BMP 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 80048; Medicaid and Medicare Advantage are shown separately below.
| Hospital | Published cash price | Typical insured rate | Lowest insured rate |
|---|---|---|---|
| UT Southwestern William P. Clements Jr. University HospitalUT Southwestern Medical Center · file Mar 2026 | $68.50Cash ÷ typical 0.9× | $76.9919 plans | $8.46 |
| Baylor Scott & White Medical Center – Lake PointeBaylor Scott & White Health · file Jun 2026 | $150Cash ÷ typical 1.6× | $91.2230 plans | $10.00 |
| Baylor Scott & White The Heart Hospital – DentonBaylor Scott & White Health · file Jun 2026 | $150Cash ÷ typical 3.4× | $43.6529 plans | $10.00 |
| Baylor Scott & White The Heart Hospital – McKinneyBaylor Scott & White Health · file Jun 2026 | $150Cash ÷ typical 1.2× | $13022 plans | $10.00 |
| Baylor Scott & White The Heart Hospital – PlanoBaylor Scott & White Health · file Jun 2026 | $150Cash ÷ typical 3.4× | $43.6529 plans | $10.00 |
| Baylor Scott & White All Saints Medical Center – Fort WorthBaylor Scott & White Health · file Jun 2026 | $150Cash ÷ typical 3.4× | $43.6529 plans | $10.00 |
| Baylor Scott & White Medical Center – Frisco at PGA ParkwayBaylor Scott & White Health · file Jun 2026 | $150Cash ÷ typical 1.9× | $80.5228 plans | $10.00 |
| Baylor Scott & White Medical Center – McKinneyBaylor Scott & White Health · file Jun 2026 | $150Cash ÷ typical 3.4× | $43.6529 plans | $10.00 |
| Baylor Scott & White Medical Center – GrapevineBaylor Scott & White Health · file Jun 2026 | $150Cash ÷ typical 3.4× | $43.6529 plans | $10.00 |
| Baylor University Medical CenterBaylor Scott & White Health · file Jun 2026 | $150Cash ÷ typical 1.9× | $80.5230 plans | $10.00 |
| Baylor Scott & White Medical Center – WaxahachieBaylor Scott & White Health · file Jun 2026 | $150Cash ÷ typical 3.4× | $43.6529 plans | $10.00 |
| Baylor Scott & White Medical Center – IrvingBaylor Scott & White Health · file Jun 2026 | $150Cash ÷ typical 3.4× | $43.6529 plans | $10.00 |
| Baylor Scott & White Heart and Vascular Hospital – DallasBaylor Scott & White Health · file Jun 2026 | $150Cash ÷ typical 3.5× | $42.5528 plans | $10.00 |
| Baylor Scott & White Heart and Vascular Hospital – WaxahachieBaylor Scott & White Health · file Jun 2026 | $150Cash ÷ typical 3.6× | $41.4523 plans | $10.00 |
| Baylor Scott & White Medical Center – PlanoBaylor Scott & White Health · file Jun 2026 | $150Cash ÷ typical 1.3× | $11731 plans | $10.00 |
| Baylor Scott & White Medical Center – CentennialBaylor Scott & White Health · file Jun 2026 | $150Cash ÷ typical 2.3× | $65.0629 plans | $10.00 |
| Parkland Health (Parkland Memorial Hospital)Parkland Health · file May 2026 | $165Cash ÷ typical 0.7× | $24811 plans | $16.67 |
| Methodist Celina Medical CenterMethodist Health System · file Mar 2026 | $210Cash ÷ typical 15× | $13.9619 plans | $8.46 |
| Methodist Dallas Medical CenterMethodist Health System · file Mar 2026 | $210Cash ÷ typical 12× | $16.9233 plans | $9.05 |
| Methodist Mansfield Medical CenterMethodist Health System · file Mar 2026 | $210Cash ÷ typical 14× | $15.2327 plans | $9.05 |
| Methodist Midlothian Medical CenterMethodist Health System · file Mar 2026 | $210Cash ÷ typical 15× | $14.1720 plans | $9.05 |
| Methodist Richardson Medical CenterMethodist Health System · file Mar 2026 | $210Cash ÷ typical 14× | $15.2327 plans | $9.05 |
| Methodist Southlake Medical CenterMethodist Health System · file Mar 2026 | $210Cash ÷ typical 12× | $16.9233 plans | $4.97 |
| Texas Health Harris Methodist Hospital SouthlakeTexas Health Resources · file Apr 2026 | $255Cash ÷ typical 5.1× | $49.5821 plans | $8.46 |
| Texas Health Hospital RockwallTexas Health Resources · file Apr 2026 | $255Cash ÷ typical 5.1× | $49.5821 plans | $8.46 |
| Texas Health Heart & Vascular Hospital ArlingtonTexas Health Resources · file Apr 2026 | $255Cash ÷ typical 5.1× | $49.5821 plans | $8.46 |
| Texas Health Presbyterian Hospital Flower MoundTexas Health Resources · file Apr 2026 | $255Cash ÷ typical 5.1× | $49.5821 plans | $8.46 |
| Texas Health Presbyterian Hospital DentonTexas Health Resources · file Apr 2026 | $255Cash ÷ typical 5.1× | $49.5821 plans | $8.46 |
| Texas Health Harris Methodist Hospital AllianceTexas Health Resources · file Apr 2026 | $255Cash ÷ typical 5.1× | $49.5821 plans | $8.46 |
| Texas Health Center for Diagnostics and Surgery PlanoTexas Health Resources · file Apr 2026 | $255Cash ÷ typical 5.1× | $49.5821 plans | $8.46 |
| Texas Health Arlington Memorial HospitalTexas Health Resources · file Apr 2026 | $255Cash ÷ typical 5.1× | $49.5821 plans | $8.46 |
| Texas Health Presbyterian Hospital DallasTexas Health Resources · file Apr 2026 | $255Cash ÷ typical 5.1× | $49.5821 plans | $8.46 |
| Texas Health Harris Methodist Hospital Hurst-Euless-BedfordTexas Health Resources · file Apr 2026 | $255Cash ÷ typical 5.1× | $49.5821 plans | $8.46 |
| Texas Health Harris Methodist Hospital AzleTexas Health Resources · file Apr 2026 | $255Cash ÷ typical 5.1× | $49.5821 plans | $8.46 |
| Texas Health Harris Methodist Hospital CleburneTexas Health Resources · file Apr 2026 | $255Cash ÷ typical 5.1× | $49.5821 plans | $8.46 |
| Texas Health Hospital ClearforkTexas Health Resources · file Apr 2026 | $255Cash ÷ typical 5.1× | $49.5821 plans | $8.46 |
| Texas Health Presbyterian Hospital PlanoTexas Health Resources · file Apr 2026 | $255Cash ÷ typical 5.1× | $49.5821 plans | $8.46 |
| Texas Health Presbyterian Hospital KaufmanTexas Health Resources · file Apr 2026 | $255Cash ÷ typical 5.1× | $49.5821 plans | $8.46 |
| Texas Health Presbyterian Hospital AllenTexas Health Resources · file Apr 2026 | $255Cash ÷ typical 5.1× | $49.5821 plans | $8.46 |
| Texas Health Harris Methodist Hospital Fort WorthTexas Health Resources · file Apr 2026 | $255Cash ÷ typical 5.1× | $49.5821 plans | $8.46 |
| Texas Health Hospital FriscoTexas Health Resources · file Apr 2026 | $255Cash ÷ typical 5.1× | $49.5821 plans | $8.46 |
| Cook Children's Medical CenterCook Children's · children's hospital (not in the summary above) · file Jan 2026 | $565Cash ÷ typical 0.9× | $64019 plans | $331 |
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Negotiated rates by insurer
If you have a high deductible, you usually pay the rate your insurer negotiated until you meet it. Ranges cover every plan of that insurer in the file; open a hospital to see plan by plan.
