How much does a diagnostic mammogram cost in Dallas–Fort Worth?

38 hospitals in Dallas–Fort Worth list a self-pay price of $340–$394 for a diagnostic mammogram (both breasts) (CPT 77066). The typical commercial rate in the same files is $329.

Hospital files dated March 10, 2026 – June 29, 2026 · Data checked October 2, 2026 · How we read these files · Report an error

Published cash price
$340–$394
what 38 hospitals list for a self-pay diagnostic mammogram
Typical insured rate
$329
median of every commercial plan rate in the files
Lowest insured rate
$118
UNITED HEALTHCARE MANAGED CARE (MHS HB UHC EXCHANGE MDMC), Methodist Dallas Medical Center

Diagnostic mammogram 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 77066; Medicaid and Medicare Advantage are shown separately below.

Diagnostic mammogram (both breasts) (CPT 77066) — Dallas–Fort Worth
HospitalPublished cash priceTypical insured rateLowest insured rate
Baylor Scott & White Medical Center – Lake PointeBaylor Scott & White Health · file Jun 2026$340Cash ÷ typical 1.0×$32926 plans$167
Baylor Scott & White The Heart Hospital – DentonBaylor Scott & White Health · file Jun 2026$340Cash ÷ typical 1.0×$32925 plans$167
Baylor Scott & White The Heart Hospital – McKinneyBaylor Scott & White Health · file Jun 2026$340Cash ÷ typical 1.0×$32921 plans$167
Baylor Scott & White The Heart Hospital – PlanoBaylor Scott & White Health · file Jun 2026$340Cash ÷ typical 1.0×$32925 plans$167
Baylor Scott & White All Saints Medical Center – Fort WorthBaylor Scott & White Health · file Jun 2026$340Cash ÷ typical 1.0×$32925 plans$167
Baylor Scott & White Medical Center – Frisco at PGA ParkwayBaylor Scott & White Health · file Jun 2026$340Cash ÷ typical 1.0×$32925 plans$167
Baylor Scott & White Medical Center – McKinneyBaylor Scott & White Health · file Jun 2026$340Cash ÷ typical 1.0×$32925 plans$167
Baylor Scott & White Medical Center – GrapevineBaylor Scott & White Health · file Jun 2026$340Cash ÷ typical 1.0×$32925 plans$167
Baylor University Medical CenterBaylor Scott & White Health · file Jun 2026$340Cash ÷ typical 1.0×$32926 plans$167
Baylor Scott & White Medical Center – WaxahachieBaylor Scott & White Health · file Jun 2026$340Cash ÷ typical 1.0×$32925 plans$167
Baylor Scott & White Medical Center – IrvingBaylor Scott & White Health · file Jun 2026$340Cash ÷ typical 1.0×$32925 plans$167
Baylor Scott & White Heart and Vascular Hospital – DallasBaylor Scott & White Health · file Jun 2026$340Cash ÷ typical 1.0×$32924 plans$167
Baylor Scott & White Heart and Vascular Hospital – WaxahachieBaylor Scott & White Health · file Jun 2026$340Cash ÷ typical 1.1×$32020 plans$167
Baylor Scott & White Medical Center – PlanoBaylor Scott & White Health · file Jun 2026$340Cash ÷ typical 1.0×$32927 plans$167
Baylor Scott & White Medical Center – CentennialBaylor Scott & White Health · file Jun 2026$340Cash ÷ typical 1.0×$32925 plans$167
Methodist Celina Medical CenterMethodist Health System · file Mar 2026$348Cash ÷ typical 1.1×$31319 plans$203
Methodist Dallas Medical CenterMethodist Health System · file Mar 2026$348Cash ÷ typical 1.6×$22033 plans$118
Methodist Mansfield Medical CenterMethodist Health System · file Mar 2026$348Cash ÷ typical 1.7×$20327 plans$118
Methodist Midlothian Medical CenterMethodist Health System · file Mar 2026$348Cash ÷ typical 1.3×$26220 plans$167
Methodist Richardson Medical CenterMethodist Health System · file Mar 2026$348Cash ÷ typical 1.2×$28227 plans$167
Methodist Southlake Medical CenterMethodist Health System · file Mar 2026$348Cash ÷ typical 1.1×$31333 plans$167
Parkland Health (Parkland Memorial Hospital)Parkland Health · file May 2026$352Cash ÷ typical 0.6×$58811 plans$184
Texas Health Hospital RockwallTexas Health Resources · file Apr 2026$366Cash ÷ typical 1.0×$35121 plans$181
Texas Health Presbyterian Hospital Flower MoundTexas Health Resources · file Apr 2026$366Cash ÷ typical 1.0×$35121 plans$181
Texas Health Presbyterian Hospital DentonTexas Health Resources · file Apr 2026$366Cash ÷ typical 1.0×$35121 plans$181
Texas Health Harris Methodist Hospital AllianceTexas Health Resources · file Apr 2026$366Cash ÷ typical 1.0×$35121 plans$181
Texas Health Center for Diagnostics and Surgery PlanoTexas Health Resources · file Apr 2026$366Cash ÷ typical 1.0×$35121 plans$181
Texas Health Arlington Memorial HospitalTexas Health Resources · file Apr 2026$366Cash ÷ typical 1.0×$35121 plans$181
Texas Health Presbyterian Hospital DallasTexas Health Resources · file Apr 2026$366Cash ÷ typical 1.0×$35121 plans$181
Texas Health Harris Methodist Hospital AzleTexas Health Resources · file Apr 2026$366Cash ÷ typical 1.0×$35121 plans$181
Texas Health Harris Methodist Hospital CleburneTexas Health Resources · file Apr 2026$366Cash ÷ typical 1.0×$35121 plans$181
Texas Health Hospital ClearforkTexas Health Resources · file Apr 2026$366Cash ÷ typical 1.0×$35121 plans$181
Texas Health Presbyterian Hospital PlanoTexas Health Resources · file Apr 2026$366Cash ÷ typical 1.0×$35121 plans$181
Texas Health Presbyterian Hospital KaufmanTexas Health Resources · file Apr 2026$366Cash ÷ typical 1.0×$35121 plans$181
Texas Health Presbyterian Hospital AllenTexas Health Resources · file Apr 2026$366Cash ÷ typical 1.0×$35121 plans$181
Texas Health Harris Methodist Hospital Fort WorthTexas Health Resources · file Apr 2026$366Cash ÷ typical 1.0×$35121 plans$181
Texas Health Hospital FriscoTexas Health Resources · file Apr 2026$366Cash ÷ typical 1.0×$35121 plans$181
UT Southwestern William P. Clements Jr. University HospitalUT Southwestern Medical Center · file Mar 2026$394Cash ÷ typical 0.7×$55119 plans$295

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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.

Negotiated rates by insurer
HospitalBlue Cross Blue ShieldAetnaCignaUnitedHealthcareHumanaOscarAmbetterMedicaid / CHIPMedicare Advantage
Baylor Scott & White Medical Center – Lake Pointe$276–$583$312$280–$329$167–$185$397—$369$62.37–$66.74—
Baylor Scott & White The Heart Hospital – Denton$241–$508$312$280–$329$167–$185$397—$369$62.37–$66.74—
Baylor Scott & White The Heart Hospital – McKinney$241–$508$312$280–$329$167–$185$397——$103—
Baylor Scott & White The Heart Hospital – Plano$241–$508$312$280–$329$167–$185$397—$369$72.80–$85.05$340
Baylor Scott & White All Saints Medical Center – Fort Worth$241–$508$312$280–$329$167–$185$397—$369$90.72–$97.07$340
Baylor Scott & White Medical Center – Frisco at PGA Parkway$241–$508$312$280–$329$167–$185$397—$369$159$340
Baylor Scott & White Medical Center – McKinney$241–$508$312$280–$329$167–$185$397—$369$96–$103$340
Baylor Scott & White Medical Center – Grapevine$241–$508$312$280–$329$167–$185$397—$369$85.05–$91.00$340
Baylor University Medical Center$241–$508$312$280–$329$167–$185$397—$369$96–$103$340
Baylor Scott & White Medical Center – Waxahachie$241–$508$312$280–$329$167–$185$397—$369$85.05–$91.00$340
Baylor Scott & White Medical Center – Irving$241–$508$312$280–$329$167–$185$397—$369$62.37–$66.74$340
Baylor Scott & White Heart and Vascular Hospital – Dallas$241–$508$312$280–$329$167–$185$397—$369$45.36–$48.54$340
Baylor Scott & White Heart and Vascular Hospital – Waxahachie$241–$508$312—$167–$185$397————
Baylor Scott & White Medical Center – Plano$241–$508$312$280–$329$167–$185$397—$369$68.04–$72.80$340
Baylor Scott & White Medical Center – Centennial$276–$583$312$280–$329$167–$185$397—$369$90.72–$97.07—
Methodist Celina Medical Center$220–$419$253———$203—$873$156–$167
Methodist Dallas Medical Center$203–$386$178–$557$204$118—$143$188$95–$410$110–$119
Methodist Mansfield Medical Center$203–$386$178$204$118—$143$188$83–$373$110–$119
Methodist Midlothian Medical Center—$253$289$167—$203$267$196–$844$156–$169
Methodist Richardson Medical Center$242–$460$253$289$167—$203$267$111–$479$156–$169
Methodist Southlake Medical Center$203–$386$253–$650$289$167–$206—$203$267$324–$1,459$156–$169
Parkland Health (Parkland Memorial Hospital)$184–$634$529$529$588———$133–$712$184–$187
Texas Health Hospital Rockwall$316–$950$207–$428$236–$574$210–$276———$58–$166$151–$170
Texas Health Presbyterian Hospital Flower Mound$316–$950$207–$428$236–$574$210–$276———$92–$166$151–$170
Texas Health Presbyterian Hospital Denton$186–$950$207–$428$236–$574$210–$276———$57–$166$151–$170
Texas Health Harris Methodist Hospital Alliance$186–$950$207–$428$236–$574$210–$276———$63–$171$155–$175
Texas Health Center for Diagnostics and Surgery Plano$316–$950$207–$428$236–$574$210–$276———$88–$162$147–$166
Texas Health Arlington Memorial Hospital$186–$950$207–$428$236–$574$210–$276———$62–$171$155–$175
Texas Health Presbyterian Hospital Dallas$186–$950$207–$428$236–$574$210–$276———$57–$172$156–$177
Texas Health Harris Methodist Hospital Azle$316–$950$207–$428$236–$574$210–$276———$67–$171$155–$175
Texas Health Harris Methodist Hospital Cleburne$316–$950$207–$428$236–$574$210–$276———$62–$162$147–$166
Texas Health Hospital Clearfork$186–$950$207–$428$236–$574$210–$276———$50–$171$155–$175
Texas Health Presbyterian Hospital Plano$186–$950$207–$428$236–$574$210–$276———$75–$166$151–$170
Texas Health Presbyterian Hospital Kaufman$316–$950$207–$428$236–$574$210–$276———$57–$166$151–$170
Texas Health Presbyterian Hospital Allen$186–$950$207–$428$236–$574$210–$276———$70–$166$151–$170
Texas Health Harris Methodist Hospital Fort Worth$186–$560$207–$428$236–$574$210–$276———$79–$171$155–$175
Texas Health Hospital Frisco$186–$950$207–$428$236–$574$210–$276———$109–$166$151–$170
UT Southwestern William P. Clements Jr. University Hospital$422–$735$305–$381$580$295–$568———$114–$123—
Baylor Scott & White Medical Center – Lake Pointe: all 31 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior Health PlanMedicaidMedicaid / CHIP$62.37percent of total billed charges
WellPoint (fka Amerigroup)CHIP/MedicaidMedicaid / CHIP$62.37percent of total billed charges
United HealthcareMedicaid/CHIPMedicaid / CHIP$66.74percent of total billed charges
United HealthcareCharterCommercial$167percent of total billed charges
United HealthcareNexusCommercial$167percent of total billed charges
United HealthcareCommercial BroadCommercial$185percent of total billed charges
Employers Health NetworkBSWQA Direct/EHN RentalCommercial$266percent of total billed charges
Blue Cross Blue ShieldBlue AdvantageCommercial$276fee schedule
Baylor Scott & White Health PlanBSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH EmployeeCommercial$280percent of total billed charges
CignaLocal PlusCommercial$280percent of total billed charges
AetnaCommercialCommercial$312percent of total billed charges
QuikTripEmployee Benefit PlanCommercial$312percent of total billed charges
Employers Health NetworkEHN NetworkCommercial$312percent of total billed charges
Imagine HealthCommercialCommercial$312percent of total billed charges
Baylor Scott & White Health PlanBSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)Commercial$329percent of total billed charges
CignaHMO/PPOCommercial$329percent of total billed charges
University of Mary Hardin-BaylorCommercialCommercial$329percent of total billed charges
Texas A&M CommerceInjured AthletesCommercial$340percent of total billed charges
CurativeCommercialCommercial$369percent of total billed charges
Superior AmbetterAmbetter ExchangeCommercial$369percent of total billed charges
Blue Cross Blue ShieldBlue Premier/High Performance Network/My BlueHealthCommercial$390fee schedule
First HealthPPOCommercial$397percent of total billed charges
HealthSmartAccel NetworkCommercial$397percent of total billed charges
HumanaCommercial PPOCommercial$397percent of total billed charges
HealthSmartPreferred NetworkCommercial$425percent of total billed charges
Private Health Care SystemPHCS NetworkCommercial$425percent of total billed charges
TriWestCommunity Care NetworkMilitary / VA$425percent of total billed charges
CORVELWorker's CompensationWorkers' comp$482percent of total billed charges
Blue Cross Blue ShieldCity of DallasCommercial$525fee schedule
Blue Cross Blue ShieldBlue Essentials (HMO)Commercial$554fee schedule
Blue Cross Blue ShieldBlueChoice (PPO)Commercial$583fee schedule
Baylor Scott & White The Heart Hospital – Denton: all 29 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior Health PlanMedicaidMedicaid / CHIP$62.37percent of total billed charges
United HealthcareMedicaid/CHIPMedicaid / CHIP$66.74percent of total billed charges
United HealthcareCharterCommercial$167percent of total billed charges
United HealthcareNexusCommercial$167percent of total billed charges
United HealthcareCommercial BroadCommercial$185percent of total billed charges
Blue Cross Blue ShieldBlue AdvantageCommercial$241fee schedule
Employers Health NetworkBSWQA Direct/EHN RentalCommercial$266percent of total billed charges
Baylor Scott & White Health PlanBSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH EmployeeCommercial$280percent of total billed charges
CignaLocal PlusCommercial$280percent of total billed charges
AetnaCommercialCommercial$312percent of total billed charges
QuikTripEmployee Benefit PlanCommercial$312percent of total billed charges
Employers Health NetworkEHN NetworkCommercial$312percent of total billed charges
Imagine HealthCommercialCommercial$312percent of total billed charges
Baylor Scott & White Health PlanBSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)Commercial$329percent of total billed charges
CignaHMO/PPOCommercial$329percent of total billed charges
University of Mary Hardin-BaylorCommercialCommercial$329percent of total billed charges
Blue Cross Blue ShieldBlue Premier/High Performance Network/My BlueHealthCommercial$341fee schedule
CurativeCommercialCommercial$369percent of total billed charges
Superior AmbetterAmbetter ExchangeCommercial$369percent of total billed charges
First HealthPPOCommercial$397percent of total billed charges
