Published cash price
$18–$267
what 41 hospitals list for a self-pay vitamin d test
Typical insured rate
$121
median of every commercial plan rate in the files
Lowest insured rate
$10.00
United Healthcare (Charter), Baylor Scott & White Medical Center – Lake Pointe
Vitamin D test prices by hospital in Dallas–Fort Worth
Sorted by published cash price. “Typical insured rate” is the median of all commercial plan rates each hospital lists for CPT 82306; Medicaid and Medicare Advantage are shown separately below.
| Hospital | Published cash price | Typical insured rate | Lowest insured rate |
|---|---|---|---|
| Methodist Celina Medical CenterMethodist Health System · file Mar 2026 | $17.70–$87.60Cash ÷ typical 0.4× | $48.8419 plans | $29.60 |
| Methodist Dallas Medical CenterMethodist Health System · file Mar 2026 | $17.70–$87.60Cash ÷ typical 0.3× | $59.2033 plans | $31.67 |
| Methodist Mansfield Medical CenterMethodist Health System · file Mar 2026 | $17.70–$87.60Cash ÷ typical 0.3× | $53.2827 plans | $31.67 |
| Methodist Midlothian Medical CenterMethodist Health System · file Mar 2026 | $17.70–$87.60Cash ÷ typical 0.4× | $49.5820 plans | $31.67 |
| Methodist Richardson Medical CenterMethodist Health System · file Mar 2026 | $17.70–$87.60Cash ÷ typical 0.3× | $53.2827 plans | $31.67 |
| Methodist Southlake Medical CenterMethodist Health System · file Mar 2026 | $17.70–$87.60Cash ÷ typical 0.3× | $54.7633 plans | $17.37 |
| Parkland Health (Parkland Memorial Hospital)Parkland Health · file May 2026 | $24–$202Cash ÷ typical 0.1× | $30411 plans | $58.31 |
| Texas Health Presbyterian Hospital DentonTexas Health Resources · file Apr 2026 | $51–$267Cash ÷ typical 0.8× | $63.7521 plans | $29.60 |
| Texas Health Presbyterian Hospital PlanoTexas Health Resources · file Apr 2026 | $51–$267Cash ÷ typical 0.8× | $63.7521 plans | $29.60 |
| Texas Health Harris Methodist Hospital Fort WorthTexas Health Resources · file Apr 2026 | $51–$267Cash ÷ typical 0.8× | $63.7521 plans | $29.60 |
| UT Southwestern William P. Clements Jr. University HospitalUT Southwestern Medical Center · file Mar 2026 | $146Cash ÷ typical 0.7× | $20419 plans | $29.60 |
| Baylor Scott & White Medical Center – Lake PointeBaylor Scott & White Health · file Jun 2026 | $237Cash ÷ typical 1.1× | $21130 plans | $10.00 |
| Baylor Scott & White The Heart Hospital – DentonBaylor Scott & White Health · file Jun 2026 | $237Cash ÷ typical 1.5× | $15329 plans | $10.00 |
| Baylor Scott & White The Heart Hospital – McKinneyBaylor Scott & White Health · file Jun 2026 | $237Cash ÷ typical 1.2× | $20622 plans | $10.00 |
| Baylor Scott & White The Heart Hospital – PlanoBaylor Scott & White Health · file Jun 2026 | $237Cash ÷ typical 1.5× | $15329 plans | $10.00 |
| Baylor Scott & White All Saints Medical Center – Fort WorthBaylor Scott & White Health · file Jun 2026 | $237Cash ÷ typical 1.5× | $15329 plans | $10.00 |
| Baylor Scott & White Medical Center – Frisco at PGA ParkwayBaylor Scott & White Health · file Jun 2026 | $237Cash ÷ typical 1.4× | $16928 plans | $10.00 |
| Baylor Scott & White Medical Center – McKinneyBaylor Scott & White Health · file Jun 2026 | $237Cash ÷ typical 1.5× | $15329 plans | $10.00 |
| Baylor Scott & White Medical Center – GrapevineBaylor Scott & White Health · file Jun 2026 | $237Cash ÷ typical 1.5× | $15329 plans | $10.00 |
| Baylor University Medical CenterBaylor Scott & White Health · file Jun 2026 | $237Cash ÷ typical 1.4× | $16930 plans | $10.00 |
| Baylor Scott & White Medical Center – WaxahachieBaylor Scott & White Health · file Jun 2026 | $237Cash ÷ typical 1.5× | $15329 plans | $10.00 |
| Baylor Scott & White Medical Center – IrvingBaylor Scott & White Health · file Jun 2026 | $237Cash ÷ typical 1.5× | $15329 plans | $10.00 |
| Baylor Scott & White Heart and Vascular Hospital – DallasBaylor Scott & White Health · file Jun 2026 | $237Cash ÷ typical 1.6× | $14928 plans | $10.00 |
| Baylor Scott & White Heart and Vascular Hospital – WaxahachieBaylor Scott & White Health · file Jun 2026 | $237Cash ÷ typical 1.6× | $14523 plans | $10.00 |
| Baylor Scott & White Medical Center – PlanoBaylor Scott & White Health · file Jun 2026 | $237Cash ÷ typical 1.3× | $18531 plans | $10.00 |
| Baylor Scott & White Medical Center – CentennialBaylor Scott & White Health · file Jun 2026 | $237Cash ÷ typical 1.2× | $20529 plans | $10.00 |
| Texas Health Harris Methodist Hospital SouthlakeTexas Health Resources · file Apr 2026 | $267Cash ÷ typical 1.5× | $17321 plans | $29.60 |
| Texas Health Hospital RockwallTexas Health Resources · file Apr 2026 | $267Cash ÷ typical 1.5× | $17321 plans | $29.60 |
| Texas Health Heart & Vascular Hospital ArlingtonTexas Health Resources · file Apr 2026 | $267Cash ÷ typical 1.5× | $17321 plans | $29.60 |
| Texas Health Presbyterian Hospital Flower MoundTexas Health Resources · file Apr 2026 | $267Cash ÷ typical 1.5× | $17321 plans | $29.60 |
| Texas Health Harris Methodist Hospital AllianceTexas Health Resources · file Apr 2026 | $267Cash ÷ typical 1.5× | $17321 plans | $29.60 |
| Texas Health Center for Diagnostics and Surgery PlanoTexas Health Resources · file Apr 2026 | $267Cash ÷ typical 1.5× | $17321 plans | $29.60 |
| Texas Health Arlington Memorial HospitalTexas Health Resources · file Apr 2026 | $267Cash ÷ typical 1.5× | $17321 plans | $29.60 |
| Texas Health Presbyterian Hospital DallasTexas Health Resources · file Apr 2026 | $267Cash ÷ typical 1.5× | $17321 plans | $29.60 |
| Texas Health Harris Methodist Hospital Hurst-Euless-BedfordTexas Health Resources · file Apr 2026 | $267Cash ÷ typical 1.5× | $17321 plans | $29.60 |
| Texas Health Harris Methodist Hospital AzleTexas Health Resources · file Apr 2026 | $267Cash ÷ typical 1.5× | $17321 plans | $29.60 |
| Texas Health Harris Methodist Hospital CleburneTexas Health Resources · file Apr 2026 | $267Cash ÷ typical 1.5× | $17321 plans | $29.60 |
| Texas Health Hospital ClearforkTexas Health Resources · file Apr 2026 | $267Cash ÷ typical 1.5× | $17321 plans | $29.60 |
| Texas Health Presbyterian Hospital KaufmanTexas Health Resources · file Apr 2026 | $267Cash ÷ typical 1.5× | $17321 plans | $29.60 |
| Texas Health Presbyterian Hospital AllenTexas Health Resources · file Apr 2026 | $267Cash ÷ typical 1.5× | $17321 plans | $29.60 |
| Texas Health Hospital FriscoTexas Health Resources · file Apr 2026 | $267Cash ÷ typical 1.5× | $17321 plans | $29.60 |
| Cook Children's Medical CenterCook Children's · children's hospital (not in the summary above) · file Jan 2026 | $122–$353Cash ÷ typical 0.9× | $13819 plans | $94.09 |
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Negotiated rates by insurer
If you have a high deductible, you usually pay the rate your insurer negotiated until you meet it. Ranges cover every plan of that insurer in the file; open a hospital to see plan by plan.
