How much does a lower back MRI cost in Dallas–Fort Worth?

41 hospitals in Dallas–Fort Worth list a self-pay price of $1,423–$2,750 for a lumbar spine (lower back) MRI without contrast (CPT 72148). The typical commercial rate in the same files is $1,875.

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

Published cash price

$1,423–$2,750

what 41 hospitals list for a self-pay lower back MRI

Typical insured rate

$1,875

median of every commercial plan rate in the files

Lowest insured rate

$256

UNITED HEALTHCARE MANAGED CARE (MHS HB UHC EXCHANGE MDMC), Methodist Dallas Medical Center

Lower back MRI 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 72148; Medicaid and Medicare Advantage are shown separately below.

Lumbar spine (lower back) MRI without contrast (CPT 72148) — Dallas–Fort Worth
Hospital	Published cash price	Typical insured rate	Lowest insured rate
UT Southwestern William P. Clements Jr. University HospitalUT Southwestern Medical Center · file Mar 2026	$1,423Cash ÷ typical 0.7×	$2,05519 plans	$1,253
Methodist Celina Medical CenterMethodist Health System · file Mar 2026	$1,473Cash ÷ typical 3.1×	$47919 plans	$312
Methodist Dallas Medical CenterMethodist Health System · file Mar 2026	$1,473Cash ÷ typical 3.1×	$47933 plans	$256
Methodist Mansfield Medical CenterMethodist Health System · file Mar 2026	$1,473Cash ÷ typical 3.1×	$48027 plans	$257
Methodist Midlothian Medical CenterMethodist Health System · file Mar 2026	$1,473Cash ÷ typical 3.7×	$40320 plans	$256
Methodist Richardson Medical CenterMethodist Health System · file Mar 2026	$1,473Cash ÷ typical 3.1×	$47927 plans	$256
Methodist Southlake Medical CenterMethodist Health System · file Mar 2026	$1,473Cash ÷ typical 2.5×	$60033 plans	$257
Baylor Scott & White Medical Center – Lake PointeBaylor Scott & White Health · file Jun 2026	$2,190Cash ÷ typical 1.1×	$1,98030 plans	$288
Baylor Scott & White The Heart Hospital – DentonBaylor Scott & White Health · file Jun 2026	$2,190Cash ÷ typical 1.1×	$2,00829 plans	$288
Baylor Scott & White The Heart Hospital – McKinneyBaylor Scott & White Health · file Jun 2026	$2,190Cash ÷ typical 1.1×	$2,07822 plans	$607
Baylor Scott & White The Heart Hospital – PlanoBaylor Scott & White Health · file Jun 2026	$2,190Cash ÷ typical 1.1×	$2,00829 plans	$288
Baylor Scott & White All Saints Medical Center – Fort WorthBaylor Scott & White Health · file Jun 2026	$2,190Cash ÷ typical 1.1×	$2,00829 plans	$288
Baylor Scott & White Medical Center – Frisco at PGA ParkwayBaylor Scott & White Health · file Jun 2026	$2,190Cash ÷ typical 1.1×	$2,00828 plans	$288
Baylor Scott & White Medical Center – McKinneyBaylor Scott & White Health · file Jun 2026	$2,190Cash ÷ typical 1.1×	$2,00829 plans	$288
Baylor Scott & White Medical Center – GrapevineBaylor Scott & White Health · file Jun 2026	$2,190Cash ÷ typical 1.1×	$2,00829 plans	$288
Baylor University Medical CenterBaylor Scott & White Health · file Jun 2026	$2,190Cash ÷ typical 1.1×	$2,00830 plans	$288
Baylor Scott & White Medical Center – WaxahachieBaylor Scott & White Health · file Jun 2026	$2,190Cash ÷ typical 1.1×	$2,00829 plans	$288
Baylor Scott & White Medical Center – IrvingBaylor Scott & White Health · file Jun 2026	$2,190Cash ÷ typical 1.1×	$2,00829 plans	$288
Baylor Scott & White Heart and Vascular Hospital – DallasBaylor Scott & White Health · file Jun 2026	$2,190Cash ÷ typical 1.1×	$2,00828 plans	$288
Baylor Scott & White Heart and Vascular Hospital – WaxahachieBaylor Scott & White Health · file Jun 2026	$2,190Cash ÷ typical 1.1×	$2,00823 plans	$288
Baylor Scott & White Medical Center – PlanoBaylor Scott & White Health · file Jun 2026	$2,190Cash ÷ typical 1.1×	$2,00831 plans	$288
Baylor Scott & White Medical Center – CentennialBaylor Scott & White Health · file Jun 2026	$2,190Cash ÷ typical 1.1×	$2,00829 plans	$288
Texas Health Harris Methodist Hospital SouthlakeTexas Health Resources · file Apr 2026	$2,394Cash ÷ typical 1.2×	$1,97321 plans	$787
Texas Health Hospital RockwallTexas Health Resources · file Apr 2026	$2,394Cash ÷ typical 1.2×	$1,97321 plans	$787
Texas Health Heart & Vascular Hospital ArlingtonTexas Health Resources · file Apr 2026	$2,394Cash ÷ typical 1.2×	$1,97321 plans	$787
Texas Health Presbyterian Hospital Flower MoundTexas Health Resources · file Apr 2026	$2,394Cash ÷ typical 1.2×	$1,97321 plans	$787
Texas Health Presbyterian Hospital DentonTexas Health Resources · file Apr 2026	$2,394Cash ÷ typical 1.2×	$1,97321 plans	$646
Texas Health Harris Methodist Hospital AllianceTexas Health Resources · file Apr 2026	$2,394Cash ÷ typical 1.2×	$1,97321 plans	$646
Texas Health Center for Diagnostics and Surgery PlanoTexas Health Resources · file Apr 2026	$2,394Cash ÷ typical 1.2×	$1,97321 plans	$787
Texas Health Arlington Memorial HospitalTexas Health Resources · file Apr 2026	$2,394Cash ÷ typical 1.2×	$1,97321 plans	$646
Texas Health Presbyterian Hospital DallasTexas Health Resources · file Apr 2026	$2,394Cash ÷ typical 1.2×	$1,97321 plans	$646
Texas Health Harris Methodist Hospital Hurst-Euless-BedfordTexas Health Resources · file Apr 2026	$2,394Cash ÷ typical 1.2×	$1,97321 plans	$646
Texas Health Harris Methodist Hospital AzleTexas Health Resources · file Apr 2026	$2,394Cash ÷ typical 1.2×	$1,97321 plans	$787
Texas Health Harris Methodist Hospital CleburneTexas Health Resources · file Apr 2026	$2,394Cash ÷ typical 1.2×	$1,97321 plans	$787
Texas Health Hospital ClearforkTexas Health Resources · file Apr 2026	$2,394Cash ÷ typical 1.2×	$1,97321 plans	$646
Texas Health Presbyterian Hospital PlanoTexas Health Resources · file Apr 2026	$2,394Cash ÷ typical 1.2×	$1,97321 plans	$646
Texas Health Presbyterian Hospital KaufmanTexas Health Resources · file Apr 2026	$2,394Cash ÷ typical 1.2×	$1,97321 plans	$787
Texas Health Presbyterian Hospital AllenTexas Health Resources · file Apr 2026	$2,394Cash ÷ typical 1.2×	$1,97321 plans	$646
Texas Health Harris Methodist Hospital Fort WorthTexas Health Resources · file Apr 2026	$2,394Cash ÷ typical 1.2×	$1,97321 plans	$646
Texas Health Hospital FriscoTexas Health Resources · file Apr 2026	$2,394Cash ÷ typical 1.2×	$1,97321 plans	$646
Parkland Health (Parkland Memorial Hospital)Parkland Health · file May 2026	$2,750Cash ÷ typical 0.6×	$4,58611 plans	$678
Cook Children's Medical CenterCook Children's · children's hospital (not in the summary above) · file Jan 2026	$2,463Cash ÷ typical 0.9×	$2,79119 plans	$1,445
Cook Children's Medical Center – ProsperCook Children's · children's hospital (not in the summary above) · file Jan 2026	$2,463Cash ÷ typical 0.9×	$2,79119 plans	$1,445

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Negotiated rates by insurer

If you have a high deductible, you usually pay the rate your insurer negotiated until you meet it. Ranges cover every plan of that insurer in the file; open a hospital to see plan by plan.

Negotiated rates by insurer
Hospital	Blue Cross Blue Shield	Aetna	Cigna	UnitedHealthcare	Humana	Oscar	Ambetter	Medicaid / CHIP	Medicare Advantage
UT Southwestern William P. Clements Jr. University Hospital	$1,519–$2,647	$1,253–$1,566	$2,096	$1,957–$2,169	—	—	—	$199–$219	$242–$273
Methodist Celina Medical Center	$475–$904	$388	—	—	—	$312	—	$217	$240–$256
Methodist Dallas Medical Center	$837–$1,594	$388–$1,787	$443	$256	—	$312	$410	$187–$807	$240–$259
Methodist Mansfield Medical Center	$837–$1,594	$389	$444	$257	—	$312	$411	$187–$842	$240–$259
Methodist Midlothian Medical Center	—	$388	$443	$256	—	$312	$410	$187–$807	$240–$259
Methodist Richardson Medical Center	$925–$1,759	$388	$443	$256	—	$312	$410	$187–$807	$240–$259
Methodist Southlake Medical Center	$837–$1,594	$389–$2,750	$444	$257–$1,551	—	$312	$411	$187–$842	$240–$259
Baylor Scott & White Medical Center – Lake Pointe	$762–$1,766	$2,008	$1,952–$2,297	$2,429–$2,699	$2,555	—	$515	$197–$211	$228–$268
Baylor Scott & White The Heart Hospital – Denton	$762–$1,613	$2,008	$1,952–$2,297	$2,429–$2,699	$2,555	—	$515	$197–$211	$228–$268
Baylor Scott & White The Heart Hospital – McKinney	$762–$1,613	$2,008	$1,952–$2,297	$2,429–$2,699	$2,555	—	—	$211	$228–$268
Baylor Scott & White The Heart Hospital – Plano	$762–$1,613	$2,008	$1,952–$2,297	$2,429–$2,699	$2,555	—	$515	$197–$211	$228–$268
Baylor Scott & White All Saints Medical Center – Fort Worth	$762–$1,613	$2,008	$1,952–$2,297	$2,429–$2,699	$2,555	—	$515	$197–$211	$228–$268
Baylor Scott & White Medical Center – Frisco at PGA Parkway	$762–$1,613	$2,008	$1,952–$2,297	$2,429–$2,699	$2,555	—	$515	$197	$228–$268
Baylor Scott & White Medical Center – McKinney	$762–$1,613	$2,008	$1,952–$2,297	$2,429–$2,699	$2,555	—	$515	$197–$211	$228–$268
Baylor Scott & White Medical Center – Grapevine	$762–$1,613	$2,008	$1,952–$2,297	$2,429–$2,699	$2,555	—	$516	$197–$211	$228–$269
Baylor University Medical Center	$762–$1,613	$2,008	$1,952–$2,297	$2,429–$2,699	$2,555	—	$515	$197–$211	$228–$268
Baylor Scott & White Medical Center – Waxahachie	$762–$1,613	$2,008	$1,952–$2,297	$2,429–$2,699	$2,555	—	$515	$197–$211	$228–$268
Baylor Scott & White Medical Center – Irving	$762–$1,613	$2,008	$1,952–$2,297	$2,429–$2,699	$2,555	—	$515	$197–$211	$228–$268
Baylor Scott & White Heart and Vascular Hospital – Dallas	$762–$1,613	$2,008	$1,952–$2,297	$2,429–$2,699	$2,555	—	$515	$197–$211	$228–$268
Baylor Scott & White Heart and Vascular Hospital – Waxahachie	$762–$1,613	$2,008	—	$2,429–$2,699	$2,555	—	—	—	$228–$252
Baylor Scott & White Medical Center – Plano	$762–$1,613	$2,008	$1,952–$2,297	$2,429–$2,699	$2,555	—	$515	$197–$211	$228–$268
Baylor Scott & White Medical Center – Centennial	$762–$1,766	$2,008	$1,952–$2,297	$2,429–$2,699	$2,555	—	$515	$197–$211	$228–$268
Texas Health Harris Methodist Hospital Southlake	$787–$1,652	$1,200–$2,797	$1,973–$3,755	$1,476–$1,933	—	—	—	$197–$264	$240–$271
Texas Health Hospital Rockwall	$787–$1,652	$1,200–$2,797	$1,973–$3,755	$1,476–$1,933	—	—	—	$197–$264	$240–$271
Texas Health Heart & Vascular Hospital Arlington	$787–$1,652	$1,200–$2,797	$1,973–$3,755	$1,476–$1,933	—	—	—	$197–$264	$240–$271
Texas Health Presbyterian Hospital Flower Mound	$787–$1,652	$1,200–$2,797	$1,973–$3,755	$1,476–$1,933	—	—	—	$197–$264	$240–$271
Texas Health Presbyterian Hospital Denton	$646–$1,652	$1,200–$2,797	$1,973–$3,755	$1,476–$1,933	—	—	—	$197–$264	$240–$271
Texas Health Harris Methodist Hospital Alliance	$646–$1,652	$1,200–$2,797	$1,973–$3,755	$1,476–$1,933	—	—	—	$197–$264	$240–$271
Texas Health Center for Diagnostics and Surgery Plano	$787–$1,652	$1,200–$2,797	$1,973–$3,755	$1,476–$1,933	—	—	—	$197–$256	$232–$263
Texas Health Arlington Memorial Hospital	$646–$1,652	$1,200–$2,797	$1,973–$3,755	$1,476–$1,933	—	—	—	$197–$264	$240–$271
Texas Health Presbyterian Hospital Dallas	$646–$1,652	$1,200–$2,797	$1,973–$3,755	$1,476–$1,933	—	—	—	$197–$264	$240–$271
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford	$646–$1,652	$1,200–$2,797	$1,973–$3,755	$1,476–$1,933	—	—	—	$197–$264	$240–$271
Texas Health Harris Methodist Hospital Azle	$787–$1,652	$1,200–$2,797	$1,973–$3,755	$1,476–$1,933	—	—	—	$197–$264	$240–$271
Texas Health Harris Methodist Hospital Cleburne	$787–$1,652	$1,200–$2,797	$1,973–$3,755	$1,476–$1,933	—	—	—	$197–$254	$231–$261
Texas Health Hospital Clearfork	$646–$1,652	$1,200–$2,797	$1,973–$3,755	$1,476–$1,933	—	—	—	$197–$264	$240–$271
Texas Health Presbyterian Hospital Plano	$646–$1,652	$1,200–$2,797	$1,973–$3,755	$1,476–$1,933	—	—	—	$197–$264	$240–$271
Texas Health Presbyterian Hospital Kaufman	$787–$1,652	$1,200–$2,797	$1,973–$3,755	$1,476–$1,933	—	—	—	$197–$264	$240–$271
Texas Health Presbyterian Hospital Allen	$646–$1,652	$1,200–$2,797	$1,973–$3,755	$1,476–$1,933	—	—	—	$197–$264	$240–$271
Texas Health Harris Methodist Hospital Fort Worth	$646–$1,652	$1,200–$2,797	$1,973–$3,755	$1,476–$1,933	—	—	—	$197–$264	$240–$271
Texas Health Hospital Frisco	$646–$1,652	$1,200–$2,797	$1,973–$3,755	$1,476–$1,933	—	—	—	$197–$264	$240–$271
Parkland Health (Parkland Memorial Hospital)	$678–$4,950	$4,125	$4,125	$4,586	—	—	—	$197–$1,054	$1,437–$1,458
Cook Children's Medical Center	$2,561–$2,955	$2,791	$2,791	$2,791	$2,857–$2,889	—	—	$176–$1,445	—
Cook Children's Medical Center – Prosper	$2,561–$2,955	$2,791	$2,791	$2,791	$2,857–$2,889	—	—	$234–$324	—