HealthSmartAccel NetworkCommercial$397percent of total billed charges
HumanaCommercial PPOCommercial$397percent of total billed charges
HealthSmartPreferred NetworkCommercial$425percent of total billed charges
Private Health Care SystemPHCS NetworkCommercial$425percent of total billed charges
TriWestCommunity Care NetworkMilitary / VA$425percent of total billed charges
Blue Cross Blue ShieldCity of DallasCommercial$457fee schedule
CORVELWorker's CompensationWorkers' comp$482percent of total billed charges
Blue Cross Blue ShieldBlue Essentials (HMO)Commercial$483fee schedule
Blue Cross Blue ShieldBlueChoice (PPO)Commercial$508fee schedule
Baylor Scott & White The Heart Hospital – McKinney: all 23 plan rates
PayerPlan (as written in the file)TypeRateMethod
United HealthcareMedicaid/CHIPMedicaid / CHIP$103percent of total billed charges
United HealthcareCharterCommercial$167percent of total billed charges
United HealthcareNexusCommercial$167percent of total billed charges
United HealthcareCommercial BroadCommercial$185percent of total billed charges
Blue Cross Blue ShieldBlue AdvantageCommercial$241fee schedule
Employers Health NetworkBSWQA Direct/EHN RentalCommercial$266percent of total billed charges
CignaLocal PlusCommercial$280percent of total billed charges
AetnaCommercialCommercial$312percent of total billed charges
QuikTripEmployee Benefit PlanCommercial$312percent of total billed charges
Employers Health NetworkEHN NetworkCommercial$312percent of total billed charges
CignaHMO/PPOCommercial$329percent of total billed charges
University of Mary Hardin-BaylorCommercialCommercial$329percent of total billed charges
Blue Cross Blue ShieldBlue Premier/High Performance Network/My BlueHealthCommercial$341fee schedule
CurativeCommercialCommercial$369percent of total billed charges
First HealthPPOCommercial$397percent of total billed charges
HealthSmartAccel NetworkCommercial$397percent of total billed charges
HumanaCommercial PPOCommercial$397percent of total billed charges
HealthSmartPreferred NetworkCommercial$425percent of total billed charges
Private Health Care SystemPHCS NetworkCommercial$425percent of total billed charges
Blue Cross Blue ShieldCity of DallasCommercial$457fee schedule
CORVELWorker's CompensationWorkers' comp$482percent of total billed charges
Blue Cross Blue ShieldBlue Essentials (HMO)Commercial$483fee schedule
Blue Cross Blue ShieldBlueChoice (PPO)Commercial$508fee schedule
Baylor Scott & White The Heart Hospital – Plano: all 30 plan rates
PayerPlan (as written in the file)TypeRateMethod
United HealthcareMedicaid/CHIPMedicaid / CHIP$72.80percent of total billed charges
Superior Health PlanMedicaidMedicaid / CHIP$85.05percent of total billed charges
United HealthcareCharterCommercial$167percent of total billed charges
United HealthcareNexusCommercial$167percent of total billed charges
United HealthcareCommercial BroadCommercial$185percent of total billed charges
Blue Cross Blue ShieldBlue AdvantageCommercial$241fee schedule
Employers Health NetworkBSWQA Direct/EHN RentalCommercial$266percent of total billed charges
Baylor Scott & White Health PlanBSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH EmployeeCommercial$280percent of total billed charges
CignaLocal PlusCommercial$280percent of total billed charges
AetnaCommercialCommercial$312percent of total billed charges
QuikTripEmployee Benefit PlanCommercial$312percent of total billed charges
Employers Health NetworkEHN NetworkCommercial$312percent of total billed charges
Imagine HealthCommercialCommercial$312percent of total billed charges
Baylor Scott & White Health PlanBSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)Commercial$329percent of total billed charges
CignaHMO/PPOCommercial$329percent of total billed charges
University of Mary Hardin-BaylorCommercialCommercial$329percent of total billed charges
AetnaMedicare AdvantageMedicare Advantage$340percent of total billed charges
Blue Cross Blue ShieldBlue Premier/High Performance Network/My BlueHealthCommercial$341fee schedule
CurativeCommercialCommercial$369percent of total billed charges
Superior AmbetterAmbetter ExchangeCommercial$369percent of total billed charges
First HealthPPOCommercial$397percent of total billed charges
HealthSmartAccel NetworkCommercial$397percent of total billed charges
HumanaCommercial PPOCommercial$397percent of total billed charges
HealthSmartPreferred NetworkCommercial$425percent of total billed charges
Private Health Care SystemPHCS NetworkCommercial$425percent of total billed charges
TriWestCommunity Care NetworkMilitary / VA$425percent of total billed charges
Blue Cross Blue ShieldCity of DallasCommercial$457fee schedule
CORVELWorker's CompensationWorkers' comp$482percent of total billed charges
Blue Cross Blue ShieldBlue Essentials (HMO)Commercial$483fee schedule
Blue Cross Blue ShieldBlueChoice (PPO)Commercial$508fee schedule
Baylor Scott & White All Saints Medical Center – Fort Worth: all 33 plan rates
PayerPlan (as written in the file)TypeRateMethod
Cook Children's Health PlanMedicaidMedicaid / CHIP$90.72percent of total billed charges
Superior Health PlanMedicaidMedicaid / CHIP$90.72percent of total billed charges
WellPoint (fka Amerigroup)CHIP/MedicaidMedicaid / CHIP$90.72percent of total billed charges
AetnaMedicaidMedicaid / CHIP$92.53percent of total billed charges
United HealthcareMedicaid/CHIPMedicaid / CHIP$97.07percent of total billed charges
United HealthcareCharterCommercial$167percent of total billed charges
United HealthcareNexusCommercial$167percent of total billed charges
United HealthcareCommercial BroadCommercial$185percent of total billed charges
Blue Cross Blue ShieldBlue AdvantageCommercial$241fee schedule
Employers Health NetworkBSWQA Direct/EHN RentalCommercial$266percent of total billed charges
Baylor Scott & White Health PlanBSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH EmployeeCommercial$280percent of total billed charges
CignaLocal PlusCommercial$280percent of total billed charges
AetnaCommercialCommercial$312percent of total billed charges
QuikTripEmployee Benefit PlanCommercial$312percent of total billed charges
Employers Health NetworkEHN NetworkCommercial$312percent of total billed charges
Imagine HealthCommercialCommercial$312percent of total billed charges
Baylor Scott & White Health PlanBSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)Commercial$329percent of total billed charges
CignaHMO/PPOCommercial$329percent of total billed charges
University of Mary Hardin-BaylorCommercialCommercial$329percent of total billed charges
AetnaMedicare AdvantageMedicare Advantage$340percent of total billed charges
Blue Cross Blue ShieldBlue Premier/High Performance Network/My BlueHealthCommercial$341fee schedule
CurativeCommercialCommercial$369percent of total billed charges
Superior AmbetterAmbetter ExchangeCommercial$369percent of total billed charges
First HealthPPOCommercial$397percent of total billed charges
HealthSmartAccel NetworkCommercial$397percent of total billed charges
HumanaCommercial PPOCommercial$397percent of total billed charges
HealthSmartPreferred NetworkCommercial$425percent of total billed charges
Private Health Care SystemPHCS NetworkCommercial$425percent of total billed charges
TriWestCommunity Care NetworkMilitary / VA$425percent of total billed charges
Blue Cross Blue ShieldCity of DallasCommercial$457fee schedule
CORVELWorker's CompensationWorkers' comp$482percent of total billed charges
Blue Cross Blue ShieldBlue Essentials (HMO)Commercial$483fee schedule
Blue Cross Blue ShieldBlueChoice (PPO)Commercial$508fee schedule
Baylor Scott & White Medical Center – Frisco at PGA Parkway: all 28 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior Health PlanMedicaidMedicaid / CHIP$159percent of total billed charges
United HealthcareCharterCommercial$167percent of total billed charges
United HealthcareNexusCommercial$167percent of total billed charges
United HealthcareCommercial BroadCommercial$185percent of total billed charges
Blue Cross Blue ShieldBlue AdvantageCommercial$241fee schedule
Employers Health NetworkBSWQA Direct/EHN RentalCommercial$266percent of total billed charges
Baylor Scott & White Health PlanBSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH EmployeeCommercial$280percent of total billed charges
CignaLocal PlusCommercial$280percent of total billed charges
AetnaCommercialCommercial$312percent of total billed charges
QuikTripEmployee Benefit PlanCommercial$312percent of total billed charges
Employers Health NetworkEHN NetworkCommercial$312percent of total billed charges
Imagine HealthCommercialCommercial$312percent of total billed charges
Baylor Scott & White Health PlanBSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)Commercial$329percent of total billed charges
CignaHMO/PPOCommercial$329percent of total billed charges
University of Mary Hardin-BaylorCommercialCommercial$329percent of total billed charges
AetnaMedicare AdvantageMedicare Advantage$340percent of total billed charges
Blue Cross Blue ShieldBlue Premier/High Performance Network/My BlueHealthCommercial$341fee schedule
CurativeCommercialCommercial$369percent of total billed charges
Superior AmbetterAmbetter ExchangeCommercial$369percent of total billed charges
First HealthPPOCommercial$397percent of total billed charges
HealthSmartAccel NetworkCommercial$397percent of total billed charges
HumanaCommercial PPOCommercial$397percent of total billed charges
HealthSmartPreferred NetworkCommercial$425percent of total billed charges
Private Health Care SystemPHCS NetworkCommercial$425percent of total billed charges
Blue Cross Blue ShieldCity of DallasCommercial$457fee schedule
CORVELWorker's CompensationWorkers' comp$482percent of total billed charges
Blue Cross Blue ShieldBlue Essentials (HMO)Commercial$483fee schedule
Blue Cross Blue ShieldBlueChoice (PPO)Commercial$508fee schedule
Baylor Scott & White Medical Center – McKinney: all 30 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior Health PlanMedicaidMedicaid / CHIP$96.39percent of total billed charges
United HealthcareMedicaid/CHIPMedicaid / CHIP$103percent of total billed charges
United HealthcareCharterCommercial$167percent of total billed charges
United HealthcareNexusCommercial$167percent of total billed charges
United HealthcareCommercial BroadCommercial$185percent of total billed charges
Blue Cross Blue ShieldBlue AdvantageCommercial$241fee schedule
Employers Health NetworkBSWQA Direct/EHN RentalCommercial$266percent of total billed charges
Baylor Scott & White Health PlanBSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH EmployeeCommercial$280percent of total billed charges
CignaLocal PlusCommercial$280percent of total billed charges
AetnaCommercialCommercial$312percent of total billed charges
QuikTripEmployee Benefit PlanCommercial$312percent of total billed charges
Employers Health NetworkEHN NetworkCommercial$312percent of total billed charges
Imagine HealthCommercialCommercial$312percent of total billed charges
Baylor Scott & White Health PlanBSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)Commercial$329percent of total billed charges
CignaHMO/PPOCommercial$329percent of total billed charges
University of Mary Hardin-BaylorCommercialCommercial$329percent of total billed charges
AetnaMedicare AdvantageMedicare Advantage$340percent of total billed charges
Blue Cross Blue ShieldBlue Premier/High Performance Network/My BlueHealthCommercial$341fee schedule
CurativeCommercialCommercial$369percent of total billed charges
Superior AmbetterAmbetter ExchangeCommercial$369percent of total billed charges
First HealthPPOCommercial$397percent of total billed charges
HealthSmartAccel NetworkCommercial$397percent of total billed charges
HumanaCommercial PPOCommercial$397percent of total billed charges
HealthSmartPreferred NetworkCommercial$425percent of total billed charges
Private Health Care SystemPHCS NetworkCommercial$425percent of total billed charges
TriWestCommunity Care NetworkMilitary / VA$425percent of total billed charges
Blue Cross Blue ShieldCity of DallasCommercial$457fee schedule
CORVELWorker's CompensationWorkers' comp$482percent of total billed charges
Blue Cross Blue ShieldBlue Essentials (HMO)Commercial$483fee schedule
Blue Cross Blue ShieldBlueChoice (PPO)Commercial$508fee schedule
Baylor Scott & White Medical Center – Grapevine: all 31 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior Health PlanMedicaidMedicaid / CHIP$85.05percent of total billed charges
AetnaMedicaidMedicaid / CHIP$86.75percent of total billed charges
United HealthcareMedicaid/CHIPMedicaid / CHIP$91.00percent of total billed charges
United HealthcareCharterCommercial$167percent of total billed charges
United HealthcareNexusCommercial$167percent of total billed charges
United HealthcareCommercial BroadCommercial$185percent of total billed charges
Blue Cross Blue ShieldBlue AdvantageCommercial$241fee schedule
Employers Health NetworkBSWQA Direct/EHN RentalCommercial$266percent of total billed charges
Baylor Scott & White Health PlanBSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH EmployeeCommercial$280percent of total billed charges
CignaLocal PlusCommercial$280percent of total billed charges
AetnaCommercialCommercial$312percent of total billed charges
QuikTripEmployee Benefit PlanCommercial$312percent of total billed charges
Employers Health NetworkEHN NetworkCommercial$312percent of total billed charges
Imagine HealthCommercialCommercial$312percent of total billed charges
Baylor Scott & White Health PlanBSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)Commercial$329percent of total billed charges
CignaHMO/PPOCommercial$329percent of total billed charges
University of Mary Hardin-BaylorCommercialCommercial$329percent of total billed charges
AetnaMedicare AdvantageMedicare Advantage$340percent of total billed charges