| Hospital | Blue Cross Blue Shield | Aetna | Cigna | UnitedHealthcare | Humana | Oscar | Ambetter | Medicaid / CHIP | Medicare Advantage |
|---|---|---|---|---|---|---|---|---|---|
| Methodist Celina Medical Center | $29.60–$54.46 | $47.95 | — | — | — | $38.48 | — | $27.35 | $29.60–$31.67 |
| Methodist Dallas Medical Center | $46.77–$95.31 | $48–$135 | $54.76 | $31.67 | — | $38.48 | $50.62 | $24–$102 | $29.60–$31.97 |
| Methodist Mansfield Medical Center | $46.77–$95.31 | $47.95 | $54.76 | $31.67 | — | $38.48 | $50.62 | $24–$106 | $29.60–$31.97 |
| Methodist Midlothian Medical Center | — | $47.95 | $54.76 | $31.67 | — | $38.48 | $50.62 | $24–$102 | $29.60–$31.97 |
| Methodist Richardson Medical Center | $53–$108 | $47.95 | $54.76 | $31.67 | — | $38.48 | $50.62 | $24–$102 | $29.60–$31.97 |
| Methodist Southlake Medical Center | $46.77–$95.31 | $33–$128 | $54.76 | $17.37–$31.67 | — | $38.48 | $50.62 | $24–$106 | $29.60–$31.97 |
| Parkland Health (Parkland Memorial Hospital) | $58–$364 | $304 | $304 | $302 | — | — | — | $25–$127 | $106–$107 |
| Texas Health Presbyterian Hospital Denton | $33–$173 | $60–$121 | $80–$122 | $29.60 | — | — | — | $24.86–$32.56 | $29.60–$33.45 |
| Texas Health Presbyterian Hospital Plano | $33–$173 | $60–$121 | $80–$122 | $29.60 | — | — | — | $24.86–$32.56 | $29.60–$33.45 |
| Texas Health Harris Methodist Hospital Fort Worth | $33–$173 | $60–$121 | $80–$122 | $29.60 | — | — | — | $24.86–$32.56 | $29.60–$33.45 |
| UT Southwestern William P. Clements Jr. University Hospital | $153–$267 | $119–$149 | $214 | $30–$210 | — | — | — | $24.86–$27.35 | $29.60–$33.45 |
| Baylor Scott & White Medical Center – Lake Pointe | $108–$228 | $217 | $194–$229 | $10.00–$11.00 | $276 | — | $63.64 | $24.86–$26.60 | $28.12–$33.15 |
| Baylor Scott & White The Heart Hospital – Denton | $72–$153 | $217 | $194–$229 | $10.00–$11.00 | $276 | — | $63.64 | $24.86–$26.60 | $28.12–$33.15 |
| Baylor Scott & White The Heart Hospital – McKinney | $72–$153 | $217 | $194–$229 | $10.00–$11.00 | $276 | — | — | $26.60 | $28.12–$33.15 |
| Baylor Scott & White The Heart Hospital – Plano | $72–$153 | $217 | $194–$229 | $10.00–$11.00 | $276 | — | $63.64 | $24.86–$26.60 | $28.12–$33.15 |
| Baylor Scott & White All Saints Medical Center – Fort Worth | $72–$153 | $217 | $194–$229 | $10.00–$11.00 | $276 | — | $63.64 | $24.86–$26.60 | $28.12–$33.15 |
| Baylor Scott & White Medical Center – Frisco at PGA Parkway | $72–$153 | $217 | $194–$229 | $10.00–$11.00 | $276 | — | $63.64 | $24.86 | $28.12–$33.15 |
| Baylor Scott & White Medical Center – McKinney | $72–$153 | $217 | $194–$229 | $10.00–$11.00 | $276 | — | $63.64 | $24.86–$26.60 | $28.12–$33.15 |
| Baylor Scott & White Medical Center – Grapevine | $72–$153 | $217 | $194–$229 | $10.00–$11.00 | $276 | — | $63.64 | $24.86–$26.60 | $28.12–$33.15 |
| Baylor University Medical Center | $72–$153 | $217 | $194–$229 | $10.00–$11.00 | $276 | — | $63.64 | $24.86–$26.60 | $28.12–$33.15 |
| Baylor Scott & White Medical Center – Waxahachie | $72–$153 | $217 | $194–$229 | $10.00–$11.00 | $276 | — | $63.64 | $24.86–$26.60 | $28.12–$33.15 |
| Baylor Scott & White Medical Center – Irving | $72–$153 | $217 | $194–$229 | $10.00–$11.00 | $276 | — | $63.64 | $24.86–$26.60 | $28.12–$33.15 |
| Baylor Scott & White Heart and Vascular Hospital – Dallas | $72–$153 | $217 | $194–$229 | $10.00–$11.00 | $276 | — | $63.64 | $24.86–$26.60 | $28.12–$33.15 |
| Baylor Scott & White Heart and Vascular Hospital – Waxahachie | $72–$153 | $217 | — | $10.00–$11.00 | $276 | — | — | — | $28.12–$31.08 |
| Baylor Scott & White Medical Center – Plano | $72–$153 | $217 | $194–$229 | $10.00–$11.00 | $276 | — | $63.64 | $24.86–$26.60 | $28.12–$33.15 |
| Baylor Scott & White Medical Center – Centennial | $108–$228 | $217 | $194–$229 | $10.00–$11.00 | $276 | — | $63.64 | $24.86–$26.60 | $28.12–$33.15 |
| Texas Health Harris Methodist Hospital Southlake | $41–$173 | $91–$312 | $122–$419 | $29.60 | — | — | — | $24.86–$32.56 | $29.60–$33.45 |
| Texas Health Hospital Rockwall | $41–$173 | $91–$312 | $122–$419 | $29.60 | — | — | — | $24.86–$32.56 | $29.60–$33.45 |
| Texas Health Heart & Vascular Hospital Arlington | $41–$173 | $91–$312 | $122–$419 | $29.60 | — | — | — | $24.86–$32.56 | $29.60–$33.45 |
| Texas Health Presbyterian Hospital Flower Mound | $41–$173 | $91–$312 | $122–$419 | $29.60 | — | — | — | $24.86–$32.56 | $29.60–$33.45 |
| Texas Health Harris Methodist Hospital Alliance | $33–$173 | $91–$312 | $122–$419 | $29.60 | — | — | — | $24.86–$32.56 | $29.60–$33.45 |
| Texas Health Center for Diagnostics and Surgery Plano | $41–$173 | $91–$312 | $122–$419 | $29.60 | — | — | — | $24.86–$32.56 | $29.60–$33.45 |
| Texas Health Arlington Memorial Hospital | $33–$173 | $91–$312 | $122–$419 | $29.60 | — | — | — | $24.86–$32.56 | $29.60–$33.45 |
| Texas Health Presbyterian Hospital Dallas | $33–$173 | $91–$312 | $122–$419 | $29.60 | — | — | — | $24.86–$32.56 | $29.60–$33.45 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | $33–$173 | $91–$312 | $122–$419 | $29.60 | — | — | — | $24.86–$32.56 | $29.60–$33.45 |
| Texas Health Harris Methodist Hospital Azle | $42–$173 | $91–$312 | $122–$419 | $29.60 | — | — | — | $24.86–$32.56 | $29.60–$33.45 |
| Texas Health Harris Methodist Hospital Cleburne | $42–$173 | $91–$312 | $122–$419 | $29.60 | — | — | — | $24.86–$32.56 | $29.60–$33.45 |
| Texas Health Hospital Clearfork | $33–$173 | $91–$312 | $122–$419 | $29.60 | — | — | — | $24.86–$32.56 | $29.60–$33.45 |
| Texas Health Presbyterian Hospital Kaufman | $42–$173 | $91–$312 | $122–$419 | $29.60 | — | — | — | $24.86–$32.56 | $29.60–$33.45 |
| Texas Health Presbyterian Hospital Allen | $33–$173 | $91–$312 | $122–$419 | $29.60 | — | — | — | $24.86–$32.56 | $29.60–$33.45 |
| Texas Health Hospital Frisco | $33–$173 | $91–$312 | $122–$419 | $29.60 | — | — | — | $24.86–$32.56 | $29.60–$33.45 |
| Cook Children's Medical Center | $127–$146 | $138 | $138 | $138 | $141–$143 | — | — | $24.86–$32.56 | — |
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 | $27.35 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MCEL | Commercial | $29.60 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MCEL | Medicare Advantage | $29.60 | fee schedule |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MCEL | Medicare Advantage | $29.60 | fee schedule |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MCEL | Medicare Advantage | $29.60 | fee schedule |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MCEL | Medicare Advantage | $29.60 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MCEL | Medicare Advantage | $29.60 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MCEL | Medicare Advantage | $31.08 | fee schedule |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MCEL | Medicare Advantage | $31.08 | fee schedule |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MCEL | Medicare Advantage | $31.38 | fee schedule |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MCEL | Medicare Advantage | $31.38 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MCEL | Medicare Advantage | $31.38 | fee schedule |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MCEL | Medicare Advantage | $31.67 | fee schedule |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MCEL | Commercial | $38.48 | fee schedule |
| MOLINA | MHS HB MOLINA MARKETPLACE MCEL | Commercial | $42.92 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MCEL | Commercial | $45.88 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL | Commercial | $47.36 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MCEL | Commercial | $47.36 | fee schedule |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MCEL | Commercial | $47.36 | fee schedule |
| AETNA | MHS HB AETNA CVS MCEL | Commercial | $47.95 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MCEL | Commercial | $47.95 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MCEL | Commercial | $48.84 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MCEL | Commercial | $49.14 | fee schedule |
| BCBS | MHS HB BCBS HMO MCEL | Commercial | $50.02 | fee schedule |
| BCBS | MHS HB BCBS PPO MCEL | Commercial | $54.46 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MCEL | Commercial | $54.46 | fee schedule |
| SANA BENEFITS | MHS HB SANA MCEL | Commercial | $59.20 | fee schedule |
| VELOCITY | MHS HB VELOCITY MCEL | Commercial | $59.20 | fee schedule |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MCEL | Workers' comp | $59.20 | fee schedule |
| EVRY HEALTH | MHS HB EVRY MCEL | Commercial | $59.20 | fee schedule |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MCEL | Commercial | $74.00 | fee schedule |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MCEL | Commercial | $74.00 | 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 | $23.62 | fee schedule |
| MEDICAID | MHS HB TEXAS HEALTHY WOMEN MDMC | Medicaid / CHIP | $24.86 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MDMC | Medicare Advantage | $29.60 | fee schedule |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MDMC | Public program | $29.60 | fee schedule |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MDMC | Medicare Advantage | $29.60 | fee schedule |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MDMC | Medicare Advantage | $29.60 | fee schedule |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MDMC | Medicare Advantage | $29.60 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MDMC | Medicare Advantage | $29.60 | fee schedule |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MDMC | Medicare Advantage | $30.19 | fee schedule |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MDMC | Medicare Advantage | $31.08 | fee schedule |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MDMC | Medicare Advantage | $31.08 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MDMC | Medicare Advantage | $31.08 | fee schedule |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MDMC | Medicare Advantage | $31.08 | fee schedule |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MDMC | Medicare Advantage | $31.38 | fee schedule |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MDMC | Medicare Advantage | $31.38 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MDMC | Medicare Advantage | $31.38 | fee schedule |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MDMC | Commercial | $31.67 | fee schedule |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MDMC | Medicare Advantage | $31.67 | fee schedule |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MDMC | Medicare Advantage | $31.97 | fee schedule |
| CORALVITA | MHS HB VIBRA MRMC MCMC MDMC | Commercial | $35.52 | fee schedule |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MDMC | Commercial | $37.00 | fee schedule |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MDMC | Commercial | $38.48 | fee schedule |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MDMC | Commercial | $41.44 | fee schedule |
| MOLINA | MHS HB MOLINA MARKETPLACE MDMC | Commercial | $42.92 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MDMC | Commercial | $45.88 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MDMC | Commercial | $46.77 | fee schedule |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MDMC | Commercial | $47.36 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MDMC | Commercial | $47.95 | fee schedule |
| AETNA | MHS HB AETNA CVS MDMC | Commercial | $47.95 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MDMC | Commercial | $48.84 | fee schedule |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MDMC | Commercial | $50.32 | fee schedule |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MDMC | Commercial | $50.62 | fee schedule |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MDMC | Commercial | $53.28 | fee schedule |
| CIGNA | MHS HB CUSTOM INK MDMC | Commercial | $54.76 | fee schedule |
| EVRY HEALTH | MHS HB EVRY MDMC | Commercial | $59.20 | fee schedule |
| SANA BENEFITS | MHS HB SANA MDMC | Commercial | $59.20 | fee schedule |
| VELOCITY | MHS HB VELOCITY MDMC | Commercial | $59.20 | fee schedule |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MDMC | Workers' comp | $59.20 | fee schedule |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MDMC | Commercial | $74.00 | fee schedule |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MDMC | Commercial | $74.00 | fee schedule |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MDMC | Commercial | $79.92 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MDMC | Commercial | $82.58 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MDMC | Commercial | $82.58 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MDMC | Commercial | $85.84 | fee schedule |
| BCBS | MHS HB BCBS HMO MDMC | Commercial | $87.62 | fee schedule |
| BCBS | MHS HB BCBS PPO MDMC | Commercial | $95.31 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MDMC | Commercial | $95.31 | fee schedule |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MDMC | Medicaid / CHIP | $102 | fee schedule |
| AETNA COMMERCIAL | MHS HB AETNA TX PREF PLUS II MDMC | Commercial | $114 | fee schedule |
| AETNA | MHS HB AETNA BAYLOR SCOTT AND WHITE MDMC | Commercial | $120 | fee schedule |
| AETNA COMMERCIAL | MHS HB AETNA TEXAS ADVANTAGE MDMC | Commercial | $121 | fee schedule |
| AETNA MANAGED CARE | MHS HB AETNA WHOLE HEALTH MDMC | Commercial | $121 | fee schedule |
| AETNA | MHS HB AETNA HMO PPO MDMC | Commercial | $135 | 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 | $23.62 | fee schedule |
| MEDICAID | MHS HB TEXAS HEALTHY WOMEN MMMC | Medicaid / CHIP | $24.86 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MMMC | Medicare Advantage | $29.60 | fee schedule |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MMMC | Public program | $29.60 | fee schedule |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MMMC | Medicare Advantage | $29.60 | fee schedule |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MMMC | Medicare Advantage | $29.60 | fee schedule |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MMMC | Medicare Advantage | $29.60 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MMMC | Medicare Advantage | $29.60 | fee schedule |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MMMC | Medicare Advantage | $30.19 | fee schedule |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MMMC | Medicare Advantage | $31.08 | fee schedule |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MMMC | Medicare Advantage | $31.08 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MMMC | Medicare Advantage | $31.08 | fee schedule |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MMMC | Medicare Advantage | $31.08 | fee schedule |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MMMC | Medicare Advantage | $31.38 | fee schedule |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MMMC | Medicare Advantage | $31.38 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MMMC | Medicare Advantage | $31.38 | fee schedule |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MMMC | Commercial | $31.67 | fee schedule |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MMMC | Medicare Advantage | $31.67 | fee schedule |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MMMC | Medicare Advantage | $31.97 | fee schedule |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MMMC | Commercial | $37.00 | fee schedule |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MMMC | Commercial | $38.48 | fee schedule |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MMMC | Commercial | $41.44 | fee schedule |
