DEXA scan prices by hospital in Dallas–Fort Worth
Sorted by published cash price. “Typical insured rate” is the median of all commercial plan rates each hospital lists for CPT 77080; Medicaid and Medicare Advantage are shown separately below.
| Hospital | Published cash price | Typical insured rate | Lowest insured rate |
|---|---|---|---|
| UT Southwestern William P. Clements Jr. University HospitalUT Southwestern Medical Center · file Mar 2026 | $153Cash ÷ typical 0.7× | $21319 plans | $107 |
| Baylor Scott & White Medical Center – Lake PointeBaylor Scott & White Health · file Jun 2026 | $381Cash ÷ typical 1.1× | $34930 plans | $70.14 |
| Baylor Scott & White The Heart Hospital – DentonBaylor Scott & White Health · file Jun 2026 | $381Cash ÷ typical 1.1× | $34929 plans | $61.26 |
| Baylor Scott & White The Heart Hospital – McKinneyBaylor Scott & White Health · file Jun 2026 | $381Cash ÷ typical 1.1× | $35922 plans | $61.26 |
| Baylor Scott & White The Heart Hospital – PlanoBaylor Scott & White Health · file Jun 2026 | $381Cash ÷ typical 1.1× | $34929 plans | $61.26 |
| Baylor Scott & White All Saints Medical Center – Fort WorthBaylor Scott & White Health · file Jun 2026 | $381Cash ÷ typical 1.1× | $34929 plans | $61.26 |
| Baylor Scott & White Medical Center – Frisco at PGA ParkwayBaylor Scott & White Health · file Jun 2026 | $381Cash ÷ typical 1.1× | $34928 plans | $61.26 |
| Baylor Scott & White Medical Center – McKinneyBaylor Scott & White Health · file Jun 2026 | $381Cash ÷ typical 1.1× | $34929 plans | $61.26 |
| Baylor Scott & White Medical Center – GrapevineBaylor Scott & White Health · file Jun 2026 | $381Cash ÷ typical 1.1× | $34929 plans | $61.26 |
| Baylor University Medical CenterBaylor Scott & White Health · file Jun 2026 | $381Cash ÷ typical 1.1× | $34930 plans | $61.26 |
| Baylor Scott & White Medical Center – WaxahachieBaylor Scott & White Health · file Jun 2026 | $381Cash ÷ typical 1.1× | $34929 plans | $61.26 |
| Baylor Scott & White Medical Center – IrvingBaylor Scott & White Health · file Jun 2026 | $381Cash ÷ typical 1.1× | $34929 plans | $61.26 |
| Baylor Scott & White Heart and Vascular Hospital – DallasBaylor Scott & White Health · file Jun 2026 | $381Cash ÷ typical 1.1× | $34928 plans | $61.26 |
| Baylor Scott & White Heart and Vascular Hospital – WaxahachieBaylor Scott & White Health · file Jun 2026 | $381Cash ÷ typical 1.1× | $34923 plans | $61.26 |
| Baylor Scott & White Medical Center – PlanoBaylor Scott & White Health · file Jun 2026 | $381Cash ÷ typical 1.1× | $34931 plans | $61.26 |
| Baylor Scott & White Medical Center – CentennialBaylor Scott & White Health · file Jun 2026 | $381Cash ÷ typical 1.1× | $34929 plans | $70.14 |
| Texas Health Hospital RockwallTexas Health Resources · file Apr 2026 | $416Cash ÷ typical 0.9× | $48221 plans | $80.47 |
| Texas Health Presbyterian Hospital Flower MoundTexas Health Resources · file Apr 2026 | $416Cash ÷ typical 0.9× | $48221 plans | $80.47 |
| Texas Health Presbyterian Hospital DentonTexas Health Resources · file Apr 2026 | $416Cash ÷ typical 0.9× | $48221 plans | $47.32 |
| Texas Health Harris Methodist Hospital AllianceTexas Health Resources · file Apr 2026 | $416Cash ÷ typical 0.9× | $48221 plans | $47.32 |
| Texas Health Center for Diagnostics and Surgery PlanoTexas Health Resources · file Apr 2026 | $416Cash ÷ typical 0.9× | $48221 plans | $80.47 |
| Texas Health Arlington Memorial HospitalTexas Health Resources · file Apr 2026 | $416Cash ÷ typical 0.9× | $48221 plans | $47.32 |
| Texas Health Presbyterian Hospital DallasTexas Health Resources · file Apr 2026 | $416Cash ÷ typical 0.9× | $48221 plans | $47.32 |
| Texas Health Harris Methodist Hospital AzleTexas Health Resources · file Apr 2026 | $416Cash ÷ typical 0.9× | $48621 plans | $80.47 |
| Texas Health Harris Methodist Hospital CleburneTexas Health Resources · file Apr 2026 | $416Cash ÷ typical 0.9× | $48621 plans | $80.47 |
| Texas Health Hospital ClearforkTexas Health Resources · file Apr 2026 | $416Cash ÷ typical 0.9× | $48221 plans | $47.32 |
| Texas Health Presbyterian Hospital PlanoTexas Health Resources · file Apr 2026 | $416Cash ÷ typical 0.9× | $48221 plans | $47.32 |
| Texas Health Presbyterian Hospital KaufmanTexas Health Resources · file Apr 2026 | $416Cash ÷ typical 0.9× | $48621 plans | $80.47 |
| Texas Health Presbyterian Hospital AllenTexas Health Resources · file Apr 2026 | $416Cash ÷ typical 0.9× | $48621 plans | $47.32 |
| Texas Health Harris Methodist Hospital Fort WorthTexas Health Resources · file Apr 2026 | $416Cash ÷ typical 0.9× | $48221 plans | $47.32 |
| Texas Health Hospital FriscoTexas Health Resources · file Apr 2026 | $416Cash ÷ typical 0.9× | $48221 plans | $47.32 |
| Parkland Health (Parkland Memorial Hospital)Parkland Health · file May 2026 | $426Cash ÷ typical 0.6× | $71011 plans | $46.86 |
| Methodist Celina Medical CenterMethodist Health System · file Mar 2026 | $454Cash ÷ typical 2.8× | $16319 plans | $56.05 |
| Methodist Dallas Medical CenterMethodist Health System · file Mar 2026 | $454Cash ÷ typical 3.1× | $14733 plans | $51.76 |
| Methodist Mansfield Medical CenterMethodist Health System · file Mar 2026 | $454Cash ÷ typical 2.7× | $16827 plans | $51.76 |
| Methodist Midlothian Medical CenterMethodist Health System · file Mar 2026 | $454Cash ÷ typical 2.6× | $17620 plans | $112 |
| Methodist Richardson Medical CenterMethodist Health System · file Mar 2026 | $454Cash ÷ typical 2.8× | $16327 plans | $61.57 |
| Methodist Southlake Medical CenterMethodist Health System · file Mar 2026 | $454Cash ÷ typical 2.8× | $16333 plans | $51.76 |
| Cook Children's Medical CenterCook Children's · children's hospital (not in the summary above) · file Jan 2026 | $911Cash ÷ typical 0.9× | $1,03316 plans | $705 |
| Cook Children's Medical Center – ProsperCook Children's · children's hospital (not in the summary above) · file Jan 2026 | $911Cash ÷ typical 0.9× | $1,03319 plans | $535 |
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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 | Oscar | Ambetter | Medicaid / CHIP | Medicare Advantage |
|---|---|---|---|---|---|---|---|---|---|
| UT Southwestern William P. Clements Jr. University Hospital | $107–$187 | $118–$148 | $225 | $220–$397 | — | — | — | $38.09–$41.90 | $106–$120 |
| Baylor Scott & White Medical Center – Lake Pointe | $70–$148 | $349 | $313–$368 | $395–$439 | $445 | — | $226 | $39.09–$41.83 | $100–$118 |
| Baylor Scott & White The Heart Hospital – Denton | $61–$129 | $349 | $313–$368 | $395–$439 | $445 | — | $226 | $39.09–$41.83 | $100–$118 |
| Baylor Scott & White The Heart Hospital – McKinney | $61–$129 | $349 | $313–$368 | $395–$439 | $445 | — | — | $41.83 | $100–$118 |
| Baylor Scott & White The Heart Hospital – Plano | $61–$129 | $349 | $313–$368 | $395–$439 | $445 | — | $226 | $39.09–$41.83 | $100–$118 |
| Baylor Scott & White All Saints Medical Center – Fort Worth | $61–$129 | $349 | $313–$368 | $395–$439 | $445 | — | $226 | $39.09–$41.83 | $100–$118 |
| Baylor Scott & White Medical Center – Frisco at PGA Parkway | $61–$129 | $349 | $313–$368 | $395–$439 | $445 | — | $226 | $39.09 | $100–$118 |
| Baylor Scott & White Medical Center – McKinney | $61–$129 | $349 | $313–$368 | $395–$439 | $445 | — | $226 | $39.09–$41.83 | $100–$118 |
| Baylor Scott & White Medical Center – Grapevine | $61–$129 | $349 | $313–$368 | $395–$439 | $445 | — | $226 | $39.09–$41.83 | $100–$118 |
| Baylor University Medical Center | $61–$129 | $349 | $313–$368 | $395–$439 | $445 | — | $226 | $39.09–$41.83 | $100–$118 |
| Baylor Scott & White Medical Center – Waxahachie | $61–$129 | $349 | $313–$368 | $395–$439 | $445 | — | $226 | $39.09–$41.83 | $100–$118 |
| Baylor Scott & White Medical Center – Irving | $61–$129 | $349 | $313–$368 | $395–$439 | $445 | — | $226 | $39.09–$41.83 | $100–$118 |
| Baylor Scott & White Heart and Vascular Hospital – Dallas | $61–$129 | $349 | $313–$368 | $395–$439 | $445 | — | $226 | $39.09–$41.83 | $100–$118 |
| Baylor Scott & White Heart and Vascular Hospital – Waxahachie | $61–$129 | $349 | — | $395–$439 | $445 | — | — | — | $100–$110 |
| Baylor Scott & White Medical Center – Plano | $61–$129 | $349 | $313–$368 | $395–$439 | $445 | — | $226 | $39.09–$41.83 | $100–$118 |
| Baylor Scott & White Medical Center – Centennial | $70–$148 | $349 | $313–$368 | $395–$439 | $445 | — | $226 | $39.09–$41.83 | $100–$118 |
| Texas Health Hospital Rockwall | $80–$242 | $285–$486 | $383–$652 | $551–$722 | — | — | — | $39–$116 | $105–$119 |
| Texas Health Presbyterian Hospital Flower Mound | $80–$242 | $285–$486 | $383–$652 | $551–$722 | — | — | — | $39–$116 | $105–$119 |
| Texas Health Presbyterian Hospital Denton | $47–$242 | $285–$486 | $383–$652 | $551–$722 | — | — | — | $39–$116 | $105–$119 |
| Texas Health Harris Methodist Hospital Alliance | $47–$242 | $285–$486 | $383–$652 | $551–$722 | — | — | — | $39–$116 | $105–$119 |
| Texas Health Center for Diagnostics and Surgery Plano | $80–$242 | $285–$486 | $383–$652 | $551–$722 | — | — | — | $39–$113 | $102–$116 |
| Texas Health Arlington Memorial Hospital | $47–$242 | $285–$486 | $383–$652 | $551–$722 | — | — | — | $39–$116 | $105–$119 |
| Texas Health Presbyterian Hospital Dallas | $47–$242 | $285–$486 | $383–$652 | $551–$722 | — | — | — | $39–$116 | $105–$119 |
| Texas Health Harris Methodist Hospital Azle | $80–$242 | $285–$486 | $383–$652 | $551–$722 | — | — | — | $39–$116 | $105–$119 |
| Texas Health Harris Methodist Hospital Cleburne | $80–$242 | $285–$486 | $383–$652 | $551–$722 | — | — | — | $39–$112 | $101–$115 |
| Texas Health Hospital Clearfork | $47–$242 | $285–$486 | $383–$652 | $551–$722 | — | — | — | $39–$116 | $105–$119 |
| Texas Health Presbyterian Hospital Plano | $47–$242 | $285–$486 | $383–$652 | $551–$722 | — | — | — | $39–$116 | $105–$119 |
| Texas Health Presbyterian Hospital Kaufman | $80–$242 | $285–$486 | $383–$652 | $551–$722 | — | — | — | $39–$116 | $105–$119 |
| Texas Health Presbyterian Hospital Allen | $47–$242 | $285–$486 | $383–$652 | $551–$722 | — | — | — | $39–$116 | $105–$119 |
| Texas Health Harris Methodist Hospital Fort Worth | $47–$242 | $285–$486 | $383–$652 | $551–$722 | — | — | — | $39–$116 | $105–$119 |
| Texas Health Hospital Frisco | $47–$242 | $285–$486 | $383–$652 | $551–$722 | — | — | — | $39–$116 | $105–$119 |
| Parkland Health (Parkland Memorial Hospital) | $47–$766 | $638 | $638 | $710 | — | — | — | $39–$209 | $222–$226 |
| Methodist Celina Medical Center | $56–$107 | $170 | — | — | — | $137 | — | $43.00 | $105–$112 |
| Methodist Dallas Medical Center | $51.76–$98.32 | $116–$170 | $194 | $112 | — | $137 | $180 | $37–$160 | $105–$113 |
| Methodist Mansfield Medical Center | $51.76–$98.32 | $170 | $195 | $113 | — | $137 | $180 | $37–$167 | $105–$114 |
| Methodist Midlothian Medical Center | — | $170 | $194 | $112 | — | $137 | $180 | $37–$160 | $105–$113 |
| Methodist Richardson Medical Center | $62–$117 | $170 | $194 | $112 | — | $137 | $180 | $37–$160 | $105–$113 |
| Methodist Southlake Medical Center | $51.76–$98.32 | $98–$848 | $195 | $113–$453 | — | $137 | $180 | $37–$167 | $105–$114 |
| Cook Children's Medical Center | $948–$1,021 | — | $1,033 | $1,033 | $1,057–$1,069 | — | — | $292–$535 | — |
| Cook Children's Medical Center – Prosper | $948–$1,094 | $1,033 | $1,033 | $1,033 | $1,057–$1,069 | — | — | $44–$148 | — |
UT Southwestern William P. Clements Jr. University Hospital: all 33 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $38.09 | percent of total billed charges |
| Wellpoint | Managed Medicaid | Medicaid / CHIP | $38.09 | fee schedule |
| Superior | Managed Medicaid | Medicaid / CHIP | $38.09 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $38.09 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $41.14 | fee schedule |
| Aetna Better Health | Managed Medicaid | Medicaid / CHIP | $41.90 | fee schedule |
| Procare | Medicare Advantage | Medicare Advantage | $106 | fee schedule |
| Blue Cross Blue Shield | MyBlueHealth | Commercial | $107 | fee schedule |
| Humana | Medicare Advantage | Medicare Advantage | $111 | fee schedule |
| Superior | Medicare Advantage | Medicare Advantage | $112 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $112 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $112 | fee schedule |
| Wellpoint | Medicare Advantage | Medicare Advantage | $112 | fee schedule |
| Aetna | Whole Health | Commercial | $118 | percent of total billed charges |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $118 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $120 | fee schedule |
| Aetna | HMO/POS/EPO/PPO | Commercial | $148 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $149 | fee schedule |
| Maestro Health/Fort Worth Firefighters | Commercial | Commercial | $163 | percent of total billed charges |
| Blue Cross Blue Shield | PPO | Commercial | $166 | fee schedule |
| HealthFirst | Commercial | Commercial | $171 | percent of total billed charges |
| QuikTrip | Commercial | Commercial | $183 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $187 | fee schedule |
| Coventry | National/Medical Rental Products | Commercial | $213 | percent of total billed charges |
| Rockwall County | Commercial | Commercial | $214 | percent of total billed charges |
| United Healthcare W500 | Commercial | Commercial | $220 | percent of total billed charges |
| Cigna | HMO-PPO | Commercial | $225 | percent of total billed charges |
| PHCS | Commercial | Commercial | $230 | percent of total billed charges |
| HealthSmart | Commercial | Commercial | $253 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $265 | percent of total billed charges |
| Galaxy Health Network | Commercial | Commercial | $268 | percent of total billed charges |