Blue Cross Blue ShieldBlue Premier/High Performance Network/My BlueHealthCommercial$341fee schedule
CurativeCommercialCommercial$369percent of total billed charges
Superior AmbetterAmbetter ExchangeCommercial$369percent of total billed charges
First HealthPPOCommercial$397percent of total billed charges
HealthSmartAccel NetworkCommercial$397percent of total billed charges
HumanaCommercial PPOCommercial$397percent of total billed charges
HealthSmartPreferred NetworkCommercial$425percent of total billed charges
Private Health Care SystemPHCS NetworkCommercial$425percent of total billed charges
TriWestCommunity Care NetworkMilitary / VA$425percent of total billed charges
Blue Cross Blue ShieldCity of DallasCommercial$457fee schedule
CORVELWorker's CompensationWorkers' comp$482percent of total billed charges
Blue Cross Blue ShieldBlue Essentials (HMO)Commercial$483fee schedule
Blue Cross Blue ShieldBlueChoice (PPO)Commercial$508fee schedule
Baylor University Medical Center: all 33 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior Health PlanMedicaidMedicaid / CHIP$96.39percent of total billed charges
WellPoint (fka Amerigroup)CHIP/MedicaidMedicaid / CHIP$96.39percent of total billed charges
United HealthcareMedicaid/CHIPMedicaid / CHIP$103percent of total billed charges
United HealthcareCharterCommercial$167percent of total billed charges
United HealthcareNexusCommercial$167percent of total billed charges
United HealthcareCommercial BroadCommercial$185percent of total billed charges
Texas Workforce CommissionWorkers CompensationWorkers' comp$204percent of total billed charges
Blue Cross Blue ShieldBlue AdvantageCommercial$241fee schedule
Employers Health NetworkBSWQA Direct/EHN RentalCommercial$266percent of total billed charges
Baylor Scott & White Health PlanBSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH EmployeeCommercial$280percent of total billed charges
CignaLocal PlusCommercial$280percent of total billed charges
AetnaCommercialCommercial$312percent of total billed charges
QuikTripEmployee Benefit PlanCommercial$312percent of total billed charges
Employers Health NetworkEHN NetworkCommercial$312percent of total billed charges
Imagine HealthCommercialCommercial$312percent of total billed charges
Baylor Scott & White Health PlanBSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)Commercial$329percent of total billed charges
CignaHMO/PPOCommercial$329percent of total billed charges
University of Mary Hardin-BaylorCommercialCommercial$329percent of total billed charges
AetnaMedicare AdvantageMedicare Advantage$340percent of total billed charges
Blue Cross Blue ShieldBlue Premier/High Performance Network/My BlueHealthCommercial$341fee schedule
CurativeCommercialCommercial$369percent of total billed charges
Superior AmbetterAmbetter ExchangeCommercial$369percent of total billed charges
First HealthPPOCommercial$397percent of total billed charges
HealthSmartAccel NetworkCommercial$397percent of total billed charges
HumanaCommercial PPOCommercial$397percent of total billed charges
OptumCommercialCommercial$397percent of total billed charges
HealthSmartPreferred NetworkCommercial$425percent of total billed charges
Private Health Care SystemPHCS NetworkCommercial$425percent of total billed charges
TriWestCommunity Care NetworkMilitary / VA$425percent of total billed charges
Blue Cross Blue ShieldCity of DallasCommercial$457fee schedule
CORVELWorker's CompensationWorkers' comp$482percent of total billed charges
Blue Cross Blue ShieldBlue Essentials (HMO)Commercial$483fee schedule
Blue Cross Blue ShieldBlueChoice (PPO)Commercial$508fee schedule
Baylor Scott & White Medical Center – Waxahachie: all 30 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior Health PlanMedicaidMedicaid / CHIP$85.05percent of total billed charges
United HealthcareMedicaid/CHIPMedicaid / CHIP$91.00percent of total billed charges
United HealthcareCharterCommercial$167percent of total billed charges
United HealthcareNexusCommercial$167percent of total billed charges
United HealthcareCommercial BroadCommercial$185percent of total billed charges
Blue Cross Blue ShieldBlue AdvantageCommercial$241fee schedule
Employers Health NetworkBSWQA Direct/EHN RentalCommercial$266percent of total billed charges
Baylor Scott & White Health PlanBSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH EmployeeCommercial$280percent of total billed charges
CignaLocal PlusCommercial$280percent of total billed charges
AetnaCommercialCommercial$312percent of total billed charges
QuikTripEmployee Benefit PlanCommercial$312percent of total billed charges
Employers Health NetworkEHN NetworkCommercial$312percent of total billed charges
Imagine HealthCommercialCommercial$312percent of total billed charges
Baylor Scott & White Health PlanBSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)Commercial$329percent of total billed charges
CignaHMO/PPOCommercial$329percent of total billed charges
University of Mary Hardin-BaylorCommercialCommercial$329percent of total billed charges
AetnaMedicare AdvantageMedicare Advantage$340percent of total billed charges
Blue Cross Blue ShieldBlue Premier/High Performance Network/My BlueHealthCommercial$341fee schedule
CurativeCommercialCommercial$369percent of total billed charges
Superior AmbetterAmbetter ExchangeCommercial$369percent of total billed charges
First HealthPPOCommercial$397percent of total billed charges
HealthSmartAccel NetworkCommercial$397percent of total billed charges
HumanaCommercial PPOCommercial$397percent of total billed charges
HealthSmartPreferred NetworkCommercial$425percent of total billed charges
Private Health Care SystemPHCS NetworkCommercial$425percent of total billed charges
TriWestCommunity Care NetworkMilitary / VA$425percent of total billed charges
Blue Cross Blue ShieldCity of DallasCommercial$457fee schedule
CORVELWorker's CompensationWorkers' comp$482percent of total billed charges
Blue Cross Blue ShieldBlue Essentials (HMO)Commercial$483fee schedule
Blue Cross Blue ShieldBlueChoice (PPO)Commercial$508fee schedule
Baylor Scott & White Medical Center – Irving: all 31 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior Health PlanMedicaidMedicaid / CHIP$62.37percent of total billed charges
WellPoint (fka Amerigroup)CHIP/MedicaidMedicaid / CHIP$62.37percent of total billed charges
United HealthcareMedicaid/CHIPMedicaid / CHIP$66.74percent of total billed charges
United HealthcareCharterCommercial$167percent of total billed charges
United HealthcareNexusCommercial$167percent of total billed charges
United HealthcareCommercial BroadCommercial$185percent of total billed charges
Blue Cross Blue ShieldBlue AdvantageCommercial$241fee schedule
Employers Health NetworkBSWQA Direct/EHN RentalCommercial$266percent of total billed charges
Baylor Scott & White Health PlanBSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH EmployeeCommercial$280percent of total billed charges
CignaLocal PlusCommercial$280percent of total billed charges
AetnaCommercialCommercial$312percent of total billed charges
QuikTripEmployee Benefit PlanCommercial$312percent of total billed charges
Employers Health NetworkEHN NetworkCommercial$312percent of total billed charges
Imagine HealthCommercialCommercial$312percent of total billed charges
Baylor Scott & White Health PlanBSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)Commercial$329percent of total billed charges
CignaHMO/PPOCommercial$329percent of total billed charges
University of Mary Hardin-BaylorCommercialCommercial$329percent of total billed charges
AetnaMedicare AdvantageMedicare Advantage$340percent of total billed charges
Blue Cross Blue ShieldBlue Premier/High Performance Network/My BlueHealthCommercial$341fee schedule
CurativeCommercialCommercial$369percent of total billed charges
Superior AmbetterAmbetter ExchangeCommercial$369percent of total billed charges
First HealthPPOCommercial$397percent of total billed charges
HealthSmartAccel NetworkCommercial$397percent of total billed charges
HumanaCommercial PPOCommercial$397percent of total billed charges
HealthSmartPreferred NetworkCommercial$425percent of total billed charges
Private Health Care SystemPHCS NetworkCommercial$425percent of total billed charges
TriWestCommunity Care NetworkMilitary / VA$425percent of total billed charges
Blue Cross Blue ShieldCity of DallasCommercial$457fee schedule
CORVELWorker's CompensationWorkers' comp$482percent of total billed charges
Blue Cross Blue ShieldBlue Essentials (HMO)Commercial$483fee schedule
Blue Cross Blue ShieldBlueChoice (PPO)Commercial$508fee schedule
Baylor Scott & White Heart and Vascular Hospital – Dallas: all 29 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior Health PlanMedicaidMedicaid / CHIP$45.36percent of total billed charges
United HealthcareMedicaid/CHIPMedicaid / CHIP$48.54percent of total billed charges
United HealthcareCharterCommercial$167percent of total billed charges
United HealthcareNexusCommercial$167percent of total billed charges
United HealthcareCommercial BroadCommercial$185percent of total billed charges
Blue Cross Blue ShieldBlue AdvantageCommercial$241fee schedule
Employers Health NetworkBSWQA Direct/EHN RentalCommercial$266percent of total billed charges
Baylor Scott & White Health PlanBSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH EmployeeCommercial$280percent of total billed charges
CignaLocal PlusCommercial$280percent of total billed charges
AetnaCommercialCommercial$312percent of total billed charges
QuikTripEmployee Benefit PlanCommercial$312percent of total billed charges
Employers Health NetworkEHN NetworkCommercial$312percent of total billed charges
Baylor Scott & White Health PlanBSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)Commercial$329percent of total billed charges
CignaHMO/PPOCommercial$329percent of total billed charges
University of Mary Hardin-BaylorCommercialCommercial$329percent of total billed charges
AetnaMedicare AdvantageMedicare Advantage$340percent of total billed charges
Blue Cross Blue ShieldBlue Premier/High Performance Network/My BlueHealthCommercial$341fee schedule
CurativeCommercialCommercial$369percent of total billed charges
Superior AmbetterAmbetter ExchangeCommercial$369percent of total billed charges
First HealthPPOCommercial$397percent of total billed charges
HealthSmartAccel NetworkCommercial$397percent of total billed charges
HumanaCommercial PPOCommercial$397percent of total billed charges
HealthSmartPreferred NetworkCommercial$425percent of total billed charges
Private Health Care SystemPHCS NetworkCommercial$425percent of total billed charges
TriWestCommunity Care NetworkMilitary / VA$425percent of total billed charges
Blue Cross Blue ShieldCity of DallasCommercial$457fee schedule
CORVELWorker's CompensationWorkers' comp$482percent of total billed charges
Blue Cross Blue ShieldBlue Essentials (HMO)Commercial$483fee schedule
Blue Cross Blue ShieldBlueChoice (PPO)Commercial$508fee schedule
Baylor Scott & White Heart and Vascular Hospital – Waxahachie: all 21 plan rates
PayerPlan (as written in the file)TypeRateMethod
United HealthcareCharterCommercial$167percent of total billed charges
United HealthcareNexusCommercial$167percent of total billed charges
United HealthcareCommercial BroadCommercial$185percent of total billed charges
Blue Cross Blue ShieldBlue AdvantageCommercial$241fee schedule
Employers Health NetworkBSWQA Direct/EHN RentalCommercial$266percent of total billed charges
Baylor Scott & White Health PlanBSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH EmployeeCommercial$280percent of total billed charges
AetnaCommercialCommercial$312percent of total billed charges
QuikTripEmployee Benefit PlanCommercial$312percent of total billed charges
Employers Health NetworkEHN NetworkCommercial$312percent of total billed charges
Imagine HealthCommercialCommercial$312percent of total billed charges
Baylor Scott & White Health PlanBSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)Commercial$329percent of total billed charges
University of Mary Hardin-BaylorCommercialCommercial$329percent of total billed charges
Blue Cross Blue ShieldBlue Premier/High Performance Network/My BlueHealthCommercial$341fee schedule
CurativeCommercialCommercial$369percent of total billed charges
First HealthPPOCommercial$397percent of total billed charges
HumanaCommercial PPOCommercial$397percent of total billed charges
Private Health Care SystemPHCS NetworkCommercial$425percent of total billed charges
Blue Cross Blue ShieldCity of DallasCommercial$457fee schedule
CORVELWorker's CompensationWorkers' comp$482percent of total billed charges
Blue Cross Blue ShieldBlue Essentials (HMO)Commercial$483fee schedule
Blue Cross Blue ShieldBlueChoice (PPO)Commercial$508fee schedule
Baylor Scott & White Medical Center – Plano: all 32 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior Health PlanMedicaidMedicaid / CHIP$68.04percent of total billed charges
United HealthcareMedicaid/CHIPMedicaid / CHIP$72.80percent of total billed charges
United HealthcareCharterCommercial$167percent of total billed charges
United HealthcareNexusCommercial$167percent of total billed charges
United HealthcareCommercial BroadCommercial$185percent of total billed charges
Blue Cross Blue ShieldBlue AdvantageCommercial$241fee schedule
Employers Health NetworkBSWQA Direct/EHN RentalCommercial$266percent of total billed charges
Baylor Scott & White Health PlanBSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH EmployeeCommercial$280percent of total billed charges
CignaLocal PlusCommercial$280percent of total billed charges
AetnaCommercialCommercial$312percent of total billed charges
QuikTripEmployee Benefit PlanCommercial$312percent of total billed charges
Employers Health NetworkEHN NetworkCommercial$312percent of total billed charges
