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.
| Hospital | Published cash price | Typical insured rate | Lowest 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 |
↓ Download this table (CSV)free to reuse with attribution (CC BY 4.0)
Negotiated rates by insurer
If you have a high deductible, you usually pay the rate your insurer negotiated until you meet it. Ranges cover every plan of that insurer in the file; open a hospital to see plan by plan.
| Hospital | Blue Cross Blue Shield | Aetna | Cigna | UnitedHealthcare | Humana | Oscar | Ambetter | Medicaid / CHIP | Medicare Advantage |
|---|---|---|---|---|---|---|---|---|---|
| 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
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $62.37 | percent of total billed charges |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $62.37 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $66.74 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $167 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $167 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $185 | percent of total billed charges |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $266 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $276 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $280 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $280 | percent of total billed charges |
| Aetna | Commercial | Commercial | $312 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $312 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $312 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $312 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $329 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $329 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $329 | percent of total billed charges |
| Texas A&M Commerce | Injured Athletes | Commercial | $340 | percent of total billed charges |
| Curative | Commercial | Commercial | $369 | percent of total billed charges |
| Superior Ambetter | Ambetter Exchange | Commercial | $369 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $390 | fee schedule |
| First Health | PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $397 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $425 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $425 | percent of total billed charges |
| TriWest | Community Care Network | Military / VA | $425 | percent of total billed charges |
| CORVEL | Worker's Compensation | Workers' comp | $482 | percent of total billed charges |
| Blue Cross Blue Shield | City of Dallas | Commercial | $525 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $554 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $583 | fee schedule |
Baylor Scott & White The Heart Hospital – Denton: all 29 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $62.37 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $66.74 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $167 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $167 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $185 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $241 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $266 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $280 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $280 | percent of total billed charges |
| Aetna | Commercial | Commercial | $312 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $312 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $312 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $312 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $329 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $329 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $329 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $341 | fee schedule |
| Curative | Commercial | Commercial | $369 | percent of total billed charges |
| Superior Ambetter | Ambetter Exchange | Commercial | $369 | percent of total billed charges |
| First Health | PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $397 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $425 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $425 | percent of total billed charges |
| TriWest | Community Care Network | Military / VA | $425 | percent of total billed charges |
| Blue Cross Blue Shield | City of Dallas | Commercial | $457 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $482 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $483 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $508 | fee schedule |
Baylor Scott & White The Heart Hospital – McKinney: all 23 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $103 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $167 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $167 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $185 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $241 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $266 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $280 | percent of total billed charges |
| Aetna | Commercial | Commercial | $312 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $312 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $312 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $329 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $329 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $341 | fee schedule |
| Curative | Commercial | Commercial | $369 | percent of total billed charges |
| First Health | PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $397 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $425 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $425 | percent of total billed charges |
| Blue Cross Blue Shield | City of Dallas | Commercial | $457 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $482 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $483 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $508 | fee schedule |
Baylor Scott & White The Heart Hospital – Plano: all 30 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $72.80 | percent of total billed charges |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $85.05 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $167 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $167 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $185 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $241 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $266 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $280 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $280 | percent of total billed charges |
| Aetna | Commercial | Commercial | $312 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $312 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $312 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $312 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $329 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $329 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $329 | percent of total billed charges |
| Aetna | Medicare Advantage | Medicare Advantage | $340 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $341 | fee schedule |
| Curative | Commercial | Commercial | $369 | percent of total billed charges |
| Superior Ambetter | Ambetter Exchange | Commercial | $369 | percent of total billed charges |
| First Health | PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $397 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $425 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $425 | percent of total billed charges |
| TriWest | Community Care Network | Military / VA | $425 | percent of total billed charges |
| Blue Cross Blue Shield | City of Dallas | Commercial | $457 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $482 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $483 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $508 | fee schedule |
Baylor Scott & White All Saints Medical Center – Fort Worth: all 33 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Cook Children's Health Plan | Medicaid | Medicaid / CHIP | $90.72 | percent of total billed charges |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $90.72 | percent of total billed charges |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $90.72 | percent of total billed charges |
| Aetna | Medicaid | Medicaid / CHIP | $92.53 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $97.07 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $167 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $167 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $185 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $241 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $266 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $280 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $280 | percent of total billed charges |
| Aetna | Commercial | Commercial | $312 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $312 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $312 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $312 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $329 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $329 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $329 | percent of total billed charges |
| Aetna | Medicare Advantage | Medicare Advantage | $340 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $341 | fee schedule |
| Curative | Commercial | Commercial | $369 | percent of total billed charges |
| Superior Ambetter | Ambetter Exchange | Commercial | $369 | percent of total billed charges |
| First Health | PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $397 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $425 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $425 | percent of total billed charges |
| TriWest | Community Care Network | Military / VA | $425 | percent of total billed charges |
| Blue Cross Blue Shield | City of Dallas | Commercial | $457 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $482 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $483 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $508 | fee schedule |
Baylor Scott & White Medical Center – Frisco at PGA Parkway: all 28 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $159 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $167 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $167 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $185 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $241 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $266 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $280 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $280 | percent of total billed charges |
| Aetna | Commercial | Commercial | $312 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $312 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $312 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $312 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $329 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $329 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $329 | percent of total billed charges |
| Aetna | Medicare Advantage | Medicare Advantage | $340 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $341 | fee schedule |
| Curative | Commercial | Commercial | $369 | percent of total billed charges |
| Superior Ambetter | Ambetter Exchange | Commercial | $369 | percent of total billed charges |
| First Health | PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $397 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $425 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $425 | percent of total billed charges |
| Blue Cross Blue Shield | City of Dallas | Commercial | $457 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $482 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $483 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $508 | fee schedule |
