Published cash price
$9–$133
what 41 hospitals list for a self-pay a1c test
Typical insured rate
$40.34
median of every commercial plan rate in the files
Lowest insured rate
$5.70
UNITED HEALTHCARE-COMMERCIAL (MHS HB UNITED HEALTHCARE MSMC), Methodist Southlake Medical Center
A1c test 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 83036; Medicaid and Medicare Advantage are shown separately below.
| Hospital | Published cash price | Typical insured rate | Lowest insured rate |
|---|---|---|---|
| Parkland Health (Parkland Memorial Hospital)Parkland Health · file May 2026 | $9–$104Cash ÷ typical 0.1× | $99.0011 plans | $19.13 |
| Texas Health Presbyterian Hospital AllenTexas Health Resources · file Apr 2026 | $11–$133Cash ÷ typical 0.7× | $16.5021 plans | $8.81 |
| Texas Health Harris Methodist Hospital Fort WorthTexas Health Resources · file Apr 2026 | $11–$133Cash ÷ typical 0.7× | $16.5021 plans | $8.81 |
| Methodist Celina Medical CenterMethodist Health System · file Mar 2026 | $30.60–$47.40Cash ÷ typical 1.9× | $16.0219 plans | $9.71 |
| Methodist Dallas Medical CenterMethodist Health System · file Mar 2026 | $30.60–$47.40Cash ÷ typical 1.6× | $19.4233 plans | $10.39 |
| Methodist Mansfield Medical CenterMethodist Health System · file Mar 2026 | $30.60–$47.40Cash ÷ typical 1.8× | $17.4827 plans | $10.39 |
| Methodist Midlothian Medical CenterMethodist Health System · file Mar 2026 | $30.60–$47.40Cash ÷ typical 1.9× | $16.2720 plans | $10.39 |
| Methodist Richardson Medical CenterMethodist Health System · file Mar 2026 | $30.60–$47.40Cash ÷ typical 1.8× | $17.4827 plans | $10.39 |
| Methodist Southlake Medical CenterMethodist Health System · file Mar 2026 | $30.60–$47.40Cash ÷ typical 1.6× | $19.4233 plans | $5.70 |
| UT Southwestern William P. Clements Jr. University HospitalUT Southwestern Medical Center · file Mar 2026 | $63.50Cash ÷ typical 0.8× | $77.5419 plans | $9.71 |
| Baylor Scott & White Medical Center – Lake PointeBaylor Scott & White Health · file Jun 2026 | $112Cash ÷ typical 1.4× | $81.0130 plans | $10.00 |
| Baylor Scott & White The Heart Hospital – DentonBaylor Scott & White Health · file Jun 2026 | $112Cash ÷ typical 2.2× | $50.1029 plans | $10.00 |
| Baylor Scott & White The Heart Hospital – McKinneyBaylor Scott & White Health · file Jun 2026 | $112Cash ÷ typical 1.2× | $96.9222 plans | $10.00 |
| Baylor Scott & White The Heart Hospital – PlanoBaylor Scott & White Health · file Jun 2026 | $112Cash ÷ typical 2.2× | $50.1029 plans | $10.00 |
| Baylor Scott & White All Saints Medical Center – Fort WorthBaylor Scott & White Health · file Jun 2026 | $112Cash ÷ typical 2.2× | $50.1029 plans | $10.00 |
| Baylor Scott & White Medical Center – Frisco at PGA ParkwayBaylor Scott & White Health · file Jun 2026 | $112Cash ÷ typical 1.6× | $68.7228 plans | $10.00 |
| Baylor Scott & White Medical Center – McKinneyBaylor Scott & White Health · file Jun 2026 | $112Cash ÷ typical 2.2× | $50.1029 plans | $10.00 |
| Baylor Scott & White Medical Center – GrapevineBaylor Scott & White Health · file Jun 2026 | $112Cash ÷ typical 2.2× | $50.1029 plans | $10.00 |
| Baylor University Medical CenterBaylor Scott & White Health · file Jun 2026 | $112Cash ÷ typical 1.6× | $68.7230 plans | $10.00 |
| Baylor Scott & White Medical Center – WaxahachieBaylor Scott & White Health · file Jun 2026 | $112Cash ÷ typical 2.2× | $50.1029 plans | $10.00 |
| Baylor Scott & White Medical Center – IrvingBaylor Scott & White Health · file Jun 2026 | $112Cash ÷ typical 2.2× | $50.1029 plans | $10.00 |
| Baylor Scott & White Heart and Vascular Hospital – DallasBaylor Scott & White Health · file Jun 2026 | $112Cash ÷ typical 2.3× | $48.8428 plans | $10.00 |
| Baylor Scott & White Heart and Vascular Hospital – WaxahachieBaylor Scott & White Health · file Jun 2026 | $112Cash ÷ typical 2.3× | $47.5823 plans | $10.00 |
| Baylor Scott & White Medical Center – PlanoBaylor Scott & White Health · file Jun 2026 | $112Cash ÷ typical 1.3× | $87.3531 plans | $10.00 |
| Baylor Scott & White Medical Center – CentennialBaylor Scott & White Health · file Jun 2026 | $112Cash ÷ typical 1.5× | $74.6729 plans | $10.00 |
| Texas Health Harris Methodist Hospital SouthlakeTexas Health Resources · file Apr 2026 | $114–$133Cash ÷ typical 2.0× | $56.9121 plans | $9.71 |
| Texas Health Hospital RockwallTexas Health Resources · file Apr 2026 | $114–$133Cash ÷ typical 2.0× | $56.9121 plans | $9.71 |
| Texas Health Heart & Vascular Hospital ArlingtonTexas Health Resources · file Apr 2026 | $114–$133Cash ÷ typical 2.0× | $56.9121 plans | $9.71 |
| Texas Health Presbyterian Hospital Flower MoundTexas Health Resources · file Apr 2026 | $114–$133Cash ÷ typical 2.0× | $56.9121 plans | $9.71 |
| Texas Health Presbyterian Hospital DentonTexas Health Resources · file Apr 2026 | $114–$133Cash ÷ typical 2.0× | $56.9121 plans | $9.71 |
| Texas Health Harris Methodist Hospital AllianceTexas Health Resources · file Apr 2026 | $114–$133Cash ÷ typical 2.0× | $56.9121 plans | $9.71 |
| Texas Health Center for Diagnostics and Surgery PlanoTexas Health Resources · file Apr 2026 | $114Cash ÷ typical 2.0× | $56.9121 plans | $9.71 |
| Texas Health Arlington Memorial HospitalTexas Health Resources · file Apr 2026 | $114–$133Cash ÷ typical 2.0× | $56.9121 plans | $9.71 |
| Texas Health Presbyterian Hospital DallasTexas Health Resources · file Apr 2026 | $114–$133Cash ÷ typical 2.0× | $56.9121 plans | $9.71 |
| Texas Health Harris Methodist Hospital Hurst-Euless-BedfordTexas Health Resources · file Apr 2026 | $114–$133Cash ÷ typical 2.0× | $56.9121 plans | $9.71 |
| Texas Health Harris Methodist Hospital AzleTexas Health Resources · file Apr 2026 | $114–$133Cash ÷ typical 2.0× | $56.9121 plans | $9.71 |
| Texas Health Harris Methodist Hospital CleburneTexas Health Resources · file Apr 2026 | $114–$133Cash ÷ typical 2.0× | $56.9121 plans | $9.71 |
| Texas Health Hospital ClearforkTexas Health Resources · file Apr 2026 | $114–$133Cash ÷ typical 2.0× | $56.9121 plans | $9.71 |
| Texas Health Presbyterian Hospital PlanoTexas Health Resources · file Apr 2026 | $114Cash ÷ typical 2.0× | $56.9121 plans | $9.71 |
| Texas Health Presbyterian Hospital KaufmanTexas Health Resources · file Apr 2026 | $114–$133Cash ÷ typical 2.0× | $56.9121 plans | $9.71 |
| Texas Health Hospital FriscoTexas Health Resources · file Apr 2026 | $114–$133Cash ÷ typical 2.0× | $56.9121 plans | $9.71 |
| Cook Children's Medical CenterCook Children's · children's hospital (not in the summary above) · file Jan 2026 | $151–$272Cash ÷ typical 0.5× | $30819 plans | $117 |
| Cook Children's Medical Center – ProsperCook Children's · children's hospital (not in the summary above) · file Jan 2026 | $151Cash ÷ typical 0.9× | $17219 plans | $88.88 |
↓ Download this table (CSV)free to reuse with attribution (CC BY 4.0)
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 |
|---|---|---|---|---|---|---|---|---|---|
| Parkland Health (Parkland Memorial Hospital) | $19–$119 | $99.00 | $99.00 | $98.51 | — | — | — | $8.16–$41.64 | $34.49–$34.98 |
| Texas Health Presbyterian Hospital Allen | $10.80–$56.91 | $13.14–$43.15 | $17.64–$40.34 | $9.71 | — | — | — | $8.16–$10.68 | $9.71–$10.97 |
| Texas Health Harris Methodist Hospital Fort Worth | $10.80–$56.91 | $13.14–$43.15 | $17.64–$40.34 | $9.71 | — | — | — | $8.16–$10.68 | $9.71–$10.97 |
| Methodist Celina Medical Center | $9.71–$17.87 | $15.73 | — | — | — | $12.62 | — | $8.98 | $9.71–$10.39 |
| Methodist Dallas Medical Center | $15.34–$31.27 | $15.73–$44.19 | $17.96 | $10.39 | — | $12.62 | $16.60 | $7.75–$33.39 | $9.71–$10.49 |
| Methodist Mansfield Medical Center | $15.34–$31.27 | $15.73 | $17.96 | $10.39 | — | $12.62 | $16.60 | $7.75–$34.87 | $9.71–$10.49 |
| Methodist Midlothian Medical Center | — | $15.73 | $17.96 | $10.39 | — | $12.62 | $16.60 | $7.75–$33.39 | $9.71–$10.49 |
| Methodist Richardson Medical Center | $17.48–$35.54 | $15.73 | $17.96 | $10.39 | — | $12.62 | $16.60 | $7.75–$33.39 | $9.71–$10.49 |
| Methodist Southlake Medical Center | $15.34–$31.27 | $15.73–$57.12 | $17.96 | $5.70–$10.39 | — | $12.62 | $16.60 | $7.75–$34.87 | $9.71–$10.49 |
| UT Southwestern William P. Clements Jr. University Hospital | $50.23–$87.52 | $42.46–$53.07 | $93.54 | $9.71–$91.69 | — | — | — | $8.16–$8.98 | $9.71–$10.97 |
| Baylor Scott & White Medical Center – Lake Pointe | $35.34–$74.67 | $102 | $92–$108 | $10.00–$11.00 | $130 | — | $20.88 | $8.16–$8.73 | $9.22–$10.88 |
| Baylor Scott & White The Heart Hospital – Denton | $23.69–$50.10 | $102 | $92–$108 | $10.00–$11.00 | $130 | — | $20.88 | $8.16–$8.73 | $9.22–$10.88 |
| Baylor Scott & White The Heart Hospital – McKinney | $23.69–$50.10 | $102 | $92–$108 | $10.00–$11.00 | $130 | — | — | $8.73 | $9.22–$10.88 |
| Baylor Scott & White The Heart Hospital – Plano | $23.69–$50.10 | $102 | $92–$108 | $10.00–$11.00 | $130 | — | $20.88 | $8.16–$8.73 | $9.22–$10.88 |
| Baylor Scott & White All Saints Medical Center – Fort Worth | $23.69–$50.10 | $102 | $92–$108 | $10.00–$11.00 | $130 | — | $20.88 | $8.16–$8.73 | $9.22–$10.88 |
| Baylor Scott & White Medical Center – Frisco at PGA Parkway | $23.69–$50.10 | $102 | $92–$108 | $10.00–$11.00 | $130 | — | $20.88 | $8.16 | $9.22–$10.88 |
| Baylor Scott & White Medical Center – McKinney | $23.69–$50.10 | $102 | $92–$108 | $10.00–$11.00 | $130 | — | $20.88 | $8.16–$8.73 | $9.22–$10.88 |
| Baylor Scott & White Medical Center – Grapevine | $23.69–$50.10 | $102 | $92–$108 | $10.00–$11.00 | $130 | — | $20.88 | $8.16–$8.73 | $9.22–$10.88 |
| Baylor University Medical Center | $23.69–$50.10 | $102 | $92–$108 | $10.00–$11.00 | $130 | — | $20.88 | $8.16–$8.73 | $9.22–$10.88 |
| Baylor Scott & White Medical Center – Waxahachie | $23.69–$50.10 | $102 | $92–$108 | $10.00–$11.00 | $130 | — | $20.88 | $8.16–$8.73 | $9.22–$10.88 |
| Baylor Scott & White Medical Center – Irving | $23.69–$50.10 | $102 | $92–$108 | $10.00–$11.00 | $130 | — | $20.88 | $8.16–$8.73 | $9.22–$10.88 |
| Baylor Scott & White Heart and Vascular Hospital – Dallas | $23.69–$50.10 | $102 | $92–$108 | $10.00–$11.00 | $130 | — | $20.88 | $8.16–$8.73 | $9.22–$10.88 |
| Baylor Scott & White Heart and Vascular Hospital – Waxahachie | $23.69–$50.10 | $102 | — | $10.00–$11.00 | $130 | — | — | — | $9.22–$10.20 |
| Baylor Scott & White Medical Center – Plano | $23.69–$50.10 | $102 | $92–$108 | $10.00–$11.00 | $130 | — | $20.88 | $8.16–$8.73 | $9.22–$10.88 |
| Baylor Scott & White Medical Center – Centennial | $35.34–$74.67 | $102 | $92–$108 | $10.00–$11.00 | $130 | — | $20.88 | $8.16–$8.73 | $9.22–$10.88 |
| Texas Health Harris Methodist Hospital Southlake | $13.50–$56.91 | $32–$133 | $40–$178 | $9.71 | — | — | — | $8.16–$10.68 | $9.71–$10.97 |
| Texas Health Hospital Rockwall | $13.50–$56.91 | $32–$133 | $40–$178 | $9.71 | — | — | — | $8.16–$10.68 | $9.71–$10.97 |
| Texas Health Heart & Vascular Hospital Arlington | $13.50–$56.91 | $32–$133 | $40–$178 | $9.71 | — | — | — | $8.16–$10.68 | $9.71–$10.97 |
| Texas Health Presbyterian Hospital Flower Mound | $13.50–$56.91 | $32–$133 | $40–$178 | $9.71 | — | — | — | $8.16–$10.68 | $9.71–$10.97 |
| Texas Health Presbyterian Hospital Denton | $10.80–$56.91 | $32–$133 | $40–$178 | $9.71 | — | — | — | $8.16–$10.68 | $9.71–$10.97 |
| Texas Health Harris Methodist Hospital Alliance | $10.80–$56.91 | $32–$133 | $40–$178 | $9.71 | — | — | — | $8.16–$10.68 | $9.71–$10.97 |
| Texas Health Center for Diagnostics and Surgery Plano | $13.50–$56.91 | $32–$133 | $40–$178 | $9.71 | — | — | — | $8.16–$10.68 | $9.71–$10.97 |
| Texas Health Arlington Memorial Hospital | $10.80–$56.91 | $32–$133 | $40–$178 | $9.71 | — | — | — | $8.16–$10.68 | $9.71–$10.97 |
| Texas Health Presbyterian Hospital Dallas | $10.80–$56.91 | $32–$133 | $40–$178 | $9.71 | — | — | — | $8.16–$10.68 | $9.71–$10.97 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | $10.80–$56.91 | $32–$133 | $40–$178 | $9.71 | — | — | — | $8.16–$10.68 | $9.71–$10.97 |
| Texas Health Harris Methodist Hospital Azle | $13.83–$56.91 | $32–$133 | $40–$178 | $9.71 | — | — | — | $8.16–$10.68 | $9.71–$10.97 |
| Texas Health Harris Methodist Hospital Cleburne | $13.83–$56.91 | $32–$133 | $40–$178 | $9.71 | — | — | — | $8.16–$10.68 | $9.71–$10.97 |
| Texas Health Hospital Clearfork | $10.80–$56.91 | $32–$133 | $40–$178 | $9.71 | — | — | — | $8.16–$10.68 | $9.71–$10.97 |
| Texas Health Presbyterian Hospital Plano | $10.80–$56.91 | $32–$133 | $40–$178 | $9.71 | — | — | — | $8.16–$10.68 | $9.71–$10.97 |
| Texas Health Presbyterian Hospital Kaufman | $13.83–$56.91 | $32–$133 | $40–$178 | $9.71 | — | — | — | $8.16–$10.68 | $9.71–$10.97 |
| Texas Health Hospital Frisco | $10.80–$56.91 | $32–$133 | $40–$178 | $9.71 | — | — | — | $8.16–$10.68 | $9.71–$10.97 |
| Cook Children's Medical Center | $283–$326 | $308 | $308 | $308 | $316–$319 | — | — | $8.16–$10.68 | — |
| Cook Children's Medical Center – Prosper | $158–$182 | $172 | $172 | $172 | $176–$178 | — | — | $9.71–$10.68 | — |
Parkland Health (Parkland Memorial Hospital): all 43 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| WELLPOINT | BELOW FPIL WELLPOINT CHIP PERINATE | Medicaid / CHIP | $8.16 | other |
| WELLPOINT | ABOVE FPIL WELLPOINT CHIP PERINATE | Medicaid / CHIP | $8.16 | other |
| WELLPOINT | WELLPOINT CHIP PERINATE POST PARTUM | Medicaid / CHIP | $8.16 | other |
| PARKLAND COMMUNITY HEALTH PLAN | Parkland CHIP | Medicaid / CHIP | $8.57 | fee schedule |
| AETNA BETTER HEALTH | AETNA BETTER HEALTH CHIP | Medicaid / CHIP | $8.57 | other |
| AETNA BETTER HEALTH | BELOW FPIL AETNA CHIP PERINATE | Medicaid / CHIP | $8.57 | other |
| AETNA BETTER HEALTH | ABOVE FPIL AETNA CHIP PERINATE | Medicaid / CHIP | $8.57 | other |
| COOK CHILDREN HEALTH PLAN | BELOW FPIL COOK CHIP PERINATE | Medicaid / CHIP | $8.57 | other |
| COOK CHILDREN HEALTH PLAN | COOK CHILDREN CHIP PERINATE POST PARTUM | Medicaid / CHIP | $8.57 | other |
| COOK CHILDREN HEALTH PLAN | ABOVE FPIL COOK CHIP PERINATE | Medicaid / CHIP | $8.57 | other |
| COOK CHILDREN HEALTH PLAN | COOK CHILDREN STAR MEDICAID | Medicaid / CHIP | $8.57 | other |
| COOK CHILDREN HEALTH PLAN | COOK CHILDRENS STAR KIDS | Medicaid / CHIP | $8.57 | other |
| COOK CHILDREN HEALTH PLAN | COOK CHILDRENS CHIP | Medicaid / CHIP | $8.57 | other |
| PARKLAND CHIP PERINATE | BELOW FPIL CHIP PERINATE | Medicaid / CHIP | $8.57 | fee schedule |
| PARKLAND CHIP PERINATE | ABOVE FPIL CHIP PERINATE | Medicaid / CHIP | $8.57 | fee schedule |
| SUPERIOR HEALTH PLAN | SUPERIOR STAR HEALTH FOSTER CARE | Medicaid / CHIP | $8.57 | other |
| MOLINA | MOLINA CHIP | Medicaid / CHIP | $8.98 | other |
| MOLINA | MOLINA RSA MEDICAID | Medicaid / CHIP | $8.98 | other |
| POINT COMFORT UNDERWRITERS | POINT COMFORT UNDERWRITERS | Public program | $8.98 | other |
| BLUE CROSS BLUE SHIELD | BLUE ADVANTAGE HMO ACA | Commercial | $19.13 | fee schedule |
| MOLINA | ABOVE FPIL MOLINA CHIP PERINATE | Medicaid / CHIP | $27.44 | percent of total billed charges |