| United Healthcare | Commercial | Commercial | $357 | case rate |
| United Options Nexus | Commercial | Commercial | $397 | case rate |
Baylor Scott & White Medical Center – Lake Pointe: all 47 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $41.83 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $70.14 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $99.24 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $99.77 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $102 | fee schedule |
| Humana | Medicare | Medicare Advantage | $105 | fee schedule |
| TriWest | Community Care Network | Military / VA | $105 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $108 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $110 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $118 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $126 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $132 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $132 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $134 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $141 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $148 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $157 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $173 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $226 | fee schedule |
| Mark Cuban | Commercial | Commercial | $272 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $299 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $313 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $313 | percent of total billed charges |
| Aetna | Commercial | Commercial | $349 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $349 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $349 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $349 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $368 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $368 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $368 | percent of total billed charges |
| Texas A&M Commerce | Injured Athletes | Commercial | $381 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $395 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $395 | percent of total billed charges |
| Curative | Commercial | Commercial | $413 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $439 | percent of total billed charges |
| First Health | PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $445 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $476 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $476 | percent of total billed charges |
Baylor Scott & White The Heart Hospital – Denton: all 43 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $41.83 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $61.26 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $86.68 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $99.77 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $102 | fee schedule |
| Humana | Medicare | Medicare Advantage | $105 | fee schedule |
| TriWest | Community Care Network | Military / VA | $105 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $116 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $118 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $123 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $126 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $129 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $132 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $132 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $157 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $173 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $226 | fee schedule |
| Mark Cuban | Commercial | Commercial | $272 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $299 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $313 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $313 | percent of total billed charges |
| Aetna | Commercial | Commercial | $349 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $349 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $349 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $349 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $368 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $368 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $368 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $395 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $395 | percent of total billed charges |
| Curative | Commercial | Commercial | $413 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $439 | percent of total billed charges |
| First Health | PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $445 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $476 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $476 | percent of total billed charges |
Baylor Scott & White The Heart Hospital – McKinney: all 32 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $41.83 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $61.26 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $86.68 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $99.77 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $102 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $116 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $118 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $123 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $129 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $132 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $157 | fee schedule |
| Mark Cuban | Commercial | Commercial | $272 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $299 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $313 | percent of total billed charges |
| Aetna | Commercial | Commercial | $349 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $349 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $349 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $368 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $368 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $395 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $395 | percent of total billed charges |
| Curative | Commercial | Commercial | $413 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $439 | percent of total billed charges |
| First Health | PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $445 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $476 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $476 | percent of total billed charges |
Baylor Scott & White The Heart Hospital – Plano: all 44 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $41.83 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $61.26 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $86.68 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $99.77 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $102 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $105 | fee schedule |
| Humana | Medicare | Medicare Advantage | $105 | fee schedule |
| TriWest | Community Care Network | Military / VA | $105 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $116 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $118 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $123 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $126 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $129 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $132 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $132 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $157 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $173 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $226 | fee schedule |
| Mark Cuban | Commercial | Commercial | $272 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $299 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $313 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $313 | percent of total billed charges |
| Aetna | Commercial | Commercial | $349 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $349 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $349 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $349 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $368 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $368 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $368 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $395 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $395 | percent of total billed charges |
| Curative | Commercial | Commercial | $413 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $439 | percent of total billed charges |
| First Health | PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $445 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $476 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $476 | percent of total billed charges |
Baylor Scott & White All Saints Medical Center – Fort Worth: all 48 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Cook Children's Health Plan | Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Aetna | Medicaid | Medicaid / CHIP | $39.87 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $41.83 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $61.26 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $86.68 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $99.77 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $102 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $105 | fee schedule |
| Humana | Medicare | Medicare Advantage | $105 | fee schedule |
| TriWest | Community Care Network | Military / VA | $105 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $108 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $116 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $118 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $123 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $126 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $129 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $132 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $132 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $157 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $173 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $226 | fee schedule |
| Mark Cuban | Commercial | Commercial | $272 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $299 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $313 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $313 | percent of total billed charges |
| Aetna | Commercial | Commercial | $349 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $349 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $349 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $349 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $368 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $368 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $368 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $395 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $395 | percent of total billed charges |
| Curative | Commercial | Commercial | $413 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $439 | percent of total billed charges |
| First Health | PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $445 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $476 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $476 | percent of total billed charges |
Baylor Scott & White Medical Center – Frisco at PGA Parkway: all 40 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $61.26 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $86.68 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $99.77 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $102 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $105 | fee schedule |
| Humana | Medicare | Medicare Advantage | $105 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $116 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $118 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $123 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $126 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $129 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $132 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $132 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $173 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $226 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $299 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $313 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $313 | percent of total billed charges |
| Aetna | Commercial | Commercial | $349 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $349 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $349 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $349 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $368 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $368 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $368 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $395 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $395 | percent of total billed charges |
| Curative | Commercial | Commercial | $413 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $439 | percent of total billed charges |
| First Health | PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $445 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $476 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $476 | percent of total billed charges |
Baylor Scott & White Medical Center – McKinney: all 44 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $41.83 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $61.26 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $86.68 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $99.77 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $102 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $105 | fee schedule |