| MOLINA | MHS HB MOLINA MARKETPLACE MMMC | Commercial | $42.92 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MMMC | Commercial | $45.88 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MMMC | Commercial | $46.77 | fee schedule |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MMMC | Commercial | $47.36 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MMMC | Commercial | $47.95 | fee schedule |
| AETNA | MHS HB AETNA CVS MMMC | Commercial | $47.95 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MMMC | Commercial | $48.84 | fee schedule |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MMMC | Commercial | $50.32 | fee schedule |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MMMC | Commercial | $50.62 | fee schedule |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MMMC | Commercial | $53.28 | fee schedule |
| CIGNA | MHS HB CUSTOM INK MMMC | Commercial | $54.76 | fee schedule |
| EVRY HEALTH | MHS HB EVRY MMMC | Commercial | $59.20 | fee schedule |
| SANA BENEFITS | MHS HB SANA MMMC | Commercial | $59.20 | fee schedule |
| VELOCITY | MHS HB VELOCITY MMMC | Commercial | $59.20 | fee schedule |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MMMC | Workers' comp | $59.20 | fee schedule |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MMMC | Commercial | $74.00 | fee schedule |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MMMC | Commercial | $74.00 | fee schedule |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MMMC | Commercial | $79.92 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MMMC | Commercial | $82.58 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MMMC | Commercial | $82.58 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MMMC | Commercial | $85.84 | fee schedule |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MMMC | Medicaid / CHIP | $87.51 | fee schedule |
| BCBS | MHS HB BCBS HMO MMMC | Commercial | $87.62 | fee schedule |
| BCBS | MHS HB BCBS PPO MMMC | Commercial | $95.31 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MMMC | Commercial | $95.31 | fee schedule |
| WELLPOINT MEDICAID MANAGED CARE | MHS HB WELLPOINT MEDICAID STAR MMMC | Medicaid / CHIP | $106 | 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 | $23.62 | fee schedule |
| MEDICAID | MHS HB TEXAS HEALTHY WOMEN MLMC | Medicaid / CHIP | $24.86 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MLMC | Medicare Advantage | $29.60 | fee schedule |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MLMC | Public program | $29.60 | fee schedule |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MLMC | Medicare Advantage | $29.60 | fee schedule |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MLMC | Medicare Advantage | $29.60 | fee schedule |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MLMC | Medicare Advantage | $29.60 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MLMC | Medicare Advantage | $29.60 | fee schedule |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MLMC | Medicare Advantage | $30.19 | fee schedule |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MLMC | Medicare Advantage | $31.08 | fee schedule |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MLMC | Medicare Advantage | $31.08 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MLMC | Medicare Advantage | $31.08 | fee schedule |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MLMC | Medicare Advantage | $31.08 | fee schedule |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MLMC | Medicare Advantage | $31.38 | fee schedule |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MLMC | Medicare Advantage | $31.38 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MLMC | Medicare Advantage | $31.38 | fee schedule |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MLMC | Commercial | $31.67 | fee schedule |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MLMC | Medicare Advantage | $31.67 | fee schedule |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MLMC | Medicare Advantage | $31.97 | fee schedule |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MLMC | Commercial | $37.00 | fee schedule |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MLMC | Commercial | $38.48 | fee schedule |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MLMC | Commercial | $41.44 | fee schedule |
| MOLINA | MHS HB MOLINA MARKETPLACE MLMC | Commercial | $42.92 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MLMC | Commercial | $45.88 | fee schedule |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MLMC | Commercial | $47.36 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MLMC | Commercial | $47.95 | fee schedule |
| AETNA | MHS HB AETNA CVS MLMC | Commercial | $47.95 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MLMC | Commercial | $48.84 | fee schedule |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MLMC | Commercial | $50.32 | fee schedule |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MLMC | Commercial | $50.62 | fee schedule |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MLMC | Commercial | $53.28 | fee schedule |
| CIGNA | MHS HB CUSTOM INK MLMC | Commercial | $54.76 | fee schedule |
| EVRY HEALTH | MHS HB EVRY MLMC | Commercial | $59.20 | fee schedule |
| SANA BENEFITS | MHS HB SANA MLMC | Commercial | $59.20 | fee schedule |
| VELOCITY | MHS HB VELOCITY MLMC | Commercial | $59.20 | fee schedule |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MLMC | Workers' comp | $59.20 | fee schedule |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MLMC | Commercial | $74.00 | fee schedule |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MLMC | Commercial | $74.00 | fee schedule |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MLMC | Commercial | $79.92 | fee schedule |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MLMC | Medicaid / CHIP | $102 | 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 | $23.62 | fee schedule |
| MEDICAID | MHS HB TEXAS HEALTHY WOMEN MRMC | Medicaid / CHIP | $24.86 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MRMC | Medicare Advantage | $29.60 | fee schedule |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MRMC | Public program | $29.60 | fee schedule |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MRMC | Medicare Advantage | $29.60 | fee schedule |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MRMC | Medicare Advantage | $29.60 | fee schedule |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MRMC | Medicare Advantage | $29.60 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MRMC | Medicare Advantage | $29.60 | fee schedule |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MRMC | Medicare Advantage | $30.19 | fee schedule |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MRMC | Medicare Advantage | $31.08 | fee schedule |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MRMC | Medicare Advantage | $31.08 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MRMC | Medicare Advantage | $31.08 | fee schedule |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MRMC | Medicare Advantage | $31.08 | fee schedule |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MRMC | Medicare Advantage | $31.38 | fee schedule |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MRMC | Medicare Advantage | $31.38 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MRMC | Medicare Advantage | $31.38 | fee schedule |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MRMC | Commercial | $31.67 | fee schedule |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MRMC | Medicare Advantage | $31.67 | fee schedule |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MRMC | Medicare Advantage | $31.97 | fee schedule |
| CORALVITA | MHS HB VIBRA MRMC MCMC MDMC | Commercial | $35.52 | fee schedule |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MRMC | Commercial | $37.00 | fee schedule |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MRMC | Commercial | $38.48 | fee schedule |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MRMC | Commercial | $41.44 | fee schedule |
| MOLINA | MHS HB MOLINA MARKETPLACE MRMC | Commercial | $42.92 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MRMC | Commercial | $45.88 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MRMC | Commercial | $47.95 | fee schedule |
| AETNA | MHS HB AETNA CVS MRMC | Commercial | $47.95 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MRMC | Commercial | $48.84 | fee schedule |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MRMC | Commercial | $50.32 | fee schedule |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MRMC | Commercial | $50.62 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MRMC | Commercial | $53.28 | fee schedule |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MRMC | Commercial | $53.28 | fee schedule |
| CIGNA | MHS HB CUSTOM INK MRMC | Commercial | $54.76 | fee schedule |
| EVRY HEALTH | MHS HB EVRY MRMC | Commercial | $59.20 | fee schedule |
| SANA BENEFITS | MHS HB SANA MRMC | Commercial | $59.20 | fee schedule |
| VELOCITY | MHS HB VELOCITY MRMC | Commercial | $59.20 | fee schedule |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MRMC | Commercial | $74.00 | fee schedule |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MRMC | Commercial | $74.00 | fee schedule |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MRMC | Commercial | $79.92 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MRMC | Commercial | $94.13 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MRMC | Commercial | $94.13 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MRMC | Commercial | $97.38 | fee schedule |
| BCBS | MHS HB BCBS HMO MRMC | Commercial | $99.75 | fee schedule |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MRMC | Medicaid / CHIP | $102 | fee schedule |
| BCBS | MHS HB BCBS PPO MRMC | Commercial | $108 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MRMC | Commercial | $108 | 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 | $17.37 | fee schedule |
| UNITED HEALTHCARE MEDICAID MANAGED CARE | MHS HB UNITED MEDICAID STAR PLUS MSMC | Medicaid / CHIP | $23.62 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MSMC | Medicare Advantage | $29.60 | fee schedule |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MSMC | Medicare Advantage | $29.60 | fee schedule |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MSMC | Medicare Advantage | $29.60 | fee schedule |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MSMC | Medicare Advantage | $29.60 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MSMC | Medicare Advantage | $29.60 | fee schedule |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MSMC | Medicare Advantage | $30.19 | fee schedule |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MSMC | Medicare Advantage | $31.08 | fee schedule |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MSMC | Medicare Advantage | $31.08 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MSMC | Medicare Advantage | $31.08 | fee schedule |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MSMC | Medicare Advantage | $31.08 | fee schedule |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MSMC | Medicare Advantage | $31.38 | fee schedule |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MSMC | Medicare Advantage | $31.38 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MSMC | Medicare Advantage | $31.38 | fee schedule |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MSMC | Commercial | $31.67 | fee schedule |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MSMC | Medicare Advantage | $31.67 | fee schedule |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MSMC | Medicare Advantage | $31.97 | fee schedule |
| AETNA | MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC | Commercial | $33.04 | percent of total billed charges |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MSMC | Commercial | $37.00 | fee schedule |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MSMC | Commercial | $38.48 | fee schedule |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MSMC | Commercial | $41.44 | fee schedule |
| MOLINA | MHS HB MOLINA MARKETPLACE MSMC | Commercial | $42.92 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MSMC | Commercial | $45.88 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MSMC | Commercial | $46.77 | fee schedule |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MSMC | Commercial | $47.36 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MSMC | Commercial | $47.95 | fee schedule |
| AETNA | MHS HB AETNA CVS MSMC | Commercial | $47.95 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MSMC | Commercial | $48.84 | fee schedule |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MSMC | Commercial | $50.32 | fee schedule |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MSMC | Commercial | $50.62 | fee schedule |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MSMC | Commercial | $53.28 | fee schedule |
| CIGNA | MHS HB CUSTOM INK MSMC | Commercial | $54.76 | fee schedule |
| EVRY HEALTH | MHS HB EVRY MSMC | Commercial | $59.20 | fee schedule |
| SANA BENEFITS | MHS HB SANA MSMC | Commercial | $59.20 | fee schedule |
| VELOCITY | MHS HB VELOCITY MSMC | Commercial | $59.20 | fee schedule |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MSMC | Workers' comp | $59.20 | fee schedule |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MSMC | Commercial | $74.00 | fee schedule |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MSMC | Commercial | $74.00 | fee schedule |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MSMC | Commercial | $79.92 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MSMC | Commercial | $82.58 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MSMC | Commercial | $82.58 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MSMC | Commercial | $85.84 | fee schedule |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MSMC | Medicaid / CHIP | $87.51 | fee schedule |
| BCBS | MHS HB BCBS HMO MSMC | Commercial | $87.62 | fee schedule |
| BCBS | MHS HB BCBS PPO MSMC | Commercial | $95.31 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MSMC | Commercial | $95.31 | fee schedule |
| WELLPOINT MEDICAID MANAGED CARE | MHS HB WELLPOINT MEDICAID STAR MSMC | Medicaid / CHIP | $106 | fee schedule |
| AETNA COMMERCIAL | MHS HB AETNA TX PREF PLUS II MSMC | Commercial | $107 | fee schedule |
| AETNA COMMERCIAL | MHS HB AETNA TEXAS ADVANTAGE MSMC | Commercial | $115 | fee schedule |
| AETNA MANAGED CARE | MHS HB AETNA WHOLE HEALTH MSMC | Commercial | $115 | fee schedule |
| AETNA | MHS HB AETNA HMO PPO MSMC | Commercial | $128 | fee schedule |
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 | $24.86 | other |
| WELLPOINT | ABOVE FPIL WELLPOINT CHIP PERINATE | Medicaid / CHIP | $24.86 | other |
| WELLPOINT | WELLPOINT CHIP PERINATE POST PARTUM | Medicaid / CHIP | $24.86 | other |
| SUPERIOR HEALTH PLAN | SUPERIOR STAR HEALTH FOSTER CARE | Medicaid / CHIP | $26.10 | other |
| PARKLAND CHIP PERINATE | BELOW FPIL CHIP PERINATE | Medicaid / CHIP | $26.10 | fee schedule |