| MOLINA | BELOW FPIL MOLINA CHIP PERINATE | Medicaid / CHIP | $27.44 | percent of total billed charges |
| MOLINA | POST PARTUM VST-MOLINA CHIP | Medicaid / CHIP | $27.44 | percent of total billed charges |
| WELLPOINT | WELLPOINT STAR PLUS | Medicaid / CHIP | $30.36 | other |
| WELLPOINT | WELLPOINT STAR KIDS | Medicaid / CHIP | $31.09 | other |
| SUPERIOR HEALTHPLAN | SUPERIOR STAR PLUS | Medicaid / CHIP | $31.87 | other |
| MOLINA | MOLINA STAR PLUS | Medicaid / CHIP | $33.39 | other |
| CARE IMPROVEMENT PLUS | CARE IMPROVEMENT PLUS | Medicare Advantage | $34.49 | percent of total billed charges |
| MOLINA | MOLINA STAR MEDICAID | Medicaid / CHIP | $34.65 | other |
| PROCARE ADVANTAGE | PROCARE ADVANTAGE | Medicare Advantage | $34.98 | percent of total billed charges |
| WELLPOINT | WELLPOINT STAR | Medicaid / CHIP | $39.66 | other |
| PARKLAND COMMUNITY HEALTH PLAN | Parkland STAR | Medicaid / CHIP | $41.64 | fee schedule |
| AETNA BETTER HEALTH | AETNA BETTER HEALTH STAR | Medicaid / CHIP | $41.64 | other |
| UNITED HEALTHCARE OF TX | UNITED HEALTHCARE OF TX | Commercial | $98.51 | percent of total billed charges |
| UNITED HEALTHCARE OF TX | UHC - UMR | Commercial | $98.51 | percent of total billed charges |
| AETNA HEALTHCARE | AETNA | Commercial | $99.00 | percent of total billed charges |
| CIGNA | CIGNA | Commercial | $99.00 | percent of total billed charges |
| GREAT WEST HEALTHCARE | GREAT WEST HEALTHCARE | Commercial | $99.00 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS TRADITIONAL | Commercial | $119 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS OUT OF STATE | Commercial | $119 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS FEDERAL EMPLOYEE | Commercial | $119 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BLUE CROSS BLUE SHIELD PPO | Commercial | $119 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BLUE CROSS BLUE SHIELD HMO | Commercial | $119 | percent of total billed charges |
Texas Health Presbyterian Hospital Allen: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Parkland | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $8.57 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $8.81 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $8.81 | fee schedule |
| United Healthcare Options | PPO | Commercial | $9.71 | fee schedule |
| United Healthcare | All Payer | Commercial | $9.71 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $9.90 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $10.10 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $10.20 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $10.68 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $10.78 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $10.80 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $10.97 | case rate |
| Aetna | ASA | Commercial | $13.14 | percent of total billed charges |
| Aetna | Coventry | Commercial | $13.14 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $13.31 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $14.06 | percent of total billed charges |
| PHCS | PPO | Commercial | $15.68 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $16.31 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $16.50 | percent of total billed charges |
| USA | MCO | Commercial | $16.50 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $17.64 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $19.04 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $19.23 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $21.36 | fee schedule |
| Aetna | Whole Health | Commercial | $32.36 | fee schedule |
| Cigna | OAP/HMO | Commercial | $40.34 | fee schedule |
| Cigna | PPO | Commercial | $40.34 | fee schedule |
| Aetna | Commercial | Commercial | $43.15 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $56.91 | fee schedule |
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 | $8.16 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $8.57 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $8.81 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $8.81 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $8.98 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| United Healthcare | All Payer | Commercial | $9.71 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| United Healthcare Options | PPO | Commercial | $9.71 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $9.90 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $10.10 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $10.68 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $10.78 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $10.80 | percent of total billed charges |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $10.97 | case rate |
| Quick Trip | Commercial | Commercial | $11.25 | percent of total billed charges |
| PHCS | PPO | Commercial | $13.03 | percent of total billed charges |
| Aetna | ASA | Commercial | $13.14 | percent of total billed charges |
| Aetna | Coventry | Commercial | $13.14 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $14.06 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $16.31 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $16.50 | percent of total billed charges |
| USA | MCO | Commercial | $16.50 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $17.64 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $19.04 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $19.23 | percent of total billed charges |
| Blue Cross Blue Shield | PPO | Commercial | $21.36 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $32.36 | fee schedule |
| Cigna | OAP/HMO | Commercial | $40.34 | fee schedule |
| Cigna | PPO | Commercial | $40.34 | fee schedule |
| Aetna | Commercial | Commercial | $43.15 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $56.91 | percent of total billed charges |
Methodist Celina Medical Center: all 32 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 | $8.98 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MCEL | Commercial | $9.71 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MCEL | Medicare Advantage | $9.71 | fee schedule |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MCEL | Medicare Advantage | $9.71 | fee schedule |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MCEL | Medicare Advantage | $9.71 | fee schedule |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MCEL | Medicare Advantage | $9.71 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MCEL | Medicare Advantage | $9.71 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MCEL | Medicare Advantage | $10.20 | fee schedule |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MCEL | Medicare Advantage | $10.20 | fee schedule |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MCEL | Medicare Advantage | $10.29 | fee schedule |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MCEL | Medicare Advantage | $10.29 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MCEL | Medicare Advantage | $10.29 | fee schedule |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MCEL | Medicare Advantage | $10.39 | fee schedule |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MCEL | Commercial | $12.62 | fee schedule |
| MOLINA | MHS HB MOLINA MARKETPLACE MCEL | Commercial | $14.08 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MCEL | Commercial | $15.05 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL | Commercial | $15.54 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MCEL | Commercial | $15.54 | fee schedule |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MCEL | Commercial | $15.54 | fee schedule |
| AETNA | MHS HB AETNA CVS MCEL | Commercial | $15.73 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MCEL | Commercial | $15.73 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MCEL | Commercial | $16.02 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MCEL | Commercial | $16.12 | fee schedule |
| BCBS | MHS HB BCBS HMO MCEL | Commercial | $16.41 | fee schedule |
| BCBS | MHS HB BCBS PPO MCEL | Commercial | $17.87 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MCEL | Commercial | $17.87 | fee schedule |
| SANA BENEFITS | MHS HB SANA MCEL | Commercial | $19.42 | fee schedule |
| VELOCITY | MHS HB VELOCITY MCEL | Commercial | $19.42 | fee schedule |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MCEL | Workers' comp | $19.42 | fee schedule |
| EVRY HEALTH | MHS HB EVRY MCEL | Commercial | $19.42 | fee schedule |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MCEL | Commercial | $24.28 | fee schedule |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MCEL | Commercial | $24.28 | fee schedule |
Methodist Dallas 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 MDMC | Medicaid / CHIP | $7.75 | fee schedule |
| MEDICAID | MHS HB TEXAS HEALTHY WOMEN MDMC | Medicaid / CHIP | $8.16 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MDMC | Medicare Advantage | $9.71 | fee schedule |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MDMC | Public program | $9.71 | fee schedule |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MDMC | Medicare Advantage | $9.71 | fee schedule |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MDMC | Medicare Advantage | $9.71 | fee schedule |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MDMC | Medicare Advantage | $9.71 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MDMC | Medicare Advantage | $9.71 | fee schedule |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MDMC | Medicare Advantage | $9.90 | fee schedule |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MDMC | Medicare Advantage | $10.20 | fee schedule |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MDMC | Medicare Advantage | $10.20 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MDMC | Medicare Advantage | $10.20 | fee schedule |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MDMC | Medicare Advantage | $10.20 | fee schedule |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MDMC | Medicare Advantage | $10.29 | fee schedule |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MDMC | Medicare Advantage | $10.29 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MDMC | Medicare Advantage | $10.29 | fee schedule |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MDMC | Commercial | $10.39 | fee schedule |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MDMC | Medicare Advantage | $10.39 | fee schedule |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MDMC | Medicare Advantage | $10.49 | fee schedule |
| CORALVITA | MHS HB VIBRA MRMC MCMC MDMC | Commercial | $11.65 | fee schedule |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MDMC | Commercial | $12.14 | fee schedule |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MDMC | Commercial | $12.62 | fee schedule |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MDMC | Commercial | $13.59 | fee schedule |
| MOLINA | MHS HB MOLINA MARKETPLACE MDMC | Commercial | $14.08 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MDMC | Commercial | $15.05 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MDMC | Commercial | $15.34 | fee schedule |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MDMC | Commercial | $15.54 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MDMC | Commercial | $15.73 | fee schedule |
| AETNA | MHS HB AETNA CVS MDMC | Commercial | $15.73 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MDMC | Commercial | $16.02 | fee schedule |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MDMC | Commercial | $16.51 | fee schedule |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MDMC | Commercial | $16.60 | fee schedule |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MDMC | Commercial | $17.48 | fee schedule |
| CIGNA | MHS HB CUSTOM INK MDMC | Commercial | $17.96 | fee schedule |
| EVRY HEALTH | MHS HB EVRY MDMC | Commercial | $19.42 | fee schedule |
| SANA BENEFITS | MHS HB SANA MDMC | Commercial | $19.42 | fee schedule |
| VELOCITY | MHS HB VELOCITY MDMC | Commercial | $19.42 | fee schedule |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MDMC | Workers' comp | $19.42 | fee schedule |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MDMC | Commercial | $24.28 | fee schedule |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MDMC | Commercial | $24.28 | fee schedule |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MDMC | Commercial | $26.22 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MDMC | Commercial | $27.09 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MDMC | Commercial | $27.09 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MDMC | Commercial | $28.16 | fee schedule |
| BCBS | MHS HB BCBS HMO MDMC | Commercial | $28.74 | fee schedule |
| BCBS | MHS HB BCBS PPO MDMC | Commercial | $31.27 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MDMC | Commercial | $31.27 | fee schedule |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MDMC | Medicaid / CHIP | $33.39 | fee schedule |
| AETNA COMMERCIAL | MHS HB AETNA TX PREF PLUS II MDMC | Commercial | $37.55 | fee schedule |
| AETNA | MHS HB AETNA BAYLOR SCOTT AND WHITE MDMC | Commercial | $39.35 | fee schedule |
| AETNA COMMERCIAL | MHS HB AETNA TEXAS ADVANTAGE MDMC | Commercial | $39.76 | fee schedule |
| AETNA MANAGED CARE | MHS HB AETNA WHOLE HEALTH MDMC | Commercial | $39.76 | fee schedule |
| AETNA | MHS HB AETNA HMO PPO MDMC | Commercial | $44.19 | fee schedule |
Methodist Mansfield Medical Center: all 48 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 | $7.75 | fee schedule |
| MEDICAID | MHS HB TEXAS HEALTHY WOMEN MMMC | Medicaid / CHIP | $8.16 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MMMC | Medicare Advantage | $9.71 | fee schedule |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MMMC | Public program | $9.71 | fee schedule |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MMMC | Medicare Advantage | $9.71 | fee schedule |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MMMC | Medicare Advantage | $9.71 | fee schedule |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MMMC | Medicare Advantage | $9.71 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MMMC | Medicare Advantage | $9.71 | fee schedule |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MMMC | Medicare Advantage | $9.90 | fee schedule |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MMMC | Medicare Advantage | $10.20 | fee schedule |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MMMC | Medicare Advantage | $10.20 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MMMC | Medicare Advantage | $10.20 | fee schedule |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MMMC | Medicare Advantage | $10.20 | fee schedule |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MMMC | Medicare Advantage | $10.29 | fee schedule |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MMMC | Medicare Advantage | $10.29 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MMMC | Medicare Advantage | $10.29 | fee schedule |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MMMC | Commercial | $10.39 | fee schedule |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MMMC | Medicare Advantage | $10.39 | fee schedule |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MMMC | Medicare Advantage | $10.49 | fee schedule |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MMMC | Commercial | $12.14 | fee schedule |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MMMC | Commercial | $12.62 | fee schedule |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MMMC | Commercial | $13.59 | fee schedule |