| Hospital | Blue Cross Blue Shield | Aetna | Cigna | UnitedHealthcare | Humana | Oscar | Ambetter | Medicaid / CHIP | Medicare Advantage |
|---|---|---|---|---|---|---|---|---|---|
| UT Southwestern William P. Clements Jr. University Hospital | $43.76–$76.25 | $36.99–$46.24 | $101 | $8.46–$98.91 | — | — | — | $7.11–$7.82 | $8.46–$9.56 |
| Baylor Scott & White Medical Center – Lake Pointe | $30.79–$65.06 | $137 | $123–$145 | $10.00–$11.00 | $175 | — | $18.19 | $7.11–$7.61 | $8.04–$9.48 |
| Baylor Scott & White The Heart Hospital – Denton | $20.64–$43.65 | $137 | $123–$145 | $10.00–$11.00 | $175 | — | $18.19 | $7.11–$7.61 | $8.04–$9.48 |
| Baylor Scott & White The Heart Hospital – McKinney | $20.64–$43.65 | $137 | $123–$145 | $10.00–$11.00 | $175 | — | — | $7.61 | $8.04–$9.48 |
| Baylor Scott & White The Heart Hospital – Plano | $20.64–$43.65 | $137 | $123–$145 | $10.00–$11.00 | $175 | — | $18.19 | $7.11–$7.61 | $8.04–$9.48 |
| Baylor Scott & White All Saints Medical Center – Fort Worth | $20.64–$43.65 | $137 | $123–$145 | $10.00–$11.00 | $175 | — | $18.19 | $7.11–$7.61 | $8.04–$9.48 |
| Baylor Scott & White Medical Center – Frisco at PGA Parkway | $20.64–$43.65 | $137 | $123–$145 | $10.00–$11.00 | $175 | — | $18.19 | $7.11 | $8.04–$9.48 |
| Baylor Scott & White Medical Center – McKinney | $20.64–$43.65 | $137 | $123–$145 | $10.00–$11.00 | $175 | — | $18.19 | $7.11–$7.61 | $8.04–$9.48 |
| Baylor Scott & White Medical Center – Grapevine | $20.64–$43.65 | $137 | $123–$145 | $10.00–$11.00 | $175 | — | $18.19 | $7.11–$7.61 | $8.04–$9.48 |
| Baylor University Medical Center | $20.64–$43.65 | $137 | $123–$145 | $10.00–$11.00 | $175 | — | $18.19 | $7.11–$7.61 | $8.04–$9.48 |
| Baylor Scott & White Medical Center – Waxahachie | $20.64–$43.65 | $137 | $123–$145 | $10.00–$11.00 | $175 | — | $18.19 | $7.11–$7.61 | $8.04–$9.48 |
| Baylor Scott & White Medical Center – Irving | $20.64–$43.65 | $137 | $123–$145 | $10.00–$11.00 | $175 | — | $18.19 | $7.11–$7.61 | $8.04–$9.48 |
| Baylor Scott & White Heart and Vascular Hospital – Dallas | $20.64–$43.65 | $137 | $123–$145 | $10.00–$11.00 | $175 | — | $18.19 | $7.11–$7.61 | $8.04–$9.48 |
| Baylor Scott & White Heart and Vascular Hospital – Waxahachie | $20.64–$43.65 | $137 | — | $10.00–$11.00 | $175 | — | — | — | $8.04–$8.88 |
| Baylor Scott & White Medical Center – Plano | $20.64–$43.65 | $137 | $123–$145 | $10.00–$11.00 | $175 | — | $18.19 | $7.11–$7.61 | $8.04–$9.48 |
| Baylor Scott & White Medical Center – Centennial | $30.79–$65.06 | $137 | $123–$145 | $10.00–$11.00 | $175 | — | $18.19 | $7.11–$7.61 | $8.04–$9.48 |
| Parkland Health (Parkland Memorial Hospital) | $17–$297 | $248 | $248 | $247 | — | — | — | $7.11–$36.28 | $86.32–$87.56 |
| Methodist Celina Medical Center | $8.46–$15.57 | $13.71 | — | — | — | $11.00 | — | $7.82 | $8.46–$9.05 |
| Methodist Dallas Medical Center | $13.37–$27.24 | $13.71–$38.51 | $15.65 | $9.05 | — | $11.00 | $14.47 | $6.75–$29.09 | $8.46–$9.14 |
| Methodist Mansfield Medical Center | $13.37–$27.24 | $13.71 | $15.65 | $9.05 | — | $11.00 | $14.47 | $6.75–$30.38 | $8.46–$9.14 |
| Methodist Midlothian Medical Center | — | $13.71 | $15.65 | $9.05 | — | $11.00 | $14.47 | $6.75–$29.09 | $8.46–$9.14 |
| Methodist Richardson Medical Center | $15.23–$30.96 | $13.71 | $15.65 | $9.05 | — | $11.00 | $14.47 | $6.75–$29.09 | $8.46–$9.14 |
| Methodist Southlake Medical Center | $13.37–$27.24 | $14–$391 | $15.65 | $4.97–$9.05 | — | $11.00 | $14.47 | $6.75–$30.38 | $8.46–$9.14 |
| Texas Health Harris Methodist Hospital Southlake | $11.76–$49.58 | $28–$298 | $35–$400 | $8.46 | — | — | — | $7.11–$9.31 | $8.46–$9.56 |
| Texas Health Hospital Rockwall | $11.76–$49.58 | $28–$298 | $35–$400 | $8.46 | — | — | — | $7.11–$9.31 | $8.46–$9.56 |
| Texas Health Heart & Vascular Hospital Arlington | $11.76–$49.58 | $28–$298 | $35–$400 | $8.46 | — | — | — | $7.11–$9.31 | $8.46–$9.56 |
| Texas Health Presbyterian Hospital Flower Mound | $11.76–$49.58 | $28–$298 | $35–$400 | $8.46 | — | — | — | $7.11–$9.31 | $8.46–$9.56 |
| Texas Health Presbyterian Hospital Denton | $9.41–$49.58 | $28–$298 | $35–$400 | $8.46 | — | — | — | $7.11–$9.31 | $8.46–$9.56 |
| Texas Health Harris Methodist Hospital Alliance | $9.41–$49.58 | $28–$298 | $35–$400 | $8.46 | — | — | — | $7.11–$9.31 | $8.46–$9.56 |
| Texas Health Center for Diagnostics and Surgery Plano | $11.76–$49.58 | $28–$298 | $35–$400 | $8.46 | — | — | — | $7.11–$9.31 | $8.46–$9.56 |
| Texas Health Arlington Memorial Hospital | $9.41–$49.58 | $28–$298 | $35–$400 | $8.46 | — | — | — | $7.11–$9.31 | $8.46–$9.56 |
| Texas Health Presbyterian Hospital Dallas | $9.41–$49.58 | $28–$298 | $35–$400 | $8.46 | — | — | — | $7.11–$9.31 | $8.46–$9.56 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | $9.41–$49.58 | $28–$298 | $35–$400 | $8.46 | — | — | — | $7.11–$9.31 | $8.46–$9.56 |
| Texas Health Harris Methodist Hospital Azle | $12.05–$49.58 | $28–$298 | $35–$400 | $8.46 | — | — | — | $7.11–$9.31 | $8.46–$9.56 |
| Texas Health Harris Methodist Hospital Cleburne | $12.05–$49.58 | $28–$298 | $35–$400 | $8.46 | — | — | — | $7.11–$9.31 | $8.46–$9.56 |
| Texas Health Hospital Clearfork | $9.41–$49.58 | $28–$298 | $35–$400 | $8.46 | — | — | — | $7.11–$9.31 | $8.46–$9.56 |
| Texas Health Presbyterian Hospital Plano | $9.41–$49.58 | $28–$298 | $35–$400 | $8.46 | — | — | — | $7.11–$9.31 | $8.46–$9.56 |
| Texas Health Presbyterian Hospital Kaufman | $12.05–$49.58 | $28–$298 | $35–$400 | $8.46 | — | — | — | $7.11–$9.31 | $8.46–$9.56 |
| Texas Health Presbyterian Hospital Allen | $9.41–$49.58 | $28–$298 | $35–$400 | $8.46 | — | — | — | $7.11–$9.31 | $8.46–$9.56 |
| Texas Health Harris Methodist Hospital Fort Worth | $9.41–$49.58 | $28–$298 | $35–$400 | $8.46 | — | — | — | $7.11–$9.31 | $8.46–$9.56 |
| Texas Health Hospital Frisco | $9.41–$49.58 | $28–$298 | $35–$400 | $8.46 | — | — | — | $7.11–$9.31 | $8.46–$9.56 |
| Cook Children's Medical Center | $587–$677 | $640 | $640 | $640 | $655–$662 | — | — | $7.11–$9.31 | — |
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 | $7.11 | fee schedule |
| Wellpoint | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Superior | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $7.68 | fee schedule |
| Aetna Better Health | Managed Medicaid | Medicaid / CHIP | $7.82 | fee schedule |
| Procare | Medicare Advantage | Medicare Advantage | $8.46 | fee schedule |
| United Options Nexus | Commercial | Commercial | $8.46 | fee schedule |
| United Healthcare | Commercial | Commercial | $8.46 | fee schedule |
| Humana | Medicare Advantage | Medicare Advantage | $8.80 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Wellpoint | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Superior | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $9.39 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $9.56 | fee schedule |
| Aetna | Whole Health | Commercial | $36.99 | fee schedule |
| Blue Cross Blue Shield | MyBlueHealth | Commercial | $43.76 | fee schedule |
| Aetna | HMO/POS/EPO/PPO | Commercial | $46.24 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $60.80 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $67.56 | fee schedule |
| Maestro Health/Fort Worth Firefighters | Commercial | Commercial | $73.24 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $76.25 | fee schedule |
| HealthFirst | Commercial | Commercial | $76.99 | percent of total billed charges |
| QuikTrip | Commercial | Commercial | $82.20 | percent of total billed charges |
| Coventry | National/Medical Rental Products | Commercial | $95.76 | percent of total billed charges |
| Rockwall County | Commercial | Commercial | $95.90 | percent of total billed charges |
| United Healthcare W500 | Commercial | Commercial | $98.91 | percent of total billed charges |
| Cigna | HMO-PPO | Commercial | $101 | percent of total billed charges |
| PHCS | Commercial | Commercial | $103 | percent of total billed charges |
| HealthSmart | Commercial | Commercial | $114 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $119 | percent of total billed charges |
| Galaxy Health Network | Commercial | Commercial | $121 | 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 | $7.11 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $7.61 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $8.04 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $8.21 | fee schedule |
| Humana | Medicare | Medicare Advantage | $8.46 | fee schedule |
| TriWest | Community Care Network | Military / VA | $8.46 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $8.71 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $8.88 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $9.48 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $10.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $10.62 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $10.67 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $12.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $13.96 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $14.40 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $18.19 | fee schedule |
| Mark Cuban | Commercial | Commercial | $20.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $30.79 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $43.57 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $58.54 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $61.84 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $65.06 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $117 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $123 | percent of total billed charges |
| Aetna | Commercial | Commercial | $137 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $137 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $137 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $145 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $145 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $145 | percent of total billed charges |
| Texas A&M Commerce | Injured Athletes | Commercial | $150 | percent of total billed charges |
| Curative | Commercial | Commercial | $162 | percent of total billed charges |
| First Health | PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $175 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $187 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $187 | 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 | $7.11 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $7.61 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $8.04 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $8.21 | fee schedule |
| Humana | Medicare | Medicare Advantage | $8.46 | fee schedule |
| TriWest | Community Care Network | Military / VA | $8.46 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $8.88 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $9.48 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $10.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $10.62 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $10.67 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $12.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $13.96 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $14.40 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $18.19 | fee schedule |
| Mark Cuban | Commercial | Commercial | $20.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $20.64 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $29.27 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $39.25 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $41.45 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $43.65 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $117 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $123 | percent of total billed charges |
| Aetna | Commercial | Commercial | $137 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $137 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $137 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $145 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $145 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $145 | percent of total billed charges |
| Curative | Commercial | Commercial | $162 | percent of total billed charges |
| First Health | PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $175 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $187 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $187 | 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 | $7.61 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $8.04 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $8.21 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $9.48 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $10.67 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $12.65 | fee schedule |
| Mark Cuban | Commercial | Commercial | $20.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $20.64 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $29.27 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $39.25 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $41.45 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $43.65 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $117 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $123 | percent of total billed charges |
| Aetna | Commercial | Commercial | $137 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $137 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $137 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $145 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $145 | percent of total billed charges |
| Curative | Commercial | Commercial | $162 | percent of total billed charges |
| First Health | PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $175 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $187 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $187 | 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 | $7.11 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $7.61 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $8.04 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $8.21 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $8.46 | fee schedule |
| Humana | Medicare | Medicare Advantage | $8.46 | fee schedule |
| TriWest | Community Care Network | Military / VA | $8.46 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $8.88 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $9.48 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $10.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $10.62 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $10.67 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $12.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $13.96 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $14.40 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $18.19 | fee schedule |
