Emergency room visit, level 3 (moderate) (CPT 99283)
ER visit level 3 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 99283; Medicaid and Medicare Advantage are shown separately below.
| Hospital | Published cash price | Typical insured rate | Lowest insured rate |
|---|---|---|---|
| Texas Health Harris Methodist Hospital SouthlakeTexas Health Resources · file Apr 2026 | $579Cash ÷ typical 0.8× | $72421 plans | $409 |
| Texas Health Hospital RockwallTexas Health Resources · file Apr 2026 | $579Cash ÷ typical 0.8× | $72421 plans | $409 |
| Texas Health Heart & Vascular Hospital ArlingtonTexas Health Resources · file Apr 2026 | $579Cash ÷ typical 0.8× | $72421 plans | $409 |
| Texas Health Presbyterian Hospital Flower MoundTexas Health Resources · file Apr 2026 | $579Cash ÷ typical 0.8× | $72421 plans | $409 |
| Texas Health Presbyterian Hospital DentonTexas Health Resources · file Apr 2026 | $579Cash ÷ typical 0.8× | $72421 plans | $454 |
| Texas Health Harris Methodist Hospital AllianceTexas Health Resources · file Apr 2026 | $579Cash ÷ typical 0.8× | $72421 plans | $454 |
| Texas Health Center for Diagnostics and Surgery PlanoTexas Health Resources · file Apr 2026 | $579Cash ÷ typical 0.8× | $72421 plans | $409 |
| Texas Health Arlington Memorial HospitalTexas Health Resources · file Apr 2026 | $579Cash ÷ typical 0.8× | $72421 plans | $454 |
| Texas Health Presbyterian Hospital DallasTexas Health Resources · file Apr 2026 | $579Cash ÷ typical 0.8× | $72421 plans | $454 |
| Texas Health Harris Methodist Hospital Hurst-Euless-BedfordTexas Health Resources · file Apr 2026 | $579Cash ÷ typical 0.8× | $72421 plans | $454 |
| Texas Health Harris Methodist Hospital AzleTexas Health Resources · file Apr 2026 | $579Cash ÷ typical 0.7× | $80721 plans | $454 |
| Texas Health Harris Methodist Hospital CleburneTexas Health Resources · file Apr 2026 | $579Cash ÷ typical 0.7× | $84021 plans | $454 |
| Texas Health Hospital ClearforkTexas Health Resources · file Apr 2026 | $579Cash ÷ typical 0.8× | $72421 plans | $454 |
| Texas Health Presbyterian Hospital PlanoTexas Health Resources · file Apr 2026 | $579Cash ÷ typical 0.8× | $72421 plans | $454 |
| Texas Health Presbyterian Hospital KaufmanTexas Health Resources · file Apr 2026 | $579Cash ÷ typical 0.7× | $84021 plans | $454 |
| Texas Health Presbyterian Hospital AllenTexas Health Resources · file Apr 2026 | $579Cash ÷ typical 0.7× | $80721 plans | $454 |
| Texas Health Harris Methodist Hospital Fort WorthTexas Health Resources · file Apr 2026 | $579Cash ÷ typical 0.9× | $67721 plans | $368 |
| Texas Health Hospital FriscoTexas Health Resources · file Apr 2026 | $579Cash ÷ typical 0.8× | $72421 plans | $454 |
| Methodist Celina Medical CenterMethodist Health System · file Mar 2026 | $587Cash ÷ typical 1.1× | $54819 plans | $356 |
| Methodist Dallas Medical CenterMethodist Health System · file Mar 2026 | $587Cash ÷ typical 1.1× | $54833 plans | $293 |
| Methodist Mansfield Medical CenterMethodist Health System · file Mar 2026 | $587Cash ÷ typical 1.2× | $50827 plans | $294 |
| Methodist Midlothian Medical CenterMethodist Health System · file Mar 2026 | $587Cash ÷ typical 1.3× | $45920 plans | $293 |
| Methodist Richardson Medical CenterMethodist Health System · file Mar 2026 | $587Cash ÷ typical 1.2× | $50727 plans | $293 |
| Methodist Southlake Medical CenterMethodist Health System · file Mar 2026 | $587Cash ÷ typical 1.1× | $54933 plans | $294 |
| Parkland Health (Parkland Memorial Hospital)Parkland Health · file May 2026 | $590Cash ÷ typical 0.6× | $98411 plans | $310 |
| Baylor Scott & White Medical Center – Lake PointeBaylor Scott & White Health · file Jun 2026 | $770Cash ÷ typical 0.8× | $93024 plans | $329 |
| Baylor Scott & White The Heart Hospital – DentonBaylor Scott & White Health · file Jun 2026 | $770Cash ÷ typical 0.9× | $89823 plans | $329 |
| Baylor Scott & White The Heart Hospital – McKinneyBaylor Scott & White Health · file Jun 2026 | $770Cash ÷ typical 0.8× | $96317 plans | $603 |
| Baylor Scott & White The Heart Hospital – PlanoBaylor Scott & White Health · file Jun 2026 | $770Cash ÷ typical 0.9× | $89823 plans | $329 |
| Baylor Scott & White All Saints Medical Center – Fort WorthBaylor Scott & White Health · file Jun 2026 | $770Cash ÷ typical 0.9× | $89823 plans | $329 |
| Baylor Scott & White Medical Center – Frisco at PGA ParkwayBaylor Scott & White Health · file Jun 2026 | $770Cash ÷ typical 0.9× | $89822 plans | $329 |
| Baylor Scott & White Medical Center – McKinneyBaylor Scott & White Health · file Jun 2026 | $770Cash ÷ typical 0.9× | $89823 plans | $329 |
| Baylor Scott & White Medical Center – GrapevineBaylor Scott & White Health · file Jun 2026 | $770Cash ÷ typical 0.9× | $89823 plans | $330 |
| Baylor University Medical CenterBaylor Scott & White Health · file Jun 2026 | $770Cash ÷ typical 0.8× | $93026 plans | $329 |
| Baylor Scott & White Medical Center – WaxahachieBaylor Scott & White Health · file Jun 2026 | $770Cash ÷ typical 0.9× | $89823 plans | $329 |
| Baylor Scott & White Medical Center – IrvingBaylor Scott & White Health · file Jun 2026 | $770Cash ÷ typical 0.9× | $89823 plans | $329 |
| Baylor Scott & White Heart and Vascular Hospital – DallasBaylor Scott & White Health · file Jun 2026 | $770Cash ÷ typical 0.9× | $89823 plans | $329 |
| Baylor Scott & White Heart and Vascular Hospital – WaxahachieBaylor Scott & White Health · file Jun 2026 | $770Cash ÷ typical 0.9× | $89819 plans | $329 |
| Baylor Scott & White Medical Center – PlanoBaylor Scott & White Health · file Jun 2026 | $770Cash ÷ typical 0.9× | $89825 plans | $329 |
| Baylor Scott & White Medical Center – CentennialBaylor Scott & White Health · file Jun 2026 | $770Cash ÷ typical 0.8× | $96323 plans | $329 |
| UT Southwestern William P. Clements Jr. University HospitalUT Southwestern Medical Center · file Mar 2026 | $771Cash ÷ typical 0.7× | $1,16319 plans | $804 |
| Cook Children's Medical CenterCook Children's · children's hospital (not in the summary above) · file Jan 2026 | $1,181–$1,519Cash ÷ typical 0.7× | $1,72219 plans | $891 |
| Cook Children's Medical Center – ProsperCook Children's · children's hospital (not in the summary above) · file Jan 2026 | $1,181–$1,519Cash ÷ typical 0.7× | $1,72219 plans | $891 |
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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 |
|---|---|---|---|---|---|---|---|---|---|
| Texas Health Harris Methodist Hospital Southlake | $4,735–$9,653 | $409–$677 | $534–$908 | $6,468–$8,657 | — | — | — | $106–$302 | $275–$310 |
| Texas Health Hospital Rockwall | $4,735–$9,653 | $409–$677 | $534–$908 | $6,468–$8,657 | — | — | — | $92–$302 | $274–$310 |
| Texas Health Heart & Vascular Hospital Arlington | $4,735–$9,653 | $409–$677 | $534–$908 | $6,468–$8,657 | — | — | — | $86–$302 | $275–$310 |
| Texas Health Presbyterian Hospital Flower Mound | $4,735–$9,653 | $409–$677 | $534–$908 | $6,468–$8,657 | — | — | — | $145–$302 | $274–$310 |
| Texas Health Presbyterian Hospital Denton | $4,735–$9,653 | $495–$677 | $534–$908 | $6,468–$8,657 | — | — | — | $90–$302 | $274–$310 |
| Texas Health Harris Methodist Hospital Alliance | $4,735–$9,653 | $495–$677 | $534–$908 | $6,468–$8,657 | — | — | — | $99–$302 | $275–$310 |
| Texas Health Center for Diagnostics and Surgery Plano | $4,735–$9,653 | $409–$677 | $534–$908 | $6,468–$8,657 | — | — | — | $139–$293 | $266–$301 |
| Texas Health Arlington Memorial Hospital | $4,735–$9,653 | $495–$677 | $534–$908 | $6,468–$8,657 | — | — | — | $97–$302 | $275–$310 |
| Texas Health Presbyterian Hospital Dallas | $4,735–$9,653 | $495–$677 | $534–$908 | $6,468–$8,657 | — | — | — | $90–$302 | $274–$310 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | $4,735–$9,653 | $495–$677 | $534–$908 | $6,468–$8,657 | — | — | — | $104–$302 | $275–$310 |
| Texas Health Harris Methodist Hospital Azle | $4,735–$9,653 | $495–$677 | $534–$908 | $6,468–$8,657 | — | — | — | $106–$302 | $275–$310 |
| Texas Health Harris Methodist Hospital Cleburne | $4,735–$9,653 | $495–$677 | $534–$908 | $6,468–$8,657 | — | — | — | $97–$290 | $264–$298 |
| Texas Health Hospital Clearfork | $4,735–$9,653 | $495–$677 | $534–$908 | $6,468–$8,657 | — | — | — | $79–$302 | $275–$310 |
| Texas Health Presbyterian Hospital Plano | $4,735–$9,653 | $495–$677 | $534–$908 | $6,468–$8,657 | — | — | — | $118–$302 | $274–$310 |
| Texas Health Presbyterian Hospital Kaufman | $4,735–$9,653 | $495–$677 | $534–$908 | $6,468–$8,657 | — | — | — | $90–$302 | $274–$310 |
| Texas Health Presbyterian Hospital Allen | $4,735–$9,653 | $495–$677 | $534–$908 | $6,468–$8,657 | — | — | — | $111–$302 | $274–$310 |
| Texas Health Harris Methodist Hospital Fort Worth | $368–$885 | $495–$677 | $534–$908 | $6,468–$8,657 | — | — | — | $125–$302 | $274–$310 |
| Texas Health Hospital Frisco | $4,735–$9,653 | $495–$677 | $534–$908 | $6,468–$8,657 | — | — | — | $172–$302 | $274–$310 |
| Methodist Celina Medical Center | $1,505–$2,086 | $444 | — | — | — | $356 | — | $51.36 | $274–$293 |
| Methodist Dallas Medical Center | $1,449–$2,877 | $444–$2,522 | $507 | $293 | — | $356 | $469 | $48.79–$56.50 | $274–$296 |
| Methodist Mansfield Medical Center | $1,449–$2,877 | $445 | $508 | $294 | — | $357 | $470 | $48.79–$56.50 | $275–$297 |
| Methodist Midlothian Medical Center | — | $444 | $507 | $293 | — | $356 | $469 | $48.79–$56.50 | $274–$296 |
| Methodist Richardson Medical Center | $1,449–$2,877 | $444 | $507 | $293 | — | $356 | $469 | $48.79–$56.50 | $274–$296 |
| Methodist Southlake Medical Center | $1,449–$2,877 | $445–$2,102 | $508 | $294–$1,916 | — | $357 | $470 | $48.79–$56.50 | $275–$297 |
| Parkland Health (Parkland Memorial Hospital) | $310–$1,062 | $885 | $885 | $984 | — | — | — | $51–$275 | $308–$313 |
| Baylor Scott & White Medical Center – Lake Pointe | $1,388–$2,934 | $2,691 | — | — | $898 | — | $590 | $141–$151 | $261–$307 |
| Baylor Scott & White The Heart Hospital – Denton | $728–$1,533 | $2,691 | — | — | $898 | — | $590 | $141–$151 | $261–$307 |
| Baylor Scott & White The Heart Hospital – McKinney | $728–$1,533 | $2,691 | — | — | $898 | — | — | $233 | $261–$307 |
| Baylor Scott & White The Heart Hospital – Plano | $728–$1,533 | $2,691 | — | — | $898 | — | $590 | $165–$193 | $261–$307 |
| Baylor Scott & White All Saints Medical Center – Fort Worth | $728–$1,533 | $2,691 | — | — | $898 | — | $590 | $205–$220 | $261–$307 |
| Baylor Scott & White Medical Center – Frisco at PGA Parkway | $728–$1,533 | $2,691 | — | — | $898 | — | $590 | $359 | $261–$307 |
| Baylor Scott & White Medical Center – McKinney | $728–$1,533 | $2,691 | — | — | $898 | — | $590 | $218–$233 | $261–$307 |
| Baylor Scott & White Medical Center – Grapevine | $728–$1,533 | $2,691 | — | — | $898 | — | $591 | $193–$206 | $261–$308 |
| Baylor University Medical Center | $728–$1,533 | $2,691 | $6,299–$7,411 | — | $898 | — | $590 | $218–$233 | $261–$307 |
| Baylor Scott & White Medical Center – Waxahachie | $728–$1,533 | $2,691 | — | — | $898 | — | $590 | $193–$206 | $261–$307 |
| Baylor Scott & White Medical Center – Irving | $728–$1,533 | $2,691 | — | — | $898 | — | $590 | $141–$151 | $261–$307 |
| Baylor Scott & White Heart and Vascular Hospital – Dallas | $728–$1,533 | $2,691 | — | — | $898 | — | $590 | $103–$110 | $261–$307 |
| Baylor Scott & White Heart and Vascular Hospital – Waxahachie | $728–$1,533 | $2,691 | — | — | $898 | — | — | — | $261–$288 |
| Baylor Scott & White Medical Center – Plano | $728–$1,533 | $2,691 | — | — | $898 | — | $590 | $154–$165 | $261–$307 |
| Baylor Scott & White Medical Center – Centennial | $1,388–$2,934 | $2,691 | — | — | $898 | — | $590 | $205–$220 | $261–$307 |
| UT Southwestern William P. Clements Jr. University Hospital | $2,695–$4,165 | $804–$1,005 | $1,135 | $1,113–$1,984 | — | — | — | $51–$223 | $277–$313 |
| Cook Children's Medical Center | $1,580–$1,823 | $1,722 | $1,722 | $1,722 | $1,762–$1,782 | — | — | $378–$932 | — |
| Cook Children's Medical Center – Prosper | $1,580–$1,823 | $1,722 | $1,722 | $1,722 | $1,762–$1,782 | — | — | $350–$932 | — |
Texas Health Harris Methodist Hospital Southlake: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $106 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $106 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $106 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $106 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $111 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $114 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $116 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $275 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $275 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $280 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $286 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $288 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $302 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $305 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $310 | case rate |
| Aetna | Whole Health | Commercial | $409 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $454 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $504 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $534 | percent of total billed charges |
| Aetna | Commercial | Commercial | $545 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $579 | percent of total billed charges |
| PHCS | PPO | Commercial | $671 | percent of total billed charges |
| Cigna | PPO | Commercial | $673 | percent of total billed charges |
| Aetna | Coventry | Commercial | $677 | percent of total billed charges |
| Aetna | ASA | Commercial | $677 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $724 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $840 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $849 | percent of total billed charges |
| USA | MCO | Commercial | $849 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $908 | percent of total billed charges |
| Blue Cross Blue Shield | Exchange | Commercial | $4,735 | case rate |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $8,688 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $9,554 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $9,653 | case rate |
Texas Health Hospital Rockwall: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Parkland | Managed Medicaid | Medicaid / CHIP | $92.47 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $92.47 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $92.47 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $92.47 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $97.10 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $99.90 | percent of total billed charges |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $274 | case rate |
| American Health | Medicare Advantage | Medicare Advantage | $274 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $280 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $285 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $302 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $304 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $310 | case rate |
| Aetna | Whole Health | Commercial | $409 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $454 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $504 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $534 | percent of total billed charges |
| Aetna | Commercial | Commercial | $545 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $579 | percent of total billed charges |
| PHCS | PPO | Commercial | $671 | percent of total billed charges |
| Cigna | PPO | Commercial | $673 | percent of total billed charges |
| Aetna | ASA | Commercial | $677 | percent of total billed charges |
| Aetna | Coventry | Commercial | $677 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $724 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $840 | percent of total billed charges |
| USA | MCO | Commercial | $849 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $849 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $908 | percent of total billed charges |
| Blue Cross Blue Shield | Exchange | Commercial | $4,735 | case rate |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $8,688 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $9,554 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $9,653 | case rate |
Texas Health Heart & Vascular Hospital Arlington: all 39 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $85.91 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $85.91 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $85.91 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $85.91 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $90.25 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $92.76 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $94.50 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $275 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $275 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $280 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $286 | case rate |
| Humana | Medicare Advantage PPO | Medicare Advantage | $286 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $302 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $305 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $310 | case rate |
| Aetna | Whole Health | Commercial | $409 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $454 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $504 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $534 | percent of total billed charges |
| Aetna | Commercial | Commercial | $545 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $579 | percent of total billed charges |
| PHCS | PPO | Commercial | $671 | percent of total billed charges |
| Cigna | PPO | Commercial | $673 | percent of total billed charges |
| Aetna | ASA | Commercial | $677 | percent of total billed charges |
| Aetna | Coventry | Commercial | $677 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $724 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $840 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $849 | percent of total billed charges |
| USA | MCO | Commercial | $849 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $908 | percent of total billed charges |
| Blue Cross Blue Shield | Exchange | Commercial | $4,735 | case rate |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $8,688 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $9,554 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $9,653 | 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 | $145 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $145 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $145 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $145 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $153 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $157 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $160 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $274 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $274 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $280 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $285 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $288 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $302 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $304 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $310 | case rate |
| Aetna | Whole Health | Commercial | $409 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $454 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $504 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $534 | percent of total billed charges |
| Aetna | Commercial | Commercial | $545 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $579 | percent of total billed charges |
| PHCS | PPO | Commercial | $671 | percent of total billed charges |
| Cigna | PPO | Commercial | $673 | percent of total billed charges |
| Aetna | ASA | Commercial | $677 | percent of total billed charges |
| Aetna | Coventry | Commercial | $677 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $724 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $840 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $849 | percent of total billed charges |
| USA | MCO | Commercial | $849 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $908 | percent of total billed charges |
| Blue Cross Blue Shield | Exchange | Commercial | $4,735 | case rate |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $8,688 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $9,554 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $9,653 | 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 | $90.35 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $90.35 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $90.35 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $90.35 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $94.88 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $97.59 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $99.42 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $274 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $274 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $280 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $285 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $302 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $304 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $310 | case rate |
| City of Fort Worth | Commercial | Commercial | $454 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $495 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $504 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $534 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $579 | percent of total billed charges |
| Aetna | Commercial | Commercial | $660 | percent of total billed charges |
| PHCS | PPO | Commercial | $671 | percent of total billed charges |
| Cigna | PPO | Commercial | $673 | percent of total billed charges |
| Aetna | Coventry | Commercial | $677 | percent of total billed charges |
| Aetna | ASA | Commercial | $677 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $724 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $840 | percent of total billed charges |
| USA | MCO | Commercial | $849 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $849 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $908 | percent of total billed charges |
| Blue Cross Blue Shield | Exchange | Commercial | $4,735 | case rate |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $8,688 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $9,554 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $9,653 | 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 | $99.13 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $99.13 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $99.13 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $99.13 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $104 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $107 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $109 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $275 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $275 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $280 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $286 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $302 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $305 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $310 | case rate |
| City of Fort Worth | Commercial | Commercial | $454 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $495 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $504 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $534 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $579 | percent of total billed charges |
| Aetna | Commercial | Commercial | $660 | percent of total billed charges |
| PHCS | PPO | Commercial | $671 | percent of total billed charges |
| Cigna | PPO | Commercial | $673 | percent of total billed charges |
| Aetna | Coventry | Commercial | $677 | percent of total billed charges |
| Aetna | ASA | Commercial | $677 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $724 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $840 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $849 | percent of total billed charges |
| USA | MCO | Commercial | $849 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $908 | percent of total billed charges |
| Blue Cross Blue Shield | Exchange | Commercial | $4,735 | case rate |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $8,688 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $9,554 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $9,653 | 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 | $139 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $139 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $139 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $139 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $139 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $139 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $266 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $266 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $272 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $277 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $280 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $280 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $280 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $293 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $296 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $301 | case rate |
| Aetna | Whole Health | Commercial | $409 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $454 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $504 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $534 | percent of total billed charges |
| Aetna | Commercial | Commercial | $545 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $579 | percent of total billed charges |
| PHCS | PPO | Commercial | $671 | percent of total billed charges |
| Cigna | PPO | Commercial | $673 | percent of total billed charges |
| Aetna | Coventry | Commercial | $677 | percent of total billed charges |
| Aetna | ASA | Commercial | $677 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $724 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $840 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $849 | percent of total billed charges |
| USA | MCO | Commercial | $849 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $908 | percent of total billed charges |
| Blue Cross Blue Shield | Exchange | Commercial | $4,735 | case rate |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $8,688 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $9,554 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $9,653 | 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 | $97.30 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $97.30 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $97.30 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $97.30 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $97.30 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $102 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $105 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $107 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $275 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $275 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $280 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $286 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $288 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $302 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $305 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $310 | case rate |
| City of Fort Worth | Commercial | Commercial | $454 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $495 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $504 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $534 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $579 | percent of total billed charges |
| Aetna | Commercial | Commercial | $660 | percent of total billed charges |
| PHCS | PPO | Commercial | $671 | percent of total billed charges |
| Cigna | PPO | Commercial | $673 | percent of total billed charges |
| Aetna | ASA | Commercial | $677 | percent of total billed charges |
| Aetna | Coventry | Commercial | $677 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $724 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $840 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $849 | percent of total billed charges |
| USA | MCO | Commercial | $849 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $908 | percent of total billed charges |
| Blue Cross Blue Shield | Exchange | Commercial | $4,735 | case rate |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $8,688 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $9,554 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $9,653 | 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 | $90.35 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $90.35 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $90.35 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $90.35 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $94.88 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $97.59 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $274 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $274 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $280 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $285 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $288 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $302 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $304 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $310 | case rate |
| City of Fort Worth | Commercial | Commercial | $454 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $495 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $504 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $534 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $579 | percent of total billed charges |
| Aetna | Commercial | Commercial | $660 | percent of total billed charges |
| PHCS | PPO | Commercial | $671 | percent of total billed charges |
| Cigna | PPO | Commercial | $673 | percent of total billed charges |
| Aetna | ASA | Commercial | $677 | percent of total billed charges |
| Aetna | Coventry | Commercial | $677 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $724 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $840 | percent of total billed charges |
| USA | MCO | Commercial | $849 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $849 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $908 | percent of total billed charges |
| Blue Cross Blue Shield | Exchange | Commercial | $4,735 | case rate |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $8,688 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $9,554 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $9,653 | case rate |
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford: all 39 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $104 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $104 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $104 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $104 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $104 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $109 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $113 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $115 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $275 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $275 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $280 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $286 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $302 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $305 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $310 | case rate |
| City of Fort Worth | Commercial | Commercial | $454 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $495 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $504 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $534 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $579 | percent of total billed charges |
| Aetna | Commercial | Commercial | $660 | percent of total billed charges |
| PHCS | PPO | Commercial | $671 | percent of total billed charges |
| Cigna | PPO | Commercial | $673 | percent of total billed charges |
| Aetna | ASA | Commercial | $677 | percent of total billed charges |
| Aetna | Coventry | Commercial | $677 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $724 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $840 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $849 | percent of total billed charges |
| USA | MCO | Commercial | $849 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $908 | percent of total billed charges |
| Blue Cross Blue Shield | Exchange | Commercial | $4,735 | case rate |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $8,688 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $9,554 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $9,653 | 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 | $106 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $106 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $106 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $106 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $111 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $114 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $116 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $275 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $275 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $280 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $286 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $288 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $302 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $305 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $310 | case rate |
| City of Fort Worth | Commercial | Commercial | $454 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $495 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $504 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $534 | percent of total billed charges |
| Aetna | Commercial | Commercial | $660 | percent of total billed charges |
| Cigna | PPO | Commercial | $673 | percent of total billed charges |
| Aetna | ASA | Commercial | $677 | percent of total billed charges |
| Aetna | Coventry | Commercial | $677 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $685 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $724 | percent of total billed charges |
| PHCS | PPO | Commercial | $807 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $840 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $849 | percent of total billed charges |
| USA | MCO | Commercial | $849 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $908 | percent of total billed charges |
| Blue Cross Blue Shield | Exchange | Commercial | $4,735 | case rate |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $8,688 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $9,554 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $9,653 | 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 | $97.30 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $97.30 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $97.30 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $97.30 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $102 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $105 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $107 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $264 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $264 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $269 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $275 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $277 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $277 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $277 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $290 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $293 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $298 | case rate |
| City of Fort Worth | Commercial | Commercial | $454 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $495 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $504 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $534 | percent of total billed charges |
| Aetna | Commercial | Commercial | $660 | percent of total billed charges |
| Cigna | PPO | Commercial | $673 | percent of total billed charges |
| Aetna | ASA | Commercial | $677 | percent of total billed charges |
| Aetna | Coventry | Commercial | $677 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $685 | percent of total billed charges |
| PHCS | PPO | Commercial | $807 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $840 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $840 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $849 | percent of total billed charges |
| USA | MCO | Commercial | $849 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $908 | percent of total billed charges |
| Blue Cross Blue Shield | Exchange | Commercial | $4,735 | case rate |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $8,688 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $9,554 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $9,653 | 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 | $79.25 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $79.25 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $79.25 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $79.25 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $83.20 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $85.62 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $87.16 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $275 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $275 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $280 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $286 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $302 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $305 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $310 | case rate |
| City of Fort Worth | Commercial | Commercial | $454 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $495 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $504 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $534 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $579 | percent of total billed charges |
| Aetna | Commercial | Commercial | $660 | percent of total billed charges |
| PHCS | PPO | Commercial | $671 | percent of total billed charges |
| Cigna | PPO | Commercial | $673 | percent of total billed charges |
| Aetna | ASA | Commercial | $677 | percent of total billed charges |
| Aetna | Coventry | Commercial | $677 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $724 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $840 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $849 | percent of total billed charges |
| USA | MCO | Commercial | $849 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $908 | percent of total billed charges |
| Blue Cross Blue Shield | Exchange | Commercial | $4,735 | case rate |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $8,688 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $9,554 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $9,653 | 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 | $118 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $118 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $118 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $118 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $124 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $128 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $274 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $274 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $280 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $285 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $288 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $302 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $304 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $310 | case rate |
| City of Fort Worth | Commercial | Commercial | $454 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $495 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $504 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $534 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $579 | percent of total billed charges |
| Aetna | Commercial | Commercial | $660 | percent of total billed charges |
| PHCS | PPO | Commercial | $671 | percent of total billed charges |
| Cigna | PPO | Commercial | $673 | percent of total billed charges |
| Aetna | ASA | Commercial | $677 | percent of total billed charges |
| Aetna | Coventry | Commercial | $677 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $724 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $840 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $849 | percent of total billed charges |
| USA | MCO | Commercial | $849 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $908 | percent of total billed charges |
| Blue Cross Blue Shield | Exchange | Commercial | $4,735 | case rate |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $8,688 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $9,554 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $9,653 | 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 | $90.35 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $90.35 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $90.35 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $90.35 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $94.88 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $97.59 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $274 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $274 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $280 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $285 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $302 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $304 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $310 | case rate |
| City of Fort Worth | Commercial | Commercial | $454 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $495 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $504 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $534 | percent of total billed charges |
| Aetna | Commercial | Commercial | $660 | percent of total billed charges |
| Cigna | PPO | Commercial | $673 | percent of total billed charges |
| Aetna | ASA | Commercial | $677 | percent of total billed charges |
| Aetna | Coventry | Commercial | $677 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $685 | percent of total billed charges |
| PHCS | PPO | Commercial | $807 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $840 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $840 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $849 | percent of total billed charges |
| USA | MCO | Commercial | $849 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $908 | percent of total billed charges |
| Blue Cross Blue Shield | Exchange | Commercial | $4,735 | case rate |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $8,688 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $9,554 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $9,653 | 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 | $111 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $111 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $111 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $111 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $117 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $120 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $274 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $274 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $280 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $285 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $288 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $302 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $304 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $310 | case rate |
| City of Fort Worth | Commercial | Commercial | $454 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $495 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $504 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $534 | percent of total billed charges |
| Aetna | Commercial | Commercial | $660 | percent of total billed charges |
| Cigna | PPO | Commercial | $673 | percent of total billed charges |
| Aetna | ASA | Commercial | $677 | percent of total billed charges |
| Aetna | Coventry | Commercial | $677 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $685 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $724 | percent of total billed charges |
| PHCS | PPO | Commercial | $807 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $840 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $849 | percent of total billed charges |
| USA | MCO | Commercial | $849 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $908 | percent of total billed charges |
| Blue Cross Blue Shield | Exchange | Commercial | $4,735 | case rate |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $8,688 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $9,554 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $9,653 | 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 | $125 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $125 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $125 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $125 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $131 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $135 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $138 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $274 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $274 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $280 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $285 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $302 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $304 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $310 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $368 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $454 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $495 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $504 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $534 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $579 | percent of total billed charges |
| Aetna | Commercial | Commercial | $660 | percent of total billed charges |
| PHCS | PPO | Commercial | $671 | percent of total billed charges |
| Cigna | PPO | Commercial | $673 | percent of total billed charges |
| Aetna | ASA | Commercial | $677 | percent of total billed charges |
| Aetna | Coventry | Commercial | $677 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $724 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $726 | percent of total billed charges |