Imagine HealthCommercialCommercial$312percent of total billed charges
Baylor Scott & White Health PlanBSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)Commercial$329percent of total billed charges
CignaHMO/PPOCommercial$329percent of total billed charges
University of Mary Hardin-BaylorCommercialCommercial$329percent of total billed charges
AetnaMedicare AdvantageMedicare Advantage$340percent of total billed charges
Independent Medical SystemCommercial PPOCommercial$340percent of total billed charges
Blue Cross Blue ShieldBlue Premier/High Performance Network/My BlueHealthCommercial$341fee schedule
CurativeCommercialCommercial$369percent of total billed charges
Superior AmbetterAmbetter ExchangeCommercial$369percent of total billed charges
First HealthPPOCommercial$397percent of total billed charges
HealthSmartAccel NetworkCommercial$397percent of total billed charges
HumanaCommercial PPOCommercial$397percent of total billed charges
OptumCommercialCommercial$397percent of total billed charges
HealthSmartPreferred NetworkCommercial$425percent of total billed charges
Private Health Care SystemPHCS NetworkCommercial$425percent of total billed charges
TriWestCommunity Care NetworkMilitary / VA$425percent of total billed charges
Blue Cross Blue ShieldCity of DallasCommercial$457fee schedule
CORVELWorker's CompensationWorkers' comp$482percent of total billed charges
Blue Cross Blue ShieldBlue Essentials (HMO)Commercial$483fee schedule
Blue Cross Blue ShieldBlueChoice (PPO)Commercial$508fee schedule
Baylor Scott & White Medical Center – Centennial: all 30 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior Health PlanMedicaidMedicaid / CHIP$90.72percent of total billed charges
WellPoint (fka Amerigroup)CHIP/MedicaidMedicaid / CHIP$90.72percent of total billed charges
United HealthcareMedicaid/CHIPMedicaid / CHIP$97.07percent of total billed charges
United HealthcareCharterCommercial$167percent of total billed charges
United HealthcareNexusCommercial$167percent of total billed charges
United HealthcareCommercial BroadCommercial$185percent of total billed charges
Employers Health NetworkBSWQA Direct/EHN RentalCommercial$266percent of total billed charges
Blue Cross Blue ShieldBlue AdvantageCommercial$276fee schedule
Baylor Scott & White Health PlanBSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH EmployeeCommercial$280percent of total billed charges
CignaLocal PlusCommercial$280percent of total billed charges
AetnaCommercialCommercial$312percent of total billed charges
QuikTripEmployee Benefit PlanCommercial$312percent of total billed charges
Employers Health NetworkEHN NetworkCommercial$312percent of total billed charges
Imagine HealthCommercialCommercial$312percent of total billed charges
Baylor Scott & White Health PlanBSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)Commercial$329percent of total billed charges
CignaHMO/PPOCommercial$329percent of total billed charges
University of Mary Hardin-BaylorCommercialCommercial$329percent of total billed charges
CurativeCommercialCommercial$369percent of total billed charges
Superior AmbetterAmbetter ExchangeCommercial$369percent of total billed charges
Blue Cross Blue ShieldBlue Premier/High Performance Network/My BlueHealthCommercial$390fee schedule
First HealthPPOCommercial$397percent of total billed charges
HealthSmartAccel NetworkCommercial$397percent of total billed charges
HumanaCommercial PPOCommercial$397percent of total billed charges
HealthSmartPreferred NetworkCommercial$425percent of total billed charges
Private Health Care SystemPHCS NetworkCommercial$425percent of total billed charges
TriWestCommunity Care NetworkMilitary / VA$425percent of total billed charges
CORVELWorker's CompensationWorkers' comp$482percent of total billed charges
Blue Cross Blue ShieldCity of DallasCommercial$525fee schedule
Blue Cross Blue ShieldBlue Essentials (HMO)Commercial$554fee schedule
Blue Cross Blue ShieldBlueChoice (PPO)Commercial$583fee schedule
Methodist Celina Medical Center: all 32 plan rates
PayerPlan (as written in the file)TypeRateMethod
UNITED HEALTHCARE MEDICARE MANAGED CAREMHS HB UHC MEDICARE COMPLETE MCELMedicare Advantage$156fee schedule
AETNA MEDICARE MANAGED CAREMHS HB AETNA GOLDEN MCELMedicare Advantage$156fee schedule
BCBS MEDICARE MANAGED CAREMHS HB BCBS MEDICARE ADVANTAGE MCELMedicare Advantage$156fee schedule
GENERIC MEDICARE MANAGED CAREMHS HB MANAGED MEDICARE PART A & B MCELMedicare Advantage$156fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CAREMHS HB UHC MEDICARE DIRECT MCELMedicare Advantage$156fee schedule
MOLINA MEDICARE MANAGED CAREMHS HB MOLINA MEDICARE MCELMedicare Advantage$164fee schedule
CIGNA MEDICAREMHS HB 105% MEDICARE MCELMedicare Advantage$164fee schedule
HUMANA COMMERCIALMHS HB HUMANA MEDICARE MCELMedicare Advantage$166fee schedule
WELLPOINT MEDICARE MANAGED CAREMHS HB MANAGED MEDICARE 106% MCELMedicare Advantage$166fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CAREMHS HB UHC WELLMED MCELMedicare Advantage$166fee schedule
MULTIPLAN MEDICARE MANAGED CAREMHS HB MULTIPLAN ADVANTAGE MCELMedicare Advantage$167fee schedule
OSCAR INSURANCE COMPANYMHS HB OSCAR HMO MCELCommercial$203fee schedule
BCBSMHS HB BCBS MY BLUE HEALTH MCELCommercial$220fee schedule
MOLINAMHS HB MOLINA MARKETPLACE MCELCommercial$227fee schedule
WELLPOINT MARKETPLACE EXCHANGEMHS HB WELLPOINT TEXAS ESSENTIALS MCELCommercial$242fee schedule
KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONSMHS HB TOWER EXTRUSIONS MCELCommercial$250fee schedule
AETNAMHS HB AETNA CVS MCELCommercial$253fee schedule
AETNAMHS HB AETNA EXCHANGE MCELCommercial$253fee schedule
ENTRUST/90 DEGREEMHS HB 90 DEGREE MCELCommercial$258fee schedule
SANA BENEFITSMHS HB SANA MCELCommercial$313fee schedule
VELOCITYMHS HB VELOCITY MCELCommercial$313fee schedule
GENERIC WORKERS COMP TX PARMHS HB WORKERS COMP MCELWorkers' comp$313fee schedule
EVRY HEALTHMHS HB EVRY MCELCommercial$313fee schedule
BCBSMHS HB BCBS HIGH PERFORMANCE NETWORK MCELCommercial$364fee schedule
BCBSMHS HB BCBS PREMIER MCELCommercial$364fee schedule
BCBSMHS HB BCBS CITY OF DALLAS MCELCommercial$377fee schedule
BCBSMHS HB BCBS HMO MCELCommercial$385fee schedule
MEDICAL COST CONTAINMENT PROFESSIONALSMHS HB MEDICAL COST CONTAINMENT MCELCommercial$391fee schedule
HEALTH PLANS INCMHS HB EMPLOYERS HEALTH NETWORK MCELCommercial$391fee schedule
BCBSMHS HB BCBS PPO MCELCommercial$419fee schedule
BCBSMHS HB BCBS TRADITIONAL MCELCommercial$419fee schedule
SUPERIOR MEDICAID MANAGED CAREMHS HB MEDICAID 110% STAR PLUS MCELMedicaid / CHIP$873percent of total billed charges
Methodist Dallas Medical Center: all 52 plan rates
PayerPlan (as written in the file)TypeRateMethod
UNITED HEALTHCARE MEDICAID MANAGED CAREMHS HB UNITED MEDICAID STAR PLUS MDMCMedicaid / CHIP$95.24percent of total billed charges
UNITED HEALTHCARE MEDICARE MANAGED CAREMHS HB UHC MEDICARE COMPLETE MDMCMedicare Advantage$110fee schedule
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUNDMHS HB UNINSURED COVID-19 MDMCPublic program$110fee schedule
AETNA MEDICARE MANAGED CAREMHS HB AETNA GOLDEN MDMCMedicare Advantage$110fee schedule
BCBS MEDICARE MANAGED CAREMHS HB BCBS MEDICARE ADVANTAGE MDMCMedicare Advantage$110fee schedule
GENERIC MEDICARE MANAGED CAREMHS HB MANAGED MEDICARE PART A & B MDMCMedicare Advantage$110fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CAREMHS HB UHC MEDICARE DIRECT MDMCMedicare Advantage$110fee schedule
MUTUAL OF OMAHA MEDICARE MANAGED CAREMHS HB MUTUAL OF OMAHA MDMCMedicare Advantage$112fee schedule
GLOBALHEALTHMHS HB GLOBAL HEALTH MDMCMedicare Advantage$116fee schedule
CARE N CARE MEDICARE MANAGED CAREMHS HB SCOTT AND WHITE MEDICARE MDMCMedicare Advantage$116fee schedule
MOLINA MEDICARE MANAGED CAREMHS HB MOLINA MEDICARE MDMCMedicare Advantage$116fee schedule
CIGNA MEDICAREMHS HB 105% MEDICARE MDMCMedicare Advantage$116fee schedule
HUMANA COMMERCIALMHS HB HUMANA MEDICARE MDMCMedicare Advantage$117fee schedule
WELLPOINT MEDICARE MANAGED CAREMHS HB MANAGED MEDICARE 106% MDMCMedicare Advantage$117fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CAREMHS HB UHC WELLMED MDMCMedicare Advantage$117fee schedule
UNITED HEALTHCARE MANAGED CAREMHS HB UHC EXCHANGE MDMCCommercial$118fee schedule
MULTIPLAN MEDICARE MANAGED CAREMHS HB MULTIPLAN ADVANTAGE MDMCMedicare Advantage$118fee schedule
PROVIDER PARTNERS HEALTH PLANMHS HB PROVIDERS PARTNER HEALTH MDMCMedicare Advantage$119fee schedule
CORALVITAMHS HB VIBRA MRMC MCMC MDMCCommercial$132fee schedule
ALTERNATIVE SERVICE CONCEPTSMHS HB CITY OF PLANO MDMCCommercial$138fee schedule
OSCAR INSURANCE COMPANYMHS HB OSCAR HMO MDMCCommercial$143fee schedule
BRIGHT HEALTHCAREMHS HB BRIGHT HEALTH MDMCCommercial$154fee schedule
MOLINAMHS HB MOLINA MARKETPLACE MDMCCommercial$160fee schedule
WELLPOINT MARKETPLACE EXCHANGEMHS HB WELLPOINT TEXAS ESSENTIALS MDMCCommercial$171fee schedule
KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONSMHS HB TOWER EXTRUSIONS MDMCCommercial$176fee schedule
AETNAMHS HB AETNA EXCHANGE MDMCCommercial$178fee schedule
AETNAMHS HB AETNA CVS MDMCCommercial$178fee schedule
ENTRUST/90 DEGREEMHS HB 90 DEGREE MDMCCommercial$182fee schedule
FRIDAY HEALTH PLANMHS HB FRIDAY HEALTH MDMCCommercial$187fee schedule
AMBETTER SUPERIORMHS HB AMBETTER SUPERIOR MDMCCommercial$188fee schedule
IMPERIAL INSURANCE COMPANIESMHS HB IMPERIAL MANAGED CARE MDMCCommercial$198fee schedule
BCBSMHS HB BCBS MY BLUE HEALTH MDMCCommercial$203fee schedule
CIGNAMHS HB CUSTOM INK MDMCCommercial$204fee schedule
EVRY HEALTHMHS HB EVRY MDMCCommercial$220fee schedule
SANA BENEFITSMHS HB SANA MDMCCommercial$220fee schedule
VELOCITYMHS HB VELOCITY MDMCCommercial$220fee schedule
GENERIC WORKERS COMP TX PARMHS HB WORKERS COMP MDMCWorkers' comp$220fee schedule
MEDICAL COST CONTAINMENT PROFESSIONALSMHS HB MEDICAL COST CONTAINMENT MDMCCommercial$275fee schedule
HEALTH PLANS INCMHS HB EMPLOYERS HEALTH NETWORK MDMCCommercial$275fee schedule
DART MEMBER CAREMHS HB DART MEMBER CARE MDMCCommercial$297fee schedule
BCBSMHS HB BCBS PREMIER MDMCCommercial$335fee schedule
BCBSMHS HB BCBS HIGH PERFORMANCE NETWORK MDMCCommercial$335fee schedule
BCBSMHS HB BCBS CITY OF DALLAS MDMCCommercial$348fee schedule
BCBSMHS HB BCBS HMO MDMCCommercial$355fee schedule
BCBSMHS HB BCBS PPO MDMCCommercial$386fee schedule
BCBSMHS HB BCBS TRADITIONAL MDMCCommercial$386fee schedule
MOLINA MEDICAID MANAGED CAREMHS HB MEDICAID 110% STAR PLUS MDMCMedicaid / CHIP$410percent of total billed charges
AETNA COMMERCIALMHS HB AETNA TX PREF PLUS II MDMCCommercial$473fee schedule
AETNAMHS HB AETNA BAYLOR SCOTT AND WHITE MDMCCommercial$496fee schedule
AETNA COMMERCIALMHS HB AETNA TEXAS ADVANTAGE MDMCCommercial$501fee schedule
AETNA MANAGED CAREMHS HB AETNA WHOLE HEALTH MDMCCommercial$501fee schedule
AETNAMHS HB AETNA HMO PPO MDMCCommercial$557fee schedule
Methodist Mansfield Medical Center: all 47 plan rates
PayerPlan (as written in the file)TypeRateMethod
UNITED HEALTHCARE MEDICAID MANAGED CAREMHS HB UNITED MEDICAID STAR PLUS MMMCMedicaid / CHIP$82.94percent of total billed charges
UNITED HEALTHCARE MEDICARE MANAGED CAREMHS HB UHC MEDICARE COMPLETE MMMCMedicare Advantage$110fee schedule
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUNDMHS HB UNINSURED COVID-19 MMMCPublic program$110fee schedule
AETNA MEDICARE MANAGED CAREMHS HB AETNA GOLDEN MMMCMedicare Advantage$110fee schedule
BCBS MEDICARE MANAGED CAREMHS HB BCBS MEDICARE ADVANTAGE MMMCMedicare Advantage$110fee schedule
GENERIC MEDICARE MANAGED CAREMHS HB MANAGED MEDICARE PART A & B MMMCMedicare Advantage$110fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CAREMHS HB UHC MEDICARE DIRECT MMMCMedicare Advantage$110fee schedule
MUTUAL OF OMAHA MEDICARE MANAGED CAREMHS HB MUTUAL OF OMAHA MMMCMedicare Advantage$112fee schedule
GLOBALHEALTHMHS HB GLOBAL HEALTH MMMCMedicare Advantage$116fee schedule
CARE N CARE MEDICARE MANAGED CAREMHS HB SCOTT AND WHITE MEDICARE MMMCMedicare Advantage$116fee schedule
MOLINA MEDICARE MANAGED CAREMHS HB MOLINA MEDICARE MMMCMedicare Advantage$116fee schedule
CIGNA MEDICAREMHS HB 105% MEDICARE MMMCMedicare Advantage$116fee schedule
HUMANA COMMERCIALMHS HB HUMANA MEDICARE MMMCMedicare Advantage$117fee schedule
WELLPOINT MEDICARE MANAGED CAREMHS HB MANAGED MEDICARE 106% MMMCMedicare Advantage$117fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CAREMHS HB UHC WELLMED MMMCMedicare Advantage$117fee schedule
UNITED HEALTHCARE MANAGED CAREMHS HB UHC EXCHANGE MMMCCommercial$118fee schedule
MULTIPLAN MEDICARE MANAGED CAREMHS HB MULTIPLAN ADVANTAGE MMMCMedicare Advantage$118fee schedule
PROVIDER PARTNERS HEALTH PLANMHS HB PROVIDERS PARTNER HEALTH MMMCMedicare Advantage$119fee schedule
ALTERNATIVE SERVICE CONCEPTSMHS HB CITY OF PLANO MMMCCommercial$138fee schedule
OSCAR INSURANCE COMPANYMHS HB OSCAR HMO MMMCCommercial$143fee schedule
BRIGHT HEALTHCAREMHS HB BRIGHT HEALTH MMMCCommercial$154fee schedule
MOLINAMHS HB MOLINA MARKETPLACE MMMCCommercial$160fee schedule
WELLPOINT MARKETPLACE EXCHANGEMHS HB WELLPOINT TEXAS ESSENTIALS MMMCCommercial$171fee schedule
KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONSMHS HB TOWER EXTRUSIONS MMMCCommercial$176fee schedule
AETNAMHS HB AETNA EXCHANGE MMMCCommercial$178fee schedule
AETNAMHS HB AETNA CVS MMMCCommercial$178fee schedule
ENTRUST/90 DEGREEMHS HB 90 DEGREE MMMCCommercial$182fee schedule
FRIDAY HEALTH PLANMHS HB FRIDAY HEALTH MMMCCommercial$187fee schedule
AMBETTER SUPERIORMHS HB AMBETTER SUPERIOR MMMCCommercial$188fee schedule
IMPERIAL INSURANCE COMPANIESMHS HB IMPERIAL MANAGED CARE MMMCCommercial$198fee schedule
BCBSMHS HB BCBS MY BLUE HEALTH MMMCCommercial$203fee schedule
CIGNAMHS HB CUSTOM INK MMMCCommercial$204fee schedule
EVRY HEALTHMHS HB EVRY MMMCCommercial$220fee schedule
SANA BENEFITSMHS HB SANA MMMCCommercial$220fee schedule
