How much does an a1c test cost in Austin?

14 hospitals in Austin list a self-pay price of $42–$185 for a hemoglobin a1c test (CPT 83036). The typical commercial rate in the same files is $41.36.

Hospital files dated January 1, 2026 – June 13, 2026 · Data checked October 2, 2026 · How we read these files · Report an error

Published cash price

$42–$185

what 14 hospitals list for a self-pay a1c test

Typical insured rate

$41.36

median of every commercial plan rate in the files

Lowest insured rate

$8.16

SUPERIOR AMBETTER (3880_SUPERIOR AMBETTER (CHI,DCN) OUTPATIENT 20240901), Ascension Seton Edgar B. Davis

A1c test prices by hospital in Austin

Sorted by published cash price. “Typical insured rate” is the median of all commercial plan rates each hospital lists for CPT 83036; Medicaid and Medicare Advantage are shown separately below.

Hemoglobin A1c test (CPT 83036) — Austin
Hospital	Published cash price	Typical insured rate	Lowest insured rate
Ascension Seton Edgar B. DavisAscension Seton · file Jan 2026	$42–$109Cash ÷ typical 1.3×	$32.7518 plans	$8.16
Ascension Seton HaysAscension Seton · file Jan 2026	$60.75–$78.03Cash ÷ typical 2.5×	$24.1124 plans	$8.16
Dell Seton Medical Center at The University of TexasAscension Seton · file Jan 2026	$63.27Cash ÷ typical 1.9×	$32.7518 plans	$8.16
Ascension Seton NorthwestAscension Seton · file Jan 2026	$63.27–$70.20Cash ÷ typical 2.6×	$24.1124 plans	$8.16
Ascension Seton SmithvilleAscension Seton · file Jan 2026	$63.27–$78.03Cash ÷ typical 2.3×	$28.0319 plans	$8.16
Ascension Seton Medical Center AustinAscension Seton · file Jan 2026	$63.27–$70.20Cash ÷ typical 2.8×	$22.5726 plans	$8.16
Ascension Seton SouthwestAscension Seton · file Jan 2026	$63.27–$70.20Cash ÷ typical 2.6×	$24.1124 plans	$8.16
Baylor Scott & White Medical Center – LakewayBaylor Scott & White Health · file Jun 2026	$124Cash ÷ typical 1.1×	$11326 plans	$11.65
Baylor Scott & White Medical Center – Round RockBaylor Scott & White Health · file Jun 2026	$124Cash ÷ typical 1.1×	$11427 plans	$11.65
Baylor Scott & White Medical Center – TaylorBaylor Scott & White Health · file Jun 2026	$124Cash ÷ typical 1.1×	$11427 plans	$12.00
Baylor Scott & White Medical Center – AustinBaylor Scott & White Health · file Jun 2026	$124Cash ÷ typical 1.6×	$78.5722 plans	$11.65
Baylor Scott & White Medical Center – BudaBaylor Scott & White Health · file Jun 2026	$124Cash ÷ typical 1.6×	$78.5722 plans	$11.65
Baylor Scott & White Medical Center – PflugervilleBaylor Scott & White Health · file Jun 2026	$124Cash ÷ typical 1.1×	$11326 plans	$11.65
Ascension Seton Cedar ParkAscension Seton · file Jan 2026	$185Cash ÷ typical 5.6×	$32.7518 plans	$8.16
CHRISTUS Santa Rosa Hospital – San MarcosCHRISTUS Health · file Jan 2026	—	$29.5716 plans	$9.71
Dell Children's Medical CenterAscension Seton · children's hospital (not in the summary above) · file Jan 2026	$123–$152Cash ÷ typical 3.8×	$32.7518 plans	$8.16

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Negotiated rates by insurer

If you have a high deductible, you usually pay the rate your insurer negotiated until you meet it. Ranges cover every plan of that insurer in the file; open a hospital to see plan by plan.

Negotiated rates by insurer
Hospital	Blue Cross Blue Shield	Aetna	Cigna	UnitedHealthcare	Humana	Ambetter	Medicaid / CHIP	Medicare Advantage
Ascension Seton Edgar B. Davis	$18.45–$45.73	$25.64–$72.16	$22.57	—	—	$8.16–$11.10	$8.16–$51.98	—
Ascension Seton Hays	$18.45–$45.73	$25.64–$72.16	$22.57	—	—	$8.16–$17.48	$8.16–$79.09	$9.52–$10.20
Dell Seton Medical Center at The University of Texas	$18.45–$45.73	$25.64–$72.16	$22.57	—	—	$8.16–$11.10	$8.16–$79.09	—
Ascension Seton Northwest	$18.45–$45.73	$25.64–$72.16	$22.57	—	—	$8.16–$17.48	$8.16–$87.75	$9.52–$10.20
Ascension Seton Smithville	$18.45–$45.73	$25.64–$72.16	$22.57	—	—	$8.16–$11.10	$8.16–$97.54	—
Ascension Seton Medical Center Austin	$18.45–$45.73	$25.64–$72.16	$22.57	$9.71	—	$8.16–$17.48	$8.16–$87.75	$9.52–$10.20
Ascension Seton Southwest	$18.45–$45.73	$25.64–$72.16	$22.57	—	—	$8.16–$17.48	$8.16–$87.75	$9.52–$10.20
Baylor Scott & White Medical Center – Lakeway	$50.20–$61.27	$114	$96–$112	$12.00	$134–$145	—	$8.16–$8.73	$9.22–$10.88
Baylor Scott & White Medical Center – Round Rock	$50.20–$61.27	$114	$104–$122	$12.00	$134–$145	—	$8.16–$8.73	$9.22–$10.88
Baylor Scott & White Medical Center – Taylor	$50.20–$61.27	$114	$104–$122	$12.00	$134–$145	—	$14.24	$39.26–$45.56
Baylor Scott & White Medical Center – Austin	$50.20–$61.27	$114	$96–$112	$12.00	$134–$145	—	$8.16–$8.73	$9.22–$10.88
Baylor Scott & White Medical Center – Buda	$50.20–$61.27	$114	$96–$112	$12.00	$134–$145	—	$8.16–$8.73	$9.22–$10.88
Baylor Scott & White Medical Center – Pflugerville	$50.20–$61.27	$114	$96–$112	$12.00	$134–$145	—	$8.16–$8.73	$9.22–$10.88
Ascension Seton Cedar Park	$18.45–$45.73	$25.64–$72.16	$22.57	—	—	$8.16–$11.10	$8–$231	—
CHRISTUS Santa Rosa Hospital – San Marcos	$37.29–$44.28	$9.90	$38.63–$48.92	$10–$145	$9.71–$73.26	—	$9.06–$11.17	$9.71–$10.49
Dell Children's Medical Center	$18.45–$45.73	$25.64–$72.16	$22.57	—	—	$8.16–$11.10	$8.16–$97.54	—

Ascension Seton Edgar B. Davis: all 84 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
BCBS CHIP/CHIP PERINATE	3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	3596_BLUE CROSS CHIP/STAR KIDS (EBD) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR	3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR	3695_CHIRP BLUE CROSS STAR (EBD) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	3607_DELL CHIP/STAR KIDS (EBD) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	3706_CHIRP DELL STAR (EBD) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR	3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR	3739_CHIRP UHC STAR (EBD) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4324_UHC STAR KIDS (EBD) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	3750_CHIRP UHC STAR PLUS (EBD) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR	3671_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR	3673_CHIRP WELLPOINT/AMERIGROUP STAR (EBD) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	3682_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	3684_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (EBD) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4170_BLUE CROSS CHIP (EBD) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4170_BLUE CROSS CHIP/STAR KIDS (EBD) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR KIDS	5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR KIDS	5007_BLUE CROSS STAR KIDS (EBD) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	4181_DELL CHIP/STAR KIDS (EBD) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
SUPERIOR AMBETTER	3880_SUPERIOR AMBETTER (CHI,DCN) OUTPATIENT 20240901	Commercial	$8.16	FEE SCHEDULE
UHC STAR	4253_CHIRP UHC STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4311_UHC STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	4264_CHIRP UHC STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4157_WELLPOINT/AMERIGROUP CHIP (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4159_AMERIGROUP CHIP/STAR KIDS (EBD) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4159_WELLPOINT/AMERIGROUP CHIP (EBD) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR KIDS	4970_WELLPOINT/AMERIGROUP STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR KIDS	4974_WELLPOINT/AMERIGROUP STAR KIDS (EBD) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	4208_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	4210_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (EBD) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR	4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
BCBS STAR	4221_CHIRP BLUE CROSS STAR (EBD) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4157_AMERIGROUP CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4197_CHIRP AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4197_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4199_CHIRP AMERIGROUP STAR (EBD) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4199_CHIRP WELLPOINT/AMERIGROUP STAR (EBD) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR PLUS	4208_CHIRP AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR PLUS	4210_CHIRP AMERIGROUP STAR PLUS (EBD) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
SUPERIOR AMBETTER	3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901	Commercial	$11.10	FEE SCHEDULE
DELL STAR	4232_CHIRP DELL STAR (EBD) OUTPATIENT 20241201	Medicaid / CHIP	$11.19	FEE SCHEDULE
UHC STAR	4255_CHIRP UHC STAR (EBD) OUTPATIENT 20241201	Medicaid / CHIP	$11.19	FEE SCHEDULE
UHC STAR KIDS	4313_UHC STAR KIDS (EBD) OUTPATIENT 20241201	Medicaid / CHIP	$11.19	FEE SCHEDULE
UHC STAR PLUS	4266_CHIRP UHC STAR PLUS (EBD) OUTPATIENT 20241201	Medicaid / CHIP	$11.19	FEE SCHEDULE
CHAMPVA	1135_CHAMPVA REST_TX 20180301	Military / VA	$11.68	FEE SCHEDULE
CHAMPVA	1136_CHAMPVA AUSTIN 20180301	Military / VA	$13.02	FEE SCHEDULE
HUMANA HMO	2668_HUMANA HMO 20230701	Commercial	$16.02	OTHER
BCBS BAV EXCHANGE	4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101	Commercial	$18.45	FEE SCHEDULE
CIGNA HMO	4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701	Commercial	$22.57	FEE SCHEDULE
CIGNA HMO	4476_CIGNA HMO (WIL,DEL) 20250701	Commercial	$22.57	FEE SCHEDULE
AETNA HMO EXCHANGE	1377_AETNA HMO EXCHANGE 20200101	Commercial	$25.64	FEE SCHEDULE
AETNA ACO HMO	4489_AETNA ACO HMO 20250801	Commercial	$28.03	FEE SCHEDULE
AETNA MULTI-TIER WHOLE HEALTH SHA	4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801	Commercial	$28.03	FEE SCHEDULE
BCBS HPN	4440_BLUE CROSS BLUE SHIELD HPN 20250501	Commercial	$37.48	FEE SCHEDULE
BCBS HPN	4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501	Commercial	$37.48	FEE SCHEDULE
BCBS HMO ESSENTIALS	4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101	Commercial	$41.36	FEE SCHEDULE
AETNA SHA AISD	4335_AETNA SHA AISD 20250101	Commercial	$42.34	OTHER
BCBS PPO	4094_BLUE CROSS BLUE SHIELD PPO 20250101	Commercial	$45.73	FEE SCHEDULE
SUPERIOR STAR	3509_CHIRP SUPERIOR STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$46.20	FEE SCHEDULE
SUPERIOR STAR	3511_CHIRP SUPERIOR STAR (EBD) INPATIENT 20240901	Medicaid / CHIP	$46.20	FEE SCHEDULE
SUPERIOR STAR PLUS	4375_CHIRP SUPERIOR STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$46.20	FEE SCHEDULE
SUPERIOR STAR PLUS	4377_CHIRP SUPERIOR STAR PLUS (EBD) INPATIENT 20240901	Medicaid / CHIP	$46.20	FEE SCHEDULE
SUPERIOR STAR	4241_CHIRP SUPERIOR STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$46.20	FEE SCHEDULE
SUPERIOR STAR	4243_CHIRP SUPERIOR STAR (EBD) OUTPATIENT 20241201	Medicaid / CHIP	$46.20	FEE SCHEDULE
SUPERIOR STAR FOSTER	4188_SUPERIOR STAR FOSTER OUTPATIENT 20241201	Medicaid / CHIP	$46.20	FEE SCHEDULE
SUPERIOR STAR FOSTER	4189_SUPERIOR STAR FOSTER (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$46.20	FEE SCHEDULE
SUPERIOR STAR KIDS	4888_SUPERIOR STAR KIDS OUTPATIENT 20241201	Medicaid / CHIP	$46.20	FEE SCHEDULE
SUPERIOR STAR KIDS	4889_SUPERIOR STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$46.20	FEE SCHEDULE
SUPERIOR STAR PLUS	4389_CHIRP SUPERIOR STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$46.20	FEE SCHEDULE
SUPERIOR STAR PLUS	4393_CHIRP SUPERIOR STAR PLUS (EBD) OUTPATIENT 20241201	Medicaid / CHIP	$46.20	FEE SCHEDULE
SUPERIOR CHIP/CHIP PERINATE	3619_SUPERIOR CHIP INPATIENT 20240901	Medicaid / CHIP	$51.98	FEE SCHEDULE
SUPERIOR CHIP/CHIP PERINATE	4190_SUPERIOR CHIP OUTPATIENT 20241201	Medicaid / CHIP	$51.98	FEE SCHEDULE
AETNA HMO	4486_AETNA HMO 20250801	Commercial	$52.92	OTHER
COVENANT HEALTH	4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801	Commercial	$52.92	OTHER
AETNA CHOICE	236_AETNA ELECT CHOICE 20140601	Commercial	$72.16	FEE SCHEDULE
AETNA POS 20140601	235_AETNA POS 20140601	Commercial	$72.16	FEE SCHEDULE