| Blue Cross Blue Shield | PPO | Commercial | $806 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $840 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $849 | percent of total billed charges |
| USA | MCO | Commercial | $849 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $885 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $908 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | 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 | $172 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $172 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $172 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $172 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $180 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $185 | percent of total billed charges |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $274 | case rate |
| American Health | Medicare Advantage | Medicare Advantage | $274 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $280 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $285 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $288 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $302 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $304 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $310 | case rate |
| City of Fort Worth | Commercial | Commercial | $454 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $495 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $504 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $534 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $579 | percent of total billed charges |
| Aetna | Commercial | Commercial | $660 | percent of total billed charges |
| PHCS | PPO | Commercial | $671 | percent of total billed charges |
| Cigna | PPO | Commercial | $673 | percent of total billed charges |
| Aetna | Coventry | Commercial | $677 | percent of total billed charges |
| Aetna | ASA | Commercial | $677 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $724 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $840 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $849 | percent of total billed charges |
| USA | MCO | Commercial | $849 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $908 | percent of total billed charges |
| Blue Cross Blue Shield | Exchange | Commercial | $4,735 | case rate |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $8,688 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $9,554 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $9,653 | case rate |
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 | $51.36 | case rate |
| TRICARE | MHS HB TRICARE MCEL | Military / VA | $266 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MCEL | Medicare Advantage | $274 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MCEL | Medicare Advantage | $274 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MCEL | Medicare Advantage | $274 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MCEL | Medicare Advantage | $274 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MCEL | Medicare Advantage | $274 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MCEL | Medicare Advantage | $288 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MCEL | Medicare Advantage | $288 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MCEL | Medicare Advantage | $291 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MCEL | Medicare Advantage | $291 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MCEL | Medicare Advantage | $291 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MCEL | Medicare Advantage | $293 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MCEL | Commercial | $356 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MCEL | Commercial | $398 | other |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MCEL | Commercial | $425 | other |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MCEL | Commercial | $439 | other |
| AETNA | MHS HB AETNA CVS MCEL | Commercial | $444 | other |
| AETNA | MHS HB AETNA EXCHANGE MCEL | Commercial | $444 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MCEL | Commercial | $452 | other |
| SANA BENEFITS | MHS HB SANA MCEL | Commercial | $548 | other |
| VELOCITY | MHS HB VELOCITY MCEL | Commercial | $548 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MCEL | Workers' comp | $548 | other |
| EVRY HEALTH | MHS HB EVRY MCEL | Commercial | $548 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MCEL | Commercial | $686 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MCEL | Commercial | $686 | other |
| BCBS | MHS HB BCBS MY BLUE HEALTH MCEL | Commercial | $1,505 | case rate |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL | Commercial | $1,813 | case rate |
| BCBS | MHS HB BCBS PREMIER MCEL | Commercial | $1,813 | case rate |
| BCBS | MHS HB BCBS CITY OF DALLAS MCEL | Commercial | $1,876 | case rate |
| BCBS | MHS HB BCBS HMO MCEL | Commercial | $1,918 | case rate |
| BCBS | MHS HB BCBS PPO MCEL | Commercial | $2,086 | case rate |
| BCBS | MHS HB BCBS TRADITIONAL MCEL | Commercial | $2,086 | case rate |
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 | $48.79 | case rate |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MDMC | Medicaid / CHIP | $56.50 | case rate |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MDMC | Medicare Advantage | $274 | other |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MDMC | Public program | $274 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MDMC | Medicare Advantage | $274 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MDMC | Medicare Advantage | $274 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MDMC | Medicare Advantage | $274 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MDMC | Medicare Advantage | $274 | other |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MDMC | Medicare Advantage | $280 | other |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MDMC | Medicare Advantage | $288 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MDMC | Medicare Advantage | $288 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MDMC | Medicare Advantage | $288 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MDMC | Medicare Advantage | $288 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MDMC | Medicare Advantage | $291 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MDMC | Medicare Advantage | $291 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MDMC | Medicare Advantage | $291 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MDMC | Commercial | $293 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MDMC | Medicare Advantage | $293 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MDMC | Medicare Advantage | $296 | other |
| CORALVITA | MHS HB VIBRA MRMC MCMC MDMC | Commercial | $329 | other |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MDMC | Commercial | $343 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MDMC | Commercial | $356 | other |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MDMC | Commercial | $384 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MDMC | Commercial | $398 | other |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MDMC | Commercial | $425 | other |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MDMC | Commercial | $439 | other |
| AETNA | MHS HB AETNA EXCHANGE MDMC | Commercial | $444 | other |
| AETNA | MHS HB AETNA CVS MDMC | Commercial | $444 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MDMC | Commercial | $452 | other |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MDMC | Commercial | $466 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MDMC | Commercial | $469 | other |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MDMC | Commercial | $494 | other |
| CIGNA | MHS HB CUSTOM INK MDMC | Commercial | $507 | other |
| EVRY HEALTH | MHS HB EVRY MDMC | Commercial | $548 | other |
| SANA BENEFITS | MHS HB SANA MDMC | Commercial | $548 | other |
| VELOCITY | MHS HB VELOCITY MDMC | Commercial | $548 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MDMC | Workers' comp | $548 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MDMC | Commercial | $686 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MDMC | Commercial | $686 | other |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MDMC | Commercial | $740 | other |
| BCBS | MHS HB BCBS MY BLUE HEALTH MDMC | Commercial | $1,449 | case rate |
| AETNA COMMERCIAL | MHS HB AETNA TX PREF PLUS II MDMC | Commercial | $2,144 | case rate |
| AETNA | MHS HB AETNA BAYLOR SCOTT AND WHITE MDMC | Commercial | $2,247 | case rate |
| AETNA COMMERCIAL | MHS HB AETNA TEXAS ADVANTAGE MDMC | Commercial | $2,269 | case rate |
| AETNA MANAGED CARE | MHS HB AETNA WHOLE HEALTH MDMC | Commercial | $2,269 | case rate |
| BCBS | MHS HB BCBS PREMIER MDMC | Commercial | $2,499 | case rate |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MDMC | Commercial | $2,499 | case rate |
| AETNA | MHS HB AETNA HMO PPO MDMC | Commercial | $2,522 | case rate |
| BCBS | MHS HB BCBS CITY OF DALLAS MDMC | Commercial | $2,590 | case rate |
| BCBS | MHS HB BCBS HMO MDMC | Commercial | $2,646 | case rate |
| BCBS | MHS HB BCBS PPO MDMC | Commercial | $2,877 | case rate |
| BCBS | MHS HB BCBS TRADITIONAL MDMC | Commercial | $2,877 | case rate |
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 | $48.79 | case rate |
| WELLPOINT MEDICAID MANAGED CARE | MHS HB WELLPOINT MEDICAID STAR MMMC | Medicaid / CHIP | $53.93 | case rate |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MMMC | Medicaid / CHIP | $56.50 | case rate |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MMMC | Medicare Advantage | $275 | other |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MMMC | Public program | $275 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MMMC | Medicare Advantage | $275 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MMMC | Medicare Advantage | $275 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MMMC | Medicare Advantage | $275 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MMMC | Medicare Advantage | $275 | other |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MMMC | Medicare Advantage | $280 | other |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MMMC | Medicare Advantage | $288 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MMMC | Medicare Advantage | $288 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MMMC | Medicare Advantage | $288 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MMMC | Medicare Advantage | $288 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MMMC | Medicare Advantage | $291 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MMMC | Medicare Advantage | $291 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MMMC | Medicare Advantage | $291 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MMMC | Commercial | $294 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MMMC | Medicare Advantage | $294 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MMMC | Medicare Advantage | $297 | other |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MMMC | Commercial | $343 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MMMC | Commercial | $357 | other |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MMMC | Commercial | $385 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MMMC | Commercial | $398 | other |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MMMC | Commercial | $426 | other |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MMMC | Commercial | $439 | other |
| AETNA | MHS HB AETNA EXCHANGE MMMC | Commercial | $445 | other |
| AETNA | MHS HB AETNA CVS MMMC | Commercial | $445 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MMMC | Commercial | $453 | other |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MMMC | Commercial | $467 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MMMC | Commercial | $470 | other |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MMMC | Commercial | $494 | other |
| CIGNA | MHS HB CUSTOM INK MMMC | Commercial | $508 | other |
| EVRY HEALTH | MHS HB EVRY MMMC | Commercial | $549 | other |
| SANA BENEFITS | MHS HB SANA MMMC | Commercial | $549 | other |
| VELOCITY | MHS HB VELOCITY MMMC | Commercial | $549 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MMMC | Workers' comp | $549 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MMMC | Commercial | $687 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MMMC | Commercial | $687 | other |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MMMC | Commercial | $742 | other |
| BCBS | MHS HB BCBS MY BLUE HEALTH MMMC | Commercial | $1,449 | case rate |
| BCBS | MHS HB BCBS PREMIER MMMC | Commercial | $2,499 | case rate |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MMMC | Commercial | $2,499 | case rate |
| BCBS | MHS HB BCBS CITY OF DALLAS MMMC | Commercial | $2,590 | case rate |
| BCBS | MHS HB BCBS HMO MMMC | Commercial | $2,646 | case rate |
| BCBS | MHS HB BCBS PPO MMMC | Commercial | $2,877 | case rate |
| BCBS | MHS HB BCBS TRADITIONAL MMMC | Commercial | $2,877 | case rate |
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 | $48.79 | case rate |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MLMC | Medicaid / CHIP | $56.50 | case rate |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MLMC | Medicare Advantage | $274 | other |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MLMC | Public program | $274 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MLMC | Medicare Advantage | $274 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MLMC | Medicare Advantage | $274 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MLMC | Medicare Advantage | $274 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MLMC | Medicare Advantage | $274 | other |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MLMC | Medicare Advantage | $280 | other |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MLMC | Medicare Advantage | $288 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MLMC | Medicare Advantage | $288 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MLMC | Medicare Advantage | $288 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MLMC | Medicare Advantage | $288 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MLMC | Medicare Advantage | $291 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MLMC | Medicare Advantage | $291 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MLMC | Medicare Advantage | $291 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MLMC | Commercial | $293 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MLMC | Medicare Advantage | $293 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MLMC | Medicare Advantage | $296 | other |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MLMC | Commercial | $343 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MLMC | Commercial | $356 | other |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MLMC | Commercial | $384 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MLMC | Commercial | $398 | other |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MLMC | Commercial | $425 | other |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MLMC | Commercial | $439 | other |
| AETNA | MHS HB AETNA EXCHANGE MLMC | Commercial | $444 | other |
| AETNA | MHS HB AETNA CVS MLMC | Commercial | $444 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MLMC | Commercial | $452 | other |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MLMC | Commercial | $466 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MLMC | Commercial | $469 | other |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MLMC | Commercial | $494 | other |
| CIGNA | MHS HB CUSTOM INK MLMC | Commercial | $507 | other |
| EVRY HEALTH | MHS HB EVRY MLMC | Commercial | $548 | other |
| SANA BENEFITS | MHS HB SANA MLMC | Commercial | $548 | other |
| VELOCITY | MHS HB VELOCITY MLMC | Commercial | $548 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MLMC | Workers' comp | $548 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MLMC | Commercial | $686 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MLMC | Commercial | $686 | other |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MLMC | Commercial | $740 | 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 | $48.79 | case rate |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MRMC | Medicaid / CHIP | $56.50 | case rate |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MRMC | Medicare Advantage | $274 | other |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MRMC | Public program | $274 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MRMC | Medicare Advantage | $274 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MRMC | Medicare Advantage | $274 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MRMC | Medicare Advantage | $274 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MRMC | Medicare Advantage | $274 | other |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MRMC | Medicare Advantage | $280 | other |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MRMC | Medicare Advantage | $288 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MRMC | Medicare Advantage | $288 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MRMC | Medicare Advantage | $288 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MRMC | Medicare Advantage | $288 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MRMC | Medicare Advantage | $291 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MRMC | Medicare Advantage | $291 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MRMC | Medicare Advantage | $291 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MRMC | Commercial | $293 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MRMC | Medicare Advantage | $293 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MRMC | Medicare Advantage | $296 | other |
| CORALVITA | MHS HB VIBRA MRMC MCMC MDMC | Commercial | $329 | other |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MRMC | Commercial | $343 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MRMC | Commercial | $356 | other |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MRMC | Commercial | $384 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MRMC | Commercial | $398 | other |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MRMC | Commercial | $425 | other |
| AETNA | MHS HB AETNA EXCHANGE MRMC | Commercial | $444 | other |
| AETNA | MHS HB AETNA CVS MRMC | Commercial | $444 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MRMC | Commercial | $452 | other |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MRMC | Commercial | $466 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MRMC | Commercial | $469 | other |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MRMC | Commercial | $494 | other |
| CIGNA | MHS HB CUSTOM INK MRMC | Commercial | $507 | other |
| EVRY HEALTH | MHS HB EVRY MRMC | Commercial | $548 | other |
| SANA BENEFITS | MHS HB SANA MRMC | Commercial | $548 | other |
| VELOCITY | MHS HB VELOCITY MRMC | Commercial | $548 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MRMC | Commercial | $686 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MRMC | Commercial | $686 | other |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MRMC | Commercial | $740 | other |
| BCBS | MHS HB BCBS MY BLUE HEALTH MRMC | Commercial | $1,449 | case rate |
| BCBS | MHS HB BCBS PREMIER MRMC | Commercial | $2,499 | case rate |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MRMC | Commercial | $2,499 | case rate |
| BCBS | MHS HB BCBS CITY OF DALLAS MRMC | Commercial | $2,590 | case rate |
| BCBS | MHS HB BCBS HMO MRMC | Commercial | $2,646 | case rate |
| BCBS | MHS HB BCBS PPO MRMC | Commercial | $2,877 | case rate |
| BCBS | MHS HB BCBS TRADITIONAL MRMC | Commercial | $2,877 | case rate |
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 | $48.79 | case rate |
| WELLPOINT MEDICAID MANAGED CARE | MHS HB WELLPOINT MEDICAID STAR MSMC | Medicaid / CHIP | $53.93 | case rate |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MSMC | Medicaid / CHIP | $56.50 | case rate |
| TRICARE | MHS HB TRICARE MSMC | Military / VA | $265 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MSMC | Medicare Advantage | $275 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MSMC | Medicare Advantage | $275 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MSMC | Medicare Advantage | $275 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MSMC | Medicare Advantage | $275 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MSMC | Medicare Advantage | $275 | other |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MSMC | Medicare Advantage | $280 | other |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MSMC | Medicare Advantage | $288 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MSMC | Medicare Advantage | $288 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MSMC | Medicare Advantage | $288 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MSMC | Medicare Advantage | $288 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MSMC | Medicare Advantage | $291 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MSMC | Medicare Advantage | $291 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MSMC | Medicare Advantage | $291 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MSMC | Commercial | $294 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MSMC | Medicare Advantage | $294 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MSMC | Medicare Advantage | $297 | other |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MSMC | Commercial | $343 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MSMC | Commercial | $357 | other |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MSMC | Commercial | $385 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MSMC | Commercial | $398 | other |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MSMC | Commercial | $426 | other |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MSMC | Commercial | $439 | other |
| AETNA | MHS HB AETNA EXCHANGE MSMC | Commercial | $445 | other |
| AETNA | MHS HB AETNA CVS MSMC | Commercial | $445 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MSMC | Commercial | $453 | other |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MSMC | Commercial | $467 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MSMC | Commercial | $470 | other |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MSMC | Commercial | $494 | other |
| CIGNA | MHS HB CUSTOM INK MSMC | Commercial | $508 | other |
| EVRY HEALTH | MHS HB EVRY MSMC | Commercial | $549 | other |
| SANA BENEFITS | MHS HB SANA MSMC | Commercial | $549 | other |
| VELOCITY | MHS HB VELOCITY MSMC | Commercial | $549 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MSMC | Workers' comp | $549 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MSMC | Commercial | $687 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MSMC | Commercial | $687 | other |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MSMC | Commercial | $742 | other |
| AETNA | MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC | Commercial | $1,095 | percent of total billed charges |
| BCBS | MHS HB BCBS MY BLUE HEALTH MSMC | Commercial | $1,449 | case rate |
| AETNA COMMERCIAL | MHS HB AETNA TX PREF PLUS II MSMC | Commercial | $1,786 | case rate |
| AETNA COMMERCIAL | MHS HB AETNA TEXAS ADVANTAGE MSMC | Commercial | $1,892 | case rate |
| AETNA MANAGED CARE | MHS HB AETNA WHOLE HEALTH MSMC | Commercial | $1,892 | case rate |
| UNITED HEALTHCARE-COMMERCIAL | MHS HB UNITED HEALTHCARE MSMC | Commercial | $1,916 | case rate |
| AETNA | MHS HB AETNA HMO PPO MSMC | Commercial | $2,102 | case rate |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MSMC | Commercial | $2,499 | case rate |
| BCBS | MHS HB BCBS PREMIER MSMC | Commercial | $2,499 | case rate |
| BCBS | MHS HB BCBS CITY OF DALLAS MSMC | Commercial | $2,590 | case rate |
| BCBS | MHS HB BCBS HMO MSMC | Commercial | $2,646 | case rate |
| BCBS | MHS HB BCBS PPO MSMC | Commercial | $2,877 | case rate |
| BCBS | MHS HB BCBS TRADITIONAL MSMC | Commercial | $2,877 | case rate |
Parkland Health (Parkland Memorial Hospital): all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| WELLPOINT | WELLPOINT CHIP PERINATE POST PARTUM | Medicaid / CHIP | $51.36 | case rate |
| COOK CHILDREN HEALTH PLAN | COOK CHILDREN STAR MEDICAID | Medicaid / CHIP | $53.93 | case rate |
| COOK CHILDREN HEALTH PLAN | COOK CHILDRENS STAR KIDS | Medicaid / CHIP | $53.93 | case rate |
| COOK CHILDREN HEALTH PLAN | COOK CHILDRENS CHIP | Medicaid / CHIP | $53.93 | case rate |
| SUPERIOR HEALTH PLAN | SUPERIOR STAR HEALTH FOSTER CARE | Medicaid / CHIP | $53.93 | case rate |
| PARKLAND COMMUNITY HEALTH PLAN | Parkland CHIP | Medicaid / CHIP | $53.93 | case rate |
| AETNA BETTER HEALTH | AETNA BETTER HEALTH CHIP | Medicaid / CHIP | $53.93 | case rate |
| AETNA BETTER HEALTH | BELOW FPIL AETNA CHIP PERINATE | Medicaid / CHIP | $53.93 | case rate |
| AETNA BETTER HEALTH | ABOVE FPIL AETNA CHIP PERINATE | Medicaid / CHIP | $53.93 | case rate |
| MOLINA | MOLINA CHIP | Medicaid / CHIP | $56.50 | case rate |
| MOLINA | MOLINA RSA MEDICAID | Medicaid / CHIP | $56.50 | case rate |
| POINT COMFORT UNDERWRITERS | POINT COMFORT UNDERWRITERS | Public program | $56.50 | case rate |
| WELLPOINT | WELLPOINT STAR PLUS | Medicaid / CHIP | $191 | case rate |
| WELLPOINT | WELLPOINT STAR KIDS | Medicaid / CHIP | $196 | case rate |
| SUPERIOR HEALTHPLAN | SUPERIOR STAR PLUS | Medicaid / CHIP | $201 | case rate |
| PARKLAND COMMUNITY HEALTH PLAN | Parkland STAR | Medicaid / CHIP | $208 | case rate |
| MOLINA | MOLINA STAR PLUS | Medicaid / CHIP | $210 | case rate |
| WELLPOINT | BELOW FPIL WELLPOINT CHIP PERINATE | Medicaid / CHIP | $223 | percent of total billed charges |
| WELLPOINT | ABOVE FPIL WELLPOINT CHIP PERINATE | Medicaid / CHIP | $223 | percent of total billed charges |
| MOLINA | BELOW FPIL MOLINA CHIP PERINATE | Medicaid / CHIP | $245 | percent of total billed charges |
| MOLINA | POST PARTUM VST-MOLINA CHIP | Medicaid / CHIP | $245 | percent of total billed charges |
| MOLINA | ABOVE FPIL MOLINA CHIP PERINATE | Medicaid / CHIP | $245 | percent of total billed charges |
| WELLPOINT | WELLPOINT STAR | Medicaid / CHIP | $250 | case rate |
| AETNA BETTER HEALTH | AETNA BETTER HEALTH STAR | Medicaid / CHIP | $250 | case rate |
| MOLINA | MOLINA STAR MEDICAID | Medicaid / CHIP | $275 | case rate |
| CARE IMPROVEMENT PLUS | CARE IMPROVEMENT PLUS | Medicare Advantage | $308 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BLUE ADVANTAGE HMO ACA | Commercial | $310 | fee schedule |
| PROCARE ADVANTAGE | PROCARE ADVANTAGE | Medicare Advantage | $313 | percent of total billed charges |
| AETNA HEALTHCARE | AETNA | Commercial | $885 | percent of total billed charges |
| CIGNA | CIGNA | Commercial | $885 | percent of total billed charges |
| GREAT WEST HEALTHCARE | GREAT WEST HEALTHCARE | Commercial | $885 | percent of total billed charges |
| UNITED HEALTHCARE OF TX | UNITED HEALTHCARE OF TX | Commercial | $984 | percent of total billed charges |
| UNITED HEALTHCARE OF TX | UHC - UMR | Commercial | $984 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS TRADITIONAL | Commercial | $1,062 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS OUT OF STATE | Commercial | $1,062 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS FEDERAL EMPLOYEE | Commercial | $1,062 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BLUE CROSS BLUE SHIELD PPO | Commercial | $1,062 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BLUE CROSS BLUE SHIELD HMO | Commercial | $1,062 | percent of total billed charges |
Baylor Scott & White Medical Center – Lake Pointe: all 41 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $141 | percent of total billed charges |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $141 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $151 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $261 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $266 | fee schedule |
| Humana | Medicare | Medicare Advantage | $274 | fee schedule |
| TriWest | Community Care Network | Military / VA | $274 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $282 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $288 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $307 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $329 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $344 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $346 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $410 | fee schedule |
| Texas A&M Commerce | Injured Athletes | Commercial | $450 | case rate |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $452 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $590 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $603 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $706 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $706 | percent of total billed charges |
| Curative | Commercial | Commercial | $834 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $868 | case rate |
| First Health | PPO | Commercial | $898 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $898 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $963 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $963 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $963 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,021 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,026 | case rate |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $1,388 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $1,966 | case rate |
| Mark Cuban | Commercial | Commercial | $2,410 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $2,641 | case rate |
| Aetna | Commercial | Commercial | $2,691 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $2,787 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $2,934 | case rate |
Baylor Scott & White The Heart Hospital – Denton: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $141 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $151 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $261 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $266 | fee schedule |
| Humana | Medicare | Medicare Advantage | $274 | fee schedule |
| TriWest | Community Care Network | Military / VA | $274 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $288 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $307 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $329 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $344 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $346 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $410 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $452 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $590 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $603 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $706 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $706 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $728 | case rate |
| Curative | Commercial | Commercial | $834 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $868 | case rate |
| First Health | PPO | Commercial | $898 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $898 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $963 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $963 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $963 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,021 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,026 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $1,029 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $1,379 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $1,456 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $1,533 | case rate |
| Mark Cuban | Commercial | Commercial | $2,410 | case rate |
| Aetna | Commercial | Commercial | $2,691 | case rate |
Baylor Scott & White The Heart Hospital – McKinney: all 27 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $233 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $261 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $266 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $307 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $346 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $410 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $603 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $706 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $706 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $728 | case rate |
| Curative | Commercial | Commercial | $834 | percent of total billed charges |
| First Health | PPO | Commercial | $898 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $898 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $963 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $963 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $963 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,026 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $1,029 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $1,379 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $1,456 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $1,533 | case rate |
| Mark Cuban | Commercial | Commercial | $2,410 | case rate |
| Aetna | Commercial | Commercial | $2,691 | case rate |
Baylor Scott & White The Heart Hospital – Plano: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $165 | percent of total billed charges |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $193 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $261 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $266 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $274 | fee schedule |
| Humana | Medicare | Medicare Advantage | $274 | fee schedule |
| TriWest | Community Care Network | Military / VA | $274 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $288 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $307 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $329 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $344 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $346 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $410 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $452 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $590 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $603 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $706 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $706 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $728 | case rate |
| Curative | Commercial | Commercial | $834 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $868 | case rate |
| First Health | PPO | Commercial | $898 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $898 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $963 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $963 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $963 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,021 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,026 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $1,029 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $1,379 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $1,456 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $1,533 | case rate |
| Mark Cuban | Commercial | Commercial | $2,410 | case rate |
| Aetna | Commercial | Commercial | $2,691 | case rate |
Baylor Scott & White All Saints Medical Center – Fort Worth: all 42 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Cook Children's Health Plan | Medicaid | Medicaid / CHIP | $205 | percent of total billed charges |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $205 | percent of total billed charges |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $205 | percent of total billed charges |
| Aetna | Medicaid | Medicaid / CHIP | $209 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $220 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $261 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $266 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $274 | fee schedule |
| Humana | Medicare | Medicare Advantage | $274 | fee schedule |
| TriWest | Community Care Network | Military / VA | $274 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $282 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $288 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $307 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $329 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $344 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $346 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $410 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $452 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $590 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $603 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $706 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $706 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $728 | case rate |
| Curative | Commercial | Commercial | $834 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $868 | case rate |
| First Health | PPO | Commercial | $898 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $898 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $963 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $963 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $963 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,021 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,026 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $1,029 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $1,379 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $1,456 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $1,533 | case rate |
| Mark Cuban | Commercial | Commercial | $2,410 | case rate |
| Aetna | Commercial | Commercial | $2,691 | case rate |
Baylor Scott & White Medical Center – Frisco at PGA Parkway: all 34 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $261 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $266 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $274 | fee schedule |
| Humana | Medicare | Medicare Advantage | $274 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $288 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $307 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $329 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $344 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $346 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $359 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $452 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $590 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $603 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $706 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $706 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $728 | case rate |
| Curative | Commercial | Commercial | $834 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $868 | case rate |
| First Health | PPO | Commercial | $898 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $898 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $963 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $963 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $963 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,021 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,026 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $1,029 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $1,379 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $1,456 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $1,533 | case rate |
| Aetna | Commercial | Commercial | $2,691 | case rate |
Baylor Scott & White Medical Center – McKinney: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $218 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $233 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $261 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $266 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $274 | fee schedule |
| Humana | Medicare | Medicare Advantage | $274 | fee schedule |
| TriWest | Community Care Network | Military / VA | $274 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $288 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $307 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $329 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $344 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $346 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $410 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $452 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $590 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $603 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $706 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $706 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $728 | case rate |
| Curative | Commercial | Commercial | $834 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $868 | case rate |
| First Health | PPO | Commercial | $898 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $898 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $963 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $963 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $963 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,021 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,026 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $1,029 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $1,379 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $1,456 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $1,533 | case rate |
| Mark Cuban | Commercial | Commercial | $2,410 | case rate |
| Aetna | Commercial | Commercial | $2,691 | case rate |
Baylor Scott & White Medical Center – Grapevine: all 39 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $193 | percent of total billed charges |
| Aetna | Medicaid | Medicaid / CHIP | $196 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $206 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $261 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $266 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $275 | fee schedule |
| Humana | Medicare | Medicare Advantage | $275 | fee schedule |
| TriWest | Community Care Network | Military / VA | $275 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $288 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $308 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $330 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $345 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $346 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $411 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $453 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $591 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $603 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $706 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $706 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $728 | case rate |
| Curative | Commercial | Commercial | $834 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $868 | case rate |
| First Health | PPO | Commercial | $898 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $898 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $963 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $963 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $963 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,021 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,026 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $1,029 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $1,379 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $1,456 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $1,533 | case rate |
| Mark Cuban | Commercial | Commercial | $2,410 | case rate |
| Aetna | Commercial | Commercial | $2,691 | case rate |
Baylor University Medical Center: all 45 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $218 | percent of total billed charges |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $218 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $233 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $261 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $266 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $274 | fee schedule |
| Humana | Medicare | Medicare Advantage | $274 | fee schedule |
| TriWest | Community Care Network | Military / VA | $274 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $282 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $288 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $307 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $329 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $344 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $346 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $410 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $452 | fee schedule |
| Texas Workforce Commission | Workers Compensation | Workers' comp | $462 | percent of total billed charges |
| Superior Ambetter | Ambetter Exchange | Commercial | $590 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $603 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $706 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $706 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $728 | case rate |
| Curative | Commercial | Commercial | $834 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $868 | case rate |
| First Health | PPO | Commercial | $898 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $898 | percent of total billed charges |
| Optum | Commercial | Commercial | $898 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $963 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $963 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $963 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,021 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,026 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $1,029 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $1,379 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $1,456 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $1,533 | case rate |
| Mark Cuban | Commercial | Commercial | $2,410 | case rate |
| Aetna | Commercial | Commercial | $2,691 | case rate |
| Cigna | Local Plus | Commercial | $6,299 | case rate |
| Cigna | HMO/PPO | Commercial | $7,411 | case rate |
Baylor Scott & White Medical Center – Waxahachie: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $193 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $206 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $261 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $266 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $274 | fee schedule |
| Humana | Medicare | Medicare Advantage | $274 | fee schedule |
| TriWest | Community Care Network | Military / VA | $274 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $288 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $307 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $329 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $344 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $346 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $410 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $452 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $590 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $603 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $706 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $706 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $728 | case rate |
