Published cash price
$179–$903
what 14 hospitals list for a self-pay diagnostic mammogram
Typical insured rate
$395
median of every commercial plan rate in the files
Lowest insured rate
$101
SENDERO CHAP (4651_SENDERO CHAP INPATIENT 20251001), Ascension Seton Hays
Diagnostic mammogram 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 77066; Medicaid and Medicare Advantage are shown separately below.
| Hospital | Published cash price | Typical insured rate | Lowest insured rate |
|---|---|---|---|
| Ascension Seton SmithvilleAscension Seton · file Jan 2026 | $179–$189Cash ÷ typical 0.4× | $42116 plans | $120 |
| Ascension Seton HaysAscension Seton · file Jan 2026 | $179–$189Cash ÷ typical 0.5× | $39521 plans | $101 |
| Dell Seton Medical Center at The University of TexasAscension Seton · file Jan 2026 | $189Cash ÷ typical 0.4× | $44215 plans | $120 |
| Ascension Seton NorthwestAscension Seton · file Jan 2026 | $189Cash ÷ typical 0.5× | $39521 plans | $101 |
| Ascension Seton Medical Center AustinAscension Seton · file Jan 2026 | $189Cash ÷ typical 0.5× | $39523 plans | $101 |
| Ascension Seton SouthwestAscension Seton · file Jan 2026 | $189Cash ÷ typical 0.5× | $39521 plans | $101 |
| Ascension Seton Edgar B. DavisAscension Seton · file Jan 2026 | $265Cash ÷ typical 0.7× | $40018 plans | $113 |
| Ascension Seton Cedar ParkAscension Seton · file Jan 2026 | $311–$903Cash ÷ typical 0.7× | $44215 plans | $120 |
| Baylor Scott & White Medical Center – LakewayBaylor Scott & White Health · file Jun 2026 | $340Cash ÷ typical 0.9× | $36922 plans | $170 |
| Baylor Scott & White Medical Center – Round RockBaylor Scott & White Health · file Jun 2026 | $340Cash ÷ typical 0.9× | $36923 plans | $170 |
| Baylor Scott & White Medical Center – TaylorBaylor Scott & White Health · file Jun 2026 | $340Cash ÷ typical 1.0× | $35426 plans | $136 |
| Baylor Scott & White Medical Center – AustinBaylor Scott & White Health · file Jun 2026 | $340Cash ÷ typical 1.0× | $34918 plans | $170 |
| Baylor Scott & White Medical Center – BudaBaylor Scott & White Health · file Jun 2026 | $340Cash ÷ typical 1.0× | $34918 plans | $170 |
| Baylor Scott & White Medical Center – PflugervilleBaylor Scott & White Health · file Jun 2026 | $340Cash ÷ typical 0.9× | $36922 plans | $170 |
| CHRISTUS Santa Rosa Hospital – San MarcosCHRISTUS Health · file Jan 2026 | — | $4569 plans | $189 |
| Dell Children's Medical CenterAscension Seton · children's hospital (not in the summary above) · file Jan 2026 | $347–$368Cash ÷ typical 0.8× | $44215 plans | $120 |
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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.
| Hospital | Blue Cross Blue Shield | Aetna | Cigna | UnitedHealthcare | Humana | Ambetter | Medicaid / CHIP | Medicare Advantage |
|---|---|---|---|---|---|---|---|---|
| Ascension Seton Smithville | $120–$488 | $682–$1,112 | $395 | — | — | — | — | — |
| Ascension Seton Hays | $120–$488 | $682–$1,112 | $395 | — | — | $184 | — | $100–$108 |
| Dell Seton Medical Center at The University of Texas | $120–$488 | $682–$1,112 | $395 | — | — | — | — | — |
| Ascension Seton Northwest | $120–$488 | $682–$1,112 | $395 | — | — | $184 | — | $100–$108 |
| Ascension Seton Medical Center Austin | $120–$488 | $682–$1,112 | $395 | $102 | — | $184 | — | $100–$108 |
| Ascension Seton Southwest | $120–$488 | $682–$1,112 | $395 | — | — | $184 | — | $100–$108 |
| Ascension Seton Edgar B. Davis | $120–$488 | $682–$1,112 | $395 | — | — | $113 | — | $113–$115 |
| Ascension Seton Cedar Park | $120–$488 | $682–$1,112 | $395 | — | — | — | — | — |
| Baylor Scott & White Medical Center – Lakeway | $404–$492 | $312 | $263–$307 | $170 | $369–$397 | — | $113–$121 | $340 |
| Baylor Scott & White Medical Center – Round Rock | $404–$492 | $312 | $285–$335 | $170 | $369–$397 | — | $113–$121 | — |
| Baylor Scott & White Medical Center – Taylor | $404–$492 | $312 | $285–$335 | $170 | $369–$397 | — | $137 | $108–$125 |
| Baylor Scott & White Medical Center – Austin | $404–$492 | $312 | $263–$307 | $170 | $369–$397 | — | $108–$115 | — |
| Baylor Scott & White Medical Center – Buda | $404–$492 | $312 | $263–$307 | $170 | $369–$397 | — | $68.04–$72.80 | — |
| Baylor Scott & White Medical Center – Pflugerville | $404–$492 | $312 | $263–$307 | $170 | $369–$397 | — | $62.37–$66.74 | — |
| CHRISTUS Santa Rosa Hospital – San Marcos | $412–$506 | — | $203–$256 | $471 | $685 | — | — | — |
| Dell Children's Medical Center | $120–$488 | $682–$1,112 | $395 | — | — | — | — | — |
Ascension Seton Smithville: all 18 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | Commercial | $120 | FEE SCHEDULE |
| COMMUNITY HEALTH SERVICES | 2281_COMMUNITY HEALTH SERVICES Q32 20220901 | Commercial | $123 | FEE SCHEDULE |
| CHAMPVA | 1136_CHAMPVA AUSTIN 20180301 | Military / VA | $125 | FEE SCHEDULE |
| CHAMPVA | 1135_CHAMPVA REST_TX 20180301 | Military / VA | $165 | FEE SCHEDULE |
| SENDERO IDEALCARE | 1571_SENDERO IDEALCARE OP 20200101 | Commercial | $179 | OTHER |
| HUMANA HMO | 2668_HUMANA HMO 20230701 | Commercial | $204 | OTHER |
| CIGNA HMO | 4476_CIGNA HMO (WIL,DEL) 20250701 | Commercial | $395 | FEE SCHEDULE |
| CIGNA HMO | 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701 | Commercial | $395 | FEE SCHEDULE |
| BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | Commercial | $400 | FEE SCHEDULE |
| BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | Commercial | $400 | FEE SCHEDULE |
| BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | Commercial | $442 | FEE SCHEDULE |
| BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | Commercial | $488 | FEE SCHEDULE |
| AETNA HMO EXCHANGE | 1377_AETNA HMO EXCHANGE 20200101 | Commercial | $682 | FEE SCHEDULE |
| AETNA ACO HMO | 4489_AETNA ACO HMO 20250801 | Commercial | $746 | FEE SCHEDULE |
| AETNA MULTI-TIER WHOLE HEALTH SHA | 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801 | Commercial | $746 | FEE SCHEDULE |
| AETNA SHA AISD | 4335_AETNA SHA AISD 20250101 | Commercial | $890 | OTHER |
| AETNA HMO | 4486_AETNA HMO 20250801 | Commercial | $1,112 | OTHER |
| COVENANT HEALTH | 4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801 | Commercial | $1,112 | OTHER |
Ascension Seton Hays: all 58 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| AARP MC WELLMED | 4656_MEDICARE ADVANTAGE AARP WELLMED INPATIENT (AUS,NW,SW,HAY,WIL,BRK,DEL,BAS) 20251001 | Medicare Advantage | $100 | OTHER |