VELOCITYMHS HB VELOCITY MMMCCommercial$220fee schedule
GENERIC WORKERS COMP TX PARMHS HB WORKERS COMP MMMCWorkers' comp$220fee schedule
MEDICAL COST CONTAINMENT PROFESSIONALSMHS HB MEDICAL COST CONTAINMENT MMMCCommercial$275fee schedule
HEALTH PLANS INCMHS HB EMPLOYERS HEALTH NETWORK MMMCCommercial$275fee schedule
DART MEMBER CAREMHS HB DART MEMBER CARE MMMCCommercial$297fee schedule
MOLINA MEDICAID MANAGED CAREMHS HB MEDICAID 110% STAR PLUS MMMCMedicaid / CHIP$307percent of total billed charges
BCBSMHS HB BCBS PREMIER MMMCCommercial$335fee schedule
BCBSMHS HB BCBS HIGH PERFORMANCE NETWORK MMMCCommercial$335fee schedule
BCBSMHS HB BCBS CITY OF DALLAS MMMCCommercial$348fee schedule
BCBSMHS HB BCBS HMO MMMCCommercial$355fee schedule
WELLPOINT MEDICAID MANAGED CAREMHS HB WELLPOINT MEDICAID STAR MMMCMedicaid / CHIP$373percent of total billed charges
BCBSMHS HB BCBS PPO MMMCCommercial$386fee schedule
BCBSMHS HB BCBS TRADITIONAL MMMCCommercial$386fee schedule
Methodist Midlothian Medical Center: all 39 plan rates
PayerPlan (as written in the file)TypeRateMethod
UNITED HEALTHCARE MEDICARE MANAGED CAREMHS HB UHC MEDICARE COMPLETE MLMCMedicare Advantage$156fee schedule
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUNDMHS HB UNINSURED COVID-19 MLMCPublic program$156fee schedule
AETNA MEDICARE MANAGED CAREMHS HB AETNA GOLDEN MLMCMedicare Advantage$156fee schedule
BCBS MEDICARE MANAGED CAREMHS HB BCBS MEDICARE ADVANTAGE MLMCMedicare Advantage$156fee schedule
GENERIC MEDICARE MANAGED CAREMHS HB MANAGED MEDICARE PART A & B MLMCMedicare Advantage$156fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CAREMHS HB UHC MEDICARE DIRECT MLMCMedicare Advantage$156fee schedule
MUTUAL OF OMAHA MEDICARE MANAGED CAREMHS HB MUTUAL OF OMAHA MLMCMedicare Advantage$160fee schedule
GLOBALHEALTHMHS HB GLOBAL HEALTH MLMCMedicare Advantage$164fee schedule
CARE N CARE MEDICARE MANAGED CAREMHS HB SCOTT AND WHITE MEDICARE MLMCMedicare Advantage$164fee schedule
MOLINA MEDICARE MANAGED CAREMHS HB MOLINA MEDICARE MLMCMedicare Advantage$164fee schedule
CIGNA MEDICAREMHS HB 105% MEDICARE MLMCMedicare Advantage$164fee schedule
HUMANA COMMERCIALMHS HB HUMANA MEDICARE MLMCMedicare Advantage$166fee schedule
WELLPOINT MEDICARE MANAGED CAREMHS HB MANAGED MEDICARE 106% MLMCMedicare Advantage$166fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CAREMHS HB UHC WELLMED MLMCMedicare Advantage$166fee schedule
UNITED HEALTHCARE MANAGED CAREMHS HB UHC EXCHANGE MLMCCommercial$167fee schedule
MULTIPLAN MEDICARE MANAGED CAREMHS HB MULTIPLAN ADVANTAGE MLMCMedicare Advantage$167fee schedule
PROVIDER PARTNERS HEALTH PLANMHS HB PROVIDERS PARTNER HEALTH MLMCMedicare Advantage$169fee schedule
ALTERNATIVE SERVICE CONCEPTSMHS HB CITY OF PLANO MLMCCommercial$196fee schedule
UNITED HEALTHCARE MEDICAID MANAGED CAREMHS HB UNITED MEDICAID STAR PLUS MLMCMedicaid / CHIP$196percent of total billed charges
OSCAR INSURANCE COMPANYMHS HB OSCAR HMO MLMCCommercial$203fee schedule
BRIGHT HEALTHCAREMHS HB BRIGHT HEALTH MLMCCommercial$219fee schedule
MOLINAMHS HB MOLINA MARKETPLACE MLMCCommercial$227fee schedule
WELLPOINT MARKETPLACE EXCHANGEMHS HB WELLPOINT TEXAS ESSENTIALS MLMCCommercial$242fee schedule
KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONSMHS HB TOWER EXTRUSIONS MLMCCommercial$250fee schedule
AETNAMHS HB AETNA EXCHANGE MLMCCommercial$253fee schedule
AETNAMHS HB AETNA CVS MLMCCommercial$253fee schedule
ENTRUST/90 DEGREEMHS HB 90 DEGREE MLMCCommercial$258fee schedule
FRIDAY HEALTH PLANMHS HB FRIDAY HEALTH MLMCCommercial$266fee schedule
AMBETTER SUPERIORMHS HB AMBETTER SUPERIOR MLMCCommercial$267fee schedule
IMPERIAL INSURANCE COMPANIESMHS HB IMPERIAL MANAGED CARE MLMCCommercial$282fee schedule
CIGNAMHS HB CUSTOM INK MLMCCommercial$289fee schedule
EVRY HEALTHMHS HB EVRY MLMCCommercial$313fee schedule
SANA BENEFITSMHS HB SANA MLMCCommercial$313fee schedule
VELOCITYMHS HB VELOCITY MLMCCommercial$313fee schedule
GENERIC WORKERS COMP TX PARMHS HB WORKERS COMP MLMCWorkers' comp$313fee schedule
MEDICAL COST CONTAINMENT PROFESSIONALSMHS HB MEDICAL COST CONTAINMENT MLMCCommercial$391fee schedule
HEALTH PLANS INCMHS HB EMPLOYERS HEALTH NETWORK MLMCCommercial$391fee schedule
DART MEMBER CAREMHS HB DART MEMBER CARE MLMCCommercial$422fee schedule
MOLINA MEDICAID MANAGED CAREMHS HB MEDICAID 110% STAR PLUS MLMCMedicaid / CHIP$844percent of total billed charges
Methodist Richardson Medical Center: all 45 plan rates
PayerPlan (as written in the file)TypeRateMethod
UNITED HEALTHCARE MEDICAID MANAGED CAREMHS HB UNITED MEDICAID STAR PLUS MRMCMedicaid / CHIP$111percent of total billed charges
UNITED HEALTHCARE MEDICARE MANAGED CAREMHS HB UHC MEDICARE COMPLETE MRMCMedicare Advantage$156fee schedule
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUNDMHS HB UNINSURED COVID-19 MRMCPublic program$156fee schedule
AETNA MEDICARE MANAGED CAREMHS HB AETNA GOLDEN MRMCMedicare Advantage$156fee schedule
BCBS MEDICARE MANAGED CAREMHS HB BCBS MEDICARE ADVANTAGE MRMCMedicare Advantage$156fee schedule
GENERIC MEDICARE MANAGED CAREMHS HB MANAGED MEDICARE PART A & B MRMCMedicare Advantage$156fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CAREMHS HB UHC MEDICARE DIRECT MRMCMedicare Advantage$156fee schedule
MUTUAL OF OMAHA MEDICARE MANAGED CAREMHS HB MUTUAL OF OMAHA MRMCMedicare Advantage$160fee schedule
GLOBALHEALTHMHS HB GLOBAL HEALTH MRMCMedicare Advantage$164fee schedule
CARE N CARE MEDICARE MANAGED CAREMHS HB SCOTT AND WHITE MEDICARE MRMCMedicare Advantage$164fee schedule
MOLINA MEDICARE MANAGED CAREMHS HB MOLINA MEDICARE MRMCMedicare Advantage$164fee schedule
CIGNA MEDICAREMHS HB 105% MEDICARE MRMCMedicare Advantage$164fee schedule
HUMANA COMMERCIALMHS HB HUMANA MEDICARE MRMCMedicare Advantage$166fee schedule
WELLPOINT MEDICARE MANAGED CAREMHS HB MANAGED MEDICARE 106% MRMCMedicare Advantage$166fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CAREMHS HB UHC WELLMED MRMCMedicare Advantage$166fee schedule
UNITED HEALTHCARE MANAGED CAREMHS HB UHC EXCHANGE MRMCCommercial$167fee schedule
MULTIPLAN MEDICARE MANAGED CAREMHS HB MULTIPLAN ADVANTAGE MRMCMedicare Advantage$167fee schedule
PROVIDER PARTNERS HEALTH PLANMHS HB PROVIDERS PARTNER HEALTH MRMCMedicare Advantage$169fee schedule
CORALVITAMHS HB VIBRA MRMC MCMC MDMCCommercial$188fee schedule
ALTERNATIVE SERVICE CONCEPTSMHS HB CITY OF PLANO MRMCCommercial$196fee schedule
OSCAR INSURANCE COMPANYMHS HB OSCAR HMO MRMCCommercial$203fee schedule
BRIGHT HEALTHCAREMHS HB BRIGHT HEALTH MRMCCommercial$219fee schedule
MOLINAMHS HB MOLINA MARKETPLACE MRMCCommercial$227fee schedule
BCBSMHS HB BCBS MY BLUE HEALTH MRMCCommercial$242fee schedule
WELLPOINT MARKETPLACE EXCHANGEMHS HB WELLPOINT TEXAS ESSENTIALS MRMCCommercial$242fee schedule
AETNAMHS HB AETNA EXCHANGE MRMCCommercial$253fee schedule
AETNAMHS HB AETNA CVS MRMCCommercial$253fee schedule
ENTRUST/90 DEGREEMHS HB 90 DEGREE MRMCCommercial$258fee schedule
FRIDAY HEALTH PLANMHS HB FRIDAY HEALTH MRMCCommercial$266fee schedule
AMBETTER SUPERIORMHS HB AMBETTER SUPERIOR MRMCCommercial$267fee schedule
IMPERIAL INSURANCE COMPANIESMHS HB IMPERIAL MANAGED CARE MRMCCommercial$282fee schedule
CIGNAMHS HB CUSTOM INK MRMCCommercial$289fee schedule
EVRY HEALTHMHS HB EVRY MRMCCommercial$313fee schedule
SANA BENEFITSMHS HB SANA MRMCCommercial$313fee schedule
VELOCITYMHS HB VELOCITY MRMCCommercial$313fee schedule
MEDICAL COST CONTAINMENT PROFESSIONALSMHS HB MEDICAL COST CONTAINMENT MRMCCommercial$391fee schedule
HEALTH PLANS INCMHS HB EMPLOYERS HEALTH NETWORK MRMCCommercial$391fee schedule
BCBSMHS HB BCBS PREMIER MRMCCommercial$398fee schedule
BCBSMHS HB BCBS HIGH PERFORMANCE NETWORK MRMCCommercial$398fee schedule
BCBSMHS HB BCBS CITY OF DALLAS MRMCCommercial$414fee schedule
DART MEMBER CAREMHS HB DART MEMBER CARE MRMCCommercial$422fee schedule
BCBSMHS HB BCBS HMO MRMCCommercial$423fee schedule
BCBSMHS HB BCBS PPO MRMCCommercial$460fee schedule
BCBSMHS HB BCBS TRADITIONAL MRMCCommercial$460fee schedule
MOLINA MEDICAID MANAGED CAREMHS HB MEDICAID 110% STAR PLUS MRMCMedicaid / CHIP$479percent of total billed charges
Methodist Southlake Medical Center: all 52 plan rates
PayerPlan (as written in the file)TypeRateMethod
UNITED HEALTHCARE MEDICARE MANAGED CAREMHS HB UHC MEDICARE COMPLETE MSMCMedicare Advantage$156fee schedule
AETNA MEDICARE MANAGED CAREMHS HB AETNA GOLDEN MSMCMedicare Advantage$156fee schedule
BCBS MEDICARE MANAGED CAREMHS HB BCBS MEDICARE ADVANTAGE MSMCMedicare Advantage$156fee schedule
GENERIC MEDICARE MANAGED CAREMHS HB MANAGED MEDICARE PART A & B MSMCMedicare Advantage$156fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CAREMHS HB UHC MEDICARE DIRECT MSMCMedicare Advantage$156fee schedule
MUTUAL OF OMAHA MEDICARE MANAGED CAREMHS HB MUTUAL OF OMAHA MSMCMedicare Advantage$160fee schedule
GLOBALHEALTHMHS HB GLOBAL HEALTH MSMCMedicare Advantage$164fee schedule
CARE N CARE MEDICARE MANAGED CAREMHS HB SCOTT AND WHITE MEDICARE MSMCMedicare Advantage$164fee schedule
MOLINA MEDICARE MANAGED CAREMHS HB MOLINA MEDICARE MSMCMedicare Advantage$164fee schedule
CIGNA MEDICAREMHS HB 105% MEDICARE MSMCMedicare Advantage$164fee schedule
HUMANA COMMERCIALMHS HB HUMANA MEDICARE MSMCMedicare Advantage$166fee schedule
WELLPOINT MEDICARE MANAGED CAREMHS HB MANAGED MEDICARE 106% MSMCMedicare Advantage$166fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CAREMHS HB UHC WELLMED MSMCMedicare Advantage$166fee schedule
UNITED HEALTHCARE MANAGED CAREMHS HB UHC EXCHANGE MSMCCommercial$167fee schedule
MULTIPLAN MEDICARE MANAGED CAREMHS HB MULTIPLAN ADVANTAGE MSMCMedicare Advantage$167fee schedule
PROVIDER PARTNERS HEALTH PLANMHS HB PROVIDERS PARTNER HEALTH MSMCMedicare Advantage$169fee schedule
ALTERNATIVE SERVICE CONCEPTSMHS HB CITY OF PLANO MSMCCommercial$196fee schedule
OSCAR INSURANCE COMPANYMHS HB OSCAR HMO MSMCCommercial$203fee schedule
BCBSMHS HB BCBS MY BLUE HEALTH MSMCCommercial$203fee schedule
UNITED HEALTHCARE-COMMERCIALMHS HB UNITED HEALTHCARE MSMCCommercial$206per diem
BRIGHT HEALTHCAREMHS HB BRIGHT HEALTH MSMCCommercial$219fee schedule
MOLINAMHS HB MOLINA MARKETPLACE MSMCCommercial$227fee schedule
WELLPOINT MARKETPLACE EXCHANGEMHS HB WELLPOINT TEXAS ESSENTIALS MSMCCommercial$242fee schedule
KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONSMHS HB TOWER EXTRUSIONS MSMCCommercial$250fee schedule
AETNAMHS HB AETNA EXCHANGE MSMCCommercial$253fee schedule
AETNAMHS HB AETNA CVS MSMCCommercial$253fee schedule
ENTRUST/90 DEGREEMHS HB 90 DEGREE MSMCCommercial$258fee schedule
FRIDAY HEALTH PLANMHS HB FRIDAY HEALTH MSMCCommercial$266fee schedule
AMBETTER SUPERIORMHS HB AMBETTER SUPERIOR MSMCCommercial$267fee schedule
IMPERIAL INSURANCE COMPANIESMHS HB IMPERIAL MANAGED CARE MSMCCommercial$282fee schedule
CIGNAMHS HB CUSTOM INK MSMCCommercial$289fee schedule
EVRY HEALTHMHS HB EVRY MSMCCommercial$313fee schedule
SANA BENEFITSMHS HB SANA MSMCCommercial$313fee schedule
VELOCITYMHS HB VELOCITY MSMCCommercial$313fee schedule
GENERIC WORKERS COMP TX PARMHS HB WORKERS COMP MSMCWorkers' comp$313fee schedule
UNITED HEALTHCARE MEDICAID MANAGED CAREMHS HB UNITED MEDICAID STAR PLUS MSMCMedicaid / CHIP$324percent of total billed charges
BCBSMHS HB BCBS HIGH PERFORMANCE NETWORK MSMCCommercial$335fee schedule
BCBSMHS HB BCBS PREMIER MSMCCommercial$335fee schedule
BCBSMHS HB BCBS CITY OF DALLAS MSMCCommercial$348fee schedule
BCBSMHS HB BCBS HMO MSMCCommercial$355fee schedule
BCBSMHS HB BCBS PPO MSMCCommercial$386fee schedule
BCBSMHS HB BCBS TRADITIONAL MSMCCommercial$386fee schedule
MEDICAL COST CONTAINMENT PROFESSIONALSMHS HB MEDICAL COST CONTAINMENT MSMCCommercial$391fee schedule
HEALTH PLANS INCMHS HB EMPLOYERS HEALTH NETWORK MSMCCommercial$391fee schedule
AETNA COMMERCIALMHS HB AETNA TX PREF PLUS II MSMCCommercial$402fee schedule
DART MEMBER CAREMHS HB DART MEMBER CARE MSMCCommercial$422fee schedule
AETNA COMMERCIALMHS HB AETNA TEXAS ADVANTAGE MSMCCommercial$477fee schedule
AETNA MANAGED CAREMHS HB AETNA WHOLE HEALTH MSMCCommercial$477fee schedule
AETNAMHS HB AETNA HMO PPO MSMCCommercial$529fee schedule
AETNAMHS HB AETNA BAYLOR SCOTT AND WHITE MSMCCommercial$650percent of total billed charges
MOLINA MEDICAID MANAGED CAREMHS HB MEDICAID 110% STAR PLUS MSMCMedicaid / CHIP$1,202percent of total billed charges
WELLPOINT MEDICAID MANAGED CAREMHS HB WELLPOINT MEDICAID STAR MSMCMedicaid / CHIP$1,459percent of total billed charges
Parkland Health (Parkland Memorial Hospital): all 36 plan rates
PayerPlan (as written in the file)TypeRateMethod
WELLPOINTWELLPOINT CHIP PERINATE POST PARTUMMedicaid / CHIP$133percent of total billed charges
COOK CHILDREN HEALTH PLANCOOK CHILDREN STAR MEDICAIDMedicaid / CHIP$140percent of total billed charges
COOK CHILDREN HEALTH PLANCOOK CHILDRENS STAR KIDSMedicaid / CHIP$140percent of total billed charges
COOK CHILDREN HEALTH PLANCOOK CHILDRENS CHIPMedicaid / CHIP$140percent of total billed charges
SUPERIOR HEALTH PLANSUPERIOR STAR HEALTH FOSTER CAREMedicaid / CHIP$140percent of total billed charges
PARKLAND COMMUNITY HEALTH PLANParkland CHIPMedicaid / CHIP$140percent of total billed charges
AETNA BETTER HEALTHAETNA BETTER HEALTH CHIPMedicaid / CHIP$140percent of total billed charges
AETNA BETTER HEALTHBELOW FPIL AETNA CHIP PERINATEMedicaid / CHIP$140percent of total billed charges
AETNA BETTER HEALTHABOVE FPIL AETNA CHIP PERINATEMedicaid / CHIP$140percent of total billed charges
POINT COMFORT UNDERWRITERSPOINT COMFORT UNDERWRITERSPublic program$147percent of total billed charges
MOLINAMOLINA CHIPMedicaid / CHIP$147percent of total billed charges
MOLINAMOLINA RSA MEDICAIDMedicaid / CHIP$147percent of total billed charges
MOLINABELOW FPIL MOLINA CHIP PERINATEMedicaid / CHIP$147percent of total billed charges
MOLINAPOST PARTUM VST-MOLINA CHIPMedicaid / CHIP$147percent of total billed charges
MOLINAABOVE FPIL MOLINA CHIP PERINATEMedicaid / CHIP$147percent of total billed charges