Baylor Scott & White Medical Center – McKinney: all 30 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $96.39 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $103 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $167 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $167 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $185 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $241 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $266 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $280 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $280 | percent of total billed charges |
| Aetna | Commercial | Commercial | $312 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $312 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $312 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $312 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $329 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $329 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $329 | percent of total billed charges |
| Aetna | Medicare Advantage | Medicare Advantage | $340 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $341 | fee schedule |
| Curative | Commercial | Commercial | $369 | percent of total billed charges |
| Superior Ambetter | Ambetter Exchange | Commercial | $369 | percent of total billed charges |
| First Health | PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $397 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $425 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $425 | percent of total billed charges |
| TriWest | Community Care Network | Military / VA | $425 | percent of total billed charges |
| Blue Cross Blue Shield | City of Dallas | Commercial | $457 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $482 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $483 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $508 | fee schedule |
Baylor Scott & White Medical Center – Grapevine: all 31 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $85.05 | percent of total billed charges |
| Aetna | Medicaid | Medicaid / CHIP | $86.75 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $91.00 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $167 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $167 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $185 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $241 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $266 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $280 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $280 | percent of total billed charges |
| Aetna | Commercial | Commercial | $312 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $312 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $312 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $312 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $329 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $329 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $329 | percent of total billed charges |
| Aetna | Medicare Advantage | Medicare Advantage | $340 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $341 | fee schedule |
| Curative | Commercial | Commercial | $369 | percent of total billed charges |
| Superior Ambetter | Ambetter Exchange | Commercial | $369 | percent of total billed charges |
| First Health | PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $397 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $425 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $425 | percent of total billed charges |
| TriWest | Community Care Network | Military / VA | $425 | percent of total billed charges |
| Blue Cross Blue Shield | City of Dallas | Commercial | $457 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $482 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $483 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $508 | fee schedule |
Baylor University Medical Center: all 33 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $96.39 | percent of total billed charges |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $96.39 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $103 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $167 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $167 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $185 | percent of total billed charges |
| Texas Workforce Commission | Workers Compensation | Workers' comp | $204 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $241 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $266 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $280 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $280 | percent of total billed charges |
| Aetna | Commercial | Commercial | $312 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $312 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $312 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $312 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $329 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $329 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $329 | percent of total billed charges |
| Aetna | Medicare Advantage | Medicare Advantage | $340 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $341 | fee schedule |
| Curative | Commercial | Commercial | $369 | percent of total billed charges |
| Superior Ambetter | Ambetter Exchange | Commercial | $369 | percent of total billed charges |
| First Health | PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $397 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $397 | percent of total billed charges |
| Optum | Commercial | Commercial | $397 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $425 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $425 | percent of total billed charges |
| TriWest | Community Care Network | Military / VA | $425 | percent of total billed charges |
| Blue Cross Blue Shield | City of Dallas | Commercial | $457 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $482 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $483 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $508 | fee schedule |
Baylor Scott & White Medical Center – Waxahachie: all 30 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $85.05 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $91.00 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $167 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $167 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $185 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $241 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $266 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $280 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $280 | percent of total billed charges |
| Aetna | Commercial | Commercial | $312 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $312 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $312 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $312 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $329 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $329 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $329 | percent of total billed charges |
| Aetna | Medicare Advantage | Medicare Advantage | $340 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $341 | fee schedule |
| Curative | Commercial | Commercial | $369 | percent of total billed charges |
| Superior Ambetter | Ambetter Exchange | Commercial | $369 | percent of total billed charges |
| First Health | PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $397 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $425 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $425 | percent of total billed charges |
| TriWest | Community Care Network | Military / VA | $425 | percent of total billed charges |
| Blue Cross Blue Shield | City of Dallas | Commercial | $457 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $482 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $483 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $508 | fee schedule |
Baylor Scott & White Medical Center – Irving: all 31 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $62.37 | percent of total billed charges |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $62.37 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $66.74 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $167 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $167 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $185 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $241 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $266 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $280 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $280 | percent of total billed charges |
| Aetna | Commercial | Commercial | $312 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $312 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $312 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $312 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $329 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $329 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $329 | percent of total billed charges |
| Aetna | Medicare Advantage | Medicare Advantage | $340 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $341 | fee schedule |
| Curative | Commercial | Commercial | $369 | percent of total billed charges |
| Superior Ambetter | Ambetter Exchange | Commercial | $369 | percent of total billed charges |
| First Health | PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $397 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $425 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $425 | percent of total billed charges |
| TriWest | Community Care Network | Military / VA | $425 | percent of total billed charges |
| Blue Cross Blue Shield | City of Dallas | Commercial | $457 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $482 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $483 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $508 | fee schedule |
Baylor Scott & White Heart and Vascular Hospital – Dallas: all 29 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $45.36 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $48.54 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $167 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $167 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $185 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $241 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $266 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $280 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $280 | percent of total billed charges |
| Aetna | Commercial | Commercial | $312 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $312 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $312 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $329 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $329 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $329 | percent of total billed charges |
| Aetna | Medicare Advantage | Medicare Advantage | $340 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $341 | fee schedule |
| Curative | Commercial | Commercial | $369 | percent of total billed charges |
| Superior Ambetter | Ambetter Exchange | Commercial | $369 | percent of total billed charges |
| First Health | PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $397 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $425 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $425 | percent of total billed charges |
| TriWest | Community Care Network | Military / VA | $425 | percent of total billed charges |
| Blue Cross Blue Shield | City of Dallas | Commercial | $457 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $482 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $483 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $508 | fee schedule |