| Mark Cuban | Commercial | Commercial | $20.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $20.64 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $29.27 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $39.25 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $41.45 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $43.65 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $117 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $123 | percent of total billed charges |
| Aetna | Commercial | Commercial | $137 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $137 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $137 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $145 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $145 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $145 | percent of total billed charges |
| Curative | Commercial | Commercial | $162 | percent of total billed charges |
| First Health | PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $175 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $187 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $187 | 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 | $7.11 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Aetna | Medicaid | Medicaid / CHIP | $7.25 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $7.61 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $8.04 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $8.21 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $8.46 | fee schedule |
| Humana | Medicare | Medicare Advantage | $8.46 | fee schedule |
| TriWest | Community Care Network | Military / VA | $8.46 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $8.71 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $8.88 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $9.48 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $10.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $10.62 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $10.67 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $12.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $13.96 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $14.40 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $18.19 | fee schedule |
| Mark Cuban | Commercial | Commercial | $20.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $20.64 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $29.27 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $39.25 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $41.45 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $43.65 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $117 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $123 | percent of total billed charges |
| Aetna | Commercial | Commercial | $137 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $137 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $137 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $145 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $145 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $145 | percent of total billed charges |
| Curative | Commercial | Commercial | $162 | percent of total billed charges |
| First Health | PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $175 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $187 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $187 | 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 | $7.11 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $8.04 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $8.21 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $8.46 | fee schedule |
| Humana | Medicare | Medicare Advantage | $8.46 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $8.88 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $9.48 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $10.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $10.62 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $10.67 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $12.24 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $13.96 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $14.40 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $18.19 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $20.64 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $29.27 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $39.25 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $41.45 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $43.65 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $117 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $123 | percent of total billed charges |
| Aetna | Commercial | Commercial | $137 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $137 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $137 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $145 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $145 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $145 | percent of total billed charges |
| Curative | Commercial | Commercial | $162 | percent of total billed charges |
| First Health | PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $175 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $187 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $187 | 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 | $7.11 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $7.61 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $8.04 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $8.21 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $8.46 | fee schedule |
| Humana | Medicare | Medicare Advantage | $8.46 | fee schedule |
| TriWest | Community Care Network | Military / VA | $8.46 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $8.88 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $9.48 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $10.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $10.62 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $10.67 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $12.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $13.96 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $14.40 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $18.19 | fee schedule |
| Mark Cuban | Commercial | Commercial | $20.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $20.64 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $29.27 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $39.25 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $41.45 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $43.65 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $117 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $123 | percent of total billed charges |
| Aetna | Commercial | Commercial | $137 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $137 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $137 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $145 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $145 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $145 | percent of total billed charges |
| Curative | Commercial | Commercial | $162 | percent of total billed charges |
| First Health | PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $175 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $187 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $187 | 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 | $7.11 | fee schedule |
| Aetna | Medicaid | Medicaid / CHIP | $7.25 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $7.61 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $8.04 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $8.21 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $8.46 | fee schedule |
| Humana | Medicare | Medicare Advantage | $8.46 | fee schedule |
| TriWest | Community Care Network | Military / VA | $8.46 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $8.88 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $9.48 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $10.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $10.62 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $10.67 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $12.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $13.96 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $14.40 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $18.19 | fee schedule |
| Mark Cuban | Commercial | Commercial | $20.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $20.64 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $29.27 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $39.25 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $41.45 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $43.65 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $117 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $123 | percent of total billed charges |
| Aetna | Commercial | Commercial | $137 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $137 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $137 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $145 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $145 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $145 | percent of total billed charges |
| Curative | Commercial | Commercial | $162 | percent of total billed charges |
| First Health | PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $175 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $187 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $187 | 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 | $7.11 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $7.61 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $8.04 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $8.21 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $8.46 | fee schedule |
| Humana | Medicare | Medicare Advantage | $8.46 | fee schedule |
| TriWest | Community Care Network | Military / VA | $8.46 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $8.71 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $8.88 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $9.48 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $10.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $10.62 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $10.67 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $12.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $13.96 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $14.40 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $18.19 | fee schedule |
| Mark Cuban | Commercial | Commercial | $20.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $20.64 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $29.27 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $39.25 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $41.45 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $43.65 | fee schedule |
| Texas Workforce Commission | Workers Compensation | Workers' comp | $89.91 | percent of total billed charges |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $117 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $123 | percent of total billed charges |
| Aetna | Commercial | Commercial | $137 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $137 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $137 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $145 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $145 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $145 | percent of total billed charges |
| Curative | Commercial | Commercial | $162 | percent of total billed charges |
| First Health | PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $175 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $175 | percent of total billed charges |
| Optum | Commercial | Commercial | $175 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $187 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $187 | 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 | $7.11 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $7.61 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $8.04 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $8.21 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $8.46 | fee schedule |
| Humana | Medicare | Medicare Advantage | $8.46 | fee schedule |
| TriWest | Community Care Network | Military / VA | $8.46 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $8.88 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $9.48 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $10.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $10.62 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $10.67 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $12.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $13.96 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $14.40 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $18.19 | fee schedule |
| Mark Cuban | Commercial | Commercial | $20.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $20.64 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $29.27 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $39.25 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $41.45 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $43.65 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $117 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $123 | percent of total billed charges |
| Aetna | Commercial | Commercial | $137 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $137 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $137 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $145 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $145 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $145 | percent of total billed charges |
| Curative | Commercial | Commercial | $162 | percent of total billed charges |
| First Health | PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $175 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $187 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $187 | 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 | $7.11 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $7.61 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $8.04 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $8.21 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $8.46 | fee schedule |
| Humana | Medicare | Medicare Advantage | $8.46 | fee schedule |
| TriWest | Community Care Network | Military / VA | $8.46 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $8.71 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $8.88 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $9.48 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $10.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $10.62 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $10.67 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $12.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $13.96 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $14.40 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $18.19 | fee schedule |