CARE IMPROVEMENT PLUSCARE IMPROVEMENT PLUSMedicare Advantage$184percent of total billed charges
BLUE CROSS BLUE SHIELDBLUE ADVANTAGE HMO ACACommercial$184fee schedule
PROCARE ADVANTAGEPROCARE ADVANTAGEMedicare Advantage$187percent of total billed charges
WELLPOINTWELLPOINT STAR PLUSMedicaid / CHIP$496percent of total billed charges
WELLPOINTWELLPOINT STAR KIDSMedicaid / CHIP$508percent of total billed charges
SUPERIOR HEALTHPLANSUPERIOR STAR PLUSMedicaid / CHIP$520percent of total billed charges
AETNA HEALTHCAREAETNACommercial$529percent of total billed charges
CIGNACIGNACommercial$529percent of total billed charges
GREAT WEST HEALTHCAREGREAT WEST HEALTHCARECommercial$529percent of total billed charges
MOLINAMOLINA STAR PLUSMedicaid / CHIP$545percent of total billed charges
UNITED HEALTHCARE OF TXUNITED HEALTHCARE OF TXCommercial$588percent of total billed charges
UNITED HEALTHCARE OF TXUHC - UMRCommercial$588percent of total billed charges
BLUE CROSS BLUE SHIELDBCBS TRADITIONALCommercial$634percent of total billed charges
BLUE CROSS BLUE SHIELDBCBS OUT OF STATECommercial$634percent of total billed charges
BLUE CROSS BLUE SHIELDBCBS FEDERAL EMPLOYEECommercial$634percent of total billed charges
BLUE CROSS BLUE SHIELDBLUE CROSS BLUE SHIELD PPOCommercial$634percent of total billed charges
BLUE CROSS BLUE SHIELDBLUE CROSS BLUE SHIELD HMOCommercial$634percent of total billed charges
WELLPOINTWELLPOINT STARMedicaid / CHIP$647percent of total billed charges
PARKLAND COMMUNITY HEALTH PLANParkland STARMedicaid / CHIP$680percent of total billed charges
AETNA BETTER HEALTHAETNA BETTER HEALTH STARMedicaid / CHIP$680percent of total billed charges
MOLINAMOLINA STAR MEDICAIDMedicaid / CHIP$712percent of total billed charges
Texas Health Hospital Rockwall: all 37 plan rates
PayerPlan (as written in the file)TypeRateMethod
ParklandManaged MedicaidMedicaid / CHIP$58.46percent of total billed charges
United HealthcareManaged MedicaidMedicaid / CHIP$58.46percent of total billed charges
AmerigroupManaged MedicaidMedicaid / CHIP$58.46percent of total billed charges
Blue Cross Blue ShieldManaged MedicaidMedicaid / CHIP$58.46percent of total billed charges
Superior WellcareManaged MedicaidMedicaid / CHIP$61.39percent of total billed charges
MolinaManaged MedicaidMedicaid / CHIP$63.16percent of total billed charges
Blue Cross Blue ShieldMedicare AdvantageMedicare Advantage$151case rate
American HealthMedicare AdvantageMedicare Advantage$151case rate
HealthSpringMedicare AdvantageMedicare Advantage$154case rate
HumanaMedicare AdvantageMedicare Advantage$157case rate
AmerigroupMedicare AdvantageMedicare Advantage$158case rate
MolinaMedicare AdvantageMedicare Advantage$158case rate
Superior WellcareMedicare Advantage HMOMedicare Advantage$158case rate
Superior WellcareMedicare Advantage MMPMedicaid / CHIP$166case rate
United HealthcareMedicare Advantage PPOMedicare Advantage$167case rate
United HealthcareMedicare Advantage HMOMedicare Advantage$170case rate
Fort Worth FirefightersCommercialCommercial$181percent of total billed charges
AetnaWhole HealthCommercial$207percent of total billed charges
United HealthcareAll PayerCommercial$210case rate
CignaOAP/HMOCommercial$236case rate
CignaPPOCommercial$266case rate
United Healthcare OptionsPPOCommercial$276case rate
AetnaCommercialCommercial$276percent of total billed charges
City of Fort WorthCommercialCommercial$287percent of total billed charges
Blue Cross Blue ShieldHMOCommercial$316fee schedule
Blue Cross Blue ShieldExchangeCommercial$325fee schedule
Blue Cross Blue ShieldPPOCommercial$351fee schedule
Quick TripCommercialCommercial$366percent of total billed charges
PHCSPPOCommercial$424percent of total billed charges
AetnaASACommercial$428percent of total billed charges
AetnaCoventryCommercial$428percent of total billed charges
HealthsmartCommercialCommercial$458percent of total billed charges
MultiplanCommercialCommercial$531percent of total billed charges
USAMCOCommercial$537percent of total billed charges
GalaxyCommercialCommercial$537percent of total billed charges
CignaIndemnityCommercial$574percent of total billed charges
Blue Cross Blue ShieldTraditionalCommercial$950fee schedule
Texas Health Presbyterian Hospital Flower Mound: all 38 plan rates
PayerPlan (as written in the file)TypeRateMethod
Blue Cross Blue ShieldManaged MedicaidMedicaid / CHIP$91.90percent of total billed charges
United HealthcareManaged MedicaidMedicaid / CHIP$91.90percent of total billed charges
Cook ChildrensManaged MedicaidMedicaid / CHIP$91.90percent of total billed charges
AmerigroupManaged MedicaidMedicaid / CHIP$91.90percent of total billed charges
Superior WellcareManaged MedicaidMedicaid / CHIP$96.48percent of total billed charges
MolinaManaged MedicaidMedicaid / CHIP$99.23percent of total billed charges
AetnaManaged MedicaidMedicaid / CHIP$101percent of total billed charges
American HealthMedicare AdvantageMedicare Advantage$151case rate
Blue Cross Blue ShieldMedicare AdvantageMedicare Advantage$151case rate
HealthSpringMedicare AdvantageMedicare Advantage$154case rate
HumanaMedicare AdvantageMedicare Advantage$157case rate
AmerigroupMedicare AdvantageMedicare Advantage$158case rate
Superior WellcareMedicare Advantage HMOMedicare Advantage$158case rate
MolinaMedicare AdvantageMedicare Advantage$158case rate
Superior WellcareMedicare Advantage MMPMedicaid / CHIP$166case rate
United HealthcareMedicare Advantage PPOMedicare Advantage$167case rate
United HealthcareMedicare Advantage HMOMedicare Advantage$170case rate
Fort Worth FirefightersCommercialCommercial$181percent of total billed charges
AetnaWhole HealthCommercial$207percent of total billed charges
United HealthcareAll PayerCommercial$210case rate
CignaOAP/HMOCommercial$236case rate
CignaPPOCommercial$266case rate
United Healthcare OptionsPPOCommercial$276case rate
AetnaCommercialCommercial$276percent of total billed charges
City of Fort WorthCommercialCommercial$287percent of total billed charges
Blue Cross Blue ShieldHMOCommercial$316fee schedule
Blue Cross Blue ShieldExchangeCommercial$325fee schedule
Blue Cross Blue ShieldPPOCommercial$351fee schedule
Quick TripCommercialCommercial$366percent of total billed charges
PHCSPPOCommercial$424percent of total billed charges
AetnaASACommercial$428percent of total billed charges
AetnaCoventryCommercial$428percent of total billed charges
HealthsmartCommercialCommercial$458percent of total billed charges
MultiplanCommercialCommercial$531percent of total billed charges
GalaxyCommercialCommercial$537percent of total billed charges
USAMCOCommercial$537percent of total billed charges
CignaIndemnityCommercial$574percent of total billed charges
Blue Cross Blue ShieldTraditionalCommercial$950fee schedule
Texas Health Presbyterian Hospital Denton: all 38 plan rates
PayerPlan (as written in the file)TypeRateMethod
Blue Cross Blue ShieldManaged MedicaidMedicaid / CHIP$57.12percent of total billed charges
Cook ChildrensManaged MedicaidMedicaid / CHIP$57.12percent of total billed charges
AmerigroupManaged MedicaidMedicaid / CHIP$57.12percent of total billed charges
United HealthcareManaged MedicaidMedicaid / CHIP$57.12percent of total billed charges
Superior WellcareManaged MedicaidMedicaid / CHIP$59.99percent of total billed charges
MolinaManaged MedicaidMedicaid / CHIP$61.70percent of total billed charges
AetnaManaged MedicaidMedicaid / CHIP$62.86percent of total billed charges
American HealthMedicare AdvantageMedicare Advantage$151case rate
Blue Cross Blue ShieldMedicare AdvantageMedicare Advantage$151case rate
HealthSpringMedicare AdvantageMedicare Advantage$154case rate
HumanaMedicare AdvantageMedicare Advantage$157case rate
AmerigroupMedicare AdvantageMedicare Advantage$158case rate
MolinaMedicare AdvantageMedicare Advantage$158case rate
Superior WellcareMedicare Advantage HMOMedicare Advantage$158case rate
Superior WellcareMedicare Advantage MMPMedicaid / CHIP$166case rate
United HealthcareMedicare Advantage PPOMedicare Advantage$167case rate
United HealthcareMedicare Advantage HMOMedicare Advantage$170case rate
Fort Worth FirefightersCommercialCommercial$181percent of total billed charges
Blue Cross Blue ShieldExchangeCommercial$186fee schedule
AetnaWhole HealthCommercial$207percent of total billed charges
United HealthcareAll PayerCommercial$210case rate
CignaOAP/HMOCommercial$236case rate
CignaPPOCommercial$266case rate
United Healthcare OptionsPPOCommercial$276case rate
AetnaCommercialCommercial$276percent of total billed charges
City of Fort WorthCommercialCommercial$287percent of total billed charges
Blue Cross Blue ShieldHMOCommercial$316fee schedule
Blue Cross Blue ShieldPPOCommercial$351fee schedule
Quick TripCommercialCommercial$366percent of total billed charges
PHCSPPOCommercial$424percent of total billed charges
AetnaCoventryCommercial$428percent of total billed charges
AetnaASACommercial$428percent of total billed charges
HealthsmartCommercialCommercial$458percent of total billed charges
MultiplanCommercialCommercial$531percent of total billed charges
USAMCOCommercial$537percent of total billed charges
GalaxyCommercialCommercial$537percent of total billed charges
CignaIndemnityCommercial$574percent of total billed charges
Blue Cross Blue ShieldTraditionalCommercial$950fee schedule
Texas Health Harris Methodist Hospital Alliance: all 38 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupManaged MedicaidMedicaid / CHIP$62.67percent of total billed charges
United HealthcareManaged MedicaidMedicaid / CHIP$62.67percent of total billed charges
Cook ChildrensManaged MedicaidMedicaid / CHIP$62.67percent of total billed charges
Blue Cross Blue ShieldManaged MedicaidMedicaid / CHIP$62.67percent of total billed charges
Superior WellcareManaged MedicaidMedicaid / CHIP$65.78percent of total billed charges
MolinaManaged MedicaidMedicaid / CHIP$67.68percent of total billed charges
AetnaManaged MedicaidMedicaid / CHIP$68.96percent of total billed charges
American HealthMedicare AdvantageMedicare Advantage$155case rate
Blue Cross Blue ShieldMedicare AdvantageMedicare Advantage$155case rate
HealthSpringMedicare AdvantageMedicare Advantage$158case rate
HumanaMedicare AdvantageMedicare Advantage$161case rate
AmerigroupMedicare AdvantageMedicare Advantage$163case rate
MolinaMedicare AdvantageMedicare Advantage$163case rate
Superior WellcareMedicare Advantage HMOMedicare Advantage$163case rate
Superior WellcareMedicare Advantage MMPMedicaid / CHIP$171case rate
United HealthcareMedicare Advantage PPOMedicare Advantage$172case rate
United HealthcareMedicare Advantage HMOMedicare Advantage$175case rate
Fort Worth FirefightersCommercialCommercial$181case rate
Blue Cross Blue ShieldExchangeCommercial$186fee schedule
AetnaWhole HealthCommercial$207percent of total billed charges
United HealthcareAll PayerCommercial$210case rate
CignaOAP/HMOCommercial$236case rate
CignaPPOCommercial$266case rate
United Healthcare OptionsPPOCommercial$276case rate
AetnaCommercialCommercial$276percent of total billed charges
City of Fort WorthCommercialCommercial$287percent of total billed charges
Blue Cross Blue ShieldHMOCommercial$316fee schedule
Blue Cross Blue ShieldPPOCommercial$351fee schedule
Quick TripCommercialCommercial$366percent of total billed charges
PHCSPPOCommercial$424percent of total billed charges
AetnaCoventryCommercial$428percent of total billed charges
AetnaASACommercial$428percent of total billed charges
HealthsmartCommercialCommercial$458percent of total billed charges
MultiplanCommercialCommercial$531percent of total billed charges
GalaxyCommercialCommercial$537percent of total billed charges
USAMCOCommercial$537percent of total billed charges
CignaIndemnityCommercial$574percent of total billed charges
Blue Cross Blue ShieldTraditionalCommercial$950fee schedule
Texas Health Center for Diagnostics and Surgery Plano: all 37 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupManaged MedicaidMedicaid / CHIP$87.69percent of total billed charges
MolinaManaged MedicaidMedicaid / CHIP$87.69percent of total billed charges
United HealthcareManaged MedicaidMedicaid / CHIP$87.69percent of total billed charges
Superior WellcareManaged MedicaidMedicaid / CHIP$87.69percent of total billed charges
ParklandManaged MedicaidMedicaid / CHIP$87.69percent of total billed charges
Blue Cross Blue ShieldManaged MedicaidMedicaid / CHIP$87.69percent of total billed charges
American HealthMedicare AdvantageMedicare Advantage$147case rate
Blue Cross Blue ShieldMedicare AdvantageMedicare Advantage$147case rate
HealthSpringMedicare AdvantageMedicare Advantage$150case rate
HumanaMedicare AdvantageMedicare Advantage$153case rate
AmerigroupMedicare AdvantageMedicare Advantage$154case rate
MolinaMedicare AdvantageMedicare Advantage$154case rate
Superior WellcareMedicare Advantage HMOMedicare Advantage$154case rate
Superior WellcareMedicare Advantage MMPMedicaid / CHIP$162case rate
United HealthcareMedicare Advantage PPOMedicare Advantage$163case rate
United HealthcareMedicare Advantage HMOMedicare Advantage$166case rate
Fort Worth FirefightersCommercialCommercial$181case rate
AetnaWhole HealthCommercial$207percent of total billed charges
United HealthcareAll PayerCommercial$210case rate
CignaOAP/HMOCommercial$236case rate
CignaPPOCommercial$266case rate
United Healthcare OptionsPPOCommercial$276case rate
AetnaCommercialCommercial$276percent of total billed charges
City of Fort WorthCommercialCommercial$287percent of total billed charges
Blue Cross Blue ShieldHMOCommercial$316fee schedule
Blue Cross Blue ShieldExchangeCommercial$325fee schedule
Blue Cross Blue ShieldPPOCommercial$351fee schedule
Quick TripCommercialCommercial$366percent of total billed charges
PHCSPPOCommercial$424percent of total billed charges
AetnaCoventryCommercial$428percent of total billed charges