Baylor Scott & White Heart and Vascular Hospital – Waxahachie: all 21 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| United Healthcare | Charter | Commercial | $167 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $167 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $185 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $241 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $266 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $280 | percent of total billed charges |
| Aetna | Commercial | Commercial | $312 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $312 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $312 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $312 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $329 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $329 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $341 | fee schedule |
| Curative | Commercial | Commercial | $369 | percent of total billed charges |
| First Health | PPO | Commercial | $397 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $397 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $425 | percent of total billed charges |
| Blue Cross Blue Shield | City of Dallas | Commercial | $457 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $482 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $483 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $508 | fee schedule |
Baylor Scott & White Medical Center – Plano: all 32 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $68.04 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $72.80 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $167 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $167 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $185 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $241 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $266 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $280 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $280 | percent of total billed charges |
| Aetna | Commercial | Commercial | $312 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $312 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $312 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $312 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $329 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $329 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $329 | percent of total billed charges |
| Aetna | Medicare Advantage | Medicare Advantage | $340 | percent of total billed charges |
| Independent Medical System | Commercial PPO | Commercial | $340 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $341 | fee schedule |
| Curative | Commercial | Commercial | $369 | percent of total billed charges |
| Superior Ambetter | Ambetter Exchange | Commercial | $369 | percent of total billed charges |
| First Health | PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $397 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $397 | percent of total billed charges |
| Optum | Commercial | Commercial | $397 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $425 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $425 | percent of total billed charges |
| TriWest | Community Care Network | Military / VA | $425 | percent of total billed charges |
| Blue Cross Blue Shield | City of Dallas | Commercial | $457 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $482 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $483 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $508 | fee schedule |
Baylor Scott & White Medical Center – Centennial: all 30 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Superior Health Plan | Medicaid | Medicaid / CHIP | $90.72 | percent of total billed charges |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $90.72 | percent of total billed charges |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $97.07 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $167 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $167 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $185 | percent of total billed charges |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $266 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $276 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $280 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $280 | percent of total billed charges |
| Aetna | Commercial | Commercial | $312 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $312 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $312 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $312 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $329 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $329 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $329 | percent of total billed charges |
| Curative | Commercial | Commercial | $369 | percent of total billed charges |
| Superior Ambetter | Ambetter Exchange | Commercial | $369 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $390 | fee schedule |
| First Health | PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $397 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $397 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $425 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $425 | percent of total billed charges |
| TriWest | Community Care Network | Military / VA | $425 | percent of total billed charges |
| CORVEL | Worker's Compensation | Workers' comp | $482 | percent of total billed charges |
| Blue Cross Blue Shield | City of Dallas | Commercial | $525 | fee schedule |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $554 | fee schedule |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $583 | fee schedule |
Methodist Celina Medical Center: all 32 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MCEL | Medicare Advantage | $156 | fee schedule |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MCEL | Medicare Advantage | $156 | fee schedule |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MCEL | Medicare Advantage | $156 | fee schedule |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MCEL | Medicare Advantage | $156 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MCEL | Medicare Advantage | $156 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MCEL | Medicare Advantage | $164 | fee schedule |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MCEL | Medicare Advantage | $164 | fee schedule |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MCEL | Medicare Advantage | $166 | fee schedule |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MCEL | Medicare Advantage | $166 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MCEL | Medicare Advantage | $166 | fee schedule |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MCEL | Medicare Advantage | $167 | fee schedule |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MCEL | Commercial | $203 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MCEL | Commercial | $220 | fee schedule |
| MOLINA | MHS HB MOLINA MARKETPLACE MCEL | Commercial | $227 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MCEL | Commercial | $242 | fee schedule |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MCEL | Commercial | $250 | fee schedule |
| AETNA | MHS HB AETNA CVS MCEL | Commercial | $253 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MCEL | Commercial | $253 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MCEL | Commercial | $258 | fee schedule |
| SANA BENEFITS | MHS HB SANA MCEL | Commercial | $313 | fee schedule |
| VELOCITY | MHS HB VELOCITY MCEL | Commercial | $313 | fee schedule |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MCEL | Workers' comp | $313 | fee schedule |
| EVRY HEALTH | MHS HB EVRY MCEL | Commercial | $313 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL | Commercial | $364 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MCEL | Commercial | $364 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MCEL | Commercial | $377 | fee schedule |
| BCBS | MHS HB BCBS HMO MCEL | Commercial | $385 | fee schedule |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MCEL | Commercial | $391 | fee schedule |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MCEL | Commercial | $391 | fee schedule |
| BCBS | MHS HB BCBS PPO MCEL | Commercial | $419 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MCEL | Commercial | $419 | fee schedule |
| SUPERIOR MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MCEL | Medicaid / CHIP | $873 | percent of total billed charges |
Methodist Dallas Medical Center: all 52 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| UNITED HEALTHCARE MEDICAID MANAGED CARE | MHS HB UNITED MEDICAID STAR PLUS MDMC | Medicaid / CHIP | $95.24 | percent of total billed charges |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MDMC | Medicare Advantage | $110 | fee schedule |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MDMC | Public program | $110 | fee schedule |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MDMC | Medicare Advantage | $110 | fee schedule |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MDMC | Medicare Advantage | $110 | fee schedule |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MDMC | Medicare Advantage | $110 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MDMC | Medicare Advantage | $110 | fee schedule |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MDMC | Medicare Advantage | $112 | fee schedule |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MDMC | Medicare Advantage | $116 | fee schedule |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MDMC | Medicare Advantage | $116 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MDMC | Medicare Advantage | $116 | fee schedule |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MDMC | Medicare Advantage | $116 | fee schedule |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MDMC | Medicare Advantage | $117 | fee schedule |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MDMC | Medicare Advantage | $117 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MDMC | Medicare Advantage | $117 | fee schedule |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MDMC | Commercial | $118 | fee schedule |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MDMC | Medicare Advantage | $118 | fee schedule |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MDMC | Medicare Advantage | $119 | fee schedule |
| CORALVITA | MHS HB VIBRA MRMC MCMC MDMC | Commercial | $132 | fee schedule |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MDMC | Commercial | $138 | fee schedule |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MDMC | Commercial | $143 | fee schedule |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MDMC | Commercial | $154 | fee schedule |
| MOLINA | MHS HB MOLINA MARKETPLACE MDMC | Commercial | $160 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MDMC | Commercial | $171 | fee schedule |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MDMC | Commercial | $176 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MDMC | Commercial | $178 | fee schedule |
| AETNA | MHS HB AETNA CVS MDMC | Commercial | $178 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MDMC | Commercial | $182 | fee schedule |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MDMC | Commercial | $187 | fee schedule |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MDMC | Commercial | $188 | fee schedule |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MDMC | Commercial | $198 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MDMC | Commercial | $203 | fee schedule |
| CIGNA | MHS HB CUSTOM INK MDMC | Commercial | $204 | fee schedule |
| EVRY HEALTH | MHS HB EVRY MDMC | Commercial | $220 | fee schedule |
| SANA BENEFITS | MHS HB SANA MDMC | Commercial | $220 | fee schedule |