| Mark Cuban | Commercial | Commercial | $20.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $20.64 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $29.27 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $39.25 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $41.45 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $43.65 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $117 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $123 | percent of total billed charges |
| Aetna | Commercial | Commercial | $137 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $137 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $137 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $145 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $145 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $145 | percent of total billed charges |
| Curative | Commercial | Commercial | $162 | percent of total billed charges |
| First Health | PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $175 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $187 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $187 | 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 | $7.11 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $7.61 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $8.04 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $8.21 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $8.46 | fee schedule |
| TriWest | Community Care Network | Military / VA | $8.46 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $8.88 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $9.48 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $10.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $10.62 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $10.67 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $12.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $13.96 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $14.40 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $18.19 | fee schedule |
| Mark Cuban | Commercial | Commercial | $20.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $20.64 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $29.27 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $39.25 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $41.45 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $43.65 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $117 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $123 | percent of total billed charges |
| Aetna | Commercial | Commercial | $137 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $137 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $137 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $145 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $145 | percent of total billed charges |
| Curative | Commercial | Commercial | $162 | percent of total billed charges |
| First Health | PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $175 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $187 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $187 | 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 | $8.04 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $8.21 | fee schedule |
| Humana | Medicare | Medicare Advantage | $8.46 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $10.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $10.62 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $10.67 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $12.24 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $13.96 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $14.40 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $20.64 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $29.27 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $39.25 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $41.45 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $43.65 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $117 | percent of total billed charges |
| Aetna | Commercial | Commercial | $137 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $137 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $137 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $145 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $145 | percent of total billed charges |
| Curative | Commercial | Commercial | $162 | percent of total billed charges |
| First Health | PPO | Commercial | $175 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $175 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $187 | 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 | $7.11 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $7.61 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $8.04 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $8.21 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $8.46 | fee schedule |
| Humana | Medicare | Medicare Advantage | $8.46 | fee schedule |
| TriWest | Community Care Network | Military / VA | $8.46 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $8.88 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $9.48 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $10.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $10.62 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $10.67 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $12.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $13.96 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $14.40 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $18.19 | fee schedule |
| Mark Cuban | Commercial | Commercial | $20.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $20.64 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $29.27 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $39.25 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $41.45 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $43.65 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $117 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $123 | percent of total billed charges |
| Aetna | Commercial | Commercial | $137 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $137 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $137 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $145 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $145 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $145 | percent of total billed charges |
| Independent Medical System | Commercial PPO | Commercial | $150 | percent of total billed charges |
| Curative | Commercial | Commercial | $162 | percent of total billed charges |
| First Health | PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $175 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $175 | percent of total billed charges |
| Optum | Commercial | Commercial | $175 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $187 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $187 | 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 | $7.11 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $7.61 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $8.04 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $8.21 | fee schedule |
| Humana | Medicare | Medicare Advantage | $8.46 | fee schedule |
| TriWest | Community Care Network | Military / VA | $8.46 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $8.71 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $8.88 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $8.88 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $9.48 | fee schedule |
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $10.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $10.62 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $10.67 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $12.24 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $12.65 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $13.96 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $14.40 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $18.19 | fee schedule |
| Mark Cuban | Commercial | Commercial | $20.30 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $30.79 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $43.57 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $58.54 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $61.84 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $65.06 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $117 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $123 | percent of total billed charges |
| Aetna | Commercial | Commercial | $137 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $137 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $137 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $145 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $145 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $145 | percent of total billed charges |
| Curative | Commercial | Commercial | $162 | percent of total billed charges |
| First Health | PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $175 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $175 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $187 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $187 | percent of total billed charges |
Parkland Health (Parkland Memorial Hospital): all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| WELLPOINT | BELOW FPIL WELLPOINT CHIP PERINATE | Medicaid / CHIP | $7.11 | other |
| WELLPOINT | ABOVE FPIL WELLPOINT CHIP PERINATE | Medicaid / CHIP | $7.11 | other |
| WELLPOINT | WELLPOINT CHIP PERINATE POST PARTUM | Medicaid / CHIP | $7.11 | other |
| SUPERIOR HEALTH PLAN | SUPERIOR STAR HEALTH FOSTER CARE | Medicaid / CHIP | $7.47 | other |
| PARKLAND CHIP PERINATE | BELOW FPIL CHIP PERINATE | Medicaid / CHIP | $7.47 | fee schedule |
| PARKLAND CHIP PERINATE | ABOVE FPIL CHIP PERINATE | Medicaid / CHIP | $7.47 | fee schedule |
| PARKLAND COMMUNITY HEALTH PLAN | Parkland CHIP | Medicaid / CHIP | $7.47 | fee schedule |
| AETNA BETTER HEALTH | AETNA BETTER HEALTH CHIP | Medicaid / CHIP | $7.47 | other |
| AETNA BETTER HEALTH | BELOW FPIL AETNA CHIP PERINATE | Medicaid / CHIP | $7.47 | other |
| AETNA BETTER HEALTH | ABOVE FPIL AETNA CHIP PERINATE | Medicaid / CHIP | $7.47 | other |
| COOK CHILDREN HEALTH PLAN | COOK CHILDREN STAR MEDICAID | Medicaid / CHIP | $7.47 | other |
| COOK CHILDREN HEALTH PLAN | COOK CHILDRENS STAR KIDS | Medicaid / CHIP | $7.47 | other |
| COOK CHILDREN HEALTH PLAN | COOK CHILDRENS CHIP | Medicaid / CHIP | $7.47 | other |
| MOLINA | MOLINA CHIP | Medicaid / CHIP | $7.82 | other |
| MOLINA | MOLINA RSA MEDICAID | Medicaid / CHIP | $7.82 | other |
| POINT COMFORT UNDERWRITERS | POINT COMFORT UNDERWRITERS | Public program | $7.82 | other |
| BLUE CROSS BLUE SHIELD | BLUE ADVANTAGE HMO ACA | Commercial | $16.67 | fee schedule |
| WELLPOINT | WELLPOINT STAR PLUS | Medicaid / CHIP | $26.45 | other |
| WELLPOINT | WELLPOINT STAR KIDS | Medicaid / CHIP | $27.09 | other |
| SUPERIOR HEALTHPLAN | SUPERIOR STAR PLUS | Medicaid / CHIP | $27.77 | other |
| MOLINA | MOLINA STAR PLUS | Medicaid / CHIP | $29.09 | other |
| MOLINA | MOLINA STAR MEDICAID | Medicaid / CHIP | $30.19 | other |
| WELLPOINT | WELLPOINT STAR | Medicaid / CHIP | $34.55 | other |
| PARKLAND COMMUNITY HEALTH PLAN | Parkland STAR | Medicaid / CHIP | $36.28 | fee schedule |
| AETNA BETTER HEALTH | AETNA BETTER HEALTH STAR | Medicaid / CHIP | $36.28 | other |
| CARE IMPROVEMENT PLUS | CARE IMPROVEMENT PLUS | Medicare Advantage | $86.32 | percent of total billed charges |
| PROCARE ADVANTAGE | PROCARE ADVANTAGE | Medicare Advantage | $87.56 | percent of total billed charges |
| UNITED HEALTHCARE OF TX | UNITED HEALTHCARE OF TX | Commercial | $247 | percent of total billed charges |
| UNITED HEALTHCARE OF TX | UHC - UMR | Commercial | $247 | percent of total billed charges |
| AETNA HEALTHCARE | AETNA | Commercial | $248 | percent of total billed charges |
| CIGNA | CIGNA | Commercial | $248 | percent of total billed charges |
| GREAT WEST HEALTHCARE | GREAT WEST HEALTHCARE | Commercial | $248 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS TRADITIONAL | Commercial | $297 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS OUT OF STATE | Commercial | $297 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS FEDERAL EMPLOYEE | Commercial | $297 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BLUE CROSS BLUE SHIELD PPO | Commercial | $297 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BLUE CROSS BLUE SHIELD HMO | Commercial | $297 | 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 | $7.82 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MCEL | Commercial | $8.46 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MCEL | Medicare Advantage | $8.46 | fee schedule |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MCEL | Medicare Advantage | $8.46 | fee schedule |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MCEL | Medicare Advantage | $8.46 | fee schedule |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MCEL | Medicare Advantage | $8.46 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MCEL | Medicare Advantage | $8.46 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MCEL | Medicare Advantage | $8.88 | fee schedule |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MCEL | Medicare Advantage | $8.88 | fee schedule |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MCEL | Medicare Advantage | $8.97 | fee schedule |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MCEL | Medicare Advantage | $8.97 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MCEL | Medicare Advantage | $8.97 | fee schedule |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MCEL | Medicare Advantage | $9.05 | fee schedule |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MCEL | Commercial | $11.00 | fee schedule |
| MOLINA | MHS HB MOLINA MARKETPLACE MCEL | Commercial | $12.27 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MCEL | Commercial | $13.11 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL | Commercial | $13.54 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MCEL | Commercial | $13.54 | fee schedule |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MCEL | Commercial | $13.54 | fee schedule |
| AETNA | MHS HB AETNA CVS MCEL | Commercial | $13.71 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MCEL | Commercial | $13.71 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MCEL | Commercial | $13.96 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MCEL | Commercial | $14.04 | fee schedule |
| BCBS | MHS HB BCBS HMO MCEL | Commercial | $14.30 | fee schedule |
| BCBS | MHS HB BCBS PPO MCEL | Commercial | $15.57 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MCEL | Commercial | $15.57 | fee schedule |