Ascension Seton Hays: all 125 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
BCBS CHIP/CHIP PERINATE	3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	3597_BLUE CROSS CHIP/STAR KIDS (HAY) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR	3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR	3696_CHIRP BLUE CROSS STAR (HAY) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	3608_DELL CHIP/STAR KIDS (HAY) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	3707_CHIRP DELL STAR (HAY) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR	3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR	3740_CHIRP UHC STAR (HAY) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4325_UHC STAR KIDS (HAY) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	3751_CHIRP UHC STAR PLUS (HAY) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR	3671_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR	3674_CHIRP WELLPOINT/AMERIGROUP STAR (HAY) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	3682_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	3685_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (HAY) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4171_BLUE CROSS CHIP (HAY) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4171_BLUE CROSS CHIP/STAR KIDS (HAY) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR KIDS	5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR KIDS	5009_BLUE CROSS STAR KIDS (HAY) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	4182_DELL CHIP/STAR KIDS (HAY) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
SUPERIOR AMBETTER	3880_SUPERIOR AMBETTER (CHI,DCN) OUTPATIENT 20240901	Commercial	$8.16	FEE SCHEDULE
UHC STAR	4253_CHIRP UHC STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4311_UHC STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	4264_CHIRP UHC STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4157_WELLPOINT/AMERIGROUP CHIP (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4160_AMERIGROUP CHIP/STAR KIDS (HAY) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4160_WELLPOINT/AMERIGROUP CHIP (HAY) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR KIDS	4970_WELLPOINT/AMERIGROUP STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR KIDS	4976_WELLPOINT/AMERIGROUP STAR KIDS (HAY) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	4208_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	4211_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (HAY) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
AARP MC WELLMED	4656_MEDICARE ADVANTAGE AARP WELLMED INPATIENT (AUS,NW,SW,HAY,WIL,BRK,DEL,BAS) 20251001	Medicare Advantage	$9.52	OTHER
AARP MC WELLMED	4748_MEDICARE ADVANTAGE AARP WELLMED OUTPATIENT (AUS,NW,SW,HAY,WIL,BRK,DEL,BAS,SMV) 20250811	Medicare Advantage	$9.52	OTHER
SENDERO CHAP	4651_SENDERO CHAP INPATIENT 20251001	Commercial	$9.61	OTHER
SENDERO CHAP	4932_SENDERO CHAP OUTPATIENT 20250811	Commercial	$9.61	OTHER
AETNA MCR REPLACEMENT	4659_MEDICARE ADVANTAGE AETNA INPATIENT 20251001	Medicare Advantage	$9.71	OTHER
ASCENSION COMPLETE MEDICARE REPLACEMENT	4682_MEDICARE ADVANTAGE ASCENSION COMPLETE INPATIENT 20251001	Medicare Advantage	$9.71	OTHER
COVID HRSA	4693_COVID HRSA UNIN Q80 INPATIENT 20251001	Public program	$9.71	OTHER
CSHCN CIDC	4694_CSHCN CIDC IP (ADULT) 20251001	Public program	$9.71	OTHER
DEVOTED HEALTH MCR REPLACEMENT	4684_MEDICARE ADVANTAGE DEVOTED HEALTH INPATIENT 20251001	Medicare Advantage	$9.71	OTHER
HUMANA MCR REPLACEMENT	4661_MEDICARE ADVANTAGE HUMANA INPATIENT (AUS,HAY,NW,SW) 20251001	Medicare Advantage	$9.71	OTHER
MEDICARE OON	4666_MEDICARE ADVANTAGE INPATIENT OON 20251001	Medicare Advantage	$9.71	OTHER
MEDICARE REPLACEMENT	4665_MEDICARE ADVANTAGE INPATIENT 100% 20251001	Medicare Advantage	$9.71	OTHER
SUPERIOR ALLWELL	4686_MEDICARE ADVANTAGE SUPERIOR ALLWELL INPATIENT 20251001	Medicare Advantage	$9.71	OTHER
TRICARE	4696_TRICARE INPATIENT 20251001	Military / VA	$9.71	OTHER
UTMB	4677_UTMB PRISONS (HAY) IP 20251001	Public program	$9.71	OTHER
WELLCARE MED ADVANTAGE	4691_MEDICARE ADVANTAGE WELLCARE INPATIENT 20251001	Medicare Advantage	$9.71	OTHER
WELMED MEDICARE	4669_MEDICARE ADVANTAGE WELMED INPATIENT (AUS,NW,SW,HAY,WIL,DEL,BAS) 20251001	Medicare Advantage	$9.71	OTHER
AETNA MCR REPLACEMENT	4749_MEDICARE ADVANTAGE AETNA OUTPATIENT 20250811	Medicare Advantage	$9.71	OTHER
ASCENSION COMPLETE MEDICARE REPLACEMENT	4764_MEDICARE ADVANTAGE ASCENSION COMPLETE OUTPATIENT 20250811	Medicare Advantage	$9.71	OTHER
COVID HRSA	4765_COVID HRSA UNIN Q80 OUTPATIENT 20250811	Public program	$9.71	OTHER
DEVOTED HEALTH MCR REPLACEMENT	4918_MEDICARE ADVANTAGE DEVOTED HEALTH OUTPATIENT 20250811	Medicare Advantage	$9.71	OTHER
HUMANA MCR REPLACEMENT	4921_MEDICARE ADVANTAGE HUMANA OUTPATIENT (AUS,HAY,NW,SW.SMV) 20250811	Medicare Advantage	$9.71	OTHER
MEDICARE REPLACEMENT	4922_MEDICARE ADVANTAGE OUTPATIENT 100% 20250811	Medicare Advantage	$9.71	OTHER
SUPERIOR ALLWELL	4419_MEDICARE ADVANTAGE SUPERIOR ALLWELL OUTPATIENT 20250101	Medicare Advantage	$9.71	OTHER
UTMB	4125_UTMB PRISONS (HAY) OP 20250101	Public program	$9.71	OTHER
WELLCARE MED ADVANTAGE	4929_MEDICARE ADVANTAGE WELLCARE OUTPATIENT 20250811	Medicare Advantage	$9.71	OTHER
WELMED MEDICARE	4930_MEDICARE ADVANTAGE WELMED OUTPATIENT (AUS,NW,SW,HAY,WIL,DEL,BAS) 20250811	Medicare Advantage	$9.71	OTHER
UHC MCR REPLACEMENT	4687_MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT (AUS,NW,SW,HAY) 20251001	Medicare Advantage	$9.90	OTHER
UHC MCR REPLACEMENT	4928_MEDICARE ADVANTAGE UNITED HEALTHCARE OUTPATIENT (AUS,NW,SW,HAY,SMV) 20250811	Medicare Advantage	$9.90	OTHER
CONNECTED SENIOR CARE	4660_MEDICARE ADVANTAGE CONNECTED SENIOR CARE INPATIENT 20251001	Medicare Advantage	$10.00	OTHER
CONNECTED SENIOR CARE	2475_MEDICARE ADVANTAGE CONNECTED SENIOR CARE OUTPATIENT 20221001	Medicare Advantage	$10.00	OTHER
BCBS STAR	4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
BCBS STAR	4222_CHIRP BLUE CROSS STAR (HAY) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
DELL STAR	4233_CHIRP DELL STAR (HAY) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
UHC STAR	4256_CHIRP UHC STAR (HAY) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
UHC STAR KIDS	4314_UHC STAR KIDS (HAY) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
UHC STAR PLUS	4267_CHIRP UHC STAR PLUS (HAY) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4157_AMERIGROUP CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4197_CHIRP AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4197_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4200_CHIRP AMERIGROUP STAR (HAY) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4200_CHIRP WELLPOINT/AMERIGROUP STAR (HAY) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR PLUS	4208_CHIRP AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR PLUS	4211_CHIRP AMERIGROUP STAR PLUS (HAY) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
PPHP MCR ADVANTAGE	4668_MEDICARE ADVANTAGE PPHP INPATIENT 20251001	Medicare Advantage	$10.20	OTHER
TX INDEPENDENCE HP	4671_TX INDEPENDENCE HP IP 20251001	Medicare Advantage	$10.20	OTHER
PPHP MCR ADVANTAGE	4925_MEDICARE ADVANTAGE PPHP OUTPATIENT 20250811	Medicare Advantage	$10.20	OTHER
TX INDEPENDENCE HP	4741_TX INDEPENDENCE HP OP 20250811	Medicare Advantage	$10.20	OTHER
SUPERIOR AMBETTER	3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901	Commercial	$11.10	FEE SCHEDULE
CHAMPVA	1135_CHAMPVA REST_TX 20180301	Military / VA	$11.68	FEE SCHEDULE
CHAMPVA	1136_CHAMPVA AUSTIN 20180301	Military / VA	$13.02	FEE SCHEDULE
OCCUNET	4674_OCCUNET IP 20251001	Workers' comp	$13.59	OTHER
OCCUNET	4123_OCCUNET OP 20250101	Workers' comp	$13.59	OTHER
HUMANA HMO	2668_HUMANA HMO 20230701	Commercial	$16.02	OTHER
SENDERO IDEALCARE	4675_SENDERO IDEALCARE IP 20251001	Commercial	$16.99	OTHER
SENDERO IDEALCARE	1571_SENDERO IDEALCARE OP 20200101	Commercial	$16.99	OTHER
SUPERIOR AMBETTER	4652_SUPERIOR AMBETTER INPATIENT 20251001	Commercial	$17.48	OTHER
SUPERIOR AMBETTER	4960_SUPERIOR AMBETTER OUTPATIENT 20250811	Commercial	$17.48	OTHER
BCBS BAV EXCHANGE	4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101	Commercial	$18.45	FEE SCHEDULE
CIGNA HMO	4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701	Commercial	$22.57	FEE SCHEDULE
CIGNA HMO	4476_CIGNA HMO (WIL,DEL) 20250701	Commercial	$22.57	FEE SCHEDULE
AETNA HMO EXCHANGE	1377_AETNA HMO EXCHANGE 20200101	Commercial	$25.64	FEE SCHEDULE
AETNA ACO HMO	4489_AETNA ACO HMO 20250801	Commercial	$28.03	FEE SCHEDULE
AETNA MULTI-TIER WHOLE HEALTH SHA	4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801	Commercial	$28.03	FEE SCHEDULE
BCBS HPN	4440_BLUE CROSS BLUE SHIELD HPN 20250501	Commercial	$37.48	FEE SCHEDULE
BCBS HPN	4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501	Commercial	$37.48	FEE SCHEDULE
BCBS HMO ESSENTIALS	4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101	Commercial	$41.36	FEE SCHEDULE
AETNA SHA AISD	4335_AETNA SHA AISD 20250101	Commercial	$42.34	OTHER
BCBS PPO	4094_BLUE CROSS BLUE SHIELD PPO 20250101	Commercial	$45.73	FEE SCHEDULE
AETNA HMO	4486_AETNA HMO 20250801	Commercial	$52.92	OTHER
COVENANT HEALTH	4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801	Commercial	$52.92	OTHER
SUPERIOR STAR	3509_CHIRP SUPERIOR STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$70.30	FEE SCHEDULE
SUPERIOR STAR	3512_CHIRP SUPERIOR STAR (HAY) INPATIENT 20240901	Medicaid / CHIP	$70.30	FEE SCHEDULE
SUPERIOR STAR PLUS	4375_CHIRP SUPERIOR STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$70.30	FEE SCHEDULE
SUPERIOR STAR PLUS	4378_CHIRP SUPERIOR STAR PLUS (HAY) INPATIENT 20240901	Medicaid / CHIP	$70.30	FEE SCHEDULE
SUPERIOR STAR	4241_CHIRP SUPERIOR STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$70.30	FEE SCHEDULE
SUPERIOR STAR	4244_CHIRP SUPERIOR STAR (HAY) OUTPATIENT 20241201	Medicaid / CHIP	$70.30	FEE SCHEDULE
SUPERIOR STAR FOSTER	4188_SUPERIOR STAR FOSTER OUTPATIENT 20241201	Medicaid / CHIP	$70.30	FEE SCHEDULE
SUPERIOR STAR FOSTER	4189_SUPERIOR STAR FOSTER (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$70.30	FEE SCHEDULE
SUPERIOR STAR KIDS	4888_SUPERIOR STAR KIDS OUTPATIENT 20241201	Medicaid / CHIP	$70.30	FEE SCHEDULE
SUPERIOR STAR KIDS	4889_SUPERIOR STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$70.30	FEE SCHEDULE
SUPERIOR STAR PLUS	4389_CHIRP SUPERIOR STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$70.30	FEE SCHEDULE
SUPERIOR STAR PLUS	4395_CHIRP SUPERIOR STAR PLUS (HAY) OUTPATIENT 20241201	Medicaid / CHIP	$70.30	FEE SCHEDULE
AETNA CHOICE	236_AETNA ELECT CHOICE 20140601	Commercial	$72.16	FEE SCHEDULE
AETNA POS 20140601	235_AETNA POS 20140601	Commercial	$72.16	FEE SCHEDULE
SUPERIOR CHIP/CHIP PERINATE	3619_SUPERIOR CHIP INPATIENT 20240901	Medicaid / CHIP	$79.09	FEE SCHEDULE
SUPERIOR CHIP/CHIP PERINATE	4190_SUPERIOR CHIP OUTPATIENT 20241201	Medicaid / CHIP	$79.09	FEE SCHEDULE