| PARKLAND CHIP PERINATE | ABOVE FPIL CHIP PERINATE | Medicaid / CHIP | $26.10 | fee schedule |
| COOK CHILDREN HEALTH PLAN | COOK CHILDREN STAR MEDICAID | Medicaid / CHIP | $26.10 | other |
| COOK CHILDREN HEALTH PLAN | COOK CHILDRENS STAR KIDS | Medicaid / CHIP | $26.10 | other |
| COOK CHILDREN HEALTH PLAN | COOK CHILDRENS CHIP | Medicaid / CHIP | $26.10 | other |
| PARKLAND COMMUNITY HEALTH PLAN | Parkland CHIP | Medicaid / CHIP | $26.10 | fee schedule |
| AETNA BETTER HEALTH | AETNA BETTER HEALTH CHIP | Medicaid / CHIP | $26.10 | other |
| AETNA BETTER HEALTH | BELOW FPIL AETNA CHIP PERINATE | Medicaid / CHIP | $26.10 | other |
| AETNA BETTER HEALTH | ABOVE FPIL AETNA CHIP PERINATE | Medicaid / CHIP | $26.10 | other |
| POINT COMFORT UNDERWRITERS | POINT COMFORT UNDERWRITERS | Public program | $27.35 | other |
| MOLINA | MOLINA CHIP | Medicaid / CHIP | $27.35 | other |
| MOLINA | MOLINA RSA MEDICAID | Medicaid / CHIP | $27.35 | other |
| BLUE CROSS BLUE SHIELD | BLUE ADVANTAGE HMO ACA | Commercial | $58.31 | fee schedule |
| WELLPOINT | WELLPOINT STAR PLUS | Medicaid / CHIP | $92.48 | other |
| WELLPOINT | WELLPOINT STAR KIDS | Medicaid / CHIP | $94.72 | other |
| SUPERIOR HEALTHPLAN | SUPERIOR STAR PLUS | Medicaid / CHIP | $97.10 | other |
| MOLINA | MOLINA STAR PLUS | Medicaid / CHIP | $102 | other |
| MOLINA | MOLINA STAR MEDICAID | Medicaid / CHIP | $106 | other |
| CARE IMPROVEMENT PLUS | CARE IMPROVEMENT PLUS | Medicare Advantage | $106 | percent of total billed charges |
| PROCARE ADVANTAGE | PROCARE ADVANTAGE | Medicare Advantage | $107 | percent of total billed charges |
| WELLPOINT | WELLPOINT STAR | Medicaid / CHIP | $121 | other |
| PARKLAND COMMUNITY HEALTH PLAN | Parkland STAR | Medicaid / CHIP | $127 | fee schedule |
| AETNA BETTER HEALTH | AETNA BETTER HEALTH STAR | Medicaid / CHIP | $127 | other |
| UNITED HEALTHCARE OF TX | UNITED HEALTHCARE OF TX | Commercial | $302 | percent of total billed charges |
| UNITED HEALTHCARE OF TX | UHC - UMR | Commercial | $302 | percent of total billed charges |
| AETNA HEALTHCARE | AETNA | Commercial | $304 | percent of total billed charges |
| CIGNA | CIGNA | Commercial | $304 | percent of total billed charges |
| GREAT WEST HEALTHCARE | GREAT WEST HEALTHCARE | Commercial | $304 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS TRADITIONAL | Commercial | $364 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS OUT OF STATE | Commercial | $364 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS FEDERAL EMPLOYEE | Commercial | $364 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BLUE CROSS BLUE SHIELD PPO | Commercial | $364 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BLUE CROSS BLUE SHIELD HMO | Commercial | $364 | 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 | $24.86 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $26.10 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $26.85 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $27.35 | fee schedule |
| United Healthcare | All Payer | Commercial | $29.60 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| United Healthcare Options | PPO | Commercial | $29.60 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $30.19 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $30.78 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $32.56 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $32.86 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $32.92 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $33.45 | case rate |
| City of Fort Worth | Commercial | Commercial | $39.95 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $51.00 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $58.09 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $58.61 | fee schedule |
| PHCS | PPO | Commercial | $59.08 | percent of total billed charges |
| Aetna | Coventry | Commercial | $59.59 | percent of total billed charges |
| Aetna | ASA | Commercial | $59.59 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $63.75 | percent of total billed charges |
| Blue Cross Blue Shield | PPO | Commercial | $65.12 | fee schedule |
| Multiplan | Commercial | Commercial | $73.95 | percent of total billed charges |
| USA | MCO | Commercial | $74.80 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $74.80 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $79.99 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $90.56 | fee schedule |
| Aetna | Commercial | Commercial | $121 | fee schedule |
| Cigna | OAP/HMO | Commercial | $122 | fee schedule |
| Cigna | PPO | Commercial | $122 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $173 | fee schedule |
Texas Health Presbyterian Hospital Plano: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $26.10 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $26.85 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| United Healthcare | All Payer | Commercial | $29.60 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| United Healthcare Options | PPO | Commercial | $29.60 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $30.19 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $30.78 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $31.08 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $32.56 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $32.86 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $32.92 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $33.45 | case rate |
| City of Fort Worth | Commercial | Commercial | $39.95 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $51.00 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $58.09 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $58.61 | fee schedule |
| PHCS | PPO | Commercial | $59.08 | percent of total billed charges |
| Aetna | ASA | Commercial | $59.59 | percent of total billed charges |
| Aetna | Coventry | Commercial | $59.59 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $63.75 | percent of total billed charges |
| Blue Cross Blue Shield | PPO | Commercial | $65.12 | fee schedule |
| Multiplan | Commercial | Commercial | $73.95 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $74.80 | percent of total billed charges |
| USA | MCO | Commercial | $74.80 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $79.99 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $90.56 | fee schedule |
| Aetna | Commercial | Commercial | $121 | fee schedule |
| Cigna | OAP/HMO | Commercial | $122 | fee schedule |
| Cigna | PPO | Commercial | $122 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $173 | fee schedule |
Texas Health Harris Methodist Hospital Fort Worth: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $26.10 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $26.85 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $27.35 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| United Healthcare | All Payer | Commercial | $29.60 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| United Healthcare Options | PPO | Commercial | $29.60 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $30.19 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $30.78 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $32.56 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $32.86 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $32.92 | percent of total billed charges |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $33.45 | case rate |
| City of Fort Worth | Commercial | Commercial | $39.95 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $51.00 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $58.09 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $58.61 | percent of total billed charges |
| PHCS | PPO | Commercial | $59.08 | percent of total billed charges |
| Aetna | ASA | Commercial | $59.59 | percent of total billed charges |
| Aetna | Coventry | Commercial | $59.59 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $63.75 | percent of total billed charges |
| Blue Cross Blue Shield | PPO | Commercial | $65.12 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $73.95 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $74.80 | percent of total billed charges |
| USA | MCO | Commercial | $74.80 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $79.99 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $90.56 | fee schedule |
| Aetna | Commercial | Commercial | $121 | fee schedule |
| Cigna | OAP/HMO | Commercial | $122 | fee schedule |
| Cigna | PPO | Commercial | $122 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $173 | percent of total billed charges |
UT Southwestern William P. Clements Jr. University Hospital: all 33 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Parkland | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Wellpoint | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Superior | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $26.85 | fee schedule |
| Aetna Better Health | Managed Medicaid | Medicaid / CHIP | $27.35 | fee schedule |
| Procare | Medicare Advantage | Medicare Advantage | $29.60 | fee schedule |
| United Options Nexus | Commercial | Commercial | $29.60 | fee schedule |
| United Healthcare | Commercial | Commercial | $29.60 | fee schedule |
| Humana | Medicare Advantage | Medicare Advantage | $30.78 | fee schedule |
| Superior | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Wellpoint | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $32.86 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $33.45 | fee schedule |
| Aetna | Whole Health | Commercial | $119 | fee schedule |
| Aetna | HMO/POS/EPO/PPO | Commercial | $149 | fee schedule |
| Blue Cross Blue Shield | MyBlueHealth | Commercial | $153 | fee schedule |
| Maestro Health/Fort Worth Firefighters | Commercial | Commercial | $156 | percent of total billed charges |
| HealthFirst | Commercial | Commercial | $164 | percent of total billed charges |
| QuikTrip | Commercial | Commercial | $175 | percent of total billed charges |
| Coventry | National/Medical Rental Products | Commercial | $203 | percent of total billed charges |
| Rockwall County | Commercial | Commercial | $204 | percent of total billed charges |
| United Healthcare W500 | Commercial | Commercial | $210 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $213 | fee schedule |
| Cigna | HMO-PPO | Commercial | $214 | percent of total billed charges |
| PHCS | Commercial | Commercial | $220 | percent of total billed charges |
| Blue Cross Blue Shield | PPO | Commercial | $236 | fee schedule |
| HealthSmart | Commercial | Commercial | $242 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $253 | percent of total billed charges |
| Galaxy Health Network | Commercial | Commercial | $256 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $267 | fee schedule |
Baylor Scott & White Medical Center – Lake Pointe: all 47 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $26.60 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $28.12 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $28.71 | fee schedule |
| Humana | Medicare | Medicare Advantage | $29.60 | fee schedule |
| TriWest | Community Care Network | Military / VA | $29.60 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $30.49 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $31.08 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $33.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $35.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $37.15 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $37.33 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $44.25 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $45.90 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $48.84 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $54.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $63.64 | fee schedule |
| Mark Cuban | Commercial | Commercial | $71.04 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $108 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $152 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $185 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $194 | percent of total billed charges |
| Blue Cross Blue Shield | City of Dallas | Commercial | $205 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $216 | fee schedule |
| Aetna | Commercial | Commercial | $217 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $217 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $217 | percent of total billed charges |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $228 | fee schedule |
| Cigna | HMO/PPO | Commercial | $229 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $229 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $229 | percent of total billed charges |
| Texas A&M Commerce | Injured Athletes | Commercial | $237 | percent of total billed charges |
| Curative | Commercial | Commercial | $256 | percent of total billed charges |
| First Health | PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $276 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $296 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $296 | 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 |
|---|---|---|---|---|
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $26.60 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $28.12 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $28.71 | fee schedule |
| Humana | Medicare | Medicare Advantage | $29.60 | fee schedule |
| TriWest | Community Care Network | Military / VA | $29.60 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $31.08 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $33.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $35.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $37.15 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $37.33 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $44.25 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $45.90 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $48.84 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $54.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $63.64 | fee schedule |
| Mark Cuban | Commercial | Commercial | $71.04 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $72.22 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $102 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $137 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $145 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $153 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $185 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $194 | percent of total billed charges |
| Aetna | Commercial | Commercial | $217 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $217 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $217 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $229 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $229 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $229 | percent of total billed charges |
| Curative | Commercial | Commercial | $256 | percent of total billed charges |