| SANA BENEFITS | MHS HB SANA MCEL | Commercial | $16.92 | fee schedule |
| VELOCITY | MHS HB VELOCITY MCEL | Commercial | $16.92 | fee schedule |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MCEL | Workers' comp | $16.92 | fee schedule |
| EVRY HEALTH | MHS HB EVRY MCEL | Commercial | $16.92 | fee schedule |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MCEL | Commercial | $21.15 | fee schedule |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MCEL | Commercial | $21.15 | 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 | $6.75 | fee schedule |
| MEDICAID | MHS HB TEXAS HEALTHY WOMEN MDMC | Medicaid / CHIP | $7.11 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MDMC | Medicare Advantage | $8.46 | fee schedule |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MDMC | Public program | $8.46 | fee schedule |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MDMC | Medicare Advantage | $8.46 | fee schedule |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MDMC | Medicare Advantage | $8.46 | fee schedule |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MDMC | Medicare Advantage | $8.46 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MDMC | Medicare Advantage | $8.46 | fee schedule |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MDMC | Medicare Advantage | $8.63 | fee schedule |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MDMC | Medicare Advantage | $8.88 | fee schedule |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MDMC | Medicare Advantage | $8.88 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MDMC | Medicare Advantage | $8.88 | fee schedule |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MDMC | Medicare Advantage | $8.88 | fee schedule |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MDMC | Medicare Advantage | $8.97 | fee schedule |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MDMC | Medicare Advantage | $8.97 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MDMC | Medicare Advantage | $8.97 | fee schedule |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MDMC | Commercial | $9.05 | fee schedule |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MDMC | Medicare Advantage | $9.05 | fee schedule |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MDMC | Medicare Advantage | $9.14 | fee schedule |
| CORALVITA | MHS HB VIBRA MRMC MCMC MDMC | Commercial | $10.15 | fee schedule |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MDMC | Commercial | $10.58 | fee schedule |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MDMC | Commercial | $11.00 | fee schedule |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MDMC | Commercial | $11.84 | fee schedule |
| MOLINA | MHS HB MOLINA MARKETPLACE MDMC | Commercial | $12.27 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MDMC | Commercial | $13.11 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MDMC | Commercial | $13.37 | fee schedule |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MDMC | Commercial | $13.54 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MDMC | Commercial | $13.71 | fee schedule |
| AETNA | MHS HB AETNA CVS MDMC | Commercial | $13.71 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MDMC | Commercial | $13.96 | fee schedule |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MDMC | Commercial | $14.38 | fee schedule |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MDMC | Commercial | $14.47 | fee schedule |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MDMC | Commercial | $15.23 | fee schedule |
| CIGNA | MHS HB CUSTOM INK MDMC | Commercial | $15.65 | fee schedule |
| EVRY HEALTH | MHS HB EVRY MDMC | Commercial | $16.92 | fee schedule |
| SANA BENEFITS | MHS HB SANA MDMC | Commercial | $16.92 | fee schedule |
| VELOCITY | MHS HB VELOCITY MDMC | Commercial | $16.92 | fee schedule |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MDMC | Workers' comp | $16.92 | fee schedule |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MDMC | Commercial | $21.15 | fee schedule |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MDMC | Commercial | $21.15 | fee schedule |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MDMC | Commercial | $22.84 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MDMC | Commercial | $23.60 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MDMC | Commercial | $23.60 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MDMC | Commercial | $24.53 | fee schedule |
| BCBS | MHS HB BCBS HMO MDMC | Commercial | $25.04 | fee schedule |
| BCBS | MHS HB BCBS PPO MDMC | Commercial | $27.24 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MDMC | Commercial | $27.24 | fee schedule |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MDMC | Medicaid / CHIP | $29.09 | fee schedule |
| AETNA COMMERCIAL | MHS HB AETNA TX PREF PLUS II MDMC | Commercial | $32.72 | fee schedule |
| AETNA | MHS HB AETNA BAYLOR SCOTT AND WHITE MDMC | Commercial | $34.29 | fee schedule |
| AETNA COMMERCIAL | MHS HB AETNA TEXAS ADVANTAGE MDMC | Commercial | $34.65 | fee schedule |
| AETNA MANAGED CARE | MHS HB AETNA WHOLE HEALTH MDMC | Commercial | $34.65 | fee schedule |
| AETNA | MHS HB AETNA HMO PPO MDMC | Commercial | $38.51 | 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 | $6.75 | fee schedule |
| MEDICAID | MHS HB TEXAS HEALTHY WOMEN MMMC | Medicaid / CHIP | $7.11 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MMMC | Medicare Advantage | $8.46 | fee schedule |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MMMC | Public program | $8.46 | fee schedule |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MMMC | Medicare Advantage | $8.46 | fee schedule |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MMMC | Medicare Advantage | $8.46 | fee schedule |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MMMC | Medicare Advantage | $8.46 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MMMC | Medicare Advantage | $8.46 | fee schedule |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MMMC | Medicare Advantage | $8.63 | fee schedule |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MMMC | Medicare Advantage | $8.88 | fee schedule |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MMMC | Medicare Advantage | $8.88 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MMMC | Medicare Advantage | $8.88 | fee schedule |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MMMC | Medicare Advantage | $8.88 | fee schedule |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MMMC | Medicare Advantage | $8.97 | fee schedule |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MMMC | Medicare Advantage | $8.97 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MMMC | Medicare Advantage | $8.97 | fee schedule |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MMMC | Commercial | $9.05 | fee schedule |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MMMC | Medicare Advantage | $9.05 | fee schedule |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MMMC | Medicare Advantage | $9.14 | fee schedule |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MMMC | Commercial | $10.58 | fee schedule |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MMMC | Commercial | $11.00 | fee schedule |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MMMC | Commercial | $11.84 | fee schedule |
| MOLINA | MHS HB MOLINA MARKETPLACE MMMC | Commercial | $12.27 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MMMC | Commercial | $13.11 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MMMC | Commercial | $13.37 | fee schedule |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MMMC | Commercial | $13.54 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MMMC | Commercial | $13.71 | fee schedule |
| AETNA | MHS HB AETNA CVS MMMC | Commercial | $13.71 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MMMC | Commercial | $13.96 | fee schedule |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MMMC | Commercial | $14.38 | fee schedule |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MMMC | Commercial | $14.47 | fee schedule |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MMMC | Commercial | $15.23 | fee schedule |
| CIGNA | MHS HB CUSTOM INK MMMC | Commercial | $15.65 | fee schedule |
| EVRY HEALTH | MHS HB EVRY MMMC | Commercial | $16.92 | fee schedule |
| SANA BENEFITS | MHS HB SANA MMMC | Commercial | $16.92 | fee schedule |
| VELOCITY | MHS HB VELOCITY MMMC | Commercial | $16.92 | fee schedule |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MMMC | Workers' comp | $16.92 | fee schedule |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MMMC | Commercial | $21.15 | fee schedule |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MMMC | Commercial | $21.15 | fee schedule |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MMMC | Commercial | $22.84 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MMMC | Commercial | $23.60 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MMMC | Commercial | $23.60 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MMMC | Commercial | $24.53 | fee schedule |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MMMC | Medicaid / CHIP | $25.03 | fee schedule |
| BCBS | MHS HB BCBS HMO MMMC | Commercial | $25.04 | fee schedule |
| BCBS | MHS HB BCBS PPO MMMC | Commercial | $27.24 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MMMC | Commercial | $27.24 | fee schedule |
| WELLPOINT MEDICAID MANAGED CARE | MHS HB WELLPOINT MEDICAID STAR MMMC | Medicaid / CHIP | $30.38 | 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 | $6.75 | fee schedule |
| MEDICAID | MHS HB TEXAS HEALTHY WOMEN MLMC | Medicaid / CHIP | $7.11 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MLMC | Medicare Advantage | $8.46 | fee schedule |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MLMC | Public program | $8.46 | fee schedule |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MLMC | Medicare Advantage | $8.46 | fee schedule |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MLMC | Medicare Advantage | $8.46 | fee schedule |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MLMC | Medicare Advantage | $8.46 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MLMC | Medicare Advantage | $8.46 | fee schedule |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MLMC | Medicare Advantage | $8.63 | fee schedule |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MLMC | Medicare Advantage | $8.88 | fee schedule |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MLMC | Medicare Advantage | $8.88 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MLMC | Medicare Advantage | $8.88 | fee schedule |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MLMC | Medicare Advantage | $8.88 | fee schedule |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MLMC | Medicare Advantage | $8.97 | fee schedule |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MLMC | Medicare Advantage | $8.97 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MLMC | Medicare Advantage | $8.97 | fee schedule |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MLMC | Commercial | $9.05 | fee schedule |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MLMC | Medicare Advantage | $9.05 | fee schedule |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MLMC | Medicare Advantage | $9.14 | fee schedule |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MLMC | Commercial | $10.58 | fee schedule |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MLMC | Commercial | $11.00 | fee schedule |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MLMC | Commercial | $11.84 | fee schedule |
| MOLINA | MHS HB MOLINA MARKETPLACE MLMC | Commercial | $12.27 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MLMC | Commercial | $13.11 | fee schedule |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MLMC | Commercial | $13.54 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MLMC | Commercial | $13.71 | fee schedule |
| AETNA | MHS HB AETNA CVS MLMC | Commercial | $13.71 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MLMC | Commercial | $13.96 | fee schedule |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MLMC | Commercial | $14.38 | fee schedule |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MLMC | Commercial | $14.47 | fee schedule |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MLMC | Commercial | $15.23 | fee schedule |
| CIGNA | MHS HB CUSTOM INK MLMC | Commercial | $15.65 | fee schedule |
| EVRY HEALTH | MHS HB EVRY MLMC | Commercial | $16.92 | fee schedule |
| SANA BENEFITS | MHS HB SANA MLMC | Commercial | $16.92 | fee schedule |
| VELOCITY | MHS HB VELOCITY MLMC | Commercial | $16.92 | fee schedule |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MLMC | Workers' comp | $16.92 | fee schedule |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MLMC | Commercial | $21.15 | fee schedule |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MLMC | Commercial | $21.15 | fee schedule |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MLMC | Commercial | $22.84 | fee schedule |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MLMC | Medicaid / CHIP | $29.09 | 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 | $6.75 | fee schedule |
| MEDICAID | MHS HB TEXAS HEALTHY WOMEN MRMC | Medicaid / CHIP | $7.11 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MRMC | Medicare Advantage | $8.46 | fee schedule |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MRMC | Public program | $8.46 | fee schedule |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MRMC | Medicare Advantage | $8.46 | fee schedule |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MRMC | Medicare Advantage | $8.46 | fee schedule |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MRMC | Medicare Advantage | $8.46 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MRMC | Medicare Advantage | $8.46 | fee schedule |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MRMC | Medicare Advantage | $8.63 | fee schedule |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MRMC | Medicare Advantage | $8.88 | fee schedule |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MRMC | Medicare Advantage | $8.88 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MRMC | Medicare Advantage | $8.88 | fee schedule |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MRMC | Medicare Advantage | $8.88 | fee schedule |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MRMC | Medicare Advantage | $8.97 | fee schedule |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MRMC | Medicare Advantage | $8.97 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MRMC | Medicare Advantage | $8.97 | fee schedule |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MRMC | Commercial | $9.05 | fee schedule |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MRMC | Medicare Advantage | $9.05 | fee schedule |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MRMC | Medicare Advantage | $9.14 | fee schedule |