| Curative | Commercial | Commercial | $834 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $868 | case rate |
| First Health | PPO | Commercial | $898 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $898 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $963 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $963 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $963 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,021 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,026 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $1,029 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $1,379 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $1,456 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $1,533 | case rate |
| Mark Cuban | Commercial | Commercial | $2,410 | case rate |
| Aetna | Commercial | Commercial | $2,691 | case rate |
Baylor Scott & White Medical Center – Irving: all 40 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $141 | percent of total billed charges |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $141 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $151 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $261 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $266 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $274 | fee schedule |
| Humana | Medicare | Medicare Advantage | $274 | fee schedule |
| TriWest | Community Care Network | Military / VA | $274 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $282 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $288 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $307 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $329 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $344 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $346 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $410 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $452 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $590 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $603 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $706 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $706 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $728 | case rate |
| Curative | Commercial | Commercial | $834 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $868 | case rate |
| First Health | PPO | Commercial | $898 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $898 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $963 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $963 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $963 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,021 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,026 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $1,029 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $1,379 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $1,456 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $1,533 | case rate |
| Mark Cuban | Commercial | Commercial | $2,410 | case rate |
| Aetna | Commercial | Commercial | $2,691 | case rate |
Baylor Scott & White Heart and Vascular Hospital – Dallas: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $103 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $110 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $261 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $266 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $274 | fee schedule |
| TriWest | Community Care Network | Military / VA | $274 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $288 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $307 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $329 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $344 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $346 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $410 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $452 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $590 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $603 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $706 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $706 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $728 | case rate |
| Curative | Commercial | Commercial | $834 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $868 | case rate |
| First Health | PPO | Commercial | $898 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $898 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $963 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $963 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $963 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,021 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,026 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $1,029 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $1,379 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $1,456 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $1,533 | case rate |
| Mark Cuban | Commercial | Commercial | $2,410 | case rate |
| Aetna | Commercial | Commercial | $2,691 | case rate |
Baylor Scott & White Heart and Vascular Hospital – Waxahachie: all 27 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $261 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $266 | fee schedule |
| Humana | Medicare | Medicare Advantage | $274 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $329 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $344 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $346 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $452 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $603 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $706 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $706 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $728 | case rate |
| Curative | Commercial | Commercial | $834 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $868 | case rate |
| First Health | PPO | Commercial | $898 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $898 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $963 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,021 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,026 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $1,029 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $1,379 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $1,456 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $1,533 | case rate |
| Aetna | Commercial | Commercial | $2,691 | case rate |
Baylor Scott & White Medical Center – Plano: all 40 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $154 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $165 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $261 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $266 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $274 | fee schedule |
| Humana | Medicare | Medicare Advantage | $274 | fee schedule |
| TriWest | Community Care Network | Military / VA | $274 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $288 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $307 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $329 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $344 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $346 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $410 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $452 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $590 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $603 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $706 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $706 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $728 | case rate |
| Independent Medical System | Commercial PPO | Commercial | $770 | percent of total billed charges |
| Curative | Commercial | Commercial | $834 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $868 | case rate |
| First Health | PPO | Commercial | $898 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $898 | percent of total billed charges |
| Optum | Commercial | Commercial | $898 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $963 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $963 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $963 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,021 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,026 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $1,029 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $1,379 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $1,456 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $1,533 | case rate |
| Mark Cuban | Commercial | Commercial | $2,410 | case rate |
| Aetna | Commercial | Commercial | $2,691 | case rate |
Baylor Scott & White Medical Center – Centennial: all 40 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $205 | percent of total billed charges |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $205 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $220 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $261 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $266 | fee schedule |
| Humana | Medicare | Medicare Advantage | $274 | fee schedule |
| TriWest | Community Care Network | Military / VA | $274 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $282 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $288 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $307 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $329 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $344 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $346 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $410 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $452 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $590 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $603 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $706 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $706 | percent of total billed charges |
| Curative | Commercial | Commercial | $834 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $868 | case rate |
| First Health | PPO | Commercial | $898 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $898 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $963 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $963 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $963 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,021 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,026 | case rate |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $1,388 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $1,966 | case rate |
| Mark Cuban | Commercial | Commercial | $2,410 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $2,641 | case rate |
| Aetna | Commercial | Commercial | $2,691 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $2,787 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $2,934 | case rate |
UT Southwestern William P. Clements Jr. University Hospital: all 33 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Wellpoint | Managed Medicaid | Medicaid / CHIP | $51.36 | case rate |
| Molina | Managed Medicaid | Medicaid / CHIP | $51.36 | case rate |
| Superior | Managed Medicaid | Medicaid / CHIP | $51.36 | case rate |
| Parkland | Managed Medicaid | Medicaid / CHIP | $51.36 | case rate |
| Aetna Better Health | Managed Medicaid | Medicaid / CHIP | $56.50 | case rate |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $223 | percent of total billed charges |
| Procare | Medicare Advantage | Medicare Advantage | $277 | fee schedule |
| Humana | Medicare Advantage | Medicare Advantage | $288 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $291 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $291 | fee schedule |
| Superior | Medicare Advantage | Medicare Advantage | $291 | fee schedule |
| Wellpoint | Medicare Advantage | Medicare Advantage | $291 | fee schedule |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $307 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $313 | fee schedule |
| Aetna | Whole Health | Commercial | $804 | percent of total billed charges |
| Maestro Health/Fort Worth Firefighters | Commercial | Commercial | $824 | percent of total billed charges |
| HealthFirst | Commercial | Commercial | $866 | percent of total billed charges |
| QuikTrip | Commercial | Commercial | $925 | percent of total billed charges |
| Aetna | HMO/POS/EPO/PPO | Commercial | $1,005 | percent of total billed charges |
| Coventry | National/Medical Rental Products | Commercial | $1,077 | percent of total billed charges |
| Rockwall County | Commercial | Commercial | $1,079 | percent of total billed charges |
| United Healthcare W500 | Commercial | Commercial | $1,113 | percent of total billed charges |
| Cigna | HMO-PPO | Commercial | $1,135 | percent of total billed charges |
| PHCS | Commercial | Commercial | $1,163 | percent of total billed charges |
| HealthSmart | Commercial | Commercial | $1,279 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $1,341 | percent of total billed charges |
| Galaxy Health Network | Commercial | Commercial | $1,356 | percent of total billed charges |
| United Healthcare | Commercial | Commercial | $1,807 | case rate |
| United Options Nexus | Commercial | Commercial | $1,984 | case rate |
| Blue Cross Blue Shield | MyBlueHealth | Commercial | $2,695 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $3,607 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $3,752 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $4,165 | case rate |
Cook Children's Medical Center: all 50 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| FIRSTCARE | STAR | Medicaid / CHIP | $378 | Percent of Total Billed Charges |
| HEALTH PLAN w/o UHRIP | STAR KIDS | Medicaid / CHIP | $378 | Percent of Total Billed Charges |
| HEALTH PLAN w/o UHRIP | CHIP | Medicaid / CHIP | $378 | Percent of Total Billed Charges |
| RIGHTCARE | STAR | Medicaid / CHIP | $527 | Percent of Total Billed Charges |
| RIGHTCARE | MDC S&W | Medicaid / CHIP | $527 | Percent of Total Billed Charges |
| HEALTH PLAN w. UHRIP | STAR | Medicaid / CHIP | $599 | Percent of Total Billed Charges |
| UNITED COMMUNITY | STAR PLUS | Medicaid / CHIP | $712 | Percent of Total Billed Charges |
| UNITED COMMUNITY | STAR | Medicaid / CHIP | $712 | Percent of Total Billed Charges |
| UNITED COMMUNITY | STAR KIDS | Medicaid / CHIP | $712 | Percent of Total Billed Charges |
| UNITED COMMUNITY | CHIP | Medicaid / CHIP | $712 | Percent of Total Billed Charges |
| WELLPOINT | CHIP | Medicaid / CHIP | $712 | Percent of Total Billed Charges |
| WELLPOINT | STAR | Medicaid / CHIP | $712 | Percent of Total Billed Charges |
| WELLPOINT | STAR PLUS | Medicaid / CHIP | $712 | Percent of Total Billed Charges |
| BCBS | BCBS TX STAR | Medicaid / CHIP | $732 | Percent of Total Billed Charges |
| BCBS | CHIP STAR KIDS | Medicaid / CHIP | $732 | Percent of Total Billed Charges |
| BCBS | CHIP | Medicaid / CHIP | $732 | Percent of Total Billed Charges |
| MOLINA | STAR KIDS | Medicaid / CHIP | $749 | Percent of Total Billed Charges |
| MOLINA | CHIP | Medicaid / CHIP | $749 | Percent of Total Billed Charges |
| MOLINA | STAR | Medicaid / CHIP | $749 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | STAR MEDICAID | Medicaid / CHIP | $891 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | CHIP | Medicaid / CHIP | $891 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | STAR | Medicaid / CHIP | $891 | Percent of Total Billed Charges |
| Optum | ALL PRODUCTS | Commercial | $891 | Percent of Total Billed Charges |
| SUPERIOR HEALTH | STAR | Medicaid / CHIP | $891 | Percent of Total Billed Charges |
| SUPERIOR HEALTH | CHIP | Medicaid / CHIP | $891 | Percent of Total Billed Charges |
| SUPERIOR HEALTH | STAR PLUS | Medicaid / CHIP | $891 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | STAR | Medicaid / CHIP | $891 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | STAR KIDS | Medicaid / CHIP | $891 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | CHIP | Medicaid / CHIP | $891 | Percent of Total Billed Charges |
| Aetna | BETTER HEALTH STAR Kids | Medicaid / CHIP | $932 | Percent of Total Billed Charges |
| Aetna | BETTER HEALTH CHIP | Medicaid / CHIP | $932 | Percent of Total Billed Charges |
| Aetna | BETTER HEALTH STAR UHRIP | Medicaid / CHIP | $932 | Percent of Total Billed Charges |
| BCBS | HMO | Commercial | $1,580 | Percent of Total Billed Charges |
| FIRSTCARE | ALL PRODUCTS | Commercial | $1,620 | Percent of Total Billed Charges |
| BCBS | PPO | Commercial | $1,701 | Percent of Total Billed Charges |
| S&W HEALTH | ALL PRODUCTS | Commercial | $1,701 | Percent of Total Billed Charges |
| Aetna | ALL PRODUCTS | Commercial | $1,722 | Percent of Total Billed Charges |
| CIGNA | CIGNA-MGD | Commercial | $1,722 | Percent of Total Billed Charges |
| HEALTHSCOPE | ALL PRODUCTS | Commercial | $1,722 | Percent of Total Billed Charges |
| IMAGINE HEALTH | ALL PRODUCTS | Commercial | $1,722 | Percent of Total Billed Charges |
| UHC | MGD | Commercial | $1,722 | Percent of Total Billed Charges |
| HUMANA | CONCENTRIC PPO | Commercial | $1,762 | Percent of Total Billed Charges |
| MULTIPLAN | ALL PRODUCTS | Commercial | $1,762 | Percent of Total Billed Charges |
| MULTIPLAN | PHCS | Commercial | $1,762 | Percent of Total Billed Charges |
| FIRST HEALTH | PPO | Commercial | $1,782 | Percent of Total Billed Charges |
| HUMANA | CHOICECARE PPO | Commercial | $1,782 | Percent of Total Billed Charges |
| BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | Commercial | $1,823 | Percent of Total Billed Charges |
| GALAXY HEALTH | ALL PRODUCTS | Commercial | $1,823 | Percent of Total Billed Charges |
| Healthsmart | ALL PRODUCTS | Commercial | $1,823 | Percent of Total Billed Charges |
| USAMCO | ALL PRODUCTS | Commercial | $1,863 | 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 |
|---|---|---|---|---|
| SUPERIOR HEALTH | STAR | Medicaid / CHIP | $350 | Case Rate |
| SUPERIOR HEALTH | STAR PLUS | Medicaid / CHIP | $350 | Case Rate |
| SUPERIOR HEALTH | CHIP | Medicaid / CHIP | $350 | Case Rate |
| UNITED COMMUNITY | STAR KIDS | Medicaid / CHIP | $583 | Percent of Total Billed Charges |
| UNITED COMMUNITY | CHIP | Medicaid / CHIP | $583 | Percent of Total Billed Charges |
| UNITED COMMUNITY | STAR PLUS | Medicaid / CHIP | $583 | Percent of Total Billed Charges |
| UNITED COMMUNITY | STAR | Medicaid / CHIP | $583 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | STAR | Medicaid / CHIP | $851 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | STAR MEDICAID | Medicaid / CHIP | $851 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | CHIP | Medicaid / CHIP | $851 | Percent of Total Billed Charges |
| HEALTH PLAN w/o UHRIP | CHIP | Medicaid / CHIP | $851 | Percent of Total Billed Charges |
| HEALTH PLAN w/o UHRIP | STAR KIDS | Medicaid / CHIP | $851 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | CHIP | Medicaid / CHIP | $851 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | STAR KIDS | Medicaid / CHIP | $851 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | STAR | Medicaid / CHIP | $851 | Percent of Total Billed Charges |
| Optum | ALL PRODUCTS | Commercial | $891 | Percent of Total Billed Charges |
| FIRSTCARE | STAR | Medicaid / CHIP | $893 | Percent of Total Billed Charges |
| Aetna | BETTER HEALTH CHIP | Medicaid / CHIP | $932 | Percent of Total Billed Charges |
| Aetna | BETTER HEALTH STAR Kids | Medicaid / CHIP | $932 | Percent of Total Billed Charges |
| Aetna | BETTER HEALTH STAR UHRIP | Medicaid / CHIP | $932 | Percent of Total Billed Charges |
| BCBS | BCBS TX STAR | Medicaid / CHIP | $932 | Percent of Total Billed Charges |
| BCBS | CHIP | Medicaid / CHIP | $932 | Percent of Total Billed Charges |
| BCBS | CHIP STAR KIDS | Medicaid / CHIP | $932 | Percent of Total Billed Charges |
| HEALTH PLAN w. UHRIP | STAR | Medicaid / CHIP | $932 | Percent of Total Billed Charges |
| WELLPOINT | STAR | Medicaid / CHIP | $932 | Percent of Total Billed Charges |
| WELLPOINT | STAR PLUS | Medicaid / CHIP | $932 | Percent of Total Billed Charges |
| WELLPOINT | CHIP | Medicaid / CHIP | $932 | Percent of Total Billed Charges |
| BCBS | HMO | Commercial | $1,580 | Percent of Total Billed Charges |
| FIRSTCARE | ALL PRODUCTS | Commercial | $1,620 | Percent of Total Billed Charges |
| BCBS | PPO | Commercial | $1,701 | Percent of Total Billed Charges |
| S&W HEALTH | ALL PRODUCTS | Commercial | $1,701 | Percent of Total Billed Charges |
| Aetna | ALL PRODUCTS | Commercial | $1,722 | Percent of Total Billed Charges |
| CIGNA | CIGNA-MGD | Commercial | $1,722 | Percent of Total Billed Charges |
| HEALTHSCOPE | ALL PRODUCTS | Commercial | $1,722 | Percent of Total Billed Charges |
| IMAGINE HEALTH | ALL PRODUCTS | Commercial | $1,722 | Percent of Total Billed Charges |
| UHC | MGD | Commercial | $1,722 | Percent of Total Billed Charges |
| HUMANA | CONCENTRIC PPO | Commercial | $1,762 | Percent of Total Billed Charges |
| MULTIPLAN | PHCS | Commercial | $1,762 | Percent of Total Billed Charges |
| MULTIPLAN | ALL PRODUCTS | Commercial | $1,762 | Percent of Total Billed Charges |
| FIRST HEALTH | PPO | Commercial | $1,782 | Percent of Total Billed Charges |
| HUMANA | CHOICECARE PPO | Commercial | $1,782 | Percent of Total Billed Charges |
| BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | Commercial | $1,823 | Percent of Total Billed Charges |
| GALAXY HEALTH | ALL PRODUCTS | Commercial | $1,823 | Percent of Total Billed Charges |
| Healthsmart | ALL PRODUCTS | Commercial | $1,823 | Percent of Total Billed Charges |
| USAMCO | ALL PRODUCTS | Commercial | $1,863 | Percent of Total Billed Charges |
Emergency room visit, level 4 (high) (CPT 99284)
ER visit level 4 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 99284; Medicaid and Medicare Advantage are shown separately below.
| Hospital | Published cash price | Typical insured rate | Lowest insured rate |
|---|---|---|---|
| Methodist Celina Medical CenterMethodist Health System · file Mar 2026 | $775Cash ÷ typical 0.9× | $83819 plans | $545 |
| Methodist Dallas Medical CenterMethodist Health System · file Mar 2026 | $775Cash ÷ typical 0.9× | $83833 plans | $449 |
| Methodist Mansfield Medical CenterMethodist Health System · file Mar 2026 | $775Cash ÷ typical 1.0× | $77727 plans | $449 |
| Methodist Midlothian Medical CenterMethodist Health System · file Mar 2026 | $775Cash ÷ typical 1.1× | $70220 plans | $449 |
| Methodist Richardson Medical CenterMethodist Health System · file Mar 2026 | $775Cash ÷ typical 1.0× | $77527 plans | $449 |
| Methodist Southlake Medical CenterMethodist Health System · file Mar 2026 | $775Cash ÷ typical 0.9× | $84033 plans | $449 |
| Texas Health Harris Methodist Hospital SouthlakeTexas Health Resources · file Apr 2026 | $845Cash ÷ typical 0.8× | $1,05621 plans | $597 |
| Texas Health Hospital RockwallTexas Health Resources · file Apr 2026 | $845Cash ÷ typical 0.8× | $1,05621 plans | $597 |
| Texas Health Heart & Vascular Hospital ArlingtonTexas Health Resources · file Apr 2026 | $845Cash ÷ typical 0.8× | $1,05621 plans | $597 |
| Texas Health Presbyterian Hospital Flower MoundTexas Health Resources · file Apr 2026 | $845Cash ÷ typical 0.8× | $1,05621 plans | $597 |
| Texas Health Presbyterian Hospital DentonTexas Health Resources · file Apr 2026 | $845Cash ÷ typical 0.8× | $1,05621 plans | $662 |
| Texas Health Harris Methodist Hospital AllianceTexas Health Resources · file Apr 2026 | $845Cash ÷ typical 0.8× | $1,05621 plans | $662 |
| Texas Health Center for Diagnostics and Surgery PlanoTexas Health Resources · file Apr 2026 | $845Cash ÷ typical 0.8× | $1,05621 plans | $597 |
| Texas Health Arlington Memorial HospitalTexas Health Resources · file Apr 2026 | $845Cash ÷ typical 0.8× | $1,05621 plans | $662 |
| Texas Health Presbyterian Hospital DallasTexas Health Resources · file Apr 2026 | $845Cash ÷ typical 0.8× | $1,05621 plans | $662 |
| Texas Health Harris Methodist Hospital Hurst-Euless-BedfordTexas Health Resources · file Apr 2026 | $845Cash ÷ typical 0.8× | $1,05621 plans | $662 |
| Texas Health Harris Methodist Hospital AzleTexas Health Resources · file Apr 2026 | $845Cash ÷ typical 0.7× | $1,17821 plans | $662 |
| Texas Health Harris Methodist Hospital CleburneTexas Health Resources · file Apr 2026 | $845Cash ÷ typical 0.7× | $1,22521 plans | $662 |
| Texas Health Hospital ClearforkTexas Health Resources · file Apr 2026 | $845Cash ÷ typical 0.8× | $1,05621 plans | $662 |
| Texas Health Presbyterian Hospital PlanoTexas Health Resources · file Apr 2026 | $845Cash ÷ typical 0.8× | $1,05621 plans | $662 |
| Texas Health Presbyterian Hospital KaufmanTexas Health Resources · file Apr 2026 | $845Cash ÷ typical 0.7× | $1,22521 plans | $662 |
| Texas Health Presbyterian Hospital AllenTexas Health Resources · file Apr 2026 | $845Cash ÷ typical 0.7× | $1,17821 plans | $662 |
| Texas Health Harris Methodist Hospital Fort WorthTexas Health Resources · file Apr 2026 | $845Cash ÷ typical 0.9× | $98721 plans | $537 |
| Texas Health Hospital FriscoTexas Health Resources · file Apr 2026 | $845Cash ÷ typical 0.8× | $1,05621 plans | $662 |
| Parkland Health (Parkland Memorial Hospital)Parkland Health · file May 2026 | $923Cash ÷ typical 0.6× | $1,53911 plans | $489 |
| UT Southwestern William P. Clements Jr. University HospitalUT Southwestern Medical Center · file Mar 2026 | $1,222Cash ÷ typical 0.7× | $1,84419 plans | $1,275 |
| Baylor Scott & White Medical Center – Lake PointeBaylor Scott & White Health · file Jun 2026 | $1,274Cash ÷ typical 0.9× | $1,43324 plans | $503 |
| Baylor Scott & White The Heart Hospital – DentonBaylor Scott & White Health · file Jun 2026 | $1,274Cash ÷ typical 0.9× | $1,42023 plans | $503 |
| Baylor Scott & White The Heart Hospital – McKinneyBaylor Scott & White Health · file Jun 2026 | $1,274Cash ÷ typical 0.8× | $1,59217 plans | $998 |
| Baylor Scott & White The Heart Hospital – PlanoBaylor Scott & White Health · file Jun 2026 | $1,274Cash ÷ typical 0.9× | $1,42023 plans | $503 |
| Baylor Scott & White All Saints Medical Center – Fort WorthBaylor Scott & White Health · file Jun 2026 | $1,274Cash ÷ typical 0.9× | $1,42023 plans | $503 |
| Baylor Scott & White Medical Center – Frisco at PGA ParkwayBaylor Scott & White Health · file Jun 2026 | $1,274Cash ÷ typical 0.9× | $1,40022 plans | $503 |
| Baylor Scott & White Medical Center – McKinneyBaylor Scott & White Health · file Jun 2026 | $1,274Cash ÷ typical 0.9× | $1,42023 plans | $503 |
| Baylor Scott & White Medical Center – GrapevineBaylor Scott & White Health · file Jun 2026 | $1,274Cash ÷ typical 0.9× | $1,42023 plans | $504 |
| Baylor University Medical CenterBaylor Scott & White Health · file Jun 2026 | $1,274Cash ÷ typical 0.9× | $1,48626 plans | $503 |
| Baylor Scott & White Medical Center – WaxahachieBaylor Scott & White Health · file Jun 2026 | $1,274Cash ÷ typical 0.9× | $1,42023 plans | $503 |
| Baylor Scott & White Medical Center – IrvingBaylor Scott & White Health · file Jun 2026 | $1,274Cash ÷ typical 0.9× | $1,42023 plans | $503 |
| Baylor Scott & White Heart and Vascular Hospital – DallasBaylor Scott & White Health · file Jun 2026 | $1,274Cash ÷ typical 0.9× | $1,42023 plans | $503 |
| Baylor Scott & White Heart and Vascular Hospital – WaxahachieBaylor Scott & White Health · file Jun 2026 | $1,274Cash ÷ typical 0.9× | $1,38019 plans | $503 |
| Baylor Scott & White Medical Center – PlanoBaylor Scott & White Health · file Jun 2026 | $1,274Cash ÷ typical 0.9× | $1,42025 plans | $503 |
| Baylor Scott & White Medical Center – CentennialBaylor Scott & White Health · file Jun 2026 | $1,274Cash ÷ typical 0.9× | $1,48623 plans | $503 |
| Cook Children's Medical CenterCook Children's · children's hospital (not in the summary above) · file Jan 2026 | $2,111–$2,714Cash ÷ typical 0.7× | $3,07619 plans | $1,592 |
| Cook Children's Medical Center – ProsperCook Children's · children's hospital (not in the summary above) · file Jan 2026 | $2,111–$2,714Cash ÷ typical 0.7× | $3,07619 plans | $1,592 |
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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 |
|---|---|---|---|---|---|---|---|---|---|
| Methodist Celina Medical Center | $2,400–$3,340 | $679 | — | — | — | $545 | — | $1,944 | $419–$449 |
| Methodist Dallas Medical Center | $3,100–$6,160 | $679–$3,994 | $775 | $449 | — | $545 | $717 | $212–$912 | $419–$453 |
| Methodist Mansfield Medical Center | $3,100–$6,160 | $680 | $777 | $449 | — | $546 | $718 | $185–$831 | $420–$453 |
| Methodist Midlothian Medical Center | — | $679 | $775 | $449 | — | $545 | $717 | $436–$1,880 | $419–$453 |
| Methodist Richardson Medical Center | $3,100–$6,160 | $679 | $775 | $449 | — | $545 | $717 | $247–$1,065 | $419–$453 |
| Methodist Southlake Medical Center | $3,100–$6,160 | $680–$3,915 | $777 | $449–$1,407 | — | $546 | $718 | $722–$3,247 | $420–$453 |
| Texas Health Harris Methodist Hospital Southlake | $11,439–$24,138 | $597–$987 | $779–$1,325 | $6,468–$8,657 | — | — | — | $154–$462 | $420–$474 |
| Texas Health Hospital Rockwall | $11,439–$24,138 | $597–$987 | $779–$1,325 | $6,468–$8,657 | — | — | — | $135–$461 | $419–$474 |
| Texas Health Heart & Vascular Hospital Arlington | $11,439–$24,138 | $597–$987 | $779–$1,325 | $6,468–$8,657 | — | — | — | $125–$462 | $420–$474 |
| Texas Health Presbyterian Hospital Flower Mound | $11,439–$24,138 | $597–$987 | $779–$1,325 | $6,468–$8,657 | — | — | — | $212–$461 | $419–$474 |
| Texas Health Presbyterian Hospital Denton | $11,439–$24,138 | $723–$987 | $779–$1,325 | $6,468–$8,657 | — | — | — | $132–$461 | $419–$474 |
| Texas Health Harris Methodist Hospital Alliance | $11,439–$24,138 | $723–$987 | $779–$1,325 | $6,468–$8,657 | — | — | — | $145–$462 | $420–$474 |
| Texas Health Center for Diagnostics and Surgery Plano | $11,439–$24,138 | $597–$987 | $779–$1,325 | $6,468–$8,657 | — | — | — | $202–$450 | $410–$463 |
| Texas Health Arlington Memorial Hospital | $11,439–$24,138 | $723–$987 | $779–$1,325 | $6,468–$8,657 | — | — | — | $142–$462 | $420–$474 |
| Texas Health Presbyterian Hospital Dallas | $11,439–$24,138 | $723–$987 | $779–$1,325 | $6,468–$8,657 | — | — | — | $132–$461 | $419–$474 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | $11,439–$24,138 | $723–$987 | $779–$1,325 | $6,468–$8,657 | — | — | — | $152–$462 | $420–$474 |
| Texas Health Harris Methodist Hospital Azle | $11,439–$24,138 | $723–$987 | $779–$1,325 | $6,468–$8,657 | — | — | — | $154–$462 | $420–$474 |
| Texas Health Harris Methodist Hospital Cleburne | $11,439–$24,138 | $723–$987 | $779–$1,325 | $6,468–$8,657 | — | — | — | $142–$447 | $406–$459 |
| Texas Health Hospital Clearfork | $11,439–$24,138 | $723–$987 | $779–$1,325 | $6,468–$8,657 | — | — | — | $116–$462 | $420–$474 |
| Texas Health Presbyterian Hospital Plano | $11,439–$24,138 | $723–$987 | $779–$1,325 | $6,468–$8,657 | — | — | — | $172–$461 | $419–$474 |
| Texas Health Presbyterian Hospital Kaufman | $11,439–$24,138 | $723–$987 | $779–$1,325 | $6,468–$8,657 | — | — | — | $132–$461 | $419–$474 |
| Texas Health Presbyterian Hospital Allen | $11,439–$24,138 | $723–$987 | $779–$1,325 | $6,468–$8,657 | — | — | — | $162–$461 | $419–$474 |
| Texas Health Harris Methodist Hospital Fort Worth | $537–$1,292 | $723–$987 | $779–$1,325 | $6,468–$8,657 | — | — | — | $183–$461 | $419–$474 |
| Texas Health Hospital Frisco | $11,439–$24,138 | $723–$987 | $779–$1,325 | $6,468–$8,657 | — | — | — | $251–$461 | $419–$474 |
| Parkland Health (Parkland Memorial Hospital) | $489–$1,662 | $1,385 | $1,385 | $1,539 | — | — | — | $349–$1,866 | $482–$489 |
| UT Southwestern William P. Clements Jr. University Hospital | $4,360–$6,740 | $1,275–$1,593 | $1,799 | $1,764–$4,263 | — | — | — | $353–$381 | $426–$481 |
| Baylor Scott & White Medical Center – Lake Pointe | $2,314–$4,892 | $3,894 | — | — | $1,486 | — | $901 | $234–$250 | $398–$469 |
| Baylor Scott & White The Heart Hospital – Denton | $1,420–$3,020 | $3,894 | — | — | $1,486 | — | $901 | $234–$250 | $398–$469 |
| Baylor Scott & White The Heart Hospital – McKinney | $1,420–$3,020 | $3,894 | — | — | $1,486 | — | — | $386 | $398–$469 |
| Baylor Scott & White The Heart Hospital – Plano | $1,420–$3,020 | $3,894 | — | — | $1,486 | — | $901 | $273–$318 | $398–$469 |
| Baylor Scott & White All Saints Medical Center – Fort Worth | $1,420–$3,020 | $3,894 | — | — | $1,486 | — | $901 | $340–$363 | $398–$469 |
| Baylor Scott & White Medical Center – Frisco at PGA Parkway | $1,420–$3,020 | $3,894 | — | — | $1,486 | — | $901 | $594 | $398–$469 |
| Baylor Scott & White Medical Center – McKinney | $1,420–$3,020 | $3,894 | — | — | $1,486 | — | $901 | $361–$386 | $398–$469 |
| Baylor Scott & White Medical Center – Grapevine | $1,420–$3,020 | $3,894 | — | — | $1,486 | — | $903 | $318–$341 | $399–$470 |
| Baylor University Medical Center | $1,420–$3,020 | $3,894 | $6,299–$7,411 | — | $1,486 | — | $901 | $361–$386 | $398–$469 |
| Baylor Scott & White Medical Center – Waxahachie | $1,420–$3,020 | $3,894 | — | — | $1,486 | — | $901 | $318–$341 | $398–$469 |
| Baylor Scott & White Medical Center – Irving | $1,420–$3,020 | $3,894 | — | — | $1,486 | — | $901 | $234–$250 | $398–$469 |
| Baylor Scott & White Heart and Vascular Hospital – Dallas | $1,420–$3,020 | $3,894 | — | — | $1,486 | — | $901 | $170–$182 | $398–$469 |
| Baylor Scott & White Heart and Vascular Hospital – Waxahachie | $1,420–$3,020 | $3,894 | — | — | $1,486 | — | — | — | $398–$440 |
| Baylor Scott & White Medical Center – Plano | $1,420–$3,020 | $3,894 | — | — | $1,486 | — | $901 | $255–$273 | $398–$469 |
| Baylor Scott & White Medical Center – Centennial | $2,314–$4,892 | $3,894 | — | — | $1,486 | — | $901 | $340–$363 | $398–$469 |
| Cook Children's Medical Center | $2,823–$3,257 | $3,076 | $3,076 | $3,076 | $3,149–$3,185 | — | — | $143–$1,592 | — |
| Cook Children's Medical Center – Prosper | $2,823–$3,257 | $3,076 | $3,076 | $3,076 | $3,149–$3,185 | — | — | $700–$1,665 | — |
Methodist Celina Medical Center: all 33 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| TRICARE | MHS HB TRICARE MCEL | Military / VA | $410 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MCEL | Medicare Advantage | $419 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MCEL | Medicare Advantage | $419 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MCEL | Medicare Advantage | $419 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MCEL | Medicare Advantage | $419 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MCEL | Medicare Advantage | $419 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MCEL | Medicare Advantage | $440 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MCEL | Medicare Advantage | $440 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MCEL | Medicare Advantage | $444 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MCEL | Medicare Advantage | $444 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MCEL | Medicare Advantage | $444 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MCEL | Medicare Advantage | $449 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MCEL | Commercial | $545 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MCEL | Commercial | $608 | other |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MCEL | Commercial | $650 | other |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MCEL | Commercial | $671 | other |
| AETNA | MHS HB AETNA CVS MCEL | Commercial | $679 | other |
| AETNA | MHS HB AETNA EXCHANGE MCEL | Commercial | $679 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MCEL | Commercial | $692 | other |
| SANA BENEFITS | MHS HB SANA MCEL | Commercial | $838 | other |
| VELOCITY | MHS HB VELOCITY MCEL | Commercial | $838 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MCEL | Workers' comp | $838 | other |
| EVRY HEALTH | MHS HB EVRY MCEL | Commercial | $838 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MCEL | Commercial | $1,048 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MCEL | Commercial | $1,048 | other |
| SUPERIOR MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MCEL | Medicaid / CHIP | $1,944 | percent of total billed charges |
| BCBS | MHS HB BCBS MY BLUE HEALTH MCEL | Commercial | $2,400 | case rate |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL | Commercial | $2,900 | case rate |
| BCBS | MHS HB BCBS PREMIER MCEL | Commercial | $2,900 | case rate |
| BCBS | MHS HB BCBS CITY OF DALLAS MCEL | Commercial | $3,000 | case rate |
| BCBS | MHS HB BCBS HMO MCEL | Commercial | $3,080 | case rate |
| BCBS | MHS HB BCBS PPO MCEL | Commercial | $3,340 | case rate |
| BCBS | MHS HB BCBS TRADITIONAL MCEL | Commercial | $3,340 | case rate |
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 | $212 | percent of total billed charges |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MDMC | Medicare Advantage | $419 | other |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MDMC | Public program | $419 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MDMC | Medicare Advantage | $419 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MDMC | Medicare Advantage | $419 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MDMC | Medicare Advantage | $419 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MDMC | Medicare Advantage | $419 | other |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MDMC | Medicare Advantage | $428 | other |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MDMC | Medicare Advantage | $440 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MDMC | Medicare Advantage | $440 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MDMC | Medicare Advantage | $440 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MDMC | Medicare Advantage | $440 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MDMC | Medicare Advantage | $444 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MDMC | Medicare Advantage | $444 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MDMC | Medicare Advantage | $444 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MDMC | Commercial | $449 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MDMC | Medicare Advantage | $449 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MDMC | Medicare Advantage | $453 | other |
| CORALVITA | MHS HB VIBRA MRMC MCMC MDMC | Commercial | $503 | other |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MDMC | Commercial | $524 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MDMC | Commercial | $545 | other |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MDMC | Commercial | $587 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MDMC | Commercial | $608 | other |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MDMC | Commercial | $650 | other |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MDMC | Commercial | $671 | other |
| AETNA | MHS HB AETNA EXCHANGE MDMC | Commercial | $679 | other |
| AETNA | MHS HB AETNA CVS MDMC | Commercial | $679 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MDMC | Commercial | $692 | other |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MDMC | Commercial | $713 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MDMC | Commercial | $717 | other |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MDMC | Commercial | $754 | other |
| CIGNA | MHS HB CUSTOM INK MDMC | Commercial | $775 | other |
| EVRY HEALTH | MHS HB EVRY MDMC | Commercial | $838 | other |
| SANA BENEFITS | MHS HB SANA MDMC | Commercial | $838 | other |
| VELOCITY | MHS HB VELOCITY MDMC | Commercial | $838 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MDMC | Workers' comp | $838 | other |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MDMC | Medicaid / CHIP | $912 | percent of total billed charges |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MDMC | Commercial | $1,048 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MDMC | Commercial | $1,048 | other |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MDMC | Commercial | $1,132 | other |
| BCBS | MHS HB BCBS MY BLUE HEALTH MDMC | Commercial | $3,100 | case rate |
| AETNA COMMERCIAL | MHS HB AETNA TX PREF PLUS II MDMC | Commercial | $3,395 | case rate |
| AETNA | MHS HB AETNA BAYLOR SCOTT AND WHITE MDMC | Commercial | $3,558 | case rate |
| AETNA COMMERCIAL | MHS HB AETNA TEXAS ADVANTAGE MDMC | Commercial | $3,594 | case rate |
| AETNA MANAGED CARE | MHS HB AETNA WHOLE HEALTH MDMC | Commercial | $3,594 | case rate |
| AETNA | MHS HB AETNA HMO PPO MDMC | Commercial | $3,994 | case rate |
| BCBS | MHS HB BCBS PREMIER MDMC | Commercial | $5,340 | case rate |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MDMC | Commercial | $5,340 | case rate |
| BCBS | MHS HB BCBS CITY OF DALLAS MDMC | Commercial | $5,540 | case rate |
| BCBS | MHS HB BCBS HMO MDMC | Commercial | $5,660 | case rate |
| BCBS | MHS HB BCBS PPO MDMC | Commercial | $6,160 | case rate |
| BCBS | MHS HB BCBS TRADITIONAL MDMC | Commercial | $6,160 | case rate |
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 | $185 | percent of total billed charges |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MMMC | Medicare Advantage | $420 | other |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MMMC | Public program | $420 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MMMC | Medicare Advantage | $420 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MMMC | Medicare Advantage | $420 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MMMC | Medicare Advantage | $420 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MMMC | Medicare Advantage | $420 | other |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MMMC | Medicare Advantage | $428 | other |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MMMC | Medicare Advantage | $441 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MMMC | Medicare Advantage | $441 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MMMC | Medicare Advantage | $441 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MMMC | Medicare Advantage | $441 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MMMC | Medicare Advantage | $445 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MMMC | Medicare Advantage | $445 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MMMC | Medicare Advantage | $445 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MMMC | Commercial | $449 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MMMC | Medicare Advantage | $449 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MMMC | Medicare Advantage | $453 | other |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MMMC | Commercial | $525 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MMMC | Commercial | $546 | other |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MMMC | Commercial | $588 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MMMC | Commercial | $609 | other |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MMMC | Commercial | $651 | other |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MMMC | Commercial | $672 | other |
| AETNA | MHS HB AETNA EXCHANGE MMMC | Commercial | $680 | other |
| AETNA | MHS HB AETNA CVS MMMC | Commercial | $680 | other |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MMMC | Medicaid / CHIP | $684 | percent of total billed charges |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MMMC | Commercial | $693 | other |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MMMC | Commercial | $714 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MMMC | Commercial | $718 | other |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MMMC | Commercial | $756 | other |
| CIGNA | MHS HB CUSTOM INK MMMC | Commercial | $777 | other |
| WELLPOINT MEDICAID MANAGED CARE | MHS HB WELLPOINT MEDICAID STAR MMMC | Medicaid / CHIP | $831 | percent of total billed charges |
| EVRY HEALTH | MHS HB EVRY MMMC | Commercial | $840 | other |
| SANA BENEFITS | MHS HB SANA MMMC | Commercial | $840 | other |
| VELOCITY | MHS HB VELOCITY MMMC | Commercial | $840 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MMMC | Workers' comp | $840 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MMMC | Commercial | $1,050 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MMMC | Commercial | $1,050 | other |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MMMC | Commercial | $1,134 | other |
| BCBS | MHS HB BCBS MY BLUE HEALTH MMMC | Commercial | $3,100 | case rate |
| BCBS | MHS HB BCBS PREMIER MMMC | Commercial | $5,340 | case rate |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MMMC | Commercial | $5,340 | case rate |
| BCBS | MHS HB BCBS CITY OF DALLAS MMMC | Commercial | $5,540 | case rate |
| BCBS | MHS HB BCBS HMO MMMC | Commercial | $5,660 | case rate |
| BCBS | MHS HB BCBS PPO MMMC | Commercial | $6,160 | case rate |
| BCBS | MHS HB BCBS TRADITIONAL MMMC | Commercial | $6,160 | case rate |
Methodist Midlothian Medical Center: all 39 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MLMC | Medicare Advantage | $419 | other |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MLMC | Public program | $419 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MLMC | Medicare Advantage | $419 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MLMC | Medicare Advantage | $419 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MLMC | Medicare Advantage | $419 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MLMC | Medicare Advantage | $419 | other |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MLMC | Medicare Advantage | $428 | other |
| UNITED HEALTHCARE MEDICAID MANAGED CARE | MHS HB UNITED MEDICAID STAR PLUS MLMC | Medicaid / CHIP | $436 | percent of total billed charges |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MLMC | Medicare Advantage | $440 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MLMC | Medicare Advantage | $440 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MLMC | Medicare Advantage | $440 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MLMC | Medicare Advantage | $440 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MLMC | Medicare Advantage | $444 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MLMC | Medicare Advantage | $444 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MLMC | Medicare Advantage | $444 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MLMC | Commercial | $449 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MLMC | Medicare Advantage | $449 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MLMC | Medicare Advantage | $453 | other |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MLMC | Commercial | $524 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MLMC | Commercial | $545 | other |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MLMC | Commercial | $587 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MLMC | Commercial | $608 | other |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MLMC | Commercial | $650 | other |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MLMC | Commercial | $671 | other |
| AETNA | MHS HB AETNA EXCHANGE MLMC | Commercial | $679 | other |
| AETNA | MHS HB AETNA CVS MLMC | Commercial | $679 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MLMC | Commercial | $692 | other |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MLMC | Commercial | $713 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MLMC | Commercial | $717 | other |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MLMC | Commercial | $754 | other |