| Humana | Medicare | Medicare Advantage | $105 | fee schedule |
| TriWest | Community Care Network | Military / VA | $105 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $116 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $118 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $123 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $126 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $129 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $132 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $132 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $157 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $173 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $226 | fee schedule |
| Mark Cuban | Commercial | Commercial | $272 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $299 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $313 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $313 | percent of total billed charges |
| Aetna | Commercial | Commercial | $349 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $349 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $349 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $349 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $368 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $368 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $368 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $395 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $395 | percent of total billed charges |
| Curative | Commercial | Commercial | $413 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $439 | percent of total billed charges |
| First Health | PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $445 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $476 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $476 | percent of total billed charges |
Baylor Scott & White Medical Center – Grapevine: all 45 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Aetna | Medicaid | Medicaid / CHIP | $39.87 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $41.83 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $61.26 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $86.68 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $99.94 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $102 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $105 | fee schedule |
| Humana | Medicare | Medicare Advantage | $105 | fee schedule |
| TriWest | Community Care Network | Military / VA | $105 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $116 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $118 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $123 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $126 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $129 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $132 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $133 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $157 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $174 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $226 | fee schedule |
| Mark Cuban | Commercial | Commercial | $272 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $299 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $313 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $313 | percent of total billed charges |
| Aetna | Commercial | Commercial | $349 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $349 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $349 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $349 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $368 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $368 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $368 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $395 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $395 | percent of total billed charges |
| Curative | Commercial | Commercial | $413 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $439 | percent of total billed charges |
| First Health | PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $445 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $476 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $476 | percent of total billed charges |
Baylor University Medical Center: all 49 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $41.83 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $61.26 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $86.68 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $99.77 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $102 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $105 | fee schedule |
| Humana | Medicare | Medicare Advantage | $105 | fee schedule |
| TriWest | Community Care Network | Military / VA | $105 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $108 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $116 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $118 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $123 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $126 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $129 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $132 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $132 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $157 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $173 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $226 | fee schedule |
| Texas Workforce Commission | Workers Compensation | Workers' comp | $229 | percent of total billed charges |
| Mark Cuban | Commercial | Commercial | $272 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $299 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $313 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $313 | percent of total billed charges |
| Aetna | Commercial | Commercial | $349 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $349 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $349 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $349 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $368 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $368 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $368 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $395 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $395 | percent of total billed charges |
| Curative | Commercial | Commercial | $413 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $439 | percent of total billed charges |
| First Health | PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $445 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $445 | percent of total billed charges |
| Optum | Commercial | Commercial | $445 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $476 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $476 | percent of total billed charges |
Baylor Scott & White Medical Center – Waxahachie: all 44 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $41.83 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $61.26 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $86.68 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $99.77 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $102 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $105 | fee schedule |
| Humana | Medicare | Medicare Advantage | $105 | fee schedule |
| TriWest | Community Care Network | Military / VA | $105 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $116 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $118 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $123 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $126 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $129 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $132 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $132 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $157 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $173 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $226 | fee schedule |
| Mark Cuban | Commercial | Commercial | $272 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $299 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $313 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $313 | percent of total billed charges |
| Aetna | Commercial | Commercial | $349 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $349 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $349 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $349 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $368 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $368 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $368 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $395 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $395 | percent of total billed charges |
| Curative | Commercial | Commercial | $413 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $439 | percent of total billed charges |
| First Health | PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $445 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $476 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $476 | percent of total billed charges |
Baylor Scott & White Medical Center – Irving: all 46 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $41.83 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $61.26 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $86.68 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $99.77 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $102 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $105 | fee schedule |
| Humana | Medicare | Medicare Advantage | $105 | fee schedule |
| TriWest | Community Care Network | Military / VA | $105 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $108 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $116 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $118 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $123 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $126 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $129 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $132 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $132 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $157 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $173 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $226 | fee schedule |
| Mark Cuban | Commercial | Commercial | $272 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $299 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $313 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $313 | percent of total billed charges |
| Aetna | Commercial | Commercial | $349 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $349 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $349 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $349 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $368 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $368 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $368 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $395 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $395 | percent of total billed charges |
| Curative | Commercial | Commercial | $413 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $439 | percent of total billed charges |
| First Health | PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $445 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $476 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $476 | percent of total billed charges |
Baylor Scott & White Heart and Vascular Hospital – Dallas: all 42 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $41.83 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $61.26 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $86.68 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $99.77 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $102 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $105 | fee schedule |
| TriWest | Community Care Network | Military / VA | $105 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $116 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $118 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $123 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $126 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $129 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $132 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $132 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $157 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $173 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $226 | fee schedule |
| Mark Cuban | Commercial | Commercial | $272 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $299 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $313 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $313 | percent of total billed charges |
| Aetna | Commercial | Commercial | $349 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $349 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $349 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $368 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $368 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $368 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $395 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $395 | percent of total billed charges |
| Curative | Commercial | Commercial | $413 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $439 | percent of total billed charges |