Dell Seton Medical Center at The University of Texas: all 82 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
BCBS CHIP/CHIP PERINATE	3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	3595_BLUE CROSS CHIP/STAR KIDS (DEL) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR	3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR	3694_CHIRP BLUE CROSS STAR (DEL) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	3606_DELL CHIP/STAR KIDS (DEL) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	3705_CHIRP DELL STAR (DEL) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR	3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR	3738_CHIRP UHC STAR (DEL) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4323_UHC STAR KIDS (DEL) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	3749_CHIRP UHC STAR PLUS (DEL) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR	3671_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR	3672_CHIRP WELLPOINT/AMERIGROUP STAR (DEL) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	3682_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	3683_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (DEL) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4169_BLUE CROSS CHIP (DEL) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4169_BLUE CROSS CHIP/STAR KIDS (DEL) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR KIDS	5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR KIDS	5005_BLUE CROSS STAR KIDS (DEL) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	4180_DELL CHIP/STAR KIDS (DEL) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
SUPERIOR AMBETTER	3880_SUPERIOR AMBETTER (CHI,DCN) OUTPATIENT 20240901	Commercial	$8.16	FEE SCHEDULE
UHC STAR	4253_CHIRP UHC STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4311_UHC STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	4264_CHIRP UHC STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4157_WELLPOINT/AMERIGROUP CHIP (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4158_AMERIGROUP CHIP/STAR KIDS (DEL) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4158_WELLPOINT/AMERIGROUP CHIP (DEL) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR KIDS	4970_WELLPOINT/AMERIGROUP STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR KIDS	4972_WELLPOINT/AMERIGROUP STAR KIDS (DEL) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	4208_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	4209_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (DEL) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR	4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
BCBS STAR	4220_CHIRP BLUE CROSS STAR (DEL) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
DELL STAR	4231_CHIRP DELL STAR (DEL) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
UHC STAR	4254_CHIRP UHC STAR (DEL) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
UHC STAR KIDS	4312_UHC STAR KIDS (DEL) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
UHC STAR PLUS	4265_CHIRP UHC STAR PLUS (DEL) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4157_AMERIGROUP CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4197_CHIRP AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4197_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4198_CHIRP AMERIGROUP STAR (DEL) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4198_CHIRP WELLPOINT/AMERIGROUP STAR (DEL) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR PLUS	4208_CHIRP AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR PLUS	4209_CHIRP AMERIGROUP STAR PLUS (DEL) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
SUPERIOR AMBETTER	3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901	Commercial	$11.10	FEE SCHEDULE
CHAMPVA	1135_CHAMPVA REST_TX 20180301	Military / VA	$11.68	FEE SCHEDULE
CHAMPVA	1136_CHAMPVA AUSTIN 20180301	Military / VA	$13.02	FEE SCHEDULE
HUMANA HMO	2668_HUMANA HMO 20230701	Commercial	$16.02	OTHER
BCBS BAV EXCHANGE	4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101	Commercial	$18.45	FEE SCHEDULE
CIGNA HMO	4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701	Commercial	$22.57	FEE SCHEDULE
CIGNA HMO	4476_CIGNA HMO (WIL,DEL) 20250701	Commercial	$22.57	FEE SCHEDULE
AETNA HMO EXCHANGE	1377_AETNA HMO EXCHANGE 20200101	Commercial	$25.64	FEE SCHEDULE
AETNA ACO HMO	4489_AETNA ACO HMO 20250801	Commercial	$28.03	FEE SCHEDULE
AETNA MULTI-TIER WHOLE HEALTH SHA	4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801	Commercial	$28.03	FEE SCHEDULE
BCBS HPN	4440_BLUE CROSS BLUE SHIELD HPN 20250501	Commercial	$37.48	FEE SCHEDULE
BCBS HPN	4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501	Commercial	$37.48	FEE SCHEDULE
BCBS HMO ESSENTIALS	4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101	Commercial	$41.36	FEE SCHEDULE
AETNA SHA AISD	4335_AETNA SHA AISD 20250101	Commercial	$42.34	OTHER
BCBS PPO	4094_BLUE CROSS BLUE SHIELD PPO 20250101	Commercial	$45.73	FEE SCHEDULE
AETNA HMO	4486_AETNA HMO 20250801	Commercial	$52.92	OTHER
COVENANT HEALTH	4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801	Commercial	$52.92	OTHER
SUPERIOR STAR	3509_CHIRP SUPERIOR STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$70.30	FEE SCHEDULE
SUPERIOR STAR PLUS	4375_CHIRP SUPERIOR STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$70.30	FEE SCHEDULE
SUPERIOR STAR	4241_CHIRP SUPERIOR STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$70.30	FEE SCHEDULE
SUPERIOR STAR	4242_CHIRP SUPERIOR STAR (DEL) OUTPATIENT 20241201	Medicaid / CHIP	$70.30	FEE SCHEDULE
SUPERIOR STAR FOSTER	4188_SUPERIOR STAR FOSTER OUTPATIENT 20241201	Medicaid / CHIP	$70.30	FEE SCHEDULE
SUPERIOR STAR FOSTER	4189_SUPERIOR STAR FOSTER (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$70.30	FEE SCHEDULE
SUPERIOR STAR KIDS	4888_SUPERIOR STAR KIDS OUTPATIENT 20241201	Medicaid / CHIP	$70.30	FEE SCHEDULE
SUPERIOR STAR KIDS	4889_SUPERIOR STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$70.30	FEE SCHEDULE
SUPERIOR STAR PLUS	4389_CHIRP SUPERIOR STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$70.30	FEE SCHEDULE
SUPERIOR STAR PLUS	4391_CHIRP SUPERIOR STAR PLUS (DEL) OUTPATIENT 20241201	Medicaid / CHIP	$70.30	FEE SCHEDULE
AETNA CHOICE	236_AETNA ELECT CHOICE 20140601	Commercial	$72.16	FEE SCHEDULE
AETNA POS 20140601	235_AETNA POS 20140601	Commercial	$72.16	FEE SCHEDULE
SUPERIOR CHIP/CHIP PERINATE	3619_SUPERIOR CHIP INPATIENT 20240901	Medicaid / CHIP	$79.09	FEE SCHEDULE
SUPERIOR CHIP/CHIP PERINATE	4190_SUPERIOR CHIP OUTPATIENT 20241201	Medicaid / CHIP	$79.09	FEE SCHEDULE