UT Southwestern William P. Clements Jr. University Hospital: all 33 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
United Healthcare	Managed Medicaid	Medicaid / CHIP	$199	percent of total billed charges
Wellpoint	Managed Medicaid	Medicaid / CHIP	$199	fee schedule
Superior	Managed Medicaid	Medicaid / CHIP	$199	fee schedule
Parkland	Managed Medicaid	Medicaid / CHIP	$199	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$215	fee schedule
Aetna Better Health	Managed Medicaid	Medicaid / CHIP	$219	fee schedule
Procare	Medicare Advantage	Medicare Advantage	$242	fee schedule
Humana	Medicare Advantage	Medicare Advantage	$251	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$254	fee schedule
Molina	Medicare Advantage	Medicare Advantage	$254	fee schedule
Wellpoint	Medicare Advantage	Medicare Advantage	$254	fee schedule
Superior	Medicare Advantage	Medicare Advantage	$254	fee schedule
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$268	fee schedule
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$273	fee schedule
Aetna	Whole Health	Commercial	$1,253	case rate
Blue Cross Blue Shield	MyBlueHealth	Commercial	$1,519	fee schedule
Maestro Health/Fort Worth Firefighters	Commercial	Commercial	$1,521	percent of total billed charges
Aetna	HMO/POS/EPO/PPO	Commercial	$1,566	case rate
HealthFirst	Commercial	Commercial	$1,599	percent of total billed charges
QuikTrip	Commercial	Commercial	$1,708	percent of total billed charges
United Healthcare	Commercial	Commercial	$1,957	fee schedule
Coventry	National/Medical Rental Products	Commercial	$1,989	percent of total billed charges
Rockwall County	Commercial	Commercial	$1,992	percent of total billed charges
United Healthcare W500	Commercial	Commercial	$2,055	percent of total billed charges
Cigna	HMO-PPO	Commercial	$2,096	percent of total billed charges
Blue Cross Blue Shield	HMO	Commercial	$2,111	fee schedule
PHCS	Commercial	Commercial	$2,149	percent of total billed charges
United Options Nexus	Commercial	Commercial	$2,169	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$2,346	fee schedule
HealthSmart	Commercial	Commercial	$2,362	percent of total billed charges
Multiplan	Commercial	Commercial	$2,476	percent of total billed charges
Galaxy Health Network	Commercial	Commercial	$2,504	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$2,647	fee schedule

Methodist Celina Medical Center: all 33 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
SUPERIOR MEDICAID MANAGED CARE	MHS HB MEDICAID 110% STAR PLUS MCEL	Medicaid / CHIP	$217	fee schedule
TRICARE	MHS HB TRICARE MCEL	Military / VA	$232	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE COMPLETE MCEL	Medicare Advantage	$240	other
AETNA MEDICARE MANAGED CARE	MHS HB AETNA GOLDEN MCEL	Medicare Advantage	$240	other
BCBS MEDICARE MANAGED CARE	MHS HB BCBS MEDICARE ADVANTAGE MCEL	Medicare Advantage	$240	other
GENERIC MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE PART A & B MCEL	Medicare Advantage	$240	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE DIRECT MCEL	Medicare Advantage	$240	other
MOLINA MEDICARE MANAGED CARE	MHS HB MOLINA MEDICARE MCEL	Medicare Advantage	$252	other
CIGNA MEDICARE	MHS HB 105% MEDICARE MCEL	Medicare Advantage	$252	other
HUMANA COMMERCIAL	MHS HB HUMANA MEDICARE MCEL	Medicare Advantage	$254	other
WELLPOINT MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE 106% MCEL	Medicare Advantage	$254	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC WELLMED MCEL	Medicare Advantage	$254	other
MULTIPLAN MEDICARE MANAGED CARE	MHS HB MULTIPLAN ADVANTAGE MCEL	Medicare Advantage	$256	other
OSCAR INSURANCE COMPANY	MHS HB OSCAR HMO MCEL	Commercial	$312	other
MOLINA	MHS HB MOLINA MARKETPLACE MCEL	Commercial	$348	other
WELLPOINT MARKETPLACE EXCHANGE	MHS HB WELLPOINT TEXAS ESSENTIALS MCEL	Commercial	$372	other
KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS	MHS HB TOWER EXTRUSIONS MCEL	Commercial	$384	other
AETNA	MHS HB AETNA CVS MCEL	Commercial	$388	other
AETNA	MHS HB AETNA EXCHANGE MCEL	Commercial	$388	other
ENTRUST/90 DEGREE	MHS HB 90 DEGREE MCEL	Commercial	$395	other
BCBS	MHS HB BCBS MY BLUE HEALTH MCEL	Commercial	$475	fee schedule
SANA BENEFITS	MHS HB SANA MCEL	Commercial	$479	other
VELOCITY	MHS HB VELOCITY MCEL	Commercial	$479	other
GENERIC WORKERS COMP TX PAR	MHS HB WORKERS COMP MCEL	Workers' comp	$479	other
EVRY HEALTH	MHS HB EVRY MCEL	Commercial	$479	other
MEDICAL COST CONTAINMENT PROFESSIONALS	MHS HB MEDICAL COST CONTAINMENT MCEL	Commercial	$599	other
HEALTH PLANS INC	MHS HB EMPLOYERS HEALTH NETWORK MCEL	Commercial	$599	other
BCBS	MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL	Commercial	$785	fee schedule
BCBS	MHS HB BCBS PREMIER MCEL	Commercial	$785	fee schedule
BCBS	MHS HB BCBS CITY OF DALLAS MCEL	Commercial	$813	fee schedule
BCBS	MHS HB BCBS HMO MCEL	Commercial	$832	fee schedule
BCBS	MHS HB BCBS PPO MCEL	Commercial	$904	fee schedule
BCBS	MHS HB BCBS TRADITIONAL MCEL	Commercial	$904	fee schedule

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	$187	fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE COMPLETE MDMC	Medicare Advantage	$240	other
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MHS HB UNINSURED COVID-19 MDMC	Public program	$240	other
AETNA MEDICARE MANAGED CARE	MHS HB AETNA GOLDEN MDMC	Medicare Advantage	$240	other
BCBS MEDICARE MANAGED CARE	MHS HB BCBS MEDICARE ADVANTAGE MDMC	Medicare Advantage	$240	other
GENERIC MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE PART A & B MDMC	Medicare Advantage	$240	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE DIRECT MDMC	Medicare Advantage	$240	other
MUTUAL OF OMAHA MEDICARE MANAGED CARE	MHS HB MUTUAL OF OMAHA MDMC	Medicare Advantage	$244	other
GLOBALHEALTH	MHS HB GLOBAL HEALTH MDMC	Medicare Advantage	$252	other
CARE N CARE MEDICARE MANAGED CARE	MHS HB SCOTT AND WHITE MEDICARE MDMC	Medicare Advantage	$252	other
MOLINA MEDICARE MANAGED CARE	MHS HB MOLINA MEDICARE MDMC	Medicare Advantage	$252	other
CIGNA MEDICARE	MHS HB 105% MEDICARE MDMC	Medicare Advantage	$252	other
HUMANA COMMERCIAL	MHS HB HUMANA MEDICARE MDMC	Medicare Advantage	$254	other
WELLPOINT MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE 106% MDMC	Medicare Advantage	$254	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC WELLMED MDMC	Medicare Advantage	$254	other
UNITED HEALTHCARE MANAGED CARE	MHS HB UHC EXCHANGE MDMC	Commercial	$256	other
MULTIPLAN MEDICARE MANAGED CARE	MHS HB MULTIPLAN ADVANTAGE MDMC	Medicare Advantage	$256	other
PROVIDER PARTNERS HEALTH PLAN	MHS HB PROVIDERS PARTNER HEALTH MDMC	Medicare Advantage	$259	other
CORALVITA	MHS HB VIBRA MRMC MCMC MDMC	Commercial	$288	other
ALTERNATIVE SERVICE CONCEPTS	MHS HB CITY OF PLANO MDMC	Commercial	$300	other
OSCAR INSURANCE COMPANY	MHS HB OSCAR HMO MDMC	Commercial	$312	other
BRIGHT HEALTHCARE	MHS HB BRIGHT HEALTH MDMC	Commercial	$336	other
MOLINA	MHS HB MOLINA MARKETPLACE MDMC	Commercial	$348	other
WELLPOINT MARKETPLACE EXCHANGE	MHS HB WELLPOINT TEXAS ESSENTIALS MDMC	Commercial	$372	other
KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS	MHS HB TOWER EXTRUSIONS MDMC	Commercial	$384	other
AETNA	MHS HB AETNA EXCHANGE MDMC	Commercial	$388	other
AETNA	MHS HB AETNA CVS MDMC	Commercial	$388	other
ENTRUST/90 DEGREE	MHS HB 90 DEGREE MDMC	Commercial	$395	other
AMBETTER SUPERIOR	MHS HB AMBETTER SUPERIOR MDMC	Commercial	$410	other
IMPERIAL INSURANCE COMPANIES	MHS HB IMPERIAL MANAGED CARE MDMC	Commercial	$431	other
CIGNA	MHS HB CUSTOM INK MDMC	Commercial	$443	other
EVRY HEALTH	MHS HB EVRY MDMC	Commercial	$479	other
SANA BENEFITS	MHS HB SANA MDMC	Commercial	$479	other
VELOCITY	MHS HB VELOCITY MDMC	Commercial	$479	other
GENERIC WORKERS COMP TX PAR	MHS HB WORKERS COMP MDMC	Workers' comp	$479	other
MEDICAL COST CONTAINMENT PROFESSIONALS	MHS HB MEDICAL COST CONTAINMENT MDMC	Commercial	$599	other
HEALTH PLANS INC	MHS HB EMPLOYERS HEALTH NETWORK MDMC	Commercial	$599	other
DART MEMBER CARE	MHS HB DART MEMBER CARE MDMC	Commercial	$647	other
MOLINA MEDICAID MANAGED CARE	MHS HB MEDICAID 110% STAR PLUS MDMC	Medicaid / CHIP	$807	fee schedule
BCBS	MHS HB BCBS MY BLUE HEALTH MDMC	Commercial	$837	fee schedule
FRIDAY HEALTH PLAN	MHS HB FRIDAY HEALTH MDMC	Commercial	$850	case rate
BCBS	MHS HB BCBS PREMIER MDMC	Commercial	$1,382	fee schedule
BCBS	MHS HB BCBS HIGH PERFORMANCE NETWORK MDMC	Commercial	$1,382	fee schedule
BCBS	MHS HB BCBS CITY OF DALLAS MDMC	Commercial	$1,436	fee schedule
BCBS	MHS HB BCBS HMO MDMC	Commercial	$1,466	fee schedule
AETNA COMMERCIAL	MHS HB AETNA TX PREF PLUS II MDMC	Commercial	$1,518	per diem
AETNA	MHS HB AETNA BAYLOR SCOTT AND WHITE MDMC	Commercial	$1,592	per diem
BCBS	MHS HB BCBS PPO MDMC	Commercial	$1,594	fee schedule
BCBS	MHS HB BCBS TRADITIONAL MDMC	Commercial	$1,594	fee schedule
AETNA COMMERCIAL	MHS HB AETNA TEXAS ADVANTAGE MDMC	Commercial	$1,608	per diem
AETNA MANAGED CARE	MHS HB AETNA WHOLE HEALTH MDMC	Commercial	$1,608	per diem
AETNA	MHS HB AETNA HMO PPO MDMC	Commercial	$1,787	per diem