| CIGNA | MHS HB CUSTOM INK MLMC | Commercial | $775 | other |
| EVRY HEALTH | MHS HB EVRY MLMC | Commercial | $838 | other |
| SANA BENEFITS | MHS HB SANA MLMC | Commercial | $838 | other |
| VELOCITY | MHS HB VELOCITY MLMC | Commercial | $838 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MLMC | Workers' comp | $838 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MLMC | Commercial | $1,048 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MLMC | Commercial | $1,048 | other |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MLMC | Commercial | $1,132 | other |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MLMC | Medicaid / CHIP | $1,880 | percent of total billed charges |
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 | $247 | percent of total billed charges |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MRMC | Medicare Advantage | $419 | other |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MRMC | Public program | $419 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MRMC | Medicare Advantage | $419 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MRMC | Medicare Advantage | $419 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MRMC | Medicare Advantage | $419 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MRMC | Medicare Advantage | $419 | other |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MRMC | Medicare Advantage | $428 | other |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MRMC | Medicare Advantage | $440 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MRMC | Medicare Advantage | $440 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MRMC | Medicare Advantage | $440 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MRMC | Medicare Advantage | $440 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MRMC | Medicare Advantage | $444 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MRMC | Medicare Advantage | $444 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MRMC | Medicare Advantage | $444 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MRMC | Commercial | $449 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MRMC | Medicare Advantage | $449 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MRMC | Medicare Advantage | $453 | other |
| CORALVITA | MHS HB VIBRA MRMC MCMC MDMC | Commercial | $503 | other |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MRMC | Commercial | $524 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MRMC | Commercial | $545 | other |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MRMC | Commercial | $587 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MRMC | Commercial | $608 | other |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MRMC | Commercial | $650 | other |
| AETNA | MHS HB AETNA EXCHANGE MRMC | Commercial | $679 | other |
| AETNA | MHS HB AETNA CVS MRMC | Commercial | $679 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MRMC | Commercial | $692 | other |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MRMC | Commercial | $713 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MRMC | Commercial | $717 | other |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MRMC | Commercial | $754 | other |
| CIGNA | MHS HB CUSTOM INK MRMC | Commercial | $775 | other |
| EVRY HEALTH | MHS HB EVRY MRMC | Commercial | $838 | other |
| SANA BENEFITS | MHS HB SANA MRMC | Commercial | $838 | other |
| VELOCITY | MHS HB VELOCITY MRMC | Commercial | $838 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MRMC | Commercial | $1,048 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MRMC | Commercial | $1,048 | other |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MRMC | Medicaid / CHIP | $1,065 | percent of total billed charges |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MRMC | Commercial | $1,132 | other |
| BCBS | MHS HB BCBS MY BLUE HEALTH MRMC | Commercial | $3,100 | case rate |
| BCBS | MHS HB BCBS PREMIER MRMC | Commercial | $5,340 | case rate |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MRMC | Commercial | $5,340 | case rate |
| BCBS | MHS HB BCBS CITY OF DALLAS MRMC | Commercial | $5,540 | case rate |
| BCBS | MHS HB BCBS HMO MRMC | Commercial | $5,660 | case rate |
| BCBS | MHS HB BCBS PPO MRMC | Commercial | $6,160 | case rate |
| BCBS | MHS HB BCBS TRADITIONAL MRMC | Commercial | $6,160 | case rate |
Methodist Southlake Medical Center: all 53 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| TRICARE | MHS HB TRICARE MSMC | Military / VA | $407 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MSMC | Medicare Advantage | $420 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MSMC | Medicare Advantage | $420 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MSMC | Medicare Advantage | $420 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MSMC | Medicare Advantage | $420 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MSMC | Medicare Advantage | $420 | other |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MSMC | Medicare Advantage | $428 | other |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MSMC | Medicare Advantage | $441 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MSMC | Medicare Advantage | $441 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MSMC | Medicare Advantage | $441 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MSMC | Medicare Advantage | $441 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MSMC | Medicare Advantage | $445 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MSMC | Medicare Advantage | $445 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MSMC | Medicare Advantage | $445 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MSMC | Commercial | $449 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MSMC | Medicare Advantage | $449 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MSMC | Medicare Advantage | $453 | other |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MSMC | Commercial | $525 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MSMC | Commercial | $546 | other |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MSMC | Commercial | $588 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MSMC | Commercial | $609 | other |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MSMC | Commercial | $651 | other |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MSMC | Commercial | $672 | other |
| AETNA | MHS HB AETNA EXCHANGE MSMC | Commercial | $680 | other |
| AETNA | MHS HB AETNA CVS MSMC | Commercial | $680 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MSMC | Commercial | $693 | other |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MSMC | Commercial | $714 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MSMC | Commercial | $718 | other |
| UNITED HEALTHCARE MEDICAID MANAGED CARE | MHS HB UNITED MEDICAID STAR PLUS MSMC | Medicaid / CHIP | $722 | percent of total billed charges |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MSMC | Commercial | $756 | other |
| CIGNA | MHS HB CUSTOM INK MSMC | Commercial | $777 | other |
| EVRY HEALTH | MHS HB EVRY MSMC | Commercial | $840 | other |
| SANA BENEFITS | MHS HB SANA MSMC | Commercial | $840 | other |
| VELOCITY | MHS HB VELOCITY MSMC | Commercial | $840 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MSMC | Workers' comp | $840 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MSMC | Commercial | $1,050 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MSMC | Commercial | $1,050 | other |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MSMC | Commercial | $1,134 | other |
| UNITED HEALTHCARE-COMMERCIAL | MHS HB UNITED HEALTHCARE MSMC | Commercial | $1,407 | percent of total billed charges |
| AETNA | MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC | Commercial | $1,446 | percent of total billed charges |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MSMC | Medicaid / CHIP | $2,674 | percent of total billed charges |
| BCBS | MHS HB BCBS MY BLUE HEALTH MSMC | Commercial | $3,100 | case rate |
| WELLPOINT MEDICAID MANAGED CARE | MHS HB WELLPOINT MEDICAID STAR MSMC | Medicaid / CHIP | $3,247 | percent of total billed charges |
| AETNA COMMERCIAL | MHS HB AETNA TX PREF PLUS II MSMC | Commercial | $3,328 | case rate |
| AETNA COMMERCIAL | MHS HB AETNA TEXAS ADVANTAGE MSMC | Commercial | $3,523 | case rate |
| AETNA MANAGED CARE | MHS HB AETNA WHOLE HEALTH MSMC | Commercial | $3,523 | case rate |
| AETNA | MHS HB AETNA HMO PPO MSMC | Commercial | $3,915 | case rate |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MSMC | Commercial | $5,340 | case rate |
| BCBS | MHS HB BCBS PREMIER MSMC | Commercial | $5,340 | case rate |
| BCBS | MHS HB BCBS CITY OF DALLAS MSMC | Commercial | $5,540 | case rate |
| BCBS | MHS HB BCBS HMO MSMC | Commercial | $5,660 | case rate |
| BCBS | MHS HB BCBS PPO MSMC | Commercial | $6,160 | case rate |
| BCBS | MHS HB BCBS TRADITIONAL MSMC | Commercial | $6,160 | case rate |
Texas Health Harris Methodist Hospital Southlake: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $154 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $154 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $154 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $154 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $162 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $167 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $170 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $420 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $420 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $428 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $437 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $441 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $441 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $441 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $462 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $466 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $474 | case rate |
| Aetna | Whole Health | Commercial | $597 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $662 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $736 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $779 | percent of total billed charges |
| Aetna | Commercial | Commercial | $796 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $845 | percent of total billed charges |
| PHCS | PPO | Commercial | $979 | percent of total billed charges |
| Cigna | PPO | Commercial | $982 | percent of total billed charges |
| Aetna | Coventry | Commercial | $987 | percent of total billed charges |
| Aetna | ASA | Commercial | $987 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,056 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $1,225 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $1,239 | percent of total billed charges |
| USA | MCO | Commercial | $1,239 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $1,325 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $11,439 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $21,724 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $23,884 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $24,138 | case rate |
Texas Health Hospital Rockwall: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Parkland | Managed Medicaid | Medicaid / CHIP | $135 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $135 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $135 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $135 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $142 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $146 | percent of total billed charges |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $419 | case rate |
| American Health | Medicare Advantage | Medicare Advantage | $419 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $428 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $436 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $440 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $440 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $440 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $461 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $465 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $474 | case rate |
| Aetna | Whole Health | Commercial | $597 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $662 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $736 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $779 | percent of total billed charges |
| Aetna | Commercial | Commercial | $796 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $845 | percent of total billed charges |
| PHCS | PPO | Commercial | $979 | percent of total billed charges |
| Cigna | PPO | Commercial | $982 | percent of total billed charges |
| Aetna | ASA | Commercial | $987 | percent of total billed charges |
| Aetna | Coventry | Commercial | $987 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,056 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $1,225 | percent of total billed charges |
| USA | MCO | Commercial | $1,239 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $1,239 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $1,325 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $11,439 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $21,724 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $23,884 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $24,138 | case rate |
Texas Health Heart & Vascular Hospital Arlington: all 39 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $125 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $125 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $125 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $125 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $132 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $135 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $138 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $420 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $420 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $428 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $437 | case rate |
| Humana | Medicare Advantage PPO | Medicare Advantage | $437 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $441 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $441 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $441 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $462 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $466 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $474 | case rate |
| Aetna | Whole Health | Commercial | $597 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $662 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $736 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $779 | percent of total billed charges |
| Aetna | Commercial | Commercial | $796 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $845 | percent of total billed charges |
| PHCS | PPO | Commercial | $979 | percent of total billed charges |
| Cigna | PPO | Commercial | $982 | percent of total billed charges |
| Aetna | ASA | Commercial | $987 | percent of total billed charges |
| Aetna | Coventry | Commercial | $987 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,056 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $1,225 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $1,239 | percent of total billed charges |
| USA | MCO | Commercial | $1,239 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $1,325 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $11,439 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $21,724 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $23,884 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $24,138 | 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 | $212 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $212 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $212 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $212 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $223 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $229 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $233 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $419 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $419 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $428 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $436 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $440 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $440 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $440 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $461 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $465 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $474 | case rate |
| Aetna | Whole Health | Commercial | $597 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $662 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $736 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $779 | percent of total billed charges |
| Aetna | Commercial | Commercial | $796 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $845 | percent of total billed charges |
| PHCS | PPO | Commercial | $979 | percent of total billed charges |
| Cigna | PPO | Commercial | $982 | percent of total billed charges |
| Aetna | ASA | Commercial | $987 | percent of total billed charges |
| Aetna | Coventry | Commercial | $987 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,056 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $1,225 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $1,239 | percent of total billed charges |
| USA | MCO | Commercial | $1,239 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $1,325 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $11,439 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $21,724 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $23,884 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $24,138 | 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 | $132 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $132 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $132 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $132 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $138 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $142 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $145 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $419 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $419 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $428 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $436 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $440 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $440 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $440 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $461 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $465 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $474 | case rate |
| City of Fort Worth | Commercial | Commercial | $662 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $723 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $736 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $779 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $845 | percent of total billed charges |
| Aetna | Commercial | Commercial | $964 | percent of total billed charges |
| PHCS | PPO | Commercial | $979 | percent of total billed charges |
| Cigna | PPO | Commercial | $982 | percent of total billed charges |
| Aetna | Coventry | Commercial | $987 | percent of total billed charges |
| Aetna | ASA | Commercial | $987 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,056 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $1,225 | percent of total billed charges |
| USA | MCO | Commercial | $1,239 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $1,239 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $1,325 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $11,439 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $21,724 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $23,884 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $24,138 | 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 | $145 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $145 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $145 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $145 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $152 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $156 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $159 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $420 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $420 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $428 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $437 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $441 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $441 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $441 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $462 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $466 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $474 | case rate |
| City of Fort Worth | Commercial | Commercial | $662 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $723 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $736 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $779 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $845 | percent of total billed charges |
| Aetna | Commercial | Commercial | $964 | percent of total billed charges |
| PHCS | PPO | Commercial | $979 | percent of total billed charges |
| Cigna | PPO | Commercial | $982 | percent of total billed charges |
| Aetna | Coventry | Commercial | $987 | percent of total billed charges |
| Aetna | ASA | Commercial | $987 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,056 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $1,225 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $1,239 | percent of total billed charges |
| USA | MCO | Commercial | $1,239 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $1,325 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $11,439 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $21,724 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $23,884 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $24,138 | 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 | $202 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $202 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $202 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $202 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $202 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $202 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $410 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $410 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $418 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $426 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $430 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $430 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $430 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $450 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $455 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $463 | case rate |
| Aetna | Whole Health | Commercial | $597 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $662 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $736 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $779 | percent of total billed charges |
| Aetna | Commercial | Commercial | $796 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $845 | percent of total billed charges |
| PHCS | PPO | Commercial | $979 | percent of total billed charges |
| Cigna | PPO | Commercial | $982 | percent of total billed charges |
| Aetna | Coventry | Commercial | $987 | percent of total billed charges |
| Aetna | ASA | Commercial | $987 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,056 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $1,225 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $1,239 | percent of total billed charges |
| USA | MCO | Commercial | $1,239 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $1,325 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $11,439 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $21,724 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $23,884 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $24,138 | 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 | $142 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $142 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $142 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $142 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $142 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $149 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $153 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $156 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $420 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $420 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $428 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $437 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $441 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $441 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $441 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $462 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $466 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $474 | case rate |
| City of Fort Worth | Commercial | Commercial | $662 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $723 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $736 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $779 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $845 | percent of total billed charges |
| Aetna | Commercial | Commercial | $964 | percent of total billed charges |
| PHCS | PPO | Commercial | $979 | percent of total billed charges |
| Cigna | PPO | Commercial | $982 | percent of total billed charges |
| Aetna | ASA | Commercial | $987 | percent of total billed charges |
| Aetna | Coventry | Commercial | $987 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,056 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $1,225 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $1,239 | percent of total billed charges |
| USA | MCO | Commercial | $1,239 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $1,325 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $11,439 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $21,724 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $23,884 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $24,138 | 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 | $132 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $132 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $132 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $132 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $138 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $142 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $419 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $419 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $428 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $436 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $440 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $440 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $440 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $461 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $465 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $474 | case rate |
| City of Fort Worth | Commercial | Commercial | $662 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $723 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $736 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $779 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $845 | percent of total billed charges |
| Aetna | Commercial | Commercial | $964 | percent of total billed charges |
| PHCS | PPO | Commercial | $979 | percent of total billed charges |
| Cigna | PPO | Commercial | $982 | percent of total billed charges |
| Aetna | ASA | Commercial | $987 | percent of total billed charges |
| Aetna | Coventry | Commercial | $987 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,056 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $1,225 | percent of total billed charges |
| USA | MCO | Commercial | $1,239 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $1,239 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $1,325 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $11,439 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $21,724 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $23,884 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $24,138 | case rate |
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford: all 39 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $152 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $152 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $152 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $152 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $152 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $160 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $164 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $167 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $420 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $420 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $428 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $437 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $441 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $441 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $441 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $462 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $466 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $474 | case rate |
| City of Fort Worth | Commercial | Commercial | $662 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $723 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $736 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $779 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $845 | percent of total billed charges |
| Aetna | Commercial | Commercial | $964 | percent of total billed charges |
| PHCS | PPO | Commercial | $979 | percent of total billed charges |
| Cigna | PPO | Commercial | $982 | percent of total billed charges |
| Aetna | ASA | Commercial | $987 | percent of total billed charges |
| Aetna | Coventry | Commercial | $987 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,056 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $1,225 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $1,239 | percent of total billed charges |
| USA | MCO | Commercial | $1,239 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $1,325 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $11,439 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $21,724 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $23,884 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $24,138 | 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 | $154 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $154 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $154 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $154 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $162 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $167 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $170 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $420 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $420 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $428 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $437 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $441 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $441 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $441 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $462 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $466 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $474 | case rate |
| City of Fort Worth | Commercial | Commercial | $662 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $723 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $736 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $779 | percent of total billed charges |
| Aetna | Commercial | Commercial | $964 | percent of total billed charges |
| Cigna | PPO | Commercial | $982 | percent of total billed charges |
| Aetna | ASA | Commercial | $987 | percent of total billed charges |
| Aetna | Coventry | Commercial | $987 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $1,000 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,056 | percent of total billed charges |
| PHCS | PPO | Commercial | $1,178 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $1,225 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $1,239 | percent of total billed charges |
| USA | MCO | Commercial | $1,239 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $1,325 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $11,439 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $21,724 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $23,884 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $24,138 | 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 | $142 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $142 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $142 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $142 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $149 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $153 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $156 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $406 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $406 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $414 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $422 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $426 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $426 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $426 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $447 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $451 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $459 | case rate |
| City of Fort Worth | Commercial | Commercial | $662 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $723 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $736 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $779 | percent of total billed charges |
| Aetna | Commercial | Commercial | $964 | percent of total billed charges |
| Cigna | PPO | Commercial | $982 | percent of total billed charges |
| Aetna | ASA | Commercial | $987 | percent of total billed charges |
| Aetna | Coventry | Commercial | $987 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $1,000 | percent of total billed charges |
| PHCS | PPO | Commercial | $1,178 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,225 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $1,225 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $1,239 | percent of total billed charges |
| USA | MCO | Commercial | $1,239 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $1,325 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $11,439 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $21,724 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $23,884 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $24,138 | 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 | $116 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $116 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $116 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $116 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $121 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $125 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $127 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $420 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $420 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $428 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $437 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $441 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $441 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $441 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $462 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $466 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $474 | case rate |
| City of Fort Worth | Commercial | Commercial | $662 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $723 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $736 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $779 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $845 | percent of total billed charges |
| Aetna | Commercial | Commercial | $964 | percent of total billed charges |
| PHCS | PPO | Commercial | $979 | percent of total billed charges |
| Cigna | PPO | Commercial | $982 | percent of total billed charges |
| Aetna | ASA | Commercial | $987 | percent of total billed charges |
| Aetna | Coventry | Commercial | $987 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,056 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $1,225 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $1,239 | percent of total billed charges |
| USA | MCO | Commercial | $1,239 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $1,325 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $11,439 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $21,724 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $23,884 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $24,138 | 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 | $172 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $172 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $172 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $172 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $181 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $186 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $419 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $419 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $428 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $436 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $440 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $440 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $440 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $461 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $465 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $474 | case rate |
| City of Fort Worth | Commercial | Commercial | $662 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $723 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $736 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $779 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $845 | percent of total billed charges |
| Aetna | Commercial | Commercial | $964 | percent of total billed charges |
| PHCS | PPO | Commercial | $979 | percent of total billed charges |
| Cigna | PPO | Commercial | $982 | percent of total billed charges |
| Aetna | ASA | Commercial | $987 | percent of total billed charges |
| Aetna | Coventry | Commercial | $987 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,056 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $1,225 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $1,239 | percent of total billed charges |
| USA | MCO | Commercial | $1,239 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $1,325 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $11,439 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $21,724 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $23,884 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $24,138 | 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 | $132 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $132 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $132 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $132 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $138 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $142 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $419 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $419 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $428 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $436 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $440 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $440 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $440 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $461 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $465 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $474 | case rate |
| City of Fort Worth | Commercial | Commercial | $662 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $723 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $736 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $779 | percent of total billed charges |
| Aetna | Commercial | Commercial | $964 | percent of total billed charges |
| Cigna | PPO | Commercial | $982 | percent of total billed charges |
| Aetna | ASA | Commercial | $987 | percent of total billed charges |
| Aetna | Coventry | Commercial | $987 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $1,000 | percent of total billed charges |
| PHCS | PPO | Commercial | $1,178 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,225 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $1,225 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $1,239 | percent of total billed charges |
| USA | MCO | Commercial | $1,239 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $1,325 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $11,439 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $21,724 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $23,884 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $24,138 | 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 | $162 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $162 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $162 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $162 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $170 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $175 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $419 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $419 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $428 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $436 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $440 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $440 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $440 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $461 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $465 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $474 | case rate |
| City of Fort Worth | Commercial | Commercial | $662 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $723 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $736 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $779 | percent of total billed charges |
| Aetna | Commercial | Commercial | $964 | percent of total billed charges |
| Cigna | PPO | Commercial | $982 | percent of total billed charges |
| Aetna | ASA | Commercial | $987 | percent of total billed charges |
| Aetna | Coventry | Commercial | $987 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $1,000 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,056 | percent of total billed charges |
| PHCS | PPO | Commercial | $1,178 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $1,225 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $1,239 | percent of total billed charges |
| USA | MCO | Commercial | $1,239 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $1,325 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $11,439 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $21,724 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $23,884 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $24,138 | 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 | $183 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $183 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $183 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $183 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $192 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $197 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $201 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $419 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $419 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $428 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $436 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $440 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $440 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $440 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $461 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $465 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $474 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $537 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $662 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $723 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $736 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $779 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $845 | percent of total billed charges |
| Aetna | Commercial | Commercial | $964 | percent of total billed charges |
| PHCS | PPO | Commercial | $979 | percent of total billed charges |
| Cigna | PPO | Commercial | $982 | percent of total billed charges |
| Aetna | ASA | Commercial | $987 | percent of total billed charges |
| Aetna | Coventry | Commercial | $987 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,056 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $1,059 | percent of total billed charges |
| Blue Cross Blue Shield | PPO | Commercial | $1,176 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $1,225 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $1,239 | percent of total billed charges |
| USA | MCO | Commercial | $1,239 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $1,292 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $1,325 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | 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 | $251 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $251 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $251 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $251 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $263 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $271 | percent of total billed charges |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $419 | case rate |
| American Health | Medicare Advantage | Medicare Advantage | $419 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $428 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $436 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $440 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $440 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $440 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $461 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $465 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $474 | case rate |