| MOLINA | MHS HB MOLINA MARKETPLACE MMMC | Commercial | $14.08 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MMMC | Commercial | $15.05 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MMMC | Commercial | $15.34 | fee schedule |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MMMC | Commercial | $15.54 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MMMC | Commercial | $15.73 | fee schedule |
| AETNA | MHS HB AETNA CVS MMMC | Commercial | $15.73 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MMMC | Commercial | $16.02 | fee schedule |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MMMC | Commercial | $16.51 | fee schedule |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MMMC | Commercial | $16.60 | fee schedule |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MMMC | Commercial | $17.48 | fee schedule |
| CIGNA | MHS HB CUSTOM INK MMMC | Commercial | $17.96 | fee schedule |
| EVRY HEALTH | MHS HB EVRY MMMC | Commercial | $19.42 | fee schedule |
| SANA BENEFITS | MHS HB SANA MMMC | Commercial | $19.42 | fee schedule |
| VELOCITY | MHS HB VELOCITY MMMC | Commercial | $19.42 | fee schedule |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MMMC | Workers' comp | $19.42 | fee schedule |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MMMC | Commercial | $24.28 | fee schedule |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MMMC | Commercial | $24.28 | fee schedule |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MMMC | Commercial | $26.22 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MMMC | Commercial | $27.09 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MMMC | Commercial | $27.09 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MMMC | Commercial | $28.16 | fee schedule |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MMMC | Medicaid / CHIP | $28.72 | fee schedule |
| BCBS | MHS HB BCBS HMO MMMC | Commercial | $28.74 | fee schedule |
| BCBS | MHS HB BCBS PPO MMMC | Commercial | $31.27 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MMMC | Commercial | $31.27 | fee schedule |
| WELLPOINT MEDICAID MANAGED CARE | MHS HB WELLPOINT MEDICAID STAR MMMC | Medicaid / CHIP | $34.87 | fee schedule |
Methodist Midlothian Medical Center: all 40 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 | $7.75 | fee schedule |
| MEDICAID | MHS HB TEXAS HEALTHY WOMEN MLMC | Medicaid / CHIP | $8.16 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MLMC | Medicare Advantage | $9.71 | fee schedule |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MLMC | Public program | $9.71 | fee schedule |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MLMC | Medicare Advantage | $9.71 | fee schedule |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MLMC | Medicare Advantage | $9.71 | fee schedule |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MLMC | Medicare Advantage | $9.71 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MLMC | Medicare Advantage | $9.71 | fee schedule |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MLMC | Medicare Advantage | $9.90 | fee schedule |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MLMC | Medicare Advantage | $10.20 | fee schedule |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MLMC | Medicare Advantage | $10.20 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MLMC | Medicare Advantage | $10.20 | fee schedule |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MLMC | Medicare Advantage | $10.20 | fee schedule |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MLMC | Medicare Advantage | $10.29 | fee schedule |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MLMC | Medicare Advantage | $10.29 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MLMC | Medicare Advantage | $10.29 | fee schedule |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MLMC | Commercial | $10.39 | fee schedule |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MLMC | Medicare Advantage | $10.39 | fee schedule |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MLMC | Medicare Advantage | $10.49 | fee schedule |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MLMC | Commercial | $12.14 | fee schedule |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MLMC | Commercial | $12.62 | fee schedule |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MLMC | Commercial | $13.59 | fee schedule |
| MOLINA | MHS HB MOLINA MARKETPLACE MLMC | Commercial | $14.08 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MLMC | Commercial | $15.05 | fee schedule |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MLMC | Commercial | $15.54 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MLMC | Commercial | $15.73 | fee schedule |
| AETNA | MHS HB AETNA CVS MLMC | Commercial | $15.73 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MLMC | Commercial | $16.02 | fee schedule |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MLMC | Commercial | $16.51 | fee schedule |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MLMC | Commercial | $16.60 | fee schedule |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MLMC | Commercial | $17.48 | fee schedule |
| CIGNA | MHS HB CUSTOM INK MLMC | Commercial | $17.96 | fee schedule |
| EVRY HEALTH | MHS HB EVRY MLMC | Commercial | $19.42 | fee schedule |
| SANA BENEFITS | MHS HB SANA MLMC | Commercial | $19.42 | fee schedule |
| VELOCITY | MHS HB VELOCITY MLMC | Commercial | $19.42 | fee schedule |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MLMC | Workers' comp | $19.42 | fee schedule |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MLMC | Commercial | $24.28 | fee schedule |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MLMC | Commercial | $24.28 | fee schedule |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MLMC | Commercial | $26.22 | fee schedule |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MLMC | Medicaid / CHIP | $33.39 | fee schedule |
Methodist Richardson Medical Center: all 46 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 | $7.75 | fee schedule |
| MEDICAID | MHS HB TEXAS HEALTHY WOMEN MRMC | Medicaid / CHIP | $8.16 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MRMC | Medicare Advantage | $9.71 | fee schedule |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MRMC | Public program | $9.71 | fee schedule |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MRMC | Medicare Advantage | $9.71 | fee schedule |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MRMC | Medicare Advantage | $9.71 | fee schedule |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MRMC | Medicare Advantage | $9.71 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MRMC | Medicare Advantage | $9.71 | fee schedule |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MRMC | Medicare Advantage | $9.90 | fee schedule |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MRMC | Medicare Advantage | $10.20 | fee schedule |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MRMC | Medicare Advantage | $10.20 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MRMC | Medicare Advantage | $10.20 | fee schedule |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MRMC | Medicare Advantage | $10.20 | fee schedule |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MRMC | Medicare Advantage | $10.29 | fee schedule |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MRMC | Medicare Advantage | $10.29 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MRMC | Medicare Advantage | $10.29 | fee schedule |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MRMC | Commercial | $10.39 | fee schedule |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MRMC | Medicare Advantage | $10.39 | fee schedule |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MRMC | Medicare Advantage | $10.49 | fee schedule |
| CORALVITA | MHS HB VIBRA MRMC MCMC MDMC | Commercial | $11.65 | fee schedule |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MRMC | Commercial | $12.14 | fee schedule |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MRMC | Commercial | $12.62 | fee schedule |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MRMC | Commercial | $13.59 | fee schedule |
| MOLINA | MHS HB MOLINA MARKETPLACE MRMC | Commercial | $14.08 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MRMC | Commercial | $15.05 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MRMC | Commercial | $15.73 | fee schedule |
| AETNA | MHS HB AETNA CVS MRMC | Commercial | $15.73 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MRMC | Commercial | $16.02 | fee schedule |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MRMC | Commercial | $16.51 | fee schedule |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MRMC | Commercial | $16.60 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MRMC | Commercial | $17.48 | fee schedule |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MRMC | Commercial | $17.48 | fee schedule |
| CIGNA | MHS HB CUSTOM INK MRMC | Commercial | $17.96 | fee schedule |
| EVRY HEALTH | MHS HB EVRY MRMC | Commercial | $19.42 | fee schedule |
| SANA BENEFITS | MHS HB SANA MRMC | Commercial | $19.42 | fee schedule |
| VELOCITY | MHS HB VELOCITY MRMC | Commercial | $19.42 | fee schedule |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MRMC | Commercial | $24.28 | fee schedule |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MRMC | Commercial | $24.28 | fee schedule |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MRMC | Commercial | $26.22 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MRMC | Commercial | $30.88 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MRMC | Commercial | $30.88 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MRMC | Commercial | $31.95 | fee schedule |
| BCBS | MHS HB BCBS HMO MRMC | Commercial | $32.72 | fee schedule |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MRMC | Medicaid / CHIP | $33.39 | fee schedule |
| BCBS | MHS HB BCBS PPO MRMC | Commercial | $35.54 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MRMC | Commercial | $35.54 | fee schedule |
Methodist Southlake Medical Center: all 52 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| UNITED HEALTHCARE-COMMERCIAL | MHS HB UNITED HEALTHCARE MSMC | Commercial | $5.70 | fee schedule |
| UNITED HEALTHCARE MEDICAID MANAGED CARE | MHS HB UNITED MEDICAID STAR PLUS MSMC | Medicaid / CHIP | $7.75 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MSMC | Medicare Advantage | $9.71 | fee schedule |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MSMC | Medicare Advantage | $9.71 | fee schedule |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MSMC | Medicare Advantage | $9.71 | fee schedule |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MSMC | Medicare Advantage | $9.71 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MSMC | Medicare Advantage | $9.71 | fee schedule |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MSMC | Medicare Advantage | $9.90 | fee schedule |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MSMC | Medicare Advantage | $10.20 | fee schedule |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MSMC | Medicare Advantage | $10.20 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MSMC | Medicare Advantage | $10.20 | fee schedule |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MSMC | Medicare Advantage | $10.20 | fee schedule |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MSMC | Medicare Advantage | $10.29 | fee schedule |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MSMC | Medicare Advantage | $10.29 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MSMC | Medicare Advantage | $10.29 | fee schedule |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MSMC | Commercial | $10.39 | fee schedule |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MSMC | Medicare Advantage | $10.39 | fee schedule |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MSMC | Medicare Advantage | $10.49 | fee schedule |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MSMC | Commercial | $12.14 | fee schedule |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MSMC | Commercial | $12.62 | fee schedule |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MSMC | Commercial | $13.59 | fee schedule |
| MOLINA | MHS HB MOLINA MARKETPLACE MSMC | Commercial | $14.08 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MSMC | Commercial | $15.05 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MSMC | Commercial | $15.34 | fee schedule |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MSMC | Commercial | $15.54 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MSMC | Commercial | $15.73 | fee schedule |
| AETNA | MHS HB AETNA CVS MSMC | Commercial | $15.73 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MSMC | Commercial | $16.02 | fee schedule |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MSMC | Commercial | $16.51 | fee schedule |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MSMC | Commercial | $16.60 | fee schedule |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MSMC | Commercial | $17.48 | fee schedule |
| CIGNA | MHS HB CUSTOM INK MSMC | Commercial | $17.96 | fee schedule |
| EVRY HEALTH | MHS HB EVRY MSMC | Commercial | $19.42 | fee schedule |
| SANA BENEFITS | MHS HB SANA MSMC | Commercial | $19.42 | fee schedule |
| VELOCITY | MHS HB VELOCITY MSMC | Commercial | $19.42 | fee schedule |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MSMC | Workers' comp | $19.42 | fee schedule |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MSMC | Commercial | $24.28 | fee schedule |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MSMC | Commercial | $24.28 | fee schedule |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MSMC | Commercial | $26.22 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MSMC | Commercial | $27.09 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MSMC | Commercial | $27.09 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MSMC | Commercial | $28.16 | fee schedule |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MSMC | Medicaid / CHIP | $28.72 | fee schedule |