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	$187	fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE COMPLETE MMMC	Medicare Advantage	$240	other
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MHS HB UNINSURED COVID-19 MMMC	Public program	$240	other
AETNA MEDICARE MANAGED CARE	MHS HB AETNA GOLDEN MMMC	Medicare Advantage	$240	other
BCBS MEDICARE MANAGED CARE	MHS HB BCBS MEDICARE ADVANTAGE MMMC	Medicare Advantage	$240	other
GENERIC MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE PART A & B MMMC	Medicare Advantage	$240	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE DIRECT MMMC	Medicare Advantage	$240	other
MUTUAL OF OMAHA MEDICARE MANAGED CARE	MHS HB MUTUAL OF OMAHA MMMC	Medicare Advantage	$245	other
GLOBALHEALTH	MHS HB GLOBAL HEALTH MMMC	Medicare Advantage	$252	other
CARE N CARE MEDICARE MANAGED CARE	MHS HB SCOTT AND WHITE MEDICARE MMMC	Medicare Advantage	$252	other
MOLINA MEDICARE MANAGED CARE	MHS HB MOLINA MEDICARE MMMC	Medicare Advantage	$252	other
CIGNA MEDICARE	MHS HB 105% MEDICARE MMMC	Medicare Advantage	$252	other
HUMANA COMMERCIAL	MHS HB HUMANA MEDICARE MMMC	Medicare Advantage	$254	other
WELLPOINT MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE 106% MMMC	Medicare Advantage	$254	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC WELLMED MMMC	Medicare Advantage	$254	other
UNITED HEALTHCARE MANAGED CARE	MHS HB UHC EXCHANGE MMMC	Commercial	$257	other
MULTIPLAN MEDICARE MANAGED CARE	MHS HB MULTIPLAN ADVANTAGE MMMC	Medicare Advantage	$257	other
PROVIDER PARTNERS HEALTH PLAN	MHS HB PROVIDERS PARTNER HEALTH MMMC	Medicare Advantage	$259	other
ALTERNATIVE SERVICE CONCEPTS	MHS HB CITY OF PLANO MMMC	Commercial	$300	other
OSCAR INSURANCE COMPANY	MHS HB OSCAR HMO MMMC	Commercial	$312	other
BRIGHT HEALTHCARE	MHS HB BRIGHT HEALTH MMMC	Commercial	$336	other
MOLINA	MHS HB MOLINA MARKETPLACE MMMC	Commercial	$348	other
WELLPOINT MARKETPLACE EXCHANGE	MHS HB WELLPOINT TEXAS ESSENTIALS MMMC	Commercial	$372	other
KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS	MHS HB TOWER EXTRUSIONS MMMC	Commercial	$384	other
AETNA	MHS HB AETNA EXCHANGE MMMC	Commercial	$389	other
AETNA	MHS HB AETNA CVS MMMC	Commercial	$389	other
ENTRUST/90 DEGREE	MHS HB 90 DEGREE MMMC	Commercial	$396	other
AMBETTER SUPERIOR	MHS HB AMBETTER SUPERIOR MMMC	Commercial	$411	other
IMPERIAL INSURANCE COMPANIES	MHS HB IMPERIAL MANAGED CARE MMMC	Commercial	$432	other
CIGNA	MHS HB CUSTOM INK MMMC	Commercial	$444	other
EVRY HEALTH	MHS HB EVRY MMMC	Commercial	$480	other
SANA BENEFITS	MHS HB SANA MMMC	Commercial	$480	other
VELOCITY	MHS HB VELOCITY MMMC	Commercial	$480	other
GENERIC WORKERS COMP TX PAR	MHS HB WORKERS COMP MMMC	Workers' comp	$480	other
MEDICAL COST CONTAINMENT PROFESSIONALS	MHS HB MEDICAL COST CONTAINMENT MMMC	Commercial	$600	other
HEALTH PLANS INC	MHS HB EMPLOYERS HEALTH NETWORK MMMC	Commercial	$600	other
DART MEMBER CARE	MHS HB DART MEMBER CARE MMMC	Commercial	$648	other
MOLINA MEDICAID MANAGED CARE	MHS HB MEDICAID 110% STAR PLUS MMMC	Medicaid / CHIP	$694	fee schedule
BCBS	MHS HB BCBS MY BLUE HEALTH MMMC	Commercial	$837	fee schedule
WELLPOINT MEDICAID MANAGED CARE	MHS HB WELLPOINT MEDICAID STAR MMMC	Medicaid / CHIP	$842	fee schedule
FRIDAY HEALTH PLAN	MHS HB FRIDAY HEALTH MMMC	Commercial	$850	case rate
BCBS	MHS HB BCBS PREMIER MMMC	Commercial	$1,382	fee schedule
BCBS	MHS HB BCBS HIGH PERFORMANCE NETWORK MMMC	Commercial	$1,382	fee schedule
BCBS	MHS HB BCBS CITY OF DALLAS MMMC	Commercial	$1,436	fee schedule
BCBS	MHS HB BCBS HMO MMMC	Commercial	$1,466	fee schedule
BCBS	MHS HB BCBS PPO MMMC	Commercial	$1,594	fee schedule
BCBS	MHS HB BCBS TRADITIONAL MMMC	Commercial	$1,594	fee schedule

Methodist Midlothian Medical Center: all 39 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
UNITED HEALTHCARE MEDICAID MANAGED CARE	MHS HB UNITED MEDICAID STAR PLUS MLMC	Medicaid / CHIP	$187	fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE COMPLETE MLMC	Medicare Advantage	$240	other
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MHS HB UNINSURED COVID-19 MLMC	Public program	$240	other
AETNA MEDICARE MANAGED CARE	MHS HB AETNA GOLDEN MLMC	Medicare Advantage	$240	other
BCBS MEDICARE MANAGED CARE	MHS HB BCBS MEDICARE ADVANTAGE MLMC	Medicare Advantage	$240	other
GENERIC MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE PART A & B MLMC	Medicare Advantage	$240	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE DIRECT MLMC	Medicare Advantage	$240	other
MUTUAL OF OMAHA MEDICARE MANAGED CARE	MHS HB MUTUAL OF OMAHA MLMC	Medicare Advantage	$244	other
GLOBALHEALTH	MHS HB GLOBAL HEALTH MLMC	Medicare Advantage	$252	other
CARE N CARE MEDICARE MANAGED CARE	MHS HB SCOTT AND WHITE MEDICARE MLMC	Medicare Advantage	$252	other
MOLINA MEDICARE MANAGED CARE	MHS HB MOLINA MEDICARE MLMC	Medicare Advantage	$252	other
CIGNA MEDICARE	MHS HB 105% MEDICARE MLMC	Medicare Advantage	$252	other
HUMANA COMMERCIAL	MHS HB HUMANA MEDICARE MLMC	Medicare Advantage	$254	other
WELLPOINT MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE 106% MLMC	Medicare Advantage	$254	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC WELLMED MLMC	Medicare Advantage	$254	other
UNITED HEALTHCARE MANAGED CARE	MHS HB UHC EXCHANGE MLMC	Commercial	$256	other
MULTIPLAN MEDICARE MANAGED CARE	MHS HB MULTIPLAN ADVANTAGE MLMC	Medicare Advantage	$256	other
PROVIDER PARTNERS HEALTH PLAN	MHS HB PROVIDERS PARTNER HEALTH MLMC	Medicare Advantage	$259	other
ALTERNATIVE SERVICE CONCEPTS	MHS HB CITY OF PLANO MLMC	Commercial	$300	other
OSCAR INSURANCE COMPANY	MHS HB OSCAR HMO MLMC	Commercial	$312	other
BRIGHT HEALTHCARE	MHS HB BRIGHT HEALTH MLMC	Commercial	$336	other
MOLINA	MHS HB MOLINA MARKETPLACE MLMC	Commercial	$348	other
WELLPOINT MARKETPLACE EXCHANGE	MHS HB WELLPOINT TEXAS ESSENTIALS MLMC	Commercial	$372	other
KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS	MHS HB TOWER EXTRUSIONS MLMC	Commercial	$384	other
AETNA	MHS HB AETNA EXCHANGE MLMC	Commercial	$388	other
AETNA	MHS HB AETNA CVS MLMC	Commercial	$388	other
ENTRUST/90 DEGREE	MHS HB 90 DEGREE MLMC	Commercial	$395	other
AMBETTER SUPERIOR	MHS HB AMBETTER SUPERIOR MLMC	Commercial	$410	other
IMPERIAL INSURANCE COMPANIES	MHS HB IMPERIAL MANAGED CARE MLMC	Commercial	$431	other
CIGNA	MHS HB CUSTOM INK MLMC	Commercial	$443	other
EVRY HEALTH	MHS HB EVRY MLMC	Commercial	$479	other
SANA BENEFITS	MHS HB SANA MLMC	Commercial	$479	other
VELOCITY	MHS HB VELOCITY MLMC	Commercial	$479	other
GENERIC WORKERS COMP TX PAR	MHS HB WORKERS COMP MLMC	Workers' comp	$479	other
MEDICAL COST CONTAINMENT PROFESSIONALS	MHS HB MEDICAL COST CONTAINMENT MLMC	Commercial	$599	other
HEALTH PLANS INC	MHS HB EMPLOYERS HEALTH NETWORK MLMC	Commercial	$599	other
DART MEMBER CARE	MHS HB DART MEMBER CARE MLMC	Commercial	$647	other
MOLINA MEDICAID MANAGED CARE	MHS HB MEDICAID 110% STAR PLUS MLMC	Medicaid / CHIP	$807	fee schedule
FRIDAY HEALTH PLAN	MHS HB FRIDAY HEALTH MLMC	Commercial	$850	case rate

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	$187	fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE COMPLETE MRMC	Medicare Advantage	$240	other
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MHS HB UNINSURED COVID-19 MRMC	Public program	$240	other
AETNA MEDICARE MANAGED CARE	MHS HB AETNA GOLDEN MRMC	Medicare Advantage	$240	other
BCBS MEDICARE MANAGED CARE	MHS HB BCBS MEDICARE ADVANTAGE MRMC	Medicare Advantage	$240	other
GENERIC MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE PART A & B MRMC	Medicare Advantage	$240	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE DIRECT MRMC	Medicare Advantage	$240	other
MUTUAL OF OMAHA MEDICARE MANAGED CARE	MHS HB MUTUAL OF OMAHA MRMC	Medicare Advantage	$244	other
GLOBALHEALTH	MHS HB GLOBAL HEALTH MRMC	Medicare Advantage	$252	other
CARE N CARE MEDICARE MANAGED CARE	MHS HB SCOTT AND WHITE MEDICARE MRMC	Medicare Advantage	$252	other
MOLINA MEDICARE MANAGED CARE	MHS HB MOLINA MEDICARE MRMC	Medicare Advantage	$252	other
CIGNA MEDICARE	MHS HB 105% MEDICARE MRMC	Medicare Advantage	$252	other
HUMANA COMMERCIAL	MHS HB HUMANA MEDICARE MRMC	Medicare Advantage	$254	other
WELLPOINT MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE 106% MRMC	Medicare Advantage	$254	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC WELLMED MRMC	Medicare Advantage	$254	other
UNITED HEALTHCARE MANAGED CARE	MHS HB UHC EXCHANGE MRMC	Commercial	$256	other
MULTIPLAN MEDICARE MANAGED CARE	MHS HB MULTIPLAN ADVANTAGE MRMC	Medicare Advantage	$256	other
PROVIDER PARTNERS HEALTH PLAN	MHS HB PROVIDERS PARTNER HEALTH MRMC	Medicare Advantage	$259	other
CORALVITA	MHS HB VIBRA MRMC MCMC MDMC	Commercial	$288	other
ALTERNATIVE SERVICE CONCEPTS	MHS HB CITY OF PLANO MRMC	Commercial	$300	other
OSCAR INSURANCE COMPANY	MHS HB OSCAR HMO MRMC	Commercial	$312	other
BRIGHT HEALTHCARE	MHS HB BRIGHT HEALTH MRMC	Commercial	$336	other
MOLINA	MHS HB MOLINA MARKETPLACE MRMC	Commercial	$348	other
WELLPOINT MARKETPLACE EXCHANGE	MHS HB WELLPOINT TEXAS ESSENTIALS MRMC	Commercial	$372	other
AETNA	MHS HB AETNA EXCHANGE MRMC	Commercial	$388	other
AETNA	MHS HB AETNA CVS MRMC	Commercial	$388	other
ENTRUST/90 DEGREE	MHS HB 90 DEGREE MRMC	Commercial	$395	other
AMBETTER SUPERIOR	MHS HB AMBETTER SUPERIOR MRMC	Commercial	$410	other
IMPERIAL INSURANCE COMPANIES	MHS HB IMPERIAL MANAGED CARE MRMC	Commercial	$431	other
CIGNA	MHS HB CUSTOM INK MRMC	Commercial	$443	other
EVRY HEALTH	MHS HB EVRY MRMC	Commercial	$479	other
SANA BENEFITS	MHS HB SANA MRMC	Commercial	$479	other
VELOCITY	MHS HB VELOCITY MRMC	Commercial	$479	other
MEDICAL COST CONTAINMENT PROFESSIONALS	MHS HB MEDICAL COST CONTAINMENT MRMC	Commercial	$599	other
HEALTH PLANS INC	MHS HB EMPLOYERS HEALTH NETWORK MRMC	Commercial	$599	other
DART MEMBER CARE	MHS HB DART MEMBER CARE MRMC	Commercial	$647	other
MOLINA MEDICAID MANAGED CARE	MHS HB MEDICAID 110% STAR PLUS MRMC	Medicaid / CHIP	$807	fee schedule
FRIDAY HEALTH PLAN	MHS HB FRIDAY HEALTH MRMC	Commercial	$850	case rate
BCBS	MHS HB BCBS MY BLUE HEALTH MRMC	Commercial	$925	fee schedule
BCBS	MHS HB BCBS PREMIER MRMC	Commercial	$1,526	fee schedule
BCBS	MHS HB BCBS HIGH PERFORMANCE NETWORK MRMC	Commercial	$1,526	fee schedule
BCBS	MHS HB BCBS CITY OF DALLAS MRMC	Commercial	$1,585	fee schedule
BCBS	MHS HB BCBS HMO MRMC	Commercial	$1,620	fee schedule
BCBS	MHS HB BCBS PPO MRMC	Commercial	$1,759	fee schedule
BCBS	MHS HB BCBS TRADITIONAL MRMC	Commercial	$1,759	fee schedule