Ascension Seton Northwest: all 122 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
BCBS CHIP/CHIP PERINATE	3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	3598_BLUE CROSS CHIP/STAR KIDS (NW) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR	3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR	3697_CHIRP BLUE CROSS STAR (NW) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	3609_DELL CHIP/STAR KIDS (NW) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	3708_CHIRP DELL STAR (NW) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR	3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR	3741_CHIRP UHC STAR (NW) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4326_UHC STAR KIDS (NW) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	3752_CHIRP UHC STAR PLUS (NW) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR	3671_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR	3675_CHIRP WELLPOINT/AMERIGROUP STAR (NW) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	3682_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	3686_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (NW) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4172_BLUE CROSS CHIP (NW) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4172_BLUE CROSS CHIP/STAR KIDS (NW) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR KIDS	5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR KIDS	5011_BLUE CROSS STAR KIDS (NW) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
SUPERIOR AMBETTER	3880_SUPERIOR AMBETTER (CHI,DCN) OUTPATIENT 20240901	Commercial	$8.16	FEE SCHEDULE
UHC STAR	4253_CHIRP UHC STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4311_UHC STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	4264_CHIRP UHC STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4157_WELLPOINT/AMERIGROUP CHIP (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4161_WELLPOINT/AMERIGROUP CHIP (NW) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR KIDS	4970_WELLPOINT/AMERIGROUP STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR KIDS	4978_WELLPOINT/AMERIGROUP STAR KIDS (NW) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	4208_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	4212_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (NW) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
AARP MC WELLMED	4656_MEDICARE ADVANTAGE AARP WELLMED INPATIENT (AUS,NW,SW,HAY,WIL,BRK,DEL,BAS) 20251001	Medicare Advantage	$9.52	OTHER
AARP MC WELLMED	4748_MEDICARE ADVANTAGE AARP WELLMED OUTPATIENT (AUS,NW,SW,HAY,WIL,BRK,DEL,BAS,SMV) 20250811	Medicare Advantage	$9.52	OTHER
SENDERO CHAP	4651_SENDERO CHAP INPATIENT 20251001	Commercial	$9.61	OTHER
SENDERO CHAP	4932_SENDERO CHAP OUTPATIENT 20250811	Commercial	$9.61	OTHER
AETNA MCR REPLACEMENT	4659_MEDICARE ADVANTAGE AETNA INPATIENT 20251001	Medicare Advantage	$9.71	OTHER
ASCENSION COMPLETE MEDICARE REPLACEMENT	4682_MEDICARE ADVANTAGE ASCENSION COMPLETE INPATIENT 20251001	Medicare Advantage	$9.71	OTHER
COVID HRSA	4693_COVID HRSA UNIN Q80 INPATIENT 20251001	Public program	$9.71	OTHER
CSHCN CIDC	4694_CSHCN CIDC IP (ADULT) 20251001	Public program	$9.71	OTHER
DEVOTED HEALTH MCR REPLACEMENT	4684_MEDICARE ADVANTAGE DEVOTED HEALTH INPATIENT 20251001	Medicare Advantage	$9.71	OTHER
HUMANA MCR REPLACEMENT	4661_MEDICARE ADVANTAGE HUMANA INPATIENT (AUS,HAY,NW,SW) 20251001	Medicare Advantage	$9.71	OTHER
MEDICARE OON	4666_MEDICARE ADVANTAGE INPATIENT OON 20251001	Medicare Advantage	$9.71	OTHER
MEDICARE REPLACEMENT	4665_MEDICARE ADVANTAGE INPATIENT 100% 20251001	Medicare Advantage	$9.71	OTHER
SUPERIOR ALLWELL	4686_MEDICARE ADVANTAGE SUPERIOR ALLWELL INPATIENT 20251001	Medicare Advantage	$9.71	OTHER
TRICARE	4696_TRICARE INPATIENT 20251001	Military / VA	$9.71	OTHER
WELLCARE MED ADVANTAGE	4691_MEDICARE ADVANTAGE WELLCARE INPATIENT 20251001	Medicare Advantage	$9.71	OTHER
WELMED MEDICARE	4669_MEDICARE ADVANTAGE WELMED INPATIENT (AUS,NW,SW,HAY,WIL,DEL,BAS) 20251001	Medicare Advantage	$9.71	OTHER
ASCENSION COMPLETE MEDICARE REPLACEMENT	4764_MEDICARE ADVANTAGE ASCENSION COMPLETE OUTPATIENT 20250811	Medicare Advantage	$9.71	OTHER
COVID HRSA	4765_COVID HRSA UNIN Q80 OUTPATIENT 20250811	Public program	$9.71	OTHER
DEVOTED HEALTH MCR REPLACEMENT	4918_MEDICARE ADVANTAGE DEVOTED HEALTH OUTPATIENT 20250811	Medicare Advantage	$9.71	OTHER
HUMANA MCR REPLACEMENT	4921_MEDICARE ADVANTAGE HUMANA OUTPATIENT (AUS,HAY,NW,SW.SMV) 20250811	Medicare Advantage	$9.71	OTHER
MEDICARE REPLACEMENT	4922_MEDICARE ADVANTAGE OUTPATIENT 100% 20250811	Medicare Advantage	$9.71	OTHER
SUPERIOR ALLWELL	4419_MEDICARE ADVANTAGE SUPERIOR ALLWELL OUTPATIENT 20250101	Medicare Advantage	$9.71	OTHER
WELLCARE MED ADVANTAGE	4929_MEDICARE ADVANTAGE WELLCARE OUTPATIENT 20250811	Medicare Advantage	$9.71	OTHER
WELMED MEDICARE	4930_MEDICARE ADVANTAGE WELMED OUTPATIENT (AUS,NW,SW,HAY,WIL,DEL,BAS) 20250811	Medicare Advantage	$9.71	OTHER
UHC MCR REPLACEMENT	4687_MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT (AUS,NW,SW,HAY) 20251001	Medicare Advantage	$9.90	OTHER
UHC MCR REPLACEMENT	4928_MEDICARE ADVANTAGE UNITED HEALTHCARE OUTPATIENT (AUS,NW,SW,HAY,SMV) 20250811	Medicare Advantage	$9.90	OTHER
CONNECTED SENIOR CARE	4660_MEDICARE ADVANTAGE CONNECTED SENIOR CARE INPATIENT 20251001	Medicare Advantage	$10.00	OTHER
CONNECTED SENIOR CARE	2475_MEDICARE ADVANTAGE CONNECTED SENIOR CARE OUTPATIENT 20221001	Medicare Advantage	$10.00	OTHER
BCBS STAR	4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
BCBS STAR	4223_CHIRP BLUE CROSS STAR (NW) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	4183_DELL CHIP/STAR KIDS (NW) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
DELL STAR	4234_CHIRP DELL STAR (NW) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
UHC STAR	4257_CHIRP UHC STAR (NW) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
UHC STAR KIDS	4315_UHC STAR KIDS (NW) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
UHC STAR PLUS	4268_CHIRP UHC STAR PLUS (NW) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4157_AMERIGROUP CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4161_AMERIGROUP CHIP/STAR KIDS (NW) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4197_CHIRP AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4197_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4201_CHIRP AMERIGROUP STAR (NW) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4201_CHIRP WELLPOINT/AMERIGROUP STAR (NW) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR PLUS	4208_CHIRP AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR PLUS	4212_CHIRP AMERIGROUP STAR PLUS (NW) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
PPHP MCR ADVANTAGE	4668_MEDICARE ADVANTAGE PPHP INPATIENT 20251001	Medicare Advantage	$10.20	OTHER
TX INDEPENDENCE HP	4671_TX INDEPENDENCE HP IP 20251001	Medicare Advantage	$10.20	OTHER
PPHP MCR ADVANTAGE	4925_MEDICARE ADVANTAGE PPHP OUTPATIENT 20250811	Medicare Advantage	$10.20	OTHER
TX INDEPENDENCE HP	4741_TX INDEPENDENCE HP OP 20250811	Medicare Advantage	$10.20	OTHER
SUPERIOR AMBETTER	3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901	Commercial	$11.10	FEE SCHEDULE
CHAMPVA	1135_CHAMPVA REST_TX 20180301	Military / VA	$11.68	FEE SCHEDULE
CHAMPVA	1136_CHAMPVA AUSTIN 20180301	Military / VA	$13.02	FEE SCHEDULE
OCCUNET	4674_OCCUNET IP 20251001	Workers' comp	$13.59	OTHER
OCCUNET	4123_OCCUNET OP 20250101	Workers' comp	$13.59	OTHER
HUMANA HMO	2668_HUMANA HMO 20230701	Commercial	$16.02	OTHER
SENDERO IDEALCARE	4675_SENDERO IDEALCARE IP 20251001	Commercial	$16.99	OTHER
SENDERO IDEALCARE	1571_SENDERO IDEALCARE OP 20200101	Commercial	$16.99	OTHER
SUPERIOR AMBETTER	4652_SUPERIOR AMBETTER INPATIENT 20251001	Commercial	$17.48	OTHER
SUPERIOR AMBETTER	4960_SUPERIOR AMBETTER OUTPATIENT 20250811	Commercial	$17.48	OTHER
BCBS BAV EXCHANGE	4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101	Commercial	$18.45	FEE SCHEDULE
CIGNA HMO	4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701	Commercial	$22.57	FEE SCHEDULE
CIGNA HMO	4476_CIGNA HMO (WIL,DEL) 20250701	Commercial	$22.57	FEE SCHEDULE
AETNA HMO EXCHANGE	1377_AETNA HMO EXCHANGE 20200101	Commercial	$25.64	FEE SCHEDULE
AETNA ACO HMO	4489_AETNA ACO HMO 20250801	Commercial	$28.03	FEE SCHEDULE
AETNA MULTI-TIER WHOLE HEALTH SHA	4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801	Commercial	$28.03	FEE SCHEDULE
BCBS HPN	4440_BLUE CROSS BLUE SHIELD HPN 20250501	Commercial	$37.48	FEE SCHEDULE
BCBS HPN	4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501	Commercial	$37.48	FEE SCHEDULE
BCBS HMO ESSENTIALS	4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101	Commercial	$41.36	FEE SCHEDULE
AETNA SHA AISD	4335_AETNA SHA AISD 20250101	Commercial	$42.34	OTHER
BCBS PPO	4094_BLUE CROSS BLUE SHIELD PPO 20250101	Commercial	$45.73	FEE SCHEDULE
AETNA HMO	4486_AETNA HMO 20250801	Commercial	$52.92	OTHER
COVENANT HEALTH	4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801	Commercial	$52.92	OTHER
AETNA CHOICE	236_AETNA ELECT CHOICE 20140601	Commercial	$72.16	FEE SCHEDULE
AETNA POS 20140601	235_AETNA POS 20140601	Commercial	$72.16	FEE SCHEDULE
SUPERIOR STAR	3509_CHIRP SUPERIOR STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR	3513_CHIRP SUPERIOR STAR (NW) INPATIENT 20240901	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR PLUS	4375_CHIRP SUPERIOR STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR PLUS	4379_CHIRP SUPERIOR STAR PLUS (NW) INPATIENT 20240901	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR	4241_CHIRP SUPERIOR STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR	4245_CHIRP SUPERIOR STAR (NW) OUTPATIENT 20241201	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR FOSTER	4188_SUPERIOR STAR FOSTER OUTPATIENT 20241201	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR FOSTER	4189_SUPERIOR STAR FOSTER (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR KIDS	4888_SUPERIOR STAR KIDS OUTPATIENT 20241201	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR KIDS	4889_SUPERIOR STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR PLUS	4389_CHIRP SUPERIOR STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR PLUS	4397_CHIRP SUPERIOR STAR PLUS (NW) OUTPATIENT 20241201	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR CHIP/CHIP PERINATE	3619_SUPERIOR CHIP INPATIENT 20240901	Medicaid / CHIP	$87.75	FEE SCHEDULE
SUPERIOR CHIP/CHIP PERINATE	4190_SUPERIOR CHIP OUTPATIENT 20241201	Medicaid / CHIP	$87.75	FEE SCHEDULE

Ascension Seton Smithville: all 84 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
BCBS CHIP/CHIP PERINATE	3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	3600_BLUE CROSS CHIP/STAR KIDS (SMV) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR	3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR	3699_CHIRP BLUE CROSS STAR (SMV) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	3611_DELL CHIP/STAR KIDS (SMV) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	3710_CHIRP DELL STAR (SMV) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR	3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR	3743_CHIRP UHC STAR (SMV) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4328_UHC STAR KIDS (SMV) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	3754_CHIRP UHC STAR PLUS (SMV) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	3589_WELLPOINT CHIP/STAR KIDS (SMV) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR	3671_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR	3677_CHIRP WELLPOINT/AMERIGROUP STAR (SMV) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	3682_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	3688_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (SMV) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4174_BLUE CROSS CHIP (SMV) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR KIDS	5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR KIDS	5015_BLUE CROSS STAR KIDS (SMV) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	4185_DELL CHIP/STAR KIDS (SMV) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	4236_CHIRP DELL STAR (SMV) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
SUPERIOR AMBETTER	3880_SUPERIOR AMBETTER (CHI,DCN) OUTPATIENT 20240901	Commercial	$8.16	FEE SCHEDULE
UHC STAR	4253_CHIRP UHC STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR	4259_CHIRP UHC STAR (SMV) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4311_UHC STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4317_UHC STAR KIDS (SMV) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	4264_CHIRP UHC STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	4270_CHIRP UHC STAR PLUS (SMV) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4157_WELLPOINT/AMERIGROUP CHIP (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4163_AMERIGROUP CHIP/STAR KIDS (SMV) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4163_WELLPOINT/AMERIGROUP CHIP (SMV) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR	4203_CHIRP AMERIGROUP STAR (SMV) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR	4203_CHIRP WELLPOINT/AMERIGROUP STAR (SMV) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR KIDS	4970_WELLPOINT/AMERIGROUP STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR KIDS	4982_WELLPOINT/AMERIGROUP STAR KIDS (SMV) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	4208_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	4214_CHIRP AMERIGROUP STAR PLUS (SMV) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	4214_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (SMV) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4174_BLUE CROSS CHIP/STAR KIDS (SMV) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
BCBS STAR	4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
BCBS STAR	4225_CHIRP BLUE CROSS STAR (SMV) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4157_AMERIGROUP CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4197_CHIRP AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4197_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR PLUS	4208_CHIRP AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
SUPERIOR AMBETTER	3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901	Commercial	$11.10	FEE SCHEDULE
CHAMPVA	1135_CHAMPVA REST_TX 20180301	Military / VA	$11.68	FEE SCHEDULE
CHAMPVA	1136_CHAMPVA AUSTIN 20180301	Military / VA	$13.02	FEE SCHEDULE
HUMANA HMO	2668_HUMANA HMO 20230701	Commercial	$16.02	OTHER
SENDERO IDEALCARE	1571_SENDERO IDEALCARE OP 20200101	Commercial	$16.99	OTHER
BCBS BAV EXCHANGE	4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101	Commercial	$18.45	FEE SCHEDULE
CIGNA HMO	4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701	Commercial	$22.57	FEE SCHEDULE
CIGNA HMO	4476_CIGNA HMO (WIL,DEL) 20250701	Commercial	$22.57	FEE SCHEDULE
AETNA HMO EXCHANGE	1377_AETNA HMO EXCHANGE 20200101	Commercial	$25.64	FEE SCHEDULE
AETNA ACO HMO	4489_AETNA ACO HMO 20250801	Commercial	$28.03	FEE SCHEDULE
AETNA MULTI-TIER WHOLE HEALTH SHA	4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801	Commercial	$28.03	FEE SCHEDULE
BCBS HPN	4440_BLUE CROSS BLUE SHIELD HPN 20250501	Commercial	$37.48	FEE SCHEDULE
BCBS HPN	4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501	Commercial	$37.48	FEE SCHEDULE
BCBS HMO ESSENTIALS	4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101	Commercial	$41.36	FEE SCHEDULE
AETNA SHA AISD	4335_AETNA SHA AISD 20250101	Commercial	$42.34	OTHER
BCBS PPO	4094_BLUE CROSS BLUE SHIELD PPO 20250101	Commercial	$45.73	FEE SCHEDULE
AETNA HMO	4486_AETNA HMO 20250801	Commercial	$52.92	OTHER
COVENANT HEALTH	4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801	Commercial	$52.92	OTHER
AETNA CHOICE	236_AETNA ELECT CHOICE 20140601	Commercial	$72.16	FEE SCHEDULE
AETNA POS 20140601	235_AETNA POS 20140601	Commercial	$72.16	FEE SCHEDULE
SUPERIOR STAR	3509_CHIRP SUPERIOR STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$86.70	FEE SCHEDULE
SUPERIOR STAR PLUS	4375_CHIRP SUPERIOR STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$86.70	FEE SCHEDULE
SUPERIOR STAR	4241_CHIRP SUPERIOR STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$86.70	FEE SCHEDULE
SUPERIOR STAR	4247_CHIRP SUPERIOR STAR (SMV) OUTPATIENT 20241201	Medicaid / CHIP	$86.70	FEE SCHEDULE
SUPERIOR STAR FOSTER	4188_SUPERIOR STAR FOSTER OUTPATIENT 20241201	Medicaid / CHIP	$86.70	FEE SCHEDULE
SUPERIOR STAR FOSTER	4189_SUPERIOR STAR FOSTER (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$86.70	FEE SCHEDULE
SUPERIOR STAR KIDS	4888_SUPERIOR STAR KIDS OUTPATIENT 20241201	Medicaid / CHIP	$86.70	FEE SCHEDULE
SUPERIOR STAR KIDS	4889_SUPERIOR STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$86.70	FEE SCHEDULE
SUPERIOR STAR PLUS	4389_CHIRP SUPERIOR STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$86.70	FEE SCHEDULE
SUPERIOR STAR PLUS	4401_CHIRP SUPERIOR STAR PLUS (SMV) OUTPATIENT 20241201	Medicaid / CHIP	$86.70	FEE SCHEDULE
SUPERIOR CHIP/CHIP PERINATE	3619_SUPERIOR CHIP INPATIENT 20240901	Medicaid / CHIP	$97.54	FEE SCHEDULE
SUPERIOR CHIP/CHIP PERINATE	4190_SUPERIOR CHIP OUTPATIENT 20241201	Medicaid / CHIP	$97.54	FEE SCHEDULE