| First Health | PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $445 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $476 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $476 | percent of total billed charges |
Baylor Scott & White Heart and Vascular Hospital – Waxahachie: all 31 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Blue Cross Blue Shield | Blue Advantage | Commercial | $61.26 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $86.68 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $99.77 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $102 | fee schedule |
| Humana | Medicare | Medicare Advantage | $105 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $116 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $123 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $126 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $129 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $132 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $132 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $173 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $299 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $313 | percent of total billed charges |
| Aetna | Commercial | Commercial | $349 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $349 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $349 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $349 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $368 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $368 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $395 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $395 | percent of total billed charges |
| Curative | Commercial | Commercial | $413 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $439 | percent of total billed charges |
| First Health | PPO | Commercial | $445 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $445 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $476 | percent of total billed charges |
Baylor Scott & White Medical Center – Plano: all 46 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $41.83 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $61.26 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $86.68 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $99.77 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $102 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $105 | fee schedule |
| Humana | Medicare | Medicare Advantage | $105 | fee schedule |
| TriWest | Community Care Network | Military / VA | $105 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $116 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $118 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $123 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $126 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $129 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $132 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $132 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $157 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $173 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $226 | fee schedule |
| Mark Cuban | Commercial | Commercial | $272 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $299 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $313 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $313 | percent of total billed charges |
| Aetna | Commercial | Commercial | $349 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $349 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $349 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $349 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $368 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $368 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $368 | percent of total billed charges |
| Independent Medical System | Commercial PPO | Commercial | $381 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $395 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $395 | percent of total billed charges |
| Curative | Commercial | Commercial | $413 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $439 | percent of total billed charges |
| First Health | PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $445 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $445 | percent of total billed charges |
| Optum | Commercial | Commercial | $445 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $476 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $476 | percent of total billed charges |
Baylor Scott & White Medical Center – Centennial: all 46 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $41.83 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $70.14 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $99.24 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $99.77 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $102 | fee schedule |
| Humana | Medicare | Medicare Advantage | $105 | fee schedule |
| TriWest | Community Care Network | Military / VA | $105 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $108 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $110 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $110 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $118 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $126 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $132 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $132 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $134 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $141 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $148 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $157 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $173 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $226 | fee schedule |
| Mark Cuban | Commercial | Commercial | $272 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $299 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $313 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $313 | percent of total billed charges |
| Aetna | Commercial | Commercial | $349 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $349 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $349 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $349 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $368 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $368 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $368 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $395 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $395 | percent of total billed charges |
| Curative | Commercial | Commercial | $413 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $439 | percent of total billed charges |
| First Health | PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $445 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $445 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $476 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $476 | percent of total billed charges |
Texas Health Hospital Rockwall: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Parkland | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $41.04 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $42.22 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $80.47 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $82.70 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $89.41 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $105 | case rate |
| American Health | Medicare Advantage | Medicare Advantage | $105 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $107 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $109 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $110 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $116 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $117 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $119 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $242 | fee schedule |
| Aetna | Whole Health | Commercial | $285 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $304 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $326 | percent of total billed charges |
| Aetna | Commercial | Commercial | $379 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $383 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $416 | percent of total billed charges |
| PHCS | PPO | Commercial | $482 | percent of total billed charges |
| Cigna | PPO | Commercial | $483 | percent of total billed charges |
| Aetna | ASA | Commercial | $486 | percent of total billed charges |
| Aetna | Coventry | Commercial | $486 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $520 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Multiplan | Commercial | Commercial | $603 | percent of total billed charges |
| USA | MCO | Commercial | $610 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $610 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $652 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
Texas Health Presbyterian Hospital Flower Mound: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $41.04 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $42.22 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $43.00 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $80.47 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $82.70 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $89.41 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $105 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $105 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $107 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $109 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $110 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $116 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $117 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $119 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $242 | fee schedule |
| Aetna | Whole Health | Commercial | $285 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $304 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $326 | percent of total billed charges |
| Aetna | Commercial | Commercial | $379 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $383 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $416 | percent of total billed charges |
| PHCS | PPO | Commercial | $482 | percent of total billed charges |
| Cigna | PPO | Commercial | $483 | percent of total billed charges |
| Aetna | ASA | Commercial | $486 | percent of total billed charges |
| Aetna | Coventry | Commercial | $486 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $520 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Multiplan | Commercial | Commercial | $603 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $610 | percent of total billed charges |
| USA | MCO | Commercial | $610 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $652 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
Texas Health Presbyterian Hospital Denton: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $41.04 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $42.22 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $43.00 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $47.32 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $80.47 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $89.41 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $105 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $105 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $107 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $109 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $110 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $116 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $117 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $119 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $242 | fee schedule |
| Aetna | Whole Health | Commercial | $285 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $304 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $326 | percent of total billed charges |
| Aetna | Commercial | Commercial | $379 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $383 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $416 | percent of total billed charges |
| PHCS | PPO | Commercial | $482 | percent of total billed charges |
| Cigna | PPO | Commercial | $483 | percent of total billed charges |
| Aetna | Coventry | Commercial | $486 | percent of total billed charges |
| Aetna | ASA | Commercial | $486 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $520 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Multiplan | Commercial | Commercial | $603 | percent of total billed charges |
| USA | MCO | Commercial | $610 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $610 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $652 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
Texas Health Harris Methodist Hospital Alliance: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $41.04 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $42.22 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $43.00 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $47.32 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $80.47 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $89.41 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $105 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $105 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $107 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $109 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $110 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $116 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $117 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $119 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $242 | fee schedule |