| AARP MC WELLMED | 4748_MEDICARE ADVANTAGE AARP WELLMED OUTPATIENT (AUS,NW,SW,HAY,WIL,BRK,DEL,BAS,SMV) 20250811 | Medicare Advantage | $100 | OTHER |
| SENDERO CHAP | 4651_SENDERO CHAP INPATIENT 20251001 | Commercial | $101 | OTHER |
| SENDERO CHAP | 4932_SENDERO CHAP OUTPATIENT 20250811 | Commercial | $101 | OTHER |
| AETNA MCR REPLACEMENT | 4659_MEDICARE ADVANTAGE AETNA INPATIENT 20251001 | Medicare Advantage | $102 | OTHER |
| ASCENSION COMPLETE MEDICARE REPLACEMENT | 4682_MEDICARE ADVANTAGE ASCENSION COMPLETE INPATIENT 20251001 | Medicare Advantage | $102 | OTHER |
| COVID HRSA | 4693_COVID HRSA UNIN Q80 INPATIENT 20251001 | Public program | $102 | OTHER |
| CSHCN CIDC | 4694_CSHCN CIDC IP (ADULT) 20251001 | Public program | $102 | OTHER |
| DEVOTED HEALTH MCR REPLACEMENT | 4684_MEDICARE ADVANTAGE DEVOTED HEALTH INPATIENT 20251001 | Medicare Advantage | $102 | OTHER |
| HUMANA MCR REPLACEMENT | 4661_MEDICARE ADVANTAGE HUMANA INPATIENT (AUS,HAY,NW,SW) 20251001 | Medicare Advantage | $102 | OTHER |
| MEDICARE OON | 4666_MEDICARE ADVANTAGE INPATIENT OON 20251001 | Medicare Advantage | $102 | OTHER |
| MEDICARE REPLACEMENT | 4665_MEDICARE ADVANTAGE INPATIENT 100% 20251001 | Medicare Advantage | $102 | OTHER |
| SUPERIOR ALLWELL | 4686_MEDICARE ADVANTAGE SUPERIOR ALLWELL INPATIENT 20251001 | Medicare Advantage | $102 | OTHER |
| TRICARE | 4696_TRICARE INPATIENT 20251001 | Military / VA | $102 | OTHER |
| UTMB | 4677_UTMB PRISONS (HAY) IP 20251001 | Public program | $102 | OTHER |
| WELLCARE MED ADVANTAGE | 4691_MEDICARE ADVANTAGE WELLCARE INPATIENT 20251001 | Medicare Advantage | $102 | OTHER |
| WELMED MEDICARE | 4669_MEDICARE ADVANTAGE WELMED INPATIENT (AUS,NW,SW,HAY,WIL,DEL,BAS) 20251001 | Medicare Advantage | $102 | OTHER |
| AETNA MCR REPLACEMENT | 4749_MEDICARE ADVANTAGE AETNA OUTPATIENT 20250811 | Medicare Advantage | $102 | OTHER |
| ASCENSION COMPLETE MEDICARE REPLACEMENT | 4764_MEDICARE ADVANTAGE ASCENSION COMPLETE OUTPATIENT 20250811 | Medicare Advantage | $102 | OTHER |
| COVID HRSA | 4765_COVID HRSA UNIN Q80 OUTPATIENT 20250811 | Public program | $102 | OTHER |
| DEVOTED HEALTH MCR REPLACEMENT | 4918_MEDICARE ADVANTAGE DEVOTED HEALTH OUTPATIENT 20250811 | Medicare Advantage | $102 | OTHER |
| HUMANA MCR REPLACEMENT | 4921_MEDICARE ADVANTAGE HUMANA OUTPATIENT (AUS,HAY,NW,SW.SMV) 20250811 | Medicare Advantage | $102 | OTHER |
| MEDICARE REPLACEMENT | 4922_MEDICARE ADVANTAGE OUTPATIENT 100% 20250811 | Medicare Advantage | $102 | OTHER |
| SUPERIOR ALLWELL | 4419_MEDICARE ADVANTAGE SUPERIOR ALLWELL OUTPATIENT 20250101 | Medicare Advantage | $102 | OTHER |
| UTMB | 4125_UTMB PRISONS (HAY) OP 20250101 | Public program | $102 | OTHER |
| WELLCARE MED ADVANTAGE | 4929_MEDICARE ADVANTAGE WELLCARE OUTPATIENT 20250811 | Medicare Advantage | $102 | OTHER |
| WELMED MEDICARE | 4930_MEDICARE ADVANTAGE WELMED OUTPATIENT (AUS,NW,SW,HAY,WIL,DEL,BAS) 20250811 | Medicare Advantage | $102 | OTHER |
| UHC MCR REPLACEMENT | 4687_MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT (AUS,NW,SW,HAY) 20251001 | Medicare Advantage | $104 | OTHER |
| UHC MCR REPLACEMENT | 4928_MEDICARE ADVANTAGE UNITED HEALTHCARE OUTPATIENT (AUS,NW,SW,HAY,SMV) 20250811 | Medicare Advantage | $104 | OTHER |
| CONNECTED SENIOR CARE | 4660_MEDICARE ADVANTAGE CONNECTED SENIOR CARE INPATIENT 20251001 | Medicare Advantage | $105 | OTHER |
| CONNECTED SENIOR CARE | 2475_MEDICARE ADVANTAGE CONNECTED SENIOR CARE OUTPATIENT 20221001 | Medicare Advantage | $105 | OTHER |
| PPHP MCR ADVANTAGE | 4668_MEDICARE ADVANTAGE PPHP INPATIENT 20251001 | Medicare Advantage | $108 | OTHER |
| TX INDEPENDENCE HP | 4671_TX INDEPENDENCE HP IP 20251001 | Medicare Advantage | $108 | OTHER |
| PPHP MCR ADVANTAGE | 4925_MEDICARE ADVANTAGE PPHP OUTPATIENT 20250811 | Medicare Advantage | $108 | OTHER |
| TX INDEPENDENCE HP | 4741_TX INDEPENDENCE HP OP 20250811 | Medicare Advantage | $108 | OTHER |
| BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | Commercial | $120 | FEE SCHEDULE |
| COMMUNITY HEALTH SERVICES | 2281_COMMUNITY HEALTH SERVICES Q32 20220901 | Commercial | $123 | FEE SCHEDULE |
| CHAMPVA | 1136_CHAMPVA AUSTIN 20180301 | Military / VA | $125 | FEE SCHEDULE |
| OCCUNET | 4674_OCCUNET IP 20251001 | Workers' comp | $143 | OTHER |
| OCCUNET | 4123_OCCUNET OP 20250101 | Workers' comp | $143 | OTHER |
| CHAMPVA | 1135_CHAMPVA REST_TX 20180301 | Military / VA | $165 | FEE SCHEDULE |
| SENDERO IDEALCARE | 4675_SENDERO IDEALCARE IP 20251001 | Commercial | $179 | OTHER |
| SENDERO IDEALCARE | 1571_SENDERO IDEALCARE OP 20200101 | Commercial | $179 | OTHER |
| SUPERIOR AMBETTER | 4652_SUPERIOR AMBETTER INPATIENT 20251001 | Commercial | $184 | OTHER |
| SUPERIOR AMBETTER | 4960_SUPERIOR AMBETTER OUTPATIENT 20250811 | Commercial | $184 | OTHER |
| HUMANA HMO | 2668_HUMANA HMO 20230701 | Commercial | $204 | OTHER |
| CIGNA HMO | 4476_CIGNA HMO (WIL,DEL) 20250701 | Commercial | $395 | FEE SCHEDULE |
| CIGNA HMO | 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701 | Commercial | $395 | FEE SCHEDULE |
| BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | Commercial | $400 | FEE SCHEDULE |
| BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | Commercial | $400 | FEE SCHEDULE |
| BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | Commercial | $442 | FEE SCHEDULE |
| BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | Commercial | $488 | FEE SCHEDULE |
| AETNA HMO EXCHANGE | 1377_AETNA HMO EXCHANGE 20200101 | Commercial | $682 | FEE SCHEDULE |
| AETNA ACO HMO | 4489_AETNA ACO HMO 20250801 | Commercial | $746 | FEE SCHEDULE |
| AETNA MULTI-TIER WHOLE HEALTH SHA | 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801 | Commercial | $746 | FEE SCHEDULE |
| AETNA SHA AISD | 4335_AETNA SHA AISD 20250101 | Commercial | $890 | OTHER |
| AETNA HMO | 4486_AETNA HMO 20250801 | Commercial | $1,112 | OTHER |
| COVENANT HEALTH | 4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801 | Commercial | $1,112 | OTHER |
Dell Seton Medical Center at The University of Texas: all 17 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | Commercial | $120 | FEE SCHEDULE |
| COMMUNITY HEALTH SERVICES | 2281_COMMUNITY HEALTH SERVICES Q32 20220901 | Commercial | $123 | FEE SCHEDULE |
| CHAMPVA | 1136_CHAMPVA AUSTIN 20180301 | Military / VA | $125 | FEE SCHEDULE |
| CHAMPVA | 1135_CHAMPVA REST_TX 20180301 | Military / VA | $165 | FEE SCHEDULE |
