How much does a pelvic ultrasound cost in Dallas–Fort Worth?

41 hospitals in Dallas–Fort Worth list a self-pay price of $378–$861 for a complete pelvic ultrasound (CPT 76856). The typical commercial rate in the same files is $675.

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

$378–$861

what 41 hospitals list for a self-pay pelvic ultrasound

Typical insured rate

$675

median of every commercial plan rate in the files

Lowest insured rate

$112

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

Pelvic ultrasound 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 76856; Medicaid and Medicare Advantage are shown separately below.

Complete pelvic ultrasound (CPT 76856) — Dallas–Fort Worth
Hospital	Published cash price	Typical insured rate	Lowest insured rate
Methodist Celina Medical CenterMethodist Health System · file Mar 2026	$378Cash ÷ typical 1.8×	$21019 plans	$137
Methodist Dallas Medical CenterMethodist Health System · file Mar 2026	$378Cash ÷ typical 1.8×	$21033 plans	$112
Methodist Mansfield Medical CenterMethodist Health System · file Mar 2026	$378Cash ÷ typical 2.0×	$18927 plans	$113
Methodist Midlothian Medical CenterMethodist Health System · file Mar 2026	$378Cash ÷ typical 2.1×	$17620 plans	$112
Methodist Richardson Medical CenterMethodist Health System · file Mar 2026	$378Cash ÷ typical 1.9×	$19427 plans	$112
Methodist Southlake Medical CenterMethodist Health System · file Mar 2026	$378Cash ÷ typical 1.8×	$21033 plans	$113
UT Southwestern William P. Clements Jr. University HospitalUT Southwestern Medical Center · file Mar 2026	$496Cash ÷ typical 0.8×	$64819 plans	$384
Parkland Health (Parkland Memorial Hospital)Parkland Health · file May 2026	$659Cash ÷ typical 0.6×	$1,09911 plans	$171
Baylor Scott & White Medical Center – Lake PointeBaylor Scott & White Health · file Jun 2026	$761Cash ÷ typical 1.1×	$69830 plans	$126
Baylor Scott & White The Heart Hospital – DentonBaylor Scott & White Health · file Jun 2026	$761Cash ÷ typical 1.1×	$69829 plans	$126
Baylor Scott & White The Heart Hospital – McKinneyBaylor Scott & White Health · file Jun 2026	$761Cash ÷ typical 1.1×	$71722 plans	$224
Baylor Scott & White The Heart Hospital – PlanoBaylor Scott & White Health · file Jun 2026	$761Cash ÷ typical 1.1×	$69829 plans	$126
Baylor Scott & White All Saints Medical Center – Fort WorthBaylor Scott & White Health · file Jun 2026	$761Cash ÷ typical 1.1×	$69829 plans	$126
Baylor Scott & White Medical Center – Frisco at PGA ParkwayBaylor Scott & White Health · file Jun 2026	$761Cash ÷ typical 1.1×	$69828 plans	$126
Baylor Scott & White Medical Center – McKinneyBaylor Scott & White Health · file Jun 2026	$761Cash ÷ typical 1.1×	$69829 plans	$126
Baylor Scott & White Medical Center – GrapevineBaylor Scott & White Health · file Jun 2026	$761Cash ÷ typical 1.1×	$69829 plans	$126
Baylor University Medical CenterBaylor Scott & White Health · file Jun 2026	$761Cash ÷ typical 1.1×	$69830 plans	$126
Baylor Scott & White Medical Center – WaxahachieBaylor Scott & White Health · file Jun 2026	$761Cash ÷ typical 1.1×	$69829 plans	$126
Baylor Scott & White Medical Center – IrvingBaylor Scott & White Health · file Jun 2026	$761Cash ÷ typical 1.1×	$69829 plans	$126