| Aetna | Whole Health | Commercial | $285 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $304 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $326 | percent of total billed charges |
| Aetna | Commercial | Commercial | $379 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $383 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $416 | percent of total billed charges |
| PHCS | PPO | Commercial | $482 | percent of total billed charges |
| Cigna | PPO | Commercial | $483 | percent of total billed charges |
| Aetna | Coventry | Commercial | $486 | percent of total billed charges |
| Aetna | ASA | Commercial | $486 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $520 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Multiplan | Commercial | Commercial | $603 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $610 | percent of total billed charges |
| USA | MCO | Commercial | $610 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $652 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
Texas Health Center for Diagnostics and Surgery Plano: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $41.04 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $42.22 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $80.47 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $82.70 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $89.41 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $102 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $102 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $104 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $106 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $107 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $107 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $107 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $113 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $114 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $116 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $242 | fee schedule |
| Aetna | Whole Health | Commercial | $285 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $304 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $326 | percent of total billed charges |
| Aetna | Commercial | Commercial | $379 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $383 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $416 | percent of total billed charges |
| PHCS | PPO | Commercial | $482 | percent of total billed charges |
| Cigna | PPO | Commercial | $483 | percent of total billed charges |
| Aetna | Coventry | Commercial | $486 | percent of total billed charges |
| Aetna | ASA | Commercial | $486 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $520 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Multiplan | Commercial | Commercial | $603 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $610 | percent of total billed charges |
| USA | MCO | Commercial | $610 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $652 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
Texas Health Arlington Memorial Hospital: all 39 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $41.04 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $42.22 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $43.00 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $47.32 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $80.47 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $89.41 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $105 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $105 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $107 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $109 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $110 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $116 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $117 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $119 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $242 | fee schedule |
| Aetna | Whole Health | Commercial | $285 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $304 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $326 | percent of total billed charges |
| Aetna | Commercial | Commercial | $379 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $383 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $416 | percent of total billed charges |
| PHCS | PPO | Commercial | $482 | percent of total billed charges |
| Cigna | PPO | Commercial | $483 | percent of total billed charges |
| Aetna | ASA | Commercial | $486 | percent of total billed charges |
| Aetna | Coventry | Commercial | $486 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $520 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Multiplan | Commercial | Commercial | $603 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $610 | percent of total billed charges |
| USA | MCO | Commercial | $610 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $652 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
Texas Health Presbyterian Hospital Dallas: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Parkland | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $41.04 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $42.22 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $47.32 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $80.47 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $89.41 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $105 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $105 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $107 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $109 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $110 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $116 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $117 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $119 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $242 | fee schedule |
| Aetna | Whole Health | Commercial | $285 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $304 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $326 | percent of total billed charges |
| Aetna | Commercial | Commercial | $379 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $383 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $416 | percent of total billed charges |
| PHCS | PPO | Commercial | $482 | percent of total billed charges |
| Cigna | PPO | Commercial | $483 | percent of total billed charges |
| Aetna | ASA | Commercial | $486 | percent of total billed charges |
| Aetna | Coventry | Commercial | $486 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $520 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Multiplan | Commercial | Commercial | $603 | percent of total billed charges |
| USA | MCO | Commercial | $610 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $610 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $652 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
Texas Health Harris Methodist Hospital Azle: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $41.04 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $42.22 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $43.00 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $80.47 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $88.52 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $89.41 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $105 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $105 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $107 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $109 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $110 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $116 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $117 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $119 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $242 | fee schedule |
| Aetna | Whole Health | Commercial | $285 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $304 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $326 | percent of total billed charges |
| Aetna | Commercial | Commercial | $379 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $383 | percent of total billed charges |
| Cigna | PPO | Commercial | $483 | percent of total billed charges |
| Aetna | ASA | Commercial | $486 | percent of total billed charges |
| Aetna | Coventry | Commercial | $486 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $492 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $520 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| PHCS | PPO | Commercial | $579 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $603 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $610 | percent of total billed charges |
| USA | MCO | Commercial | $610 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $652 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
Texas Health Harris Methodist Hospital Cleburne: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $41.04 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $42.22 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $43.00 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $80.47 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $88.52 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $89.41 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $101 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $101 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $103 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $105 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $106 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $106 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $106 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $112 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $113 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $115 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $242 | fee schedule |
| Aetna | Whole Health | Commercial | $285 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $304 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $326 | percent of total billed charges |
| Aetna | Commercial | Commercial | $379 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $383 | percent of total billed charges |
| Cigna | PPO | Commercial | $483 | percent of total billed charges |
| Aetna | ASA | Commercial | $486 | percent of total billed charges |
| Aetna | Coventry | Commercial | $486 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $492 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| PHCS | PPO | Commercial | $579 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $603 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $603 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $610 | percent of total billed charges |
| USA | MCO | Commercial | $610 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $652 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
Texas Health Hospital Clearfork: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $41.04 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $42.22 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $43.00 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $47.32 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $80.47 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $89.41 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $105 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $105 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $107 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $109 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $110 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $116 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $117 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $119 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $242 | fee schedule |
| Aetna | Whole Health | Commercial | $285 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $304 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $326 | percent of total billed charges |
| Aetna | Commercial | Commercial | $379 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $383 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $416 | percent of total billed charges |
| PHCS | PPO | Commercial | $482 | percent of total billed charges |
| Cigna | PPO | Commercial | $483 | percent of total billed charges |
| Aetna | ASA | Commercial | $486 | percent of total billed charges |
| Aetna | Coventry | Commercial | $486 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $520 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Multiplan | Commercial | Commercial | $603 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $610 | percent of total billed charges |
| USA | MCO | Commercial | $610 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $652 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
Texas Health Presbyterian Hospital Plano: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $41.04 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $42.22 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $47.32 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $80.47 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $89.41 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $105 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $105 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $107 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $109 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $110 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $116 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $117 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $119 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $242 | fee schedule |