| HUMANA HMO | 2668_HUMANA HMO 20230701 | Commercial | $204 | OTHER |
| CIGNA HMO | 4476_CIGNA HMO (WIL,DEL) 20250701 | Commercial | $395 | FEE SCHEDULE |
| CIGNA HMO | 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701 | Commercial | $395 | FEE SCHEDULE |
| BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | Commercial | $400 | FEE SCHEDULE |
| BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | Commercial | $400 | FEE SCHEDULE |
| BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | Commercial | $442 | FEE SCHEDULE |
| BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | Commercial | $488 | FEE SCHEDULE |
| AETNA HMO EXCHANGE | 1377_AETNA HMO EXCHANGE 20200101 | Commercial | $682 | FEE SCHEDULE |
| AETNA ACO HMO | 4489_AETNA ACO HMO 20250801 | Commercial | $746 | FEE SCHEDULE |
| AETNA MULTI-TIER WHOLE HEALTH SHA | 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801 | Commercial | $746 | FEE SCHEDULE |
| AETNA SHA AISD | 4335_AETNA SHA AISD 20250101 | Commercial | $890 | OTHER |
| AETNA HMO | 4486_AETNA HMO 20250801 | Commercial | $1,112 | OTHER |
| COVENANT HEALTH | 4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801 | Commercial | $1,112 | OTHER |
Ascension Seton Northwest: all 55 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| AARP MC WELLMED | 4656_MEDICARE ADVANTAGE AARP WELLMED INPATIENT (AUS,NW,SW,HAY,WIL,BRK,DEL,BAS) 20251001 | Medicare Advantage | $100 | OTHER |
| AARP MC WELLMED | 4748_MEDICARE ADVANTAGE AARP WELLMED OUTPATIENT (AUS,NW,SW,HAY,WIL,BRK,DEL,BAS,SMV) 20250811 | Medicare Advantage | $100 | OTHER |
| SENDERO CHAP | 4651_SENDERO CHAP INPATIENT 20251001 | Commercial | $101 | OTHER |
| SENDERO CHAP | 4932_SENDERO CHAP OUTPATIENT 20250811 | Commercial | $101 | OTHER |
| AETNA MCR REPLACEMENT | 4659_MEDICARE ADVANTAGE AETNA INPATIENT 20251001 | Medicare Advantage | $102 | OTHER |
| ASCENSION COMPLETE MEDICARE REPLACEMENT | 4682_MEDICARE ADVANTAGE ASCENSION COMPLETE INPATIENT 20251001 | Medicare Advantage | $102 | OTHER |
| COVID HRSA | 4693_COVID HRSA UNIN Q80 INPATIENT 20251001 | Public program | $102 | OTHER |
| CSHCN CIDC | 4694_CSHCN CIDC IP (ADULT) 20251001 | Public program | $102 | OTHER |
| DEVOTED HEALTH MCR REPLACEMENT | 4684_MEDICARE ADVANTAGE DEVOTED HEALTH INPATIENT 20251001 | Medicare Advantage | $102 | OTHER |
| HUMANA MCR REPLACEMENT | 4661_MEDICARE ADVANTAGE HUMANA INPATIENT (AUS,HAY,NW,SW) 20251001 | Medicare Advantage | $102 | OTHER |
| MEDICARE OON | 4666_MEDICARE ADVANTAGE INPATIENT OON 20251001 | Medicare Advantage | $102 | OTHER |
| MEDICARE REPLACEMENT | 4665_MEDICARE ADVANTAGE INPATIENT 100% 20251001 | Medicare Advantage | $102 | OTHER |
| SUPERIOR ALLWELL | 4686_MEDICARE ADVANTAGE SUPERIOR ALLWELL INPATIENT 20251001 | Medicare Advantage | $102 | OTHER |
| TRICARE | 4696_TRICARE INPATIENT 20251001 | Military / VA | $102 | OTHER |
| WELLCARE MED ADVANTAGE | 4691_MEDICARE ADVANTAGE WELLCARE INPATIENT 20251001 | Medicare Advantage | $102 | OTHER |
| WELMED MEDICARE | 4669_MEDICARE ADVANTAGE WELMED INPATIENT (AUS,NW,SW,HAY,WIL,DEL,BAS) 20251001 | Medicare Advantage | $102 | OTHER |
| ASCENSION COMPLETE MEDICARE REPLACEMENT | 4764_MEDICARE ADVANTAGE ASCENSION COMPLETE OUTPATIENT 20250811 | Medicare Advantage | $102 | OTHER |
| COVID HRSA | 4765_COVID HRSA UNIN Q80 OUTPATIENT 20250811 | Public program | $102 | OTHER |
| DEVOTED HEALTH MCR REPLACEMENT | 4918_MEDICARE ADVANTAGE DEVOTED HEALTH OUTPATIENT 20250811 | Medicare Advantage | $102 | OTHER |
| HUMANA MCR REPLACEMENT | 4921_MEDICARE ADVANTAGE HUMANA OUTPATIENT (AUS,HAY,NW,SW.SMV) 20250811 | Medicare Advantage | $102 | OTHER |
| MEDICARE REPLACEMENT | 4922_MEDICARE ADVANTAGE OUTPATIENT 100% 20250811 | Medicare Advantage | $102 | OTHER |
| SUPERIOR ALLWELL | 4419_MEDICARE ADVANTAGE SUPERIOR ALLWELL OUTPATIENT 20250101 | Medicare Advantage | $102 | OTHER |
| WELLCARE MED ADVANTAGE | 4929_MEDICARE ADVANTAGE WELLCARE OUTPATIENT 20250811 | Medicare Advantage | $102 | OTHER |
| WELMED MEDICARE | 4930_MEDICARE ADVANTAGE WELMED OUTPATIENT (AUS,NW,SW,HAY,WIL,DEL,BAS) 20250811 | Medicare Advantage | $102 | OTHER |
| UHC MCR REPLACEMENT | 4687_MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT (AUS,NW,SW,HAY) 20251001 | Medicare Advantage | $104 | OTHER |
| UHC MCR REPLACEMENT | 4928_MEDICARE ADVANTAGE UNITED HEALTHCARE OUTPATIENT (AUS,NW,SW,HAY,SMV) 20250811 | Medicare Advantage | $104 | OTHER |
| CONNECTED SENIOR CARE | 4660_MEDICARE ADVANTAGE CONNECTED SENIOR CARE INPATIENT 20251001 | Medicare Advantage | $105 | OTHER |
| CONNECTED SENIOR CARE | 2475_MEDICARE ADVANTAGE CONNECTED SENIOR CARE OUTPATIENT 20221001 | Medicare Advantage | $105 | OTHER |
| PPHP MCR ADVANTAGE | 4668_MEDICARE ADVANTAGE PPHP INPATIENT 20251001 | Medicare Advantage | $108 | OTHER |
| TX INDEPENDENCE HP | 4671_TX INDEPENDENCE HP IP 20251001 | Medicare Advantage | $108 | OTHER |
| PPHP MCR ADVANTAGE | 4925_MEDICARE ADVANTAGE PPHP OUTPATIENT 20250811 | Medicare Advantage | $108 | OTHER |
| TX INDEPENDENCE HP | 4741_TX INDEPENDENCE HP OP 20250811 | Medicare Advantage | $108 | OTHER |
| BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | Commercial | $120 | FEE SCHEDULE |
| COMMUNITY HEALTH SERVICES | 2281_COMMUNITY HEALTH SERVICES Q32 20220901 | Commercial | $123 | FEE SCHEDULE |
| CHAMPVA | 1136_CHAMPVA AUSTIN 20180301 | Military / VA | $125 | FEE SCHEDULE |
| OCCUNET | 4674_OCCUNET IP 20251001 | Workers' comp | $143 | OTHER |
| OCCUNET | 4123_OCCUNET OP 20250101 | Workers' comp | $143 | OTHER |
| CHAMPVA | 1135_CHAMPVA REST_TX 20180301 | Military / VA | $165 | FEE SCHEDULE |
| SENDERO IDEALCARE | 4675_SENDERO IDEALCARE IP 20251001 | Commercial | $179 | OTHER |
| SENDERO IDEALCARE | 1571_SENDERO IDEALCARE OP 20200101 | Commercial | $179 | OTHER |
| SUPERIOR AMBETTER | 4652_SUPERIOR AMBETTER INPATIENT 20251001 | Commercial | $184 | OTHER |
| SUPERIOR AMBETTER | 4960_SUPERIOR AMBETTER OUTPATIENT 20250811 | Commercial | $184 | OTHER |
| HUMANA HMO | 2668_HUMANA HMO 20230701 | Commercial | $204 | OTHER |
| CIGNA HMO | 4476_CIGNA HMO (WIL,DEL) 20250701 | Commercial | $395 | FEE SCHEDULE |
| CIGNA HMO | 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701 | Commercial | $395 | FEE SCHEDULE |
| BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | Commercial | $400 | FEE SCHEDULE |
| BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | Commercial | $400 | FEE SCHEDULE |
| BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | Commercial | $442 | FEE SCHEDULE |
| BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | Commercial | $488 | FEE SCHEDULE |
| AETNA HMO EXCHANGE | 1377_AETNA HMO EXCHANGE 20200101 | Commercial | $682 | FEE SCHEDULE |
| AETNA ACO HMO | 4489_AETNA ACO HMO 20250801 | Commercial | $746 | FEE SCHEDULE |
| AETNA MULTI-TIER WHOLE HEALTH SHA | 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801 | Commercial | $746 | FEE SCHEDULE |
| AETNA SHA AISD | 4335_AETNA SHA AISD 20250101 | Commercial | $890 | OTHER |
| AETNA HMO | 4486_AETNA HMO 20250801 | Commercial | $1,112 | OTHER |
| COVENANT HEALTH | 4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801 | Commercial | $1,112 | OTHER |
Ascension Seton Medical Center Austin: all 58 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| AARP MC WELLMED | 4656_MEDICARE ADVANTAGE AARP WELLMED INPATIENT (AUS,NW,SW,HAY,WIL,BRK,DEL,BAS) 20251001 | Medicare Advantage | $100 | OTHER |
| AARP MC WELLMED | 4748_MEDICARE ADVANTAGE AARP WELLMED OUTPATIENT (AUS,NW,SW,HAY,WIL,BRK,DEL,BAS,SMV) 20250811 | Medicare Advantage | $100 | OTHER |
| SENDERO CHAP | 4651_SENDERO CHAP INPATIENT 20251001 | Commercial | $101 | OTHER |
| SENDERO CHAP | 4932_SENDERO CHAP OUTPATIENT 20250811 | Commercial | $101 | OTHER |
| AETNA MCR REPLACEMENT | 4659_MEDICARE ADVANTAGE AETNA INPATIENT 20251001 | Medicare Advantage | $102 | OTHER |
| ASCENSION COMPLETE MEDICARE REPLACEMENT | 4682_MEDICARE ADVANTAGE ASCENSION COMPLETE INPATIENT 20251001 | Medicare Advantage | $102 | OTHER |
| COVID HRSA | 4693_COVID HRSA UNIN Q80 INPATIENT 20251001 | Public program | $102 | OTHER |
| CSHCN CIDC | 4694_CSHCN CIDC IP (ADULT) 20251001 | Public program | $102 | OTHER |
| DEVOTED HEALTH MCR REPLACEMENT | 4684_MEDICARE ADVANTAGE DEVOTED HEALTH INPATIENT 20251001 | Medicare Advantage | $102 | OTHER |
| HUMANA MCR REPLACEMENT | 4661_MEDICARE ADVANTAGE HUMANA INPATIENT (AUS,HAY,NW,SW) 20251001 | Medicare Advantage | $102 | OTHER |
| MEDICARE OON | 4666_MEDICARE ADVANTAGE INPATIENT OON 20251001 | Medicare Advantage | $102 | OTHER |
| MEDICARE REPLACEMENT | 4665_MEDICARE ADVANTAGE INPATIENT 100% 20251001 | Medicare Advantage | $102 | OTHER |
| SUPERIOR ALLWELL | 4686_MEDICARE ADVANTAGE SUPERIOR ALLWELL INPATIENT 20251001 | Medicare Advantage | $102 | OTHER |
| TRICARE | 4696_TRICARE INPATIENT 20251001 | Military / VA | $102 | OTHER |
| UHCPCIP | 4678_UNITED HEALTHCARE PCIP (AUS) IP 20251001 | Commercial | $102 | OTHER |
| WELLCARE MED ADVANTAGE | 4691_MEDICARE ADVANTAGE WELLCARE INPATIENT 20251001 | Medicare Advantage | $102 | OTHER |
| WELMED MEDICARE | 4669_MEDICARE ADVANTAGE WELMED INPATIENT (AUS,NW,SW,HAY,WIL,DEL,BAS) 20251001 | Medicare Advantage | $102 | OTHER |
| AETNA MCR REPLACEMENT | 4749_MEDICARE ADVANTAGE AETNA OUTPATIENT 20250811 | Medicare Advantage | $102 | OTHER |
| ASCENSION COMPLETE MEDICARE REPLACEMENT | 4764_MEDICARE ADVANTAGE ASCENSION COMPLETE OUTPATIENT 20250811 | Medicare Advantage | $102 | OTHER |
| COVID HRSA | 4765_COVID HRSA UNIN Q80 OUTPATIENT 20250811 | Public program | $102 | OTHER |
| DEVOTED HEALTH MCR REPLACEMENT | 4918_MEDICARE ADVANTAGE DEVOTED HEALTH OUTPATIENT 20250811 | Medicare Advantage | $102 | OTHER |
| HUMANA MCR REPLACEMENT | 4921_MEDICARE ADVANTAGE HUMANA OUTPATIENT (AUS,HAY,NW,SW.SMV) 20250811 | Medicare Advantage | $102 | OTHER |
| MEDICARE REPLACEMENT | 4922_MEDICARE ADVANTAGE OUTPATIENT 100% 20250811 | Medicare Advantage | $102 | OTHER |
| SUPERIOR ALLWELL | 4419_MEDICARE ADVANTAGE SUPERIOR ALLWELL OUTPATIENT 20250101 | Medicare Advantage | $102 | OTHER |
| UHCPCIP | 4126_UNITED HEALTHCARE PCIP (AUS) OP 20250101 | Commercial | $102 | OTHER |
| WELLCARE MED ADVANTAGE | 4929_MEDICARE ADVANTAGE WELLCARE OUTPATIENT 20250811 | Medicare Advantage | $102 | OTHER |
| WELMED MEDICARE | 4930_MEDICARE ADVANTAGE WELMED OUTPATIENT (AUS,NW,SW,HAY,WIL,DEL,BAS) 20250811 | Medicare Advantage | $102 | OTHER |
| UHC MCR REPLACEMENT | 4687_MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT (AUS,NW,SW,HAY) 20251001 | Medicare Advantage | $104 | OTHER |
| UHC MCR REPLACEMENT | 4928_MEDICARE ADVANTAGE UNITED HEALTHCARE OUTPATIENT (AUS,NW,SW,HAY,SMV) 20250811 | Medicare Advantage | $104 | OTHER |
| CONNECTED SENIOR CARE | 4660_MEDICARE ADVANTAGE CONNECTED SENIOR CARE INPATIENT 20251001 | Medicare Advantage | $105 | OTHER |
| CONNECTED SENIOR CARE | 2475_MEDICARE ADVANTAGE CONNECTED SENIOR CARE OUTPATIENT 20221001 | Medicare Advantage | $105 | OTHER |
| PPHP MCR ADVANTAGE | 4668_MEDICARE ADVANTAGE PPHP INPATIENT 20251001 | Medicare Advantage | $108 | OTHER |
| TX INDEPENDENCE HP | 4671_TX INDEPENDENCE HP IP 20251001 | Medicare Advantage | $108 | OTHER |
| PPHP MCR ADVANTAGE | 4925_MEDICARE ADVANTAGE PPHP OUTPATIENT 20250811 | Medicare Advantage | $108 | OTHER |
| TX INDEPENDENCE HP | 4741_TX INDEPENDENCE HP OP 20250811 | Medicare Advantage | $108 | OTHER |
| BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | Commercial | $120 | FEE SCHEDULE |
| COMMUNITY HEALTH SERVICES | 2281_COMMUNITY HEALTH SERVICES Q32 20220901 | Commercial | $123 | FEE SCHEDULE |
| CHAMPVA | 1136_CHAMPVA AUSTIN 20180301 | Military / VA | $125 | FEE SCHEDULE |
| OCCUNET | 4674_OCCUNET IP 20251001 | Workers' comp | $143 | OTHER |
| OCCUNET | 4123_OCCUNET OP 20250101 | Workers' comp | $143 | OTHER |
| CHAMPVA | 1135_CHAMPVA REST_TX 20180301 | Military / VA | $165 | FEE SCHEDULE |
| SENDERO IDEALCARE | 4675_SENDERO IDEALCARE IP 20251001 | Commercial | $179 | OTHER |
| SENDERO IDEALCARE | 1571_SENDERO IDEALCARE OP 20200101 | Commercial | $179 | OTHER |
| SUPERIOR AMBETTER | 4652_SUPERIOR AMBETTER INPATIENT 20251001 | Commercial | $184 | OTHER |
| SUPERIOR AMBETTER | 4960_SUPERIOR AMBETTER OUTPATIENT 20250811 | Commercial | $184 | OTHER |
| HUMANA HMO | 2668_HUMANA HMO 20230701 | Commercial | $204 | OTHER |
| CIGNA HMO | 4476_CIGNA HMO (WIL,DEL) 20250701 | Commercial | $395 | FEE SCHEDULE |
| CIGNA HMO | 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701 | Commercial | $395 | FEE SCHEDULE |
| BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | Commercial | $400 | FEE SCHEDULE |
| BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | Commercial | $400 | FEE SCHEDULE |
| BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | Commercial | $442 | FEE SCHEDULE |
| BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | Commercial | $488 | FEE SCHEDULE |