AetnaASACommercial$428percent of total billed charges
HealthsmartCommercialCommercial$458percent of total billed charges
MultiplanCommercialCommercial$531percent of total billed charges
GalaxyCommercialCommercial$537percent of total billed charges
USAMCOCommercial$537percent of total billed charges
CignaIndemnityCommercial$574percent of total billed charges
Blue Cross Blue ShieldTraditionalCommercial$950fee schedule
Texas Health Arlington Memorial Hospital: all 39 plan rates
PayerPlan (as written in the file)TypeRateMethod
Blue Cross Blue ShieldManaged MedicaidMedicaid / CHIP$61.51percent of total billed charges
Cook ChildrensManaged MedicaidMedicaid / CHIP$61.51percent of total billed charges
United HealthcareManaged MedicaidMedicaid / CHIP$61.51percent of total billed charges
AmerigroupManaged MedicaidMedicaid / CHIP$61.51percent of total billed charges
ParklandManaged MedicaidMedicaid / CHIP$61.51percent of total billed charges
Superior WellcareManaged MedicaidMedicaid / CHIP$64.56percent of total billed charges
MolinaManaged MedicaidMedicaid / CHIP$66.46percent of total billed charges
AetnaManaged MedicaidMedicaid / CHIP$67.68percent of total billed charges
American HealthMedicare AdvantageMedicare Advantage$155case rate
Blue Cross Blue ShieldMedicare AdvantageMedicare Advantage$155case rate
HealthSpringMedicare AdvantageMedicare Advantage$158case rate
HumanaMedicare AdvantageMedicare Advantage$161case rate
Superior WellcareMedicare Advantage HMOMedicare Advantage$163case rate
AmerigroupMedicare AdvantageMedicare Advantage$163case rate
MolinaMedicare AdvantageMedicare Advantage$163case rate
Superior WellcareMedicare Advantage MMPMedicaid / CHIP$171case rate
United HealthcareMedicare Advantage PPOMedicare Advantage$172case rate
United HealthcareMedicare Advantage HMOMedicare Advantage$175case rate
Fort Worth FirefightersCommercialCommercial$181percent of total billed charges
Blue Cross Blue ShieldExchangeCommercial$186fee schedule
AetnaWhole HealthCommercial$207percent of total billed charges
United HealthcareAll PayerCommercial$210case rate
CignaOAP/HMOCommercial$236case rate
CignaPPOCommercial$266case rate
United Healthcare OptionsPPOCommercial$276case rate
AetnaCommercialCommercial$276percent of total billed charges
City of Fort WorthCommercialCommercial$287percent of total billed charges
Blue Cross Blue ShieldHMOCommercial$316fee schedule
Blue Cross Blue ShieldPPOCommercial$351fee schedule
Quick TripCommercialCommercial$366percent of total billed charges
PHCSPPOCommercial$424percent of total billed charges
AetnaASACommercial$428percent of total billed charges
AetnaCoventryCommercial$428percent of total billed charges
HealthsmartCommercialCommercial$458percent of total billed charges
MultiplanCommercialCommercial$531percent of total billed charges
GalaxyCommercialCommercial$537percent of total billed charges
USAMCOCommercial$537percent of total billed charges
CignaIndemnityCommercial$574percent of total billed charges
Blue Cross Blue ShieldTraditionalCommercial$950fee schedule
Texas Health Presbyterian Hospital Dallas: all 37 plan rates
PayerPlan (as written in the file)TypeRateMethod
ParklandManaged MedicaidMedicaid / CHIP$57.12percent of total billed charges
United HealthcareManaged MedicaidMedicaid / CHIP$57.12percent of total billed charges
AmerigroupManaged MedicaidMedicaid / CHIP$57.12percent of total billed charges
Blue Cross Blue ShieldManaged MedicaidMedicaid / CHIP$57.12percent of total billed charges
Superior WellcareManaged MedicaidMedicaid / CHIP$59.99percent of total billed charges
MolinaManaged MedicaidMedicaid / CHIP$61.70percent of total billed charges
American HealthMedicare AdvantageMedicare Advantage$156case rate
Blue Cross Blue ShieldMedicare AdvantageMedicare Advantage$156case rate
HealthSpringMedicare AdvantageMedicare Advantage$160case rate
HumanaMedicare AdvantageMedicare Advantage$163case rate
MolinaMedicare AdvantageMedicare Advantage$164case rate
Superior WellcareMedicare Advantage HMOMedicare Advantage$164case rate
AmerigroupMedicare AdvantageMedicare Advantage$164case rate
Superior WellcareMedicare Advantage MMPMedicaid / CHIP$172case rate
United HealthcareMedicare Advantage PPOMedicare Advantage$174case rate
United HealthcareMedicare Advantage HMOMedicare Advantage$177case rate
Fort Worth FirefightersCommercialCommercial$181case rate
Blue Cross Blue ShieldExchangeCommercial$186fee schedule
AetnaWhole HealthCommercial$207percent of total billed charges
United HealthcareAll PayerCommercial$210case rate
CignaOAP/HMOCommercial$236case rate
CignaPPOCommercial$266case rate
United Healthcare OptionsPPOCommercial$276case rate
AetnaCommercialCommercial$276percent of total billed charges
City of Fort WorthCommercialCommercial$287percent of total billed charges
Blue Cross Blue ShieldHMOCommercial$316fee schedule
Blue Cross Blue ShieldPPOCommercial$351fee schedule
Quick TripCommercialCommercial$366percent of total billed charges
PHCSPPOCommercial$424percent of total billed charges
AetnaASACommercial$428percent of total billed charges
AetnaCoventryCommercial$428percent of total billed charges
HealthsmartCommercialCommercial$458percent of total billed charges
MultiplanCommercialCommercial$531percent of total billed charges
USAMCOCommercial$537percent of total billed charges
GalaxyCommercialCommercial$537percent of total billed charges
CignaIndemnityCommercial$574percent of total billed charges
Blue Cross Blue ShieldTraditionalCommercial$950fee schedule
Texas Health Harris Methodist Hospital Azle: all 38 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupManaged MedicaidMedicaid / CHIP$66.82percent of total billed charges
Blue Cross Blue ShieldManaged MedicaidMedicaid / CHIP$66.82percent of total billed charges
Cook ChildrensManaged MedicaidMedicaid / CHIP$66.82percent of total billed charges
United HealthcareManaged MedicaidMedicaid / CHIP$66.82percent of total billed charges
Superior WellcareManaged MedicaidMedicaid / CHIP$70.18percent of total billed charges
MolinaManaged MedicaidMedicaid / CHIP$72.19percent of total billed charges
AetnaManaged MedicaidMedicaid / CHIP$73.54percent of total billed charges
American HealthMedicare AdvantageMedicare Advantage$155case rate
Blue Cross Blue ShieldMedicare AdvantageMedicare Advantage$155case rate
HealthSpringMedicare AdvantageMedicare Advantage$158case rate
HumanaMedicare AdvantageMedicare Advantage$161case rate
MolinaMedicare AdvantageMedicare Advantage$163case rate
Superior WellcareMedicare Advantage HMOMedicare Advantage$163case rate
AmerigroupMedicare AdvantageMedicare Advantage$163case rate
Superior WellcareMedicare Advantage MMPMedicaid / CHIP$171case rate
United HealthcareMedicare Advantage PPOMedicare Advantage$172case rate
United HealthcareMedicare Advantage HMOMedicare Advantage$175case rate
Fort Worth FirefightersCommercialCommercial$181case rate
AetnaWhole HealthCommercial$207percent of total billed charges
United HealthcareAll PayerCommercial$210case rate
CignaOAP/HMOCommercial$236case rate
CignaPPOCommercial$266case rate
United Healthcare OptionsPPOCommercial$276case rate
AetnaCommercialCommercial$276percent of total billed charges
City of Fort WorthCommercialCommercial$287percent of total billed charges
Blue Cross Blue ShieldHMOCommercial$316fee schedule
Blue Cross Blue ShieldExchangeCommercial$348fee schedule
Blue Cross Blue ShieldPPOCommercial$351fee schedule
AetnaASACommercial$428percent of total billed charges
AetnaCoventryCommercial$428percent of total billed charges
Quick TripCommercialCommercial$433percent of total billed charges
HealthsmartCommercialCommercial$458percent of total billed charges
PHCSPPOCommercial$510percent of total billed charges
MultiplanCommercialCommercial$531percent of total billed charges
GalaxyCommercialCommercial$537percent of total billed charges
USAMCOCommercial$537percent of total billed charges
CignaIndemnityCommercial$574percent of total billed charges
Blue Cross Blue ShieldTraditionalCommercial$950fee schedule
Texas Health Harris Methodist Hospital Cleburne: all 38 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupManaged MedicaidMedicaid / CHIP$61.51percent of total billed charges
Cook ChildrensManaged MedicaidMedicaid / CHIP$61.51percent of total billed charges
Blue Cross Blue ShieldManaged MedicaidMedicaid / CHIP$61.51percent of total billed charges
United HealthcareManaged MedicaidMedicaid / CHIP$61.51percent of total billed charges
Superior WellcareManaged MedicaidMedicaid / CHIP$64.56percent of total billed charges
MolinaManaged MedicaidMedicaid / CHIP$66.46percent of total billed charges
AetnaManaged MedicaidMedicaid / CHIP$67.68percent of total billed charges
American HealthMedicare AdvantageMedicare Advantage$147case rate
Blue Cross Blue ShieldMedicare AdvantageMedicare Advantage$147case rate
HealthSpringMedicare AdvantageMedicare Advantage$150case rate
HumanaMedicare AdvantageMedicare Advantage$153case rate
AmerigroupMedicare AdvantageMedicare Advantage$154case rate
Superior WellcareMedicare Advantage HMOMedicare Advantage$154case rate
MolinaMedicare AdvantageMedicare Advantage$154case rate
Superior WellcareMedicare Advantage MMPMedicaid / CHIP$162case rate
United HealthcareMedicare Advantage PPOMedicare Advantage$163case rate
United HealthcareMedicare Advantage HMOMedicare Advantage$166case rate
Fort Worth FirefightersCommercialCommercial$181percent of total billed charges
AetnaWhole HealthCommercial$207percent of total billed charges
United HealthcareAll PayerCommercial$210case rate
CignaOAP/HMOCommercial$236case rate
CignaPPOCommercial$266case rate
United Healthcare OptionsPPOCommercial$276case rate
AetnaCommercialCommercial$276percent of total billed charges
City of Fort WorthCommercialCommercial$287percent of total billed charges
Blue Cross Blue ShieldHMOCommercial$316fee schedule
Blue Cross Blue ShieldExchangeCommercial$348fee schedule
Blue Cross Blue ShieldPPOCommercial$351fee schedule
AetnaASACommercial$428percent of total billed charges
AetnaCoventryCommercial$428percent of total billed charges
Quick TripCommercialCommercial$433percent of total billed charges
PHCSPPOCommercial$510percent of total billed charges
HealthsmartCommercialCommercial$531percent of total billed charges
MultiplanCommercialCommercial$531percent of total billed charges
GalaxyCommercialCommercial$537percent of total billed charges
USAMCOCommercial$537percent of total billed charges
CignaIndemnityCommercial$574percent of total billed charges
Blue Cross Blue ShieldTraditionalCommercial$950fee schedule
Texas Health Hospital Clearfork: all 38 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupManaged MedicaidMedicaid / CHIP$50.10percent of total billed charges
Blue Cross Blue ShieldManaged MedicaidMedicaid / CHIP$50.10percent of total billed charges
Cook ChildrensManaged MedicaidMedicaid / CHIP$50.10percent of total billed charges
United HealthcareManaged MedicaidMedicaid / CHIP$50.10percent of total billed charges
Superior WellcareManaged MedicaidMedicaid / CHIP$52.60percent of total billed charges
MolinaManaged MedicaidMedicaid / CHIP$54.13percent of total billed charges
AetnaManaged MedicaidMedicaid / CHIP$55.11percent of total billed charges
American HealthMedicare AdvantageMedicare Advantage$155case rate
Blue Cross Blue ShieldMedicare AdvantageMedicare Advantage$155case rate
HealthSpringMedicare AdvantageMedicare Advantage$158case rate
HumanaMedicare AdvantageMedicare Advantage$161case rate
AmerigroupMedicare AdvantageMedicare Advantage$163case rate
MolinaMedicare AdvantageMedicare Advantage$163case rate
Superior WellcareMedicare Advantage HMOMedicare Advantage$163case rate
Superior WellcareMedicare Advantage MMPMedicaid / CHIP$171case rate
United HealthcareMedicare Advantage PPOMedicare Advantage$172case rate
United HealthcareMedicare Advantage HMOMedicare Advantage$175case rate
Fort Worth FirefightersCommercialCommercial$181case rate
Blue Cross Blue ShieldExchangeCommercial$186fee schedule
AetnaWhole HealthCommercial$207percent of total billed charges
United HealthcareAll PayerCommercial$210case rate
CignaOAP/HMOCommercial$236case rate
CignaPPOCommercial$266case rate
United Healthcare OptionsPPOCommercial$276case rate
AetnaCommercialCommercial$276percent of total billed charges
City of Fort WorthCommercialCommercial$287percent of total billed charges
Blue Cross Blue ShieldHMOCommercial$316fee schedule
Blue Cross Blue ShieldPPOCommercial$351fee schedule
Quick TripCommercialCommercial$366percent of total billed charges
PHCSPPOCommercial$424percent of total billed charges
AetnaASACommercial$428percent of total billed charges
AetnaCoventryCommercial$428percent of total billed charges
HealthsmartCommercialCommercial$458percent of total billed charges
MultiplanCommercialCommercial$531percent of total billed charges
GalaxyCommercialCommercial$537percent of total billed charges
USAMCOCommercial$537percent of total billed charges
CignaIndemnityCommercial$574percent of total billed charges
Blue Cross Blue ShieldTraditionalCommercial$950fee schedule
Texas Health Presbyterian Hospital Plano: all 37 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupManaged MedicaidMedicaid / CHIP$74.69percent of total billed charges
Blue Cross Blue ShieldManaged MedicaidMedicaid / CHIP$74.69percent of total billed charges
ParklandManaged MedicaidMedicaid / CHIP$74.69percent of total billed charges
United HealthcareManaged MedicaidMedicaid / CHIP$74.69percent of total billed charges
Superior WellcareManaged MedicaidMedicaid / CHIP$78.42percent of total billed charges
MolinaManaged MedicaidMedicaid / CHIP$80.68percent of total billed charges
American HealthMedicare AdvantageMedicare Advantage$151case rate
Blue Cross Blue ShieldMedicare AdvantageMedicare Advantage$151case rate
HealthSpringMedicare AdvantageMedicare Advantage$154case rate
HumanaMedicare AdvantageMedicare Advantage$157case rate