Ascension Seton Medical Center Austin: all 125 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
BCBS CHIP/CHIP PERINATE	3592_BLUE CROSS CHIP/STAR KIDS (AUS) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR	3691_CHIRP BLUE CROSS STAR (AUS) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR	3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	3603_DELL CHIP/STAR KIDS (AUS) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	3702_CHIRP DELL STAR (AUS) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR	3735_CHIRP UHC STAR (AUS) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR	3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4320_UHC STAR KIDS (AUS) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	3746_CHIRP UHC STAR PLUS (AUS) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR	3669_CHIRP WELLPOINT/AMERIGROUP STAR (AUS) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR	3671_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	3680_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (AUS) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	3682_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4166_BLUE CROSS CHIP (AUS) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4166_BLUE CROSS CHIP/STAR KIDS (AUS) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR KIDS	4999_BLUE CROSS STAR KIDS (AUS) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR KIDS	5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	4177_DELL CHIP/STAR KIDS (AUS) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
SUPERIOR AMBETTER	3880_SUPERIOR AMBETTER (CHI,DCN) OUTPATIENT 20240901	Commercial	$8.16	FEE SCHEDULE
UHC STAR	4253_CHIRP UHC STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4311_UHC STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	4264_CHIRP UHC STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4155_AMERIGROUP CHIP/STAR KIDS (AUS) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4155_WELLPOINT/AMERIGROUP CHIP (AUS) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4157_WELLPOINT/AMERIGROUP CHIP (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR KIDS	4966_WELLPOINT/AMERIGROUP STAR KIDS (AUS) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR KIDS	4970_WELLPOINT/AMERIGROUP STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	4206_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (AUS) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	4208_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
AARP MC WELLMED	4656_MEDICARE ADVANTAGE AARP WELLMED INPATIENT (AUS,NW,SW,HAY,WIL,BRK,DEL,BAS) 20251001	Medicare Advantage	$9.52	OTHER
AARP MC WELLMED	4748_MEDICARE ADVANTAGE AARP WELLMED OUTPATIENT (AUS,NW,SW,HAY,WIL,BRK,DEL,BAS,SMV) 20250811	Medicare Advantage	$9.52	OTHER
SENDERO CHAP	4651_SENDERO CHAP INPATIENT 20251001	Commercial	$9.61	OTHER
SENDERO CHAP	4932_SENDERO CHAP OUTPATIENT 20250811	Commercial	$9.61	OTHER
AETNA MCR REPLACEMENT	4659_MEDICARE ADVANTAGE AETNA INPATIENT 20251001	Medicare Advantage	$9.71	OTHER
ASCENSION COMPLETE MEDICARE REPLACEMENT	4682_MEDICARE ADVANTAGE ASCENSION COMPLETE INPATIENT 20251001	Medicare Advantage	$9.71	OTHER
COVID HRSA	4693_COVID HRSA UNIN Q80 INPATIENT 20251001	Public program	$9.71	OTHER
CSHCN CIDC	4694_CSHCN CIDC IP (ADULT) 20251001	Public program	$9.71	OTHER
DEVOTED HEALTH MCR REPLACEMENT	4684_MEDICARE ADVANTAGE DEVOTED HEALTH INPATIENT 20251001	Medicare Advantage	$9.71	OTHER
HUMANA MCR REPLACEMENT	4661_MEDICARE ADVANTAGE HUMANA INPATIENT (AUS,HAY,NW,SW) 20251001	Medicare Advantage	$9.71	OTHER
MEDICARE OON	4666_MEDICARE ADVANTAGE INPATIENT OON 20251001	Medicare Advantage	$9.71	OTHER
MEDICARE REPLACEMENT	4665_MEDICARE ADVANTAGE INPATIENT 100% 20251001	Medicare Advantage	$9.71	OTHER
SUPERIOR ALLWELL	4686_MEDICARE ADVANTAGE SUPERIOR ALLWELL INPATIENT 20251001	Medicare Advantage	$9.71	OTHER
TRICARE	4696_TRICARE INPATIENT 20251001	Military / VA	$9.71	OTHER
UHCPCIP	4678_UNITED HEALTHCARE PCIP (AUS) IP 20251001	Commercial	$9.71	OTHER
WELLCARE MED ADVANTAGE	4691_MEDICARE ADVANTAGE WELLCARE INPATIENT 20251001	Medicare Advantage	$9.71	OTHER
WELMED MEDICARE	4669_MEDICARE ADVANTAGE WELMED INPATIENT (AUS,NW,SW,HAY,WIL,DEL,BAS) 20251001	Medicare Advantage	$9.71	OTHER
AETNA MCR REPLACEMENT	4749_MEDICARE ADVANTAGE AETNA OUTPATIENT 20250811	Medicare Advantage	$9.71	OTHER
ASCENSION COMPLETE MEDICARE REPLACEMENT	4764_MEDICARE ADVANTAGE ASCENSION COMPLETE OUTPATIENT 20250811	Medicare Advantage	$9.71	OTHER
COVID HRSA	4765_COVID HRSA UNIN Q80 OUTPATIENT 20250811	Public program	$9.71	OTHER
DEVOTED HEALTH MCR REPLACEMENT	4918_MEDICARE ADVANTAGE DEVOTED HEALTH OUTPATIENT 20250811	Medicare Advantage	$9.71	OTHER
HUMANA MCR REPLACEMENT	4921_MEDICARE ADVANTAGE HUMANA OUTPATIENT (AUS,HAY,NW,SW.SMV) 20250811	Medicare Advantage	$9.71	OTHER
MEDICARE REPLACEMENT	4922_MEDICARE ADVANTAGE OUTPATIENT 100% 20250811	Medicare Advantage	$9.71	OTHER
SUPERIOR ALLWELL	4419_MEDICARE ADVANTAGE SUPERIOR ALLWELL OUTPATIENT 20250101	Medicare Advantage	$9.71	OTHER
UHCPCIP	4126_UNITED HEALTHCARE PCIP (AUS) OP 20250101	Commercial	$9.71	OTHER
WELLCARE MED ADVANTAGE	4929_MEDICARE ADVANTAGE WELLCARE OUTPATIENT 20250811	Medicare Advantage	$9.71	OTHER
WELMED MEDICARE	4930_MEDICARE ADVANTAGE WELMED OUTPATIENT (AUS,NW,SW,HAY,WIL,DEL,BAS) 20250811	Medicare Advantage	$9.71	OTHER
UHC MCR REPLACEMENT	4687_MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT (AUS,NW,SW,HAY) 20251001	Medicare Advantage	$9.90	OTHER
UHC MCR REPLACEMENT	4928_MEDICARE ADVANTAGE UNITED HEALTHCARE OUTPATIENT (AUS,NW,SW,HAY,SMV) 20250811	Medicare Advantage	$9.90	OTHER
CONNECTED SENIOR CARE	4660_MEDICARE ADVANTAGE CONNECTED SENIOR CARE INPATIENT 20251001	Medicare Advantage	$10.00	OTHER
CONNECTED SENIOR CARE	2475_MEDICARE ADVANTAGE CONNECTED SENIOR CARE OUTPATIENT 20221001	Medicare Advantage	$10.00	OTHER
BCBS STAR	4217_CHIRP BLUE CROSS STAR (AUS) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
BCBS STAR	4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
DELL STAR	4228_CHIRP DELL STAR (AUS) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
UHC STAR	4251_CHIRP UHC STAR (AUS) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
UHC STAR KIDS	4309_UHC STAR KIDS (AUS) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
UHC STAR PLUS	4262_CHIRP UHC STAR PLUS (AUS) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4157_AMERIGROUP CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4195_CHIRP AMERIGROUP STAR (AUS) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4195_CHIRP WELLPOINT/AMERIGROUP STAR (AUS) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4197_CHIRP AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4197_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR PLUS	4206_CHIRP AMERIGROUP STAR PLUS (AUS) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR PLUS	4208_CHIRP AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
PPHP MCR ADVANTAGE	4668_MEDICARE ADVANTAGE PPHP INPATIENT 20251001	Medicare Advantage	$10.20	OTHER
TX INDEPENDENCE HP	4671_TX INDEPENDENCE HP IP 20251001	Medicare Advantage	$10.20	OTHER
PPHP MCR ADVANTAGE	4925_MEDICARE ADVANTAGE PPHP OUTPATIENT 20250811	Medicare Advantage	$10.20	OTHER
TX INDEPENDENCE HP	4741_TX INDEPENDENCE HP OP 20250811	Medicare Advantage	$10.20	OTHER
SUPERIOR AMBETTER	3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901	Commercial	$11.10	FEE SCHEDULE
CHAMPVA	1135_CHAMPVA REST_TX 20180301	Military / VA	$11.68	FEE SCHEDULE
CHAMPVA	1136_CHAMPVA AUSTIN 20180301	Military / VA	$13.02	FEE SCHEDULE
OCCUNET	4674_OCCUNET IP 20251001	Workers' comp	$13.59	OTHER
OCCUNET	4123_OCCUNET OP 20250101	Workers' comp	$13.59	OTHER
HUMANA HMO	2668_HUMANA HMO 20230701	Commercial	$16.02	OTHER
SENDERO IDEALCARE	4675_SENDERO IDEALCARE IP 20251001	Commercial	$16.99	OTHER
SENDERO IDEALCARE	1571_SENDERO IDEALCARE OP 20200101	Commercial	$16.99	OTHER
SUPERIOR AMBETTER	4652_SUPERIOR AMBETTER INPATIENT 20251001	Commercial	$17.48	OTHER
SUPERIOR AMBETTER	4960_SUPERIOR AMBETTER OUTPATIENT 20250811	Commercial	$17.48	OTHER
BCBS BAV EXCHANGE	4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101	Commercial	$18.45	FEE SCHEDULE
CIGNA HMO	4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701	Commercial	$22.57	FEE SCHEDULE
CIGNA HMO	4476_CIGNA HMO (WIL,DEL) 20250701	Commercial	$22.57	FEE SCHEDULE
AETNA HMO EXCHANGE	1377_AETNA HMO EXCHANGE 20200101	Commercial	$25.64	FEE SCHEDULE
AETNA ACO HMO	4489_AETNA ACO HMO 20250801	Commercial	$28.03	FEE SCHEDULE
AETNA MULTI-TIER WHOLE HEALTH SHA	4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801	Commercial	$28.03	FEE SCHEDULE
BCBS HPN	4440_BLUE CROSS BLUE SHIELD HPN 20250501	Commercial	$37.48	FEE SCHEDULE
BCBS HPN	4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501	Commercial	$37.48	FEE SCHEDULE
BCBS HMO ESSENTIALS	4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101	Commercial	$41.36	FEE SCHEDULE
AETNA SHA AISD	4335_AETNA SHA AISD 20250101	Commercial	$42.34	OTHER
BCBS PPO	4094_BLUE CROSS BLUE SHIELD PPO 20250101	Commercial	$45.73	FEE SCHEDULE
AETNA HMO	4486_AETNA HMO 20250801	Commercial	$52.92	OTHER
COVENANT HEALTH	4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801	Commercial	$52.92	OTHER
AETNA CHOICE	236_AETNA ELECT CHOICE 20140601	Commercial	$72.16	FEE SCHEDULE
AETNA POS 20140601	235_AETNA POS 20140601	Commercial	$72.16	FEE SCHEDULE
SUPERIOR STAR	3507_CHIRP SUPERIOR STAR (AUS) INPATIENT 20240901	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR	3509_CHIRP SUPERIOR STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR PLUS	4373_CHIRP SUPERIOR STAR PLUS (AUS) INPATIENT 20240901	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR PLUS	4375_CHIRP SUPERIOR STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR	4239_CHIRP SUPERIOR STAR (AUS) OUTPATIENT 20241201	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR	4241_CHIRP SUPERIOR STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR FOSTER	4188_SUPERIOR STAR FOSTER OUTPATIENT 20241201	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR FOSTER	4189_SUPERIOR STAR FOSTER (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR KIDS	4888_SUPERIOR STAR KIDS OUTPATIENT 20241201	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR KIDS	4889_SUPERIOR STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR PLUS	4385_CHIRP SUPERIOR STAR PLUS (AUS) OUTPATIENT 20241201	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR PLUS	4389_CHIRP SUPERIOR STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR CHIP/CHIP PERINATE	3619_SUPERIOR CHIP INPATIENT 20240901	Medicaid / CHIP	$87.75	FEE SCHEDULE
SUPERIOR CHIP/CHIP PERINATE	4190_SUPERIOR CHIP OUTPATIENT 20241201	Medicaid / CHIP	$87.75	FEE SCHEDULE