| AETNA HMO EXCHANGE | 1377_AETNA HMO EXCHANGE 20200101 | Commercial | $682 | FEE SCHEDULE |
| AETNA ACO HMO | 4489_AETNA ACO HMO 20250801 | Commercial | $746 | FEE SCHEDULE |
| AETNA MULTI-TIER WHOLE HEALTH SHA | 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801 | Commercial | $746 | FEE SCHEDULE |
| AETNA SHA AISD | 4335_AETNA SHA AISD 20250101 | Commercial | $890 | OTHER |
| AETNA HMO | 4486_AETNA HMO 20250801 | Commercial | $1,112 | OTHER |
| COVENANT HEALTH | 4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801 | Commercial | $1,112 | OTHER |
Ascension Seton Southwest: all 56 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| AARP MC WELLMED | 4656_MEDICARE ADVANTAGE AARP WELLMED INPATIENT (AUS,NW,SW,HAY,WIL,BRK,DEL,BAS) 20251001 | Medicare Advantage | $100 | OTHER |
| AARP MC WELLMED | 4748_MEDICARE ADVANTAGE AARP WELLMED OUTPATIENT (AUS,NW,SW,HAY,WIL,BRK,DEL,BAS,SMV) 20250811 | Medicare Advantage | $100 | OTHER |
| SENDERO CHAP | 4651_SENDERO CHAP INPATIENT 20251001 | Commercial | $101 | OTHER |
| SENDERO CHAP | 4932_SENDERO CHAP OUTPATIENT 20250811 | Commercial | $101 | OTHER |
| AETNA MCR REPLACEMENT | 4659_MEDICARE ADVANTAGE AETNA INPATIENT 20251001 | Medicare Advantage | $102 | OTHER |
| ASCENSION COMPLETE MEDICARE REPLACEMENT | 4682_MEDICARE ADVANTAGE ASCENSION COMPLETE INPATIENT 20251001 | Medicare Advantage | $102 | OTHER |
| COVID HRSA | 4693_COVID HRSA UNIN Q80 INPATIENT 20251001 | Public program | $102 | OTHER |
| CSHCN CIDC | 4694_CSHCN CIDC IP (ADULT) 20251001 | Public program | $102 | OTHER |
| DEVOTED HEALTH MCR REPLACEMENT | 4684_MEDICARE ADVANTAGE DEVOTED HEALTH INPATIENT 20251001 | Medicare Advantage | $102 | OTHER |
| HUMANA MCR REPLACEMENT | 4661_MEDICARE ADVANTAGE HUMANA INPATIENT (AUS,HAY,NW,SW) 20251001 | Medicare Advantage | $102 | OTHER |
| MEDICARE OON | 4666_MEDICARE ADVANTAGE INPATIENT OON 20251001 | Medicare Advantage | $102 | OTHER |
| MEDICARE REPLACEMENT | 4665_MEDICARE ADVANTAGE INPATIENT 100% 20251001 | Medicare Advantage | $102 | OTHER |
| SUPERIOR ALLWELL | 4686_MEDICARE ADVANTAGE SUPERIOR ALLWELL INPATIENT 20251001 | Medicare Advantage | $102 | OTHER |
| TRICARE | 4696_TRICARE INPATIENT 20251001 | Military / VA | $102 | OTHER |
| WELLCARE MED ADVANTAGE | 4691_MEDICARE ADVANTAGE WELLCARE INPATIENT 20251001 | Medicare Advantage | $102 | OTHER |
| WELMED MEDICARE | 4669_MEDICARE ADVANTAGE WELMED INPATIENT (AUS,NW,SW,HAY,WIL,DEL,BAS) 20251001 | Medicare Advantage | $102 | OTHER |
| AETNA MCR REPLACEMENT | 4749_MEDICARE ADVANTAGE AETNA OUTPATIENT 20250811 | Medicare Advantage | $102 | OTHER |
| ASCENSION COMPLETE MEDICARE REPLACEMENT | 4764_MEDICARE ADVANTAGE ASCENSION COMPLETE OUTPATIENT 20250811 | Medicare Advantage | $102 | OTHER |
| COVID HRSA | 4765_COVID HRSA UNIN Q80 OUTPATIENT 20250811 | Public program | $102 | OTHER |
| DEVOTED HEALTH MCR REPLACEMENT | 4918_MEDICARE ADVANTAGE DEVOTED HEALTH OUTPATIENT 20250811 | Medicare Advantage | $102 | OTHER |
| HUMANA MCR REPLACEMENT | 4921_MEDICARE ADVANTAGE HUMANA OUTPATIENT (AUS,HAY,NW,SW.SMV) 20250811 | Medicare Advantage | $102 | OTHER |
| MEDICARE REPLACEMENT | 4922_MEDICARE ADVANTAGE OUTPATIENT 100% 20250811 | Medicare Advantage | $102 | OTHER |
| SUPERIOR ALLWELL | 4419_MEDICARE ADVANTAGE SUPERIOR ALLWELL OUTPATIENT 20250101 | Medicare Advantage | $102 | OTHER |
| WELLCARE MED ADVANTAGE | 4929_MEDICARE ADVANTAGE WELLCARE OUTPATIENT 20250811 | Medicare Advantage | $102 | OTHER |
| WELMED MEDICARE | 4930_MEDICARE ADVANTAGE WELMED OUTPATIENT (AUS,NW,SW,HAY,WIL,DEL,BAS) 20250811 | Medicare Advantage | $102 | OTHER |
| UHC MCR REPLACEMENT | 4687_MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT (AUS,NW,SW,HAY) 20251001 | Medicare Advantage | $104 | OTHER |
| UHC MCR REPLACEMENT | 4928_MEDICARE ADVANTAGE UNITED HEALTHCARE OUTPATIENT (AUS,NW,SW,HAY,SMV) 20250811 | Medicare Advantage | $104 | OTHER |
| CONNECTED SENIOR CARE | 4660_MEDICARE ADVANTAGE CONNECTED SENIOR CARE INPATIENT 20251001 | Medicare Advantage | $105 | OTHER |
| CONNECTED SENIOR CARE | 2475_MEDICARE ADVANTAGE CONNECTED SENIOR CARE OUTPATIENT 20221001 | Medicare Advantage | $105 | OTHER |
| PPHP MCR ADVANTAGE | 4668_MEDICARE ADVANTAGE PPHP INPATIENT 20251001 | Medicare Advantage | $108 | OTHER |
| TX INDEPENDENCE HP | 4671_TX INDEPENDENCE HP IP 20251001 | Medicare Advantage | $108 | OTHER |
| PPHP MCR ADVANTAGE | 4925_MEDICARE ADVANTAGE PPHP OUTPATIENT 20250811 | Medicare Advantage | $108 | OTHER |
| TX INDEPENDENCE HP | 4741_TX INDEPENDENCE HP OP 20250811 | Medicare Advantage | $108 | OTHER |
| BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | Commercial | $120 | FEE SCHEDULE |
| COMMUNITY HEALTH SERVICES | 2281_COMMUNITY HEALTH SERVICES Q32 20220901 | Commercial | $123 | FEE SCHEDULE |
| CHAMPVA | 1136_CHAMPVA AUSTIN 20180301 | Military / VA | $125 | FEE SCHEDULE |
| OCCUNET | 4674_OCCUNET IP 20251001 | Workers' comp | $143 | OTHER |
| OCCUNET | 4123_OCCUNET OP 20250101 | Workers' comp | $143 | OTHER |
| CHAMPVA | 1135_CHAMPVA REST_TX 20180301 | Military / VA | $165 | FEE SCHEDULE |
| SENDERO IDEALCARE | 4675_SENDERO IDEALCARE IP 20251001 | Commercial | $179 | OTHER |
| SENDERO IDEALCARE | 1571_SENDERO IDEALCARE OP 20200101 | Commercial | $179 | OTHER |
| SUPERIOR AMBETTER | 4652_SUPERIOR AMBETTER INPATIENT 20251001 | Commercial | $184 | OTHER |
| SUPERIOR AMBETTER | 4960_SUPERIOR AMBETTER OUTPATIENT 20250811 | Commercial | $184 | OTHER |
| HUMANA HMO | 2668_HUMANA HMO 20230701 | Commercial | $204 | OTHER |
| CIGNA HMO | 4476_CIGNA HMO (WIL,DEL) 20250701 | Commercial | $395 | FEE SCHEDULE |
| CIGNA HMO | 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701 | Commercial | $395 | FEE SCHEDULE |
| BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | Commercial | $400 | FEE SCHEDULE |
| BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | Commercial | $400 | FEE SCHEDULE |
| BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | Commercial | $442 | FEE SCHEDULE |
| BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | Commercial | $488 | FEE SCHEDULE |
| AETNA HMO EXCHANGE | 1377_AETNA HMO EXCHANGE 20200101 | Commercial | $682 | FEE SCHEDULE |
| AETNA ACO HMO | 4489_AETNA ACO HMO 20250801 | Commercial | $746 | FEE SCHEDULE |
| AETNA MULTI-TIER WHOLE HEALTH SHA | 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801 | Commercial | $746 | FEE SCHEDULE |