| First Health | PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $276 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $296 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $296 | 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 | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $26.60 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $28.12 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $28.71 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $33.15 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $37.33 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $44.25 | fee schedule |
| Mark Cuban | Commercial | Commercial | $71.04 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $72.22 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $102 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $137 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $145 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $153 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $185 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $194 | percent of total billed charges |
| Aetna | Commercial | Commercial | $217 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $217 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $217 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $229 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $229 | percent of total billed charges |
| Curative | Commercial | Commercial | $256 | percent of total billed charges |
| First Health | PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $276 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $296 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $296 | 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 |
|---|---|---|---|---|
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $26.60 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $28.12 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $28.71 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $29.60 | fee schedule |
| Humana | Medicare | Medicare Advantage | $29.60 | fee schedule |
| TriWest | Community Care Network | Military / VA | $29.60 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $31.08 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $33.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $35.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $37.15 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $37.33 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $44.25 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $45.90 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $48.84 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $54.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $63.64 | fee schedule |
| Mark Cuban | Commercial | Commercial | $71.04 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $72.22 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $102 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $137 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $145 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $153 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $185 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $194 | percent of total billed charges |
| Aetna | Commercial | Commercial | $217 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $217 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $217 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $229 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $229 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $229 | percent of total billed charges |
| Curative | Commercial | Commercial | $256 | percent of total billed charges |
| First Health | PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $276 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $296 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $296 | 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 |
|---|---|---|---|---|
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Cook Children's Health Plan | Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Aetna | Medicaid | Medicaid / CHIP | $25.36 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $26.60 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $28.12 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $28.71 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $29.60 | fee schedule |
| Humana | Medicare | Medicare Advantage | $29.60 | fee schedule |
| TriWest | Community Care Network | Military / VA | $29.60 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $30.49 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $31.08 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $33.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $35.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $37.15 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $37.33 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $44.25 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $45.90 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $48.84 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $54.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $63.64 | fee schedule |
| Mark Cuban | Commercial | Commercial | $71.04 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $72.22 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $102 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $137 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $145 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $153 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $185 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $194 | percent of total billed charges |
| Aetna | Commercial | Commercial | $217 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $217 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $217 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $229 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $229 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $229 | percent of total billed charges |
| Curative | Commercial | Commercial | $256 | percent of total billed charges |
| First Health | PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $276 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $296 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $296 | 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 |
|---|---|---|---|---|
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $28.12 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $28.71 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $29.60 | fee schedule |
| Humana | Medicare | Medicare Advantage | $29.60 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $31.08 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $33.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $35.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $37.15 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $37.33 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $45.90 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $48.84 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $54.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $63.64 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $72.22 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $102 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $137 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $145 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $153 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $185 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $194 | percent of total billed charges |
| Aetna | Commercial | Commercial | $217 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $217 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $217 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $229 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $229 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $229 | percent of total billed charges |
| Curative | Commercial | Commercial | $256 | percent of total billed charges |
| First Health | PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $276 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $296 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $296 | 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 |
|---|---|---|---|---|
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $26.60 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $28.12 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $28.71 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $29.60 | fee schedule |
| Humana | Medicare | Medicare Advantage | $29.60 | fee schedule |
| TriWest | Community Care Network | Military / VA | $29.60 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $31.08 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $33.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $35.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $37.15 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $37.33 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $44.25 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $45.90 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $48.84 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $54.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $63.64 | fee schedule |
| Mark Cuban | Commercial | Commercial | $71.04 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $72.22 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $102 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $137 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $145 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $153 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $185 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $194 | percent of total billed charges |
| Aetna | Commercial | Commercial | $217 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $217 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $217 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $229 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $229 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $229 | percent of total billed charges |
| Curative | Commercial | Commercial | $256 | percent of total billed charges |
| First Health | PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $276 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $296 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $296 | 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 |
|---|---|---|---|---|
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Aetna | Medicaid | Medicaid / CHIP | $25.36 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $26.60 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $28.12 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $28.71 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $29.60 | fee schedule |
| Humana | Medicare | Medicare Advantage | $29.60 | fee schedule |
| TriWest | Community Care Network | Military / VA | $29.60 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $31.08 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $33.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $35.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $37.15 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $37.33 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $44.25 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $45.90 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $48.84 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $54.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $63.64 | fee schedule |
| Mark Cuban | Commercial | Commercial | $71.04 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $72.22 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $102 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $137 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $145 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $153 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $185 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $194 | percent of total billed charges |
| Aetna | Commercial | Commercial | $217 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $217 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $217 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $229 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $229 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $229 | percent of total billed charges |
| Curative | Commercial | Commercial | $256 | percent of total billed charges |
| First Health | PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $276 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $296 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $296 | percent of total billed charges |
Baylor University Medical Center: all 49 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $26.60 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $28.12 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $28.71 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $29.60 | fee schedule |
| Humana | Medicare | Medicare Advantage | $29.60 | fee schedule |
| TriWest | Community Care Network | Military / VA | $29.60 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $30.49 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $31.08 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $33.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $35.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $37.15 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $37.33 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $44.25 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $45.90 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $48.84 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $54.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $63.64 | fee schedule |
| Mark Cuban | Commercial | Commercial | $71.04 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $72.22 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $102 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $137 | fee schedule |
| Texas Workforce Commission | Workers Compensation | Workers' comp | $142 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $145 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $153 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $185 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $194 | percent of total billed charges |
| Aetna | Commercial | Commercial | $217 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $217 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $217 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $229 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $229 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $229 | percent of total billed charges |
| Curative | Commercial | Commercial | $256 | percent of total billed charges |
| First Health | PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $276 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $276 | percent of total billed charges |
| Optum | Commercial | Commercial | $276 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $296 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $296 | 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 |
|---|---|---|---|---|
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $26.60 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $28.12 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $28.71 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $29.60 | fee schedule |
| Humana | Medicare | Medicare Advantage | $29.60 | fee schedule |