Ascension Seton Southwest: all 123 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
BCBS CHIP/CHIP PERINATE	3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	3601_BLUE CROSS CHIP/STAR KIDS (SW) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR	3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR	3700_CHIRP BLUE CROSS STAR (SW) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	3612_DELL CHIP/STAR KIDS (SW) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	3711_CHIRP DELL STAR (SW) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR	3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR	3744_CHIRP UHC STAR (SW) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4329_UHC STAR KIDS (SW) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	3755_CHIRP UHC STAR PLUS (SW) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR	3671_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR	3678_CHIRP WELLPOINT/AMERIGROUP STAR (SW) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	3682_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	3689_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (SW) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4175_BLUE CROSS CHIP (SW) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR KIDS	5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR KIDS	5017_BLUE CROSS STAR KIDS (SW) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
SUPERIOR AMBETTER	3880_SUPERIOR AMBETTER (CHI,DCN) OUTPATIENT 20240901	Commercial	$8.16	FEE SCHEDULE
UHC STAR	4253_CHIRP UHC STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4311_UHC STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	4264_CHIRP UHC STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4157_WELLPOINT/AMERIGROUP CHIP (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4164_WELLPOINT/AMERIGROUP CHIP (SW) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR KIDS	4970_WELLPOINT/AMERIGROUP STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR KIDS	4984_WELLPOINT/AMERIGROUP STAR KIDS (SW) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	4208_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	4215_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (SW) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
AARP MC WELLMED	4656_MEDICARE ADVANTAGE AARP WELLMED INPATIENT (AUS,NW,SW,HAY,WIL,BRK,DEL,BAS) 20251001	Medicare Advantage	$9.52	OTHER
AARP MC WELLMED	4748_MEDICARE ADVANTAGE AARP WELLMED OUTPATIENT (AUS,NW,SW,HAY,WIL,BRK,DEL,BAS,SMV) 20250811	Medicare Advantage	$9.52	OTHER
SENDERO CHAP	4651_SENDERO CHAP INPATIENT 20251001	Commercial	$9.61	OTHER
SENDERO CHAP	4932_SENDERO CHAP OUTPATIENT 20250811	Commercial	$9.61	OTHER
AETNA MCR REPLACEMENT	4659_MEDICARE ADVANTAGE AETNA INPATIENT 20251001	Medicare Advantage	$9.71	OTHER
ASCENSION COMPLETE MEDICARE REPLACEMENT	4682_MEDICARE ADVANTAGE ASCENSION COMPLETE INPATIENT 20251001	Medicare Advantage	$9.71	OTHER
COVID HRSA	4693_COVID HRSA UNIN Q80 INPATIENT 20251001	Public program	$9.71	OTHER
CSHCN CIDC	4694_CSHCN CIDC IP (ADULT) 20251001	Public program	$9.71	OTHER
DEVOTED HEALTH MCR REPLACEMENT	4684_MEDICARE ADVANTAGE DEVOTED HEALTH INPATIENT 20251001	Medicare Advantage	$9.71	OTHER
HUMANA MCR REPLACEMENT	4661_MEDICARE ADVANTAGE HUMANA INPATIENT (AUS,HAY,NW,SW) 20251001	Medicare Advantage	$9.71	OTHER
MEDICARE OON	4666_MEDICARE ADVANTAGE INPATIENT OON 20251001	Medicare Advantage	$9.71	OTHER
MEDICARE REPLACEMENT	4665_MEDICARE ADVANTAGE INPATIENT 100% 20251001	Medicare Advantage	$9.71	OTHER
SUPERIOR ALLWELL	4686_MEDICARE ADVANTAGE SUPERIOR ALLWELL INPATIENT 20251001	Medicare Advantage	$9.71	OTHER
TRICARE	4696_TRICARE INPATIENT 20251001	Military / VA	$9.71	OTHER
WELLCARE MED ADVANTAGE	4691_MEDICARE ADVANTAGE WELLCARE INPATIENT 20251001	Medicare Advantage	$9.71	OTHER
WELMED MEDICARE	4669_MEDICARE ADVANTAGE WELMED INPATIENT (AUS,NW,SW,HAY,WIL,DEL,BAS) 20251001	Medicare Advantage	$9.71	OTHER
AETNA MCR REPLACEMENT	4749_MEDICARE ADVANTAGE AETNA OUTPATIENT 20250811	Medicare Advantage	$9.71	OTHER
ASCENSION COMPLETE MEDICARE REPLACEMENT	4764_MEDICARE ADVANTAGE ASCENSION COMPLETE OUTPATIENT 20250811	Medicare Advantage	$9.71	OTHER
COVID HRSA	4765_COVID HRSA UNIN Q80 OUTPATIENT 20250811	Public program	$9.71	OTHER
DEVOTED HEALTH MCR REPLACEMENT	4918_MEDICARE ADVANTAGE DEVOTED HEALTH OUTPATIENT 20250811	Medicare Advantage	$9.71	OTHER
HUMANA MCR REPLACEMENT	4921_MEDICARE ADVANTAGE HUMANA OUTPATIENT (AUS,HAY,NW,SW.SMV) 20250811	Medicare Advantage	$9.71	OTHER
MEDICARE REPLACEMENT	4922_MEDICARE ADVANTAGE OUTPATIENT 100% 20250811	Medicare Advantage	$9.71	OTHER
SUPERIOR ALLWELL	4419_MEDICARE ADVANTAGE SUPERIOR ALLWELL OUTPATIENT 20250101	Medicare Advantage	$9.71	OTHER
WELLCARE MED ADVANTAGE	4929_MEDICARE ADVANTAGE WELLCARE OUTPATIENT 20250811	Medicare Advantage	$9.71	OTHER
WELMED MEDICARE	4930_MEDICARE ADVANTAGE WELMED OUTPATIENT (AUS,NW,SW,HAY,WIL,DEL,BAS) 20250811	Medicare Advantage	$9.71	OTHER
UHC MCR REPLACEMENT	4687_MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT (AUS,NW,SW,HAY) 20251001	Medicare Advantage	$9.90	OTHER
UHC MCR REPLACEMENT	4928_MEDICARE ADVANTAGE UNITED HEALTHCARE OUTPATIENT (AUS,NW,SW,HAY,SMV) 20250811	Medicare Advantage	$9.90	OTHER
CONNECTED SENIOR CARE	4660_MEDICARE ADVANTAGE CONNECTED SENIOR CARE INPATIENT 20251001	Medicare Advantage	$10.00	OTHER
CONNECTED SENIOR CARE	2475_MEDICARE ADVANTAGE CONNECTED SENIOR CARE OUTPATIENT 20221001	Medicare Advantage	$10.00	OTHER
BCBS CHIP/CHIP PERINATE	4175_BLUE CROSS CHIP/STAR KIDS (SW) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
BCBS STAR	4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
BCBS STAR	4226_CHIRP BLUE CROSS STAR (SW) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	4186_DELL CHIP/STAR KIDS (SW) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4157_AMERIGROUP CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4164_AMERIGROUP CHIP/STAR KIDS (SW) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4197_CHIRP AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4197_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4204_CHIRP AMERIGROUP STAR (SW) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4204_CHIRP WELLPOINT/AMERIGROUP STAR (SW) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR PLUS	4208_CHIRP AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR PLUS	4215_CHIRP AMERIGROUP STAR PLUS (SW) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
PPHP MCR ADVANTAGE	4668_MEDICARE ADVANTAGE PPHP INPATIENT 20251001	Medicare Advantage	$10.20	OTHER
TX INDEPENDENCE HP	4671_TX INDEPENDENCE HP IP 20251001	Medicare Advantage	$10.20	OTHER
PPHP MCR ADVANTAGE	4925_MEDICARE ADVANTAGE PPHP OUTPATIENT 20250811	Medicare Advantage	$10.20	OTHER
TX INDEPENDENCE HP	4741_TX INDEPENDENCE HP OP 20250811	Medicare Advantage	$10.20	OTHER
SUPERIOR AMBETTER	3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901	Commercial	$11.10	FEE SCHEDULE
DELL STAR	4237_CHIRP DELL STAR (SW) OUTPATIENT 20241201	Medicaid / CHIP	$11.19	FEE SCHEDULE
UHC STAR	4260_CHIRP UHC STAR (SW) OUTPATIENT 20241201	Medicaid / CHIP	$11.19	FEE SCHEDULE
UHC STAR KIDS	4318_UHC STAR KIDS (SW) OUTPATIENT 20241201	Medicaid / CHIP	$11.19	FEE SCHEDULE
UHC STAR PLUS	4271_CHIRP UHC STAR PLUS (SW) OUTPATIENT 20241201	Medicaid / CHIP	$11.19	FEE SCHEDULE
CHAMPVA	1135_CHAMPVA REST_TX 20180301	Military / VA	$11.68	FEE SCHEDULE
CHAMPVA	1136_CHAMPVA AUSTIN 20180301	Military / VA	$13.02	FEE SCHEDULE
OCCUNET	4674_OCCUNET IP 20251001	Workers' comp	$13.59	OTHER
OCCUNET	4123_OCCUNET OP 20250101	Workers' comp	$13.59	OTHER
HUMANA HMO	2668_HUMANA HMO 20230701	Commercial	$16.02	OTHER
SENDERO IDEALCARE	4675_SENDERO IDEALCARE IP 20251001	Commercial	$16.99	OTHER
SENDERO IDEALCARE	1571_SENDERO IDEALCARE OP 20200101	Commercial	$16.99	OTHER
SUPERIOR AMBETTER	4652_SUPERIOR AMBETTER INPATIENT 20251001	Commercial	$17.48	OTHER
SUPERIOR AMBETTER	4960_SUPERIOR AMBETTER OUTPATIENT 20250811	Commercial	$17.48	OTHER
BCBS BAV EXCHANGE	4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101	Commercial	$18.45	FEE SCHEDULE
CIGNA HMO	4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701	Commercial	$22.57	FEE SCHEDULE
CIGNA HMO	4476_CIGNA HMO (WIL,DEL) 20250701	Commercial	$22.57	FEE SCHEDULE
AETNA HMO EXCHANGE	1377_AETNA HMO EXCHANGE 20200101	Commercial	$25.64	FEE SCHEDULE
AETNA ACO HMO	4489_AETNA ACO HMO 20250801	Commercial	$28.03	FEE SCHEDULE
AETNA MULTI-TIER WHOLE HEALTH SHA	4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801	Commercial	$28.03	FEE SCHEDULE
BCBS HPN	4440_BLUE CROSS BLUE SHIELD HPN 20250501	Commercial	$37.48	FEE SCHEDULE
BCBS HPN	4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501	Commercial	$37.48	FEE SCHEDULE
BCBS HMO ESSENTIALS	4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101	Commercial	$41.36	FEE SCHEDULE
AETNA SHA AISD	4335_AETNA SHA AISD 20250101	Commercial	$42.34	OTHER
BCBS PPO	4094_BLUE CROSS BLUE SHIELD PPO 20250101	Commercial	$45.73	FEE SCHEDULE
AETNA HMO	4486_AETNA HMO 20250801	Commercial	$52.92	OTHER
COVENANT HEALTH	4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801	Commercial	$52.92	OTHER
AETNA CHOICE	236_AETNA ELECT CHOICE 20140601	Commercial	$72.16	FEE SCHEDULE
AETNA POS 20140601	235_AETNA POS 20140601	Commercial	$72.16	FEE SCHEDULE
SUPERIOR STAR	3509_CHIRP SUPERIOR STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR	3516_CHIRP SUPERIOR STAR (SW) INPATIENT 20240901	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR PLUS	4375_CHIRP SUPERIOR STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR PLUS	4382_CHIRP SUPERIOR STAR PLUS (SW) INPATIENT 20240901	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR	4241_CHIRP SUPERIOR STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR	4248_CHIRP SUPERIOR STAR (SW) OUTPATIENT 20241201	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR FOSTER	4188_SUPERIOR STAR FOSTER OUTPATIENT 20241201	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR FOSTER	4189_SUPERIOR STAR FOSTER (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR KIDS	4888_SUPERIOR STAR KIDS OUTPATIENT 20241201	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR KIDS	4889_SUPERIOR STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR PLUS	4389_CHIRP SUPERIOR STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR STAR PLUS	4403_CHIRP SUPERIOR STAR PLUS (SW) OUTPATIENT 20241201	Medicaid / CHIP	$78.00	FEE SCHEDULE
SUPERIOR CHIP/CHIP PERINATE	3619_SUPERIOR CHIP INPATIENT 20240901	Medicaid / CHIP	$87.75	FEE SCHEDULE
SUPERIOR CHIP/CHIP PERINATE	4190_SUPERIOR CHIP OUTPATIENT 20241201	Medicaid / CHIP	$87.75	FEE SCHEDULE