| AETNA SHA AISD | 4335_AETNA SHA AISD 20250101 | Commercial | $890 | OTHER |
| AETNA HMO | 4486_AETNA HMO 20250801 | Commercial | $1,112 | OTHER |
| COVENANT HEALTH | 4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801 | Commercial | $1,112 | OTHER |
Ascension Seton Edgar B. Davis: all 29 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| AETNA MCR REPLACEMENT | 4277_MEDICARE ADVANTAGE AETNA (EBD) 20250219 | Medicare Advantage | $113 | FEE SCHEDULE |
| CONNECTED SENIOR CARE | 4278_MEDICARE ADVANTAGE CONNECTED SENIOR CARE (EBD) 20250219 | Medicare Advantage | $113 | FEE SCHEDULE |
| DEVOTED HEALTH MCR REPLACEMENT | 4414_MEDICARE ADVANTAGE DEVOTED HEALTH (EBD) 20250101 | Medicare Advantage | $113 | FEE SCHEDULE |
| HUMANA MCR REPLACEMENT | 4280_MEDICARE ADVANTAGE HUMANA (EBD) 20250219 | Medicare Advantage | $113 | FEE SCHEDULE |
| PPHP MCR ADVANTAGE | 4281_MEDICARE ADVANTAGE PPHP (EBD) 20250219 | Medicare Advantage | $113 | FEE SCHEDULE |
| SENDERO CHAP | 4285_SENDERO CHAP (EBD) 20250219 | Commercial | $113 | FEE SCHEDULE |
| SENDERO IDEALCARE | 4286_SENDERO IDEALCARE (EBD) 20250219 | Commercial | $113 | FEE SCHEDULE |
| SUPERIOR ALLWELL | 4422_MEDICARE ADVANTAGE SUPERIOR ALLWELL (EBD) 20250101 | Medicare Advantage | $113 | FEE SCHEDULE |
| SUPERIOR AMBETTER | 4289_SUPERIOR AMBETTER (EBD) 20250219 | Commercial | $113 | FEE SCHEDULE |
| UHC MCR REPLACEMENT | 4282_MEDICARE ADVANTAGE UNITED HEALTHCARE (EBD) 20250219 | Medicare Advantage | $113 | FEE SCHEDULE |
| WELMED MEDICARE | 4283_MEDICARE ADVANTAGE WELMED (EBD) 20250219 | Medicare Advantage | $113 | FEE SCHEDULE |
| WELLCARE MED ADVANTAGE | 4410_MEDICARE ADVANTAGE WELLCARE (EBD) 20250101 | Medicare Advantage | $115 | FEE SCHEDULE |
| BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | Commercial | $120 | FEE SCHEDULE |
| COMMUNITY HEALTH SERVICES | 2281_COMMUNITY HEALTH SERVICES Q32 20220901 | Commercial | $123 | FEE SCHEDULE |
| CHAMPVA | 1136_CHAMPVA AUSTIN 20180301 | Military / VA | $125 | FEE SCHEDULE |
| CHAMPVA | 1135_CHAMPVA REST_TX 20180301 | Military / VA | $165 | FEE SCHEDULE |
| HUMANA HMO | 2668_HUMANA HMO 20230701 | Commercial | $204 | OTHER |
| CIGNA HMO | 4476_CIGNA HMO (WIL,DEL) 20250701 | Commercial | $395 | FEE SCHEDULE |
| CIGNA HMO | 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701 | Commercial | $395 | FEE SCHEDULE |
| BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | Commercial | $400 | FEE SCHEDULE |
| BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | Commercial | $400 | FEE SCHEDULE |
| BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | Commercial | $442 | FEE SCHEDULE |
| BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | Commercial | $488 | FEE SCHEDULE |
| AETNA HMO EXCHANGE | 1377_AETNA HMO EXCHANGE 20200101 | Commercial | $682 | FEE SCHEDULE |
| AETNA ACO HMO | 4489_AETNA ACO HMO 20250801 | Commercial | $746 | FEE SCHEDULE |
| AETNA MULTI-TIER WHOLE HEALTH SHA | 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801 | Commercial | $746 | FEE SCHEDULE |
| AETNA SHA AISD | 4335_AETNA SHA AISD 20250101 | Commercial | $890 | OTHER |
| AETNA HMO | 4486_AETNA HMO 20250801 | Commercial | $1,112 | OTHER |
| COVENANT HEALTH | 4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801 | Commercial | $1,112 | OTHER |
Ascension Seton Cedar Park: all 17 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | Commercial | $120 | FEE SCHEDULE |
| COMMUNITY HEALTH SERVICES | 2281_COMMUNITY HEALTH SERVICES Q32 20220901 | Commercial | $123 | FEE SCHEDULE |
| CHAMPVA | 1136_CHAMPVA AUSTIN 20180301 | Military / VA | $125 | FEE SCHEDULE |
| CHAMPVA | 1135_CHAMPVA REST_TX 20180301 | Military / VA | $165 | FEE SCHEDULE |
| HUMANA HMO | 2668_HUMANA HMO 20230701 | Commercial | $204 | OTHER |
| CIGNA HMO | 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701 | Commercial | $395 | FEE SCHEDULE |
| CIGNA HMO | 4476_CIGNA HMO (WIL,DEL) 20250701 | Commercial | $395 | FEE SCHEDULE |
| BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | Commercial | $400 | FEE SCHEDULE |
| BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | Commercial | $400 | FEE SCHEDULE |
| BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | Commercial | $442 | FEE SCHEDULE |
| BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | Commercial | $488 | FEE SCHEDULE |
| AETNA HMO EXCHANGE | 1377_AETNA HMO EXCHANGE 20200101 | Commercial | $682 | FEE SCHEDULE |
| AETNA ACO HMO | 4489_AETNA ACO HMO 20250801 | Commercial | $746 | FEE SCHEDULE |
| AETNA MULTI-TIER WHOLE HEALTH SHA | 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801 | Commercial | $746 | FEE SCHEDULE |
| AETNA SHA AISD | 4335_AETNA SHA AISD 20250101 | Commercial | $890 | OTHER |
| AETNA HMO | 4486_AETNA HMO 20250801 | Commercial | $1,112 | OTHER |
| COVENANT HEALTH | 4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801 | Commercial | $1,112 | OTHER |
Baylor Scott & White Medical Center – Lakeway: all 27 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $113 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $121 | percent of total billed charges |
| United Healthcare | Commercial | Commercial | $170 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $206 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $243 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $263 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $307 | percent of total billed charges |
| Aetna | Commercial | Commercial | $312 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $312 | percent of total billed charges |
| MidCoast | Commercial | Commercial | $312 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $329 | percent of total billed charges |
| Aetna | Medicare Advantage | Medicare Advantage | $340 | percent of total billed charges |
| Independent Medical System | Commercial PPO | Commercial | $340 | percent of total billed charges |
| Curative | Commercial | Commercial | $369 | percent of total billed charges |
| Humana | Commercial HMO | Commercial | $369 | percent of total billed charges |
| First Health | PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $397 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $397 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $404 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $409 | fee schedule |
| HealthSmart | Preferred Network | Commercial | $425 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $425 | percent of total billed charges |