Methodist Southlake Medical Center: all 53 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
UNITED HEALTHCARE MEDICAID MANAGED CARE	MHS HB UNITED MEDICAID STAR PLUS MSMC	Medicaid / CHIP	$187	fee schedule
TRICARE	MHS HB TRICARE MSMC	Military / VA	$231	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE COMPLETE MSMC	Medicare Advantage	$240	other
AETNA MEDICARE MANAGED CARE	MHS HB AETNA GOLDEN MSMC	Medicare Advantage	$240	other
BCBS MEDICARE MANAGED CARE	MHS HB BCBS MEDICARE ADVANTAGE MSMC	Medicare Advantage	$240	other
GENERIC MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE PART A & B MSMC	Medicare Advantage	$240	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE DIRECT MSMC	Medicare Advantage	$240	other
MUTUAL OF OMAHA MEDICARE MANAGED CARE	MHS HB MUTUAL OF OMAHA MSMC	Medicare Advantage	$245	other
GLOBALHEALTH	MHS HB GLOBAL HEALTH MSMC	Medicare Advantage	$252	other
CARE N CARE MEDICARE MANAGED CARE	MHS HB SCOTT AND WHITE MEDICARE MSMC	Medicare Advantage	$252	other
MOLINA MEDICARE MANAGED CARE	MHS HB MOLINA MEDICARE MSMC	Medicare Advantage	$252	other
CIGNA MEDICARE	MHS HB 105% MEDICARE MSMC	Medicare Advantage	$252	other
HUMANA COMMERCIAL	MHS HB HUMANA MEDICARE MSMC	Medicare Advantage	$254	other
WELLPOINT MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE 106% MSMC	Medicare Advantage	$254	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC WELLMED MSMC	Medicare Advantage	$254	other
UNITED HEALTHCARE MANAGED CARE	MHS HB UHC EXCHANGE MSMC	Commercial	$257	other
MULTIPLAN MEDICARE MANAGED CARE	MHS HB MULTIPLAN ADVANTAGE MSMC	Medicare Advantage	$257	other
PROVIDER PARTNERS HEALTH PLAN	MHS HB PROVIDERS PARTNER HEALTH MSMC	Medicare Advantage	$259	other
ALTERNATIVE SERVICE CONCEPTS	MHS HB CITY OF PLANO MSMC	Commercial	$300	other
OSCAR INSURANCE COMPANY	MHS HB OSCAR HMO MSMC	Commercial	$312	other
BRIGHT HEALTHCARE	MHS HB BRIGHT HEALTH MSMC	Commercial	$336	other
MOLINA	MHS HB MOLINA MARKETPLACE MSMC	Commercial	$348	other
WELLPOINT MARKETPLACE EXCHANGE	MHS HB WELLPOINT TEXAS ESSENTIALS MSMC	Commercial	$372	other
KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS	MHS HB TOWER EXTRUSIONS MSMC	Commercial	$384	other
AETNA	MHS HB AETNA EXCHANGE MSMC	Commercial	$389	other
AETNA	MHS HB AETNA CVS MSMC	Commercial	$389	other
ENTRUST/90 DEGREE	MHS HB 90 DEGREE MSMC	Commercial	$396	other
AMBETTER SUPERIOR	MHS HB AMBETTER SUPERIOR MSMC	Commercial	$411	other
IMPERIAL INSURANCE COMPANIES	MHS HB IMPERIAL MANAGED CARE MSMC	Commercial	$432	other
CIGNA	MHS HB CUSTOM INK MSMC	Commercial	$444	other
EVRY HEALTH	MHS HB EVRY MSMC	Commercial	$480	other
SANA BENEFITS	MHS HB SANA MSMC	Commercial	$480	other
VELOCITY	MHS HB VELOCITY MSMC	Commercial	$480	other
GENERIC WORKERS COMP TX PAR	MHS HB WORKERS COMP MSMC	Workers' comp	$480	other
MEDICAL COST CONTAINMENT PROFESSIONALS	MHS HB MEDICAL COST CONTAINMENT MSMC	Commercial	$600	other
HEALTH PLANS INC	MHS HB EMPLOYERS HEALTH NETWORK MSMC	Commercial	$600	other
DART MEMBER CARE	MHS HB DART MEMBER CARE MSMC	Commercial	$648	other
MOLINA MEDICAID MANAGED CARE	MHS HB MEDICAID 110% STAR PLUS MSMC	Medicaid / CHIP	$694	fee schedule
BCBS	MHS HB BCBS MY BLUE HEALTH MSMC	Commercial	$837	fee schedule
WELLPOINT MEDICAID MANAGED CARE	MHS HB WELLPOINT MEDICAID STAR MSMC	Medicaid / CHIP	$842	fee schedule
FRIDAY HEALTH PLAN	MHS HB FRIDAY HEALTH MSMC	Commercial	$850	case rate
AETNA COMMERCIAL	MHS HB AETNA TX PREF PLUS II MSMC	Commercial	$1,241	per diem
AETNA COMMERCIAL	MHS HB AETNA TEXAS ADVANTAGE MSMC	Commercial	$1,340	per diem
AETNA MANAGED CARE	MHS HB AETNA WHOLE HEALTH MSMC	Commercial	$1,340	per diem
BCBS	MHS HB BCBS HIGH PERFORMANCE NETWORK MSMC	Commercial	$1,382	fee schedule
BCBS	MHS HB BCBS PREMIER MSMC	Commercial	$1,382	fee schedule
BCBS	MHS HB BCBS CITY OF DALLAS MSMC	Commercial	$1,436	fee schedule
BCBS	MHS HB BCBS HMO MSMC	Commercial	$1,466	fee schedule
AETNA	MHS HB AETNA HMO PPO MSMC	Commercial	$1,489	per diem
UNITED HEALTHCARE-COMMERCIAL	MHS HB UNITED HEALTHCARE MSMC	Commercial	$1,551	per diem
BCBS	MHS HB BCBS PPO MSMC	Commercial	$1,594	fee schedule
BCBS	MHS HB BCBS TRADITIONAL MSMC	Commercial	$1,594	fee schedule
AETNA	MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC	Commercial	$2,750	percent of total billed charges

Baylor Scott & White Medical Center – Lake Pointe: all 47 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Superior Health Plan	Medicaid	Medicaid / CHIP	$197	fee schedule
WellPoint (fka Amerigroup)	CHIP/Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$211	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$228	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$233	fee schedule
Humana	Medicare	Medicare Advantage	$240	fee schedule
TriWest	Community Care Network	Military / VA	$240	fee schedule
WellPoint (fka Amerigroup)	Medicare	Medicare Advantage	$247	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$252	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$252	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$252	fee schedule
Molina	Medicare Advantage	Medicare Advantage	$252	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$252	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$252	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$268	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$288	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$301	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$302	fee schedule
Sedgwick	Preferred Network	Workers' comp	$358	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$395	fee schedule
Texas A&M Commerce	Injured Athletes	Commercial	$495	case rate
Superior Ambetter	Ambetter Exchange	Commercial	$515	fee schedule
Mark Cuban	Commercial	Commercial	$607	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$762	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$1,184	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$1,589	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$1,678	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$1,716	percent of total billed charges
Imagine Health	Commercial	Commercial	$1,718	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$1,766	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$1,818	fee schedule
Cigna	Local Plus	Commercial	$1,952	fee schedule
Aetna	Commercial	Commercial	$2,008	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$2,008	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$2,008	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$2,139	fee schedule
University of Mary Hardin-Baylor	Commercial	Commercial	$2,149	fee schedule
Cigna	HMO/PPO	Commercial	$2,297	fee schedule
Curative	Commercial	Commercial	$2,373	percent of total billed charges
United Healthcare	Charter	Commercial	$2,429	fee schedule
United Healthcare	Nexus	Commercial	$2,429	fee schedule
First Health	PPO	Commercial	$2,555	percent of total billed charges
HealthSmart	Accel Network	Commercial	$2,555	percent of total billed charges
Humana	Commercial PPO	Commercial	$2,555	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$2,699	fee schedule
HealthSmart	Preferred Network	Commercial	$2,738	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$2,738	percent of total billed charges

Baylor Scott & White The Heart Hospital – Denton: all 43 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Superior Health Plan	Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$211	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$228	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$233	fee schedule
Humana	Medicare	Medicare Advantage	$240	fee schedule
TriWest	Community Care Network	Military / VA	$240	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$252	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$252	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$252	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$252	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$252	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$268	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$288	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$301	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$302	fee schedule
Sedgwick	Preferred Network	Workers' comp	$358	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$395	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$515	fee schedule
Mark Cuban	Commercial	Commercial	$607	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$762	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$1,081	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$1,452	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$1,531	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$1,613	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$1,716	percent of total billed charges
Imagine Health	Commercial	Commercial	$1,718	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$1,818	fee schedule
Cigna	Local Plus	Commercial	$1,952	fee schedule
Aetna	Commercial	Commercial	$2,008	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$2,008	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$2,008	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$2,139	fee schedule
University of Mary Hardin-Baylor	Commercial	Commercial	$2,149	fee schedule
Cigna	HMO/PPO	Commercial	$2,297	fee schedule
Curative	Commercial	Commercial	$2,373	percent of total billed charges
United Healthcare	Charter	Commercial	$2,429	fee schedule
United Healthcare	Nexus	Commercial	$2,429	fee schedule
First Health	PPO	Commercial	$2,555	percent of total billed charges
HealthSmart	Accel Network	Commercial	$2,555	percent of total billed charges
Humana	Commercial PPO	Commercial	$2,555	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$2,699	fee schedule
HealthSmart	Preferred Network	Commercial	$2,738	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$2,738	percent of total billed charges

Baylor Scott & White The Heart Hospital – McKinney: all 32 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$211	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$228	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$233	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$252	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$252	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$252	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$252	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$268	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$302	fee schedule
Sedgwick	Preferred Network	Workers' comp	$358	fee schedule
Mark Cuban	Commercial	Commercial	$607	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$762	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$1,081	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$1,452	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$1,531	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$1,613	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$1,716	percent of total billed charges
Cigna	Local Plus	Commercial	$1,952	fee schedule
Aetna	Commercial	Commercial	$2,008	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$2,008	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$2,008	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$2,149	fee schedule
Cigna	HMO/PPO	Commercial	$2,297	fee schedule
Curative	Commercial	Commercial	$2,373	percent of total billed charges
United Healthcare	Charter	Commercial	$2,429	fee schedule
United Healthcare	Nexus	Commercial	$2,429	fee schedule
First Health	PPO	Commercial	$2,555	percent of total billed charges
HealthSmart	Accel Network	Commercial	$2,555	percent of total billed charges
Humana	Commercial PPO	Commercial	$2,555	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$2,699	fee schedule
HealthSmart	Preferred Network	Commercial	$2,738	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$2,738	percent of total billed charges

Baylor Scott & White The Heart Hospital – Plano: all 44 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Superior Health Plan	Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$211	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$228	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$233	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$240	fee schedule
Humana	Medicare	Medicare Advantage	$240	fee schedule
TriWest	Community Care Network	Military / VA	$240	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$252	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$252	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$252	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$252	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$252	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$268	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$288	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$301	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$302	fee schedule
Sedgwick	Preferred Network	Workers' comp	$358	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$395	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$515	fee schedule
Mark Cuban	Commercial	Commercial	$607	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$762	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$1,081	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$1,452	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$1,531	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$1,613	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$1,716	percent of total billed charges
Imagine Health	Commercial	Commercial	$1,718	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$1,818	fee schedule
Cigna	Local Plus	Commercial	$1,952	fee schedule
Aetna	Commercial	Commercial	$2,008	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$2,008	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$2,008	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$2,139	fee schedule
University of Mary Hardin-Baylor	Commercial	Commercial	$2,149	fee schedule
Cigna	HMO/PPO	Commercial	$2,297	fee schedule
Curative	Commercial	Commercial	$2,373	percent of total billed charges
United Healthcare	Charter	Commercial	$2,429	fee schedule
United Healthcare	Nexus	Commercial	$2,429	fee schedule
First Health	PPO	Commercial	$2,555	percent of total billed charges
HealthSmart	Accel Network	Commercial	$2,555	percent of total billed charges
Humana	Commercial PPO	Commercial	$2,555	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$2,699	fee schedule
HealthSmart	Preferred Network	Commercial	$2,738	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$2,738	percent of total billed charges

Baylor Scott & White All Saints Medical Center – Fort Worth: all 48 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Cook Children's Health Plan	Medicaid	Medicaid / CHIP	$197	fee schedule
Superior Health Plan	Medicaid	Medicaid / CHIP	$197	fee schedule
WellPoint (fka Amerigroup)	CHIP/Medicaid	Medicaid / CHIP	$197	fee schedule
Aetna	Medicaid	Medicaid / CHIP	$201	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$211	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$228	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$233	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$240	fee schedule
Humana	Medicare	Medicare Advantage	$240	fee schedule
TriWest	Community Care Network	Military / VA	$240	fee schedule
WellPoint (fka Amerigroup)	Medicare	Medicare Advantage	$247	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$252	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$252	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$252	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$252	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$252	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$268	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$288	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$301	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$302	fee schedule
Sedgwick	Preferred Network	Workers' comp	$358	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$395	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$515	fee schedule
Mark Cuban	Commercial	Commercial	$607	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$762	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$1,081	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$1,452	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$1,531	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$1,613	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$1,716	percent of total billed charges
Imagine Health	Commercial	Commercial	$1,718	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$1,818	fee schedule
Cigna	Local Plus	Commercial	$1,952	fee schedule
Aetna	Commercial	Commercial	$2,008	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$2,008	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$2,008	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$2,139	fee schedule
University of Mary Hardin-Baylor	Commercial	Commercial	$2,149	fee schedule
Cigna	HMO/PPO	Commercial	$2,297	fee schedule
Curative	Commercial	Commercial	$2,373	percent of total billed charges
United Healthcare	Charter	Commercial	$2,429	fee schedule
United Healthcare	Nexus	Commercial	$2,429	fee schedule
First Health	PPO	Commercial	$2,555	percent of total billed charges
HealthSmart	Accel Network	Commercial	$2,555	percent of total billed charges
Humana	Commercial PPO	Commercial	$2,555	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$2,699	fee schedule
HealthSmart	Preferred Network	Commercial	$2,738	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$2,738	percent of total billed charges

Baylor Scott & White Medical Center – Frisco at PGA Parkway: all 40 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Superior Health Plan	Medicaid	Medicaid / CHIP	$197	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$228	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$233	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$240	fee schedule
Humana	Medicare	Medicare Advantage	$240	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$252	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$252	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$252	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$252	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$252	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$268	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$288	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$301	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$302	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$395	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$515	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$762	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$1,081	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$1,452	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$1,531	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$1,613	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$1,716	percent of total billed charges
Imagine Health	Commercial	Commercial	$1,718	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$1,818	fee schedule
Cigna	Local Plus	Commercial	$1,952	fee schedule
Aetna	Commercial	Commercial	$2,008	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$2,008	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$2,008	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$2,139	fee schedule
University of Mary Hardin-Baylor	Commercial	Commercial	$2,149	fee schedule
Cigna	HMO/PPO	Commercial	$2,297	fee schedule
Curative	Commercial	Commercial	$2,373	percent of total billed charges
United Healthcare	Charter	Commercial	$2,429	fee schedule
United Healthcare	Nexus	Commercial	$2,429	fee schedule
First Health	PPO	Commercial	$2,555	percent of total billed charges
HealthSmart	Accel Network	Commercial	$2,555	percent of total billed charges
Humana	Commercial PPO	Commercial	$2,555	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$2,699	fee schedule
HealthSmart	Preferred Network	Commercial	$2,738	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$2,738	percent of total billed charges

Baylor Scott & White Medical Center – McKinney: all 44 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Superior Health Plan	Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$211	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$228	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$233	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$240	fee schedule
Humana	Medicare	Medicare Advantage	$240	fee schedule
TriWest	Community Care Network	Military / VA	$240	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$252	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$252	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$252	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$252	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$252	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$268	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$288	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$301	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$302	fee schedule
Sedgwick	Preferred Network	Workers' comp	$358	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$395	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$515	fee schedule
Mark Cuban	Commercial	Commercial	$607	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$762	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$1,081	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$1,452	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$1,531	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$1,613	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$1,716	percent of total billed charges
Imagine Health	Commercial	Commercial	$1,718	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$1,818	fee schedule
Cigna	Local Plus	Commercial	$1,952	fee schedule
Aetna	Commercial	Commercial	$2,008	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$2,008	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$2,008	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$2,139	fee schedule
University of Mary Hardin-Baylor	Commercial	Commercial	$2,149	fee schedule
Cigna	HMO/PPO	Commercial	$2,297	fee schedule
Curative	Commercial	Commercial	$2,373	percent of total billed charges
United Healthcare	Charter	Commercial	$2,429	fee schedule
United Healthcare	Nexus	Commercial	$2,429	fee schedule
First Health	PPO	Commercial	$2,555	percent of total billed charges
HealthSmart	Accel Network	Commercial	$2,555	percent of total billed charges
Humana	Commercial PPO	Commercial	$2,555	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$2,699	fee schedule
HealthSmart	Preferred Network	Commercial	$2,738	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$2,738	percent of total billed charges