| BCBS | MHS HB BCBS HMO MSMC | Commercial | $28.74 | fee schedule |
| BCBS | MHS HB BCBS PPO MSMC | Commercial | $31.27 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MSMC | Commercial | $31.27 | fee schedule |
| WELLPOINT MEDICAID MANAGED CARE | MHS HB WELLPOINT MEDICAID STAR MSMC | Medicaid / CHIP | $34.87 | fee schedule |
| AETNA COMMERCIAL | MHS HB AETNA TX PREF PLUS II MSMC | Commercial | $35.04 | fee schedule |
| AETNA COMMERCIAL | MHS HB AETNA TEXAS ADVANTAGE MSMC | Commercial | $37.84 | fee schedule |
| AETNA MANAGED CARE | MHS HB AETNA WHOLE HEALTH MSMC | Commercial | $37.84 | fee schedule |
| AETNA | MHS HB AETNA HMO PPO MSMC | Commercial | $42.03 | fee schedule |
| AETNA | MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC | Commercial | $57.12 | 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 |
|---|---|---|---|---|
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $8.16 | percent of total billed charges |
| Wellpoint | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Superior | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $8.81 | fee schedule |
| Aetna Better Health | Managed Medicaid | Medicaid / CHIP | $8.98 | fee schedule |
| Procare | Medicare Advantage | Medicare Advantage | $9.71 | fee schedule |
| United Options Nexus | Commercial | Commercial | $9.71 | fee schedule |
| United Healthcare | Commercial | Commercial | $9.71 | fee schedule |
| Humana | Medicare Advantage | Medicare Advantage | $10.10 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Wellpoint | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Superior | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $10.78 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $10.97 | fee schedule |
| Aetna | Whole Health | Commercial | $42.46 | fee schedule |
| Blue Cross Blue Shield | MyBlueHealth | Commercial | $50.23 | fee schedule |
| Aetna | HMO/POS/EPO/PPO | Commercial | $53.07 | fee schedule |
| Maestro Health/Fort Worth Firefighters | Commercial | Commercial | $67.89 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $69.79 | fee schedule |
| HealthFirst | Commercial | Commercial | $71.37 | percent of total billed charges |
| QuikTrip | Commercial | Commercial | $76.20 | percent of total billed charges |
| Blue Cross Blue Shield | PPO | Commercial | $77.54 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $87.52 | fee schedule |
| Coventry | National/Medical Rental Products | Commercial | $88.77 | percent of total billed charges |
| Rockwall County | Commercial | Commercial | $88.90 | percent of total billed charges |
| United Healthcare W500 | Commercial | Commercial | $91.69 | percent of total billed charges |
| Cigna | HMO-PPO | Commercial | $93.54 | percent of total billed charges |
| PHCS | Commercial | Commercial | $95.89 | percent of total billed charges |
| HealthSmart | Commercial | Commercial | $105 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $110 | percent of total billed charges |
| Galaxy Health Network | Commercial | Commercial | $112 | percent of total billed charges |
Baylor Scott & White Medical Center – Lake Pointe: all 47 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $8.73 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $9.22 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $9.42 | fee schedule |
| Humana | Medicare | Medicare Advantage | $9.71 | fee schedule |
| TriWest | Community Care Network | Military / VA | $9.71 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $10.00 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $10.20 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $10.88 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $11.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $12.19 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $14.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $15.30 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $16.02 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $18.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $20.88 | fee schedule |
| Mark Cuban | Commercial | Commercial | $23.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $35.34 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $50.01 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $67.19 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $70.98 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $74.67 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $87.35 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $91.62 | percent of total billed charges |
| Aetna | Commercial | Commercial | $102 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $102 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $102 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $108 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $108 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $108 | percent of total billed charges |
| Texas A&M Commerce | Injured Athletes | Commercial | $112 | percent of total billed charges |
| Curative | Commercial | Commercial | $121 | percent of total billed charges |
| First Health | PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $130 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $139 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $139 | percent of total billed charges |
Baylor Scott & White The Heart Hospital – Denton: all 43 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $8.73 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $9.22 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $9.42 | fee schedule |
| Humana | Medicare | Medicare Advantage | $9.71 | fee schedule |
| TriWest | Community Care Network | Military / VA | $9.71 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $10.20 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $10.88 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $11.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $12.19 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $14.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $15.30 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $16.02 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $18.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $20.88 | fee schedule |
| Mark Cuban | Commercial | Commercial | $23.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $23.69 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $33.60 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $45.05 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $47.58 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $50.10 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $87.35 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $91.62 | percent of total billed charges |
| Aetna | Commercial | Commercial | $102 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $102 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $102 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $108 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $108 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $108 | percent of total billed charges |
| Curative | Commercial | Commercial | $121 | percent of total billed charges |
| First Health | PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $130 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $139 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $139 | percent of total billed charges |
Baylor Scott & White The Heart Hospital – McKinney: all 32 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $8.73 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $9.22 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $9.42 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $10.88 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $14.52 | fee schedule |
| Mark Cuban | Commercial | Commercial | $23.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $23.69 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $33.60 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $45.05 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $47.58 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $50.10 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $87.35 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $91.62 | percent of total billed charges |
| Aetna | Commercial | Commercial | $102 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $102 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $102 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $108 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $108 | percent of total billed charges |
| Curative | Commercial | Commercial | $121 | percent of total billed charges |
| First Health | PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $130 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $139 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $139 | percent of total billed charges |
Baylor Scott & White The Heart Hospital – Plano: all 44 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $8.73 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $9.22 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $9.42 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $9.71 | fee schedule |
| Humana | Medicare | Medicare Advantage | $9.71 | fee schedule |
| TriWest | Community Care Network | Military / VA | $9.71 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $10.20 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $10.88 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $11.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $12.19 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $14.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $15.30 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $16.02 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $18.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $20.88 | fee schedule |
| Mark Cuban | Commercial | Commercial | $23.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $23.69 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $33.60 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $45.05 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $47.58 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $50.10 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $87.35 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $91.62 | percent of total billed charges |
| Aetna | Commercial | Commercial | $102 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $102 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $102 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $108 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $108 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $108 | percent of total billed charges |
| Curative | Commercial | Commercial | $121 | percent of total billed charges |
| First Health | PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $130 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $139 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $139 | percent of total billed charges |
Baylor Scott & White All Saints Medical Center – Fort Worth: all 48 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Cook Children's Health Plan | Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Aetna | Medicaid | Medicaid / CHIP | $8.32 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $8.73 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $9.22 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $9.42 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $9.71 | fee schedule |
| Humana | Medicare | Medicare Advantage | $9.71 | fee schedule |
| TriWest | Community Care Network | Military / VA | $9.71 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $10.00 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $10.20 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $10.88 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $11.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $12.19 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $14.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $15.30 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $16.02 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $18.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $20.88 | fee schedule |
| Mark Cuban | Commercial | Commercial | $23.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $23.69 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $33.60 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $45.05 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $47.58 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $50.10 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $87.35 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $91.62 | percent of total billed charges |
| Aetna | Commercial | Commercial | $102 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $102 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $102 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $108 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $108 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $108 | percent of total billed charges |
| Curative | Commercial | Commercial | $121 | percent of total billed charges |
| First Health | PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $130 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $139 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $139 | percent of total billed charges |
Baylor Scott & White Medical Center – Frisco at PGA Parkway: all 40 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $9.22 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $9.42 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $9.71 | fee schedule |
| Humana | Medicare | Medicare Advantage | $9.71 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $10.20 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $10.88 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $11.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $12.19 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $12.24 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $15.30 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $16.02 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $18.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $20.88 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $23.69 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $33.60 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $45.05 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $47.58 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $50.10 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $87.35 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $91.62 | percent of total billed charges |