| TriWest | Community Care Network | Military / VA | $425 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $468 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $482 | percent of total billed charges |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $492 | fee schedule |
| Three Rivers | Three Rivers Provider Network | Commercial | $510 | percent of total billed charges |
Baylor Scott & White Medical Center – Round Rock: all 27 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $113 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $121 | percent of total billed charges |
| United Healthcare | Commercial | Commercial | $170 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $206 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $243 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $285 | percent of total billed charges |
| Aetna | Commercial | Commercial | $312 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $312 | percent of total billed charges |
| MidCoast | Commercial | Commercial | $312 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $329 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $335 | percent of total billed charges |
| Independent Medical System | Commercial PPO | Commercial | $340 | percent of total billed charges |
| Curative | Commercial | Commercial | $369 | percent of total billed charges |
| Humana | Commercial HMO | Commercial | $369 | percent of total billed charges |
| First Health | PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $397 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $397 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $404 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $409 | fee schedule |
| BlueBell Creameries | Self Insured | Commercial | $425 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $425 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $425 | percent of total billed charges |
| TriWest | Community Care Network | Military / VA | $425 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $468 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $482 | percent of total billed charges |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $492 | fee schedule |
| Three Rivers | Three Rivers Provider Network | Commercial | $510 | percent of total billed charges |
Baylor Scott & White Medical Center – Taylor: all 39 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $108 | percent of total billed charges |
| American Health Plan | Medicare Advantage | Medicare Advantage | $113 | percent of total billed charges |
| TriWest | Community Care Network | Military / VA | $113 | percent of total billed charges |
| CORVEL | Worker's Compensation | Workers' comp | $119 | percent of total billed charges |
| Prime Health Services | Worker's Compensation | Workers' comp | $119 | percent of total billed charges |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $119 | percent of total billed charges |
| HealthSpring | Medicare Advantage | Medicare Advantage | $119 | percent of total billed charges |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $119 | percent of total billed charges |
| Superior Health Plan | Medicare HMO/Medicare PPO | Medicare Advantage | $125 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $136 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $137 | percent of total billed charges |
| CareWorks fka Rockport | Worker's Compensation | Workers' comp | $141 | percent of total billed charges |
| Injury Management Organization | Med Select Network | Workers' comp | $141 | percent of total billed charges |
| Sedgwick | Preferred Network | Workers' comp | $141 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $142 | percent of total billed charges |
| United Healthcare | Commercial | Commercial | $170 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $204 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $206 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $243 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $285 | percent of total billed charges |
| Aetna | Commercial | Commercial | $312 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $312 | percent of total billed charges |
| MidCoast | Commercial | Commercial | $312 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $329 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $335 | percent of total billed charges |
| Independent Medical System | Commercial PPO | Commercial | $340 | percent of total billed charges |
| Curative | Commercial | Commercial | $369 | percent of total billed charges |
| Humana | Commercial HMO | Commercial | $369 | percent of total billed charges |
| First Health | PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $397 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $397 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $404 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $409 | fee schedule |
| HealthSmart | Preferred Network | Commercial | $425 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $425 | percent of total billed charges |
| BlueBell Creameries | Self Insured | Commercial | $454 | percent of total billed charges |
| Three Rivers | Three Rivers Provider Network | Commercial | $454 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $468 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $492 | fee schedule |
Baylor Scott & White Medical Center – Austin: all 21 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $108 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $115 | percent of total billed charges |
| United Healthcare | Commercial | Commercial | $170 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $206 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $243 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $263 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $307 | percent of total billed charges |
| Aetna | Commercial | Commercial | $312 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $312 | percent of total billed charges |
| MidCoast | Commercial | Commercial | $312 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $329 | percent of total billed charges |
| Curative | Commercial | Commercial | $369 | percent of total billed charges |
| Humana | Commercial HMO | Commercial | $369 | percent of total billed charges |