Baylor Scott & White Medical Center – Grapevine: all 45 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Superior Health Plan	Medicaid	Medicaid / CHIP	$197	fee schedule
Aetna	Medicaid	Medicaid / CHIP	$201	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$211	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$228	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$233	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$240	fee schedule
Humana	Medicare	Medicare Advantage	$240	fee schedule
TriWest	Community Care Network	Military / VA	$240	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$252	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$252	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$252	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$252	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$252	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$269	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$288	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$301	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$303	fee schedule
Sedgwick	Preferred Network	Workers' comp	$359	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$396	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$516	fee schedule
Mark Cuban	Commercial	Commercial	$607	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$762	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$1,081	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$1,452	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$1,531	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$1,613	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$1,716	percent of total billed charges
Imagine Health	Commercial	Commercial	$1,718	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$1,818	fee schedule
Cigna	Local Plus	Commercial	$1,952	fee schedule
Aetna	Commercial	Commercial	$2,008	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$2,008	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$2,008	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$2,139	fee schedule
University of Mary Hardin-Baylor	Commercial	Commercial	$2,149	fee schedule
Cigna	HMO/PPO	Commercial	$2,297	fee schedule
Curative	Commercial	Commercial	$2,373	percent of total billed charges
United Healthcare	Charter	Commercial	$2,429	fee schedule
United Healthcare	Nexus	Commercial	$2,429	fee schedule
First Health	PPO	Commercial	$2,555	percent of total billed charges
HealthSmart	Accel Network	Commercial	$2,555	percent of total billed charges
Humana	Commercial PPO	Commercial	$2,555	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$2,699	fee schedule
HealthSmart	Preferred Network	Commercial	$2,738	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$2,738	percent of total billed charges

Baylor University Medical Center: all 49 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Superior Health Plan	Medicaid	Medicaid / CHIP	$197	fee schedule
WellPoint (fka Amerigroup)	CHIP/Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$211	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$228	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$233	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$240	fee schedule
Humana	Medicare	Medicare Advantage	$240	fee schedule
TriWest	Community Care Network	Military / VA	$240	fee schedule
WellPoint (fka Amerigroup)	Medicare	Medicare Advantage	$247	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$252	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$252	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$252	fee schedule
Molina	Medicare Advantage	Medicare Advantage	$252	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$252	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$252	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$268	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$288	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$301	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$302	fee schedule
Sedgwick	Preferred Network	Workers' comp	$358	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$395	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$515	fee schedule
Mark Cuban	Commercial	Commercial	$607	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$762	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$1,081	fee schedule
Texas Workforce Commission	Workers Compensation	Workers' comp	$1,314	percent of total billed charges
Blue Cross Blue Shield	City of Dallas	Commercial	$1,452	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$1,531	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$1,613	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$1,716	percent of total billed charges
Imagine Health	Commercial	Commercial	$1,718	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$1,818	fee schedule
Cigna	Local Plus	Commercial	$1,952	fee schedule
Aetna	Commercial	Commercial	$2,008	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$2,008	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$2,008	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$2,139	fee schedule
University of Mary Hardin-Baylor	Commercial	Commercial	$2,149	fee schedule
Cigna	HMO/PPO	Commercial	$2,297	fee schedule
Curative	Commercial	Commercial	$2,373	percent of total billed charges
United Healthcare	Charter	Commercial	$2,429	fee schedule
United Healthcare	Nexus	Commercial	$2,429	fee schedule
First Health	PPO	Commercial	$2,555	percent of total billed charges
HealthSmart	Accel Network	Commercial	$2,555	percent of total billed charges
Humana	Commercial PPO	Commercial	$2,555	percent of total billed charges
Optum	Commercial	Commercial	$2,555	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$2,699	fee schedule
HealthSmart	Preferred Network	Commercial	$2,738	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$2,738	percent of total billed charges

Baylor Scott & White Medical Center – Waxahachie: all 44 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Superior Health Plan	Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$211	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$228	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$233	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$240	fee schedule
Humana	Medicare	Medicare Advantage	$240	fee schedule
TriWest	Community Care Network	Military / VA	$240	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$252	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$252	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$252	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$252	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$252	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$268	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$288	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$301	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$302	fee schedule
Sedgwick	Preferred Network	Workers' comp	$358	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$395	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$515	fee schedule
Mark Cuban	Commercial	Commercial	$607	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$762	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$1,081	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$1,452	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$1,531	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$1,613	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$1,716	percent of total billed charges
Imagine Health	Commercial	Commercial	$1,718	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$1,818	fee schedule
Cigna	Local Plus	Commercial	$1,952	fee schedule
Aetna	Commercial	Commercial	$2,008	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$2,008	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$2,008	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$2,139	fee schedule
University of Mary Hardin-Baylor	Commercial	Commercial	$2,149	fee schedule
Cigna	HMO/PPO	Commercial	$2,297	fee schedule
Curative	Commercial	Commercial	$2,373	percent of total billed charges
United Healthcare	Charter	Commercial	$2,429	fee schedule
United Healthcare	Nexus	Commercial	$2,429	fee schedule
First Health	PPO	Commercial	$2,555	percent of total billed charges
HealthSmart	Accel Network	Commercial	$2,555	percent of total billed charges
Humana	Commercial PPO	Commercial	$2,555	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$2,699	fee schedule
HealthSmart	Preferred Network	Commercial	$2,738	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$2,738	percent of total billed charges

Baylor Scott & White Medical Center – Irving: all 46 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Superior Health Plan	Medicaid	Medicaid / CHIP	$197	fee schedule
WellPoint (fka Amerigroup)	CHIP/Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$211	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$228	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$233	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$240	fee schedule
Humana	Medicare	Medicare Advantage	$240	fee schedule
TriWest	Community Care Network	Military / VA	$240	fee schedule
WellPoint (fka Amerigroup)	Medicare	Medicare Advantage	$247	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$252	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$252	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$252	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$252	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$252	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$268	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$288	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$301	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$302	fee schedule
Sedgwick	Preferred Network	Workers' comp	$358	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$395	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$515	fee schedule
Mark Cuban	Commercial	Commercial	$607	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$762	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$1,081	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$1,452	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$1,531	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$1,613	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$1,716	percent of total billed charges
Imagine Health	Commercial	Commercial	$1,718	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$1,818	fee schedule
Cigna	Local Plus	Commercial	$1,952	fee schedule
Aetna	Commercial	Commercial	$2,008	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$2,008	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$2,008	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$2,139	fee schedule
University of Mary Hardin-Baylor	Commercial	Commercial	$2,149	fee schedule
Cigna	HMO/PPO	Commercial	$2,297	fee schedule
Curative	Commercial	Commercial	$2,373	percent of total billed charges
United Healthcare	Charter	Commercial	$2,429	fee schedule
United Healthcare	Nexus	Commercial	$2,429	fee schedule
First Health	PPO	Commercial	$2,555	percent of total billed charges
HealthSmart	Accel Network	Commercial	$2,555	percent of total billed charges
Humana	Commercial PPO	Commercial	$2,555	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$2,699	fee schedule
HealthSmart	Preferred Network	Commercial	$2,738	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$2,738	percent of total billed charges

Baylor Scott & White Heart and Vascular Hospital – Dallas: all 42 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Superior Health Plan	Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$211	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$228	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$233	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$240	fee schedule
TriWest	Community Care Network	Military / VA	$240	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$252	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$252	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$252	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$252	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$252	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$268	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$288	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$301	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$302	fee schedule
Sedgwick	Preferred Network	Workers' comp	$358	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$395	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$515	fee schedule
Mark Cuban	Commercial	Commercial	$607	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$762	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$1,081	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$1,452	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$1,531	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$1,613	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$1,716	percent of total billed charges
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$1,818	fee schedule
Cigna	Local Plus	Commercial	$1,952	fee schedule
Aetna	Commercial	Commercial	$2,008	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$2,008	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$2,008	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$2,139	fee schedule
University of Mary Hardin-Baylor	Commercial	Commercial	$2,149	fee schedule
Cigna	HMO/PPO	Commercial	$2,297	fee schedule
Curative	Commercial	Commercial	$2,373	percent of total billed charges
United Healthcare	Charter	Commercial	$2,429	fee schedule
United Healthcare	Nexus	Commercial	$2,429	fee schedule
First Health	PPO	Commercial	$2,555	percent of total billed charges
HealthSmart	Accel Network	Commercial	$2,555	percent of total billed charges
Humana	Commercial PPO	Commercial	$2,555	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$2,699	fee schedule
HealthSmart	Preferred Network	Commercial	$2,738	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$2,738	percent of total billed charges

Baylor Scott & White Heart and Vascular Hospital – Waxahachie: all 31 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$228	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$233	fee schedule
Humana	Medicare	Medicare Advantage	$240	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$252	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$252	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$252	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$252	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$288	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$301	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$302	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$395	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$762	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$1,081	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$1,452	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$1,531	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$1,613	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$1,716	percent of total billed charges
Imagine Health	Commercial	Commercial	$1,718	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$1,818	fee schedule
Aetna	Commercial	Commercial	$2,008	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$2,008	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$2,008	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$2,139	fee schedule
University of Mary Hardin-Baylor	Commercial	Commercial	$2,149	fee schedule
Curative	Commercial	Commercial	$2,373	percent of total billed charges
United Healthcare	Charter	Commercial	$2,429	fee schedule
United Healthcare	Nexus	Commercial	$2,429	fee schedule
First Health	PPO	Commercial	$2,555	percent of total billed charges
Humana	Commercial PPO	Commercial	$2,555	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$2,699	fee schedule
Private Health Care System	PHCS Network	Commercial	$2,738	percent of total billed charges

Baylor Scott & White Medical Center – Plano: all 46 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Superior Health Plan	Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$211	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$228	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$233	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$240	fee schedule
Humana	Medicare	Medicare Advantage	$240	fee schedule
TriWest	Community Care Network	Military / VA	$240	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$252	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$252	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$252	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$252	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$252	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$268	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$288	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$301	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$302	fee schedule
Sedgwick	Preferred Network	Workers' comp	$358	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$395	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$515	fee schedule
Mark Cuban	Commercial	Commercial	$607	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$762	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$1,081	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$1,452	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$1,531	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$1,613	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$1,716	percent of total billed charges
Imagine Health	Commercial	Commercial	$1,718	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$1,818	fee schedule
Cigna	Local Plus	Commercial	$1,952	fee schedule
Aetna	Commercial	Commercial	$2,008	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$2,008	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$2,008	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$2,139	fee schedule
University of Mary Hardin-Baylor	Commercial	Commercial	$2,149	fee schedule
Independent Medical System	Commercial PPO	Commercial	$2,190	percent of total billed charges
Cigna	HMO/PPO	Commercial	$2,297	fee schedule
Curative	Commercial	Commercial	$2,373	percent of total billed charges
United Healthcare	Charter	Commercial	$2,429	fee schedule
United Healthcare	Nexus	Commercial	$2,429	fee schedule
First Health	PPO	Commercial	$2,555	percent of total billed charges
HealthSmart	Accel Network	Commercial	$2,555	percent of total billed charges
Humana	Commercial PPO	Commercial	$2,555	percent of total billed charges
Optum	Commercial	Commercial	$2,555	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$2,699	fee schedule
HealthSmart	Preferred Network	Commercial	$2,738	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$2,738	percent of total billed charges

Baylor Scott & White Medical Center – Centennial: all 46 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Superior Health Plan	Medicaid	Medicaid / CHIP	$197	fee schedule
WellPoint (fka Amerigroup)	CHIP/Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$211	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$228	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$233	fee schedule
Humana	Medicare	Medicare Advantage	$240	fee schedule
TriWest	Community Care Network	Military / VA	$240	fee schedule
WellPoint (fka Amerigroup)	Medicare	Medicare Advantage	$247	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$252	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$252	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$252	fee schedule
Molina	Medicare Advantage	Medicare Advantage	$252	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$252	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$252	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$268	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$288	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$301	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$302	fee schedule
Sedgwick	Preferred Network	Workers' comp	$358	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$395	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$515	fee schedule
Mark Cuban	Commercial	Commercial	$607	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$762	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$1,184	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$1,589	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$1,678	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$1,716	percent of total billed charges
Imagine Health	Commercial	Commercial	$1,718	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$1,766	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$1,818	fee schedule
Cigna	Local Plus	Commercial	$1,952	fee schedule
Aetna	Commercial	Commercial	$2,008	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$2,008	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$2,008	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$2,139	fee schedule
University of Mary Hardin-Baylor	Commercial	Commercial	$2,149	fee schedule
Cigna	HMO/PPO	Commercial	$2,297	fee schedule
Curative	Commercial	Commercial	$2,373	percent of total billed charges
United Healthcare	Charter	Commercial	$2,429	fee schedule
United Healthcare	Nexus	Commercial	$2,429	fee schedule
First Health	PPO	Commercial	$2,555	percent of total billed charges
HealthSmart	Accel Network	Commercial	$2,555	percent of total billed charges
Humana	Commercial PPO	Commercial	$2,555	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$2,699	fee schedule
HealthSmart	Preferred Network	Commercial	$2,738	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$2,738	percent of total billed charges