| VELOCITY | MHS HB VELOCITY MDMC | Commercial | $220 | fee schedule |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MDMC | Workers' comp | $220 | fee schedule |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MDMC | Commercial | $275 | fee schedule |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MDMC | Commercial | $275 | fee schedule |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MDMC | Commercial | $297 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MDMC | Commercial | $335 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MDMC | Commercial | $335 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MDMC | Commercial | $348 | fee schedule |
| BCBS | MHS HB BCBS HMO MDMC | Commercial | $355 | fee schedule |
| BCBS | MHS HB BCBS PPO MDMC | Commercial | $386 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MDMC | Commercial | $386 | fee schedule |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MDMC | Medicaid / CHIP | $410 | percent of total billed charges |
| AETNA COMMERCIAL | MHS HB AETNA TX PREF PLUS II MDMC | Commercial | $473 | fee schedule |
| AETNA | MHS HB AETNA BAYLOR SCOTT AND WHITE MDMC | Commercial | $496 | fee schedule |
| AETNA COMMERCIAL | MHS HB AETNA TEXAS ADVANTAGE MDMC | Commercial | $501 | fee schedule |
| AETNA MANAGED CARE | MHS HB AETNA WHOLE HEALTH MDMC | Commercial | $501 | fee schedule |
| AETNA | MHS HB AETNA HMO PPO MDMC | Commercial | $557 | fee schedule |
Methodist Mansfield Medical Center: all 47 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| UNITED HEALTHCARE MEDICAID MANAGED CARE | MHS HB UNITED MEDICAID STAR PLUS MMMC | Medicaid / CHIP | $82.94 | percent of total billed charges |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MMMC | Medicare Advantage | $110 | fee schedule |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MMMC | Public program | $110 | fee schedule |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MMMC | Medicare Advantage | $110 | fee schedule |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MMMC | Medicare Advantage | $110 | fee schedule |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MMMC | Medicare Advantage | $110 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MMMC | Medicare Advantage | $110 | fee schedule |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MMMC | Medicare Advantage | $112 | fee schedule |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MMMC | Medicare Advantage | $116 | fee schedule |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MMMC | Medicare Advantage | $116 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MMMC | Medicare Advantage | $116 | fee schedule |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MMMC | Medicare Advantage | $116 | fee schedule |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MMMC | Medicare Advantage | $117 | fee schedule |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MMMC | Medicare Advantage | $117 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MMMC | Medicare Advantage | $117 | fee schedule |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MMMC | Commercial | $118 | fee schedule |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MMMC | Medicare Advantage | $118 | fee schedule |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MMMC | Medicare Advantage | $119 | fee schedule |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MMMC | Commercial | $138 | fee schedule |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MMMC | Commercial | $143 | fee schedule |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MMMC | Commercial | $154 | fee schedule |
| MOLINA | MHS HB MOLINA MARKETPLACE MMMC | Commercial | $160 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MMMC | Commercial | $171 | fee schedule |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MMMC | Commercial | $176 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MMMC | Commercial | $178 | fee schedule |
| AETNA | MHS HB AETNA CVS MMMC | Commercial | $178 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MMMC | Commercial | $182 | fee schedule |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MMMC | Commercial | $187 | fee schedule |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MMMC | Commercial | $188 | fee schedule |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MMMC | Commercial | $198 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MMMC | Commercial | $203 | fee schedule |
| CIGNA | MHS HB CUSTOM INK MMMC | Commercial | $204 | fee schedule |
| EVRY HEALTH | MHS HB EVRY MMMC | Commercial | $220 | fee schedule |
| SANA BENEFITS | MHS HB SANA MMMC | Commercial | $220 | fee schedule |
| VELOCITY | MHS HB VELOCITY MMMC | Commercial | $220 | fee schedule |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MMMC | Workers' comp | $220 | fee schedule |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MMMC | Commercial | $275 | fee schedule |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MMMC | Commercial | $275 | fee schedule |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MMMC | Commercial | $297 | fee schedule |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MMMC | Medicaid / CHIP | $307 | percent of total billed charges |
| BCBS | MHS HB BCBS PREMIER MMMC | Commercial | $335 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MMMC | Commercial | $335 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MMMC | Commercial | $348 | fee schedule |
| BCBS | MHS HB BCBS HMO MMMC | Commercial | $355 | fee schedule |
| WELLPOINT MEDICAID MANAGED CARE | MHS HB WELLPOINT MEDICAID STAR MMMC | Medicaid / CHIP | $373 | percent of total billed charges |
| BCBS | MHS HB BCBS PPO MMMC | Commercial | $386 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MMMC | Commercial | $386 | fee schedule |
Methodist Midlothian Medical Center: all 39 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MLMC | Medicare Advantage | $156 | fee schedule |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MLMC | Public program | $156 | fee schedule |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MLMC | Medicare Advantage | $156 | fee schedule |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MLMC | Medicare Advantage | $156 | fee schedule |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MLMC | Medicare Advantage | $156 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MLMC | Medicare Advantage | $156 | fee schedule |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MLMC | Medicare Advantage | $160 | fee schedule |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MLMC | Medicare Advantage | $164 | fee schedule |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MLMC | Medicare Advantage | $164 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MLMC | Medicare Advantage | $164 | fee schedule |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MLMC | Medicare Advantage | $164 | fee schedule |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MLMC | Medicare Advantage | $166 | fee schedule |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MLMC | Medicare Advantage | $166 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MLMC | Medicare Advantage | $166 | fee schedule |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MLMC | Commercial | $167 | fee schedule |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MLMC | Medicare Advantage | $167 | fee schedule |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MLMC | Medicare Advantage | $169 | fee schedule |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MLMC | Commercial | $196 | fee schedule |
| UNITED HEALTHCARE MEDICAID MANAGED CARE | MHS HB UNITED MEDICAID STAR PLUS MLMC | Medicaid / CHIP | $196 | percent of total billed charges |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MLMC | Commercial | $203 | fee schedule |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MLMC | Commercial | $219 | fee schedule |
| MOLINA | MHS HB MOLINA MARKETPLACE MLMC | Commercial | $227 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MLMC | Commercial | $242 | fee schedule |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MLMC | Commercial | $250 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MLMC | Commercial | $253 | fee schedule |
| AETNA | MHS HB AETNA CVS MLMC | Commercial | $253 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MLMC | Commercial | $258 | fee schedule |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MLMC | Commercial | $266 | fee schedule |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MLMC | Commercial | $267 | fee schedule |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MLMC | Commercial | $282 | fee schedule |
| CIGNA | MHS HB CUSTOM INK MLMC | Commercial | $289 | fee schedule |
| EVRY HEALTH | MHS HB EVRY MLMC | Commercial | $313 | fee schedule |
| SANA BENEFITS | MHS HB SANA MLMC | Commercial | $313 | fee schedule |
| VELOCITY | MHS HB VELOCITY MLMC | Commercial | $313 | fee schedule |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MLMC | Workers' comp | $313 | fee schedule |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MLMC | Commercial | $391 | fee schedule |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MLMC | Commercial | $391 | fee schedule |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MLMC | Commercial | $422 | fee schedule |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MLMC | Medicaid / CHIP | $844 | percent of total billed charges |
Methodist Richardson Medical Center: all 45 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| UNITED HEALTHCARE MEDICAID MANAGED CARE | MHS HB UNITED MEDICAID STAR PLUS MRMC | Medicaid / CHIP | $111 | percent of total billed charges |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MRMC | Medicare Advantage | $156 | fee schedule |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MRMC | Public program | $156 | fee schedule |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MRMC | Medicare Advantage | $156 | fee schedule |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MRMC | Medicare Advantage | $156 | fee schedule |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MRMC | Medicare Advantage | $156 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MRMC | Medicare Advantage | $156 | fee schedule |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MRMC | Medicare Advantage | $160 | fee schedule |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MRMC | Medicare Advantage | $164 | fee schedule |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MRMC | Medicare Advantage | $164 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MRMC | Medicare Advantage | $164 | fee schedule |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MRMC | Medicare Advantage | $164 | fee schedule |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MRMC | Medicare Advantage | $166 | fee schedule |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MRMC | Medicare Advantage | $166 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MRMC | Medicare Advantage | $166 | fee schedule |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MRMC | Commercial | $167 | fee schedule |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MRMC | Medicare Advantage | $167 | fee schedule |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MRMC | Medicare Advantage | $169 | fee schedule |
| CORALVITA | MHS HB VIBRA MRMC MCMC MDMC | Commercial | $188 | fee schedule |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MRMC | Commercial | $196 | fee schedule |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MRMC | Commercial | $203 | fee schedule |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MRMC | Commercial | $219 | fee schedule |
| MOLINA | MHS HB MOLINA MARKETPLACE MRMC | Commercial | $227 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MRMC | Commercial | $242 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MRMC | Commercial | $242 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MRMC | Commercial | $253 | fee schedule |