| CORALVITA | MHS HB VIBRA MRMC MCMC MDMC | Commercial | $10.15 | fee schedule |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MRMC | Commercial | $10.58 | fee schedule |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MRMC | Commercial | $11.00 | fee schedule |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MRMC | Commercial | $11.84 | fee schedule |
| MOLINA | MHS HB MOLINA MARKETPLACE MRMC | Commercial | $12.27 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MRMC | Commercial | $13.11 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MRMC | Commercial | $13.71 | fee schedule |
| AETNA | MHS HB AETNA CVS MRMC | Commercial | $13.71 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MRMC | Commercial | $13.96 | fee schedule |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MRMC | Commercial | $14.38 | fee schedule |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MRMC | Commercial | $14.47 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MRMC | Commercial | $15.23 | fee schedule |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MRMC | Commercial | $15.23 | fee schedule |
| CIGNA | MHS HB CUSTOM INK MRMC | Commercial | $15.65 | fee schedule |
| EVRY HEALTH | MHS HB EVRY MRMC | Commercial | $16.92 | fee schedule |
| SANA BENEFITS | MHS HB SANA MRMC | Commercial | $16.92 | fee schedule |
| VELOCITY | MHS HB VELOCITY MRMC | Commercial | $16.92 | fee schedule |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MRMC | Commercial | $21.15 | fee schedule |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MRMC | Commercial | $21.15 | fee schedule |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MRMC | Commercial | $22.84 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MRMC | Commercial | $26.90 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MRMC | Commercial | $26.90 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MRMC | Commercial | $27.83 | fee schedule |
| BCBS | MHS HB BCBS HMO MRMC | Commercial | $28.51 | fee schedule |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MRMC | Medicaid / CHIP | $29.09 | fee schedule |
| BCBS | MHS HB BCBS PPO MRMC | Commercial | $30.96 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MRMC | Commercial | $30.96 | 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 | $4.97 | fee schedule |
| UNITED HEALTHCARE MEDICAID MANAGED CARE | MHS HB UNITED MEDICAID STAR PLUS MSMC | Medicaid / CHIP | $6.75 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MSMC | Medicare Advantage | $8.46 | fee schedule |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MSMC | Medicare Advantage | $8.46 | fee schedule |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MSMC | Medicare Advantage | $8.46 | fee schedule |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MSMC | Medicare Advantage | $8.46 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MSMC | Medicare Advantage | $8.46 | fee schedule |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MSMC | Medicare Advantage | $8.63 | fee schedule |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MSMC | Medicare Advantage | $8.88 | fee schedule |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MSMC | Medicare Advantage | $8.88 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MSMC | Medicare Advantage | $8.88 | fee schedule |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MSMC | Medicare Advantage | $8.88 | fee schedule |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MSMC | Medicare Advantage | $8.97 | fee schedule |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MSMC | Medicare Advantage | $8.97 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MSMC | Medicare Advantage | $8.97 | fee schedule |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MSMC | Commercial | $9.05 | fee schedule |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MSMC | Medicare Advantage | $9.05 | fee schedule |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MSMC | Medicare Advantage | $9.14 | fee schedule |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MSMC | Commercial | $10.58 | fee schedule |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MSMC | Commercial | $11.00 | fee schedule |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MSMC | Commercial | $11.84 | fee schedule |
| MOLINA | MHS HB MOLINA MARKETPLACE MSMC | Commercial | $12.27 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MSMC | Commercial | $13.11 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MSMC | Commercial | $13.37 | fee schedule |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MSMC | Commercial | $13.54 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MSMC | Commercial | $13.71 | fee schedule |
| AETNA | MHS HB AETNA CVS MSMC | Commercial | $13.71 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MSMC | Commercial | $13.96 | fee schedule |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MSMC | Commercial | $14.38 | fee schedule |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MSMC | Commercial | $14.47 | fee schedule |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MSMC | Commercial | $15.23 | fee schedule |
| CIGNA | MHS HB CUSTOM INK MSMC | Commercial | $15.65 | fee schedule |
| EVRY HEALTH | MHS HB EVRY MSMC | Commercial | $16.92 | fee schedule |
| SANA BENEFITS | MHS HB SANA MSMC | Commercial | $16.92 | fee schedule |
| VELOCITY | MHS HB VELOCITY MSMC | Commercial | $16.92 | fee schedule |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MSMC | Workers' comp | $16.92 | fee schedule |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MSMC | Commercial | $21.15 | fee schedule |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MSMC | Commercial | $21.15 | fee schedule |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MSMC | Commercial | $22.84 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MSMC | Commercial | $23.60 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MSMC | Commercial | $23.60 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MSMC | Commercial | $24.53 | fee schedule |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MSMC | Medicaid / CHIP | $25.03 | fee schedule |
| BCBS | MHS HB BCBS HMO MSMC | Commercial | $25.04 | fee schedule |
| BCBS | MHS HB BCBS PPO MSMC | Commercial | $27.24 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MSMC | Commercial | $27.24 | fee schedule |
| WELLPOINT MEDICAID MANAGED CARE | MHS HB WELLPOINT MEDICAID STAR MSMC | Medicaid / CHIP | $30.38 | fee schedule |
| AETNA COMMERCIAL | MHS HB AETNA TX PREF PLUS II MSMC | Commercial | $30.53 | fee schedule |
| AETNA COMMERCIAL | MHS HB AETNA TEXAS ADVANTAGE MSMC | Commercial | $32.97 | fee schedule |
| AETNA MANAGED CARE | MHS HB AETNA WHOLE HEALTH MSMC | Commercial | $32.97 | fee schedule |
| AETNA | MHS HB AETNA HMO PPO MSMC | Commercial | $36.63 | fee schedule |
| AETNA | MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC | Commercial | $391 | 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 | $7.11 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $7.47 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $7.68 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $7.82 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| United Healthcare | All Payer | Commercial | $8.46 | fee schedule |
| United Healthcare Options | PPO | Commercial | $8.46 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.63 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $8.80 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $8.88 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $9.31 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $9.39 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $9.56 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $11.76 | fee schedule |
| Fort Worth Firefighters | Commercial | Commercial | $16.62 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $16.75 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $18.61 | fee schedule |
| Aetna | Whole Health | Commercial | $28.19 | fee schedule |
| Cigna | PPO | Commercial | $35.29 | fee schedule |
| Cigna | OAP/HMO | Commercial | $35.29 | fee schedule |
| Aetna | Commercial | Commercial | $37.59 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $49.58 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $200 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $255 | percent of total billed charges |
| PHCS | PPO | Commercial | $296 | percent of total billed charges |
| Aetna | Coventry | Commercial | $298 | percent of total billed charges |
| Aetna | ASA | Commercial | $298 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $319 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $370 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $374 | percent of total billed charges |
| USA | MCO | Commercial | $374 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $400 | 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 | $7.11 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $7.47 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $7.68 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| United Healthcare | All Payer | Commercial | $8.46 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| United Healthcare Options | PPO | Commercial | $8.46 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.63 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $8.80 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $9.31 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $9.39 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $9.56 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $11.76 | fee schedule |
| Fort Worth Firefighters | Commercial | Commercial | $16.62 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $16.75 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $18.61 | fee schedule |
| Aetna | Whole Health | Commercial | $28.19 | fee schedule |
| Cigna | OAP/HMO | Commercial | $35.29 | fee schedule |
| Cigna | PPO | Commercial | $35.29 | fee schedule |
| Aetna | Commercial | Commercial | $37.59 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $49.58 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $200 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $255 | percent of total billed charges |
| PHCS | PPO | Commercial | $296 | percent of total billed charges |
| Aetna | ASA | Commercial | $298 | percent of total billed charges |
| Aetna | Coventry | Commercial | $298 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $319 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $370 | percent of total billed charges |
| USA | MCO | Commercial | $374 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $374 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $400 | 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 | $7.11 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $7.47 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $7.68 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $7.82 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| United Healthcare | All Payer | Commercial | $8.46 | fee schedule |
| United Healthcare Options | PPO | Commercial | $8.46 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.63 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $8.80 | case rate |
| Humana | Medicare Advantage PPO | Medicare Advantage | $8.80 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $9.31 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $9.39 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $9.56 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $11.76 | fee schedule |
| Fort Worth Firefighters | Commercial | Commercial | $16.62 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $16.75 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $18.61 | fee schedule |
| Aetna | Whole Health | Commercial | $28.19 | fee schedule |
| Cigna | OAP/HMO | Commercial | $35.29 | fee schedule |
| Cigna | PPO | Commercial | $35.29 | fee schedule |
| Aetna | Commercial | Commercial | $37.59 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $49.58 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $200 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $255 | percent of total billed charges |
| PHCS | PPO | Commercial | $296 | percent of total billed charges |
| Aetna | ASA | Commercial | $298 | percent of total billed charges |
| Aetna | Coventry | Commercial | $298 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $319 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $370 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $374 | percent of total billed charges |
| USA | MCO | Commercial | $374 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $400 | 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 | $7.11 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $7.47 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $7.68 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $7.82 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| United Healthcare | All Payer | Commercial | $8.46 | fee schedule |
| United Healthcare Options | PPO | Commercial | $8.46 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.63 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $8.80 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $8.88 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $9.31 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $9.39 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $9.56 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $11.76 | fee schedule |
| Fort Worth Firefighters | Commercial | Commercial | $16.62 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $16.75 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $18.61 | fee schedule |
| Aetna | Whole Health | Commercial | $28.19 | fee schedule |
| Cigna | OAP/HMO | Commercial | $35.29 | fee schedule |
| Cigna | PPO | Commercial | $35.29 | fee schedule |
| Aetna | Commercial | Commercial | $37.59 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $49.58 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $200 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $255 | percent of total billed charges |
| PHCS | PPO | Commercial | $296 | percent of total billed charges |
| Aetna | ASA | Commercial | $298 | percent of total billed charges |
| Aetna | Coventry | Commercial | $298 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $319 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $370 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $374 | percent of total billed charges |
| USA | MCO | Commercial | $374 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $400 | 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 | $7.11 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $7.47 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $7.68 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $7.82 | fee schedule |