| Aetna | Commercial | Commercial | $102 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $102 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $102 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $108 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $108 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $108 | percent of total billed charges |
| Curative | Commercial | Commercial | $121 | percent of total billed charges |
| First Health | PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $130 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $139 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $139 | percent of total billed charges |
Baylor Scott & White Medical Center – McKinney: all 44 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $8.73 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $9.22 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $9.42 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $9.71 | fee schedule |
| Humana | Medicare | Medicare Advantage | $9.71 | fee schedule |
| TriWest | Community Care Network | Military / VA | $9.71 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $10.20 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $10.88 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $11.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $12.19 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $14.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $15.30 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $16.02 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $18.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $20.88 | fee schedule |
| Mark Cuban | Commercial | Commercial | $23.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $23.69 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $33.60 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $45.05 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $47.58 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $50.10 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $87.35 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $91.62 | percent of total billed charges |
| Aetna | Commercial | Commercial | $102 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $102 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $102 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $108 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $108 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $108 | percent of total billed charges |
| Curative | Commercial | Commercial | $121 | percent of total billed charges |
| First Health | PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $130 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $139 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $139 | percent of total billed charges |
Baylor Scott & White Medical Center – Grapevine: all 45 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Aetna | Medicaid | Medicaid / CHIP | $8.32 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $8.73 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $9.22 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $9.42 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $9.71 | fee schedule |
| Humana | Medicare | Medicare Advantage | $9.71 | fee schedule |
| TriWest | Community Care Network | Military / VA | $9.71 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $10.20 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $10.88 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $11.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $12.19 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $14.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $15.30 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $16.02 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $18.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $20.88 | fee schedule |
| Mark Cuban | Commercial | Commercial | $23.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $23.69 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $33.60 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $45.05 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $47.58 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $50.10 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $87.35 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $91.62 | percent of total billed charges |
| Aetna | Commercial | Commercial | $102 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $102 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $102 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $108 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $108 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $108 | percent of total billed charges |
| Curative | Commercial | Commercial | $121 | percent of total billed charges |
| First Health | PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $130 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $139 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $139 | percent of total billed charges |
Baylor University Medical Center: all 49 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $8.73 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $9.22 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $9.42 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $9.71 | fee schedule |
| Humana | Medicare | Medicare Advantage | $9.71 | fee schedule |
| TriWest | Community Care Network | Military / VA | $9.71 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $10.00 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $10.20 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $10.88 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $11.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $12.19 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $14.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $15.30 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $16.02 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $18.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $20.88 | fee schedule |
| Mark Cuban | Commercial | Commercial | $23.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $23.69 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $33.60 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $45.05 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $47.58 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $50.10 | fee schedule |
| Texas Workforce Commission | Workers Compensation | Workers' comp | $66.91 | percent of total billed charges |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $87.35 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $91.62 | percent of total billed charges |
| Aetna | Commercial | Commercial | $102 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $102 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $102 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $108 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $108 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $108 | percent of total billed charges |
| Curative | Commercial | Commercial | $121 | percent of total billed charges |
| First Health | PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $130 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $130 | percent of total billed charges |
| Optum | Commercial | Commercial | $130 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $139 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $139 | percent of total billed charges |
Baylor Scott & White Medical Center – Waxahachie: all 44 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $8.73 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $9.22 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $9.42 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $9.71 | fee schedule |
| Humana | Medicare | Medicare Advantage | $9.71 | fee schedule |
| TriWest | Community Care Network | Military / VA | $9.71 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $10.20 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $10.88 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $11.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $12.19 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $14.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $15.30 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $16.02 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $18.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $20.88 | fee schedule |
| Mark Cuban | Commercial | Commercial | $23.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $23.69 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $33.60 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $45.05 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $47.58 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $50.10 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $87.35 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $91.62 | percent of total billed charges |
| Aetna | Commercial | Commercial | $102 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $102 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $102 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $108 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $108 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $108 | percent of total billed charges |
| Curative | Commercial | Commercial | $121 | percent of total billed charges |
| First Health | PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $130 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $139 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $139 | percent of total billed charges |
Baylor Scott & White Medical Center – Irving: all 46 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $8.73 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $9.22 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $9.42 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $9.71 | fee schedule |
| Humana | Medicare | Medicare Advantage | $9.71 | fee schedule |
| TriWest | Community Care Network | Military / VA | $9.71 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $10.00 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $10.20 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $10.88 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $11.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $12.19 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $14.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $15.30 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $16.02 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $18.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $20.88 | fee schedule |
| Mark Cuban | Commercial | Commercial | $23.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $23.69 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $33.60 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $45.05 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $47.58 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $50.10 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $87.35 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $91.62 | percent of total billed charges |
| Aetna | Commercial | Commercial | $102 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $102 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $102 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $108 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $108 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $108 | percent of total billed charges |
| Curative | Commercial | Commercial | $121 | percent of total billed charges |
| First Health | PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $130 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $139 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $139 | percent of total billed charges |
Baylor Scott & White Heart and Vascular Hospital – Dallas: all 42 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $8.73 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $9.22 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $9.42 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $9.71 | fee schedule |
| TriWest | Community Care Network | Military / VA | $9.71 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $10.20 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $10.88 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $11.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $12.19 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $14.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $15.30 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $16.02 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $18.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $20.88 | fee schedule |
| Mark Cuban | Commercial | Commercial | $23.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $23.69 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $33.60 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $45.05 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $47.58 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $50.10 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $87.35 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $91.62 | percent of total billed charges |
| Aetna | Commercial | Commercial | $102 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $102 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $102 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $108 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $108 | percent of total billed charges |
| Curative | Commercial | Commercial | $121 | percent of total billed charges |
| First Health | PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $130 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $139 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $139 | percent of total billed charges |
Baylor Scott & White Heart and Vascular Hospital – Waxahachie: all 31 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $9.22 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $9.42 | fee schedule |
| Humana | Medicare | Medicare Advantage | $9.71 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $11.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $12.19 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $12.24 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $15.30 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $16.02 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $18.00 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $23.69 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $33.60 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $45.05 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $47.58 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $50.10 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $87.35 | percent of total billed charges |