| AETNA | MHS HB AETNA CVS MRMC | Commercial | $253 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MRMC | Commercial | $258 | fee schedule |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MRMC | Commercial | $266 | fee schedule |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MRMC | Commercial | $267 | fee schedule |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MRMC | Commercial | $282 | fee schedule |
| CIGNA | MHS HB CUSTOM INK MRMC | Commercial | $289 | fee schedule |
| EVRY HEALTH | MHS HB EVRY MRMC | Commercial | $313 | fee schedule |
| SANA BENEFITS | MHS HB SANA MRMC | Commercial | $313 | fee schedule |
| VELOCITY | MHS HB VELOCITY MRMC | Commercial | $313 | fee schedule |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MRMC | Commercial | $391 | fee schedule |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MRMC | Commercial | $391 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MRMC | Commercial | $398 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MRMC | Commercial | $398 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MRMC | Commercial | $414 | fee schedule |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MRMC | Commercial | $422 | fee schedule |
| BCBS | MHS HB BCBS HMO MRMC | Commercial | $423 | fee schedule |
| BCBS | MHS HB BCBS PPO MRMC | Commercial | $460 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MRMC | Commercial | $460 | fee schedule |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MRMC | Medicaid / CHIP | $479 | percent of total billed charges |
Methodist Southlake Medical Center: all 52 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MSMC | Medicare Advantage | $156 | fee schedule |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MSMC | Medicare Advantage | $156 | fee schedule |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MSMC | Medicare Advantage | $156 | fee schedule |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MSMC | Medicare Advantage | $156 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MSMC | Medicare Advantage | $156 | fee schedule |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MSMC | Medicare Advantage | $160 | fee schedule |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MSMC | Medicare Advantage | $164 | fee schedule |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MSMC | Medicare Advantage | $164 | fee schedule |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MSMC | Medicare Advantage | $164 | fee schedule |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MSMC | Medicare Advantage | $164 | fee schedule |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MSMC | Medicare Advantage | $166 | fee schedule |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MSMC | Medicare Advantage | $166 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MSMC | Medicare Advantage | $166 | fee schedule |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MSMC | Commercial | $167 | fee schedule |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MSMC | Medicare Advantage | $167 | fee schedule |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MSMC | Medicare Advantage | $169 | fee schedule |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MSMC | Commercial | $196 | fee schedule |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MSMC | Commercial | $203 | fee schedule |
| BCBS | MHS HB BCBS MY BLUE HEALTH MSMC | Commercial | $203 | fee schedule |
| UNITED HEALTHCARE-COMMERCIAL | MHS HB UNITED HEALTHCARE MSMC | Commercial | $206 | per diem |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MSMC | Commercial | $219 | fee schedule |
| MOLINA | MHS HB MOLINA MARKETPLACE MSMC | Commercial | $227 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MSMC | Commercial | $242 | fee schedule |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MSMC | Commercial | $250 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MSMC | Commercial | $253 | fee schedule |
| AETNA | MHS HB AETNA CVS MSMC | Commercial | $253 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MSMC | Commercial | $258 | fee schedule |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MSMC | Commercial | $266 | fee schedule |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MSMC | Commercial | $267 | fee schedule |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MSMC | Commercial | $282 | fee schedule |
| CIGNA | MHS HB CUSTOM INK MSMC | Commercial | $289 | fee schedule |
| EVRY HEALTH | MHS HB EVRY MSMC | Commercial | $313 | fee schedule |
| SANA BENEFITS | MHS HB SANA MSMC | Commercial | $313 | fee schedule |
| VELOCITY | MHS HB VELOCITY MSMC | Commercial | $313 | fee schedule |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MSMC | Workers' comp | $313 | fee schedule |
| UNITED HEALTHCARE MEDICAID MANAGED CARE | MHS HB UNITED MEDICAID STAR PLUS MSMC | Medicaid / CHIP | $324 | percent of total billed charges |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MSMC | Commercial | $335 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MSMC | Commercial | $335 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MSMC | Commercial | $348 | fee schedule |
| BCBS | MHS HB BCBS HMO MSMC | Commercial | $355 | fee schedule |
| BCBS | MHS HB BCBS PPO MSMC | Commercial | $386 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MSMC | Commercial | $386 | fee schedule |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MSMC | Commercial | $391 | fee schedule |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MSMC | Commercial | $391 | fee schedule |
| AETNA COMMERCIAL | MHS HB AETNA TX PREF PLUS II MSMC | Commercial | $402 | fee schedule |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MSMC | Commercial | $422 | fee schedule |
| AETNA COMMERCIAL | MHS HB AETNA TEXAS ADVANTAGE MSMC | Commercial | $477 | fee schedule |
| AETNA MANAGED CARE | MHS HB AETNA WHOLE HEALTH MSMC | Commercial | $477 | fee schedule |
| AETNA | MHS HB AETNA HMO PPO MSMC | Commercial | $529 | fee schedule |
| AETNA | MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC | Commercial | $650 | percent of total billed charges |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MSMC | Medicaid / CHIP | $1,202 | percent of total billed charges |
| WELLPOINT MEDICAID MANAGED CARE | MHS HB WELLPOINT MEDICAID STAR MSMC | Medicaid / CHIP | $1,459 | percent of total billed charges |
Parkland Health (Parkland Memorial Hospital): all 36 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| WELLPOINT | WELLPOINT CHIP PERINATE POST PARTUM | Medicaid / CHIP | $133 | percent of total billed charges |
| COOK CHILDREN HEALTH PLAN | COOK CHILDREN STAR MEDICAID | Medicaid / CHIP | $140 | percent of total billed charges |
| COOK CHILDREN HEALTH PLAN | COOK CHILDRENS STAR KIDS | Medicaid / CHIP | $140 | percent of total billed charges |
| COOK CHILDREN HEALTH PLAN | COOK CHILDRENS CHIP | Medicaid / CHIP | $140 | percent of total billed charges |
| SUPERIOR HEALTH PLAN | SUPERIOR STAR HEALTH FOSTER CARE | Medicaid / CHIP | $140 | percent of total billed charges |
| PARKLAND COMMUNITY HEALTH PLAN | Parkland CHIP | Medicaid / CHIP | $140 | percent of total billed charges |
| AETNA BETTER HEALTH | AETNA BETTER HEALTH CHIP | Medicaid / CHIP | $140 | percent of total billed charges |
| AETNA BETTER HEALTH | BELOW FPIL AETNA CHIP PERINATE | Medicaid / CHIP | $140 | percent of total billed charges |
| AETNA BETTER HEALTH | ABOVE FPIL AETNA CHIP PERINATE | Medicaid / CHIP | $140 | percent of total billed charges |
| POINT COMFORT UNDERWRITERS | POINT COMFORT UNDERWRITERS | Public program | $147 | percent of total billed charges |
| MOLINA | MOLINA CHIP | Medicaid / CHIP | $147 | percent of total billed charges |
| MOLINA | MOLINA RSA MEDICAID | Medicaid / CHIP | $147 | percent of total billed charges |
| MOLINA | BELOW FPIL MOLINA CHIP PERINATE | Medicaid / CHIP | $147 | percent of total billed charges |
| MOLINA | POST PARTUM VST-MOLINA CHIP | Medicaid / CHIP | $147 | percent of total billed charges |
| MOLINA | ABOVE FPIL MOLINA CHIP PERINATE | Medicaid / CHIP | $147 | percent of total billed charges |
| CARE IMPROVEMENT PLUS | CARE IMPROVEMENT PLUS | Medicare Advantage | $184 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BLUE ADVANTAGE HMO ACA | Commercial | $184 | fee schedule |
| PROCARE ADVANTAGE | PROCARE ADVANTAGE | Medicare Advantage | $187 | percent of total billed charges |
| WELLPOINT | WELLPOINT STAR PLUS | Medicaid / CHIP | $496 | percent of total billed charges |
| WELLPOINT | WELLPOINT STAR KIDS | Medicaid / CHIP | $508 | percent of total billed charges |
| SUPERIOR HEALTHPLAN | SUPERIOR STAR PLUS | Medicaid / CHIP | $520 | percent of total billed charges |
| AETNA HEALTHCARE | AETNA | Commercial | $529 | percent of total billed charges |
| CIGNA | CIGNA | Commercial | $529 | percent of total billed charges |
| GREAT WEST HEALTHCARE | GREAT WEST HEALTHCARE | Commercial | $529 | percent of total billed charges |
| MOLINA | MOLINA STAR PLUS | Medicaid / CHIP | $545 | percent of total billed charges |
| UNITED HEALTHCARE OF TX | UNITED HEALTHCARE OF TX | Commercial | $588 | percent of total billed charges |
| UNITED HEALTHCARE OF TX | UHC - UMR | Commercial | $588 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS TRADITIONAL | Commercial | $634 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS OUT OF STATE | Commercial | $634 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS FEDERAL EMPLOYEE | Commercial | $634 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BLUE CROSS BLUE SHIELD PPO | Commercial | $634 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BLUE CROSS BLUE SHIELD HMO | Commercial | $634 | percent of total billed charges |
| WELLPOINT | WELLPOINT STAR | Medicaid / CHIP | $647 | percent of total billed charges |
| PARKLAND COMMUNITY HEALTH PLAN | Parkland STAR | Medicaid / CHIP | $680 | percent of total billed charges |
| AETNA BETTER HEALTH | AETNA BETTER HEALTH STAR | Medicaid / CHIP | $680 | percent of total billed charges |
| MOLINA | MOLINA STAR MEDICAID | Medicaid / CHIP | $712 | percent of total billed charges |
Texas Health Hospital Rockwall: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Parkland | Managed Medicaid | Medicaid / CHIP | $58.46 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $58.46 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $58.46 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $58.46 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $61.39 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $63.16 | percent of total billed charges |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $151 | case rate |
| American Health | Medicare Advantage | Medicare Advantage | $151 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $154 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $157 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $158 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $158 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $158 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $166 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $167 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $170 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $181 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $207 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $210 | case rate |
| Cigna | OAP/HMO | Commercial | $236 | case rate |
| Cigna | PPO | Commercial | $266 | case rate |
| United Healthcare Options | PPO | Commercial | $276 | case rate |
| Aetna | Commercial | Commercial | $276 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $287 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $316 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $325 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $351 | fee schedule |