| Aetna | Whole Health | Commercial | $285 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $304 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $326 | percent of total billed charges |
| Aetna | Commercial | Commercial | $379 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $383 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $416 | percent of total billed charges |
| PHCS | PPO | Commercial | $482 | percent of total billed charges |
| Cigna | PPO | Commercial | $483 | percent of total billed charges |
| Aetna | ASA | Commercial | $486 | percent of total billed charges |
| Aetna | Coventry | Commercial | $486 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $520 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Multiplan | Commercial | Commercial | $603 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $610 | percent of total billed charges |
| USA | MCO | Commercial | $610 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $652 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
Texas Health Presbyterian Hospital Kaufman: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $41.04 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $42.22 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $80.47 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $88.52 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $89.41 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $105 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $105 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $107 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $109 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $110 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $116 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $117 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $119 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $242 | fee schedule |
| Aetna | Whole Health | Commercial | $285 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $304 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $326 | percent of total billed charges |
| Aetna | Commercial | Commercial | $379 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $383 | percent of total billed charges |
| Cigna | PPO | Commercial | $483 | percent of total billed charges |
| Aetna | ASA | Commercial | $486 | percent of total billed charges |
| Aetna | Coventry | Commercial | $486 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $492 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| PHCS | PPO | Commercial | $579 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $603 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $603 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $610 | percent of total billed charges |
| USA | MCO | Commercial | $610 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $652 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
Texas Health Presbyterian Hospital Allen: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Parkland | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $41.04 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $42.22 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $47.32 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $80.47 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $89.41 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $105 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $105 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $107 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $109 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $110 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $116 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $117 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $119 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $242 | fee schedule |
| Aetna | Whole Health | Commercial | $285 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $304 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $326 | percent of total billed charges |
| Aetna | Commercial | Commercial | $379 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $383 | percent of total billed charges |
| Cigna | PPO | Commercial | $483 | percent of total billed charges |
| Aetna | ASA | Commercial | $486 | percent of total billed charges |
| Aetna | Coventry | Commercial | $486 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $492 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $520 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| PHCS | PPO | Commercial | $579 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $603 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $610 | percent of total billed charges |
| USA | MCO | Commercial | $610 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $652 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
Texas Health Harris Methodist Hospital Fort Worth: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $41.04 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $42.22 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $43.00 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $47.32 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $80.47 | percent of total billed charges |
| Blue Cross Blue Shield | PPO | Commercial | $89.41 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $105 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $105 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $107 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $109 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $110 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $116 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $117 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $119 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $242 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $285 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $304 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $326 | percent of total billed charges |
| Aetna | Commercial | Commercial | $379 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $383 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $416 | percent of total billed charges |
| PHCS | PPO | Commercial | $482 | percent of total billed charges |
| Cigna | PPO | Commercial | $483 | percent of total billed charges |
| Aetna | ASA | Commercial | $486 | percent of total billed charges |
| Aetna | Coventry | Commercial | $486 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $520 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Multiplan | Commercial | Commercial | $603 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $610 | percent of total billed charges |
| USA | MCO | Commercial | $610 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $652 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
Texas Health Hospital Frisco: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $39.09 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $41.04 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $42.22 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $47.32 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $80.47 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $89.41 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $105 | case rate |
| American Health | Medicare Advantage | Medicare Advantage | $105 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $107 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $109 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $110 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $110 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $116 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $117 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $119 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $242 | fee schedule |
| Aetna | Whole Health | Commercial | $285 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $304 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $326 | percent of total billed charges |
| Aetna | Commercial | Commercial | $379 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $383 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $416 | percent of total billed charges |
| PHCS | PPO | Commercial | $482 | percent of total billed charges |
| Cigna | PPO | Commercial | $483 | percent of total billed charges |
| Aetna | Coventry | Commercial | $486 | percent of total billed charges |
| Aetna | ASA | Commercial | $486 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $520 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Multiplan | Commercial | Commercial | $603 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $610 | percent of total billed charges |
| USA | MCO | Commercial | $610 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $652 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
Parkland Health (Parkland Memorial Hospital): all 33 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| WELLPOINT | WELLPOINT CHIP PERINATE POST PARTUM | Medicaid / CHIP | $39.09 | fee schedule |
| AETNA BETTER HEALTH | AETNA BETTER HEALTH CHIP | Medicaid / CHIP | $39.09 | fee schedule |
| AETNA BETTER HEALTH | BELOW FPIL AETNA CHIP PERINATE | Medicaid / CHIP | $39.09 | fee schedule |
| AETNA BETTER HEALTH | ABOVE FPIL AETNA CHIP PERINATE | Medicaid / CHIP | $39.09 | fee schedule |
| PARKLAND COMMUNITY HEALTH PLAN | Parkland CHIP | Medicaid / CHIP | $41.04 | fee schedule |
| SUPERIOR HEALTH PLAN | SUPERIOR STAR HEALTH FOSTER CARE | Medicaid / CHIP | $41.04 | fee schedule |
| COOK CHILDREN HEALTH PLAN | COOK CHILDREN STAR MEDICAID | Medicaid / CHIP | $41.04 | fee schedule |
| COOK CHILDREN HEALTH PLAN | COOK CHILDRENS STAR KIDS | Medicaid / CHIP | $41.04 | fee schedule |
| COOK CHILDREN HEALTH PLAN | COOK CHILDRENS CHIP | Medicaid / CHIP | $41.04 | fee schedule |
| POINT COMFORT UNDERWRITERS | POINT COMFORT UNDERWRITERS | Public program | $43.00 | fee schedule |
| MOLINA | MOLINA CHIP | Medicaid / CHIP | $43.00 | fee schedule |
| MOLINA | MOLINA RSA MEDICAID | Medicaid / CHIP | $43.00 | fee schedule |
| BLUE CROSS BLUE SHIELD | BLUE ADVANTAGE HMO ACA | Commercial | $46.86 | fee schedule |
| WELLPOINT | WELLPOINT STAR PLUS | Medicaid / CHIP | $145 | fee schedule |
| WELLPOINT | WELLPOINT STAR KIDS | Medicaid / CHIP | $149 | fee schedule |
| SUPERIOR HEALTHPLAN | SUPERIOR STAR PLUS | Medicaid / CHIP | $153 | fee schedule |
| MOLINA | MOLINA STAR PLUS | Medicaid / CHIP | $160 | fee schedule |
| WELLPOINT | WELLPOINT STAR | Medicaid / CHIP | $190 | fee schedule |
| PARKLAND COMMUNITY HEALTH PLAN | Parkland STAR | Medicaid / CHIP | $199 | fee schedule |
| AETNA BETTER HEALTH | AETNA BETTER HEALTH STAR | Medicaid / CHIP | $199 | fee schedule |
| MOLINA | MOLINA STAR MEDICAID | Medicaid / CHIP | $209 | fee schedule |
| CARE IMPROVEMENT PLUS | CARE IMPROVEMENT PLUS | Medicare Advantage | $222 | percent of total billed charges |
| PROCARE ADVANTAGE | PROCARE ADVANTAGE | Medicare Advantage | $226 | percent of total billed charges |
| AETNA HEALTHCARE | AETNA | Commercial | $638 | percent of total billed charges |
| CIGNA | CIGNA | Commercial | $638 | percent of total billed charges |
| GREAT WEST HEALTHCARE | GREAT WEST HEALTHCARE | Commercial | $638 | percent of total billed charges |
| UNITED HEALTHCARE OF TX | UNITED HEALTHCARE OF TX | Commercial | $710 | percent of total billed charges |
| UNITED HEALTHCARE OF TX | UHC - UMR | Commercial | $710 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS TRADITIONAL | Commercial | $766 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS OUT OF STATE | Commercial | $766 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS FEDERAL EMPLOYEE | Commercial | $766 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BLUE CROSS BLUE SHIELD PPO | Commercial | $766 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BLUE CROSS BLUE SHIELD HMO | Commercial | $766 | percent of total billed charges |
Methodist Celina Medical Center: all 33 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| SUPERIOR MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MCEL | Medicaid / CHIP | $43.00 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MCEL | Commercial | $56.05 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL | Commercial | $92.50 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MCEL | Commercial | $92.50 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MCEL | Commercial | $95.87 | fee schedule |
| BCBS | MHS HB BCBS HMO MCEL | Commercial | $98.02 | fee schedule |
| TRICARE | MHS HB TRICARE MCEL | Military / VA | $102 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MCEL | Medicare Advantage | $105 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MCEL | Medicare Advantage | $105 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MCEL | Medicare Advantage | $105 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MCEL | Medicare Advantage | $105 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MCEL | Medicare Advantage | $105 | other |