| City of Fort Worth | Commercial | Commercial | $662 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $723 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $736 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $779 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $845 | percent of total billed charges |
| Aetna | Commercial | Commercial | $964 | percent of total billed charges |
| PHCS | PPO | Commercial | $979 | percent of total billed charges |
| Cigna | PPO | Commercial | $982 | percent of total billed charges |
| Aetna | Coventry | Commercial | $987 | percent of total billed charges |
| Aetna | ASA | Commercial | $987 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,056 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $1,225 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $1,239 | percent of total billed charges |
| USA | MCO | Commercial | $1,239 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $1,325 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $11,439 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $21,724 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $23,884 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $24,138 | case rate |
Parkland Health (Parkland Memorial Hospital): all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| WELLPOINT | BELOW FPIL WELLPOINT CHIP PERINATE | Medicaid / CHIP | $349 | percent of total billed charges |
| WELLPOINT | ABOVE FPIL WELLPOINT CHIP PERINATE | Medicaid / CHIP | $349 | percent of total billed charges |
| WELLPOINT | WELLPOINT CHIP PERINATE POST PARTUM | Medicaid / CHIP | $349 | percent of total billed charges |
| COOK CHILDREN HEALTH PLAN | COOK CHILDREN STAR MEDICAID | Medicaid / CHIP | $366 | percent of total billed charges |
| COOK CHILDREN HEALTH PLAN | COOK CHILDRENS STAR KIDS | Medicaid / CHIP | $366 | percent of total billed charges |
| COOK CHILDREN HEALTH PLAN | COOK CHILDRENS CHIP | Medicaid / CHIP | $366 | percent of total billed charges |
| PARKLAND COMMUNITY HEALTH PLAN | Parkland CHIP | Medicaid / CHIP | $367 | percent of total billed charges |
| AETNA BETTER HEALTH | AETNA BETTER HEALTH CHIP | Medicaid / CHIP | $367 | percent of total billed charges |
| AETNA BETTER HEALTH | BELOW FPIL AETNA CHIP PERINATE | Medicaid / CHIP | $367 | percent of total billed charges |
| AETNA BETTER HEALTH | ABOVE FPIL AETNA CHIP PERINATE | Medicaid / CHIP | $367 | percent of total billed charges |
| SUPERIOR HEALTH PLAN | SUPERIOR STAR HEALTH FOSTER CARE | Medicaid / CHIP | $367 | percent of total billed charges |
| MOLINA | MOLINA CHIP | Medicaid / CHIP | $384 | percent of total billed charges |
| MOLINA | MOLINA RSA MEDICAID | Medicaid / CHIP | $384 | percent of total billed charges |
| POINT COMFORT UNDERWRITERS | POINT COMFORT UNDERWRITERS | Public program | $384 | percent of total billed charges |
| MOLINA | BELOW FPIL MOLINA CHIP PERINATE | Medicaid / CHIP | $384 | percent of total billed charges |
| MOLINA | POST PARTUM VST-MOLINA CHIP | Medicaid / CHIP | $384 | percent of total billed charges |
| MOLINA | ABOVE FPIL MOLINA CHIP PERINATE | Medicaid / CHIP | $384 | percent of total billed charges |
| CARE IMPROVEMENT PLUS | CARE IMPROVEMENT PLUS | Medicare Advantage | $482 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BLUE ADVANTAGE HMO ACA | Commercial | $489 | fee schedule |
| PROCARE ADVANTAGE | PROCARE ADVANTAGE | Medicare Advantage | $489 | percent of total billed charges |
| WELLPOINT | WELLPOINT STAR PLUS | Medicaid / CHIP | $1,298 | percent of total billed charges |
| WELLPOINT | WELLPOINT STAR KIDS | Medicaid / CHIP | $1,330 | percent of total billed charges |
| SUPERIOR HEALTHPLAN | SUPERIOR STAR PLUS | Medicaid / CHIP | $1,363 | percent of total billed charges |
| AETNA HEALTHCARE | AETNA | Commercial | $1,385 | percent of total billed charges |
| CIGNA | CIGNA | Commercial | $1,385 | percent of total billed charges |
| GREAT WEST HEALTHCARE | GREAT WEST HEALTHCARE | Commercial | $1,385 | percent of total billed charges |
| MOLINA | MOLINA STAR PLUS | Medicaid / CHIP | $1,428 | percent of total billed charges |
| UNITED HEALTHCARE OF TX | UNITED HEALTHCARE OF TX | Commercial | $1,539 | percent of total billed charges |
| UNITED HEALTHCARE OF TX | UHC - UMR | Commercial | $1,539 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS TRADITIONAL | Commercial | $1,662 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS OUT OF STATE | Commercial | $1,662 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS FEDERAL EMPLOYEE | Commercial | $1,662 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BLUE CROSS BLUE SHIELD PPO | Commercial | $1,662 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BLUE CROSS BLUE SHIELD HMO | Commercial | $1,662 | percent of total billed charges |
| WELLPOINT | WELLPOINT STAR | Medicaid / CHIP | $1,696 | percent of total billed charges |
| PARKLAND COMMUNITY HEALTH PLAN | Parkland STAR | Medicaid / CHIP | $1,781 | percent of total billed charges |
| AETNA BETTER HEALTH | AETNA BETTER HEALTH STAR | Medicaid / CHIP | $1,781 | percent of total billed charges |
| MOLINA | MOLINA STAR MEDICAID | Medicaid / CHIP | $1,866 | percent of total billed charges |
UT Southwestern William P. Clements Jr. University Hospital: all 33 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna Better Health | Managed Medicaid | Medicaid / CHIP | $353 | percent of total billed charges |
| Wellpoint | Managed Medicaid | Medicaid / CHIP | $353 | percent of total billed charges |
| Superior | Managed Medicaid | Medicaid / CHIP | $353 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $353 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $353 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $381 | percent of total billed charges |
| Procare | Medicare Advantage | Medicare Advantage | $426 | fee schedule |
| Humana | Medicare Advantage | Medicare Advantage | $443 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $447 | fee schedule |
| Superior | Medicare Advantage | Medicare Advantage | $447 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $447 | fee schedule |
| Wellpoint | Medicare Advantage | Medicare Advantage | $447 | fee schedule |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $473 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $481 | fee schedule |
| Aetna | Whole Health | Commercial | $1,275 | percent of total billed charges |
| Maestro Health/Fort Worth Firefighters | Commercial | Commercial | $1,306 | percent of total billed charges |
| HealthFirst | Commercial | Commercial | $1,373 | percent of total billed charges |
| QuikTrip | Commercial | Commercial | $1,466 | percent of total billed charges |
| Aetna | HMO/POS/EPO/PPO | Commercial | $1,593 | percent of total billed charges |
| Coventry | National/Medical Rental Products | Commercial | $1,708 | percent of total billed charges |
| Rockwall County | Commercial | Commercial | $1,710 | percent of total billed charges |
| United Healthcare W500 | Commercial | Commercial | $1,764 | percent of total billed charges |
| Cigna | HMO-PPO | Commercial | $1,799 | percent of total billed charges |
| PHCS | Commercial | Commercial | $1,844 | percent of total billed charges |
| HealthSmart | Commercial | Commercial | $2,028 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $2,125 | percent of total billed charges |
| Galaxy Health Network | Commercial | Commercial | $2,150 | percent of total billed charges |
| United Healthcare | Commercial | Commercial | $3,884 | case rate |
| United Options Nexus | Commercial | Commercial | $4,263 | case rate |
| Blue Cross Blue Shield | MyBlueHealth | Commercial | $4,360 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $5,944 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $6,060 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $6,740 | case rate |
Baylor Scott & White Medical Center – Lake Pointe: all 41 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $234 | percent of total billed charges |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $234 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $250 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $398 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $407 | fee schedule |
| Humana | Medicare | Medicare Advantage | $419 | fee schedule |
| TriWest | Community Care Network | Military / VA | $419 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $432 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $440 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $469 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $503 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $526 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $529 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $627 | fee schedule |
| Texas A&M Commerce | Injured Athletes | Commercial | $650 | case rate |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $692 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $901 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $998 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,100 | case rate |
| QuikTrip | Employee Benefit Plan | Commercial | $1,168 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $1,168 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,295 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,301 | case rate |
| Curative | Commercial | Commercial | $1,380 | percent of total billed charges |
| First Health | PPO | Commercial | $1,486 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $1,486 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $1,592 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $1,592 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $1,592 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $2,314 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $3,278 | case rate |
| Mark Cuban | Commercial | Commercial | $3,780 | case rate |
| Aetna | Commercial | Commercial | $3,894 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $4,403 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $4,647 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $4,892 | case rate |
Baylor Scott & White The Heart Hospital – Denton: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $234 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $250 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $398 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $407 | fee schedule |
| Humana | Medicare | Medicare Advantage | $419 | fee schedule |
| TriWest | Community Care Network | Military / VA | $419 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $440 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $469 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $503 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $526 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $529 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $627 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $692 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $901 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $998 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,100 | case rate |
| QuikTrip | Employee Benefit Plan | Commercial | $1,168 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $1,168 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,295 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,301 | case rate |
| Curative | Commercial | Commercial | $1,380 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $1,420 | case rate |
| First Health | PPO | Commercial | $1,486 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $1,486 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $1,592 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $1,592 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $1,592 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $2,020 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $2,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $2,860 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $3,020 | case rate |
| Mark Cuban | Commercial | Commercial | $3,780 | case rate |
| Aetna | Commercial | Commercial | $3,894 | case rate |
Baylor Scott & White The Heart Hospital – McKinney: all 27 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $386 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $398 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $407 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $469 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $529 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $627 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $998 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $1,168 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $1,168 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,301 | case rate |
| Curative | Commercial | Commercial | $1,380 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $1,420 | case rate |
| First Health | PPO | Commercial | $1,486 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $1,486 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $1,592 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $1,592 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $1,592 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $2,020 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $2,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $2,860 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $3,020 | case rate |
| Mark Cuban | Commercial | Commercial | $3,780 | case rate |
| Aetna | Commercial | Commercial | $3,894 | case rate |
Baylor Scott & White The Heart Hospital – Plano: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $273 | percent of total billed charges |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $318 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $398 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $407 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $419 | fee schedule |
| Humana | Medicare | Medicare Advantage | $419 | fee schedule |
| TriWest | Community Care Network | Military / VA | $419 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $440 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $469 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $503 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $526 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $529 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $627 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $692 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $901 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $998 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,100 | case rate |
| QuikTrip | Employee Benefit Plan | Commercial | $1,168 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $1,168 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,295 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,301 | case rate |
| Curative | Commercial | Commercial | $1,380 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $1,420 | case rate |
| First Health | PPO | Commercial | $1,486 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $1,486 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $1,592 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $1,592 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $1,592 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $2,020 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $2,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $2,860 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $3,020 | case rate |
| Mark Cuban | Commercial | Commercial | $3,780 | case rate |
| Aetna | Commercial | Commercial | $3,894 | case rate |
Baylor Scott & White All Saints Medical Center – Fort Worth: all 42 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Cook Children's Health Plan | Medicaid | Medicaid / CHIP | $340 | percent of total billed charges |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $340 | percent of total billed charges |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $340 | percent of total billed charges |
| Aetna | Medicaid | Medicaid / CHIP | $346 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $363 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $398 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $407 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $419 | fee schedule |
| Humana | Medicare | Medicare Advantage | $419 | fee schedule |
| TriWest | Community Care Network | Military / VA | $419 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $432 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $440 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $469 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $503 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $526 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $529 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $627 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $692 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $901 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $998 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,100 | case rate |
| QuikTrip | Employee Benefit Plan | Commercial | $1,168 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $1,168 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,295 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,301 | case rate |
| Curative | Commercial | Commercial | $1,380 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $1,420 | case rate |
| First Health | PPO | Commercial | $1,486 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $1,486 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $1,592 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $1,592 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $1,592 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $2,020 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $2,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $2,860 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $3,020 | case rate |
| Mark Cuban | Commercial | Commercial | $3,780 | case rate |
| Aetna | Commercial | Commercial | $3,894 | case rate |
Baylor Scott & White Medical Center – Frisco at PGA Parkway: all 34 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $398 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $407 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $419 | fee schedule |
| Humana | Medicare | Medicare Advantage | $419 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $440 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $469 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $503 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $526 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $529 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $594 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $692 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $901 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $998 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,100 | case rate |
| QuikTrip | Employee Benefit Plan | Commercial | $1,168 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $1,168 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,295 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,301 | case rate |
| Curative | Commercial | Commercial | $1,380 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $1,420 | case rate |
| First Health | PPO | Commercial | $1,486 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $1,486 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $1,592 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $1,592 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $1,592 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $2,020 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $2,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $2,860 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $3,020 | case rate |
| Aetna | Commercial | Commercial | $3,894 | case rate |
Baylor Scott & White Medical Center – McKinney: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $361 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $386 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $398 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $407 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $419 | fee schedule |
| Humana | Medicare | Medicare Advantage | $419 | fee schedule |
| TriWest | Community Care Network | Military / VA | $419 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $440 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $469 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $503 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $526 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $529 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $627 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $692 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $901 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $998 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,100 | case rate |
| QuikTrip | Employee Benefit Plan | Commercial | $1,168 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $1,168 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,295 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,301 | case rate |
| Curative | Commercial | Commercial | $1,380 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $1,420 | case rate |
| First Health | PPO | Commercial | $1,486 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $1,486 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $1,592 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $1,592 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $1,592 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $2,020 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $2,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $2,860 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $3,020 | case rate |
| Mark Cuban | Commercial | Commercial | $3,780 | case rate |
| Aetna | Commercial | Commercial | $3,894 | case rate |
Baylor Scott & White Medical Center – Grapevine: all 39 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $318 | percent of total billed charges |
| Aetna | Medicaid | Medicaid / CHIP | $325 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $341 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $399 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $407 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $420 | fee schedule |
| Humana | Medicare | Medicare Advantage | $420 | fee schedule |
| TriWest | Community Care Network | Military / VA | $420 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $441 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $441 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $441 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $441 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $441 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $470 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $504 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $527 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $529 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $628 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $693 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $903 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $998 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,100 | case rate |
| QuikTrip | Employee Benefit Plan | Commercial | $1,168 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $1,168 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,295 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,301 | case rate |
| Curative | Commercial | Commercial | $1,380 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $1,420 | case rate |
| First Health | PPO | Commercial | $1,486 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $1,486 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $1,592 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $1,592 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $1,592 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $2,020 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $2,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $2,860 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $3,020 | case rate |
| Mark Cuban | Commercial | Commercial | $3,780 | case rate |
| Aetna | Commercial | Commercial | $3,894 | case rate |
Baylor University Medical Center: all 45 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $361 | percent of total billed charges |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $361 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $386 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $398 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $407 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $419 | fee schedule |
| Humana | Medicare | Medicare Advantage | $419 | fee schedule |
| TriWest | Community Care Network | Military / VA | $419 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $432 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $440 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $469 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $503 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $526 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $529 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $627 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $692 | fee schedule |
| Texas Workforce Commission | Workers Compensation | Workers' comp | $764 | percent of total billed charges |
| Superior Ambetter | Ambetter Exchange | Commercial | $901 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $998 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,100 | case rate |
| QuikTrip | Employee Benefit Plan | Commercial | $1,168 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $1,168 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,295 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,301 | case rate |
| Curative | Commercial | Commercial | $1,380 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $1,420 | case rate |
| First Health | PPO | Commercial | $1,486 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $1,486 | percent of total billed charges |
| Optum | Commercial | Commercial | $1,486 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $1,592 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $1,592 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $1,592 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $2,020 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $2,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $2,860 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $3,020 | case rate |
| Mark Cuban | Commercial | Commercial | $3,780 | case rate |
| Aetna | Commercial | Commercial | $3,894 | case rate |
| Cigna | Local Plus | Commercial | $6,299 | case rate |
| Cigna | HMO/PPO | Commercial | $7,411 | case rate |
Baylor Scott & White Medical Center – Waxahachie: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $318 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $341 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $398 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $407 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $419 | fee schedule |
| Humana | Medicare | Medicare Advantage | $419 | fee schedule |
| TriWest | Community Care Network | Military / VA | $419 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $440 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $469 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $503 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $526 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $529 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $627 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $692 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $901 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $998 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,100 | case rate |
| QuikTrip | Employee Benefit Plan | Commercial | $1,168 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $1,168 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,295 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,301 | case rate |
| Curative | Commercial | Commercial | $1,380 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $1,420 | case rate |
| First Health | PPO | Commercial | $1,486 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $1,486 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $1,592 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $1,592 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $1,592 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $2,020 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $2,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $2,860 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $3,020 | case rate |
| Mark Cuban | Commercial | Commercial | $3,780 | case rate |
| Aetna | Commercial | Commercial | $3,894 | case rate |
Baylor Scott & White Medical Center – Irving: all 40 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $234 | percent of total billed charges |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $234 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $250 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $398 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $407 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $419 | fee schedule |
| Humana | Medicare | Medicare Advantage | $419 | fee schedule |
| TriWest | Community Care Network | Military / VA | $419 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $432 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $440 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $469 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $503 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $526 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $529 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $627 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $692 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $901 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $998 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,100 | case rate |
| QuikTrip | Employee Benefit Plan | Commercial | $1,168 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $1,168 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,295 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,301 | case rate |
| Curative | Commercial | Commercial | $1,380 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $1,420 | case rate |
| First Health | PPO | Commercial | $1,486 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $1,486 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $1,592 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $1,592 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $1,592 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $2,020 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $2,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $2,860 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $3,020 | case rate |
| Mark Cuban | Commercial | Commercial | $3,780 | case rate |
| Aetna | Commercial | Commercial | $3,894 | case rate |
Baylor Scott & White Heart and Vascular Hospital – Dallas: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $170 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $182 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $398 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $407 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $419 | fee schedule |
| TriWest | Community Care Network | Military / VA | $419 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $440 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $469 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $503 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $526 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $529 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $627 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $692 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $901 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $998 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,100 | case rate |
| QuikTrip | Employee Benefit Plan | Commercial | $1,168 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $1,168 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,295 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,301 | case rate |
| Curative | Commercial | Commercial | $1,380 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $1,420 | case rate |
| First Health | PPO | Commercial | $1,486 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $1,486 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $1,592 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $1,592 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $1,592 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $2,020 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $2,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $2,860 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $3,020 | case rate |
| Mark Cuban | Commercial | Commercial | $3,780 | case rate |
| Aetna | Commercial | Commercial | $3,894 | case rate |
Baylor Scott & White Heart and Vascular Hospital – Waxahachie: all 27 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $398 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $407 | fee schedule |
| Humana | Medicare | Medicare Advantage | $419 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $503 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $526 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $529 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $692 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $998 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,100 | case rate |
| QuikTrip | Employee Benefit Plan | Commercial | $1,168 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $1,168 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,295 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,301 | case rate |
| Curative | Commercial | Commercial | $1,380 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $1,420 | case rate |
| First Health | PPO | Commercial | $1,486 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $1,486 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $1,592 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $2,020 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $2,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $2,860 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $3,020 | case rate |
| Aetna | Commercial | Commercial | $3,894 | case rate |
Baylor Scott & White Medical Center – Plano: all 40 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $255 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $273 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $398 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $407 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $419 | fee schedule |
| Humana | Medicare | Medicare Advantage | $419 | fee schedule |
| TriWest | Community Care Network | Military / VA | $419 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $440 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $469 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $503 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $526 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $529 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $627 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $692 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $901 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $998 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,100 | case rate |
| QuikTrip | Employee Benefit Plan | Commercial | $1,168 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $1,168 | percent of total billed charges |
| Independent Medical System | Commercial PPO | Commercial | $1,274 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,295 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,301 | case rate |
| Curative | Commercial | Commercial | $1,380 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $1,420 | case rate |
| First Health | PPO | Commercial | $1,486 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $1,486 | percent of total billed charges |
| Optum | Commercial | Commercial | $1,486 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $1,592 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $1,592 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $1,592 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $2,020 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $2,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $2,860 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $3,020 | case rate |
| Mark Cuban | Commercial | Commercial | $3,780 | case rate |
| Aetna | Commercial | Commercial | $3,894 | case rate |
Baylor Scott & White Medical Center – Centennial: all 40 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $340 | percent of total billed charges |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $340 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $363 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $398 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $407 | fee schedule |
| Humana | Medicare | Medicare Advantage | $419 | fee schedule |
| TriWest | Community Care Network | Military / VA | $419 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $432 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $440 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $440 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $469 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $503 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $526 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $529 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $627 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $692 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $901 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $998 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,100 | case rate |
| QuikTrip | Employee Benefit Plan | Commercial | $1,168 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $1,168 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,295 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,301 | case rate |
| Curative | Commercial | Commercial | $1,380 | percent of total billed charges |
| First Health | PPO | Commercial | $1,486 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $1,486 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $1,592 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $1,592 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $1,592 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $2,314 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $3,278 | case rate |
| Mark Cuban | Commercial | Commercial | $3,780 | case rate |
| Aetna | Commercial | Commercial | $3,894 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $4,403 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $4,647 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $4,892 | case rate |
Cook Children's Medical Center: all 50 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | BETTER HEALTH STAR Kids | Medicaid / CHIP | $143 | Fee Schedule |
| Aetna | BETTER HEALTH CHIP | Medicaid / CHIP | $143 | Fee Schedule |
| Aetna | BETTER HEALTH STAR UHRIP | Medicaid / CHIP | $143 | Fee Schedule |
| FIRSTCARE | STAR | Medicaid / CHIP | $675 | Percent of Total Billed Charges |
| HEALTH PLAN w/o UHRIP | STAR KIDS | Medicaid / CHIP | $675 | Percent of Total Billed Charges |
| HEALTH PLAN w/o UHRIP | CHIP | Medicaid / CHIP | $675 | Percent of Total Billed Charges |
| RIGHTCARE | STAR | Medicaid / CHIP | $941 | Percent of Total Billed Charges |
| RIGHTCARE | MDC S&W | Medicaid / CHIP | $941 | Percent of Total Billed Charges |
| HEALTH PLAN w. UHRIP | STAR | Medicaid / CHIP | $1,070 | Percent of Total Billed Charges |
| UNITED COMMUNITY | STAR PLUS | Medicaid / CHIP | $1,271 | Percent of Total Billed Charges |
| UNITED COMMUNITY | STAR | Medicaid / CHIP | $1,271 | Percent of Total Billed Charges |
| UNITED COMMUNITY | CHIP | Medicaid / CHIP | $1,271 | Percent of Total Billed Charges |
| UNITED COMMUNITY | STAR KIDS | Medicaid / CHIP | $1,271 | Percent of Total Billed Charges |
| WELLPOINT | CHIP | Medicaid / CHIP | $1,271 | Percent of Total Billed Charges |
| WELLPOINT | STAR | Medicaid / CHIP | $1,271 | Percent of Total Billed Charges |
| WELLPOINT | STAR PLUS | Medicaid / CHIP | $1,271 | Percent of Total Billed Charges |
| BCBS | BCBS TX STAR | Medicaid / CHIP | $1,308 | Percent of Total Billed Charges |
| BCBS | CHIP STAR KIDS | Medicaid / CHIP | $1,308 | Percent of Total Billed Charges |
| BCBS | CHIP | Medicaid / CHIP | $1,308 | Percent of Total Billed Charges |
| MOLINA | STAR | Medicaid / CHIP | $1,339 | Percent of Total Billed Charges |
| MOLINA | CHIP | Medicaid / CHIP | $1,339 | Percent of Total Billed Charges |
| MOLINA | STAR KIDS | Medicaid / CHIP | $1,339 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | STAR MEDICAID | Medicaid / CHIP | $1,592 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | CHIP | Medicaid / CHIP | $1,592 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | STAR | Medicaid / CHIP | $1,592 | Percent of Total Billed Charges |
| Optum | ALL PRODUCTS | Commercial | $1,592 | Percent of Total Billed Charges |
| SUPERIOR HEALTH | STAR | Medicaid / CHIP | $1,592 | Percent of Total Billed Charges |
| SUPERIOR HEALTH | CHIP | Medicaid / CHIP | $1,592 | Percent of Total Billed Charges |
| SUPERIOR HEALTH | STAR PLUS | Medicaid / CHIP | $1,592 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | STAR | Medicaid / CHIP | $1,592 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | STAR KIDS | Medicaid / CHIP | $1,592 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | CHIP | Medicaid / CHIP | $1,592 | Percent of Total Billed Charges |
| BCBS | HMO | Commercial | $2,823 | Percent of Total Billed Charges |
| FIRSTCARE | ALL PRODUCTS | Commercial | $2,895 | Percent of Total Billed Charges |
| BCBS | PPO | Commercial | $3,040 | Percent of Total Billed Charges |
| S&W HEALTH | ALL PRODUCTS | Commercial | $3,040 | Percent of Total Billed Charges |
| Aetna | ALL PRODUCTS | Commercial | $3,076 | Percent of Total Billed Charges |
| CIGNA | CIGNA-MGD | Commercial | $3,076 | Percent of Total Billed Charges |
| HEALTHSCOPE | ALL PRODUCTS | Commercial | $3,076 | Percent of Total Billed Charges |
| IMAGINE HEALTH | ALL PRODUCTS | Commercial | $3,076 | Percent of Total Billed Charges |
| UHC | MGD | Commercial | $3,076 | Percent of Total Billed Charges |
| HUMANA | CONCENTRIC PPO | Commercial | $3,149 | Percent of Total Billed Charges |
| MULTIPLAN | PHCS | Commercial | $3,149 | Percent of Total Billed Charges |
| MULTIPLAN | ALL PRODUCTS | Commercial | $3,149 | Percent of Total Billed Charges |
| FIRST HEALTH | PPO | Commercial | $3,185 | Percent of Total Billed Charges |
| HUMANA | CHOICECARE PPO | Commercial | $3,185 | Percent of Total Billed Charges |
| BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | Commercial | $3,257 | Percent of Total Billed Charges |
| GALAXY HEALTH | ALL PRODUCTS | Commercial | $3,257 | Percent of Total Billed Charges |
| Healthsmart | ALL PRODUCTS | Commercial | $3,257 | Percent of Total Billed Charges |
| USAMCO | ALL PRODUCTS | Commercial | $3,330 | 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 |
|---|---|---|---|---|
| SUPERIOR HEALTH | STAR | Medicaid / CHIP | $700 | Case Rate |
| SUPERIOR HEALTH | STAR PLUS | Medicaid / CHIP | $700 | Case Rate |
| SUPERIOR HEALTH | CHIP | Medicaid / CHIP | $700 | Case Rate |
| UNITED COMMUNITY | STAR PLUS | Medicaid / CHIP | $1,041 | Percent of Total Billed Charges |
| UNITED COMMUNITY | CHIP | Medicaid / CHIP | $1,041 | Percent of Total Billed Charges |
| UNITED COMMUNITY | STAR KIDS | Medicaid / CHIP | $1,041 | Percent of Total Billed Charges |
| UNITED COMMUNITY | STAR | Medicaid / CHIP | $1,041 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | STAR MEDICAID | Medicaid / CHIP | $1,520 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | STAR | Medicaid / CHIP | $1,520 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | CHIP | Medicaid / CHIP | $1,520 | Percent of Total Billed Charges |
| HEALTH PLAN w/o UHRIP | CHIP | Medicaid / CHIP | $1,520 | Percent of Total Billed Charges |
| HEALTH PLAN w/o UHRIP | STAR KIDS | Medicaid / CHIP | $1,520 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | STAR KIDS | Medicaid / CHIP | $1,520 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | STAR | Medicaid / CHIP | $1,520 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | CHIP | Medicaid / CHIP | $1,520 | Percent of Total Billed Charges |
| Optum | ALL PRODUCTS | Commercial | $1,592 | Percent of Total Billed Charges |
| FIRSTCARE | STAR | Medicaid / CHIP | $1,596 | Percent of Total Billed Charges |
| Aetna | BETTER HEALTH CHIP | Medicaid / CHIP | $1,665 | Percent of Total Billed Charges |
| Aetna | BETTER HEALTH STAR Kids | Medicaid / CHIP | $1,665 | Percent of Total Billed Charges |
| Aetna | BETTER HEALTH STAR UHRIP | Medicaid / CHIP | $1,665 | Percent of Total Billed Charges |
| BCBS | CHIP STAR KIDS | Medicaid / CHIP | $1,665 | Percent of Total Billed Charges |
| BCBS | BCBS TX STAR | Medicaid / CHIP | $1,665 | Percent of Total Billed Charges |
| BCBS | CHIP | Medicaid / CHIP | $1,665 | Percent of Total Billed Charges |
| HEALTH PLAN w. UHRIP | STAR | Medicaid / CHIP | $1,665 | Percent of Total Billed Charges |
| WELLPOINT | STAR | Medicaid / CHIP | $1,665 | Percent of Total Billed Charges |
| WELLPOINT | STAR PLUS | Medicaid / CHIP | $1,665 | Percent of Total Billed Charges |
| WELLPOINT | CHIP | Medicaid / CHIP | $1,665 | Percent of Total Billed Charges |
| BCBS | HMO | Commercial | $2,823 | Percent of Total Billed Charges |
| FIRSTCARE | ALL PRODUCTS | Commercial | $2,895 | Percent of Total Billed Charges |
| BCBS | PPO | Commercial | $3,040 | Percent of Total Billed Charges |
| S&W HEALTH | ALL PRODUCTS | Commercial | $3,040 | Percent of Total Billed Charges |
| Aetna | ALL PRODUCTS | Commercial | $3,076 | Percent of Total Billed Charges |
| CIGNA | CIGNA-MGD | Commercial | $3,076 | Percent of Total Billed Charges |
| HEALTHSCOPE | ALL PRODUCTS | Commercial | $3,076 | Percent of Total Billed Charges |
| IMAGINE HEALTH | ALL PRODUCTS | Commercial | $3,076 | Percent of Total Billed Charges |
| UHC | MGD | Commercial | $3,076 | Percent of Total Billed Charges |
| HUMANA | CONCENTRIC PPO | Commercial | $3,149 | Percent of Total Billed Charges |
| MULTIPLAN | PHCS | Commercial | $3,149 | Percent of Total Billed Charges |
| MULTIPLAN | ALL PRODUCTS | Commercial | $3,149 | Percent of Total Billed Charges |
| FIRST HEALTH | PPO | Commercial | $3,185 | Percent of Total Billed Charges |
| HUMANA | CHOICECARE PPO | Commercial | $3,185 | Percent of Total Billed Charges |
| BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | Commercial | $3,257 | Percent of Total Billed Charges |
| GALAXY HEALTH | ALL PRODUCTS | Commercial | $3,257 | Percent of Total Billed Charges |
| Healthsmart | ALL PRODUCTS | Commercial | $3,257 | Percent of Total Billed Charges |
| USAMCO | ALL PRODUCTS | Commercial | $3,330 | Percent of Total Billed Charges |
Emergency room visit, level 5 (highest) (CPT 99285)
ER visit level 5 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 99285; Medicaid and Medicare Advantage are shown separately below.