| Quick Trip | Commercial | Commercial | $366 | percent of total billed charges |
| PHCS | PPO | Commercial | $424 | percent of total billed charges |
| Aetna | ASA | Commercial | $428 | percent of total billed charges |
| Aetna | Coventry | Commercial | $428 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $458 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $531 | percent of total billed charges |
| USA | MCO | Commercial | $537 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $537 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $574 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $950 | fee schedule |
Texas Health Presbyterian Hospital Flower Mound: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $91.90 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $91.90 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $91.90 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $91.90 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $96.48 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $99.23 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $101 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $151 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $151 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $154 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $157 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $158 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $158 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $158 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $166 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $167 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $170 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $181 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $207 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $210 | case rate |
| Cigna | OAP/HMO | Commercial | $236 | case rate |
| Cigna | PPO | Commercial | $266 | case rate |
| United Healthcare Options | PPO | Commercial | $276 | case rate |
| Aetna | Commercial | Commercial | $276 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $287 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $316 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $325 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $351 | fee schedule |
| Quick Trip | Commercial | Commercial | $366 | percent of total billed charges |
| PHCS | PPO | Commercial | $424 | percent of total billed charges |
| Aetna | ASA | Commercial | $428 | percent of total billed charges |
| Aetna | Coventry | Commercial | $428 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $458 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $531 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $537 | percent of total billed charges |
| USA | MCO | Commercial | $537 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $574 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $950 | fee schedule |
Texas Health Presbyterian Hospital Denton: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $57.12 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $57.12 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $57.12 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $57.12 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $59.99 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $61.70 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $62.86 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $151 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $151 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $154 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $157 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $158 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $158 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $158 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $166 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $167 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $170 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $181 | percent of total billed charges |
| Blue Cross Blue Shield | Exchange | Commercial | $186 | fee schedule |
| Aetna | Whole Health | Commercial | $207 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $210 | case rate |
| Cigna | OAP/HMO | Commercial | $236 | case rate |
| Cigna | PPO | Commercial | $266 | case rate |
| United Healthcare Options | PPO | Commercial | $276 | case rate |
| Aetna | Commercial | Commercial | $276 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $287 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $316 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $351 | fee schedule |
| Quick Trip | Commercial | Commercial | $366 | percent of total billed charges |
| PHCS | PPO | Commercial | $424 | percent of total billed charges |
| Aetna | Coventry | Commercial | $428 | percent of total billed charges |
| Aetna | ASA | Commercial | $428 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $458 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $531 | percent of total billed charges |
| USA | MCO | Commercial | $537 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $537 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $574 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $950 | fee schedule |
Texas Health Harris Methodist Hospital Alliance: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $62.67 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $62.67 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $62.67 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $62.67 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $65.78 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $67.68 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $68.96 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $155 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $155 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $158 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $161 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $163 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $163 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $163 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $171 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $172 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $175 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $181 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $186 | fee schedule |
| Aetna | Whole Health | Commercial | $207 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $210 | case rate |
| Cigna | OAP/HMO | Commercial | $236 | case rate |
| Cigna | PPO | Commercial | $266 | case rate |
| United Healthcare Options | PPO | Commercial | $276 | case rate |
| Aetna | Commercial | Commercial | $276 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $287 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $316 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $351 | fee schedule |
| Quick Trip | Commercial | Commercial | $366 | percent of total billed charges |
| PHCS | PPO | Commercial | $424 | percent of total billed charges |
| Aetna | Coventry | Commercial | $428 | percent of total billed charges |
| Aetna | ASA | Commercial | $428 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $458 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $531 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $537 | percent of total billed charges |
| USA | MCO | Commercial | $537 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $574 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $950 | fee schedule |
Texas Health Center for Diagnostics and Surgery Plano: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $87.69 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $87.69 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $87.69 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $87.69 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $87.69 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $87.69 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $147 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $147 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $150 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $153 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $154 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $154 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $154 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $162 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $163 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $166 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $181 | case rate |
| Aetna | Whole Health | Commercial | $207 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $210 | case rate |
| Cigna | OAP/HMO | Commercial | $236 | case rate |
| Cigna | PPO | Commercial | $266 | case rate |
| United Healthcare Options | PPO | Commercial | $276 | case rate |
| Aetna | Commercial | Commercial | $276 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $287 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $316 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $325 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $351 | fee schedule |
| Quick Trip | Commercial | Commercial | $366 | percent of total billed charges |
| PHCS | PPO | Commercial | $424 | percent of total billed charges |
| Aetna | Coventry | Commercial | $428 | percent of total billed charges |
| Aetna | ASA | Commercial | $428 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $458 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $531 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $537 | percent of total billed charges |
| USA | MCO | Commercial | $537 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $574 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $950 | fee schedule |
Texas Health Arlington Memorial Hospital: all 39 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $61.51 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $61.51 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $61.51 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $61.51 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $61.51 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $64.56 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $66.46 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $67.68 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $155 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $155 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $158 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $161 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $163 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $163 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $163 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $171 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $172 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $175 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $181 | percent of total billed charges |
| Blue Cross Blue Shield | Exchange | Commercial | $186 | fee schedule |
| Aetna | Whole Health | Commercial | $207 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $210 | case rate |
| Cigna | OAP/HMO | Commercial | $236 | case rate |
| Cigna | PPO | Commercial | $266 | case rate |
| United Healthcare Options | PPO | Commercial | $276 | case rate |
| Aetna | Commercial | Commercial | $276 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $287 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $316 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $351 | fee schedule |
| Quick Trip | Commercial | Commercial | $366 | percent of total billed charges |
| PHCS | PPO | Commercial | $424 | percent of total billed charges |
| Aetna | ASA | Commercial | $428 | percent of total billed charges |
