,582In line with nearby hospitals
Typical for a hospital with this service line
Ultrasound
Complete abdominal ultrasound
CPT 76700
$122 - $1,763
from 4 insurers · median $1,096
Aetna$1,763
Insurer A*$122
Insurer B*$484
Insurer C*$1,707
Medicare $103Nearby hospitals $253334% above nearby hospitals
Common here, based on CMS Medicare volume
X-ray and bone density
Shoulder X-ray, at least two views
CPT 73030
$60 - $645
from 4 insurers · median $485
UnitedHealthcare$60
Insurer A*$334
Insurer B*$637
Insurer C*$645
Medicare $86Nearby hospitals $107352% above nearby hospitals
Common here, based on CMS Medicare volume
Ultrasound
Limited ultrasound of the abdomen
CPT 76705
$101 - $642
from 4 insurers · median $415
Aetna$642
Insurer A*$101
Insurer B*$189
Insurer C*$642
Medicare $103Nearby hospitals $23775% above nearby hospitals
Common here, based on CMS Medicare volume
MRI imaging
MRI lumbar spine without contrast
CPT 72148
$302 - $4,506
from 3 insurers · median $824
Blue Cross$824
Insurer A*$302
Insurer B*$4,506
Medicare $235Nearby hospitals $68820% above nearby hospitals
Common here, based on CMS Medicare volume
MRI imaging
MRI of the abdomen, before and after contrast
CPT 74183
$561 - $5,750
from 3 insurers · median $1,707
Blue Cross$1,707
Insurer A*$561
Insurer B*$5,750
Medicare $344Nearby hospitals $783118% above nearby hospitals
Common here, based on CMS Medicare volume
X-ray and bone density
Foot X-ray, at least three views
CPT 73630
$59 - $571
from 4 insurers · median $395
UnitedHealthcare$59
Insurer A*$240
Insurer B*$550
Insurer C*$571
Medicare $86Nearby hospitals $116240% above nearby hospitals
Common here, based on CMS Medicare volume
How the insurers pay at Ut Health Carthage - First Physicians Clinic
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 19 | 619% | 19 | 0 |
| Insurer B* | 13 | 601% | 7 | 0 |
| Insurer C* | 23 | 329% | 11 | 10 |
| Insurer D* | 24 | 124% | 3 | 20 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 21 are common here based on CMS Medicare volume, and 3 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Ut Health Carthage - First Physicians Clinic.
Location
409 Cottage Road, Carthage, TX 75633
(093) 693-3841
Comparable hospitals nearby
The nearest hospitals of similar type and size. Their rates are compared with Ut Health Carthage - First Physicians Clinic for the same insurers and services above.
Desoto Regional Health System
Mansfield, LA · 38 mi · 34 bedsView rates
▼ Rates typically 37% lower than Ut Health Carthage - First Physicians Clinic (22 services)
Christus St Michael - Atlanta
Atlanta, TX · 66 mi · 43 bedsView rates
▲ Rates typically 31% higher than Ut Health Carthage - First Physicians Clinic (24 services)
Sabine Medical Center
Many, LA · 66 mi · 48 bedsView rates
▼ Rates typically 31% lower than Ut Health Carthage - First Physicians Clinic (24 services)
Springhill Medical Center
Springhill, LA · 79 mi · 58 bedsView rates
▼ Rates typically 65% lower than Ut Health Carthage - First Physicians Clinic (23 services)
Crockett Medical Center
Crockett, TX · 87 mi · 25 bedsView rates
▼ Rates typically 44% lower than Ut Health Carthage - First Physicians Clinic (22 services)
Claiborne Memorial Medical Center
Homer, LA · 88 mi · 47 bedsView rates
▼ Rates typically 7% lower than Ut Health Carthage - First Physicians Clinic (23 services)
The University Of Texas Medical Br.
Galveston, TXView rates
Ut Health Tyler
Tyler, TXView rates
Ut Md Anderson Cancer Center
Houston, TXView rates
University Of Texas Southwestern Medical Center At Dallas
Dallas, TXView rates
Frequently asked questions
About Ut Health Carthage - First Physicians Clinic's rates and hospital price transparency.
How much does an MRI cost at Ut Health Carthage - First Physicians Clinic?
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Ut Health Carthage - First Physicians Clinic range from $546 to $2,077 across 2 insurers. Blue Cross Blue Shield's rate is $2,077. The median at nearby comparable hospitals is $1,294. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a CT scan cost at Ut Health Carthage - First Physicians Clinic?
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Ut Health Carthage - First Physicians Clinic range from $299 to $6,060 across 3 insurers. Aetna's rate is $6,060. The median at nearby comparable hospitals is $742. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a colonoscopy cost at Ut Health Carthage - First Physicians Clinic?
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Ut Health Carthage - First Physicians Clinic range from $1,496 to $3,241 across 4 insurers. Blue Cross Blue Shield's rate is $1,496. The median at nearby comparable hospitals is $1,943. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a mammogram cost at Ut Health Carthage - First Physicians Clinic?
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ut Health Carthage - First Physicians Clinic range from $87 to $505 across 2 insurers. Blue Cross Blue Shield's rate is $505. The median at nearby comparable hospitals is $170. What a patient pays depends on their plan's deductible, coinsurance and network status.
How many beds does Ut Health Carthage - First Physicians Clinic have?
Ut Health Carthage - First Physicians Clinic has 42 beds. Facility type: Short Term Acute Care Hospital.
Where is Ut Health Carthage - First Physicians Clinic and what is its phone number?
Ut Health Carthage - First Physicians Clinic is located at 409 Cottage Road, Carthage, TX 75633. Its main phone number is (093) 693-3841.
What is Ut Health Carthage - First Physicians Clinic's CCN (Medicare provider number)?
Ut Health Carthage - First Physicians Clinic's CMS Certification Number (CCN), also called its Medicare provider number, is 450210.
What is Ut Health Carthage - First Physicians Clinic's NPI number?
The National Provider Identifier (NPI) on file for Ut Health Carthage - First Physicians Clinic is 1538667035.
What health system is Ut Health Carthage - First Physicians Clinic part of?
Ut Health Carthage - First Physicians Clinic is affiliated with University of Texas Health System.
Which insurance plans are in network at Ut Health Carthage - First Physicians Clinic?
Ut Health Carthage - First Physicians Clinic lists 31 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
What price transparency data is available for Ut Health Carthage - First Physicians Clinic?
270 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
What is a hospital price transparency MRF?
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
What is a chargemaster review?
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
Running price transparency at a hospital like this one?
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
Publish a CMS-compliant machine-readable file
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
CMS v3 example: standard_charge_information[0]
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}- CMS template layout, in JSON or CSV
- Gross, discounted cash, payer-specific and de-identified min / max charges
- cms-hpt.txt file and homepage footer link
- Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
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CodingPricingPayer contractsCompliance
- CPT, HCPCS, revenue code and modifier errors flagged line by line
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- Charges set below payer allowables caught before lesser-of clauses cut payment
- Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
- Your negotiated rates benchmarked against peer hospitals for the same payers