| First Health | PPO | Commercial | $397 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $397 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $404 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $409 | fee schedule |
| Private Health Care System | PHCS Network | Commercial | $425 | percent of total billed charges |
| TriWest | Community Care Network | Military / VA | $425 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $468 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $492 | fee schedule |
Baylor Scott & White Medical Center – Buda: all 21 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $68.04 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $72.80 | percent of total billed charges |
| United Healthcare | Commercial | Commercial | $170 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $206 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $243 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $263 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $307 | percent of total billed charges |
| Aetna | Commercial | Commercial | $312 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $312 | percent of total billed charges |
| MidCoast | Commercial | Commercial | $312 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $329 | percent of total billed charges |
| Curative | Commercial | Commercial | $369 | percent of total billed charges |
| Humana | Commercial HMO | Commercial | $369 | percent of total billed charges |
| First Health | PPO | Commercial | $397 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $397 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $404 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $409 | fee schedule |
| Private Health Care System | PHCS Network | Commercial | $425 | percent of total billed charges |
| TriWest | Community Care Network | Military / VA | $425 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $468 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $492 | fee schedule |
Baylor Scott & White Medical Center – Pflugerville: all 26 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $62.37 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $66.74 | percent of total billed charges |
| United Healthcare | Commercial | Commercial | $170 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $206 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $243 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $263 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $307 | percent of total billed charges |
| Aetna | Commercial | Commercial | $312 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $312 | percent of total billed charges |
| MidCoast | Commercial | Commercial | $312 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $329 | percent of total billed charges |
| Independent Medical System | Commercial PPO | Commercial | $340 | percent of total billed charges |
| Curative | Commercial | Commercial | $369 | percent of total billed charges |
| Humana | Commercial HMO | Commercial | $369 | percent of total billed charges |
| First Health | PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $397 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $397 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $404 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $409 | fee schedule |
| HealthSmart | Preferred Network | Commercial | $425 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $425 | percent of total billed charges |
| TriWest | Community Care Network | Military / VA | $425 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $468 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $482 | percent of total billed charges |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $492 | fee schedule |
| Three Rivers | Three Rivers Provider Network | Commercial | $510 | percent of total billed charges |
CHRISTUS Santa Rosa Hospital – San Marcos: all 9 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Five Point Credit Union | PPO | Commercial | $189 | fee schedule |
| Cigna | New Business | Commercial | $203 | fee schedule |
| Cigna | PPO | Commercial | $256 | fee schedule |
| Blue Cross Blue Shield Of Texas | Blue Advantage HMO | Commercial | $412 | fee schedule |
| Blue Cross Blue Shield Of Texas | HEB | Commercial | $456 | fee schedule |
| Blue Cross Blue Shield Of Texas | HMO | Commercial | $462 | fee schedule |
| United Healthcare | All Payer | Commercial | $471 | fee schedule |
| Blue Cross Blue Shield Of Texas | PPO | Commercial | $506 | fee schedule |
| Humana | Choicecare | Commercial | $685 | fee schedule |
Dell Children's Medical Center: all 17 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| BCBS BAV EXCHANGE | 4127_BLUE CROSS BLUE SHIELD BAV EXCHANGE 20250101 | Commercial | $120 | FEE SCHEDULE |
| COMMUNITY HEALTH SERVICES | 2281_COMMUNITY HEALTH SERVICES Q32 20220901 | Commercial | $123 | FEE SCHEDULE |
| CHAMPVA | 1136_CHAMPVA AUSTIN 20180301 | Military / VA | $125 | FEE SCHEDULE |
| CHAMPVA | 1135_CHAMPVA REST_TX 20180301 | Military / VA | $165 | FEE SCHEDULE |
| HUMANA HMO | 2668_HUMANA HMO 20230701 | Commercial | $204 | OTHER |
| CIGNA HMO | 4476_CIGNA HMO (WIL,DEL) 20250701 | Commercial | $395 | FEE SCHEDULE |
| CIGNA HMO | 4475_CIGNA HMO (AUS,NW,SW,HAY) 20250701 | Commercial | $395 | FEE SCHEDULE |
| BCBS HPN | 4440_BLUE CROSS BLUE SHIELD HPN 20250501 | Commercial | $400 | FEE SCHEDULE |
| BCBS HPN | 4497_BLUE CROSS BLUE SHIELD HPN (DELL, WILLIAMSON,HAYS) 20250501 | Commercial | $400 | FEE SCHEDULE |
| BCBS HMO ESSENTIALS | 4095_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | Commercial | $442 | FEE SCHEDULE |
| BCBS PPO | 4094_BLUE CROSS BLUE SHIELD PPO 20250101 | Commercial | $488 | FEE SCHEDULE |
| AETNA HMO EXCHANGE | 1377_AETNA HMO EXCHANGE 20200101 | Commercial | $682 | FEE SCHEDULE |
| AETNA ACO HMO | 4489_AETNA ACO HMO 20250801 | Commercial | $746 | FEE SCHEDULE |
| AETNA MULTI-TIER WHOLE HEALTH SHA | 4490_AETNA MULTI-TIER WHOLE HEALTH SHA 20250801 | Commercial | $746 | FEE SCHEDULE |
| AETNA SHA AISD | 4335_AETNA SHA AISD 20250101 | Commercial | $890 | OTHER |
| AETNA HMO | 4486_AETNA HMO 20250801 | Commercial | $1,112 | OTHER |
| COVENANT HEALTH | 4491_COVENANT MANAGEMENT SOLUTIONS-AETNA 20250801 | Commercial | $1,112 | OTHER |
What this price covers
These are hospital charges for CPT code 77066 (Diagnostic mammogram (both breasts)). 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.