| Aetna | Commercial | Commercial | $102 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $102 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $102 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $108 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $108 | percent of total billed charges |
| Curative | Commercial | Commercial | $121 | percent of total billed charges |
| First Health | PPO | Commercial | $130 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $130 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $139 | percent of total billed charges |
Baylor Scott & White Medical Center – Plano: all 46 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $8.73 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $9.22 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $9.42 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $9.71 | fee schedule |
| Humana | Medicare | Medicare Advantage | $9.71 | fee schedule |
| TriWest | Community Care Network | Military / VA | $9.71 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $10.20 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $10.88 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $11.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $12.19 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $14.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $15.30 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $16.02 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $18.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $20.88 | fee schedule |
| Mark Cuban | Commercial | Commercial | $23.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $23.69 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $33.60 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $45.05 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $47.58 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $50.10 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $87.35 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $91.62 | percent of total billed charges |
| Aetna | Commercial | Commercial | $102 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $102 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $102 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $108 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $108 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $108 | percent of total billed charges |
| Independent Medical System | Commercial PPO | Commercial | $112 | percent of total billed charges |
| Curative | Commercial | Commercial | $121 | percent of total billed charges |
| First Health | PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $130 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $130 | percent of total billed charges |
| Optum | Commercial | Commercial | $130 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $139 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $139 | percent of total billed charges |
Baylor Scott & White Medical Center – Centennial: all 46 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $8.73 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $9.22 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $9.42 | fee schedule |
| Humana | Medicare | Medicare Advantage | $9.71 | fee schedule |
| TriWest | Community Care Network | Military / VA | $9.71 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $10.00 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $10.20 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $10.20 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $10.88 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $11.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $12.19 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $14.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $15.30 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $16.02 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $18.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $20.88 | fee schedule |
| Mark Cuban | Commercial | Commercial | $23.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $35.34 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $50.01 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $67.19 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $70.98 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $74.67 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $87.35 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $91.62 | percent of total billed charges |
| Aetna | Commercial | Commercial | $102 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $102 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $102 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $108 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $108 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $108 | percent of total billed charges |
| Curative | Commercial | Commercial | $121 | percent of total billed charges |
| First Health | PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $130 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $130 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $139 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $139 | 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 | $8.16 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $8.57 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $8.81 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $8.98 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| United Healthcare | All Payer | Commercial | $9.71 | fee schedule |
| United Healthcare Options | PPO | Commercial | $9.71 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $9.90 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $10.10 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $10.20 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $10.68 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $10.78 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $10.97 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $13.50 | fee schedule |
| Fort Worth Firefighters | Commercial | Commercial | $19.04 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $19.23 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $21.36 | fee schedule |
| Aetna | Whole Health | Commercial | $32.36 | fee schedule |
| Cigna | PPO | Commercial | $40.34 | fee schedule |
| Cigna | OAP/HMO | Commercial | $40.34 | fee schedule |
| Aetna | Commercial | Commercial | $43.15 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $56.91 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $88.95 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $114 | percent of total billed charges |
| PHCS | PPO | Commercial | $132 | percent of total billed charges |
| Aetna | Coventry | Commercial | $133 | percent of total billed charges |
| Aetna | ASA | Commercial | $133 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $142 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $165 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $167 | percent of total billed charges |
| USA | MCO | Commercial | $167 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $178 | percent of total billed charges |
Texas Health Hospital Rockwall: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Parkland | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $8.57 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $8.81 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| United Healthcare | All Payer | Commercial | $9.71 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| United Healthcare Options | PPO | Commercial | $9.71 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $9.90 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $10.10 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $10.68 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $10.78 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $10.97 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $13.50 | fee schedule |
| Fort Worth Firefighters | Commercial | Commercial | $19.04 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $19.23 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $21.36 | fee schedule |
| Aetna | Whole Health | Commercial | $32.36 | fee schedule |
| Cigna | OAP/HMO | Commercial | $40.34 | fee schedule |
| Cigna | PPO | Commercial | $40.34 | fee schedule |
| Aetna | Commercial | Commercial | $43.15 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $56.91 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $88.95 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $114 | percent of total billed charges |
| PHCS | PPO | Commercial | $132 | percent of total billed charges |
| Aetna | ASA | Commercial | $133 | percent of total billed charges |
| Aetna | Coventry | Commercial | $133 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $142 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $165 | percent of total billed charges |
| USA | MCO | Commercial | $167 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $167 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $178 | percent of total billed charges |
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 | $8.16 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $8.57 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $8.81 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $8.98 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| United Healthcare | All Payer | Commercial | $9.71 | fee schedule |
| United Healthcare Options | PPO | Commercial | $9.71 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $9.90 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $10.10 | case rate |
| Humana | Medicare Advantage PPO | Medicare Advantage | $10.10 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $10.68 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $10.78 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $10.97 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $13.50 | fee schedule |
| Fort Worth Firefighters | Commercial | Commercial | $19.04 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $19.23 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $21.36 | fee schedule |
| Aetna | Whole Health | Commercial | $32.36 | fee schedule |
| Cigna | OAP/HMO | Commercial | $40.34 | fee schedule |
| Cigna | PPO | Commercial | $40.34 | fee schedule |
| Aetna | Commercial | Commercial | $43.15 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $56.91 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $88.95 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $114 | percent of total billed charges |
| PHCS | PPO | Commercial | $132 | percent of total billed charges |
| Aetna | ASA | Commercial | $133 | percent of total billed charges |
| Aetna | Coventry | Commercial | $133 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $142 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $165 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $167 | percent of total billed charges |
| USA | MCO | Commercial | $167 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $178 | percent of total billed charges |
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 | $8.16 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $8.57 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $8.81 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $8.98 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| United Healthcare | All Payer | Commercial | $9.71 | fee schedule |
| United Healthcare Options | PPO | Commercial | $9.71 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $9.90 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $10.10 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $10.20 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $10.68 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $10.78 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $10.97 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $13.50 | fee schedule |
| Fort Worth Firefighters | Commercial | Commercial | $19.04 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $19.23 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $21.36 | fee schedule |
| Aetna | Whole Health | Commercial | $32.36 | fee schedule |
| Cigna | OAP/HMO | Commercial | $40.34 | fee schedule |
| Cigna | PPO | Commercial | $40.34 | fee schedule |
| Aetna | Commercial | Commercial | $43.15 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $56.91 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $88.95 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $114 | percent of total billed charges |
| PHCS | PPO | Commercial | $132 | percent of total billed charges |
| Aetna | ASA | Commercial | $133 | percent of total billed charges |
| Aetna | Coventry | Commercial | $133 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $142 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $165 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $167 | percent of total billed charges |
| USA | MCO | Commercial | $167 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $178 | percent of total billed charges |
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 | $8.16 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $8.57 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $8.81 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $8.98 | fee schedule |
| United Healthcare | All Payer | Commercial | $9.71 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| United Healthcare Options | PPO | Commercial | $9.71 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $9.90 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $10.10 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $10.68 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $10.78 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $10.80 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $10.97 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $19.04 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $19.23 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $21.36 | fee schedule |
| Aetna | Whole Health | Commercial | $32.36 | fee schedule |
| Cigna | OAP/HMO | Commercial | $40.34 | fee schedule |
| Cigna | PPO | Commercial | $40.34 | fee schedule |
| Aetna | Commercial | Commercial | $43.15 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $56.91 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $88.95 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $114 | percent of total billed charges |
| PHCS | PPO | Commercial | $132 | percent of total billed charges |
| Aetna | Coventry | Commercial | $133 | percent of total billed charges |