| Hospital | Published cash price | Typical insured rate | Lowest insured rate |
|---|---|---|---|
| Methodist Celina Medical CenterMethodist Health System · file Mar 2026 | $1,065Cash ÷ typical 0.9× | $1,19619 plans | $778 |
| Methodist Dallas Medical CenterMethodist Health System · file Mar 2026 | $1,065Cash ÷ typical 0.9× | $1,19633 plans | $640 |
| Methodist Mansfield Medical CenterMethodist Health System · file Mar 2026 | $1,065Cash ÷ typical 1.0× | $1,10927 plans | $641 |
| Methodist Midlothian Medical CenterMethodist Health System · file Mar 2026 | $1,065Cash ÷ typical 1.1× | $1,00220 plans | $640 |
| Methodist Richardson Medical CenterMethodist Health System · file Mar 2026 | $1,065Cash ÷ typical 1.0× | $1,10727 plans | $640 |
| Methodist Southlake Medical CenterMethodist Health System · file Mar 2026 | $1,065Cash ÷ typical 0.9× | $1,19833 plans | $641 |
| Parkland Health (Parkland Memorial Hospital)Parkland Health · file May 2026 | $1,332Cash ÷ typical 0.6× | $2,22011 plans | $701 |
| Texas Health Harris Methodist Hospital SouthlakeTexas Health Resources · file Apr 2026 | $1,591Cash ÷ typical 0.8× | $1,98921 plans | $1,124 |
| Texas Health Hospital RockwallTexas Health Resources · file Apr 2026 | $1,591Cash ÷ typical 0.8× | $1,98921 plans | $1,124 |
| Texas Health Heart & Vascular Hospital ArlingtonTexas Health Resources · file Apr 2026 | $1,591Cash ÷ typical 0.8× | $1,98921 plans | $1,124 |
| Texas Health Presbyterian Hospital Flower MoundTexas Health Resources · file Apr 2026 | $1,591Cash ÷ typical 0.8× | $1,98921 plans | $1,124 |
| Texas Health Presbyterian Hospital DentonTexas Health Resources · file Apr 2026 | $1,591Cash ÷ typical 0.8× | $1,98921 plans | $1,246 |
| Texas Health Harris Methodist Hospital AllianceTexas Health Resources · file Apr 2026 | $1,591Cash ÷ typical 0.8× | $1,98921 plans | $1,246 |
| Texas Health Center for Diagnostics and Surgery PlanoTexas Health Resources · file Apr 2026 | $1,591Cash ÷ typical 0.8× | $1,98921 plans | $1,124 |
| Texas Health Arlington Memorial HospitalTexas Health Resources · file Apr 2026 | $1,591Cash ÷ typical 0.8× | $1,98921 plans | $1,246 |
| Texas Health Presbyterian Hospital DallasTexas Health Resources · file Apr 2026 | $1,591Cash ÷ typical 0.8× | $1,98921 plans | $1,246 |
| Texas Health Harris Methodist Hospital Hurst-Euless-BedfordTexas Health Resources · file Apr 2026 | $1,591Cash ÷ typical 0.8× | $1,98921 plans | $1,246 |
| Texas Health Harris Methodist Hospital AzleTexas Health Resources · file Apr 2026 | $1,591Cash ÷ typical 0.7× | $2,21721 plans | $1,246 |
| Texas Health Harris Methodist Hospital CleburneTexas Health Resources · file Apr 2026 | $1,591Cash ÷ typical 0.7× | $2,30721 plans | $1,246 |
| Texas Health Hospital ClearforkTexas Health Resources · file Apr 2026 | $1,591Cash ÷ typical 0.8× | $1,98921 plans | $1,246 |
| Texas Health Presbyterian Hospital PlanoTexas Health Resources · file Apr 2026 | $1,591Cash ÷ typical 0.8× | $1,98921 plans | $1,246 |
| Texas Health Presbyterian Hospital KaufmanTexas Health Resources · file Apr 2026 | $1,591Cash ÷ typical 0.7× | $2,30721 plans | $1,246 |
| Texas Health Presbyterian Hospital AllenTexas Health Resources · file Apr 2026 | $1,591Cash ÷ typical 0.7× | $2,21721 plans | $1,246 |
| Texas Health Harris Methodist Hospital Fort WorthTexas Health Resources · file Apr 2026 | $1,591Cash ÷ typical 0.9× | $1,85921 plans | $1,010 |
| Texas Health Hospital FriscoTexas Health Resources · file Apr 2026 | $1,591Cash ÷ typical 0.8× | $1,98921 plans | $1,246 |
| UT Southwestern William P. Clements Jr. University HospitalUT Southwestern Medical Center · file Mar 2026 | $1,879Cash ÷ typical 0.7× | $2,83719 plans | $1,962 |
| Baylor Scott & White Medical Center – Lake PointeBaylor Scott & White Health · file Jun 2026 | $2,328Cash ÷ typical 0.9× | $2,61924 plans | $718 |
| Baylor Scott & White The Heart Hospital – DentonBaylor Scott & White Health · file Jun 2026 | $2,328Cash ÷ typical 0.9× | $2,71623 plans | $718 |
| Baylor Scott & White The Heart Hospital – McKinneyBaylor Scott & White Health · file Jun 2026 | $2,328Cash ÷ typical 0.8× | $2,91017 plans | $1,779 |
| Baylor Scott & White The Heart Hospital – PlanoBaylor Scott & White Health · file Jun 2026 | $2,328Cash ÷ typical 0.9× | $2,71623 plans | $718 |
| Baylor Scott & White All Saints Medical Center – Fort WorthBaylor Scott & White Health · file Jun 2026 | $2,328Cash ÷ typical 0.9× | $2,71623 plans | $718 |
| Baylor Scott & White Medical Center – Frisco at PGA ParkwayBaylor Scott & White Health · file Jun 2026 | $2,328Cash ÷ typical 0.9× | $2,61922 plans | $718 |
| Baylor Scott & White Medical Center – McKinneyBaylor Scott & White Health · file Jun 2026 | $2,328Cash ÷ typical 0.9× | $2,71623 plans | $718 |
| Baylor Scott & White Medical Center – GrapevineBaylor Scott & White Health · file Jun 2026 | $2,328Cash ÷ typical 0.9× | $2,71623 plans | $719 |
| Baylor University Medical CenterBaylor Scott & White Health · file Jun 2026 | $2,328Cash ÷ typical 0.9× | $2,71626 plans | $718 |
| Baylor Scott & White Medical Center – WaxahachieBaylor Scott & White Health · file Jun 2026 | $2,328Cash ÷ typical 0.9× | $2,71623 plans | $718 |
| Baylor Scott & White Medical Center – IrvingBaylor Scott & White Health · file Jun 2026 | $2,328Cash ÷ typical 0.9× | $2,71623 plans | $718 |
| Baylor Scott & White Heart and Vascular Hospital – DallasBaylor Scott & White Health · file Jun 2026 | $2,328Cash ÷ typical 0.9× | $2,71623 plans | $718 |
| Baylor Scott & White Heart and Vascular Hospital – WaxahachieBaylor Scott & White Health · file Jun 2026 | $2,328Cash ÷ typical 0.9× | $2,52219 plans | $718 |
| Baylor Scott & White Medical Center – PlanoBaylor Scott & White Health · file Jun 2026 | $2,328Cash ÷ typical 0.9× | $2,71625 plans | $718 |
| Baylor Scott & White Medical Center – CentennialBaylor Scott & White Health · file Jun 2026 | $2,328Cash ÷ typical 0.9× | $2,71623 plans | $718 |
| Cook Children's Medical CenterCook Children's · children's hospital (not in the summary above) · file Jan 2026 | $3,122–$4,016Cash ÷ typical 0.7× | $4,55119 plans | $2,356 |
| Cook Children's Medical Center – ProsperCook Children's · children's hospital (not in the summary above) · file Jan 2026 | $3,122–$4,016Cash ÷ typical 0.7× | $4,55119 plans | $2,356 |
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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 |
|---|---|---|---|---|---|---|---|---|---|
| Methodist Celina Medical Center | $3,840–$5,360 | $969 | — | — | — | $778 | — | $2,672 | $598–$640 |
| Methodist Dallas Medical Center | $6,960–$13,840 | $969–$4,729 | $1,107 | $640 | — | $778 | $1,023 | $291–$1,254 | $598–$646 |
| Methodist Mansfield Medical Center | $6,960–$13,840 | $971 | $1,109 | $641 | — | $779 | $1,025 | $254–$1,142 | $599–$647 |
| Methodist Midlothian Medical Center | — | $969 | $1,107 | $640 | — | $778 | $1,023 | $600–$2,584 | $598–$646 |
| Methodist Richardson Medical Center | $6,960–$13,840 | $969 | $1,107 | $640 | — | $778 | $1,023 | $340–$1,464 | $598–$646 |
| Methodist Southlake Medical Center | $6,960–$13,840 | $971–$4,378 | $1,109 | $641–$1,934 | — | $779 | $1,025 | $992–$4,463 | $599–$647 |
| Parkland Health (Parkland Memorial Hospital) | $701–$2,397 | $1,997 | $1,997 | $2,220 | — | — | — | $503–$2,691 | $696–$706 |
| Texas Health Harris Methodist Hospital Southlake | $22,089–$45,861 | $1,124–$1,859 | $1,466–$2,496 | $6,468–$8,657 | — | — | — | $290–$659 | $599–$677 |
| Texas Health Hospital Rockwall | $22,089–$45,861 | $1,124–$1,859 | $1,466–$2,496 | $6,468–$8,657 | — | — | — | $254–$658 | $598–$676 |
| Texas Health Heart & Vascular Hospital Arlington | $22,089–$45,861 | $1,124–$1,859 | $1,466–$2,496 | $6,468–$8,657 | — | — | — | $236–$659 | $599–$677 |
| Texas Health Presbyterian Hospital Flower Mound | $22,089–$45,861 | $1,124–$1,859 | $1,466–$2,496 | $6,468–$8,657 | — | — | — | $399–$658 | $598–$676 |
| Texas Health Presbyterian Hospital Denton | $22,089–$45,861 | $1,361–$1,859 | $1,466–$2,496 | $6,468–$8,657 | — | — | — | $248–$658 | $598–$676 |
| Texas Health Harris Methodist Hospital Alliance | $22,089–$45,861 | $1,361–$1,859 | $1,466–$2,496 | $6,468–$8,657 | — | — | — | $272–$659 | $599–$677 |
| Texas Health Center for Diagnostics and Surgery Plano | $22,089–$45,861 | $1,124–$1,859 | $1,466–$2,496 | $6,468–$8,657 | — | — | — | $381–$649 | $590–$666 |
| Texas Health Arlington Memorial Hospital | $22,089–$45,861 | $1,361–$1,859 | $1,466–$2,496 | $6,468–$8,657 | — | — | — | $267–$659 | $599–$677 |
| Texas Health Presbyterian Hospital Dallas | $22,089–$45,861 | $1,361–$1,859 | $1,466–$2,496 | $6,468–$8,657 | — | — | — | $248–$658 | $598–$676 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | $22,089–$45,861 | $1,361–$1,859 | $1,466–$2,496 | $6,468–$8,657 | — | — | — | $286–$659 | $599–$677 |
| Texas Health Harris Methodist Hospital Azle | $22,089–$45,861 | $1,361–$1,859 | $1,466–$2,496 | $6,468–$8,657 | — | — | — | $290–$659 | $599–$677 |
| Texas Health Harris Methodist Hospital Cleburne | $22,089–$45,861 | $1,361–$1,859 | $1,466–$2,496 | $6,468–$8,657 | — | — | — | $267–$643 | $585–$661 |
| Texas Health Hospital Clearfork | $22,089–$45,861 | $1,361–$1,859 | $1,466–$2,496 | $6,468–$8,657 | — | — | — | $218–$659 | $599–$677 |
| Texas Health Presbyterian Hospital Plano | $22,089–$45,861 | $1,361–$1,859 | $1,466–$2,496 | $6,468–$8,657 | — | — | — | $325–$658 | $598–$676 |
| Texas Health Presbyterian Hospital Kaufman | $22,089–$45,861 | $1,361–$1,859 | $1,466–$2,496 | $6,468–$8,657 | — | — | — | $248–$658 | $598–$676 |
| Texas Health Presbyterian Hospital Allen | $22,089–$45,861 | $1,361–$1,859 | $1,466–$2,496 | $6,468–$8,657 | — | — | — | $306–$658 | $598–$676 |
| Texas Health Harris Methodist Hospital Fort Worth | $1,010–$2,432 | $1,361–$1,859 | $1,466–$2,496 | $6,468–$8,657 | — | — | — | $344–$658 | $598–$676 |
| Texas Health Hospital Frisco | $22,089–$45,861 | $1,361–$1,859 | $1,466–$2,496 | $6,468–$8,657 | — | — | — | $472–$658 | $598–$676 |
| UT Southwestern William P. Clements Jr. University Hospital | $6,800–$10,480 | $1,962–$2,450 | $2,768 | $2,713–$4,347 | — | — | — | $543–$586 | $613–$693 |
| Baylor Scott & White Medical Center – Lake Pointe | $5,041–$10,657 | $6,643 | — | — | $2,716 | — | $1,286 | $427–$457 | $568–$670 |
| Baylor Scott & White The Heart Hospital – Denton | $3,000–$6,360 | $6,643 | — | — | $2,716 | — | $1,286 | $427–$457 | $568–$670 |
| Baylor Scott & White The Heart Hospital – McKinney | $3,000–$6,360 | $6,643 | — | — | $2,716 | — | — | $706 | $568–$670 |
| Baylor Scott & White The Heart Hospital – Plano | $3,000–$6,360 | $6,643 | — | — | $2,716 | — | $1,286 | $498–$582 | $568–$670 |
| Baylor Scott & White All Saints Medical Center – Fort Worth | $3,000–$6,360 | $6,643 | — | — | $2,716 | — | $1,286 | $621–$664 | $568–$670 |
| Baylor Scott & White Medical Center – Frisco at PGA Parkway | $3,000–$6,360 | $6,643 | — | — | $2,716 | — | $1,286 | $1,086 | $568–$670 |
| Baylor Scott & White Medical Center – McKinney | $3,000–$6,360 | $6,643 | — | — | $2,716 | — | $1,286 | $660–$706 | $568–$670 |
| Baylor Scott & White Medical Center – Grapevine | $3,000–$6,360 | $6,643 | — | — | $2,716 | — | $1,288 | $582–$623 | $569–$671 |
| Baylor University Medical Center | $3,000–$6,360 | $6,643 | $6,299–$7,411 | — | $2,716 | — | $1,286 | $660–$706 | $568–$670 |
| Baylor Scott & White Medical Center – Waxahachie | $3,000–$6,360 | $6,643 | — | — | $2,716 | — | $1,286 | $582–$623 | $568–$670 |
| Baylor Scott & White Medical Center – Irving | $3,000–$6,360 | $6,643 | — | — | $2,716 | — | $1,286 | $427–$457 | $568–$670 |
| Baylor Scott & White Heart and Vascular Hospital – Dallas | $3,000–$6,360 | $6,643 | — | — | $2,716 | — | $1,286 | $310–$332 | $568–$670 |
| Baylor Scott & White Heart and Vascular Hospital – Waxahachie | $3,000–$6,360 | $6,643 | — | — | $2,716 | — | — | — | $568–$628 |
| Baylor Scott & White Medical Center – Plano | $3,000–$6,360 | $6,643 | — | — | $2,716 | — | $1,286 | $466–$498 | $568–$670 |
| Baylor Scott & White Medical Center – Centennial | $5,041–$10,657 | $6,643 | — | — | $2,716 | — | $1,286 | $621–$664 | $568–$670 |
| Cook Children's Medical Center | $4,176–$4,819 | $4,551 | $4,551 | $4,551 | $4,658–$4,712 | — | — | $178–$2,356 | — |
| Cook Children's Medical Center – Prosper | $4,176–$4,819 | $4,551 | $4,551 | $4,551 | $4,658–$4,712 | — | — | $1,540–$3,900 | — |
Methodist Celina Medical Center: all 33 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| TRICARE | MHS HB TRICARE MCEL | Military / VA | $590 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MCEL | Medicare Advantage | $598 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MCEL | Medicare Advantage | $598 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MCEL | Medicare Advantage | $598 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MCEL | Medicare Advantage | $598 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MCEL | Medicare Advantage | $598 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MCEL | Medicare Advantage | $628 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MCEL | Medicare Advantage | $628 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MCEL | Medicare Advantage | $634 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MCEL | Medicare Advantage | $634 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MCEL | Medicare Advantage | $634 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MCEL | Medicare Advantage | $640 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MCEL | Commercial | $778 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MCEL | Commercial | $867 | other |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MCEL | Commercial | $927 | other |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MCEL | Commercial | $957 | other |
| AETNA | MHS HB AETNA CVS MCEL | Commercial | $969 | other |
| AETNA | MHS HB AETNA EXCHANGE MCEL | Commercial | $969 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MCEL | Commercial | $987 | other |
| SANA BENEFITS | MHS HB SANA MCEL | Commercial | $1,196 | other |
| VELOCITY | MHS HB VELOCITY MCEL | Commercial | $1,196 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MCEL | Workers' comp | $1,196 | other |
| EVRY HEALTH | MHS HB EVRY MCEL | Commercial | $1,196 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MCEL | Commercial | $1,496 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MCEL | Commercial | $1,496 | other |
| SUPERIOR MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MCEL | Medicaid / CHIP | $2,672 | percent of total billed charges |
| BCBS | MHS HB BCBS MY BLUE HEALTH MCEL | Commercial | $3,840 | case rate |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL | Commercial | $4,640 | case rate |
| BCBS | MHS HB BCBS PREMIER MCEL | Commercial | $4,640 | case rate |
| BCBS | MHS HB BCBS CITY OF DALLAS MCEL | Commercial | $4,840 | case rate |
| BCBS | MHS HB BCBS HMO MCEL | Commercial | $4,920 | case rate |
| BCBS | MHS HB BCBS PPO MCEL | Commercial | $5,360 | case rate |
| BCBS | MHS HB BCBS TRADITIONAL MCEL | Commercial | $5,360 | case rate |
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 | $291 | percent of total billed charges |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MDMC | Medicare Advantage | $598 | other |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MDMC | Public program | $598 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MDMC | Medicare Advantage | $598 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MDMC | Medicare Advantage | $598 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MDMC | Medicare Advantage | $598 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MDMC | Medicare Advantage | $598 | other |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MDMC | Medicare Advantage | $610 | other |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MDMC | Medicare Advantage | $628 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MDMC | Medicare Advantage | $628 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MDMC | Medicare Advantage | $628 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MDMC | Medicare Advantage | $628 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MDMC | Medicare Advantage | $634 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MDMC | Medicare Advantage | $634 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MDMC | Medicare Advantage | $634 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MDMC | Commercial | $640 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MDMC | Medicare Advantage | $640 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MDMC | Medicare Advantage | $646 | other |
| CORALVITA | MHS HB VIBRA MRMC MCMC MDMC | Commercial | $718 | other |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MDMC | Commercial | $748 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MDMC | Commercial | $778 | other |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MDMC | Commercial | $838 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MDMC | Commercial | $867 | other |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MDMC | Commercial | $927 | other |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MDMC | Commercial | $957 | other |
| AETNA | MHS HB AETNA EXCHANGE MDMC | Commercial | $969 | other |
| AETNA | MHS HB AETNA CVS MDMC | Commercial | $969 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MDMC | Commercial | $987 | other |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MDMC | Commercial | $1,017 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MDMC | Commercial | $1,023 | other |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MDMC | Commercial | $1,077 | other |
| CIGNA | MHS HB CUSTOM INK MDMC | Commercial | $1,107 | other |
| EVRY HEALTH | MHS HB EVRY MDMC | Commercial | $1,196 | other |
| SANA BENEFITS | MHS HB SANA MDMC | Commercial | $1,196 | other |
| VELOCITY | MHS HB VELOCITY MDMC | Commercial | $1,196 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MDMC | Workers' comp | $1,196 | other |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MDMC | Medicaid / CHIP | $1,254 | percent of total billed charges |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MDMC | Commercial | $1,496 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MDMC | Commercial | $1,496 | other |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MDMC | Commercial | $1,615 | other |
| AETNA COMMERCIAL | MHS HB AETNA TX PREF PLUS II MDMC | Commercial | $4,020 | case rate |
| AETNA | MHS HB AETNA BAYLOR SCOTT AND WHITE MDMC | Commercial | $4,214 | case rate |
| AETNA COMMERCIAL | MHS HB AETNA TEXAS ADVANTAGE MDMC | Commercial | $4,256 | case rate |
| AETNA MANAGED CARE | MHS HB AETNA WHOLE HEALTH MDMC | Commercial | $4,256 | case rate |
| AETNA | MHS HB AETNA HMO PPO MDMC | Commercial | $4,729 | case rate |
| BCBS | MHS HB BCBS MY BLUE HEALTH MDMC | Commercial | $6,960 | case rate |
| BCBS | MHS HB BCBS PREMIER MDMC | Commercial | $12,000 | case rate |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MDMC | Commercial | $12,000 | case rate |
| BCBS | MHS HB BCBS CITY OF DALLAS MDMC | Commercial | $12,440 | case rate |
| BCBS | MHS HB BCBS HMO MDMC | Commercial | $12,720 | case rate |
| BCBS | MHS HB BCBS PPO MDMC | Commercial | $13,840 | case rate |
| BCBS | MHS HB BCBS TRADITIONAL MDMC | Commercial | $13,840 | case rate |
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 | $254 | percent of total billed charges |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MMMC | Medicare Advantage | $599 | other |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MMMC | Public program | $599 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MMMC | Medicare Advantage | $599 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MMMC | Medicare Advantage | $599 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MMMC | Medicare Advantage | $599 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MMMC | Medicare Advantage | $599 | other |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MMMC | Medicare Advantage | $611 | other |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MMMC | Medicare Advantage | $629 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MMMC | Medicare Advantage | $629 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MMMC | Medicare Advantage | $629 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MMMC | Medicare Advantage | $629 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MMMC | Medicare Advantage | $635 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MMMC | Medicare Advantage | $635 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MMMC | Medicare Advantage | $635 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MMMC | Commercial | $641 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MMMC | Medicare Advantage | $641 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MMMC | Medicare Advantage | $647 | other |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MMMC | Commercial | $749 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MMMC | Commercial | $779 | other |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MMMC | Commercial | $839 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MMMC | Commercial | $869 | other |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MMMC | Commercial | $929 | other |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MMMC | Medicaid / CHIP | $940 | percent of total billed charges |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MMMC | Commercial | $959 | other |
| AETNA | MHS HB AETNA EXCHANGE MMMC | Commercial | $971 | other |
| AETNA | MHS HB AETNA CVS MMMC | Commercial | $971 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MMMC | Commercial | $989 | other |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MMMC | Commercial | $1,019 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MMMC | Commercial | $1,025 | other |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MMMC | Commercial | $1,079 | other |
| CIGNA | MHS HB CUSTOM INK MMMC | Commercial | $1,109 | other |
| WELLPOINT MEDICAID MANAGED CARE | MHS HB WELLPOINT MEDICAID STAR MMMC | Medicaid / CHIP | $1,142 | percent of total billed charges |
| EVRY HEALTH | MHS HB EVRY MMMC | Commercial | $1,198 | other |
| SANA BENEFITS | MHS HB SANA MMMC | Commercial | $1,198 | other |
| VELOCITY | MHS HB VELOCITY MMMC | Commercial | $1,198 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MMMC | Workers' comp | $1,198 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MMMC | Commercial | $1,498 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MMMC | Commercial | $1,498 | other |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MMMC | Commercial | $1,618 | other |
| BCBS | MHS HB BCBS MY BLUE HEALTH MMMC | Commercial | $6,960 | case rate |
| BCBS | MHS HB BCBS PREMIER MMMC | Commercial | $12,000 | case rate |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MMMC | Commercial | $12,000 | case rate |
| BCBS | MHS HB BCBS CITY OF DALLAS MMMC | Commercial | $12,440 | case rate |
| BCBS | MHS HB BCBS HMO MMMC | Commercial | $12,720 | case rate |
| BCBS | MHS HB BCBS PPO MMMC | Commercial | $13,840 | case rate |
| BCBS | MHS HB BCBS TRADITIONAL MMMC | Commercial | $13,840 | case rate |
Methodist Midlothian Medical Center: all 39 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MLMC | Medicare Advantage | $598 | other |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MLMC | Public program | $598 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MLMC | Medicare Advantage | $598 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MLMC | Medicare Advantage | $598 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MLMC | Medicare Advantage | $598 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MLMC | Medicare Advantage | $598 | other |
| UNITED HEALTHCARE MEDICAID MANAGED CARE | MHS HB UNITED MEDICAID STAR PLUS MLMC | Medicaid / CHIP | $600 | percent of total billed charges |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MLMC | Medicare Advantage | $610 | other |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MLMC | Medicare Advantage | $628 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MLMC | Medicare Advantage | $628 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MLMC | Medicare Advantage | $628 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MLMC | Medicare Advantage | $628 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MLMC | Medicare Advantage | $634 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MLMC | Medicare Advantage | $634 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MLMC | Medicare Advantage | $634 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MLMC | Commercial | $640 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MLMC | Medicare Advantage | $640 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MLMC | Medicare Advantage | $646 | other |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MLMC | Commercial | $748 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MLMC | Commercial | $778 | other |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MLMC | Commercial | $838 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MLMC | Commercial | $867 | other |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MLMC | Commercial | $927 | other |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MLMC | Commercial | $957 | other |
| AETNA | MHS HB AETNA EXCHANGE MLMC | Commercial | $969 | other |
| AETNA | MHS HB AETNA CVS MLMC | Commercial | $969 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MLMC | Commercial | $987 | other |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MLMC | Commercial | $1,017 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MLMC | Commercial | $1,023 | other |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MLMC | Commercial | $1,077 | other |
| CIGNA | MHS HB CUSTOM INK MLMC | Commercial | $1,107 | other |
| EVRY HEALTH | MHS HB EVRY MLMC | Commercial | $1,196 | other |
| SANA BENEFITS | MHS HB SANA MLMC | Commercial | $1,196 | other |
| VELOCITY | MHS HB VELOCITY MLMC | Commercial | $1,196 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MLMC | Workers' comp | $1,196 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MLMC | Commercial | $1,496 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MLMC | Commercial | $1,496 | other |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MLMC | Commercial | $1,615 | other |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MLMC | Medicaid / CHIP | $2,584 | percent of total billed charges |
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 | $340 | percent of total billed charges |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MRMC | Medicare Advantage | $598 | other |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MRMC | Public program | $598 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MRMC | Medicare Advantage | $598 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MRMC | Medicare Advantage | $598 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MRMC | Medicare Advantage | $598 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MRMC | Medicare Advantage | $598 | other |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MRMC | Medicare Advantage | $610 | other |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MRMC | Medicare Advantage | $628 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MRMC | Medicare Advantage | $628 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MRMC | Medicare Advantage | $628 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MRMC | Medicare Advantage | $628 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MRMC | Medicare Advantage | $634 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MRMC | Medicare Advantage | $634 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MRMC | Medicare Advantage | $634 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MRMC | Commercial | $640 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MRMC | Medicare Advantage | $640 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MRMC | Medicare Advantage | $646 | other |
| CORALVITA | MHS HB VIBRA MRMC MCMC MDMC | Commercial | $718 | other |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MRMC | Commercial | $748 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MRMC | Commercial | $778 | other |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MRMC | Commercial | $838 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MRMC | Commercial | $867 | other |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MRMC | Commercial | $927 | other |
| AETNA | MHS HB AETNA EXCHANGE MRMC | Commercial | $969 | other |
| AETNA | MHS HB AETNA CVS MRMC | Commercial | $969 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MRMC | Commercial | $987 | other |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MRMC | Commercial | $1,017 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MRMC | Commercial | $1,023 | other |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MRMC | Commercial | $1,077 | other |
| CIGNA | MHS HB CUSTOM INK MRMC | Commercial | $1,107 | other |
| EVRY HEALTH | MHS HB EVRY MRMC | Commercial | $1,196 | other |
| SANA BENEFITS | MHS HB SANA MRMC | Commercial | $1,196 | other |
| VELOCITY | MHS HB VELOCITY MRMC | Commercial | $1,196 | other |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MRMC | Medicaid / CHIP | $1,464 | percent of total billed charges |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MRMC | Commercial | $1,496 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MRMC | Commercial | $1,496 | other |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MRMC | Commercial | $1,615 | other |
| BCBS | MHS HB BCBS MY BLUE HEALTH MRMC | Commercial | $6,960 | case rate |
| BCBS | MHS HB BCBS PREMIER MRMC | Commercial | $12,000 | case rate |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MRMC | Commercial | $12,000 | case rate |
| BCBS | MHS HB BCBS CITY OF DALLAS MRMC | Commercial | $12,440 | case rate |
| BCBS | MHS HB BCBS HMO MRMC | Commercial | $12,720 | case rate |
| BCBS | MHS HB BCBS PPO MRMC | Commercial | $13,840 | case rate |
| BCBS | MHS HB BCBS TRADITIONAL MRMC | Commercial | $13,840 | case rate |
Methodist Southlake Medical Center: all 53 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| TRICARE | MHS HB TRICARE MSMC | Military / VA | $586 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MSMC | Medicare Advantage | $599 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MSMC | Medicare Advantage | $599 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MSMC | Medicare Advantage | $599 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MSMC | Medicare Advantage | $599 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MSMC | Medicare Advantage | $599 | other |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MSMC | Medicare Advantage | $611 | other |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MSMC | Medicare Advantage | $629 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MSMC | Medicare Advantage | $629 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MSMC | Medicare Advantage | $629 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MSMC | Medicare Advantage | $629 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MSMC | Medicare Advantage | $635 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MSMC | Medicare Advantage | $635 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MSMC | Medicare Advantage | $635 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MSMC | Commercial | $641 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MSMC | Medicare Advantage | $641 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MSMC | Medicare Advantage | $647 | other |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MSMC | Commercial | $749 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MSMC | Commercial | $779 | other |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MSMC | Commercial | $839 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MSMC | Commercial | $869 | other |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MSMC | Commercial | $929 | other |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MSMC | Commercial | $959 | other |
| AETNA | MHS HB AETNA EXCHANGE MSMC | Commercial | $971 | other |
| AETNA | MHS HB AETNA CVS MSMC | Commercial | $971 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MSMC | Commercial | $989 | other |
| UNITED HEALTHCARE MEDICAID MANAGED CARE | MHS HB UNITED MEDICAID STAR PLUS MSMC | Medicaid / CHIP | $992 | percent of total billed charges |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MSMC | Commercial | $1,019 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MSMC | Commercial | $1,025 | other |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MSMC | Commercial | $1,079 | other |
| CIGNA | MHS HB CUSTOM INK MSMC | Commercial | $1,109 | other |
| EVRY HEALTH | MHS HB EVRY MSMC | Commercial | $1,198 | other |
| SANA BENEFITS | MHS HB SANA MSMC | Commercial | $1,198 | other |
| VELOCITY | MHS HB VELOCITY MSMC | Commercial | $1,198 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MSMC | Workers' comp | $1,198 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MSMC | Commercial | $1,498 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MSMC | Commercial | $1,498 | other |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MSMC | Commercial | $1,618 | other |
| UNITED HEALTHCARE-COMMERCIAL | MHS HB UNITED HEALTHCARE MSMC | Commercial | $1,934 | percent of total billed charges |
| AETNA | MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC | Commercial | $1,987 | percent of total billed charges |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MSMC | Medicaid / CHIP | $3,676 | percent of total billed charges |
| AETNA COMMERCIAL | MHS HB AETNA TX PREF PLUS II MSMC | Commercial | $3,722 | case rate |
| AETNA COMMERCIAL | MHS HB AETNA TEXAS ADVANTAGE MSMC | Commercial | $3,941 | case rate |
| AETNA MANAGED CARE | MHS HB AETNA WHOLE HEALTH MSMC | Commercial | $3,941 | case rate |
| AETNA | MHS HB AETNA HMO PPO MSMC | Commercial | $4,378 | case rate |
| WELLPOINT MEDICAID MANAGED CARE | MHS HB WELLPOINT MEDICAID STAR MSMC | Medicaid / CHIP | $4,463 | percent of total billed charges |
| BCBS | MHS HB BCBS MY BLUE HEALTH MSMC | Commercial | $6,960 | case rate |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MSMC | Commercial | $12,000 | case rate |
| BCBS | MHS HB BCBS PREMIER MSMC | Commercial | $12,000 | case rate |
| BCBS | MHS HB BCBS CITY OF DALLAS MSMC | Commercial | $12,440 | case rate |
| BCBS | MHS HB BCBS HMO MSMC | Commercial | $12,720 | case rate |
| BCBS | MHS HB BCBS PPO MSMC | Commercial | $13,840 | case rate |
| BCBS | MHS HB BCBS TRADITIONAL MSMC | Commercial | $13,840 | case rate |
Parkland Health (Parkland Memorial Hospital): all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| WELLPOINT | BELOW FPIL WELLPOINT CHIP PERINATE | Medicaid / CHIP | $503 | percent of total billed charges |
| WELLPOINT | ABOVE FPIL WELLPOINT CHIP PERINATE | Medicaid / CHIP | $503 | percent of total billed charges |
| WELLPOINT | WELLPOINT CHIP PERINATE POST PARTUM | Medicaid / CHIP | $503 | percent of total billed charges |
| COOK CHILDREN HEALTH PLAN | COOK CHILDREN STAR MEDICAID | Medicaid / CHIP | $529 | percent of total billed charges |
| COOK CHILDREN HEALTH PLAN | COOK CHILDRENS STAR KIDS | Medicaid / CHIP | $529 | percent of total billed charges |
| COOK CHILDREN HEALTH PLAN | COOK CHILDRENS CHIP | Medicaid / CHIP | $529 | percent of total billed charges |
| PARKLAND COMMUNITY HEALTH PLAN | Parkland CHIP | Medicaid / CHIP | $529 | percent of total billed charges |
| AETNA BETTER HEALTH | AETNA BETTER HEALTH CHIP | Medicaid / CHIP | $529 | percent of total billed charges |
| AETNA BETTER HEALTH | BELOW FPIL AETNA CHIP PERINATE | Medicaid / CHIP | $529 | percent of total billed charges |
| AETNA BETTER HEALTH | ABOVE FPIL AETNA CHIP PERINATE | Medicaid / CHIP | $529 | percent of total billed charges |
| SUPERIOR HEALTH PLAN | SUPERIOR STAR HEALTH FOSTER CARE | Medicaid / CHIP | $529 | percent of total billed charges |
| POINT COMFORT UNDERWRITERS | POINT COMFORT UNDERWRITERS | Public program | $554 | percent of total billed charges |
| MOLINA | MOLINA CHIP | Medicaid / CHIP | $554 | percent of total billed charges |
| MOLINA | MOLINA RSA MEDICAID | Medicaid / CHIP | $554 | percent of total billed charges |
| MOLINA | BELOW FPIL MOLINA CHIP PERINATE | Medicaid / CHIP | $554 | percent of total billed charges |
| MOLINA | POST PARTUM VST-MOLINA CHIP | Medicaid / CHIP | $554 | percent of total billed charges |
| MOLINA | ABOVE FPIL MOLINA CHIP PERINATE | Medicaid / CHIP | $554 | percent of total billed charges |
| CARE IMPROVEMENT PLUS | CARE IMPROVEMENT PLUS | Medicare Advantage | $696 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BLUE ADVANTAGE HMO ACA | Commercial | $701 | fee schedule |
| PROCARE ADVANTAGE | PROCARE ADVANTAGE | Medicare Advantage | $706 | percent of total billed charges |
| WELLPOINT | WELLPOINT STAR PLUS | Medicaid / CHIP | $1,872 | percent of total billed charges |
| WELLPOINT | WELLPOINT STAR KIDS | Medicaid / CHIP | $1,918 | percent of total billed charges |
| SUPERIOR HEALTHPLAN | SUPERIOR STAR PLUS | Medicaid / CHIP | $1,966 | percent of total billed charges |
| AETNA HEALTHCARE | AETNA | Commercial | $1,997 | percent of total billed charges |
| CIGNA | CIGNA | Commercial | $1,997 | percent of total billed charges |
| GREAT WEST HEALTHCARE | GREAT WEST HEALTHCARE | Commercial | $1,997 | percent of total billed charges |
| MOLINA | MOLINA STAR PLUS | Medicaid / CHIP | $2,060 | percent of total billed charges |
| UNITED HEALTHCARE OF TX | UNITED HEALTHCARE OF TX | Commercial | $2,220 | percent of total billed charges |
| UNITED HEALTHCARE OF TX | UHC - UMR | Commercial | $2,220 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS TRADITIONAL | Commercial | $2,397 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS OUT OF STATE | Commercial | $2,397 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS FEDERAL EMPLOYEE | Commercial | $2,397 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BLUE CROSS BLUE SHIELD PPO | Commercial | $2,397 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BLUE CROSS BLUE SHIELD HMO | Commercial | $2,397 | percent of total billed charges |
| WELLPOINT | WELLPOINT STAR | Medicaid / CHIP | $2,446 | percent of total billed charges |
| PARKLAND COMMUNITY HEALTH PLAN | Parkland STAR | Medicaid / CHIP | $2,569 | percent of total billed charges |
| AETNA BETTER HEALTH | AETNA BETTER HEALTH STAR | Medicaid / CHIP | $2,569 | percent of total billed charges |
| MOLINA | MOLINA STAR MEDICAID | Medicaid / CHIP | $2,691 | percent of total billed charges |
Texas Health Harris Methodist Hospital Southlake: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $290 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $290 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $290 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $290 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $305 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $314 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $320 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $599 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $599 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $611 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $623 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $629 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $629 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $629 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $659 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $665 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $677 | case rate |
| Aetna | Whole Health | Commercial | $1,124 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $1,246 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $1,385 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $1,466 | percent of total billed charges |
| Aetna | Commercial | Commercial | $1,498 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $1,591 | percent of total billed charges |
| PHCS | PPO | Commercial | $1,843 | percent of total billed charges |
| Cigna | PPO | Commercial | $1,848 | percent of total billed charges |
| Aetna | Coventry | Commercial | $1,859 | percent of total billed charges |
| Aetna | ASA | Commercial | $1,859 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,989 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $2,307 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $2,334 | percent of total billed charges |
| USA | MCO | Commercial | $2,334 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $2,496 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $22,089 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $41,275 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $45,218 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $45,861 | case rate |