Baylor Scott & White Heart and Vascular Hospital – DallasBaylor Scott & White Health · file Jun 2026	$761Cash ÷ typical 1.1×	$69828 plans	$126
Baylor Scott & White Heart and Vascular Hospital – WaxahachieBaylor Scott & White Health · file Jun 2026	$761Cash ÷ typical 1.1×	$69823 plans	$126
Baylor Scott & White Medical Center – PlanoBaylor Scott & White Health · file Jun 2026	$761Cash ÷ typical 1.1×	$69831 plans	$126
Baylor Scott & White Medical Center – CentennialBaylor Scott & White Health · file Jun 2026	$761Cash ÷ typical 1.1×	$69829 plans	$126
Texas Health Harris Methodist Hospital SouthlakeTexas Health Resources · file Apr 2026	$861Cash ÷ typical 1.0×	$86121 plans	$294
Texas Health Hospital RockwallTexas Health Resources · file Apr 2026	$861Cash ÷ typical 1.0×	$86121 plans	$294
Texas Health Heart & Vascular Hospital ArlingtonTexas Health Resources · file Apr 2026	$861Cash ÷ typical 1.0×	$86121 plans	$294
Texas Health Presbyterian Hospital Flower MoundTexas Health Resources · file Apr 2026	$861Cash ÷ typical 1.0×	$86121 plans	$294
Texas Health Presbyterian Hospital DentonTexas Health Resources · file Apr 2026	$861Cash ÷ typical 1.0×	$86121 plans	$173
Texas Health Harris Methodist Hospital AllianceTexas Health Resources · file Apr 2026	$861Cash ÷ typical 1.0×	$86121 plans	$173
Texas Health Center for Diagnostics and Surgery PlanoTexas Health Resources · file Apr 2026	$861Cash ÷ typical 1.0×	$86121 plans	$294
Texas Health Arlington Memorial HospitalTexas Health Resources · file Apr 2026	$861Cash ÷ typical 1.0×	$86121 plans	$173
Texas Health Presbyterian Hospital DallasTexas Health Resources · file Apr 2026	$861Cash ÷ typical 1.0×	$86121 plans	$173
Texas Health Harris Methodist Hospital Hurst-Euless-BedfordTexas Health Resources · file Apr 2026	$861Cash ÷ typical 1.0×	$86121 plans	$173
Texas Health Harris Methodist Hospital AzleTexas Health Resources · file Apr 2026	$861Cash ÷ typical 1.0×	$88521 plans	$294
Texas Health Harris Methodist Hospital CleburneTexas Health Resources · file Apr 2026	$861Cash ÷ typical 1.0×	$88521 plans	$294
Texas Health Hospital ClearforkTexas Health Resources · file Apr 2026	$861Cash ÷ typical 1.0×	$86121 plans	$173
Texas Health Presbyterian Hospital PlanoTexas Health Resources · file Apr 2026	$861Cash ÷ typical 1.0×	$86121 plans	$173
Texas Health Presbyterian Hospital KaufmanTexas Health Resources · file Apr 2026	$861Cash ÷ typical 1.0×	$88521 plans	$294
Texas Health Presbyterian Hospital AllenTexas Health Resources · file Apr 2026	$861Cash ÷ typical 1.0×	$88521 plans	$173
Texas Health Harris Methodist Hospital Fort WorthTexas Health Resources · file Apr 2026	$861Cash ÷ typical 1.0×	$86121 plans	$173
Texas Health Hospital FriscoTexas Health Resources · file Apr 2026	$861Cash ÷ typical 1.0×	$86121 plans	$173
Cook Children's Medical CenterCook Children's · children's hospital (not in the summary above) · file Jan 2026	$713Cash ÷ typical 0.9×	$80916 plans	$552
Cook Children's Medical Center – ProsperCook Children's · children's hospital (not in the summary above) · file Jan 2026	$713Cash ÷ typical 0.9×	$80919 plans	$419