| TriWest | Community Care Network | Military / VA | $29.60 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $31.08 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $33.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $35.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $37.15 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $37.33 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $44.25 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $45.90 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $48.84 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $54.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $63.64 | fee schedule |
| Mark Cuban | Commercial | Commercial | $71.04 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $72.22 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $102 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $137 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $145 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $153 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $185 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $194 | percent of total billed charges |
| Aetna | Commercial | Commercial | $217 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $217 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $217 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $229 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $229 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $229 | percent of total billed charges |
| Curative | Commercial | Commercial | $256 | percent of total billed charges |
| First Health | PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $276 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $296 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $296 | 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 |
|---|---|---|---|---|
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $26.60 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $28.12 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $28.71 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $29.60 | fee schedule |
| Humana | Medicare | Medicare Advantage | $29.60 | fee schedule |
| TriWest | Community Care Network | Military / VA | $29.60 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $30.49 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $31.08 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $33.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $35.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $37.15 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $37.33 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $44.25 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $45.90 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $48.84 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $54.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $63.64 | fee schedule |
| Mark Cuban | Commercial | Commercial | $71.04 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $72.22 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $102 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $137 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $145 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $153 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $185 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $194 | percent of total billed charges |
| Aetna | Commercial | Commercial | $217 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $217 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $217 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $229 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $229 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $229 | percent of total billed charges |
| Curative | Commercial | Commercial | $256 | percent of total billed charges |
| First Health | PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $276 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $296 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $296 | 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 |
|---|---|---|---|---|
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $26.60 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $28.12 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $28.71 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $29.60 | fee schedule |
| TriWest | Community Care Network | Military / VA | $29.60 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $31.08 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $33.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $35.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $37.15 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $37.33 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $44.25 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $45.90 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $48.84 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $54.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $63.64 | fee schedule |
| Mark Cuban | Commercial | Commercial | $71.04 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $72.22 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $102 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $137 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $145 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $153 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $185 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $194 | percent of total billed charges |
| Aetna | Commercial | Commercial | $217 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $217 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $217 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $229 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $229 | percent of total billed charges |
| Curative | Commercial | Commercial | $256 | percent of total billed charges |
| First Health | PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $276 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $296 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $296 | 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 |
|---|---|---|---|---|
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $28.12 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $28.71 | fee schedule |
| Humana | Medicare | Medicare Advantage | $29.60 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $35.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $37.15 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $37.33 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $45.90 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $48.84 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $54.00 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $72.22 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $102 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $137 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $145 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $153 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $185 | percent of total billed charges |
| Aetna | Commercial | Commercial | $217 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $217 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $217 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $229 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $229 | percent of total billed charges |
| Curative | Commercial | Commercial | $256 | percent of total billed charges |
| First Health | PPO | Commercial | $276 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $276 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $296 | 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 |
|---|---|---|---|---|
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $26.60 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $28.12 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $28.71 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $29.60 | fee schedule |
| Humana | Medicare | Medicare Advantage | $29.60 | fee schedule |
| TriWest | Community Care Network | Military / VA | $29.60 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $31.08 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $33.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $35.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $37.15 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $37.33 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $44.25 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $45.90 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $48.84 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $54.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $63.64 | fee schedule |
| Mark Cuban | Commercial | Commercial | $71.04 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $72.22 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $102 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $137 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $145 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $153 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $185 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $194 | percent of total billed charges |
| Aetna | Commercial | Commercial | $217 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $217 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $217 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $229 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $229 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $229 | percent of total billed charges |
| Independent Medical System | Commercial PPO | Commercial | $237 | percent of total billed charges |
| Curative | Commercial | Commercial | $256 | percent of total billed charges |
| First Health | PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $276 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $276 | percent of total billed charges |
| Optum | Commercial | Commercial | $276 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $296 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $296 | 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 |
|---|---|---|---|---|
| United Healthcare | Charter | Commercial | $10.00 | fee schedule |
| United Healthcare | Nexus | Commercial | $10.00 | fee schedule |
| United Healthcare | Commercial Broad | Commercial | $11.00 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $26.60 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $28.12 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $28.71 | fee schedule |
| Humana | Medicare | Medicare Advantage | $29.60 | fee schedule |
| TriWest | Community Care Network | Military / VA | $29.60 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $30.49 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $31.08 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $31.08 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $33.15 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $35.52 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $37.15 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $37.33 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $44.25 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $45.90 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $48.84 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $54.00 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $63.64 | fee schedule |
| Mark Cuban | Commercial | Commercial | $71.04 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $108 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $152 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $185 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $194 | percent of total billed charges |
| Blue Cross Blue Shield | City of Dallas | Commercial | $205 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $216 | fee schedule |
| Aetna | Commercial | Commercial | $217 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $217 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $217 | percent of total billed charges |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $228 | fee schedule |
| Cigna | HMO/PPO | Commercial | $229 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $229 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $229 | percent of total billed charges |
| Curative | Commercial | Commercial | $256 | percent of total billed charges |
| First Health | PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $276 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $276 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $296 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $296 | 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 | $24.86 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $26.10 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $26.85 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $27.35 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| United Healthcare | All Payer | Commercial | $29.60 | fee schedule |
| United Healthcare Options | PPO | Commercial | $29.60 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $30.19 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $30.78 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $31.08 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $32.56 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $32.86 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $33.45 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $41.14 | fee schedule |
| Fort Worth Firefighters | Commercial | Commercial | $58.09 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $58.61 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $65.12 | fee schedule |
| Aetna | Whole Health | Commercial | $90.56 | fee schedule |
| Aetna | Commercial | Commercial | $121 | fee schedule |
| Cigna | PPO | Commercial | $122 | fee schedule |
| Cigna | OAP/HMO | Commercial | $122 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $173 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $209 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $267 | percent of total billed charges |
| PHCS | PPO | Commercial | $309 | percent of total billed charges |
| Aetna | Coventry | Commercial | $312 | percent of total billed charges |
| Aetna | ASA | Commercial | $312 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $334 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $387 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $392 | percent of total billed charges |
| USA | MCO | Commercial | $392 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $419 | 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 | $24.86 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $26.10 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $26.85 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| United Healthcare | All Payer | Commercial | $29.60 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| United Healthcare Options | PPO | Commercial | $29.60 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $30.19 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $30.78 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $32.56 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $32.86 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $33.45 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $41.14 | fee schedule |