Texas Health Hospital Rockwall: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Parkland | Managed Medicaid | Medicaid / CHIP | $254 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $254 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $254 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $254 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $267 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $274 | percent of total billed charges |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $598 | case rate |
| American Health | Medicare Advantage | Medicare Advantage | $598 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $610 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $622 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $628 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $628 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $628 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $658 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $664 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $676 | case rate |
| Aetna | Whole Health | Commercial | $1,124 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $1,246 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $1,385 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $1,466 | percent of total billed charges |
| Aetna | Commercial | Commercial | $1,498 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $1,591 | percent of total billed charges |
| PHCS | PPO | Commercial | $1,843 | percent of total billed charges |
| Cigna | PPO | Commercial | $1,848 | percent of total billed charges |
| Aetna | ASA | Commercial | $1,859 | percent of total billed charges |
| Aetna | Coventry | Commercial | $1,859 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,989 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $2,307 | percent of total billed charges |
| USA | MCO | Commercial | $2,334 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $2,334 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $2,496 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $22,089 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $41,275 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $45,218 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $45,861 | case rate |
Texas Health Heart & Vascular Hospital Arlington: all 39 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $236 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $236 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $236 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $236 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $248 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $255 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $260 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $599 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $599 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $611 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $623 | case rate |
| Humana | Medicare Advantage PPO | Medicare Advantage | $623 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $629 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $629 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $629 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $659 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $665 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $677 | case rate |
| Aetna | Whole Health | Commercial | $1,124 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $1,246 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $1,385 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $1,466 | percent of total billed charges |
| Aetna | Commercial | Commercial | $1,498 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $1,591 | percent of total billed charges |
| PHCS | PPO | Commercial | $1,843 | percent of total billed charges |
| Cigna | PPO | Commercial | $1,848 | percent of total billed charges |
| Aetna | ASA | Commercial | $1,859 | percent of total billed charges |
| Aetna | Coventry | Commercial | $1,859 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,989 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $2,307 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $2,334 | percent of total billed charges |
| USA | MCO | Commercial | $2,334 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $2,496 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $22,089 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $41,275 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $45,218 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $45,861 | 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 | $399 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $399 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $399 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $399 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $419 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $431 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $439 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $598 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $598 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $610 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $622 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $628 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $628 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $628 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $658 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $664 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $676 | case rate |
| Aetna | Whole Health | Commercial | $1,124 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $1,246 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $1,385 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $1,466 | percent of total billed charges |
| Aetna | Commercial | Commercial | $1,498 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $1,591 | percent of total billed charges |
| PHCS | PPO | Commercial | $1,843 | percent of total billed charges |
| Cigna | PPO | Commercial | $1,848 | percent of total billed charges |
| Aetna | ASA | Commercial | $1,859 | percent of total billed charges |
| Aetna | Coventry | Commercial | $1,859 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,989 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $2,307 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $2,334 | percent of total billed charges |
| USA | MCO | Commercial | $2,334 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $2,496 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $22,089 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $41,275 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $45,218 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $45,861 | 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 | $248 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $248 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $248 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $248 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $261 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $268 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $273 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $598 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $598 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $610 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $622 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $628 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $628 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $628 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $658 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $664 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $676 | case rate |
| City of Fort Worth | Commercial | Commercial | $1,246 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $1,361 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $1,385 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $1,466 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $1,591 | percent of total billed charges |
| Aetna | Commercial | Commercial | $1,814 | percent of total billed charges |
| PHCS | PPO | Commercial | $1,843 | percent of total billed charges |
| Cigna | PPO | Commercial | $1,848 | percent of total billed charges |
| Aetna | Coventry | Commercial | $1,859 | percent of total billed charges |
| Aetna | ASA | Commercial | $1,859 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,989 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $2,307 | percent of total billed charges |
| USA | MCO | Commercial | $2,334 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $2,334 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $2,496 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $22,089 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $41,275 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $45,218 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $45,861 | 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 | $272 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $272 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $272 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $272 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $286 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $294 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $300 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $599 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $599 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $611 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $623 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $629 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $629 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $629 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $659 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $665 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $677 | case rate |
| City of Fort Worth | Commercial | Commercial | $1,246 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $1,361 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $1,385 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $1,466 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $1,591 | percent of total billed charges |
| Aetna | Commercial | Commercial | $1,814 | percent of total billed charges |
| PHCS | PPO | Commercial | $1,843 | percent of total billed charges |
| Cigna | PPO | Commercial | $1,848 | percent of total billed charges |
| Aetna | Coventry | Commercial | $1,859 | percent of total billed charges |
| Aetna | ASA | Commercial | $1,859 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,989 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $2,307 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $2,334 | percent of total billed charges |
| USA | MCO | Commercial | $2,334 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $2,496 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $22,089 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $41,275 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $45,218 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $45,861 | 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 | $381 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $381 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $381 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $381 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $381 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $381 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $590 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $590 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $601 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $613 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $619 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $619 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $619 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $649 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $654 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $666 | case rate |
| Aetna | Whole Health | Commercial | $1,124 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $1,246 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $1,385 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $1,466 | percent of total billed charges |
| Aetna | Commercial | Commercial | $1,498 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $1,591 | percent of total billed charges |
| PHCS | PPO | Commercial | $1,843 | percent of total billed charges |
| Cigna | PPO | Commercial | $1,848 | percent of total billed charges |
| Aetna | Coventry | Commercial | $1,859 | percent of total billed charges |
| Aetna | ASA | Commercial | $1,859 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,989 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $2,307 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $2,334 | percent of total billed charges |
| USA | MCO | Commercial | $2,334 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $2,496 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $22,089 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $41,275 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $45,218 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $45,861 | 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 | $267 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $267 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $267 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $267 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $267 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $281 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $289 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $294 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $599 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $599 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $611 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $623 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $629 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $629 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $629 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $659 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $665 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $677 | case rate |
| City of Fort Worth | Commercial | Commercial | $1,246 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $1,361 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $1,385 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $1,466 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $1,591 | percent of total billed charges |
| Aetna | Commercial | Commercial | $1,814 | percent of total billed charges |
| PHCS | PPO | Commercial | $1,843 | percent of total billed charges |
| Cigna | PPO | Commercial | $1,848 | percent of total billed charges |
| Aetna | ASA | Commercial | $1,859 | percent of total billed charges |
| Aetna | Coventry | Commercial | $1,859 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,989 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $2,307 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $2,334 | percent of total billed charges |
| USA | MCO | Commercial | $2,334 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $2,496 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $22,089 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $41,275 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $45,218 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $45,861 | 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 | $248 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $248 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $248 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $248 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $261 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $268 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $598 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $598 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $610 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $622 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $628 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $628 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $628 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $658 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $664 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $676 | case rate |
| City of Fort Worth | Commercial | Commercial | $1,246 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $1,361 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $1,385 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $1,466 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $1,591 | percent of total billed charges |
| Aetna | Commercial | Commercial | $1,814 | percent of total billed charges |
| PHCS | PPO | Commercial | $1,843 | percent of total billed charges |
| Cigna | PPO | Commercial | $1,848 | percent of total billed charges |
| Aetna | ASA | Commercial | $1,859 | percent of total billed charges |
| Aetna | Coventry | Commercial | $1,859 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,989 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $2,307 | percent of total billed charges |
| USA | MCO | Commercial | $2,334 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $2,334 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $2,496 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $22,089 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $41,275 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $45,218 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $45,861 | case rate |
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford: all 39 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $286 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $286 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $286 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $286 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $286 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $301 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $309 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $315 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $599 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $599 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $611 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $623 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $629 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $629 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $629 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $659 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $665 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $677 | case rate |
| City of Fort Worth | Commercial | Commercial | $1,246 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $1,361 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $1,385 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $1,466 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $1,591 | percent of total billed charges |
| Aetna | Commercial | Commercial | $1,814 | percent of total billed charges |
| PHCS | PPO | Commercial | $1,843 | percent of total billed charges |
| Cigna | PPO | Commercial | $1,848 | percent of total billed charges |
| Aetna | ASA | Commercial | $1,859 | percent of total billed charges |
| Aetna | Coventry | Commercial | $1,859 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,989 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $2,307 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $2,334 | percent of total billed charges |
| USA | MCO | Commercial | $2,334 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $2,496 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $22,089 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $41,275 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $45,218 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $45,861 | 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 | $290 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $290 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $290 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $290 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $305 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $314 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $320 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $599 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $599 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $611 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $623 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $629 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $629 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $629 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $659 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $665 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $677 | case rate |
| City of Fort Worth | Commercial | Commercial | $1,246 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $1,361 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $1,385 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $1,466 | percent of total billed charges |
| Aetna | Commercial | Commercial | $1,814 | percent of total billed charges |
| Cigna | PPO | Commercial | $1,848 | percent of total billed charges |
| Aetna | ASA | Commercial | $1,859 | percent of total billed charges |
| Aetna | Coventry | Commercial | $1,859 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $1,883 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,989 | percent of total billed charges |
| PHCS | PPO | Commercial | $2,217 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $2,307 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $2,334 | percent of total billed charges |
| USA | MCO | Commercial | $2,334 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $2,496 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $22,089 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $41,275 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $45,218 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $45,861 | 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 | $267 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $267 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $267 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $267 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $281 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $289 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $294 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $585 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $585 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $596 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $608 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $614 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $614 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $614 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $643 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $649 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $661 | case rate |
| City of Fort Worth | Commercial | Commercial | $1,246 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $1,361 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $1,385 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $1,466 | percent of total billed charges |
| Aetna | Commercial | Commercial | $1,814 | percent of total billed charges |
| Cigna | PPO | Commercial | $1,848 | percent of total billed charges |
| Aetna | ASA | Commercial | $1,859 | percent of total billed charges |
| Aetna | Coventry | Commercial | $1,859 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $1,883 | percent of total billed charges |
| PHCS | PPO | Commercial | $2,217 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $2,307 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $2,307 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $2,334 | percent of total billed charges |
| USA | MCO | Commercial | $2,334 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $2,496 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $22,089 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $41,275 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $45,218 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $45,861 | 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 | $218 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $218 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $218 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $218 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $229 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $235 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $239 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $599 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $599 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $611 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $623 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $629 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $629 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $629 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $659 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $665 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $677 | case rate |
| City of Fort Worth | Commercial | Commercial | $1,246 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $1,361 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $1,385 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $1,466 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $1,591 | percent of total billed charges |
| Aetna | Commercial | Commercial | $1,814 | percent of total billed charges |
| PHCS | PPO | Commercial | $1,843 | percent of total billed charges |
| Cigna | PPO | Commercial | $1,848 | percent of total billed charges |
| Aetna | ASA | Commercial | $1,859 | percent of total billed charges |
| Aetna | Coventry | Commercial | $1,859 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,989 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $2,307 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $2,334 | percent of total billed charges |
| USA | MCO | Commercial | $2,334 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $2,496 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $22,089 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $41,275 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $45,218 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $45,861 | 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 | $325 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $325 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $325 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $325 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $341 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $351 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $598 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $598 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $610 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $622 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $628 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $628 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $628 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $658 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $664 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $676 | case rate |
| City of Fort Worth | Commercial | Commercial | $1,246 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $1,361 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $1,385 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $1,466 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $1,591 | percent of total billed charges |
| Aetna | Commercial | Commercial | $1,814 | percent of total billed charges |
| PHCS | PPO | Commercial | $1,843 | percent of total billed charges |
| Cigna | PPO | Commercial | $1,848 | percent of total billed charges |
| Aetna | ASA | Commercial | $1,859 | percent of total billed charges |
| Aetna | Coventry | Commercial | $1,859 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,989 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $2,307 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $2,334 | percent of total billed charges |
| USA | MCO | Commercial | $2,334 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $2,496 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $22,089 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $41,275 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $45,218 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $45,861 | 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 | $248 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $248 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $248 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $248 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $261 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $268 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $598 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $598 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $610 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $622 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $628 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $628 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $628 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $658 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $664 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $676 | case rate |
| City of Fort Worth | Commercial | Commercial | $1,246 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $1,361 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $1,385 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $1,466 | percent of total billed charges |
| Aetna | Commercial | Commercial | $1,814 | percent of total billed charges |
| Cigna | PPO | Commercial | $1,848 | percent of total billed charges |
| Aetna | ASA | Commercial | $1,859 | percent of total billed charges |
| Aetna | Coventry | Commercial | $1,859 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $1,883 | percent of total billed charges |
| PHCS | PPO | Commercial | $2,217 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $2,307 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $2,307 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $2,334 | percent of total billed charges |
| USA | MCO | Commercial | $2,334 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $2,496 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $22,089 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $41,275 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $45,218 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $45,861 | 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 | $306 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $306 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $306 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $306 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $321 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $330 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $598 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $598 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $610 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $622 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $628 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $628 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $628 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $658 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $664 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $676 | case rate |
| City of Fort Worth | Commercial | Commercial | $1,246 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $1,361 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $1,385 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $1,466 | percent of total billed charges |
| Aetna | Commercial | Commercial | $1,814 | percent of total billed charges |
| Cigna | PPO | Commercial | $1,848 | percent of total billed charges |
| Aetna | ASA | Commercial | $1,859 | percent of total billed charges |
| Aetna | Coventry | Commercial | $1,859 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $1,883 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,989 | percent of total billed charges |
| PHCS | PPO | Commercial | $2,217 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $2,307 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $2,334 | percent of total billed charges |
| USA | MCO | Commercial | $2,334 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $2,496 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $22,089 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $41,275 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $45,218 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $45,861 | 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 | $344 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $344 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $344 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $344 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $361 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $371 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $378 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $598 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $598 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $610 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $622 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $628 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $628 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $628 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $658 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $664 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $676 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $1,010 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $1,246 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $1,361 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $1,385 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $1,466 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $1,591 | percent of total billed charges |
| Aetna | Commercial | Commercial | $1,814 | percent of total billed charges |
| PHCS | PPO | Commercial | $1,843 | percent of total billed charges |
| Cigna | PPO | Commercial | $1,848 | percent of total billed charges |
| Aetna | ASA | Commercial | $1,859 | percent of total billed charges |
| Aetna | Coventry | Commercial | $1,859 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,989 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $1,994 | percent of total billed charges |
| Blue Cross Blue Shield | PPO | Commercial | $2,214 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $2,307 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $2,334 | percent of total billed charges |
| USA | MCO | Commercial | $2,334 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $2,432 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $2,496 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | 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 | $472 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $472 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $472 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $472 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $495 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $509 | percent of total billed charges |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $598 | case rate |
| American Health | Medicare Advantage | Medicare Advantage | $598 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $610 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $622 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $628 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $628 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $628 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $658 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $664 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $676 | case rate |
| City of Fort Worth | Commercial | Commercial | $1,246 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $1,361 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $1,385 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $1,466 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $1,591 | percent of total billed charges |
| Aetna | Commercial | Commercial | $1,814 | percent of total billed charges |
| PHCS | PPO | Commercial | $1,843 | percent of total billed charges |
| Cigna | PPO | Commercial | $1,848 | percent of total billed charges |
| Aetna | Coventry | Commercial | $1,859 | percent of total billed charges |
| Aetna | ASA | Commercial | $1,859 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $1,989 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $2,307 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $2,334 | percent of total billed charges |
| USA | MCO | Commercial | $2,334 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $2,496 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $6,468 | case rate |
| United Healthcare Options | PPO | Commercial | $8,657 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $22,089 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $41,275 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $45,218 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $45,861 | case rate |
UT Southwestern William P. Clements Jr. University Hospital: all 33 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna Better Health | Managed Medicaid | Medicaid / CHIP | $543 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $543 | percent of total billed charges |
| Wellpoint | Managed Medicaid | Medicaid / CHIP | $543 | percent of total billed charges |
| Superior | Managed Medicaid | Medicaid / CHIP | $543 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $543 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $586 | percent of total billed charges |
| Procare | Medicare Advantage | Medicare Advantage | $613 | fee schedule |
| Humana | Medicare Advantage | Medicare Advantage | $638 | fee schedule |
| Superior | Medicare Advantage | Medicare Advantage | $644 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $644 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $644 | fee schedule |
| Wellpoint | Medicare Advantage | Medicare Advantage | $644 | fee schedule |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $681 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $693 | fee schedule |
| Aetna | Whole Health | Commercial | $1,962 | percent of total billed charges |
| Maestro Health/Fort Worth Firefighters | Commercial | Commercial | $2,009 | percent of total billed charges |
| HealthFirst | Commercial | Commercial | $2,112 | percent of total billed charges |
| QuikTrip | Commercial | Commercial | $2,255 | percent of total billed charges |
| Aetna | HMO/POS/EPO/PPO | Commercial | $2,450 | percent of total billed charges |
| Coventry | National/Medical Rental Products | Commercial | $2,627 | percent of total billed charges |
| Rockwall County | Commercial | Commercial | $2,631 | percent of total billed charges |
| United Healthcare W500 | Commercial | Commercial | $2,713 | percent of total billed charges |
| Cigna | HMO-PPO | Commercial | $2,768 | percent of total billed charges |
| PHCS | Commercial | Commercial | $2,837 | percent of total billed charges |
| HealthSmart | Commercial | Commercial | $3,119 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $3,269 | percent of total billed charges |
| Galaxy Health Network | Commercial | Commercial | $3,307 | percent of total billed charges |
| United Healthcare | Commercial | Commercial | $3,961 | case rate |
| United Options Nexus | Commercial | Commercial | $4,347 | case rate |
| Blue Cross Blue Shield | MyBlueHealth | Commercial | $6,800 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $9,065 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $9,440 | case rate |
| Blue Cross Blue Shield | PPO | Commercial | $10,480 | case rate |
Baylor Scott & White Medical Center – Lake Pointe: all 41 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $427 | percent of total billed charges |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $427 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $457 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $568 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $580 | fee schedule |