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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
Methodist Celina Medical Center	$205–$390	$170	—	—	—	$137	—	$106	$105–$112
Methodist Dallas Medical Center	$189–$360	$170–$368	$194	$112	—	$137	$180	$91–$394	$105–$113
Methodist Mansfield Medical Center	$189–$360	$170	$195	$113	—	$137	$180	$91–$411	$105–$114
Methodist Midlothian Medical Center	—	$170	$194	$112	—	$137	$180	$91–$394	$105–$113
Methodist Richardson Medical Center	$225–$428	$170	$194	$112	—	$137	$180	$91–$394	$105–$113
Methodist Southlake Medical Center	$189–$360	$170–$705	$195	$113–$496	—	$137	$180	$91–$411	$105–$114
UT Southwestern William P. Clements Jr. University Hospital	$393–$684	$384–$480	$730	$583–$716	—	—	—	$96–$106	$106–$120
Parkland Health (Parkland Memorial Hospital)	$171–$1,186	$988	$988	$1,099	—	—	—	$96–$515	$344–$349
Baylor Scott & White Medical Center – Lake Pointe	$257–$542	$698	$626–$736	$789–$877	$888	—	$226	$96–$103	$100–$118
Baylor Scott & White The Heart Hospital – Denton	$224–$473	$698	$626–$736	$789–$877	$888	—	$226	$96–$103	$100–$118
Baylor Scott & White The Heart Hospital – McKinney	$224–$473	$698	$626–$736	$789–$877	$888	—	—	$103	$100–$118
Baylor Scott & White The Heart Hospital – Plano	$224–$473	$698	$626–$736	$789–$877	$888	—	$226	$96–$103	$100–$118
Baylor Scott & White All Saints Medical Center – Fort Worth	$224–$473	$698	$626–$736	$789–$877	$888	—	$226	$96–$103	$100–$118
Baylor Scott & White Medical Center – Frisco at PGA Parkway	$224–$473	$698	$626–$736	$789–$877	$888	—	$226	$96.28	$100–$118
Baylor Scott & White Medical Center – McKinney	$224–$473	$698	$626–$736	$789–$877	$888	—	$226	$96–$103	$100–$118
Baylor Scott & White Medical Center – Grapevine	$224–$473	$698	$626–$736	$789–$877	$888	—	$226	$96–$103	$100–$118
Baylor University Medical Center	$224–$473	$698	$626–$736	$789–$877	$888	—	$226	$96–$103	$100–$118
Baylor Scott & White Medical Center – Waxahachie	$224–$473	$698	$626–$736	$789–$877	$888	—	$226	$96–$103	$100–$118
Baylor Scott & White Medical Center – Irving	$224–$473	$698	$626–$736	$789–$877	$888	—	$226	$96–$103	$100–$118
Baylor Scott & White Heart and Vascular Hospital – Dallas	$224–$473	$698	$626–$736	$789–$877	$888	—	$226	$96–$103	$100–$118
Baylor Scott & White Heart and Vascular Hospital – Waxahachie	$224–$473	$698	—	$789–$877	$888	—	—	—	$100–$110