| Aetna | ASA | Commercial | $133 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $142 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $165 | percent of total billed charges |
| USA | MCO | Commercial | $167 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $167 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $178 | percent of total billed charges |
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 | $8.16 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $8.57 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $8.81 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $8.98 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| United Healthcare Options | PPO | Commercial | $9.71 | fee schedule |
| United Healthcare | All Payer | Commercial | $9.71 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $9.90 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $10.10 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $10.68 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $10.78 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $10.80 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $10.97 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $19.04 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $19.23 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $21.36 | fee schedule |
| Aetna | Whole Health | Commercial | $32.36 | fee schedule |
| Cigna | OAP/HMO | Commercial | $40.34 | fee schedule |
| Cigna | PPO | Commercial | $40.34 | fee schedule |
| Aetna | Commercial | Commercial | $43.15 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $56.91 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $88.95 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $114 | percent of total billed charges |
| PHCS | PPO | Commercial | $132 | percent of total billed charges |
| Aetna | Coventry | Commercial | $133 | percent of total billed charges |
| Aetna | ASA | Commercial | $133 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $142 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $165 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $167 | percent of total billed charges |
| USA | MCO | Commercial | $167 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $178 | percent of total billed charges |
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 | $8.16 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $8.57 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $8.81 | fee schedule |
| United Healthcare | All Payer | Commercial | $9.71 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| United Healthcare Options | PPO | Commercial | $9.71 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $9.90 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $10.10 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $10.68 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $10.78 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $10.97 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $13.50 | fee schedule |
| Fort Worth Firefighters | Commercial | Commercial | $19.04 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $19.23 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $21.36 | fee schedule |
| Aetna | Whole Health | Commercial | $32.36 | fee schedule |
| Cigna | PPO | Commercial | $40.34 | fee schedule |
| Cigna | OAP/HMO | Commercial | $40.34 | fee schedule |
| Aetna | Commercial | Commercial | $43.15 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $56.91 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $88.95 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $114 | percent of total billed charges |
| PHCS | PPO | Commercial | $132 | percent of total billed charges |
| Aetna | Coventry | Commercial | $133 | percent of total billed charges |
| Aetna | ASA | Commercial | $133 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $142 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $165 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $167 | percent of total billed charges |
| USA | MCO | Commercial | $167 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $178 | percent of total billed charges |
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 | $8.16 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $8.57 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $8.81 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $8.98 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| United Healthcare Options | PPO | Commercial | $9.71 | fee schedule |
| United Healthcare | All Payer | Commercial | $9.71 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $9.90 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $10.10 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $10.20 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $10.68 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $10.78 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $10.80 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $10.97 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $19.04 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $19.23 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $21.36 | fee schedule |
| Aetna | Whole Health | Commercial | $32.36 | fee schedule |
| Cigna | OAP/HMO | Commercial | $40.34 | fee schedule |
| Cigna | PPO | Commercial | $40.34 | fee schedule |
| Aetna | Commercial | Commercial | $43.15 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $56.91 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $88.95 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $114 | percent of total billed charges |
| PHCS | PPO | Commercial | $132 | percent of total billed charges |
| Aetna | ASA | Commercial | $133 | percent of total billed charges |
| Aetna | Coventry | Commercial | $133 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $142 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $165 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $167 | percent of total billed charges |
| USA | MCO | Commercial | $167 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $178 | percent of total billed charges |
Texas Health Presbyterian Hospital Dallas: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Parkland | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $8.57 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $8.81 | fee schedule |
| United Healthcare | All Payer | Commercial | $9.71 | fee schedule |
| United Healthcare Options | PPO | Commercial | $9.71 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $9.90 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $10.10 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $10.20 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $10.68 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $10.78 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $10.80 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $10.97 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $19.04 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $19.23 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $21.36 | fee schedule |
| Aetna | Whole Health | Commercial | $32.36 | fee schedule |
| Cigna | OAP/HMO | Commercial | $40.34 | fee schedule |
| Cigna | PPO | Commercial | $40.34 | fee schedule |
| Aetna | Commercial | Commercial | $43.15 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $56.91 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $88.95 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $114 | percent of total billed charges |
| PHCS | PPO | Commercial | $132 | percent of total billed charges |
| Aetna | ASA | Commercial | $133 | percent of total billed charges |
| Aetna | Coventry | Commercial | $133 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $142 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $165 | percent of total billed charges |
| USA | MCO | Commercial | $167 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $167 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $178 | percent of total billed charges |
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 | $8.16 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $8.57 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $8.81 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $8.98 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| United Healthcare Options | PPO | Commercial | $9.71 | fee schedule |
| United Healthcare | All Payer | Commercial | $9.71 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $9.90 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $10.10 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $10.68 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $10.78 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $10.80 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $10.97 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $19.04 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $19.23 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $21.36 | fee schedule |
| Aetna | Whole Health | Commercial | $32.36 | fee schedule |
| Cigna | OAP/HMO | Commercial | $40.34 | fee schedule |
| Cigna | PPO | Commercial | $40.34 | fee schedule |
| Aetna | Commercial | Commercial | $43.15 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $56.91 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $88.95 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $114 | percent of total billed charges |
| PHCS | PPO | Commercial | $132 | percent of total billed charges |
| Aetna | ASA | Commercial | $133 | percent of total billed charges |
| Aetna | Coventry | Commercial | $133 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $142 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $165 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $167 | percent of total billed charges |
| USA | MCO | Commercial | $167 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $178 | percent of total billed charges |
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 | $8.16 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $8.57 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $8.81 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $8.98 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| United Healthcare | All Payer | Commercial | $9.71 | fee schedule |
| United Healthcare Options | PPO | Commercial | $9.71 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $9.90 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $10.10 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $10.20 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $10.68 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $10.78 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $10.97 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $13.83 | fee schedule |
| Fort Worth Firefighters | Commercial | Commercial | $19.04 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $19.23 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $21.36 | fee schedule |
| Aetna | Whole Health | Commercial | $32.36 | fee schedule |
| Cigna | PPO | Commercial | $40.34 | fee schedule |
| Cigna | OAP/HMO | Commercial | $40.34 | fee schedule |
| Aetna | Commercial | Commercial | $43.15 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $56.91 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $88.95 | percent of total billed charges |
| Aetna | ASA | Commercial | $133 | percent of total billed charges |
| Aetna | Coventry | Commercial | $133 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $134 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $142 | percent of total billed charges |
| PHCS | PPO | Commercial | $158 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $165 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $167 | percent of total billed charges |
| USA | MCO | Commercial | $167 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $178 | percent of total billed charges |
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 | $8.16 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $8.57 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $8.81 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $8.98 | fee schedule |
| United Healthcare | All Payer | Commercial | $9.71 | fee schedule |
| United Healthcare Options | PPO | Commercial | $9.71 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $9.90 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $10.10 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $10.20 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $10.68 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $10.78 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $10.97 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $13.83 | fee schedule |
| Fort Worth Firefighters | Commercial | Commercial | $19.04 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $19.23 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $21.36 | fee schedule |
| Aetna | Whole Health | Commercial | $32.36 | fee schedule |
| Cigna | OAP/HMO | Commercial | $40.34 | fee schedule |
| Cigna | PPO | Commercial | $40.34 | fee schedule |
| Aetna | Commercial | Commercial | $43.15 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $56.91 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $88.95 | percent of total billed charges |
| Aetna | ASA | Commercial | $133 | percent of total billed charges |
| Aetna | Coventry | Commercial | $133 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $134 | percent of total billed charges |
| PHCS | PPO | Commercial | $158 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $165 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $165 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $167 | percent of total billed charges |
| USA | MCO | Commercial | $167 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $178 | percent of total billed charges |
Texas Health Hospital Clearfork: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $8.57 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $8.81 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $8.98 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| United Healthcare | All Payer | Commercial | $9.71 | fee schedule |
| United Healthcare Options | PPO | Commercial | $9.71 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $9.90 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $10.10 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $10.68 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $10.78 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $10.80 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $10.97 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $19.04 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $19.23 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $21.36 | fee schedule |