Texas Health Harris Methodist Hospital Southlake: all 38 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Amerigroup	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$207	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$213	fee schedule
Aetna	Managed Medicaid	Medicaid / CHIP	$217	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$240	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$240	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$245	case rate
Humana	Medicare Advantage	Medicare Advantage	$250	case rate
Molina	Medicare Advantage	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$252	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$264	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$266	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$271	case rate
Blue Cross Blue Shield	HMO	Commercial	$787	fee schedule
Blue Cross Blue Shield	Exchange	Commercial	$867	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$874	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$1,105	percent of total billed charges
Aetna	Whole Health	Commercial	$1,200	case rate
United Healthcare	All Payer	Commercial	$1,476	case rate
Aetna	Commercial	Commercial	$1,600	case rate
Blue Cross Blue Shield	Traditional	Commercial	$1,652	fee schedule
City of Fort Worth	Commercial	Commercial	$1,875	percent of total billed charges
United Healthcare Options	PPO	Commercial	$1,933	case rate
Cigna	OAP/HMO	Commercial	$1,973	case rate
Cigna	PPO	Commercial	$2,053	case rate
Quick Trip	Commercial	Commercial	$2,394	percent of total billed charges
PHCS	PPO	Commercial	$2,773	percent of total billed charges
Aetna	Coventry	Commercial	$2,797	percent of total billed charges
Aetna	ASA	Commercial	$2,797	percent of total billed charges
Healthsmart	Commercial	Commercial	$2,993	percent of total billed charges
Multiplan	Commercial	Commercial	$3,472	percent of total billed charges
Galaxy	Commercial	Commercial	$3,511	percent of total billed charges
USA	MCO	Commercial	$3,511	percent of total billed charges
Cigna	Indemnity	Commercial	$3,755	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	$197	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Amerigroup	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$207	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$213	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$240	case rate
American Health	Medicare Advantage	Medicare Advantage	$240	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$244	case rate
Humana	Medicare Advantage	Medicare Advantage	$249	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$252	case rate
Molina	Medicare Advantage	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$264	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$266	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$271	case rate
Blue Cross Blue Shield	HMO	Commercial	$787	fee schedule
Blue Cross Blue Shield	Exchange	Commercial	$867	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$874	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$1,105	percent of total billed charges
Aetna	Whole Health	Commercial	$1,200	case rate
United Healthcare	All Payer	Commercial	$1,476	case rate
Aetna	Commercial	Commercial	$1,600	case rate
Blue Cross Blue Shield	Traditional	Commercial	$1,652	fee schedule
City of Fort Worth	Commercial	Commercial	$1,875	percent of total billed charges
United Healthcare Options	PPO	Commercial	$1,933	case rate
Cigna	OAP/HMO	Commercial	$1,973	case rate
Cigna	PPO	Commercial	$2,053	case rate
Quick Trip	Commercial	Commercial	$2,394	percent of total billed charges
PHCS	PPO	Commercial	$2,773	percent of total billed charges
Aetna	ASA	Commercial	$2,797	percent of total billed charges
Aetna	Coventry	Commercial	$2,797	percent of total billed charges
Healthsmart	Commercial	Commercial	$2,993	percent of total billed charges
Multiplan	Commercial	Commercial	$3,472	percent of total billed charges
USA	MCO	Commercial	$3,511	percent of total billed charges
Galaxy	Commercial	Commercial	$3,511	percent of total billed charges
Cigna	Indemnity	Commercial	$3,755	percent of total billed charges

Texas Health Heart & Vascular Hospital Arlington: all 39 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$207	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$213	fee schedule
Aetna	Managed Medicaid	Medicaid / CHIP	$217	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$240	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$240	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$245	case rate
Humana	Medicare Advantage	Medicare Advantage	$250	case rate
Humana	Medicare Advantage PPO	Medicare Advantage	$250	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$252	case rate
Molina	Medicare Advantage	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$264	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$266	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$271	case rate
Blue Cross Blue Shield	HMO	Commercial	$787	fee schedule
Blue Cross Blue Shield	Exchange	Commercial	$867	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$874	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$1,105	case rate
Aetna	Whole Health	Commercial	$1,200	case rate
United Healthcare	All Payer	Commercial	$1,476	case rate
Aetna	Commercial	Commercial	$1,600	case rate
Blue Cross Blue Shield	Traditional	Commercial	$1,652	fee schedule
City of Fort Worth	Commercial	Commercial	$1,875	percent of total billed charges
United Healthcare Options	PPO	Commercial	$1,933	case rate
Cigna	OAP/HMO	Commercial	$1,973	case rate
Cigna	PPO	Commercial	$2,053	case rate
Quick Trip	Commercial	Commercial	$2,394	percent of total billed charges
PHCS	PPO	Commercial	$2,773	percent of total billed charges
Aetna	ASA	Commercial	$2,797	percent of total billed charges
Aetna	Coventry	Commercial	$2,797	percent of total billed charges
Healthsmart	Commercial	Commercial	$2,993	percent of total billed charges
Multiplan	Commercial	Commercial	$3,472	percent of total billed charges
Galaxy	Commercial	Commercial	$3,511	percent of total billed charges
USA	MCO	Commercial	$3,511	percent of total billed charges
Cigna	Indemnity	Commercial	$3,755	percent of total billed charges

Texas Health Presbyterian Hospital Flower Mound: all 38 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Amerigroup	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$207	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$213	fee schedule
Aetna	Managed Medicaid	Medicaid / CHIP	$217	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$240	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$240	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$244	case rate
Humana	Medicare Advantage	Medicare Advantage	$249	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$252	case rate
Molina	Medicare Advantage	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$264	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$266	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$271	case rate
Blue Cross Blue Shield	HMO	Commercial	$787	fee schedule
Blue Cross Blue Shield	Exchange	Commercial	$867	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$874	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$1,105	percent of total billed charges
Aetna	Whole Health	Commercial	$1,200	case rate
United Healthcare	All Payer	Commercial	$1,476	case rate
Aetna	Commercial	Commercial	$1,600	case rate
Blue Cross Blue Shield	Traditional	Commercial	$1,652	fee schedule
City of Fort Worth	Commercial	Commercial	$1,875	percent of total billed charges
United Healthcare Options	PPO	Commercial	$1,933	case rate
Cigna	OAP/HMO	Commercial	$1,973	case rate
Cigna	PPO	Commercial	$2,053	case rate
Quick Trip	Commercial	Commercial	$2,394	percent of total billed charges
PHCS	PPO	Commercial	$2,773	percent of total billed charges
Aetna	ASA	Commercial	$2,797	percent of total billed charges
Aetna	Coventry	Commercial	$2,797	percent of total billed charges
Healthsmart	Commercial	Commercial	$2,993	percent of total billed charges
Multiplan	Commercial	Commercial	$3,472	percent of total billed charges
Galaxy	Commercial	Commercial	$3,511	percent of total billed charges
USA	MCO	Commercial	$3,511	percent of total billed charges
Cigna	Indemnity	Commercial	$3,755	percent of total billed charges

Texas Health Presbyterian Hospital Denton: all 38 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Amerigroup	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$207	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$213	fee schedule
Aetna	Managed Medicaid	Medicaid / CHIP	$217	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$240	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$240	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$244	case rate
Humana	Medicare Advantage	Medicare Advantage	$249	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$252	case rate
Molina	Medicare Advantage	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$264	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$266	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$271	case rate
Blue Cross Blue Shield	Exchange	Commercial	$646	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$787	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$874	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$1,105	percent of total billed charges
Aetna	Whole Health	Commercial	$1,200	case rate
United Healthcare	All Payer	Commercial	$1,476	case rate
Aetna	Commercial	Commercial	$1,600	case rate
Blue Cross Blue Shield	Traditional	Commercial	$1,652	fee schedule
City of Fort Worth	Commercial	Commercial	$1,875	percent of total billed charges
United Healthcare Options	PPO	Commercial	$1,933	case rate
Cigna	OAP/HMO	Commercial	$1,973	case rate
Cigna	PPO	Commercial	$2,053	case rate
Quick Trip	Commercial	Commercial	$2,394	percent of total billed charges
PHCS	PPO	Commercial	$2,773	percent of total billed charges
Aetna	Coventry	Commercial	$2,797	percent of total billed charges
Aetna	ASA	Commercial	$2,797	percent of total billed charges
Healthsmart	Commercial	Commercial	$2,993	percent of total billed charges
Multiplan	Commercial	Commercial	$3,472	percent of total billed charges
USA	MCO	Commercial	$3,511	percent of total billed charges
Galaxy	Commercial	Commercial	$3,511	percent of total billed charges
Cigna	Indemnity	Commercial	$3,755	percent of total billed charges

Texas Health Harris Methodist Hospital Alliance: all 38 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$207	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$213	fee schedule
Aetna	Managed Medicaid	Medicaid / CHIP	$217	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$240	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$240	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$245	case rate
Humana	Medicare Advantage	Medicare Advantage	$250	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$252	case rate
Molina	Medicare Advantage	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$264	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$266	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$271	case rate
Blue Cross Blue Shield	Exchange	Commercial	$646	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$787	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$874	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$1,105	case rate
Aetna	Whole Health	Commercial	$1,200	case rate
United Healthcare	All Payer	Commercial	$1,476	case rate
Aetna	Commercial	Commercial	$1,600	case rate
Blue Cross Blue Shield	Traditional	Commercial	$1,652	fee schedule
City of Fort Worth	Commercial	Commercial	$1,875	percent of total billed charges
United Healthcare Options	PPO	Commercial	$1,933	case rate
Cigna	OAP/HMO	Commercial	$1,973	case rate
Cigna	PPO	Commercial	$2,053	case rate
Quick Trip	Commercial	Commercial	$2,394	percent of total billed charges
PHCS	PPO	Commercial	$2,773	percent of total billed charges
Aetna	Coventry	Commercial	$2,797	percent of total billed charges
Aetna	ASA	Commercial	$2,797	percent of total billed charges
Healthsmart	Commercial	Commercial	$2,993	percent of total billed charges
Multiplan	Commercial	Commercial	$3,472	percent of total billed charges
Galaxy	Commercial	Commercial	$3,511	percent of total billed charges
USA	MCO	Commercial	$3,511	percent of total billed charges
Cigna	Indemnity	Commercial	$3,755	percent of total billed charges

Texas Health Center for Diagnostics and Surgery Plano: all 37 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Parkland	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$207	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$213	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$232	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$232	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$237	case rate
Humana	Medicare Advantage	Medicare Advantage	$242	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$244	case rate
Molina	Medicare Advantage	Medicare Advantage	$244	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$244	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$256	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$258	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$263	case rate
Blue Cross Blue Shield	HMO	Commercial	$787	fee schedule
Blue Cross Blue Shield	Exchange	Commercial	$867	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$874	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$1,105	case rate
Aetna	Whole Health	Commercial	$1,200	case rate
United Healthcare	All Payer	Commercial	$1,476	case rate
Aetna	Commercial	Commercial	$1,600	case rate
Blue Cross Blue Shield	Traditional	Commercial	$1,652	fee schedule
City of Fort Worth	Commercial	Commercial	$1,875	percent of total billed charges
United Healthcare Options	PPO	Commercial	$1,933	case rate
Cigna	OAP/HMO	Commercial	$1,973	case rate
Cigna	PPO	Commercial	$2,053	case rate
Quick Trip	Commercial	Commercial	$2,394	percent of total billed charges
PHCS	PPO	Commercial	$2,773	percent of total billed charges
Aetna	Coventry	Commercial	$2,797	percent of total billed charges
Aetna	ASA	Commercial	$2,797	percent of total billed charges
Healthsmart	Commercial	Commercial	$2,993	percent of total billed charges
Multiplan	Commercial	Commercial	$3,472	percent of total billed charges
Galaxy	Commercial	Commercial	$3,511	percent of total billed charges
USA	MCO	Commercial	$3,511	percent of total billed charges
Cigna	Indemnity	Commercial	$3,755	percent of total billed charges

Texas Health Arlington Memorial Hospital: all 39 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Amerigroup	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Parkland	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$207	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$213	fee schedule
Aetna	Managed Medicaid	Medicaid / CHIP	$217	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$240	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$240	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$245	case rate
Humana	Medicare Advantage	Medicare Advantage	$250	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$252	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$252	case rate
Molina	Medicare Advantage	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$264	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$266	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$271	case rate
Blue Cross Blue Shield	Exchange	Commercial	$646	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$787	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$874	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$1,105	percent of total billed charges
Aetna	Whole Health	Commercial	$1,200	case rate
United Healthcare	All Payer	Commercial	$1,476	case rate
Aetna	Commercial	Commercial	$1,600	case rate
Blue Cross Blue Shield	Traditional	Commercial	$1,652	fee schedule
City of Fort Worth	Commercial	Commercial	$1,875	percent of total billed charges
United Healthcare Options	PPO	Commercial	$1,933	case rate
Cigna	OAP/HMO	Commercial	$1,973	case rate
Cigna	PPO	Commercial	$2,053	case rate
Quick Trip	Commercial	Commercial	$2,394	percent of total billed charges
PHCS	PPO	Commercial	$2,773	percent of total billed charges
Aetna	ASA	Commercial	$2,797	percent of total billed charges
Aetna	Coventry	Commercial	$2,797	percent of total billed charges
Healthsmart	Commercial	Commercial	$2,993	percent of total billed charges
Multiplan	Commercial	Commercial	$3,472	percent of total billed charges
Galaxy	Commercial	Commercial	$3,511	percent of total billed charges
USA	MCO	Commercial	$3,511	percent of total billed charges
Cigna	Indemnity	Commercial	$3,755	percent of total billed charges

Texas Health Presbyterian Hospital Dallas: all 37 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Parkland	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Amerigroup	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$207	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$213	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$240	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$240	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$244	case rate
Humana	Medicare Advantage	Medicare Advantage	$249	case rate
Molina	Medicare Advantage	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$252	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$264	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$266	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$271	case rate
Blue Cross Blue Shield	Exchange	Commercial	$646	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$787	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$874	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$1,105	case rate
Aetna	Whole Health	Commercial	$1,200	case rate
United Healthcare	All Payer	Commercial	$1,476	case rate
Aetna	Commercial	Commercial	$1,600	case rate
Blue Cross Blue Shield	Traditional	Commercial	$1,652	fee schedule
City of Fort Worth	Commercial	Commercial	$1,875	percent of total billed charges
United Healthcare Options	PPO	Commercial	$1,933	case rate
Cigna	OAP/HMO	Commercial	$1,973	case rate
Cigna	PPO	Commercial	$2,053	case rate
Quick Trip	Commercial	Commercial	$2,394	percent of total billed charges
PHCS	PPO	Commercial	$2,773	percent of total billed charges
Aetna	ASA	Commercial	$2,797	percent of total billed charges
Aetna	Coventry	Commercial	$2,797	percent of total billed charges
Healthsmart	Commercial	Commercial	$2,993	percent of total billed charges
Multiplan	Commercial	Commercial	$3,472	percent of total billed charges
USA	MCO	Commercial	$3,511	percent of total billed charges
Galaxy	Commercial	Commercial	$3,511	percent of total billed charges
Cigna	Indemnity	Commercial	$3,755	percent of total billed charges