Baylor Scott & White Medical Center – Plano	$224–$473	$698	$626–$736	$789–$877	$888	—	$226	$96–$103	$100–$118
Baylor Scott & White Medical Center – Centennial	$257–$542	$698	$626–$736	$789–$877	$888	—	$226	$96–$103	$100–$118
Texas Health Harris Methodist Hospital Southlake	$294–$885	$590–$1,006	$794–$1,351	$440–$578	—	—	—	$96–$116	$105–$119
Texas Health Hospital Rockwall	$294–$885	$590–$1,006	$794–$1,351	$440–$578	—	—	—	$96–$116	$105–$119
Texas Health Heart & Vascular Hospital Arlington	$294–$885	$590–$1,006	$794–$1,351	$440–$578	—	—	—	$96–$116	$105–$119
Texas Health Presbyterian Hospital Flower Mound	$294–$885	$590–$1,006	$794–$1,351	$440–$578	—	—	—	$96–$116	$105–$119
Texas Health Presbyterian Hospital Denton	$173–$885	$590–$1,006	$794–$1,351	$440–$578	—	—	—	$96–$116	$105–$119
Texas Health Harris Methodist Hospital Alliance	$173–$885	$590–$1,006	$794–$1,351	$440–$578	—	—	—	$96–$116	$105–$119
Texas Health Center for Diagnostics and Surgery Plano	$294–$885	$590–$1,006	$794–$1,351	$440–$578	—	—	—	$96–$113	$102–$116
Texas Health Arlington Memorial Hospital	$173–$885	$590–$1,006	$794–$1,351	$440–$578	—	—	—	$96–$116	$105–$119
Texas Health Presbyterian Hospital Dallas	$173–$885	$590–$1,006	$794–$1,351	$440–$578	—	—	—	$96–$116	$105–$119
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford	$173–$885	$590–$1,006	$794–$1,351	$440–$578	—	—	—	$96–$116	$105–$119
Texas Health Harris Methodist Hospital Azle	$294–$885	$590–$1,006	$794–$1,351	$440–$578	—	—	—	$96–$116	$105–$119
Texas Health Harris Methodist Hospital Cleburne	$294–$885	$590–$1,006	$794–$1,351	$440–$578	—	—	—	$96–$112	$101–$115
Texas Health Hospital Clearfork	$173–$885	$590–$1,006	$794–$1,351	$440–$578	—	—	—	$96–$116	$105–$119
Texas Health Presbyterian Hospital Plano	$173–$885	$590–$1,006	$794–$1,351	$440–$578	—	—	—	$96–$116	$105–$119
Texas Health Presbyterian Hospital Kaufman	$294–$885	$590–$1,006	$794–$1,351	$440–$578	—	—	—	$96–$116	$105–$119
Texas Health Presbyterian Hospital Allen	$173–$885	$590–$1,006	$794–$1,351	$440–$578	—	—	—	$96–$116	$105–$119
Texas Health Harris Methodist Hospital Fort Worth	$173–$885	$590–$1,006	$794–$1,351	$440–$578	—	—	—	$96–$116	$105–$119
Texas Health Hospital Frisco	$173–$885	$590–$1,006	$794–$1,351	$440–$578	—	—	—	$96–$116	$105–$119
Cook Children's Medical Center	$742–$799	—	$809	$809	$828–$837	—	—	$228–$419	—
Cook Children's Medical Center – Prosper	$742–$856	$809	$809	$809	$828–$837	—	—	$106–$151	—