| Humana | Medicare | Medicare Advantage | $598 | fee schedule |
| TriWest | Community Care Network | Military / VA | $598 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $616 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $628 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $670 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $718 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $751 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $754 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $894 | fee schedule |
| Texas A&M Commerce | Injured Athletes | Commercial | $950 | case rate |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $987 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $1,286 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,505 | case rate |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,770 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,779 | case rate |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $1,823 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $2,134 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $2,134 | percent of total billed charges |
| Curative | Commercial | Commercial | $2,522 | percent of total billed charges |
| First Health | PPO | Commercial | $2,716 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $2,716 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $2,910 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $2,910 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $2,910 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $5,041 | case rate |
| Mark Cuban | Commercial | Commercial | $5,475 | case rate |
| Aetna | Commercial | Commercial | $6,643 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $7,140 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $9,591 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $10,124 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $10,657 | case rate |
Baylor Scott & White The Heart Hospital – Denton: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $427 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $457 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $568 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $580 | fee schedule |
| Humana | Medicare | Medicare Advantage | $598 | fee schedule |
| TriWest | Community Care Network | Military / VA | $598 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $628 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $670 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $718 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $751 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $754 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $894 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $987 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $1,286 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,505 | case rate |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,770 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,779 | case rate |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $1,823 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $2,134 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $2,134 | percent of total billed charges |
| Curative | Commercial | Commercial | $2,522 | percent of total billed charges |
| First Health | PPO | Commercial | $2,716 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $2,716 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $2,910 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $2,910 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $2,910 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $3,000 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $4,280 | case rate |
| Mark Cuban | Commercial | Commercial | $5,475 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $5,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $6,040 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $6,360 | case rate |
| Aetna | Commercial | Commercial | $6,643 | case rate |
Baylor Scott & White The Heart Hospital – McKinney: all 27 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $568 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $580 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $670 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $706 | percent of total billed charges |
| Prime Health Services | Worker's Compensation | Workers' comp | $754 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $894 | fee schedule |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,779 | case rate |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $1,823 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $2,134 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $2,134 | percent of total billed charges |
| Curative | Commercial | Commercial | $2,522 | percent of total billed charges |
| First Health | PPO | Commercial | $2,716 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $2,716 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $2,910 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $2,910 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $2,910 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $3,000 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $4,280 | case rate |
| Mark Cuban | Commercial | Commercial | $5,475 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $5,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $6,040 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $6,360 | case rate |
| Aetna | Commercial | Commercial | $6,643 | case rate |
Baylor Scott & White The Heart Hospital – Plano: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $498 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $568 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $580 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $582 | percent of total billed charges |
| Aetna | Medicare Advantage | Medicare Advantage | $598 | fee schedule |
| Humana | Medicare | Medicare Advantage | $598 | fee schedule |
| TriWest | Community Care Network | Military / VA | $598 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $628 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $670 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $718 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $751 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $754 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $894 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $987 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $1,286 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,505 | case rate |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,770 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,779 | case rate |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $1,823 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $2,134 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $2,134 | percent of total billed charges |
| Curative | Commercial | Commercial | $2,522 | percent of total billed charges |
| First Health | PPO | Commercial | $2,716 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $2,716 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $2,910 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $2,910 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $2,910 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $3,000 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $4,280 | case rate |
| Mark Cuban | Commercial | Commercial | $5,475 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $5,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $6,040 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $6,360 | case rate |
| Aetna | Commercial | Commercial | $6,643 | case rate |
Baylor Scott & White All Saints Medical Center – Fort Worth: all 42 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $568 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $580 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $598 | fee schedule |
| Humana | Medicare | Medicare Advantage | $598 | fee schedule |
| TriWest | Community Care Network | Military / VA | $598 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $616 | fee schedule |
| Cook Children's Health Plan | Medicaid | Medicaid / CHIP | $621 | percent of total billed charges |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $621 | percent of total billed charges |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $621 | percent of total billed charges |
| American Health Plan | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $628 | fee schedule |
| Aetna | Medicaid | Medicaid / CHIP | $633 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $664 | percent of total billed charges |
| United Healthcare | Medicare Advantage | Medicare Advantage | $670 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $718 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $751 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $754 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $894 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $987 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $1,286 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,505 | case rate |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,770 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,779 | case rate |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $1,823 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $2,134 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $2,134 | percent of total billed charges |
| Curative | Commercial | Commercial | $2,522 | percent of total billed charges |
| First Health | PPO | Commercial | $2,716 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $2,716 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $2,910 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $2,910 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $2,910 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $3,000 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $4,280 | case rate |
| Mark Cuban | Commercial | Commercial | $5,475 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $5,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $6,040 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $6,360 | case rate |
| Aetna | Commercial | Commercial | $6,643 | case rate |
Baylor Scott & White Medical Center – Frisco at PGA Parkway: all 34 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $568 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $580 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $598 | fee schedule |
| Humana | Medicare | Medicare Advantage | $598 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $628 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $670 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $718 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $751 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $754 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $987 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $1,086 | percent of total billed charges |
| Superior Ambetter | Ambetter Exchange | Commercial | $1,286 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,505 | case rate |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,770 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,779 | case rate |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $1,823 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $2,134 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $2,134 | percent of total billed charges |
| Curative | Commercial | Commercial | $2,522 | percent of total billed charges |
| First Health | PPO | Commercial | $2,716 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $2,716 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $2,910 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $2,910 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $2,910 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $3,000 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $4,280 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $5,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $6,040 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $6,360 | case rate |
| Aetna | Commercial | Commercial | $6,643 | case rate |
Baylor Scott & White Medical Center – McKinney: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $568 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $580 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $598 | fee schedule |
| Humana | Medicare | Medicare Advantage | $598 | fee schedule |
| TriWest | Community Care Network | Military / VA | $598 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $628 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $660 | percent of total billed charges |
| United Healthcare | Medicare Advantage | Medicare Advantage | $670 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $706 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $718 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $751 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $754 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $894 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $987 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $1,286 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,505 | case rate |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,770 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,779 | case rate |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $1,823 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $2,134 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $2,134 | percent of total billed charges |
| Curative | Commercial | Commercial | $2,522 | percent of total billed charges |
| First Health | PPO | Commercial | $2,716 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $2,716 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $2,910 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $2,910 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $2,910 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $3,000 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $4,280 | case rate |
| Mark Cuban | Commercial | Commercial | $5,475 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $5,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $6,040 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $6,360 | case rate |
| Aetna | Commercial | Commercial | $6,643 | case rate |
Baylor Scott & White Medical Center – Grapevine: all 39 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $569 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $581 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $582 | percent of total billed charges |
| Aetna | Medicaid | Medicaid / CHIP | $594 | percent of total billed charges |
| Aetna | Medicare Advantage | Medicare Advantage | $599 | fee schedule |
| Humana | Medicare | Medicare Advantage | $599 | fee schedule |
| TriWest | Community Care Network | Military / VA | $599 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $623 | percent of total billed charges |
| American Health Plan | Medicare Advantage | Medicare Advantage | $629 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $629 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $629 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $629 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $629 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $671 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $719 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $752 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $756 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $896 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $989 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $1,288 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,505 | case rate |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,770 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,779 | case rate |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $1,823 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $2,134 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $2,134 | percent of total billed charges |
| Curative | Commercial | Commercial | $2,522 | percent of total billed charges |
| First Health | PPO | Commercial | $2,716 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $2,716 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $2,910 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $2,910 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $2,910 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $3,000 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $4,280 | case rate |
| Mark Cuban | Commercial | Commercial | $5,475 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $5,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $6,040 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $6,360 | case rate |
| Aetna | Commercial | Commercial | $6,643 | case rate |
Baylor University Medical Center: all 45 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $568 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $580 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $598 | fee schedule |
| Humana | Medicare | Medicare Advantage | $598 | fee schedule |
| TriWest | Community Care Network | Military / VA | $598 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $616 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $628 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $660 | percent of total billed charges |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $660 | percent of total billed charges |
| United Healthcare | Medicare Advantage | Medicare Advantage | $670 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $706 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $718 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $751 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $754 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $894 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $987 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $1,286 | fee schedule |
| Texas Workforce Commission | Workers Compensation | Workers' comp | $1,397 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,505 | case rate |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,770 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,779 | case rate |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $1,823 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $2,134 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $2,134 | percent of total billed charges |
| Curative | Commercial | Commercial | $2,522 | percent of total billed charges |
| First Health | PPO | Commercial | $2,716 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $2,716 | percent of total billed charges |
| Optum | Commercial | Commercial | $2,716 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $2,910 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $2,910 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $2,910 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $3,000 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $4,280 | case rate |
| Mark Cuban | Commercial | Commercial | $5,475 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $5,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $6,040 | case rate |
| Cigna | Local Plus | Commercial | $6,299 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $6,360 | case rate |
| Aetna | Commercial | Commercial | $6,643 | case rate |
| Cigna | HMO/PPO | Commercial | $7,411 | case rate |
Baylor Scott & White Medical Center – Waxahachie: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $568 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $580 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $582 | percent of total billed charges |
| Aetna | Medicare Advantage | Medicare Advantage | $598 | fee schedule |
| Humana | Medicare | Medicare Advantage | $598 | fee schedule |
| TriWest | Community Care Network | Military / VA | $598 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $623 | percent of total billed charges |
| American Health Plan | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $628 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $670 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $718 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $751 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $754 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $894 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $987 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $1,286 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,505 | case rate |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,770 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,779 | case rate |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $1,823 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $2,134 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $2,134 | percent of total billed charges |
| Curative | Commercial | Commercial | $2,522 | percent of total billed charges |
| First Health | PPO | Commercial | $2,716 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $2,716 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $2,910 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $2,910 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $2,910 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $3,000 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $4,280 | case rate |
| Mark Cuban | Commercial | Commercial | $5,475 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $5,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $6,040 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $6,360 | case rate |
| Aetna | Commercial | Commercial | $6,643 | case rate |
Baylor Scott & White Medical Center – Irving: all 40 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $427 | percent of total billed charges |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $427 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $457 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $568 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $580 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $598 | fee schedule |
| Humana | Medicare | Medicare Advantage | $598 | fee schedule |
| TriWest | Community Care Network | Military / VA | $598 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $616 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $628 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $670 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $718 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $751 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $754 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $894 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $987 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $1,286 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,505 | case rate |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,770 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,779 | case rate |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $1,823 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $2,134 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $2,134 | percent of total billed charges |
| Curative | Commercial | Commercial | $2,522 | percent of total billed charges |
| First Health | PPO | Commercial | $2,716 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $2,716 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $2,910 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $2,910 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $2,910 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $3,000 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $4,280 | case rate |
| Mark Cuban | Commercial | Commercial | $5,475 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $5,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $6,040 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $6,360 | case rate |
| Aetna | Commercial | Commercial | $6,643 | case rate |
Baylor Scott & White Heart and Vascular Hospital – Dallas: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $310 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $332 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $568 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $580 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $598 | fee schedule |
| TriWest | Community Care Network | Military / VA | $598 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $628 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $670 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $718 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $751 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $754 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $894 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $987 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $1,286 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,505 | case rate |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,770 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,779 | case rate |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $1,823 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $2,134 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $2,134 | percent of total billed charges |
| Curative | Commercial | Commercial | $2,522 | percent of total billed charges |
| First Health | PPO | Commercial | $2,716 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $2,716 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $2,910 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $2,910 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $2,910 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $3,000 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $4,280 | case rate |
| Mark Cuban | Commercial | Commercial | $5,475 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $5,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $6,040 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $6,360 | case rate |
| Aetna | Commercial | Commercial | $6,643 | case rate |
Baylor Scott & White Heart and Vascular Hospital – Waxahachie: all 27 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $568 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $580 | fee schedule |
| Humana | Medicare | Medicare Advantage | $598 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $718 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $751 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $754 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $987 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,505 | case rate |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,770 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,779 | case rate |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $1,823 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $2,134 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $2,134 | percent of total billed charges |
| Curative | Commercial | Commercial | $2,522 | percent of total billed charges |
| First Health | PPO | Commercial | $2,716 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $2,716 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $2,910 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $3,000 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $4,280 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $5,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $6,040 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $6,360 | case rate |
| Aetna | Commercial | Commercial | $6,643 | case rate |
Baylor Scott & White Medical Center – Plano: all 40 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $466 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $498 | percent of total billed charges |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $568 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $580 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $598 | fee schedule |
| Humana | Medicare | Medicare Advantage | $598 | fee schedule |
| TriWest | Community Care Network | Military / VA | $598 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $628 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $670 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $718 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $751 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $754 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $894 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $987 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $1,286 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,505 | case rate |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,770 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,779 | case rate |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $1,823 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $2,134 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $2,134 | percent of total billed charges |
| Independent Medical System | Commercial PPO | Commercial | $2,328 | percent of total billed charges |
| Curative | Commercial | Commercial | $2,522 | percent of total billed charges |
| First Health | PPO | Commercial | $2,716 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $2,716 | percent of total billed charges |
| Optum | Commercial | Commercial | $2,716 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $2,910 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $2,910 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $2,910 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $3,000 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $4,280 | case rate |
| Mark Cuban | Commercial | Commercial | $5,475 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $5,720 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $6,040 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $6,360 | case rate |
| Aetna | Commercial | Commercial | $6,643 | case rate |
Baylor Scott & White Medical Center – Centennial: all 40 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $568 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $580 | fee schedule |
| Humana | Medicare | Medicare Advantage | $598 | fee schedule |
| TriWest | Community Care Network | Military / VA | $598 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $616 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $621 | percent of total billed charges |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $621 | percent of total billed charges |
| American Health Plan | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $628 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $628 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $664 | percent of total billed charges |
| United Healthcare | Medicare Advantage | Medicare Advantage | $670 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $718 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $751 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $754 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $894 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $987 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $1,286 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $1,505 | case rate |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $1,770 | case rate |
| University of Mary Hardin-Baylor | Commercial | Commercial | $1,779 | case rate |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $1,823 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $2,134 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $2,134 | percent of total billed charges |
| Curative | Commercial | Commercial | $2,522 | percent of total billed charges |
| First Health | PPO | Commercial | $2,716 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $2,716 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $2,910 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $2,910 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $2,910 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $5,041 | case rate |
| Mark Cuban | Commercial | Commercial | $5,475 | case rate |
| Aetna | Commercial | Commercial | $6,643 | case rate |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $7,140 | case rate |
| Blue Cross Blue Shield | City of Dallas | Commercial | $9,591 | case rate |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $10,124 | case rate |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $10,657 | case rate |
Cook Children's Medical Center: all 50 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna | BETTER HEALTH STAR Kids | Medicaid / CHIP | $178 | Fee Schedule |
| Aetna | BETTER HEALTH CHIP | Medicaid / CHIP | $178 | Fee Schedule |
| Aetna | BETTER HEALTH STAR UHRIP | Medicaid / CHIP | $178 | Fee Schedule |
| FIRSTCARE | STAR | Medicaid / CHIP | $999 | Percent of Total Billed Charges |
| HEALTH PLAN w/o UHRIP | STAR KIDS | Medicaid / CHIP | $999 | Percent of Total Billed Charges |
| HEALTH PLAN w/o UHRIP | CHIP | Medicaid / CHIP | $999 | Percent of Total Billed Charges |
| RIGHTCARE | STAR | Medicaid / CHIP | $1,392 | Percent of Total Billed Charges |
| RIGHTCARE | MDC S&W | Medicaid / CHIP | $1,392 | Percent of Total Billed Charges |
| HEALTH PLAN w. UHRIP | STAR | Medicaid / CHIP | $1,583 | Percent of Total Billed Charges |
| UNITED COMMUNITY | STAR KIDS | Medicaid / CHIP | $1,881 | Percent of Total Billed Charges |
| UNITED COMMUNITY | STAR PLUS | Medicaid / CHIP | $1,881 | Percent of Total Billed Charges |
| UNITED COMMUNITY | CHIP | Medicaid / CHIP | $1,881 | Percent of Total Billed Charges |
| UNITED COMMUNITY | STAR | Medicaid / CHIP | $1,881 | Percent of Total Billed Charges |
| WELLPOINT | CHIP | Medicaid / CHIP | $1,881 | Percent of Total Billed Charges |
| WELLPOINT | STAR | Medicaid / CHIP | $1,881 | Percent of Total Billed Charges |
| WELLPOINT | STAR PLUS | Medicaid / CHIP | $1,881 | Percent of Total Billed Charges |
| BCBS | BCBS TX STAR | Medicaid / CHIP | $1,935 | Percent of Total Billed Charges |
| BCBS | CHIP STAR KIDS | Medicaid / CHIP | $1,935 | Percent of Total Billed Charges |
| BCBS | CHIP | Medicaid / CHIP | $1,935 | Percent of Total Billed Charges |
| MOLINA | STAR KIDS | Medicaid / CHIP | $1,981 | Percent of Total Billed Charges |
| MOLINA | CHIP | Medicaid / CHIP | $1,981 | Percent of Total Billed Charges |
| MOLINA | STAR | Medicaid / CHIP | $1,981 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | STAR MEDICAID | Medicaid / CHIP | $2,356 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | CHIP | Medicaid / CHIP | $2,356 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | STAR | Medicaid / CHIP | $2,356 | Percent of Total Billed Charges |
| Optum | ALL PRODUCTS | Commercial | $2,356 | Percent of Total Billed Charges |
| SUPERIOR HEALTH | STAR | Medicaid / CHIP | $2,356 | Percent of Total Billed Charges |
| SUPERIOR HEALTH | CHIP | Medicaid / CHIP | $2,356 | Percent of Total Billed Charges |
| SUPERIOR HEALTH | STAR PLUS | Medicaid / CHIP | $2,356 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | STAR | Medicaid / CHIP | $2,356 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | STAR KIDS | Medicaid / CHIP | $2,356 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | CHIP | Medicaid / CHIP | $2,356 | Percent of Total Billed Charges |
| BCBS | HMO | Commercial | $4,176 | Percent of Total Billed Charges |
| FIRSTCARE | ALL PRODUCTS | Commercial | $4,284 | Percent of Total Billed Charges |
| BCBS | PPO | Commercial | $4,498 | Percent of Total Billed Charges |
| S&W HEALTH | ALL PRODUCTS | Commercial | $4,498 | Percent of Total Billed Charges |
| Aetna | ALL PRODUCTS | Commercial | $4,551 | Percent of Total Billed Charges |
| CIGNA | CIGNA-MGD | Commercial | $4,551 | Percent of Total Billed Charges |
| HEALTHSCOPE | ALL PRODUCTS | Commercial | $4,551 | Percent of Total Billed Charges |
| IMAGINE HEALTH | ALL PRODUCTS | Commercial | $4,551 | Percent of Total Billed Charges |
| UHC | MGD | Commercial | $4,551 | Percent of Total Billed Charges |
| HUMANA | CONCENTRIC PPO | Commercial | $4,658 | Percent of Total Billed Charges |
| MULTIPLAN | ALL PRODUCTS | Commercial | $4,658 | Percent of Total Billed Charges |
| MULTIPLAN | PHCS | Commercial | $4,658 | Percent of Total Billed Charges |
| FIRST HEALTH | PPO | Commercial | $4,712 | Percent of Total Billed Charges |
| HUMANA | CHOICECARE PPO | Commercial | $4,712 | Percent of Total Billed Charges |
| BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | Commercial | $4,819 | Percent of Total Billed Charges |
| GALAXY HEALTH | ALL PRODUCTS | Commercial | $4,819 | Percent of Total Billed Charges |
| Healthsmart | ALL PRODUCTS | Commercial | $4,819 | Percent of Total Billed Charges |
| USAMCO | ALL PRODUCTS | Commercial | $4,926 | 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 |
|---|---|---|---|---|
| UNITED COMMUNITY | STAR PLUS | Medicaid / CHIP | $1,540 | Percent of Total Billed Charges |
| UNITED COMMUNITY | CHIP | Medicaid / CHIP | $1,540 | Percent of Total Billed Charges |
| UNITED COMMUNITY | STAR KIDS | Medicaid / CHIP | $1,540 | Percent of Total Billed Charges |
| UNITED COMMUNITY | STAR | Medicaid / CHIP | $1,540 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | STAR MEDICAID | Medicaid / CHIP | $2,248 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | STAR | Medicaid / CHIP | $2,248 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | CHIP | Medicaid / CHIP | $2,248 | Percent of Total Billed Charges |
| HEALTH PLAN w/o UHRIP | CHIP | Medicaid / CHIP | $2,248 | Percent of Total Billed Charges |
| HEALTH PLAN w/o UHRIP | STAR KIDS | Medicaid / CHIP | $2,248 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | STAR KIDS | Medicaid / CHIP | $2,248 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | STAR | Medicaid / CHIP | $2,248 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | CHIP | Medicaid / CHIP | $2,248 | Percent of Total Billed Charges |
| Optum | ALL PRODUCTS | Commercial | $2,356 | Percent of Total Billed Charges |
| FIRSTCARE | STAR | Medicaid / CHIP | $2,360 | Percent of Total Billed Charges |
| Aetna | BETTER HEALTH CHIP | Medicaid / CHIP | $2,463 | Percent of Total Billed Charges |
| Aetna | BETTER HEALTH STAR Kids | Medicaid / CHIP | $2,463 | Percent of Total Billed Charges |
| Aetna | BETTER HEALTH STAR UHRIP | Medicaid / CHIP | $2,463 | Percent of Total Billed Charges |
| BCBS | CHIP STAR KIDS | Medicaid / CHIP | $2,463 | Percent of Total Billed Charges |
| BCBS | BCBS TX STAR | Medicaid / CHIP | $2,463 | Percent of Total Billed Charges |
| BCBS | CHIP | Medicaid / CHIP | $2,463 | Percent of Total Billed Charges |
| HEALTH PLAN w. UHRIP | STAR | Medicaid / CHIP | $2,463 | Percent of Total Billed Charges |
| WELLPOINT | STAR | Medicaid / CHIP | $2,463 | Percent of Total Billed Charges |
| WELLPOINT | STAR PLUS | Medicaid / CHIP | $2,463 | Percent of Total Billed Charges |
| WELLPOINT | CHIP | Medicaid / CHIP | $2,463 | Percent of Total Billed Charges |
| SUPERIOR HEALTH | STAR PLUS | Medicaid / CHIP | $3,900 | Case Rate |
| SUPERIOR HEALTH | STAR | Medicaid / CHIP | $3,900 | Case Rate |
| SUPERIOR HEALTH | CHIP | Medicaid / CHIP | $3,900 | Case Rate |
| BCBS | HMO | Commercial | $4,176 | Percent of Total Billed Charges |
| FIRSTCARE | ALL PRODUCTS | Commercial | $4,284 | Percent of Total Billed Charges |
| BCBS | PPO | Commercial | $4,498 | Percent of Total Billed Charges |
| S&W HEALTH | ALL PRODUCTS | Commercial | $4,498 | Percent of Total Billed Charges |
| Aetna | ALL PRODUCTS | Commercial | $4,551 | Percent of Total Billed Charges |
| CIGNA | CIGNA-MGD | Commercial | $4,551 | Percent of Total Billed Charges |
| HEALTHSCOPE | ALL PRODUCTS | Commercial | $4,551 | Percent of Total Billed Charges |
| IMAGINE HEALTH | ALL PRODUCTS | Commercial | $4,551 | Percent of Total Billed Charges |
| UHC | MGD | Commercial | $4,551 | Percent of Total Billed Charges |
| HUMANA | CONCENTRIC PPO | Commercial | $4,658 | Percent of Total Billed Charges |
| MULTIPLAN | ALL PRODUCTS | Commercial | $4,658 | Percent of Total Billed Charges |
| MULTIPLAN | PHCS | Commercial | $4,658 | Percent of Total Billed Charges |
| FIRST HEALTH | PPO | Commercial | $4,712 | Percent of Total Billed Charges |
| HUMANA | CHOICECARE PPO | Commercial | $4,712 | Percent of Total Billed Charges |
| BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | Commercial | $4,819 | Percent of Total Billed Charges |
| GALAXY HEALTH | ALL PRODUCTS | Commercial | $4,819 | Percent of Total Billed Charges |
| Healthsmart | ALL PRODUCTS | Commercial | $4,819 | Percent of Total Billed Charges |
| USAMCO | ALL PRODUCTS | Commercial | $4,926 | Percent of Total Billed Charges |
What this price covers
These are hospital charges for CPT code 99285 (Emergency room visit, level 5 (highest)). 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.