| Aetna | Whole Health | Commercial | $32.36 | fee schedule |
| Cigna | OAP/HMO | Commercial | $40.34 | fee schedule |
| Cigna | PPO | Commercial | $40.34 | fee schedule |
| Aetna | Commercial | Commercial | $43.15 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $56.91 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $88.95 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $114 | percent of total billed charges |
| PHCS | PPO | Commercial | $132 | percent of total billed charges |
| Aetna | ASA | Commercial | $133 | percent of total billed charges |
| Aetna | Coventry | Commercial | $133 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $142 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $165 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $167 | percent of total billed charges |
| USA | MCO | Commercial | $167 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $178 | percent of total billed charges |
Texas Health Presbyterian Hospital Plano: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $8.57 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $8.81 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| United Healthcare | All Payer | Commercial | $9.71 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| United Healthcare Options | PPO | Commercial | $9.71 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $9.90 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $10.10 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $10.20 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $10.68 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $10.78 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $10.80 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $10.97 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $19.04 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $19.23 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $21.36 | fee schedule |
| Aetna | Whole Health | Commercial | $32.36 | fee schedule |
| Cigna | OAP/HMO | Commercial | $40.34 | fee schedule |
| Cigna | PPO | Commercial | $40.34 | fee schedule |
| Aetna | Commercial | Commercial | $43.15 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $56.91 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $88.95 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $114 | percent of total billed charges |
| PHCS | PPO | Commercial | $132 | percent of total billed charges |
| Aetna | ASA | Commercial | $133 | percent of total billed charges |
| Aetna | Coventry | Commercial | $133 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $142 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $165 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $167 | percent of total billed charges |
| USA | MCO | Commercial | $167 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $178 | percent of total billed charges |
Texas Health Presbyterian Hospital Kaufman: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $8.57 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $8.81 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| United Healthcare | All Payer | Commercial | $9.71 | fee schedule |
| United Healthcare Options | PPO | Commercial | $9.71 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $9.90 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $10.10 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $10.68 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $10.78 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $10.97 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $13.83 | fee schedule |
| Fort Worth Firefighters | Commercial | Commercial | $19.04 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $19.23 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $21.36 | fee schedule |
| Aetna | Whole Health | Commercial | $32.36 | fee schedule |
| Cigna | OAP/HMO | Commercial | $40.34 | fee schedule |
| Cigna | PPO | Commercial | $40.34 | fee schedule |
| Aetna | Commercial | Commercial | $43.15 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $56.91 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $88.95 | percent of total billed charges |
| Aetna | ASA | Commercial | $133 | percent of total billed charges |
| Aetna | Coventry | Commercial | $133 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $134 | percent of total billed charges |
| PHCS | PPO | Commercial | $158 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $165 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $165 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $167 | percent of total billed charges |
| USA | MCO | Commercial | $167 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $178 | percent of total billed charges |
Texas Health Hospital Frisco: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $8.16 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $8.57 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $8.81 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| United Healthcare | All Payer | Commercial | $9.71 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $9.71 | case rate |
| United Healthcare Options | PPO | Commercial | $9.71 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $9.90 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $10.10 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $10.20 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $10.68 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $10.78 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $10.80 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $10.97 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $19.04 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $19.23 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $21.36 | fee schedule |
| Aetna | Whole Health | Commercial | $32.36 | fee schedule |
| Cigna | OAP/HMO | Commercial | $40.34 | fee schedule |
| Cigna | PPO | Commercial | $40.34 | fee schedule |
| Aetna | Commercial | Commercial | $43.15 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $56.91 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $88.95 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $114 | percent of total billed charges |
| PHCS | PPO | Commercial | $132 | percent of total billed charges |
| Aetna | Coventry | Commercial | $133 | percent of total billed charges |
| Aetna | ASA | Commercial | $133 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $142 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $165 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $167 | percent of total billed charges |
| USA | MCO | Commercial | $167 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $178 | percent of total billed charges |
Cook Children's Medical Center: all 50 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| HEALTH PLAN w. UHRIP | STAR | Medicaid / CHIP | $8.16 | Fee Schedule |
| Aetna | BETTER HEALTH CHIP | Medicaid / CHIP | $9.71 | Fee Schedule |
| Aetna | BETTER HEALTH STAR UHRIP | Medicaid / CHIP | $9.71 | Fee Schedule |
| Aetna | BETTER HEALTH STAR Kids | Medicaid / CHIP | $9.71 | Fee Schedule |
| EL PASO HEALTH FIRST | STAR | Medicaid / CHIP | $9.71 | Fee Schedule |
| EL PASO HEALTH FIRST | CHIP | Medicaid / CHIP | $9.71 | Fee Schedule |
| EL PASO HEALTH FIRST | STAR MEDICAID | Medicaid / CHIP | $9.71 | Fee Schedule |
| HEALTH PLAN w/o UHRIP | CHIP | Medicaid / CHIP | $9.71 | Fee Schedule |
| HEALTH PLAN w/o UHRIP | STAR KIDS | Medicaid / CHIP | $9.71 | Fee Schedule |
| TX CHILDREN HEALTH | CHIP | Medicaid / CHIP | $9.71 | Fee Schedule |
| TX CHILDREN HEALTH | STAR KIDS | Medicaid / CHIP | $9.71 | Fee Schedule |
| TX CHILDREN HEALTH | STAR | Medicaid / CHIP | $9.71 | Fee Schedule |
| WELLPOINT | CHIP | Medicaid / CHIP | $10.20 | Fee Schedule |
| WELLPOINT | STAR | Medicaid / CHIP | $10.20 | Fee Schedule |
| WELLPOINT | STAR PLUS | Medicaid / CHIP | $10.20 | Fee Schedule |
| BCBS | CHIP STAR KIDS | Medicaid / CHIP | $10.49 | Fee Schedule |
| BCBS | CHIP | Medicaid / CHIP | $10.49 | Fee Schedule |
| BCBS | BCBS TX STAR | Medicaid / CHIP | $10.49 | Fee Schedule |
| SUPERIOR HEALTH | STAR | Medicaid / CHIP | $10.49 | Fee Schedule |
| SUPERIOR HEALTH | CHIP | Medicaid / CHIP | $10.49 | Fee Schedule |
| SUPERIOR HEALTH | STAR PLUS | Medicaid / CHIP | $10.49 | Fee Schedule |
| FIRSTCARE | STAR | Medicaid / CHIP | $10.68 | Fee Schedule |
| MOLINA | STAR | Medicaid / CHIP | $10.68 | Fee Schedule |
| MOLINA | CHIP | Medicaid / CHIP | $10.68 | Fee Schedule |
| MOLINA | STAR KIDS | Medicaid / CHIP | $10.68 | Fee Schedule |
| RIGHTCARE | STAR | Medicaid / CHIP | $10.68 | Fee Schedule |
| RIGHTCARE | MDC S&W | Medicaid / CHIP | $10.68 | Fee Schedule |
| UNITED COMMUNITY | CHIP | Medicaid / CHIP | $10.68 | Fee Schedule |
| UNITED COMMUNITY | STAR | Medicaid / CHIP | $10.68 | Fee Schedule |
| UNITED COMMUNITY | STAR PLUS | Medicaid / CHIP | $10.68 | Fee Schedule |
| UNITED COMMUNITY | STAR KIDS | Medicaid / CHIP | $10.68 | Fee Schedule |
| Optum | ALL PRODUCTS | Commercial | $117 | Percent of Total Billed Charges |
| BCBS | HMO | Commercial | $283 | Percent of Total Billed Charges |
| FIRSTCARE | ALL PRODUCTS | Commercial | $290 | Percent of Total Billed Charges |
| BCBS | PPO | Commercial | $305 | Percent of Total Billed Charges |
| S&W HEALTH | ALL PRODUCTS | Commercial | $305 | Percent of Total Billed Charges |
| Aetna | ALL PRODUCTS | Commercial | $308 | Percent of Total Billed Charges |
| CIGNA | CIGNA-MGD | Commercial | $308 | Percent of Total Billed Charges |
| HEALTHSCOPE | ALL PRODUCTS | Commercial | $308 | Percent of Total Billed Charges |
| IMAGINE HEALTH | ALL PRODUCTS | Commercial | $308 | Percent of Total Billed Charges |
| UHC | MGD | Commercial | $308 | Percent of Total Billed Charges |
| HUMANA | CONCENTRIC PPO | Commercial | $316 | Percent of Total Billed Charges |
| MULTIPLAN | ALL PRODUCTS | Commercial | $316 | Percent of Total Billed Charges |
| MULTIPLAN | PHCS | Commercial | $316 | Percent of Total Billed Charges |
| FIRST HEALTH | PPO | Commercial | $319 | Percent of Total Billed Charges |
| HUMANA | CHOICECARE PPO | Commercial | $319 | Percent of Total Billed Charges |
| BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | Commercial | $326 | Percent of Total Billed Charges |
| GALAXY HEALTH | ALL PRODUCTS | Commercial | $326 | Percent of Total Billed Charges |
| Healthsmart | ALL PRODUCTS | Commercial | $326 | Percent of Total Billed Charges |
| USAMCO | ALL PRODUCTS | Commercial | $334 | 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 |
|---|---|---|---|---|
| EL PASO HEALTH FIRST | STAR | Medicaid / CHIP | $9.71 | Fee Schedule |
| EL PASO HEALTH FIRST | CHIP | Medicaid / CHIP | $9.71 | Fee Schedule |
| EL PASO HEALTH FIRST | STAR MEDICAID | Medicaid / CHIP | $9.71 | Fee Schedule |
| HEALTH PLAN w. UHRIP | STAR | Medicaid / CHIP | $9.71 | Fee Schedule |
| HEALTH PLAN w/o UHRIP | CHIP | Medicaid / CHIP | $9.71 | Fee Schedule |
| HEALTH PLAN w/o UHRIP | STAR KIDS | Medicaid / CHIP | $9.71 | Fee Schedule |
| TX CHILDREN HEALTH | CHIP | Medicaid / CHIP | $9.71 | Fee Schedule |
| TX CHILDREN HEALTH | STAR KIDS | Medicaid / CHIP | $9.71 | Fee Schedule |
| TX CHILDREN HEALTH | STAR | Medicaid / CHIP | $9.71 | Fee Schedule |
| WELLPOINT | CHIP | Medicaid / CHIP | $10.20 | Fee Schedule |
| WELLPOINT | STAR PLUS | Medicaid / CHIP | $10.20 | Fee Schedule |
| WELLPOINT | STAR | Medicaid / CHIP | $10.20 | Fee Schedule |
| BCBS | CHIP | Medicaid / CHIP | $10.49 | Fee Schedule |
| BCBS | BCBS TX STAR | Medicaid / CHIP | $10.49 | Fee Schedule |
| BCBS | CHIP STAR KIDS | Medicaid / CHIP | $10.49 | Fee Schedule |
| SUPERIOR HEALTH | STAR PLUS | Medicaid / CHIP | $10.49 | Fee Schedule |
| SUPERIOR HEALTH | CHIP | Medicaid / CHIP | $10.49 | Fee Schedule |
| SUPERIOR HEALTH | STAR | Medicaid / CHIP | $10.49 | Fee Schedule |
| Aetna | BETTER HEALTH STAR Kids | Medicaid / CHIP | $10.68 | Fee Schedule |
| Aetna | BETTER HEALTH CHIP | Medicaid / CHIP | $10.68 | Fee Schedule |
| Aetna | BETTER HEALTH STAR UHRIP | Medicaid / CHIP | $10.68 | Fee Schedule |
| FIRSTCARE | STAR | Medicaid / CHIP | $10.68 | Fee Schedule |
| UNITED COMMUNITY | STAR KIDS | Medicaid / CHIP | $10.68 | Fee Schedule |
| UNITED COMMUNITY | STAR | Medicaid / CHIP | $10.68 | Fee Schedule |
| UNITED COMMUNITY | CHIP | Medicaid / CHIP | $10.68 | Fee Schedule |
| UNITED COMMUNITY | STAR PLUS | Medicaid / CHIP | $10.68 | Fee Schedule |
| Optum | ALL PRODUCTS | Commercial | $88.88 | Percent of Total Billed Charges |
| BCBS | HMO | Commercial | $158 | Percent of Total Billed Charges |
| FIRSTCARE | ALL PRODUCTS | Commercial | $162 | Percent of Total Billed Charges |
| BCBS | PPO | Commercial | $170 | Percent of Total Billed Charges |
| S&W HEALTH | ALL PRODUCTS | Commercial | $170 | Percent of Total Billed Charges |
| Aetna | ALL PRODUCTS | Commercial | $172 | Percent of Total Billed Charges |
| CIGNA | CIGNA-MGD | Commercial | $172 | Percent of Total Billed Charges |
| HEALTHSCOPE | ALL PRODUCTS | Commercial | $172 | Percent of Total Billed Charges |
| IMAGINE HEALTH | ALL PRODUCTS | Commercial | $172 | Percent of Total Billed Charges |
| UHC | MGD | Commercial | $172 | Percent of Total Billed Charges |
| HUMANA | CONCENTRIC PPO | Commercial | $176 | Percent of Total Billed Charges |
| MULTIPLAN | PHCS | Commercial | $176 | Percent of Total Billed Charges |
| MULTIPLAN | ALL PRODUCTS | Commercial | $176 | Percent of Total Billed Charges |
| FIRST HEALTH | PPO | Commercial | $178 | Percent of Total Billed Charges |
| HUMANA | CHOICECARE PPO | Commercial | $178 | Percent of Total Billed Charges |
| BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | Commercial | $182 | Percent of Total Billed Charges |
| GALAXY HEALTH | ALL PRODUCTS | Commercial | $182 | Percent of Total Billed Charges |
| Healthsmart | ALL PRODUCTS | Commercial | $182 | Percent of Total Billed Charges |
| USAMCO | ALL PRODUCTS | Commercial | $186 | Percent of Total Billed Charges |
What this price covers
These are hospital charges for CPT code 83036 (Hemoglobin A1c test). A hospital price file covers the hospital's own charges. Doctors who are not hospital employees — for imaging, usually the radiologist who reads the scan — can bill you separately, and extra services on the same day (contrast, an injection, a consultation) have their own codes.
How to ask for a lower price without insurance
- Ask the hospital for a Good Faith Estimate. If you are uninsured or not using insurance, federal law entitles you to a written estimate on request, and automatically when you schedule at least three business days ahead (CMS: No Surprises Act).
- Ask whether the hospital has an uninsured discount or a financial assistance policy, and how to apply.
- Compare with an independent imaging center or lab: they are not covered by the hospital price rule and often quote lower cash prices.