Baylor Scott & White Medical Center – Lakeway: all 40 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Superior Health Plan	Medicaid	Medicaid / CHIP	$8.16	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$8.73	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$9.22	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$9.42	fee schedule
Humana	Medicare	Medicare Advantage	$9.71	fee schedule
Superior Health Plan	Medicare HMO/Medicare PPO	Medicare Advantage	$9.71	fee schedule
TriWest	Community Care Network	Military / VA	$9.71	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$10.20	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$10.20	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$10.20	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$10.20	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$10.88	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$11.65	fee schedule
United Healthcare	Commercial	Commercial	$12.00	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$12.19	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$12.24	fee schedule
Sedgwick	Preferred Network	Workers' comp	$14.52	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$16.02	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$18.19	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$21.40	fee schedule
Mark Cuban	Commercial	Commercial	$23.30	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$50.20	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$50.88	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$58.16	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$61.27	fee schedule
Cigna	Local Plus	Commercial	$95.87	percent of total billed charges
Cigna	HMO/PPO	Commercial	$112	percent of total billed charges
Aetna	Commercial	Commercial	$114	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$114	percent of total billed charges
MidCoast	Commercial	Commercial	$114	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$120	percent of total billed charges
Independent Medical System	Commercial PPO	Commercial	$124	percent of total billed charges
Curative	Commercial	Commercial	$134	percent of total billed charges
Humana	Commercial HMO	Commercial	$134	percent of total billed charges
First Health	PPO	Commercial	$145	percent of total billed charges
HealthSmart	Accel Network	Commercial	$145	percent of total billed charges
Humana	Commercial PPO	Commercial	$145	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$155	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$155	percent of total billed charges
Three Rivers	Three Rivers Provider Network	Commercial	$186	percent of total billed charges

Baylor Scott & White Medical Center – Round Rock: all 43 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Superior Health Plan	Medicaid	Medicaid / CHIP	$8.16	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$8.73	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$9.22	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$9.42	fee schedule
Humana	Medicare	Medicare Advantage	$9.71	fee schedule
Superior Health Plan	Medicare HMO/Medicare PPO	Medicare Advantage	$9.71	fee schedule
TriWest	Community Care Network	Military / VA	$9.71	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$10.20	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$10.20	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$10.20	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$10.20	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$10.88	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$11.65	fee schedule
United Healthcare	Commercial	Commercial	$12.00	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$12.19	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$12.24	fee schedule
CareWorks fka Rockport	Worker's Compensation	Workers' comp	$14.52	fee schedule
Injury Management Organization	Med Select Network	Workers' comp	$14.52	fee schedule
Sedgwick	Preferred Network	Workers' comp	$14.52	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$16.02	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$18.19	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$21.40	fee schedule
Mark Cuban	Commercial	Commercial	$23.30	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$50.20	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$50.88	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$58.16	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$61.27	fee schedule
Cigna	Local Plus	Commercial	$104	percent of total billed charges
Aetna	Commercial	Commercial	$114	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$114	percent of total billed charges
MidCoast	Commercial	Commercial	$114	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$120	percent of total billed charges
Cigna	HMO/PPO	Commercial	$122	percent of total billed charges
Independent Medical System	Commercial PPO	Commercial	$124	percent of total billed charges
Curative	Commercial	Commercial	$134	percent of total billed charges
Humana	Commercial HMO	Commercial	$134	percent of total billed charges
First Health	PPO	Commercial	$145	percent of total billed charges
HealthSmart	Accel Network	Commercial	$145	percent of total billed charges
Humana	Commercial PPO	Commercial	$145	percent of total billed charges
BlueBell Creameries	Self Insured	Commercial	$155	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$155	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$155	percent of total billed charges
Three Rivers	Three Rivers Provider Network	Commercial	$186	percent of total billed charges

Baylor Scott & White Medical Center – Taylor: all 40 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
United Healthcare	Commercial	Commercial	$12.00	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$14.24	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$18.19	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$21.40	fee schedule
Mark Cuban	Commercial	Commercial	$23.30	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$39.26	percent of total billed charges
American Health Plan	Medicare Advantage	Medicare Advantage	$41.32	percent of total billed charges
TriWest	Community Care Network	Military / VA	$41.32	percent of total billed charges
CORVEL	Worker's Compensation	Workers' comp	$43.28	percent of total billed charges
Prime Health Services	Worker's Compensation	Workers' comp	$43.28	percent of total billed charges
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$43.39	percent of total billed charges
HealthSpring	Medicare Advantage	Medicare Advantage	$43.39	percent of total billed charges
ProCare Advantage	Medicare Advantage	Medicare Advantage	$43.39	percent of total billed charges
Superior Health Plan	Medicare HMO/Medicare PPO	Medicare Advantage	$45.56	percent of total billed charges
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$49.59	percent of total billed charges
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$50.20	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$50.88	fee schedule
CareWorks fka Rockport	Worker's Compensation	Workers' comp	$51.32	percent of total billed charges
Injury Management Organization	Med Select Network	Workers' comp	$51.32	percent of total billed charges
Sedgwick	Preferred Network	Workers' comp	$51.32	percent of total billed charges
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$51.86	percent of total billed charges
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$58.16	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$61.27	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$74.38	percent of total billed charges
Cigna	Local Plus	Commercial	$104	percent of total billed charges
Aetna	Commercial	Commercial	$114	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$114	percent of total billed charges
MidCoast	Commercial	Commercial	$114	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$120	percent of total billed charges
Cigna	HMO/PPO	Commercial	$122	percent of total billed charges
Independent Medical System	Commercial PPO	Commercial	$124	percent of total billed charges
Curative	Commercial	Commercial	$134	percent of total billed charges
Humana	Commercial HMO	Commercial	$134	percent of total billed charges
First Health	PPO	Commercial	$145	percent of total billed charges
HealthSmart	Accel Network	Commercial	$145	percent of total billed charges
Humana	Commercial PPO	Commercial	$145	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$155	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$155	percent of total billed charges
BlueBell Creameries	Self Insured	Commercial	$165	percent of total billed charges
Three Rivers	Three Rivers Provider Network	Commercial	$165	percent of total billed charges

Baylor Scott & White Medical Center – Austin: all 32 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Superior Health Plan	Medicaid	Medicaid / CHIP	$8.16	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$8.73	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$9.22	fee schedule
Humana	Medicare	Medicare Advantage	$9.71	fee schedule
Superior Health Plan	Medicare HMO/Medicare PPO	Medicare Advantage	$9.71	fee schedule
TriWest	Community Care Network	Military / VA	$9.71	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$10.20	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$10.20	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$10.20	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$10.88	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$11.65	fee schedule
United Healthcare	Commercial	Commercial	$12.00	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$12.19	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$16.02	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$18.19	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$21.40	fee schedule
Mark Cuban	Commercial	Commercial	$23.30	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$50.20	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$50.88	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$58.16	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$61.27	fee schedule
Cigna	Local Plus	Commercial	$95.87	percent of total billed charges
Cigna	HMO/PPO	Commercial	$112	percent of total billed charges
Aetna	Commercial	Commercial	$114	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$114	percent of total billed charges
MidCoast	Commercial	Commercial	$114	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$120	percent of total billed charges
Curative	Commercial	Commercial	$134	percent of total billed charges
Humana	Commercial HMO	Commercial	$134	percent of total billed charges
First Health	PPO	Commercial	$145	percent of total billed charges
Humana	Commercial PPO	Commercial	$145	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$155	percent of total billed charges

Baylor Scott & White Medical Center – Buda: all 33 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Superior Health Plan	Medicaid	Medicaid / CHIP	$8.16	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$8.73	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$9.22	fee schedule
Humana	Medicare	Medicare Advantage	$9.71	fee schedule
Superior Health Plan	Medicare HMO/Medicare PPO	Medicare Advantage	$9.71	fee schedule
TriWest	Community Care Network	Military / VA	$9.71	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$10.20	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$10.20	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$10.20	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$10.20	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$10.88	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$11.65	fee schedule
United Healthcare	Commercial	Commercial	$12.00	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$12.19	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$16.02	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$18.19	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$21.40	fee schedule
Mark Cuban	Commercial	Commercial	$23.30	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$50.20	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$50.88	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$58.16	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$61.27	fee schedule
Cigna	Local Plus	Commercial	$95.87	percent of total billed charges
Cigna	HMO/PPO	Commercial	$112	percent of total billed charges
Aetna	Commercial	Commercial	$114	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$114	percent of total billed charges
MidCoast	Commercial	Commercial	$114	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$120	percent of total billed charges
Curative	Commercial	Commercial	$134	percent of total billed charges
Humana	Commercial HMO	Commercial	$134	percent of total billed charges
First Health	PPO	Commercial	$145	percent of total billed charges
Humana	Commercial PPO	Commercial	$145	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$155	percent of total billed charges

Baylor Scott & White Medical Center – Pflugerville: all 39 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Superior Health Plan	Medicaid	Medicaid / CHIP	$8.16	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$8.73	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$9.22	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$9.42	fee schedule
Humana	Medicare	Medicare Advantage	$9.71	fee schedule
Superior Health Plan	Medicare HMO/Medicare PPO	Medicare Advantage	$9.71	fee schedule
TriWest	Community Care Network	Military / VA	$9.71	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$10.20	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$10.20	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$10.20	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$10.88	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$11.65	fee schedule
United Healthcare	Commercial	Commercial	$12.00	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$12.19	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$12.24	fee schedule
Sedgwick	Preferred Network	Workers' comp	$14.52	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$16.02	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$18.19	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$21.40	fee schedule
Mark Cuban	Commercial	Commercial	$23.30	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$50.20	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$50.88	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$58.16	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$61.27	fee schedule
Cigna	Local Plus	Commercial	$95.87	percent of total billed charges
Cigna	HMO/PPO	Commercial	$112	percent of total billed charges
Aetna	Commercial	Commercial	$114	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$114	percent of total billed charges
MidCoast	Commercial	Commercial	$114	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$120	percent of total billed charges
Independent Medical System	Commercial PPO	Commercial	$124	percent of total billed charges
Curative	Commercial	Commercial	$134	percent of total billed charges
Humana	Commercial HMO	Commercial	$134	percent of total billed charges
First Health	PPO	Commercial	$145	percent of total billed charges
HealthSmart	Accel Network	Commercial	$145	percent of total billed charges
Humana	Commercial PPO	Commercial	$145	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$155	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$155	percent of total billed charges
Three Rivers	Three Rivers Provider Network	Commercial	$186	percent of total billed charges