| Aetna | Coventry | Commercial | $428 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $458 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $531 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $537 | percent of total billed charges |
| USA | MCO | Commercial | $537 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $574 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $950 | fee schedule |
Texas Health Presbyterian Hospital Dallas: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Parkland | Managed Medicaid | Medicaid / CHIP | $57.12 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $57.12 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $57.12 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $57.12 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $59.99 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $61.70 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $156 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $156 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $160 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $163 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $164 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $164 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $164 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $172 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $174 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $177 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $181 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $186 | fee schedule |
| Aetna | Whole Health | Commercial | $207 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $210 | case rate |
| Cigna | OAP/HMO | Commercial | $236 | case rate |
| Cigna | PPO | Commercial | $266 | case rate |
| United Healthcare Options | PPO | Commercial | $276 | case rate |
| Aetna | Commercial | Commercial | $276 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $287 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $316 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $351 | fee schedule |
| Quick Trip | Commercial | Commercial | $366 | percent of total billed charges |
| PHCS | PPO | Commercial | $424 | percent of total billed charges |
| Aetna | ASA | Commercial | $428 | percent of total billed charges |
| Aetna | Coventry | Commercial | $428 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $458 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $531 | percent of total billed charges |
| USA | MCO | Commercial | $537 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $537 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $574 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $950 | fee schedule |
Texas Health Harris Methodist Hospital Azle: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $66.82 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $66.82 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $66.82 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $66.82 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $70.18 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $72.19 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $73.54 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $155 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $155 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $158 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $161 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $163 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $163 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $163 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $171 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $172 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $175 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $181 | case rate |
| Aetna | Whole Health | Commercial | $207 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $210 | case rate |
| Cigna | OAP/HMO | Commercial | $236 | case rate |
| Cigna | PPO | Commercial | $266 | case rate |
| United Healthcare Options | PPO | Commercial | $276 | case rate |
| Aetna | Commercial | Commercial | $276 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $287 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $316 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $348 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $351 | fee schedule |
| Aetna | ASA | Commercial | $428 | percent of total billed charges |
| Aetna | Coventry | Commercial | $428 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $433 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $458 | percent of total billed charges |
| PHCS | PPO | Commercial | $510 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $531 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $537 | percent of total billed charges |
| USA | MCO | Commercial | $537 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $574 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $950 | fee schedule |
Texas Health Harris Methodist Hospital Cleburne: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $61.51 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $61.51 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $61.51 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $61.51 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $64.56 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $66.46 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $67.68 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $147 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $147 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $150 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $153 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $154 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $154 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $154 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $162 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $163 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $166 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $181 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $207 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $210 | case rate |
| Cigna | OAP/HMO | Commercial | $236 | case rate |
| Cigna | PPO | Commercial | $266 | case rate |
| United Healthcare Options | PPO | Commercial | $276 | case rate |
| Aetna | Commercial | Commercial | $276 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $287 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $316 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $348 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $351 | fee schedule |
| Aetna | ASA | Commercial | $428 | percent of total billed charges |
| Aetna | Coventry | Commercial | $428 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $433 | percent of total billed charges |
| PHCS | PPO | Commercial | $510 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $531 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $531 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $537 | percent of total billed charges |
| USA | MCO | Commercial | $537 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $574 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $950 | fee schedule |
Texas Health Hospital Clearfork: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $50.10 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $50.10 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $50.10 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $50.10 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $52.60 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $54.13 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $55.11 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $155 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $155 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $158 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $161 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $163 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $163 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $163 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $171 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $172 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $175 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $181 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $186 | fee schedule |
| Aetna | Whole Health | Commercial | $207 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $210 | case rate |
| Cigna | OAP/HMO | Commercial | $236 | case rate |
| Cigna | PPO | Commercial | $266 | case rate |
| United Healthcare Options | PPO | Commercial | $276 | case rate |
| Aetna | Commercial | Commercial | $276 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $287 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $316 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $351 | fee schedule |
| Quick Trip | Commercial | Commercial | $366 | percent of total billed charges |
| PHCS | PPO | Commercial | $424 | percent of total billed charges |
| Aetna | ASA | Commercial | $428 | percent of total billed charges |
| Aetna | Coventry | Commercial | $428 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $458 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $531 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $537 | percent of total billed charges |
| USA | MCO | Commercial | $537 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $574 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $950 | fee schedule |
Texas Health Presbyterian Hospital Plano: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $74.69 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $74.69 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $74.69 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $74.69 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $78.42 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $80.68 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $151 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $151 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $154 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $157 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $158 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $158 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $158 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $166 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $167 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $170 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $181 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $186 | fee schedule |
| Aetna | Whole Health | Commercial | $207 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $210 | case rate |
| Cigna | OAP/HMO | Commercial | $236 | case rate |
| Cigna | PPO | Commercial | $266 | case rate |
| United Healthcare Options | PPO | Commercial | $276 | case rate |
| Aetna | Commercial | Commercial | $276 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $287 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $316 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $351 | fee schedule |
| Quick Trip | Commercial | Commercial | $366 | percent of total billed charges |
| PHCS | PPO | Commercial | $424 | percent of total billed charges |
| Aetna | ASA | Commercial | $428 | percent of total billed charges |
| Aetna | Coventry | Commercial | $428 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $458 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $531 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $537 | percent of total billed charges |
| USA | MCO | Commercial | $537 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $574 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $950 | fee schedule |