| United Healthcare | All Payer | Commercial | $8.46 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| United Healthcare Options | PPO | Commercial | $8.46 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.63 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $8.80 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $9.31 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $9.39 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $9.41 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $9.56 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $16.62 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $16.75 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $18.61 | fee schedule |
| Aetna | Whole Health | Commercial | $28.19 | fee schedule |
| Cigna | OAP/HMO | Commercial | $35.29 | fee schedule |
| Cigna | PPO | Commercial | $35.29 | fee schedule |
| Aetna | Commercial | Commercial | $37.59 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $49.58 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $200 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $255 | percent of total billed charges |
| PHCS | PPO | Commercial | $296 | percent of total billed charges |
| Aetna | Coventry | Commercial | $298 | percent of total billed charges |
| Aetna | ASA | Commercial | $298 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $319 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $370 | percent of total billed charges |
| USA | MCO | Commercial | $374 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $374 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $400 | 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 | $7.11 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $7.47 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $7.68 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $7.82 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| United Healthcare Options | PPO | Commercial | $8.46 | fee schedule |
| United Healthcare | All Payer | Commercial | $8.46 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.63 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $8.80 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $9.31 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $9.39 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $9.41 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $9.56 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $16.62 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $16.75 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $18.61 | fee schedule |
| Aetna | Whole Health | Commercial | $28.19 | fee schedule |
| Cigna | OAP/HMO | Commercial | $35.29 | fee schedule |
| Cigna | PPO | Commercial | $35.29 | fee schedule |
| Aetna | Commercial | Commercial | $37.59 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $49.58 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $200 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $255 | percent of total billed charges |
| PHCS | PPO | Commercial | $296 | percent of total billed charges |
| Aetna | Coventry | Commercial | $298 | percent of total billed charges |
| Aetna | ASA | Commercial | $298 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $319 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $370 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $374 | percent of total billed charges |
| USA | MCO | Commercial | $374 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $400 | 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 | $7.11 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $7.47 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $7.68 | fee schedule |
| United Healthcare | All Payer | Commercial | $8.46 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| United Healthcare Options | PPO | Commercial | $8.46 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.63 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $8.80 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $9.31 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $9.39 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $9.56 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $11.76 | fee schedule |
| Fort Worth Firefighters | Commercial | Commercial | $16.62 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $16.75 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $18.61 | fee schedule |
| Aetna | Whole Health | Commercial | $28.19 | fee schedule |
| Cigna | PPO | Commercial | $35.29 | fee schedule |
| Cigna | OAP/HMO | Commercial | $35.29 | fee schedule |
| Aetna | Commercial | Commercial | $37.59 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $49.58 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $200 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $255 | percent of total billed charges |
| PHCS | PPO | Commercial | $296 | percent of total billed charges |
| Aetna | Coventry | Commercial | $298 | percent of total billed charges |
| Aetna | ASA | Commercial | $298 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $319 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $370 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $374 | percent of total billed charges |
| USA | MCO | Commercial | $374 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $400 | 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 | $7.11 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $7.47 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $7.68 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $7.82 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| United Healthcare Options | PPO | Commercial | $8.46 | fee schedule |
| United Healthcare | All Payer | Commercial | $8.46 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.63 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $8.80 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $8.88 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $9.31 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $9.39 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $9.41 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $9.56 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $16.62 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $16.75 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $18.61 | fee schedule |
| Aetna | Whole Health | Commercial | $28.19 | fee schedule |
| Cigna | OAP/HMO | Commercial | $35.29 | fee schedule |
| Cigna | PPO | Commercial | $35.29 | fee schedule |
| Aetna | Commercial | Commercial | $37.59 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $49.58 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $200 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $255 | percent of total billed charges |
| PHCS | PPO | Commercial | $296 | percent of total billed charges |
| Aetna | ASA | Commercial | $298 | percent of total billed charges |
| Aetna | Coventry | Commercial | $298 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $319 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $370 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $374 | percent of total billed charges |
| USA | MCO | Commercial | $374 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $400 | 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 | $7.11 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $7.47 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $7.68 | fee schedule |
| United Healthcare | All Payer | Commercial | $8.46 | fee schedule |
| United Healthcare Options | PPO | Commercial | $8.46 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.63 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $8.80 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $8.88 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $9.31 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $9.39 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $9.41 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $9.56 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $16.62 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $16.75 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $18.61 | fee schedule |
| Aetna | Whole Health | Commercial | $28.19 | fee schedule |
| Cigna | OAP/HMO | Commercial | $35.29 | fee schedule |
| Cigna | PPO | Commercial | $35.29 | fee schedule |
| Aetna | Commercial | Commercial | $37.59 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $49.58 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $200 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $255 | percent of total billed charges |
| PHCS | PPO | Commercial | $296 | percent of total billed charges |
| Aetna | ASA | Commercial | $298 | percent of total billed charges |
| Aetna | Coventry | Commercial | $298 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $319 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $370 | percent of total billed charges |
| USA | MCO | Commercial | $374 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $374 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $400 | 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 | $7.11 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $7.47 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $7.68 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $7.82 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| United Healthcare Options | PPO | Commercial | $8.46 | fee schedule |
| United Healthcare | All Payer | Commercial | $8.46 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.63 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $8.80 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $9.31 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $9.39 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $9.41 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $9.56 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $16.62 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $16.75 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $18.61 | fee schedule |
| Aetna | Whole Health | Commercial | $28.19 | fee schedule |
| Cigna | OAP/HMO | Commercial | $35.29 | fee schedule |
| Cigna | PPO | Commercial | $35.29 | fee schedule |
| Aetna | Commercial | Commercial | $37.59 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $49.58 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $200 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $255 | percent of total billed charges |
| PHCS | PPO | Commercial | $296 | percent of total billed charges |
| Aetna | ASA | Commercial | $298 | percent of total billed charges |
| Aetna | Coventry | Commercial | $298 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $319 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $370 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $374 | percent of total billed charges |
| USA | MCO | Commercial | $374 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $400 | 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 | $7.11 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $7.47 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $7.68 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $7.82 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| United Healthcare | All Payer | Commercial | $8.46 | fee schedule |
| United Healthcare Options | PPO | Commercial | $8.46 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.63 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $8.80 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $8.88 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $9.31 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $9.39 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $9.56 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $12.05 | fee schedule |
| Fort Worth Firefighters | Commercial | Commercial | $16.62 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $16.75 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $18.61 | fee schedule |
| Aetna | Whole Health | Commercial | $28.19 | fee schedule |
| Cigna | PPO | Commercial | $35.29 | fee schedule |
| Cigna | OAP/HMO | Commercial | $35.29 | fee schedule |
| Aetna | Commercial | Commercial | $37.59 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $49.58 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $200 | percent of total billed charges |
| Aetna | ASA | Commercial | $298 | percent of total billed charges |
| Aetna | Coventry | Commercial | $298 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $302 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $319 | percent of total billed charges |
| PHCS | PPO | Commercial | $356 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $370 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $374 | percent of total billed charges |
| USA | MCO | Commercial | $374 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $400 | 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 | $7.11 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $7.47 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $7.68 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $7.82 | fee schedule |
| United Healthcare | All Payer | Commercial | $8.46 | fee schedule |
| United Healthcare Options | PPO | Commercial | $8.46 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.63 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $8.80 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $8.88 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $9.31 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $9.39 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $9.56 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $12.05 | fee schedule |
| Fort Worth Firefighters | Commercial | Commercial | $16.62 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $16.75 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $18.61 | fee schedule |
| Aetna | Whole Health | Commercial | $28.19 | fee schedule |
| Cigna | OAP/HMO | Commercial | $35.29 | fee schedule |
| Cigna | PPO | Commercial | $35.29 | fee schedule |
| Aetna | Commercial | Commercial | $37.59 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $49.58 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $200 | percent of total billed charges |
| Aetna | ASA | Commercial | $298 | percent of total billed charges |
| Aetna | Coventry | Commercial | $298 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $302 | percent of total billed charges |
| PHCS | PPO | Commercial | $356 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $370 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $370 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $374 | percent of total billed charges |
| USA | MCO | Commercial | $374 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $400 | 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 | $7.11 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $7.47 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $7.68 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $7.82 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| United Healthcare | All Payer | Commercial | $8.46 | fee schedule |