Methodist Celina Medical Center: all 33 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
TRICARE	MHS HB TRICARE MCEL	Military / VA	$102	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE COMPLETE MCEL	Medicare Advantage	$105	other
AETNA MEDICARE MANAGED CARE	MHS HB AETNA GOLDEN MCEL	Medicare Advantage	$105	other
BCBS MEDICARE MANAGED CARE	MHS HB BCBS MEDICARE ADVANTAGE MCEL	Medicare Advantage	$105	other
GENERIC MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE PART A & B MCEL	Medicare Advantage	$105	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE DIRECT MCEL	Medicare Advantage	$105	other
SUPERIOR MEDICAID MANAGED CARE	MHS HB MEDICAID 110% STAR PLUS MCEL	Medicaid / CHIP	$106	fee schedule
MOLINA MEDICARE MANAGED CARE	MHS HB MOLINA MEDICARE MCEL	Medicare Advantage	$110	other
CIGNA MEDICARE	MHS HB 105% MEDICARE MCEL	Medicare Advantage	$110	other
HUMANA COMMERCIAL	MHS HB HUMANA MEDICARE MCEL	Medicare Advantage	$111	other
WELLPOINT MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE 106% MCEL	Medicare Advantage	$111	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC WELLMED MCEL	Medicare Advantage	$111	other
MULTIPLAN MEDICARE MANAGED CARE	MHS HB MULTIPLAN ADVANTAGE MCEL	Medicare Advantage	$112	other
OSCAR INSURANCE COMPANY	MHS HB OSCAR HMO MCEL	Commercial	$137	other
MOLINA	MHS HB MOLINA MARKETPLACE MCEL	Commercial	$152	other
WELLPOINT MARKETPLACE EXCHANGE	MHS HB WELLPOINT TEXAS ESSENTIALS MCEL	Commercial	$163	other
KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS	MHS HB TOWER EXTRUSIONS MCEL	Commercial	$168	other
AETNA	MHS HB AETNA CVS MCEL	Commercial	$170	other
AETNA	MHS HB AETNA EXCHANGE MCEL	Commercial	$170	other
ENTRUST/90 DEGREE	MHS HB 90 DEGREE MCEL	Commercial	$173	other
BCBS	MHS HB BCBS MY BLUE HEALTH MCEL	Commercial	$205	fee schedule
SANA BENEFITS	MHS HB SANA MCEL	Commercial	$210	other
VELOCITY	MHS HB VELOCITY MCEL	Commercial	$210	other
GENERIC WORKERS COMP TX PAR	MHS HB WORKERS COMP MCEL	Workers' comp	$210	other
EVRY HEALTH	MHS HB EVRY MCEL	Commercial	$210	other
MEDICAL COST CONTAINMENT PROFESSIONALS	MHS HB MEDICAL COST CONTAINMENT MCEL	Commercial	$263	other
HEALTH PLANS INC	MHS HB EMPLOYERS HEALTH NETWORK MCEL	Commercial	$263	other
BCBS	MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL	Commercial	$338	fee schedule
BCBS	MHS HB BCBS PREMIER MCEL	Commercial	$338	fee schedule
BCBS	MHS HB BCBS CITY OF DALLAS MCEL	Commercial	$351	fee schedule
BCBS	MHS HB BCBS HMO MCEL	Commercial	$359	fee schedule
BCBS	MHS HB BCBS PPO MCEL	Commercial	$390	fee schedule
BCBS	MHS HB BCBS TRADITIONAL MCEL	Commercial	$390	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	$91.47	fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE COMPLETE MDMC	Medicare Advantage	$105	other
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MHS HB UNINSURED COVID-19 MDMC	Public program	$105	other
AETNA MEDICARE MANAGED CARE	MHS HB AETNA GOLDEN MDMC	Medicare Advantage	$105	other
BCBS MEDICARE MANAGED CARE	MHS HB BCBS MEDICARE ADVANTAGE MDMC	Medicare Advantage	$105	other
GENERIC MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE PART A & B MDMC	Medicare Advantage	$105	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE DIRECT MDMC	Medicare Advantage	$105	other
MUTUAL OF OMAHA MEDICARE MANAGED CARE	MHS HB MUTUAL OF OMAHA MDMC	Medicare Advantage	$107	other
GLOBALHEALTH	MHS HB GLOBAL HEALTH MDMC	Medicare Advantage	$110	other
CARE N CARE MEDICARE MANAGED CARE	MHS HB SCOTT AND WHITE MEDICARE MDMC	Medicare Advantage	$110	other
MOLINA MEDICARE MANAGED CARE	MHS HB MOLINA MEDICARE MDMC	Medicare Advantage	$110	other
CIGNA MEDICARE	MHS HB 105% MEDICARE MDMC	Medicare Advantage	$110	other