Texas Health Presbyterian Hospital Kaufman: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $57.12 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $57.12 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $57.12 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $57.12 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $59.99 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $61.70 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $151 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $151 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $154 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $157 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $158 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $158 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $158 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $166 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $167 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $170 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $181 | case rate |
| Aetna | Whole Health | Commercial | $207 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $210 | case rate |
| Cigna | OAP/HMO | Commercial | $236 | case rate |
| Cigna | PPO | Commercial | $266 | case rate |
| United Healthcare Options | PPO | Commercial | $276 | case rate |
| Aetna | Commercial | Commercial | $276 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $287 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $316 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $348 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $351 | fee schedule |
| Aetna | ASA | Commercial | $428 | percent of total billed charges |
| Aetna | Coventry | Commercial | $428 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $433 | percent of total billed charges |
| PHCS | PPO | Commercial | $510 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $531 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $531 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $537 | percent of total billed charges |
| USA | MCO | Commercial | $537 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $574 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $950 | fee schedule |
Texas Health Presbyterian Hospital Allen: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Parkland | Managed Medicaid | Medicaid / CHIP | $70.30 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $70.30 | percent of total billed charges |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $70.30 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $70.30 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $73.84 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $75.92 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $151 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $151 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $154 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $157 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $158 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $158 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $158 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $166 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $167 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $170 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $181 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $186 | fee schedule |
| Aetna | Whole Health | Commercial | $207 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $210 | case rate |
| Cigna | OAP/HMO | Commercial | $236 | case rate |
| Cigna | PPO | Commercial | $266 | case rate |
| United Healthcare Options | PPO | Commercial | $276 | case rate |
| Aetna | Commercial | Commercial | $276 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $287 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $316 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $351 | fee schedule |
| Aetna | ASA | Commercial | $428 | percent of total billed charges |
| Aetna | Coventry | Commercial | $428 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $433 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $458 | percent of total billed charges |
| PHCS | PPO | Commercial | $510 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $531 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $537 | percent of total billed charges |
| USA | MCO | Commercial | $537 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $574 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $950 | fee schedule |
Texas Health Harris Methodist Hospital Fort Worth: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $79.09 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $79.09 | percent of total billed charges |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $79.09 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $79.09 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $83.06 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $85.44 | percent of total billed charges |
| Aetna | Managed Medicaid | Medicaid / CHIP | $87.02 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $155 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $155 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $158 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $161 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $163 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $163 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $163 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $171 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $172 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $175 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $181 | percent of total billed charges |
| Blue Cross Blue Shield | Exchange | Commercial | $186 | percent of total billed charges |
| Aetna | Whole Health | Commercial | $207 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $210 | case rate |
| Cigna | OAP/HMO | Commercial | $236 | case rate |
| Cigna | PPO | Commercial | $266 | case rate |
| United Healthcare Options | PPO | Commercial | $276 | case rate |
| Aetna | Commercial | Commercial | $276 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $287 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $316 | percent of total billed charges |
| Blue Cross Blue Shield | PPO | Commercial | $351 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $366 | percent of total billed charges |
| PHCS | PPO | Commercial | $424 | percent of total billed charges |
| Aetna | ASA | Commercial | $428 | percent of total billed charges |
| Aetna | Coventry | Commercial | $428 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $458 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $531 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $537 | percent of total billed charges |
| USA | MCO | Commercial | $537 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $560 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $574 | percent of total billed charges |
Texas Health Hospital Frisco: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $109 | percent of total billed charges |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $109 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $109 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $109 | percent of total billed charges |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $114 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $117 | percent of total billed charges |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $151 | case rate |
| American Health | Medicare Advantage | Medicare Advantage | $151 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $154 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $157 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $158 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $158 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $158 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $166 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $167 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $170 | case rate |
| Fort Worth Firefighters | Commercial | Commercial | $181 | percent of total billed charges |
| Blue Cross Blue Shield | Exchange | Commercial | $186 | fee schedule |
| Aetna | Whole Health | Commercial | $207 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $210 | case rate |
| Cigna | OAP/HMO | Commercial | $236 | case rate |
| Cigna | PPO | Commercial | $266 | case rate |
| United Healthcare Options | PPO | Commercial | $276 | case rate |
| Aetna | Commercial | Commercial | $276 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $287 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $316 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $351 | fee schedule |
| Quick Trip | Commercial | Commercial | $366 | percent of total billed charges |
| PHCS | PPO | Commercial | $424 | percent of total billed charges |
| Aetna | Coventry | Commercial | $428 | percent of total billed charges |
| Aetna | ASA | Commercial | $428 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $458 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $531 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $537 | percent of total billed charges |
| USA | MCO | Commercial | $537 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $574 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $950 | fee schedule |
UT Southwestern William P. Clements Jr. University Hospital: all 25 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Aetna Better Health | Managed Medicaid | Medicaid / CHIP | $114 | percent of total billed charges |
| Wellpoint | Managed Medicaid | Medicaid / CHIP | $114 | percent of total billed charges |
| Superior | Managed Medicaid | Medicaid / CHIP | $114 | percent of total billed charges |
| Parkland | Managed Medicaid | Medicaid / CHIP | $114 | percent of total billed charges |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $114 | percent of total billed charges |
| Molina | Managed Medicaid | Medicaid / CHIP | $123 | percent of total billed charges |
| United Healthcare | Commercial | Commercial | $295 | fee schedule |
| Aetna | Whole Health | Commercial | $305 | percent of total billed charges |
| United Options Nexus | Commercial | Commercial | $326 | fee schedule |
| Aetna | HMO/POS/EPO/PPO | Commercial | $381 | percent of total billed charges |
| Maestro Health/Fort Worth Firefighters | Commercial | Commercial | $421 | percent of total billed charges |
| Blue Cross Blue Shield | MyBlueHealth | Commercial | $422 | fee schedule |
| HealthFirst | Commercial | Commercial | $442 | percent of total billed charges |
| QuikTrip | Commercial | Commercial | $472 | percent of total billed charges |
| Coventry | National/Medical Rental Products | Commercial | $550 | percent of total billed charges |
| Rockwall County | Commercial | Commercial | $551 | percent of total billed charges |
| United Healthcare W500 | Commercial | Commercial | $568 | percent of total billed charges |
| Cigna | HMO-PPO | Commercial | $580 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $586 | fee schedule |
| PHCS | Commercial | Commercial | $594 | percent of total billed charges |
| Blue Cross Blue Shield | PPO | Commercial | $651 | fee schedule |
| HealthSmart | Commercial | Commercial | $653 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $685 | percent of total billed charges |
| Galaxy Health Network | Commercial | Commercial | $693 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $735 | fee 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
- Ask the hospital for a Good Faith Estimate. If you are uninsured or not using insurance, federal law entitles you to a written estimate on request, and automatically when you schedule at least three business days ahead (CMS: No Surprises Act).
- Ask whether the hospital has an uninsured discount or a financial assistance policy, and how to apply.
- Compare with an independent imaging center or lab: they are not covered by the hospital price rule and often quote lower cash prices.