Superior WellcareMedicare Advantage HMOMedicare Advantage$158case rate
AmerigroupMedicare AdvantageMedicare Advantage$158case rate
MolinaMedicare AdvantageMedicare Advantage$158case rate
Superior WellcareMedicare Advantage MMPMedicaid / CHIP$166case rate
United HealthcareMedicare Advantage PPOMedicare Advantage$167case rate
United HealthcareMedicare Advantage HMOMedicare Advantage$170case rate
Fort Worth FirefightersCommercialCommercial$181case rate
Blue Cross Blue ShieldExchangeCommercial$186fee schedule
AetnaWhole HealthCommercial$207percent of total billed charges
United HealthcareAll PayerCommercial$210case rate
CignaOAP/HMOCommercial$236case rate
CignaPPOCommercial$266case rate
United Healthcare OptionsPPOCommercial$276case rate
AetnaCommercialCommercial$276percent of total billed charges
City of Fort WorthCommercialCommercial$287percent of total billed charges
Blue Cross Blue ShieldHMOCommercial$316fee schedule
Blue Cross Blue ShieldPPOCommercial$351fee schedule
Quick TripCommercialCommercial$366percent of total billed charges
PHCSPPOCommercial$424percent of total billed charges
AetnaASACommercial$428percent of total billed charges
AetnaCoventryCommercial$428percent of total billed charges
HealthsmartCommercialCommercial$458percent of total billed charges
MultiplanCommercialCommercial$531percent of total billed charges
GalaxyCommercialCommercial$537percent of total billed charges
USAMCOCommercial$537percent of total billed charges
CignaIndemnityCommercial$574percent of total billed charges
Blue Cross Blue ShieldTraditionalCommercial$950fee schedule
Texas Health Presbyterian Hospital Kaufman: all 37 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupManaged MedicaidMedicaid / CHIP$57.12percent of total billed charges
Blue Cross Blue ShieldManaged MedicaidMedicaid / CHIP$57.12percent of total billed charges
United HealthcareManaged MedicaidMedicaid / CHIP$57.12percent of total billed charges
ParklandManaged MedicaidMedicaid / CHIP$57.12percent of total billed charges
Superior WellcareManaged MedicaidMedicaid / CHIP$59.99percent of total billed charges
MolinaManaged MedicaidMedicaid / CHIP$61.70percent of total billed charges
American HealthMedicare AdvantageMedicare Advantage$151case rate
Blue Cross Blue ShieldMedicare AdvantageMedicare Advantage$151case rate
HealthSpringMedicare AdvantageMedicare Advantage$154case rate
HumanaMedicare AdvantageMedicare Advantage$157case rate
AmerigroupMedicare AdvantageMedicare Advantage$158case rate
MolinaMedicare AdvantageMedicare Advantage$158case rate
Superior WellcareMedicare Advantage HMOMedicare Advantage$158case rate
Superior WellcareMedicare Advantage MMPMedicaid / CHIP$166case rate
United HealthcareMedicare Advantage PPOMedicare Advantage$167case rate
United HealthcareMedicare Advantage HMOMedicare Advantage$170case rate
Fort Worth FirefightersCommercialCommercial$181case rate
AetnaWhole HealthCommercial$207percent of total billed charges
United HealthcareAll PayerCommercial$210case rate
CignaOAP/HMOCommercial$236case rate
CignaPPOCommercial$266case rate
United Healthcare OptionsPPOCommercial$276case rate
AetnaCommercialCommercial$276percent of total billed charges
City of Fort WorthCommercialCommercial$287percent of total billed charges
Blue Cross Blue ShieldHMOCommercial$316fee schedule
Blue Cross Blue ShieldExchangeCommercial$348fee schedule
Blue Cross Blue ShieldPPOCommercial$351fee schedule
AetnaASACommercial$428percent of total billed charges
AetnaCoventryCommercial$428percent of total billed charges
Quick TripCommercialCommercial$433percent of total billed charges
PHCSPPOCommercial$510percent of total billed charges
HealthsmartCommercialCommercial$531percent of total billed charges
MultiplanCommercialCommercial$531percent of total billed charges
GalaxyCommercialCommercial$537percent of total billed charges
USAMCOCommercial$537percent of total billed charges
CignaIndemnityCommercial$574percent of total billed charges
Blue Cross Blue ShieldTraditionalCommercial$950fee schedule
Texas Health Presbyterian Hospital Allen: all 37 plan rates
PayerPlan (as written in the file)TypeRateMethod
ParklandManaged MedicaidMedicaid / CHIP$70.30percent of total billed charges
United HealthcareManaged MedicaidMedicaid / CHIP$70.30percent of total billed charges
AmerigroupManaged MedicaidMedicaid / CHIP$70.30percent of total billed charges
Blue Cross Blue ShieldManaged MedicaidMedicaid / CHIP$70.30percent of total billed charges
Superior WellcareManaged MedicaidMedicaid / CHIP$73.84percent of total billed charges
MolinaManaged MedicaidMedicaid / CHIP$75.92percent of total billed charges
American HealthMedicare AdvantageMedicare Advantage$151case rate
Blue Cross Blue ShieldMedicare AdvantageMedicare Advantage$151case rate
HealthSpringMedicare AdvantageMedicare Advantage$154case rate
HumanaMedicare AdvantageMedicare Advantage$157case rate
Superior WellcareMedicare Advantage HMOMedicare Advantage$158case rate
MolinaMedicare AdvantageMedicare Advantage$158case rate
AmerigroupMedicare AdvantageMedicare Advantage$158case rate
Superior WellcareMedicare Advantage MMPMedicaid / CHIP$166case rate
United HealthcareMedicare Advantage PPOMedicare Advantage$167case rate
United HealthcareMedicare Advantage HMOMedicare Advantage$170case rate
Fort Worth FirefightersCommercialCommercial$181case rate
Blue Cross Blue ShieldExchangeCommercial$186fee schedule
AetnaWhole HealthCommercial$207percent of total billed charges
United HealthcareAll PayerCommercial$210case rate
CignaOAP/HMOCommercial$236case rate
CignaPPOCommercial$266case rate
United Healthcare OptionsPPOCommercial$276case rate
AetnaCommercialCommercial$276percent of total billed charges
City of Fort WorthCommercialCommercial$287percent of total billed charges
Blue Cross Blue ShieldHMOCommercial$316fee schedule
Blue Cross Blue ShieldPPOCommercial$351fee schedule
AetnaASACommercial$428percent of total billed charges
AetnaCoventryCommercial$428percent of total billed charges
Quick TripCommercialCommercial$433percent of total billed charges
HealthsmartCommercialCommercial$458percent of total billed charges
PHCSPPOCommercial$510percent of total billed charges
MultiplanCommercialCommercial$531percent of total billed charges
GalaxyCommercialCommercial$537percent of total billed charges
USAMCOCommercial$537percent of total billed charges
CignaIndemnityCommercial$574percent of total billed charges
Blue Cross Blue ShieldTraditionalCommercial$950fee schedule
Texas Health Harris Methodist Hospital Fort Worth: all 38 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupManaged MedicaidMedicaid / CHIP$79.09percent of total billed charges
Blue Cross Blue ShieldManaged MedicaidMedicaid / CHIP$79.09percent of total billed charges
Cook ChildrensManaged MedicaidMedicaid / CHIP$79.09percent of total billed charges
United HealthcareManaged MedicaidMedicaid / CHIP$79.09percent of total billed charges
Superior WellcareManaged MedicaidMedicaid / CHIP$83.06percent of total billed charges
MolinaManaged MedicaidMedicaid / CHIP$85.44percent of total billed charges
AetnaManaged MedicaidMedicaid / CHIP$87.02percent of total billed charges
American HealthMedicare AdvantageMedicare Advantage$155case rate
Blue Cross Blue ShieldMedicare AdvantageMedicare Advantage$155case rate
HealthSpringMedicare AdvantageMedicare Advantage$158case rate
HumanaMedicare AdvantageMedicare Advantage$161case rate
AmerigroupMedicare AdvantageMedicare Advantage$163case rate
MolinaMedicare AdvantageMedicare Advantage$163case rate
Superior WellcareMedicare Advantage HMOMedicare Advantage$163case rate
Superior WellcareMedicare Advantage MMPMedicaid / CHIP$171case rate
United HealthcareMedicare Advantage PPOMedicare Advantage$172case rate
United HealthcareMedicare Advantage HMOMedicare Advantage$175case rate
Fort Worth FirefightersCommercialCommercial$181percent of total billed charges
Blue Cross Blue ShieldExchangeCommercial$186percent of total billed charges
AetnaWhole HealthCommercial$207percent of total billed charges
United HealthcareAll PayerCommercial$210case rate
CignaOAP/HMOCommercial$236case rate
CignaPPOCommercial$266case rate
United Healthcare OptionsPPOCommercial$276case rate
AetnaCommercialCommercial$276percent of total billed charges
City of Fort WorthCommercialCommercial$287percent of total billed charges
Blue Cross Blue ShieldHMOCommercial$316percent of total billed charges
Blue Cross Blue ShieldPPOCommercial$351percent of total billed charges
Quick TripCommercialCommercial$366percent of total billed charges
PHCSPPOCommercial$424percent of total billed charges
AetnaASACommercial$428percent of total billed charges
AetnaCoventryCommercial$428percent of total billed charges
HealthsmartCommercialCommercial$458percent of total billed charges
MultiplanCommercialCommercial$531percent of total billed charges
GalaxyCommercialCommercial$537percent of total billed charges
USAMCOCommercial$537percent of total billed charges
Blue Cross Blue ShieldTraditionalCommercial$560percent of total billed charges
CignaIndemnityCommercial$574percent of total billed charges
Texas Health Hospital Frisco: all 37 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupManaged MedicaidMedicaid / CHIP$109percent of total billed charges
Blue Cross Blue ShieldManaged MedicaidMedicaid / CHIP$109percent of total billed charges
United HealthcareManaged MedicaidMedicaid / CHIP$109percent of total billed charges
ParklandManaged MedicaidMedicaid / CHIP$109percent of total billed charges
Superior WellcareManaged MedicaidMedicaid / CHIP$114percent of total billed charges
MolinaManaged MedicaidMedicaid / CHIP$117percent of total billed charges
Blue Cross Blue ShieldMedicare AdvantageMedicare Advantage$151case rate
American HealthMedicare AdvantageMedicare Advantage$151case rate
HealthSpringMedicare AdvantageMedicare Advantage$154case rate
HumanaMedicare AdvantageMedicare Advantage$157case rate
AmerigroupMedicare AdvantageMedicare Advantage$158case rate
MolinaMedicare AdvantageMedicare Advantage$158case rate
Superior WellcareMedicare Advantage HMOMedicare Advantage$158case rate
Superior WellcareMedicare Advantage MMPMedicaid / CHIP$166case rate
United HealthcareMedicare Advantage PPOMedicare Advantage$167case rate
United HealthcareMedicare Advantage HMOMedicare Advantage$170case rate
Fort Worth FirefightersCommercialCommercial$181percent of total billed charges
Blue Cross Blue ShieldExchangeCommercial$186fee schedule
AetnaWhole HealthCommercial$207percent of total billed charges
United HealthcareAll PayerCommercial$210case rate
CignaOAP/HMOCommercial$236case rate
CignaPPOCommercial$266case rate
United Healthcare OptionsPPOCommercial$276case rate
AetnaCommercialCommercial$276percent of total billed charges
City of Fort WorthCommercialCommercial$287percent of total billed charges
Blue Cross Blue ShieldHMOCommercial$316fee schedule
Blue Cross Blue ShieldPPOCommercial$351fee schedule
Quick TripCommercialCommercial$366percent of total billed charges
PHCSPPOCommercial$424percent of total billed charges
AetnaCoventryCommercial$428percent of total billed charges
AetnaASACommercial$428percent of total billed charges
HealthsmartCommercialCommercial$458percent of total billed charges
MultiplanCommercialCommercial$531percent of total billed charges
GalaxyCommercialCommercial$537percent of total billed charges
USAMCOCommercial$537percent of total billed charges
CignaIndemnityCommercial$574percent of total billed charges
Blue Cross Blue ShieldTraditionalCommercial$950fee schedule
UT Southwestern William P. Clements Jr. University Hospital: all 25 plan rates
PayerPlan (as written in the file)TypeRateMethod
Aetna Better HealthManaged MedicaidMedicaid / CHIP$114percent of total billed charges
WellpointManaged MedicaidMedicaid / CHIP$114percent of total billed charges
SuperiorManaged MedicaidMedicaid / CHIP$114percent of total billed charges
ParklandManaged MedicaidMedicaid / CHIP$114percent of total billed charges
United HealthcareManaged MedicaidMedicaid / CHIP$114percent of total billed charges
MolinaManaged MedicaidMedicaid / CHIP$123percent of total billed charges
United HealthcareCommercialCommercial$295fee schedule
AetnaWhole HealthCommercial$305percent of total billed charges
United Options NexusCommercialCommercial$326fee schedule
AetnaHMO/POS/EPO/PPOCommercial$381percent of total billed charges
Maestro Health/Fort Worth FirefightersCommercialCommercial$421percent of total billed charges
Blue Cross Blue ShieldMyBlueHealthCommercial$422fee schedule
HealthFirstCommercialCommercial$442percent of total billed charges
QuikTripCommercialCommercial$472percent of total billed charges
CoventryNational/Medical Rental ProductsCommercial$550percent of total billed charges
Rockwall CountyCommercialCommercial$551percent of total billed charges
United Healthcare W500CommercialCommercial$568percent of total billed charges
CignaHMO-PPOCommercial$580percent of total billed charges
Blue Cross Blue ShieldHMOCommercial$586fee schedule
PHCSCommercialCommercial$594percent of total billed charges
Blue Cross Blue ShieldPPOCommercial$651fee schedule
HealthSmartCommercialCommercial$653percent of total billed charges
MultiplanCommercialCommercial$685percent of total billed charges
Galaxy Health NetworkCommercialCommercial$693percent of total billed charges
Blue Cross Blue ShieldTraditionalCommercial$735fee schedule

What this price covers

These are hospital charges for CPT code 77066 (Diagnostic mammogram (both breasts)). 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

  1. 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).
  2. Ask whether the hospital has an uninsured discount or a financial assistance policy, and how to apply.
  3. Compare with an independent imaging center or lab: they are not covered by the hospital price rule and often quote lower cash prices.

Other mammogram prices in Dallas–Fort Worth