Ascension Seton Cedar Park: all 55 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
BCBS CHIP/CHIP PERINATE	3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR	3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR	3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR	3671_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	3682_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR KIDS	5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
SUPERIOR AMBETTER	3880_SUPERIOR AMBETTER (CHI,DCN) OUTPATIENT 20240901	Commercial	$8.16	FEE SCHEDULE
UHC STAR	4253_CHIRP UHC STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4311_UHC STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	4264_CHIRP UHC STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4157_WELLPOINT/AMERIGROUP CHIP (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR KIDS	4970_WELLPOINT/AMERIGROUP STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	4208_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR	4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4157_AMERIGROUP CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4197_CHIRP AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4197_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR PLUS	4208_CHIRP AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
SUPERIOR AMBETTER	3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901	Commercial	$11.10	FEE SCHEDULE
CHAMPVA	1135_CHAMPVA REST_TX 20180301	Military / VA	$11.68	FEE SCHEDULE
CHAMPVA	1136_CHAMPVA AUSTIN 20180301	Military / VA	$13.02	FEE SCHEDULE
HUMANA HMO	2668_HUMANA HMO 20230701	Commercial	$16.02	OTHER
BCBS BAV EXCHANGE	4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101	Commercial	$18.45	FEE SCHEDULE
CIGNA HMO	4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701	Commercial	$22.57	FEE SCHEDULE
CIGNA HMO	4476_CIGNA HMO (WIL,DEL) 20250701	Commercial	$22.57	FEE SCHEDULE
AETNA HMO EXCHANGE	1377_AETNA HMO EXCHANGE 20200101	Commercial	$25.64	FEE SCHEDULE
AETNA ACO HMO	4489_AETNA ACO HMO 20250801	Commercial	$28.03	FEE SCHEDULE
AETNA MULTI-TIER WHOLE HEALTH SHA	4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801	Commercial	$28.03	FEE SCHEDULE
BCBS HPN	4440_BLUE CROSS BLUE SHIELD HPN 20250501	Commercial	$37.48	FEE SCHEDULE
BCBS HPN	4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501	Commercial	$37.48	FEE SCHEDULE
BCBS HMO ESSENTIALS	4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101	Commercial	$41.36	FEE SCHEDULE
AETNA SHA AISD	4335_AETNA SHA AISD 20250101	Commercial	$42.34	OTHER
BCBS PPO	4094_BLUE CROSS BLUE SHIELD PPO 20250101	Commercial	$45.73	FEE SCHEDULE
AETNA HMO	4486_AETNA HMO 20250801	Commercial	$52.92	OTHER
COVENANT HEALTH	4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801	Commercial	$52.92	OTHER
AETNA CHOICE	236_AETNA ELECT CHOICE 20140601	Commercial	$72.16	FEE SCHEDULE
AETNA POS 20140601	235_AETNA POS 20140601	Commercial	$72.16	FEE SCHEDULE
SUPERIOR STAR	3509_CHIRP SUPERIOR STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$205	FEE SCHEDULE
SUPERIOR STAR PLUS	4375_CHIRP SUPERIOR STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$205	FEE SCHEDULE
SUPERIOR STAR	4241_CHIRP SUPERIOR STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$205	FEE SCHEDULE
SUPERIOR STAR FOSTER	4188_SUPERIOR STAR FOSTER OUTPATIENT 20241201	Medicaid / CHIP	$205	FEE SCHEDULE
SUPERIOR STAR FOSTER	4189_SUPERIOR STAR FOSTER (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$205	FEE SCHEDULE
SUPERIOR STAR KIDS	4888_SUPERIOR STAR KIDS OUTPATIENT 20241201	Medicaid / CHIP	$205	FEE SCHEDULE
SUPERIOR STAR KIDS	4889_SUPERIOR STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$205	FEE SCHEDULE
SUPERIOR STAR PLUS	4389_CHIRP SUPERIOR STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$205	FEE SCHEDULE
SUPERIOR CHIP/CHIP PERINATE	3619_SUPERIOR CHIP INPATIENT 20240901	Medicaid / CHIP	$231	FEE SCHEDULE
SUPERIOR CHIP/CHIP PERINATE	4190_SUPERIOR CHIP OUTPATIENT 20241201	Medicaid / CHIP	$231	FEE SCHEDULE

CHRISTUS Santa Rosa Hospital – San Marcos: all 35 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
United Healthcare	Star KM	Medicaid / CHIP	$9.06	fee schedule
United Healthcare	Star Kids KM	Medicaid / CHIP	$9.06	fee schedule
Allwell	Superior Medicare Advantage	Medicare Advantage	$9.71	fee schedule
Christus Health	Med Adv MM	Medicare Advantage	$9.71	fee schedule
Community First	Star Kids KM	Medicaid / CHIP	$9.71	fee schedule
Humana	MM	Commercial	$9.71	fee schedule
Triwest	VA MM	Military / VA	$9.71	fee schedule
United Healthcare	MM	Commercial	$9.71	fee schedule
Washington National	Supp MM	Commercial	$9.71	fee schedule
Wellcare	MM	Medicare Advantage	$9.71	fee schedule
Aetna	MM	Commercial	$9.90	fee schedule
Blue Cross Blue Shield Of Texas	Star KM	Medicaid / CHIP	$9.90	fee schedule
Blue Cross Blue Shield Of Texas	Star Kids KM	Medicaid / CHIP	$9.90	fee schedule
Cigna	Healthspring Medicare Advantage MM	Medicare Advantage	$10.00	fee schedule
Provider Partners Health Plan	MM	Medicare Advantage	$10.00	fee schedule
Amerigroup	Star KM	Medicaid / CHIP	$10.20	fee schedule
Shared Health Insurance Company	MM	Commercial	$10.20	fee schedule
Texas Childrens Health Plan	Star Plus KM	Medicaid / CHIP	$10.20	fee schedule
Amerigroup	MM	Medicaid / CHIP	$10.49	fee schedule
Devoted Health Plan	MM	Medicare Advantage	$10.49	fee schedule
Superior	Chip KM	Medicaid / CHIP	$11.17	fee schedule
Superior	Star KM	Medicaid / CHIP	$11.17	fee schedule
Superior	Star Kids KM	Medicaid / CHIP	$11.17	fee schedule
Christus Health	HIX	Commercial	$13.59	fee schedule
Sendero	HMO HIX	Commercial	$16.60	fee schedule
Naphcare Inc.	RRMB	Public program	$19.42	fee schedule
Healthcare Highways	PPO	Commercial	$21.85	fee schedule
Blue Cross Blue Shield Of Texas	HMO	Commercial	$37.29	fee schedule
Cigna	New Business	Commercial	$38.63	fee schedule
Blue Cross Blue Shield Of Texas	Blue Advantage HMO	Commercial	$39.81	fee schedule
Blue Cross Blue Shield Of Texas	PPO	Commercial	$40.78	fee schedule
Blue Cross Blue Shield Of Texas	HEB	Commercial	$44.28	fee schedule
Cigna	PPO	Commercial	$48.92	fee schedule
Humana	Choicecare	Commercial	$73.26	fee schedule
United Healthcare	All Payer	Commercial	$145	fee schedule

Dell Children's Medical Center: all 55 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
BCBS CHIP/CHIP PERINATE	3594_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR	3693_CHIRP BLUE CROSS STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	3605_DELL CHIP/STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	3704_CHIRP DELL STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR	3737_CHIRP UHC STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4322_UHC STAR KIDS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	3748_CHIRP UHC STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR	3671_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	3682_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4168_BLUE CROSS CHIP (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS CHIP/CHIP PERINATE	4168_BLUE CROSS CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR KIDS	5003_BLUE CROSS STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
DELL STAR	4230_CHIRP DELL STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
SUPERIOR AMBETTER	3880_SUPERIOR AMBETTER (CHI,DCN) OUTPATIENT 20240901	Commercial	$8.16	FEE SCHEDULE
UHC STAR	4253_CHIRP UHC STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR KIDS	4311_UHC STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
UHC STAR PLUS	4264_CHIRP UHC STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4157_WELLPOINT/AMERIGROUP CHIP (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR KIDS	4970_WELLPOINT/AMERIGROUP STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
WELLPOINT STAR PLUS	4208_CHIRP WELLPOINT/AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$8.16	FEE SCHEDULE
BCBS STAR	4219_CHIRP BLUE CROSS STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
DELL CHIP/CHIP PERINATE	4179_DELL CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT CHIP/CHIP PERINATE	4157_AMERIGROUP CHIP/STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4197_CHIRP AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR	4197_CHIRP WELLPOINT/AMERIGROUP STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
WELLPOINT STAR PLUS	4208_CHIRP AMERIGROUP STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$10.07	FEE SCHEDULE
SUPERIOR AMBETTER	3879_SUPERIOR AMBETTER (CHI,DCN) INPATIENT 20240901	Commercial	$11.10	FEE SCHEDULE
CHAMPVA	1135_CHAMPVA REST_TX 20180301	Military / VA	$11.68	FEE SCHEDULE
CHAMPVA	1136_CHAMPVA AUSTIN 20180301	Military / VA	$13.02	FEE SCHEDULE
HUMANA HMO	2668_HUMANA HMO 20230701	Commercial	$16.02	OTHER
BCBS BAV EXCHANGE	4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101	Commercial	$18.45	FEE SCHEDULE
CIGNA HMO	4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701	Commercial	$22.57	FEE SCHEDULE
CIGNA HMO	4476_CIGNA HMO (WIL,DEL) 20250701	Commercial	$22.57	FEE SCHEDULE
AETNA HMO EXCHANGE	1377_AETNA HMO EXCHANGE 20200101	Commercial	$25.64	FEE SCHEDULE
AETNA ACO HMO	4489_AETNA ACO HMO 20250801	Commercial	$28.03	FEE SCHEDULE
AETNA MULTI-TIER WHOLE HEALTH SHA	4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801	Commercial	$28.03	FEE SCHEDULE
BCBS HPN	4440_BLUE CROSS BLUE SHIELD HPN 20250501	Commercial	$37.48	FEE SCHEDULE
BCBS HPN	4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501	Commercial	$37.48	FEE SCHEDULE
BCBS HMO ESSENTIALS	4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101	Commercial	$41.36	FEE SCHEDULE
AETNA SHA AISD	4335_AETNA SHA AISD 20250101	Commercial	$42.34	OTHER
BCBS PPO	4094_BLUE CROSS BLUE SHIELD PPO 20250101	Commercial	$45.73	FEE SCHEDULE
AETNA HMO	4486_AETNA HMO 20250801	Commercial	$52.92	OTHER
COVENANT HEALTH	4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801	Commercial	$52.92	OTHER
AETNA CHOICE	236_AETNA ELECT CHOICE 20140601	Commercial	$72.16	FEE SCHEDULE
AETNA POS 20140601	235_AETNA POS 20140601	Commercial	$72.16	FEE SCHEDULE
SUPERIOR STAR	3509_CHIRP SUPERIOR STAR (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$86.70	FEE SCHEDULE
SUPERIOR STAR PLUS	4375_CHIRP SUPERIOR STAR PLUS (CHI,DCN) INPATIENT 20240901	Medicaid / CHIP	$86.70	FEE SCHEDULE
SUPERIOR STAR	4241_CHIRP SUPERIOR STAR (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$86.70	FEE SCHEDULE
SUPERIOR STAR FOSTER	4188_SUPERIOR STAR FOSTER OUTPATIENT 20241201	Medicaid / CHIP	$86.70	FEE SCHEDULE
SUPERIOR STAR FOSTER	4189_SUPERIOR STAR FOSTER (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$86.70	FEE SCHEDULE
SUPERIOR STAR KIDS	4888_SUPERIOR STAR KIDS OUTPATIENT 20241201	Medicaid / CHIP	$86.70	FEE SCHEDULE
SUPERIOR STAR KIDS	4889_SUPERIOR STAR KIDS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$86.70	FEE SCHEDULE
SUPERIOR STAR PLUS	4389_CHIRP SUPERIOR STAR PLUS (CHI,DCN) OUTPATIENT 20241201	Medicaid / CHIP	$86.70	FEE SCHEDULE
SUPERIOR CHIP/CHIP PERINATE	3619_SUPERIOR CHIP INPATIENT 20240901	Medicaid / CHIP	$97.54	FEE SCHEDULE
SUPERIOR CHIP/CHIP PERINATE	4190_SUPERIOR CHIP OUTPATIENT 20241201	Medicaid / CHIP	$97.54	FEE SCHEDULE

What this price covers

These are hospital charges for CPT code 83036 (Hemoglobin A1c test). A hospital price file covers the hospital's own charges. Doctors who are not hospital employees — for imaging, usually the radiologist who reads the scan — can bill you separately, and extra services on the same day (contrast, an injection, a consultation) have their own codes.

How to ask for a lower price without insurance

Ask the hospital for a Good Faith Estimate. If you are uninsured or not using insurance, federal law entitles you to a written estimate on request, and automatically when you schedule at least three business days ahead (CMS: No Surprises Act).
Ask whether the hospital has an uninsured discount or a financial assistance policy, and how to apply.
Compare with an independent imaging center or lab: they are not covered by the hospital price rule and often quote lower cash prices.

A1c test in other cities

Compare A1c test prices across all cities →

Houston, TXCash $10–$2,117 Dallas–Fort Worth, TXCash $9–$133 Phoenix, AZCash $4–$177

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