Texas Health Harris Methodist Hospital Hurst-Euless-Bedford: all 39 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Parkland	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$207	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$213	fee schedule
Aetna	Managed Medicaid	Medicaid / CHIP	$217	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$240	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$240	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$245	case rate
Humana	Medicare Advantage	Medicare Advantage	$250	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$252	case rate
Molina	Medicare Advantage	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$264	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$266	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$271	case rate
Blue Cross Blue Shield	Exchange	Commercial	$646	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$787	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$874	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$1,105	percent of total billed charges
Aetna	Whole Health	Commercial	$1,200	case rate
United Healthcare	All Payer	Commercial	$1,476	case rate
Aetna	Commercial	Commercial	$1,600	case rate
Blue Cross Blue Shield	Traditional	Commercial	$1,652	fee schedule
City of Fort Worth	Commercial	Commercial	$1,875	percent of total billed charges
United Healthcare Options	PPO	Commercial	$1,933	case rate
Cigna	OAP/HMO	Commercial	$1,973	case rate
Cigna	PPO	Commercial	$2,053	case rate
Quick Trip	Commercial	Commercial	$2,394	percent of total billed charges
PHCS	PPO	Commercial	$2,773	percent of total billed charges
Aetna	ASA	Commercial	$2,797	percent of total billed charges
Aetna	Coventry	Commercial	$2,797	percent of total billed charges
Healthsmart	Commercial	Commercial	$2,993	percent of total billed charges
Multiplan	Commercial	Commercial	$3,472	percent of total billed charges
Galaxy	Commercial	Commercial	$3,511	percent of total billed charges
USA	MCO	Commercial	$3,511	percent of total billed charges
Cigna	Indemnity	Commercial	$3,755	percent of total billed charges

Texas Health Harris Methodist Hospital Azle: all 38 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$207	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$213	fee schedule
Aetna	Managed Medicaid	Medicaid / CHIP	$217	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$240	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$240	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$245	case rate
Humana	Medicare Advantage	Medicare Advantage	$250	case rate
Molina	Medicare Advantage	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$252	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$264	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$266	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$271	case rate
Blue Cross Blue Shield	HMO	Commercial	$787	fee schedule
Blue Cross Blue Shield	Exchange	Commercial	$862	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$874	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$1,105	case rate
Aetna	Whole Health	Commercial	$1,200	case rate
United Healthcare	All Payer	Commercial	$1,476	case rate
Aetna	Commercial	Commercial	$1,600	case rate
Blue Cross Blue Shield	Traditional	Commercial	$1,652	fee schedule
City of Fort Worth	Commercial	Commercial	$1,875	percent of total billed charges
United Healthcare Options	PPO	Commercial	$1,933	case rate
Cigna	OAP/HMO	Commercial	$1,973	case rate
Cigna	PPO	Commercial	$2,053	case rate
Aetna	ASA	Commercial	$2,797	percent of total billed charges
Aetna	Coventry	Commercial	$2,797	percent of total billed charges
Quick Trip	Commercial	Commercial	$2,833	percent of total billed charges
Healthsmart	Commercial	Commercial	$2,993	percent of total billed charges
PHCS	PPO	Commercial	$3,336	percent of total billed charges
Multiplan	Commercial	Commercial	$3,472	percent of total billed charges
Galaxy	Commercial	Commercial	$3,511	percent of total billed charges
USA	MCO	Commercial	$3,511	percent of total billed charges
Cigna	Indemnity	Commercial	$3,755	percent of total billed charges

Texas Health Harris Methodist Hospital Cleburne: all 38 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$207	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$213	fee schedule
Aetna	Managed Medicaid	Medicaid / CHIP	$217	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$231	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$231	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$235	case rate
Humana	Medicare Advantage	Medicare Advantage	$240	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$242	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$242	case rate
Molina	Medicare Advantage	Medicare Advantage	$242	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$254	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$256	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$261	case rate
Blue Cross Blue Shield	HMO	Commercial	$787	fee schedule
Blue Cross Blue Shield	Exchange	Commercial	$862	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$874	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$1,105	percent of total billed charges
Aetna	Whole Health	Commercial	$1,200	case rate
United Healthcare	All Payer	Commercial	$1,476	case rate
Aetna	Commercial	Commercial	$1,600	case rate
Blue Cross Blue Shield	Traditional	Commercial	$1,652	fee schedule
City of Fort Worth	Commercial	Commercial	$1,875	percent of total billed charges
United Healthcare Options	PPO	Commercial	$1,933	case rate
Cigna	OAP/HMO	Commercial	$1,973	case rate
Cigna	PPO	Commercial	$2,053	case rate
Aetna	ASA	Commercial	$2,797	percent of total billed charges
Aetna	Coventry	Commercial	$2,797	percent of total billed charges
Quick Trip	Commercial	Commercial	$2,833	percent of total billed charges
PHCS	PPO	Commercial	$3,336	percent of total billed charges
Healthsmart	Commercial	Commercial	$3,472	percent of total billed charges
Multiplan	Commercial	Commercial	$3,472	percent of total billed charges
Galaxy	Commercial	Commercial	$3,511	percent of total billed charges
USA	MCO	Commercial	$3,511	percent of total billed charges
Cigna	Indemnity	Commercial	$3,755	percent of total billed charges

Texas Health Hospital Clearfork: all 38 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$207	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$213	fee schedule
Aetna	Managed Medicaid	Medicaid / CHIP	$217	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$240	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$240	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$245	case rate
Humana	Medicare Advantage	Medicare Advantage	$250	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$252	case rate
Molina	Medicare Advantage	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$264	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$266	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$271	case rate
Blue Cross Blue Shield	Exchange	Commercial	$646	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$787	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$874	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$1,105	case rate
Aetna	Whole Health	Commercial	$1,200	case rate
United Healthcare	All Payer	Commercial	$1,476	case rate
Aetna	Commercial	Commercial	$1,600	case rate
Blue Cross Blue Shield	Traditional	Commercial	$1,652	fee schedule
City of Fort Worth	Commercial	Commercial	$1,875	percent of total billed charges
United Healthcare Options	PPO	Commercial	$1,933	case rate
Cigna	OAP/HMO	Commercial	$1,973	case rate
Cigna	PPO	Commercial	$2,053	case rate
Quick Trip	Commercial	Commercial	$2,394	percent of total billed charges
PHCS	PPO	Commercial	$2,773	percent of total billed charges
Aetna	ASA	Commercial	$2,797	percent of total billed charges
Aetna	Coventry	Commercial	$2,797	percent of total billed charges
Healthsmart	Commercial	Commercial	$2,993	percent of total billed charges
Multiplan	Commercial	Commercial	$3,472	percent of total billed charges
Galaxy	Commercial	Commercial	$3,511	percent of total billed charges
USA	MCO	Commercial	$3,511	percent of total billed charges
Cigna	Indemnity	Commercial	$3,755	percent of total billed charges

Texas Health Presbyterian Hospital Plano: all 37 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Parkland	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$207	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$213	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$240	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$240	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$244	case rate
Humana	Medicare Advantage	Medicare Advantage	$249	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$252	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$252	case rate
Molina	Medicare Advantage	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$264	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$266	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$271	case rate
Blue Cross Blue Shield	Exchange	Commercial	$646	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$787	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$874	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$1,105	case rate
Aetna	Whole Health	Commercial	$1,200	case rate
United Healthcare	All Payer	Commercial	$1,476	case rate
Aetna	Commercial	Commercial	$1,600	case rate
Blue Cross Blue Shield	Traditional	Commercial	$1,652	fee schedule
City of Fort Worth	Commercial	Commercial	$1,875	percent of total billed charges
United Healthcare Options	PPO	Commercial	$1,933	case rate
Cigna	OAP/HMO	Commercial	$1,973	case rate
Cigna	PPO	Commercial	$2,053	case rate
Quick Trip	Commercial	Commercial	$2,394	percent of total billed charges
PHCS	PPO	Commercial	$2,773	percent of total billed charges
Aetna	ASA	Commercial	$2,797	percent of total billed charges
Aetna	Coventry	Commercial	$2,797	percent of total billed charges
Healthsmart	Commercial	Commercial	$2,993	percent of total billed charges
Multiplan	Commercial	Commercial	$3,472	percent of total billed charges
Galaxy	Commercial	Commercial	$3,511	percent of total billed charges
USA	MCO	Commercial	$3,511	percent of total billed charges
Cigna	Indemnity	Commercial	$3,755	percent of total billed charges

Texas Health Presbyterian Hospital Kaufman: all 37 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Parkland	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$207	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$213	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$240	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$240	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$244	case rate
Humana	Medicare Advantage	Medicare Advantage	$249	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$252	case rate
Molina	Medicare Advantage	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$264	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$266	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$271	case rate
Blue Cross Blue Shield	HMO	Commercial	$787	fee schedule
Blue Cross Blue Shield	Exchange	Commercial	$862	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$874	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$1,105	case rate
Aetna	Whole Health	Commercial	$1,200	case rate
United Healthcare	All Payer	Commercial	$1,476	case rate
Aetna	Commercial	Commercial	$1,600	case rate
Blue Cross Blue Shield	Traditional	Commercial	$1,652	fee schedule
City of Fort Worth	Commercial	Commercial	$1,875	percent of total billed charges
United Healthcare Options	PPO	Commercial	$1,933	case rate
Cigna	OAP/HMO	Commercial	$1,973	case rate
Cigna	PPO	Commercial	$2,053	case rate
Aetna	ASA	Commercial	$2,797	percent of total billed charges
Aetna	Coventry	Commercial	$2,797	percent of total billed charges
Quick Trip	Commercial	Commercial	$2,833	percent of total billed charges
PHCS	PPO	Commercial	$3,336	percent of total billed charges
Healthsmart	Commercial	Commercial	$3,472	percent of total billed charges
Multiplan	Commercial	Commercial	$3,472	percent of total billed charges
Galaxy	Commercial	Commercial	$3,511	percent of total billed charges
USA	MCO	Commercial	$3,511	percent of total billed charges
Cigna	Indemnity	Commercial	$3,755	percent of total billed charges

Texas Health Presbyterian Hospital Allen: all 37 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Parkland	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Amerigroup	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$207	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$213	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$240	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$240	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$244	case rate
Humana	Medicare Advantage	Medicare Advantage	$249	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$252	case rate
Molina	Medicare Advantage	Medicare Advantage	$252	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$264	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$266	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$271	case rate
Blue Cross Blue Shield	Exchange	Commercial	$646	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$787	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$874	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$1,105	case rate
Aetna	Whole Health	Commercial	$1,200	case rate
United Healthcare	All Payer	Commercial	$1,476	case rate
Aetna	Commercial	Commercial	$1,600	case rate
Blue Cross Blue Shield	Traditional	Commercial	$1,652	fee schedule
City of Fort Worth	Commercial	Commercial	$1,875	percent of total billed charges
United Healthcare Options	PPO	Commercial	$1,933	case rate
Cigna	OAP/HMO	Commercial	$1,973	case rate
Cigna	PPO	Commercial	$2,053	case rate
Aetna	ASA	Commercial	$2,797	percent of total billed charges
Aetna	Coventry	Commercial	$2,797	percent of total billed charges
Quick Trip	Commercial	Commercial	$2,833	percent of total billed charges
Healthsmart	Commercial	Commercial	$2,993	percent of total billed charges
PHCS	PPO	Commercial	$3,336	percent of total billed charges
Multiplan	Commercial	Commercial	$3,472	percent of total billed charges
Galaxy	Commercial	Commercial	$3,511	percent of total billed charges
USA	MCO	Commercial	$3,511	percent of total billed charges
Cigna	Indemnity	Commercial	$3,755	percent of total billed charges

Texas Health Harris Methodist Hospital Fort Worth: all 38 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$207	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$213	fee schedule
Aetna	Managed Medicaid	Medicaid / CHIP	$217	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$240	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$240	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$244	case rate
Humana	Medicare Advantage	Medicare Advantage	$249	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$252	case rate
Molina	Medicare Advantage	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$264	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$266	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$271	case rate
Blue Cross Blue Shield	Exchange	Commercial	$646	percent of total billed charges
Blue Cross Blue Shield	HMO	Commercial	$787	percent of total billed charges
Blue Cross Blue Shield	PPO	Commercial	$874	percent of total billed charges
Fort Worth Firefighters	Commercial	Commercial	$1,105	percent of total billed charges
Aetna	Whole Health	Commercial	$1,200	case rate
United Healthcare	All Payer	Commercial	$1,476	case rate
Aetna	Commercial	Commercial	$1,600	case rate
Blue Cross Blue Shield	Traditional	Commercial	$1,652	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$1,875	percent of total billed charges
United Healthcare Options	PPO	Commercial	$1,933	case rate
Cigna	OAP/HMO	Commercial	$1,973	case rate
Cigna	PPO	Commercial	$2,053	case rate
Quick Trip	Commercial	Commercial	$2,394	percent of total billed charges
PHCS	PPO	Commercial	$2,773	percent of total billed charges
Aetna	ASA	Commercial	$2,797	percent of total billed charges
Aetna	Coventry	Commercial	$2,797	percent of total billed charges
Healthsmart	Commercial	Commercial	$2,993	percent of total billed charges
Multiplan	Commercial	Commercial	$3,472	percent of total billed charges
Galaxy	Commercial	Commercial	$3,511	percent of total billed charges
USA	MCO	Commercial	$3,511	percent of total billed charges
Cigna	Indemnity	Commercial	$3,755	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	$197	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Parkland	Managed Medicaid	Medicaid / CHIP	$197	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$207	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$213	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$240	case rate
American Health	Medicare Advantage	Medicare Advantage	$240	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$244	case rate
Humana	Medicare Advantage	Medicare Advantage	$249	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$252	case rate
Molina	Medicare Advantage	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$252	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$264	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$266	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$271	case rate
Blue Cross Blue Shield	Exchange	Commercial	$646	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$787	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$874	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$1,105	percent of total billed charges
Aetna	Whole Health	Commercial	$1,200	case rate
United Healthcare	All Payer	Commercial	$1,476	case rate
Aetna	Commercial	Commercial	$1,600	case rate
Blue Cross Blue Shield	Traditional	Commercial	$1,652	fee schedule
City of Fort Worth	Commercial	Commercial	$1,875	percent of total billed charges
United Healthcare Options	PPO	Commercial	$1,933	case rate
Cigna	OAP/HMO	Commercial	$1,973	case rate
Cigna	PPO	Commercial	$2,053	case rate
Quick Trip	Commercial	Commercial	$2,394	percent of total billed charges
PHCS	PPO	Commercial	$2,773	percent of total billed charges
Aetna	Coventry	Commercial	$2,797	percent of total billed charges
Aetna	ASA	Commercial	$2,797	percent of total billed charges
Healthsmart	Commercial	Commercial	$2,993	percent of total billed charges
Multiplan	Commercial	Commercial	$3,472	percent of total billed charges
Galaxy	Commercial	Commercial	$3,511	percent of total billed charges
USA	MCO	Commercial	$3,511	percent of total billed charges
Cigna	Indemnity	Commercial	$3,755	percent of total billed charges