| Fort Worth Firefighters | Commercial | Commercial | $58.09 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $58.61 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $65.12 | fee schedule |
| Aetna | Whole Health | Commercial | $90.56 | fee schedule |
| Aetna | Commercial | Commercial | $121 | fee schedule |
| Cigna | OAP/HMO | Commercial | $122 | fee schedule |
| Cigna | PPO | Commercial | $122 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $173 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $209 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $267 | percent of total billed charges |
| PHCS | PPO | Commercial | $309 | percent of total billed charges |
| Aetna | ASA | Commercial | $312 | percent of total billed charges |
| Aetna | Coventry | Commercial | $312 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $334 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $387 | percent of total billed charges |
| USA | MCO | Commercial | $392 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $392 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $419 | 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 | $24.86 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $26.10 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $26.85 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $27.35 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| United Healthcare | All Payer | Commercial | $29.60 | fee schedule |
| United Healthcare Options | PPO | Commercial | $29.60 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $30.19 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $30.78 | case rate |
| Humana | Medicare Advantage PPO | Medicare Advantage | $30.78 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $32.56 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $32.86 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $33.45 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $41.14 | fee schedule |
| Fort Worth Firefighters | Commercial | Commercial | $58.09 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $58.61 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $65.12 | fee schedule |
| Aetna | Whole Health | Commercial | $90.56 | fee schedule |
| Aetna | Commercial | Commercial | $121 | fee schedule |
| Cigna | OAP/HMO | Commercial | $122 | fee schedule |
| Cigna | PPO | Commercial | $122 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $173 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $209 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $267 | percent of total billed charges |
| PHCS | PPO | Commercial | $309 | percent of total billed charges |
| Aetna | ASA | Commercial | $312 | percent of total billed charges |
| Aetna | Coventry | Commercial | $312 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $334 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $387 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $392 | percent of total billed charges |
| USA | MCO | Commercial | $392 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $419 | 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 | $24.86 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $26.10 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $26.85 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $27.35 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| United Healthcare | All Payer | Commercial | $29.60 | fee schedule |
| United Healthcare Options | PPO | Commercial | $29.60 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $30.19 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $30.78 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $31.08 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $32.56 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $32.86 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $33.45 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $41.14 | fee schedule |
| Fort Worth Firefighters | Commercial | Commercial | $58.09 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $58.61 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $65.12 | fee schedule |
| Aetna | Whole Health | Commercial | $90.56 | fee schedule |
| Aetna | Commercial | Commercial | $121 | fee schedule |
| Cigna | OAP/HMO | Commercial | $122 | fee schedule |
| Cigna | PPO | Commercial | $122 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $173 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $209 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $267 | percent of total billed charges |
| PHCS | PPO | Commercial | $309 | percent of total billed charges |
| Aetna | ASA | Commercial | $312 | percent of total billed charges |
| Aetna | Coventry | Commercial | $312 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $334 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $387 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $392 | percent of total billed charges |
| USA | MCO | Commercial | $392 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $419 | 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 | $24.86 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $26.10 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $26.85 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $27.35 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| United Healthcare Options | PPO | Commercial | $29.60 | fee schedule |
| United Healthcare | All Payer | Commercial | $29.60 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $30.19 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $30.78 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $32.56 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $32.86 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $32.92 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $33.45 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $58.09 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $58.61 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $65.12 | fee schedule |
| Aetna | Whole Health | Commercial | $90.56 | fee schedule |
| Aetna | Commercial | Commercial | $121 | fee schedule |
| Cigna | OAP/HMO | Commercial | $122 | fee schedule |
| Cigna | PPO | Commercial | $122 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $173 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $209 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $267 | percent of total billed charges |
| PHCS | PPO | Commercial | $309 | percent of total billed charges |
| Aetna | Coventry | Commercial | $312 | percent of total billed charges |
| Aetna | ASA | Commercial | $312 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $334 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $387 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $392 | percent of total billed charges |
| USA | MCO | Commercial | $392 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $419 | 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 | $24.86 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $26.10 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $26.85 | fee schedule |
| United Healthcare | All Payer | Commercial | $29.60 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| United Healthcare Options | PPO | Commercial | $29.60 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $30.19 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $30.78 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $32.56 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $32.86 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $33.45 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $41.14 | fee schedule |
| Fort Worth Firefighters | Commercial | Commercial | $58.09 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $58.61 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $65.12 | fee schedule |
| Aetna | Whole Health | Commercial | $90.56 | fee schedule |
| Aetna | Commercial | Commercial | $121 | fee schedule |
| Cigna | PPO | Commercial | $122 | fee schedule |
| Cigna | OAP/HMO | Commercial | $122 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $173 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $209 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $267 | percent of total billed charges |
| PHCS | PPO | Commercial | $309 | percent of total billed charges |
| Aetna | Coventry | Commercial | $312 | percent of total billed charges |
| Aetna | ASA | Commercial | $312 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $334 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $387 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $392 | percent of total billed charges |
| USA | MCO | Commercial | $392 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $419 | 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 | $24.86 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $26.10 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $26.85 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $27.35 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| United Healthcare Options | PPO | Commercial | $29.60 | fee schedule |
| United Healthcare | All Payer | Commercial | $29.60 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $30.19 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $30.78 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $31.08 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $32.56 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $32.86 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $32.92 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $33.45 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $58.09 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $58.61 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $65.12 | fee schedule |
| Aetna | Whole Health | Commercial | $90.56 | fee schedule |
| Aetna | Commercial | Commercial | $121 | fee schedule |
| Cigna | OAP/HMO | Commercial | $122 | fee schedule |
| Cigna | PPO | Commercial | $122 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $173 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $209 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $267 | percent of total billed charges |
| PHCS | PPO | Commercial | $309 | percent of total billed charges |
| Aetna | ASA | Commercial | $312 | percent of total billed charges |
| Aetna | Coventry | Commercial | $312 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $334 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $387 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $392 | percent of total billed charges |
| USA | MCO | Commercial | $392 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $419 | 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 | $24.86 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $26.10 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $26.85 | fee schedule |
| United Healthcare | All Payer | Commercial | $29.60 | fee schedule |
| United Healthcare Options | PPO | Commercial | $29.60 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $30.19 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $30.78 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $31.08 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $32.56 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $32.86 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $32.92 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $33.45 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $58.09 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $58.61 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $65.12 | fee schedule |
| Aetna | Whole Health | Commercial | $90.56 | fee schedule |
| Aetna | Commercial | Commercial | $121 | fee schedule |
| Cigna | OAP/HMO | Commercial | $122 | fee schedule |
| Cigna | PPO | Commercial | $122 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $173 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $209 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $267 | percent of total billed charges |
| PHCS | PPO | Commercial | $309 | percent of total billed charges |
| Aetna | ASA | Commercial | $312 | percent of total billed charges |
| Aetna | Coventry | Commercial | $312 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $334 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $387 | percent of total billed charges |
| USA | MCO | Commercial | $392 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $392 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $419 | 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 | $24.86 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $26.10 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $26.85 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $27.35 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| United Healthcare Options | PPO | Commercial | $29.60 | fee schedule |
| United Healthcare | All Payer | Commercial | $29.60 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $30.19 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $30.78 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $32.56 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $32.86 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $32.92 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $33.45 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $58.09 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $58.61 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $65.12 | fee schedule |
| Aetna | Whole Health | Commercial | $90.56 | fee schedule |
| Aetna | Commercial | Commercial | $121 | fee schedule |
| Cigna | OAP/HMO | Commercial | $122 | fee schedule |
| Cigna | PPO | Commercial | $122 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $173 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $209 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $267 | percent of total billed charges |
| PHCS | PPO | Commercial | $309 | percent of total billed charges |
| Aetna | ASA | Commercial | $312 | percent of total billed charges |
| Aetna | Coventry | Commercial | $312 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $334 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $387 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $392 | percent of total billed charges |
| USA | MCO | Commercial | $392 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $419 | 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 | $24.86 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $26.10 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $26.85 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $27.35 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| United Healthcare | All Payer | Commercial | $29.60 | fee schedule |
| United Healthcare Options | PPO | Commercial | $29.60 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $30.19 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $30.78 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $31.08 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $32.56 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $32.86 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $33.45 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $42.15 | fee schedule |