| BCBS | MHS HB BCBS PPO MCEL | Commercial | $107 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MCEL | Commercial | $107 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MCEL | Medicare Advantage | $110 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MCEL | Medicare Advantage | $110 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MCEL | Medicare Advantage | $111 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MCEL | Medicare Advantage | $111 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MCEL | Medicare Advantage | $111 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MCEL | Medicare Advantage | $112 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MCEL | Commercial | $137 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MCEL | Commercial | $152 | other |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MCEL | Commercial | $163 | other |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MCEL | Commercial | $168 | other |
| AETNA | MHS HB AETNA CVS MCEL | Commercial | $170 | other |
| AETNA | MHS HB AETNA EXCHANGE MCEL | Commercial | $170 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MCEL | Commercial | $173 | other |
| SANA BENEFITS | MHS HB SANA MCEL | Commercial | $210 | other |
| VELOCITY | MHS HB VELOCITY MCEL | Commercial | $210 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MCEL | Workers' comp | $210 | other |
| EVRY HEALTH | MHS HB EVRY MCEL | Commercial | $210 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MCEL | Commercial | $263 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MCEL | Commercial | $263 | other |
Methodist Dallas Medical Center: all 52 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| UNITED HEALTHCARE MEDICAID MANAGED CARE | MHS HB UNITED MEDICAID STAR PLUS MDMC | Medicaid / CHIP | $37.14 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MDMC | Commercial | $51.76 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MDMC | Commercial | $85.15 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MDMC | Commercial | $85.15 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MDMC | Commercial | $88.52 | fee schedule |
| BCBS | MHS HB BCBS HMO MDMC | Commercial | $90.36 | fee schedule |
| BCBS | MHS HB BCBS PPO MDMC | Commercial | $98.32 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MDMC | Commercial | $98.32 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MDMC | Medicare Advantage | $105 | other |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MDMC | Public program | $105 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MDMC | Medicare Advantage | $105 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MDMC | Medicare Advantage | $105 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MDMC | Medicare Advantage | $105 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MDMC | Medicare Advantage | $105 | other |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MDMC | Medicare Advantage | $107 | other |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MDMC | Medicare Advantage | $110 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MDMC | Medicare Advantage | $110 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MDMC | Medicare Advantage | $110 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MDMC | Medicare Advantage | $110 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MDMC | Medicare Advantage | $111 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MDMC | Medicare Advantage | $111 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MDMC | Medicare Advantage | $111 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MDMC | Commercial | $112 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MDMC | Medicare Advantage | $112 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MDMC | Medicare Advantage | $113 | other |
| AETNA COMMERCIAL | MHS HB AETNA TX PREF PLUS II MDMC | Commercial | $116 | fee schedule |
| AETNA | MHS HB AETNA BAYLOR SCOTT AND WHITE MDMC | Commercial | $121 | fee schedule |
| AETNA COMMERCIAL | MHS HB AETNA TEXAS ADVANTAGE MDMC | Commercial | $122 | fee schedule |
| AETNA MANAGED CARE | MHS HB AETNA WHOLE HEALTH MDMC | Commercial | $122 | fee schedule |
| CORALVITA | MHS HB VIBRA MRMC MCMC MDMC | Commercial | $126 | other |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MDMC | Commercial | $131 | other |
| AETNA | MHS HB AETNA HMO PPO MDMC | Commercial | $136 | fee schedule |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MDMC | Commercial | $137 | other |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MDMC | Commercial | $147 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MDMC | Commercial | $152 | other |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MDMC | Medicaid / CHIP | $160 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MDMC | Commercial | $163 | other |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MDMC | Commercial | $168 | other |
| AETNA | MHS HB AETNA EXCHANGE MDMC | Commercial | $170 | other |
| AETNA | MHS HB AETNA CVS MDMC | Commercial | $170 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MDMC | Commercial | $173 | other |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MDMC | Commercial | $179 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MDMC | Commercial | $180 | other |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MDMC | Commercial | $189 | other |
| CIGNA | MHS HB CUSTOM INK MDMC | Commercial | $194 | other |
| EVRY HEALTH | MHS HB EVRY MDMC | Commercial | $210 | other |
| SANA BENEFITS | MHS HB SANA MDMC | Commercial | $210 | other |
| VELOCITY | MHS HB VELOCITY MDMC | Commercial | $210 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MDMC | Workers' comp | $210 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MDMC | Commercial | $263 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MDMC | Commercial | $263 | other |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MDMC | Commercial | $284 | other |
Methodist Mansfield Medical Center: all 47 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| UNITED HEALTHCARE MEDICAID MANAGED CARE | MHS HB UNITED MEDICAID STAR PLUS MMMC | Medicaid / CHIP | $37.14 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MMMC | Commercial | $51.76 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MMMC | Commercial | $85.15 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MMMC | Commercial | $85.15 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MMMC | Commercial | $88.52 | fee schedule |
| BCBS | MHS HB BCBS HMO MMMC | Commercial | $90.36 | fee schedule |
| BCBS | MHS HB BCBS PPO MMMC | Commercial | $98.32 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MMMC | Commercial | $98.32 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MMMC | Medicare Advantage | $105 | other |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MMMC | Public program | $105 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MMMC | Medicare Advantage | $105 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MMMC | Medicare Advantage | $105 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MMMC | Medicare Advantage | $105 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MMMC | Medicare Advantage | $105 | other |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MMMC | Medicare Advantage | $107 | other |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MMMC | Medicare Advantage | $110 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MMMC | Medicare Advantage | $110 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MMMC | Medicare Advantage | $110 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MMMC | Medicare Advantage | $110 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MMMC | Medicare Advantage | $112 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MMMC | Medicare Advantage | $112 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MMMC | Medicare Advantage | $112 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MMMC | Commercial | $113 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MMMC | Medicare Advantage | $113 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MMMC | Medicare Advantage | $114 | other |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MMMC | Commercial | $131 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MMMC | Commercial | $137 | other |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MMMC | Medicaid / CHIP | $138 | fee schedule |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MMMC | Commercial | $147 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MMMC | Commercial | $153 | other |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MMMC | Commercial | $163 | other |
| WELLPOINT MEDICAID MANAGED CARE | MHS HB WELLPOINT MEDICAID STAR MMMC | Medicaid / CHIP | $167 | fee schedule |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MMMC | Commercial | $168 | other |
| AETNA | MHS HB AETNA EXCHANGE MMMC | Commercial | $170 | other |
| AETNA | MHS HB AETNA CVS MMMC | Commercial | $170 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MMMC | Commercial | $174 | other |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MMMC | Commercial | $179 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MMMC | Commercial | $180 | other |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MMMC | Commercial | $189 | other |
| CIGNA | MHS HB CUSTOM INK MMMC | Commercial | $195 | other |
| EVRY HEALTH | MHS HB EVRY MMMC | Commercial | $210 | other |
| SANA BENEFITS | MHS HB SANA MMMC | Commercial | $210 | other |
| VELOCITY | MHS HB VELOCITY MMMC | Commercial | $210 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MMMC | Workers' comp | $210 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MMMC | Commercial | $263 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MMMC | Commercial | $263 | other |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MMMC | Commercial | $284 | other |
Methodist Midlothian Medical Center: all 39 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| UNITED HEALTHCARE MEDICAID MANAGED CARE | MHS HB UNITED MEDICAID STAR PLUS MLMC | Medicaid / CHIP | $37.14 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MLMC | Medicare Advantage | $105 | other |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MLMC | Public program | $105 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MLMC | Medicare Advantage | $105 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MLMC | Medicare Advantage | $105 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MLMC | Medicare Advantage | $105 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MLMC | Medicare Advantage | $105 | other |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MLMC | Medicare Advantage | $107 | other |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MLMC | Medicare Advantage | $110 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MLMC | Medicare Advantage | $110 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MLMC | Medicare Advantage | $110 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MLMC | Medicare Advantage | $110 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MLMC | Medicare Advantage | $111 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MLMC | Medicare Advantage | $111 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MLMC | Medicare Advantage | $111 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MLMC | Commercial | $112 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MLMC | Medicare Advantage | $112 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MLMC | Medicare Advantage | $113 | other |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MLMC | Commercial | $131 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MLMC | Commercial | $137 | other |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MLMC | Commercial | $147 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MLMC | Commercial | $152 | other |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MLMC | Medicaid / CHIP | $160 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MLMC | Commercial | $163 | other |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MLMC | Commercial | $168 | other |
| AETNA | MHS HB AETNA EXCHANGE MLMC | Commercial | $170 | other |
| AETNA | MHS HB AETNA CVS MLMC | Commercial | $170 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MLMC | Commercial | $173 | other |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MLMC | Commercial | $179 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MLMC | Commercial | $180 | other |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MLMC | Commercial | $189 | other |
| CIGNA | MHS HB CUSTOM INK MLMC | Commercial | $194 | other |
| EVRY HEALTH | MHS HB EVRY MLMC | Commercial | $210 | other |
| SANA BENEFITS | MHS HB SANA MLMC | Commercial | $210 | other |
| VELOCITY | MHS HB VELOCITY MLMC | Commercial | $210 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MLMC | Workers' comp | $210 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MLMC | Commercial | $263 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MLMC | Commercial | $263 | other |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MLMC | Commercial | $284 | other |
Methodist Richardson Medical Center: all 45 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| UNITED HEALTHCARE MEDICAID MANAGED CARE | MHS HB UNITED MEDICAID STAR PLUS MRMC | Medicaid / CHIP | $37.14 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MRMC | Commercial | $61.57 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MRMC | Commercial | $101 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MRMC | Commercial | $101 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MRMC | Medicare Advantage | $105 | other |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MRMC | Public program | $105 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MRMC | Medicare Advantage | $105 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MRMC | Medicare Advantage | $105 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MRMC | Medicare Advantage | $105 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MRMC | Medicare Advantage | $105 | other |