Parkland Health (Parkland Memorial Hospital): all 33 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
WELLPOINT	WELLPOINT CHIP PERINATE POST PARTUM	Medicaid / CHIP	$197	fee schedule
AETNA BETTER HEALTH	AETNA BETTER HEALTH CHIP	Medicaid / CHIP	$197	fee schedule
AETNA BETTER HEALTH	BELOW FPIL AETNA CHIP PERINATE	Medicaid / CHIP	$197	fee schedule
AETNA BETTER HEALTH	ABOVE FPIL AETNA CHIP PERINATE	Medicaid / CHIP	$197	fee schedule
PARKLAND COMMUNITY HEALTH PLAN	Parkland CHIP	Medicaid / CHIP	$207	fee schedule
SUPERIOR HEALTH PLAN	SUPERIOR STAR HEALTH FOSTER CARE	Medicaid / CHIP	$207	fee schedule
COOK CHILDREN HEALTH PLAN	COOK CHILDREN STAR MEDICAID	Medicaid / CHIP	$207	fee schedule
COOK CHILDREN HEALTH PLAN	COOK CHILDRENS STAR KIDS	Medicaid / CHIP	$207	fee schedule
COOK CHILDREN HEALTH PLAN	COOK CHILDRENS CHIP	Medicaid / CHIP	$207	fee schedule
POINT COMFORT UNDERWRITERS	POINT COMFORT UNDERWRITERS	Public program	$217	fee schedule
MOLINA	MOLINA CHIP	Medicaid / CHIP	$217	fee schedule
MOLINA	MOLINA RSA MEDICAID	Medicaid / CHIP	$217	fee schedule
BLUE CROSS BLUE SHIELD	BLUE ADVANTAGE HMO ACA	Commercial	$678	fee schedule
WELLPOINT	WELLPOINT STAR PLUS	Medicaid / CHIP	$733	fee schedule
WELLPOINT	WELLPOINT STAR KIDS	Medicaid / CHIP	$751	fee schedule
SUPERIOR HEALTHPLAN	SUPERIOR STAR PLUS	Medicaid / CHIP	$770	fee schedule
MOLINA	MOLINA STAR PLUS	Medicaid / CHIP	$807	fee schedule
WELLPOINT	WELLPOINT STAR	Medicaid / CHIP	$958	fee schedule
PARKLAND COMMUNITY HEALTH PLAN	Parkland STAR	Medicaid / CHIP	$1,006	fee schedule
AETNA BETTER HEALTH	AETNA BETTER HEALTH STAR	Medicaid / CHIP	$1,006	fee schedule
MOLINA	MOLINA STAR MEDICAID	Medicaid / CHIP	$1,054	fee schedule
CARE IMPROVEMENT PLUS	CARE IMPROVEMENT PLUS	Medicare Advantage	$1,437	percent of total billed charges
PROCARE ADVANTAGE	PROCARE ADVANTAGE	Medicare Advantage	$1,458	percent of total billed charges
AETNA HEALTHCARE	AETNA	Commercial	$4,125	percent of total billed charges
CIGNA	CIGNA	Commercial	$4,125	percent of total billed charges
GREAT WEST HEALTHCARE	GREAT WEST HEALTHCARE	Commercial	$4,125	percent of total billed charges
UNITED HEALTHCARE OF TX	UNITED HEALTHCARE OF TX	Commercial	$4,586	percent of total billed charges
UNITED HEALTHCARE OF TX	UHC - UMR	Commercial	$4,586	percent of total billed charges
BLUE CROSS BLUE SHIELD	BCBS TRADITIONAL	Commercial	$4,950	percent of total billed charges
BLUE CROSS BLUE SHIELD	BCBS OUT OF STATE	Commercial	$4,950	percent of total billed charges
BLUE CROSS BLUE SHIELD	BCBS FEDERAL EMPLOYEE	Commercial	$4,950	percent of total billed charges
BLUE CROSS BLUE SHIELD	BLUE CROSS BLUE SHIELD PPO	Commercial	$4,950	percent of total billed charges
BLUE CROSS BLUE SHIELD	BLUE CROSS BLUE SHIELD HMO	Commercial	$4,950	percent of total billed charges

Cook Children's Medical Center: all 50 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
HEALTH PLAN w. UHRIP	STAR	Medicaid / CHIP	$176	Fee Schedule
HEALTH PLAN w/o UHRIP	STAR KIDS	Medicaid / CHIP	$176	Fee Schedule
HEALTH PLAN w/o UHRIP	CHIP	Medicaid / CHIP	$176	Fee Schedule
Aetna	BETTER HEALTH STAR UHRIP	Medicaid / CHIP	$251	Fee Schedule
Aetna	BETTER HEALTH STAR Kids	Medicaid / CHIP	$251	Fee Schedule
Aetna	BETTER HEALTH CHIP	Medicaid / CHIP	$251	Fee Schedule
WELLPOINT	STAR PLUS	Medicaid / CHIP	$309	Fee Schedule
WELLPOINT	STAR	Medicaid / CHIP	$309	Fee Schedule
WELLPOINT	CHIP	Medicaid / CHIP	$309	Fee Schedule
SUPERIOR HEALTH	STAR	Medicaid / CHIP	$318	Fee Schedule
SUPERIOR HEALTH	CHIP	Medicaid / CHIP	$318	Fee Schedule
SUPERIOR HEALTH	STAR PLUS	Medicaid / CHIP	$318	Fee Schedule
MOLINA	CHIP	Medicaid / CHIP	$324	Fee Schedule
MOLINA	STAR	Medicaid / CHIP	$324	Fee Schedule
MOLINA	STAR KIDS	Medicaid / CHIP	$324	Fee Schedule
UNITED COMMUNITY	STAR KIDS	Medicaid / CHIP	$324	Fee Schedule
UNITED COMMUNITY	CHIP	Medicaid / CHIP	$324	Fee Schedule
UNITED COMMUNITY	STAR PLUS	Medicaid / CHIP	$324	Fee Schedule
UNITED COMMUNITY	STAR	Medicaid / CHIP	$324	Fee Schedule
FIRSTCARE	STAR	Medicaid / CHIP	$788	Percent of Total Billed Charges
RIGHTCARE	MDC S&W	Medicaid / CHIP	$1,098	Percent of Total Billed Charges
RIGHTCARE	STAR	Medicaid / CHIP	$1,098	Percent of Total Billed Charges
BCBS	CHIP STAR KIDS	Medicaid / CHIP	$1,186	Percent of Total Billed Charges
BCBS	BCBS TX STAR	Medicaid / CHIP	$1,186	Percent of Total Billed Charges
BCBS	CHIP	Medicaid / CHIP	$1,186	Percent of Total Billed Charges
EL PASO HEALTH FIRST	STAR	Medicaid / CHIP	$1,445	Percent of Total Billed Charges
EL PASO HEALTH FIRST	CHIP	Medicaid / CHIP	$1,445	Percent of Total Billed Charges
EL PASO HEALTH FIRST	STAR MEDICAID	Medicaid / CHIP	$1,445	Percent of Total Billed Charges
Optum	ALL PRODUCTS	Commercial	$1,445	Percent of Total Billed Charges
TX CHILDREN HEALTH	STAR KIDS	Medicaid / CHIP	$1,445	Percent of Total Billed Charges
TX CHILDREN HEALTH	STAR	Medicaid / CHIP	$1,445	Percent of Total Billed Charges
TX CHILDREN HEALTH	CHIP	Medicaid / CHIP	$1,445	Percent of Total Billed Charges
BCBS	HMO	Commercial	$2,561	Percent of Total Billed Charges
FIRSTCARE	ALL PRODUCTS	Commercial	$2,627	Percent of Total Billed Charges
BCBS	PPO	Commercial	$2,758	Percent of Total Billed Charges
S&W HEALTH	ALL PRODUCTS	Commercial	$2,758	Percent of Total Billed Charges
Aetna	ALL PRODUCTS	Commercial	$2,791	Percent of Total Billed Charges
CIGNA	CIGNA-MGD	Commercial	$2,791	Percent of Total Billed Charges
HEALTHSCOPE	ALL PRODUCTS	Commercial	$2,791	Percent of Total Billed Charges
IMAGINE HEALTH	ALL PRODUCTS	Commercial	$2,791	Percent of Total Billed Charges
UHC	MGD	Commercial	$2,791	Percent of Total Billed Charges
HUMANA	CONCENTRIC PPO	Commercial	$2,857	Percent of Total Billed Charges
MULTIPLAN	PHCS	Commercial	$2,857	Percent of Total Billed Charges
MULTIPLAN	ALL PRODUCTS	Commercial	$2,857	Percent of Total Billed Charges
FIRST HEALTH	PPO	Commercial	$2,889	Percent of Total Billed Charges
HUMANA	CHOICECARE PPO	Commercial	$2,889	Percent of Total Billed Charges
BCBS	Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity	Commercial	$2,955	Percent of Total Billed Charges
GALAXY HEALTH	ALL PRODUCTS	Commercial	$2,955	Percent of Total Billed Charges
Healthsmart	ALL PRODUCTS	Commercial	$2,955	Percent of Total Billed Charges
USAMCO	ALL PRODUCTS	Commercial	$3,021	Percent of Total Billed Charges

Cook Children's Medical Center – Prosper: all 45 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Aetna	BETTER HEALTH CHIP	Medicaid / CHIP	$234	Fee Schedule
Aetna	BETTER HEALTH STAR UHRIP	Medicaid / CHIP	$234	Fee Schedule
Aetna	BETTER HEALTH STAR Kids	Medicaid / CHIP	$234	Fee Schedule
EL PASO HEALTH FIRST	STAR MEDICAID	Medicaid / CHIP	$294	Fee Schedule
EL PASO HEALTH FIRST	CHIP	Medicaid / CHIP	$294	Fee Schedule
EL PASO HEALTH FIRST	STAR	Medicaid / CHIP	$294	Fee Schedule
HEALTH PLAN w. UHRIP	STAR	Medicaid / CHIP	$294	Fee Schedule
HEALTH PLAN w/o UHRIP	CHIP	Medicaid / CHIP	$294	Fee Schedule
HEALTH PLAN w/o UHRIP	STAR KIDS	Medicaid / CHIP	$294	Fee Schedule
TX CHILDREN HEALTH	STAR	Medicaid / CHIP	$294	Fee Schedule
TX CHILDREN HEALTH	CHIP	Medicaid / CHIP	$294	Fee Schedule
TX CHILDREN HEALTH	STAR KIDS	Medicaid / CHIP	$294	Fee Schedule
WELLPOINT	STAR PLUS	Medicaid / CHIP	$309	Fee Schedule
WELLPOINT	CHIP	Medicaid / CHIP	$309	Fee Schedule
WELLPOINT	STAR	Medicaid / CHIP	$309	Fee Schedule
BCBS	CHIP STAR KIDS	Medicaid / CHIP	$318	Fee Schedule
BCBS	CHIP	Medicaid / CHIP	$318	Fee Schedule
BCBS	BCBS TX STAR	Medicaid / CHIP	$318	Fee Schedule
SUPERIOR HEALTH	STAR PLUS	Medicaid / CHIP	$318	Fee Schedule
SUPERIOR HEALTH	STAR	Medicaid / CHIP	$318	Fee Schedule
SUPERIOR HEALTH	CHIP	Medicaid / CHIP	$318	Fee Schedule
FIRSTCARE	STAR	Medicaid / CHIP	$324	Fee Schedule
UNITED COMMUNITY	STAR	Medicaid / CHIP	$324	Fee Schedule
UNITED COMMUNITY	STAR KIDS	Medicaid / CHIP	$324	Fee Schedule
UNITED COMMUNITY	STAR PLUS	Medicaid / CHIP	$324	Fee Schedule
UNITED COMMUNITY	CHIP	Medicaid / CHIP	$324	Fee Schedule
Optum	ALL PRODUCTS	Commercial	$1,445	Percent of Total Billed Charges
BCBS	HMO	Commercial	$2,561	Percent of Total Billed Charges
FIRSTCARE	ALL PRODUCTS	Commercial	$2,627	Percent of Total Billed Charges
BCBS	PPO	Commercial	$2,758	Percent of Total Billed Charges
S&W HEALTH	ALL PRODUCTS	Commercial	$2,758	Percent of Total Billed Charges
Aetna	ALL PRODUCTS	Commercial	$2,791	Percent of Total Billed Charges
CIGNA	CIGNA-MGD	Commercial	$2,791	Percent of Total Billed Charges
HEALTHSCOPE	ALL PRODUCTS	Commercial	$2,791	Percent of Total Billed Charges
IMAGINE HEALTH	ALL PRODUCTS	Commercial	$2,791	Percent of Total Billed Charges
UHC	MGD	Commercial	$2,791	Percent of Total Billed Charges
HUMANA	CONCENTRIC PPO	Commercial	$2,857	Percent of Total Billed Charges
MULTIPLAN	PHCS	Commercial	$2,857	Percent of Total Billed Charges
MULTIPLAN	ALL PRODUCTS	Commercial	$2,857	Percent of Total Billed Charges
FIRST HEALTH	PPO	Commercial	$2,889	Percent of Total Billed Charges
HUMANA	CHOICECARE PPO	Commercial	$2,889	Percent of Total Billed Charges
BCBS	Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity	Commercial	$2,955	Percent of Total Billed Charges
GALAXY HEALTH	ALL PRODUCTS	Commercial	$2,955	Percent of Total Billed Charges
Healthsmart	ALL PRODUCTS	Commercial	$2,955	Percent of Total Billed Charges
USAMCO	ALL PRODUCTS	Commercial	$3,021	Percent of Total Billed Charges

What this price covers

These are hospital charges for CPT code 72148 (Lumbar spine (lower back) MRI without contrast). 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.

Lower back MRI in other cities

Compare Lower back MRI prices across all cities →

Houston, TXCash $232–$26,406 Phoenix, AZCash $227–$5,484 Austin, TXCash $521–$2,198

Other MRI prices in Dallas–Fort Worth

Brain MRICPT 70551 Brain MRI with contrastCPT 70553 Neck MRICPT 72141 Knee MRICPT 73721 Shoulder MRICPT 73221 Abdominal MRICPT 74183 Pelvic MRICPT 72195 Breast MRICPT 77049