| Fort Worth Firefighters | Commercial | Commercial | $58.09 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $58.61 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $65.12 | fee schedule |
| Aetna | Whole Health | Commercial | $90.56 | fee schedule |
| Aetna | Commercial | Commercial | $121 | fee schedule |
| Cigna | PPO | Commercial | $122 | fee schedule |
| Cigna | OAP/HMO | Commercial | $122 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $173 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $209 | percent of total billed charges |
| Aetna | ASA | Commercial | $312 | percent of total billed charges |
| Aetna | Coventry | Commercial | $312 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $316 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $334 | percent of total billed charges |
| PHCS | PPO | Commercial | $372 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $387 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $392 | percent of total billed charges |
| USA | MCO | Commercial | $392 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $419 | 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 | $24.86 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $26.10 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $26.85 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $27.35 | fee schedule |
| United Healthcare | All Payer | Commercial | $29.60 | fee schedule |
| United Healthcare Options | PPO | Commercial | $29.60 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $30.19 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $30.78 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $31.08 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $32.56 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $32.86 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $33.45 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $42.15 | fee schedule |
| Fort Worth Firefighters | Commercial | Commercial | $58.09 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $58.61 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $65.12 | fee schedule |
| Aetna | Whole Health | Commercial | $90.56 | fee schedule |
| Aetna | Commercial | Commercial | $121 | fee schedule |
| Cigna | OAP/HMO | Commercial | $122 | fee schedule |
| Cigna | PPO | Commercial | $122 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $173 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $209 | percent of total billed charges |
| Aetna | ASA | Commercial | $312 | percent of total billed charges |
| Aetna | Coventry | Commercial | $312 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $316 | percent of total billed charges |
| PHCS | PPO | Commercial | $372 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $387 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $387 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $392 | percent of total billed charges |
| USA | MCO | Commercial | $392 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $419 | 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 | $24.86 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $26.10 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $26.85 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $27.35 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| United Healthcare | All Payer | Commercial | $29.60 | fee schedule |
| United Healthcare Options | PPO | Commercial | $29.60 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $30.19 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $30.78 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $32.56 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $32.86 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $32.92 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $33.45 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $58.09 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $58.61 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $65.12 | fee schedule |
| Aetna | Whole Health | Commercial | $90.56 | fee schedule |
| Aetna | Commercial | Commercial | $121 | fee schedule |
| Cigna | OAP/HMO | Commercial | $122 | fee schedule |
| Cigna | PPO | Commercial | $122 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $173 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $209 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $267 | percent of total billed charges |
| PHCS | PPO | Commercial | $309 | percent of total billed charges |
| Aetna | ASA | Commercial | $312 | percent of total billed charges |
| Aetna | Coventry | Commercial | $312 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $334 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $387 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $392 | percent of total billed charges |
| USA | MCO | Commercial | $392 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $419 | 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 | $24.86 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $26.10 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $26.85 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| United Healthcare | All Payer | Commercial | $29.60 | fee schedule |
| United Healthcare Options | PPO | Commercial | $29.60 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $30.19 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $30.78 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $32.56 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $32.86 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $33.45 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $42.15 | fee schedule |
| Fort Worth Firefighters | Commercial | Commercial | $58.09 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $58.61 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $65.12 | fee schedule |
| Aetna | Whole Health | Commercial | $90.56 | fee schedule |
| Aetna | Commercial | Commercial | $121 | fee schedule |
| Cigna | OAP/HMO | Commercial | $122 | fee schedule |
| Cigna | PPO | Commercial | $122 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $173 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $209 | percent of total billed charges |
| Aetna | ASA | Commercial | $312 | percent of total billed charges |
| Aetna | Coventry | Commercial | $312 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $316 | percent of total billed charges |
| PHCS | PPO | Commercial | $372 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $387 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $387 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $392 | percent of total billed charges |
| USA | MCO | Commercial | $392 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $419 | 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 | $24.86 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $26.10 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $26.85 | fee schedule |
| United Healthcare Options | PPO | Commercial | $29.60 | fee schedule |
| United Healthcare | All Payer | Commercial | $29.60 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $30.19 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $30.78 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $31.08 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $32.56 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $32.86 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $32.92 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $33.45 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $58.09 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $58.61 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $65.12 | fee schedule |
| Aetna | Whole Health | Commercial | $90.56 | fee schedule |
| Aetna | Commercial | Commercial | $121 | fee schedule |
| Cigna | OAP/HMO | Commercial | $122 | fee schedule |
| Cigna | PPO | Commercial | $122 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $173 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $209 | percent of total billed charges |
| Aetna | ASA | Commercial | $312 | percent of total billed charges |
| Aetna | Coventry | Commercial | $312 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $316 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $334 | percent of total billed charges |
| PHCS | PPO | Commercial | $372 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $387 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $392 | percent of total billed charges |
| USA | MCO | Commercial | $392 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $419 | 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 | $24.86 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $24.86 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $26.10 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $26.85 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| United Healthcare | All Payer | Commercial | $29.60 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $29.60 | case rate |
| United Healthcare Options | PPO | Commercial | $29.60 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $30.19 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $30.78 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $31.08 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $32.56 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $32.86 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $32.92 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $33.45 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $58.09 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $58.61 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $65.12 | fee schedule |
| Aetna | Whole Health | Commercial | $90.56 | fee schedule |
| Aetna | Commercial | Commercial | $121 | fee schedule |
| Cigna | OAP/HMO | Commercial | $122 | fee schedule |
| Cigna | PPO | Commercial | $122 | fee schedule |
| Blue Cross Blue Shield | Traditional | Commercial | $173 | fee schedule |
| City of Fort Worth | Commercial | Commercial | $209 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $267 | percent of total billed charges |
| PHCS | PPO | Commercial | $309 | percent of total billed charges |
| Aetna | Coventry | Commercial | $312 | percent of total billed charges |
| Aetna | ASA | Commercial | $312 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $334 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $387 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $392 | percent of total billed charges |
| USA | MCO | Commercial | $392 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $419 | 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 | $24.86 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | STAR MEDICAID | Medicaid / CHIP | $29.60 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | STAR | Medicaid / CHIP | $29.60 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | CHIP | Medicaid / CHIP | $29.60 | Percent of Total Billed Charges |
| HEALTH PLAN w/o UHRIP | CHIP | Medicaid / CHIP | $29.60 | Percent of Total Billed Charges |
| HEALTH PLAN w/o UHRIP | STAR KIDS | Medicaid / CHIP | $29.60 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | CHIP | Medicaid / CHIP | $29.60 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | STAR | Medicaid / CHIP | $29.60 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | STAR KIDS | Medicaid / CHIP | $29.60 | Percent of Total Billed Charges |
| Aetna | BETTER HEALTH STAR UHRIP | Medicaid / CHIP | $29.60 | Fee Schedule |
| Aetna | BETTER HEALTH STAR Kids | Medicaid / CHIP | $29.60 | Fee Schedule |
| Aetna | BETTER HEALTH CHIP | Medicaid / CHIP | $29.60 | Fee Schedule |
| WELLPOINT | STAR PLUS | Medicaid / CHIP | $31.08 | Fee Schedule |
| WELLPOINT | CHIP | Medicaid / CHIP | $31.08 | Fee Schedule |
| WELLPOINT | STAR | Medicaid / CHIP | $31.08 | Fee Schedule |
| BCBS | CHIP STAR KIDS | Medicaid / CHIP | $31.97 | Fee Schedule |
| BCBS | BCBS TX STAR | Medicaid / CHIP | $31.97 | Fee Schedule |
| BCBS | CHIP | Medicaid / CHIP | $31.97 | Fee Schedule |
| SUPERIOR HEALTH | STAR PLUS | Medicaid / CHIP | $31.97 | Fee Schedule |
| SUPERIOR HEALTH | CHIP | Medicaid / CHIP | $31.97 | Fee Schedule |
| SUPERIOR HEALTH | STAR | Medicaid / CHIP | $31.97 | Fee Schedule |
| FIRSTCARE | STAR | Medicaid / CHIP | $32.56 | Percent of Total Billed Charges |
| MOLINA | STAR | Medicaid / CHIP | $32.56 | Percent of Total Billed Charges |
| MOLINA | STAR KIDS | Medicaid / CHIP | $32.56 | Percent of Total Billed Charges |
| MOLINA | CHIP | Medicaid / CHIP | $32.56 | Percent of Total Billed Charges |
| RIGHTCARE | STAR | Medicaid / CHIP | $32.56 | Percent of Total Billed Charges |
| RIGHTCARE | MDC S&W | Medicaid / CHIP | $32.56 | Percent of Total Billed Charges |
| UNITED COMMUNITY | STAR | Medicaid / CHIP | $32.56 | Fee Schedule |
| UNITED COMMUNITY | CHIP | Medicaid / CHIP | $32.56 | Fee Schedule |
| UNITED COMMUNITY | STAR KIDS | Medicaid / CHIP | $32.56 | Fee Schedule |
| UNITED COMMUNITY | STAR PLUS | Medicaid / CHIP | $32.56 | Fee Schedule |
| Optum | ALL PRODUCTS | Commercial | $94.09 | Percent of Total Billed Charges |
| BCBS | HMO | Commercial | $127 | Percent of Total Billed Charges |
| FIRSTCARE | ALL PRODUCTS | Commercial | $130 | Percent of Total Billed Charges |
| BCBS | PPO | Commercial | $136 | Percent of Total Billed Charges |
| S&W HEALTH | ALL PRODUCTS | Commercial | $136 | Percent of Total Billed Charges |
| Aetna | ALL PRODUCTS | Commercial | $138 | Percent of Total Billed Charges |
| CIGNA | CIGNA-MGD | Commercial | $138 | Percent of Total Billed Charges |
| HEALTHSCOPE | ALL PRODUCTS | Commercial | $138 | Percent of Total Billed Charges |
| IMAGINE HEALTH | ALL PRODUCTS | Commercial | $138 | Percent of Total Billed Charges |
| UHC | MGD | Commercial | $138 | Percent of Total Billed Charges |
| HUMANA | CONCENTRIC PPO | Commercial | $141 | Percent of Total Billed Charges |
| MULTIPLAN | ALL PRODUCTS | Commercial | $141 | Percent of Total Billed Charges |
| MULTIPLAN | PHCS | Commercial | $141 | Percent of Total Billed Charges |
| FIRST HEALTH | PPO | Commercial | $143 | Percent of Total Billed Charges |
| HUMANA | CHOICECARE PPO | Commercial | $143 | Percent of Total Billed Charges |
| BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | Commercial | $146 | Percent of Total Billed Charges |
| Healthsmart | ALL PRODUCTS | Commercial | $146 | Percent of Total Billed Charges |
| GALAXY HEALTH | ALL PRODUCTS | Commercial | $146 | Percent of Total Billed Charges |
| USAMCO | ALL PRODUCTS | Commercial | $149 | Percent of Total Billed Charges |
What this price covers
These are hospital charges for CPT code 82306 (Vitamin D (25-hydroxy) test). A hospital price file covers the hospital's own charges. Doctors who are not hospital employees — for imaging, usually the radiologist who reads the scan — can bill you separately, and extra services on the same day (contrast, an injection, a consultation) have their own codes.
How to ask for a lower price without insurance
- Ask the hospital for a Good Faith Estimate. If you are uninsured or not using insurance, federal law entitles you to a written estimate on request, and automatically when you schedule at least three business days ahead (CMS: No Surprises Act).
- Ask whether the hospital has an uninsured discount or a financial assistance policy, and how to apply.
- Compare with an independent imaging center or lab: they are not covered by the hospital price rule and often quote lower cash prices.