| United Healthcare Options | PPO | Commercial | $8.46 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.63 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $8.80 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $9.31 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $9.39 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $9.41 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $9.56 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $16.62 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $16.75 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $18.61 | fee schedule |
| Aetna | Whole Health | Commercial | $28.19 | fee schedule |
| Cigna | OAP/HMO | Commercial | $35.29 | fee schedule |
| Cigna | PPO | Commercial | $35.29 | fee schedule |
| Aetna | Commercial | Commercial | $37.59 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $49.58 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $200 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $255 | percent of total billed charges |
| PHCS | PPO | Commercial | $296 | percent of total billed charges |
| Aetna | ASA | Commercial | $298 | percent of total billed charges |
| Aetna | Coventry | Commercial | $298 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $319 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $370 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $374 | percent of total billed charges |
| USA | MCO | Commercial | $374 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $400 | 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 | $7.11 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $7.47 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $7.68 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| United Healthcare | All Payer | Commercial | $8.46 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| United Healthcare Options | PPO | Commercial | $8.46 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.63 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $8.80 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $8.88 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $9.31 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $9.39 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $9.41 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $9.56 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $16.62 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $16.75 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $18.61 | fee schedule |
| Aetna | Whole Health | Commercial | $28.19 | fee schedule |
| Cigna | OAP/HMO | Commercial | $35.29 | fee schedule |
| Cigna | PPO | Commercial | $35.29 | fee schedule |
| Aetna | Commercial | Commercial | $37.59 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $49.58 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $200 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $255 | percent of total billed charges |
| PHCS | PPO | Commercial | $296 | percent of total billed charges |
| Aetna | ASA | Commercial | $298 | percent of total billed charges |
| Aetna | Coventry | Commercial | $298 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $319 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $370 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $374 | percent of total billed charges |
| USA | MCO | Commercial | $374 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $400 | 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 | $7.11 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $7.47 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $7.68 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| United Healthcare | All Payer | Commercial | $8.46 | fee schedule |
| United Healthcare Options | PPO | Commercial | $8.46 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.63 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $8.80 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $9.31 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $9.39 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $9.56 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $12.05 | fee schedule |
| Fort Worth Firefighters | Commercial | Commercial | $16.62 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $16.75 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $18.61 | fee schedule |
| Aetna | Whole Health | Commercial | $28.19 | fee schedule |
| Cigna | OAP/HMO | Commercial | $35.29 | fee schedule |
| Cigna | PPO | Commercial | $35.29 | fee schedule |
| Aetna | Commercial | Commercial | $37.59 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $49.58 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $200 | percent of total billed charges |
| Aetna | ASA | Commercial | $298 | percent of total billed charges |
| Aetna | Coventry | Commercial | $298 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $302 | percent of total billed charges |
| PHCS | PPO | Commercial | $356 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $370 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $370 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $374 | percent of total billed charges |
| USA | MCO | Commercial | $374 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $400 | 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 | $7.11 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $7.47 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $7.68 | fee schedule |
| United Healthcare Options | PPO | Commercial | $8.46 | fee schedule |
| United Healthcare | All Payer | Commercial | $8.46 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.63 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $8.80 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $8.88 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $9.31 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $9.39 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $9.41 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $9.56 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $16.62 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $16.75 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $18.61 | fee schedule |
| Aetna | Whole Health | Commercial | $28.19 | fee schedule |
| Cigna | OAP/HMO | Commercial | $35.29 | fee schedule |
| Cigna | PPO | Commercial | $35.29 | fee schedule |
| Aetna | Commercial | Commercial | $37.59 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $49.58 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $200 | percent of total billed charges |
| Aetna | ASA | Commercial | $298 | percent of total billed charges |
| Aetna | Coventry | Commercial | $298 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $302 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $319 | percent of total billed charges |
| PHCS | PPO | Commercial | $356 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $370 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $374 | percent of total billed charges |
| USA | MCO | Commercial | $374 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $400 | percent of total billed charges |
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 | $7.11 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $7.47 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $7.68 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $7.82 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| United Healthcare | All Payer | Commercial | $8.46 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| United Healthcare Options | PPO | Commercial | $8.46 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.63 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $8.80 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $9.31 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $9.39 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $9.41 | percent of total billed charges |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $9.56 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $16.62 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $16.75 | percent of total billed charges |
| Blue Cross Blue Shield | PPO | Commercial | $18.61 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $28.19 | fee schedule |
| Cigna | OAP/HMO | Commercial | $35.29 | fee schedule |
| Cigna | PPO | Commercial | $35.29 | fee schedule |
| Aetna | Commercial | Commercial | $37.59 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $49.58 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $200 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $255 | percent of total billed charges |
| PHCS | PPO | Commercial | $296 | percent of total billed charges |
| Aetna | ASA | Commercial | $298 | percent of total billed charges |
| Aetna | Coventry | Commercial | $298 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $319 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $370 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $374 | percent of total billed charges |
| USA | MCO | Commercial | $374 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $400 | 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 | $7.11 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $7.11 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $7.47 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $7.68 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| United Healthcare | All Payer | Commercial | $8.46 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $8.46 | case rate |
| United Healthcare Options | PPO | Commercial | $8.46 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $8.63 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $8.80 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $8.88 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $9.31 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $9.39 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $9.41 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $9.56 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $16.62 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $16.75 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $18.61 | fee schedule |
| Aetna | Whole Health | Commercial | $28.19 | fee schedule |
| Cigna | OAP/HMO | Commercial | $35.29 | fee schedule |
| Cigna | PPO | Commercial | $35.29 | fee schedule |
| Aetna | Commercial | Commercial | $37.59 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $49.58 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $200 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $255 | percent of total billed charges |
| PHCS | PPO | Commercial | $296 | percent of total billed charges |
| Aetna | Coventry | Commercial | $298 | percent of total billed charges |
| Aetna | ASA | Commercial | $298 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $319 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $370 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $374 | percent of total billed charges |
| USA | MCO | Commercial | $374 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $400 | 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 | $7.11 | Fee Schedule |
| Aetna | BETTER HEALTH CHIP | Medicaid / CHIP | $8.46 | Fee Schedule |
| Aetna | BETTER HEALTH STAR UHRIP | Medicaid / CHIP | $8.46 | Fee Schedule |
| Aetna | BETTER HEALTH STAR Kids | Medicaid / CHIP | $8.46 | Fee Schedule |
| EL PASO HEALTH FIRST | STAR | Medicaid / CHIP | $8.46 | Fee Schedule |
| EL PASO HEALTH FIRST | CHIP | Medicaid / CHIP | $8.46 | Fee Schedule |
| EL PASO HEALTH FIRST | STAR MEDICAID | Medicaid / CHIP | $8.46 | Fee Schedule |
| HEALTH PLAN w/o UHRIP | CHIP | Medicaid / CHIP | $8.46 | Fee Schedule |
| HEALTH PLAN w/o UHRIP | STAR KIDS | Medicaid / CHIP | $8.46 | Fee Schedule |
| TX CHILDREN HEALTH | STAR KIDS | Medicaid / CHIP | $8.46 | Fee Schedule |
| TX CHILDREN HEALTH | CHIP | Medicaid / CHIP | $8.46 | Fee Schedule |
| TX CHILDREN HEALTH | STAR | Medicaid / CHIP | $8.46 | Fee Schedule |
| WELLPOINT | STAR | Medicaid / CHIP | $8.88 | Fee Schedule |
| WELLPOINT | STAR PLUS | Medicaid / CHIP | $8.88 | Fee Schedule |
| WELLPOINT | CHIP | Medicaid / CHIP | $8.88 | Fee Schedule |
| BCBS | BCBS TX STAR | Medicaid / CHIP | $9.14 | Fee Schedule |
| BCBS | CHIP | Medicaid / CHIP | $9.14 | Fee Schedule |
| BCBS | CHIP STAR KIDS | Medicaid / CHIP | $9.14 | Fee Schedule |
| SUPERIOR HEALTH | STAR PLUS | Medicaid / CHIP | $9.14 | Fee Schedule |
| SUPERIOR HEALTH | STAR | Medicaid / CHIP | $9.14 | Fee Schedule |
| SUPERIOR HEALTH | CHIP | Medicaid / CHIP | $9.14 | Fee Schedule |
| FIRSTCARE | STAR | Medicaid / CHIP | $9.31 | Fee Schedule |
| MOLINA | CHIP | Medicaid / CHIP | $9.31 | Fee Schedule |
| MOLINA | STAR KIDS | Medicaid / CHIP | $9.31 | Fee Schedule |
| MOLINA | STAR | Medicaid / CHIP | $9.31 | Fee Schedule |
| RIGHTCARE | MDC S&W | Medicaid / CHIP | $9.31 | Fee Schedule |
| RIGHTCARE | STAR | Medicaid / CHIP | $9.31 | Fee Schedule |
| UNITED COMMUNITY | STAR PLUS | Medicaid / CHIP | $9.31 | Fee Schedule |
| UNITED COMMUNITY | STAR | Medicaid / CHIP | $9.31 | Fee Schedule |
| UNITED COMMUNITY | CHIP | Medicaid / CHIP | $9.31 | Fee Schedule |
| UNITED COMMUNITY | STAR KIDS | Medicaid / CHIP | $9.31 | Fee Schedule |
| Optum | ALL PRODUCTS | Commercial | $331 | Percent of Total Billed Charges |
| BCBS | HMO | Commercial | $587 | Percent of Total Billed Charges |
| FIRSTCARE | ALL PRODUCTS | Commercial | $602 | Percent of Total Billed Charges |
| BCBS | PPO | Commercial | $632 | Percent of Total Billed Charges |
| S&W HEALTH | ALL PRODUCTS | Commercial | $632 | Percent of Total Billed Charges |
| Aetna | ALL PRODUCTS | Commercial | $640 | Percent of Total Billed Charges |
| CIGNA | CIGNA-MGD | Commercial | $640 | Percent of Total Billed Charges |
| HEALTHSCOPE | ALL PRODUCTS | Commercial | $640 | Percent of Total Billed Charges |
| IMAGINE HEALTH | ALL PRODUCTS | Commercial | $640 | Percent of Total Billed Charges |
| UHC | MGD | Commercial | $640 | Percent of Total Billed Charges |
| HUMANA | CONCENTRIC PPO | Commercial | $655 | Percent of Total Billed Charges |
| MULTIPLAN | ALL PRODUCTS | Commercial | $655 | Percent of Total Billed Charges |
| MULTIPLAN | PHCS | Commercial | $655 | Percent of Total Billed Charges |
| FIRST HEALTH | PPO | Commercial | $662 | Percent of Total Billed Charges |
| HUMANA | CHOICECARE PPO | Commercial | $662 | Percent of Total Billed Charges |
| BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | Commercial | $677 | Percent of Total Billed Charges |
| GALAXY HEALTH | ALL PRODUCTS | Commercial | $677 | Percent of Total Billed Charges |
| Healthsmart | ALL PRODUCTS | Commercial | $677 | Percent of Total Billed Charges |
| USAMCO | ALL PRODUCTS | Commercial | $693 | Percent of Total Billed Charges |
What this price covers
These are hospital charges for CPT code 80048 (Basic metabolic panel (BMP)). 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.