| BCBS | MHS HB BCBS CITY OF DALLAS MRMC | Commercial | $105 | fee schedule |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MRMC | Medicare Advantage | $107 | other |
| BCBS | MHS HB BCBS HMO MRMC | Commercial | $108 | fee schedule |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MRMC | Medicare Advantage | $110 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MRMC | Medicare Advantage | $110 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MRMC | Medicare Advantage | $110 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MRMC | Medicare Advantage | $110 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MRMC | Medicare Advantage | $111 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MRMC | Medicare Advantage | $111 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MRMC | Medicare Advantage | $111 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MRMC | Commercial | $112 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MRMC | Medicare Advantage | $112 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MRMC | Medicare Advantage | $113 | other |
| BCBS | MHS HB BCBS PPO MRMC | Commercial | $117 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MRMC | Commercial | $117 | fee schedule |
| CORALVITA | MHS HB VIBRA MRMC MCMC MDMC | Commercial | $126 | other |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MRMC | Commercial | $131 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MRMC | Commercial | $137 | other |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MRMC | Commercial | $147 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MRMC | Commercial | $152 | other |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MRMC | Medicaid / CHIP | $160 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MRMC | Commercial | $163 | other |
| AETNA | MHS HB AETNA EXCHANGE MRMC | Commercial | $170 | other |
| AETNA | MHS HB AETNA CVS MRMC | Commercial | $170 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MRMC | Commercial | $173 | other |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MRMC | Commercial | $179 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MRMC | Commercial | $180 | other |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MRMC | Commercial | $189 | other |
| CIGNA | MHS HB CUSTOM INK MRMC | Commercial | $194 | other |
| EVRY HEALTH | MHS HB EVRY MRMC | Commercial | $210 | other |
| SANA BENEFITS | MHS HB SANA MRMC | Commercial | $210 | other |
| VELOCITY | MHS HB VELOCITY MRMC | Commercial | $210 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MRMC | Commercial | $263 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MRMC | Commercial | $263 | other |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MRMC | Commercial | $284 | other |
Methodist Southlake Medical Center: all 53 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| UNITED HEALTHCARE MEDICAID MANAGED CARE | MHS HB UNITED MEDICAID STAR PLUS MSMC | Medicaid / CHIP | $37.14 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MSMC | Commercial | $51.76 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MSMC | Commercial | $85.15 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MSMC | Commercial | $85.15 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MSMC | Commercial | $88.52 | fee schedule |
| BCBS | MHS HB BCBS HMO MSMC | Commercial | $90.36 | fee schedule |
| AETNA COMMERCIAL | MHS HB AETNA TX PREF PLUS II MSMC | Commercial | $98.19 | fee schedule |
| BCBS | MHS HB BCBS PPO MSMC | Commercial | $98.32 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MSMC | Commercial | $98.32 | fee schedule |
| TRICARE | MHS HB TRICARE MSMC | Military / VA | $102 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MSMC | Medicare Advantage | $105 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MSMC | Medicare Advantage | $105 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MSMC | Medicare Advantage | $105 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MSMC | Medicare Advantage | $105 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MSMC | Medicare Advantage | $105 | other |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MSMC | Medicare Advantage | $107 | other |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MSMC | Medicare Advantage | $110 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MSMC | Medicare Advantage | $110 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MSMC | Medicare Advantage | $110 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MSMC | Medicare Advantage | $110 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MSMC | Medicare Advantage | $112 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MSMC | Medicare Advantage | $112 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MSMC | Medicare Advantage | $112 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MSMC | Commercial | $113 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MSMC | Medicare Advantage | $113 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MSMC | Medicare Advantage | $114 | other |
| AETNA COMMERCIAL | MHS HB AETNA TEXAS ADVANTAGE MSMC | Commercial | $117 | fee schedule |
| AETNA MANAGED CARE | MHS HB AETNA WHOLE HEALTH MSMC | Commercial | $117 | fee schedule |
| AETNA | MHS HB AETNA HMO PPO MSMC | Commercial | $129 | fee schedule |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MSMC | Commercial | $131 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MSMC | Commercial | $137 | other |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MSMC | Medicaid / CHIP | $138 | fee schedule |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MSMC | Commercial | $147 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MSMC | Commercial | $153 | other |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MSMC | Commercial | $163 | other |
| WELLPOINT MEDICAID MANAGED CARE | MHS HB WELLPOINT MEDICAID STAR MSMC | Medicaid / CHIP | $167 | fee schedule |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MSMC | Commercial | $168 | other |
| AETNA | MHS HB AETNA EXCHANGE MSMC | Commercial | $170 | other |
| AETNA | MHS HB AETNA CVS MSMC | Commercial | $170 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MSMC | Commercial | $174 | other |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MSMC | Commercial | $179 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MSMC | Commercial | $180 | other |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MSMC | Commercial | $189 | other |
| CIGNA | MHS HB CUSTOM INK MSMC | Commercial | $195 | other |
| EVRY HEALTH | MHS HB EVRY MSMC | Commercial | $210 | other |
| SANA BENEFITS | MHS HB SANA MSMC | Commercial | $210 | other |
| VELOCITY | MHS HB VELOCITY MSMC | Commercial | $210 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MSMC | Workers' comp | $210 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MSMC | Commercial | $263 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MSMC | Commercial | $263 | other |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MSMC | Commercial | $284 | other |
| UNITED HEALTHCARE-COMMERCIAL | MHS HB UNITED HEALTHCARE MSMC | Commercial | $453 | per diem |
| AETNA | MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC | Commercial | $848 | percent of total billed charges |
Cook Children's Medical Center: all 31 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| FIRSTCARE | STAR | Medicaid / CHIP | $292 | Percent of Total Billed Charges |
| HEALTH PLAN w/o UHRIP | CHIP | Medicaid / CHIP | $292 | Percent of Total Billed Charges |
| HEALTH PLAN w/o UHRIP | STAR KIDS | Medicaid / CHIP | $292 | Percent of Total Billed Charges |
| RIGHTCARE | STAR | Medicaid / CHIP | $406 | Percent of Total Billed Charges |
| RIGHTCARE | MDC S&W | Medicaid / CHIP | $406 | Percent of Total Billed Charges |
| MOLINA | CHIP | Medicaid / CHIP | $450 | Percent of Total Billed Charges |
| MOLINA | STAR KIDS | Medicaid / CHIP | $450 | Percent of Total Billed Charges |
| MOLINA | STAR | Medicaid / CHIP | $450 | Percent of Total Billed Charges |
| HEALTH PLAN w. UHRIP | STAR | Medicaid / CHIP | $462 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | CHIP | Medicaid / CHIP | $535 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | STAR | Medicaid / CHIP | $535 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | STAR MEDICAID | Medicaid / CHIP | $535 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | CHIP | Medicaid / CHIP | $535 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | STAR KIDS | Medicaid / CHIP | $535 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | STAR | Medicaid / CHIP | $535 | Percent of Total Billed Charges |
| Optum | ALL PRODUCTS | Commercial | $705 | Percent of Total Billed Charges |
| BCBS | HMO | Commercial | $948 | Percent of Total Billed Charges |
| FIRSTCARE | ALL PRODUCTS | Commercial | $972 | Percent of Total Billed Charges |
| BCBS | PPO | Commercial | $1,021 | Percent of Total Billed Charges |
| S&W HEALTH | ALL PRODUCTS | Commercial | $1,021 | Percent of Total Billed Charges |
| CIGNA | CIGNA-MGD | Commercial | $1,033 | Percent of Total Billed Charges |
| HEALTHSCOPE | ALL PRODUCTS | Commercial | $1,033 | Percent of Total Billed Charges |
| IMAGINE HEALTH | ALL PRODUCTS | Commercial | $1,033 | Percent of Total Billed Charges |
| UHC | MGD | Commercial | $1,033 | Percent of Total Billed Charges |
| HUMANA | CONCENTRIC PPO | Commercial | $1,057 | Percent of Total Billed Charges |
| MULTIPLAN | PHCS | Commercial | $1,057 | Percent of Total Billed Charges |
| MULTIPLAN | ALL PRODUCTS | Commercial | $1,057 | Percent of Total Billed Charges |
| FIRST HEALTH | PPO | Commercial | $1,069 | Percent of Total Billed Charges |
| HUMANA | CHOICECARE PPO | Commercial | $1,069 | Percent of Total Billed Charges |
| GALAXY HEALTH | ALL PRODUCTS | Commercial | $1,094 | Percent of Total Billed Charges |
| USAMCO | ALL PRODUCTS | Commercial | $1,118 | Percent of Total Billed Charges |
Cook Children's Medical Center – Prosper: all 45 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | BETTER HEALTH STAR UHRIP | Medicaid / CHIP | $43.74 | Fee Schedule |
| Aetna | BETTER HEALTH STAR Kids | Medicaid / CHIP | $43.74 | Fee Schedule |
| Aetna | BETTER HEALTH CHIP | Medicaid / CHIP | $43.74 | Fee Schedule |
| EL PASO HEALTH FIRST | STAR MEDICAID | Medicaid / CHIP | $135 | Fee Schedule |
| EL PASO HEALTH FIRST | STAR | Medicaid / CHIP | $135 | Fee Schedule |
| EL PASO HEALTH FIRST | CHIP | Medicaid / CHIP | $135 | Fee Schedule |
| HEALTH PLAN w. UHRIP | STAR | Medicaid / CHIP | $135 | Fee Schedule |
| HEALTH PLAN w/o UHRIP | CHIP | Medicaid / CHIP | $135 | Fee Schedule |
| HEALTH PLAN w/o UHRIP | STAR KIDS | Medicaid / CHIP | $135 | Fee Schedule |
| TX CHILDREN HEALTH | CHIP | Medicaid / CHIP | $135 | Fee Schedule |
| TX CHILDREN HEALTH | STAR | Medicaid / CHIP | $135 | Fee Schedule |
| TX CHILDREN HEALTH | STAR KIDS | Medicaid / CHIP | $135 | Fee Schedule |
| WELLPOINT | CHIP | Medicaid / CHIP | $141 | Fee Schedule |
| WELLPOINT | STAR PLUS | Medicaid / CHIP | $141 | Fee Schedule |
| WELLPOINT | STAR | Medicaid / CHIP | $141 | Fee Schedule |
| BCBS | BCBS TX STAR | Medicaid / CHIP | $145 | Fee Schedule |
| BCBS | CHIP | Medicaid / CHIP | $145 | Fee Schedule |
| BCBS | CHIP STAR KIDS | Medicaid / CHIP | $145 | Fee Schedule |
| SUPERIOR HEALTH | STAR | Medicaid / CHIP | $145 | Fee Schedule |
| SUPERIOR HEALTH | STAR PLUS | Medicaid / CHIP | $145 | Fee Schedule |
| SUPERIOR HEALTH | CHIP | Medicaid / CHIP | $145 | Fee Schedule |
| FIRSTCARE | STAR | Medicaid / CHIP | $148 | Fee Schedule |
| UNITED COMMUNITY | STAR KIDS | Medicaid / CHIP | $148 | Fee Schedule |
| UNITED COMMUNITY | STAR PLUS | Medicaid / CHIP | $148 | Fee Schedule |
| UNITED COMMUNITY | STAR | Medicaid / CHIP | $148 | Fee Schedule |
| UNITED COMMUNITY | CHIP | Medicaid / CHIP | $148 | Fee Schedule |
| Optum | ALL PRODUCTS | Commercial | $535 | Percent of Total Billed Charges |
| BCBS | HMO | Commercial | $948 | Percent of Total Billed Charges |
| FIRSTCARE | ALL PRODUCTS | Commercial | $972 | Percent of Total Billed Charges |
| BCBS | PPO | Commercial | $1,021 | Percent of Total Billed Charges |
| S&W HEALTH | ALL PRODUCTS | Commercial | $1,021 | Percent of Total Billed Charges |
| Aetna | ALL PRODUCTS | Commercial | $1,033 | Percent of Total Billed Charges |
| CIGNA | CIGNA-MGD | Commercial | $1,033 | Percent of Total Billed Charges |
| HEALTHSCOPE | ALL PRODUCTS | Commercial | $1,033 | Percent of Total Billed Charges |
| IMAGINE HEALTH | ALL PRODUCTS | Commercial | $1,033 | Percent of Total Billed Charges |
| UHC | MGD | Commercial | $1,033 | Percent of Total Billed Charges |
| HUMANA | CONCENTRIC PPO | Commercial | $1,057 | Percent of Total Billed Charges |
| MULTIPLAN | ALL PRODUCTS | Commercial | $1,057 | Percent of Total Billed Charges |
| MULTIPLAN | PHCS | Commercial | $1,057 | Percent of Total Billed Charges |
| FIRST HEALTH | PPO | Commercial | $1,069 | Percent of Total Billed Charges |
| HUMANA | CHOICECARE PPO | Commercial | $1,069 | Percent of Total Billed Charges |
| BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | Commercial | $1,094 | Percent of Total Billed Charges |
| GALAXY HEALTH | ALL PRODUCTS | Commercial | $1,094 | Percent of Total Billed Charges |
| Healthsmart | ALL PRODUCTS | Commercial | $1,094 | Percent of Total Billed Charges |
| USAMCO | ALL PRODUCTS | Commercial | $1,118 | Percent of Total Billed Charges |
What this price covers
These are hospital charges for CPT code 77080 (Bone density scan (DEXA), hip and spine). 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.