HUMANA COMMERCIAL	MHS HB HUMANA MEDICARE MDMC	Medicare Advantage	$111	other
WELLPOINT MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE 106% MDMC	Medicare Advantage	$111	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC WELLMED MDMC	Medicare Advantage	$111	other
UNITED HEALTHCARE MANAGED CARE	MHS HB UHC EXCHANGE MDMC	Commercial	$112	other
MULTIPLAN MEDICARE MANAGED CARE	MHS HB MULTIPLAN ADVANTAGE MDMC	Medicare Advantage	$112	other
PROVIDER PARTNERS HEALTH PLAN	MHS HB PROVIDERS PARTNER HEALTH MDMC	Medicare Advantage	$113	other
CORALVITA	MHS HB VIBRA MRMC MCMC MDMC	Commercial	$126	other
ALTERNATIVE SERVICE CONCEPTS	MHS HB CITY OF PLANO MDMC	Commercial	$131	other
OSCAR INSURANCE COMPANY	MHS HB OSCAR HMO MDMC	Commercial	$137	other
BRIGHT HEALTHCARE	MHS HB BRIGHT HEALTH MDMC	Commercial	$147	other
MOLINA	MHS HB MOLINA MARKETPLACE MDMC	Commercial	$152	other
WELLPOINT MARKETPLACE EXCHANGE	MHS HB WELLPOINT TEXAS ESSENTIALS MDMC	Commercial	$163	other
KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS	MHS HB TOWER EXTRUSIONS MDMC	Commercial	$168	other
AETNA	MHS HB AETNA EXCHANGE MDMC	Commercial	$170	other
AETNA	MHS HB AETNA CVS MDMC	Commercial	$170	other
ENTRUST/90 DEGREE	MHS HB 90 DEGREE MDMC	Commercial	$173	other
FRIDAY HEALTH PLAN	MHS HB FRIDAY HEALTH MDMC	Commercial	$179	other
AMBETTER SUPERIOR	MHS HB AMBETTER SUPERIOR MDMC	Commercial	$180	other
IMPERIAL INSURANCE COMPANIES	MHS HB IMPERIAL MANAGED CARE MDMC	Commercial	$189	other
BCBS	MHS HB BCBS MY BLUE HEALTH MDMC	Commercial	$189	fee schedule
CIGNA	MHS HB CUSTOM INK MDMC	Commercial	$194	other
EVRY HEALTH	MHS HB EVRY MDMC	Commercial	$210	other
SANA BENEFITS	MHS HB SANA MDMC	Commercial	$210	other
VELOCITY	MHS HB VELOCITY MDMC	Commercial	$210	other
GENERIC WORKERS COMP TX PAR	MHS HB WORKERS COMP MDMC	Workers' comp	$210	other
MEDICAL COST CONTAINMENT PROFESSIONALS	MHS HB MEDICAL COST CONTAINMENT MDMC	Commercial	$263	other
HEALTH PLANS INC	MHS HB EMPLOYERS HEALTH NETWORK MDMC	Commercial	$263	other
DART MEMBER CARE	MHS HB DART MEMBER CARE MDMC	Commercial	$284	other
BCBS	MHS HB BCBS PREMIER MDMC	Commercial	$312	fee schedule
BCBS	MHS HB BCBS HIGH PERFORMANCE NETWORK MDMC	Commercial	$312	fee schedule
AETNA COMMERCIAL	MHS HB AETNA TX PREF PLUS II MDMC	Commercial	$313	fee schedule
BCBS	MHS HB BCBS CITY OF DALLAS MDMC	Commercial	$324	fee schedule
AETNA	MHS HB AETNA BAYLOR SCOTT AND WHITE MDMC	Commercial	$328	fee schedule
BCBS	MHS HB BCBS HMO MDMC	Commercial	$331	fee schedule
AETNA COMMERCIAL	MHS HB AETNA TEXAS ADVANTAGE MDMC	Commercial	$331	fee schedule
AETNA MANAGED CARE	MHS HB AETNA WHOLE HEALTH MDMC	Commercial	$331	fee schedule
BCBS	MHS HB BCBS PPO MDMC	Commercial	$360	fee schedule
BCBS	MHS HB BCBS TRADITIONAL MDMC	Commercial	$360	fee schedule
AETNA	MHS HB AETNA HMO PPO MDMC	Commercial	$368	fee schedule
MOLINA MEDICAID MANAGED CARE	MHS HB MEDICAID 110% STAR PLUS MDMC	Medicaid / CHIP	$394	fee schedule

Methodist Mansfield Medical Center: all 47 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
UNITED HEALTHCARE MEDICAID MANAGED CARE	MHS HB UNITED MEDICAID STAR PLUS MMMC	Medicaid / CHIP	$91.47	fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE COMPLETE MMMC	Medicare Advantage	$105	other
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MHS HB UNINSURED COVID-19 MMMC	Public program	$105	other
AETNA MEDICARE MANAGED CARE	MHS HB AETNA GOLDEN MMMC	Medicare Advantage	$105	other
BCBS MEDICARE MANAGED CARE	MHS HB BCBS MEDICARE ADVANTAGE MMMC	Medicare Advantage	$105	other
GENERIC MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE PART A & B MMMC	Medicare Advantage	$105	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE DIRECT MMMC	Medicare Advantage	$105	other
MUTUAL OF OMAHA MEDICARE MANAGED CARE	MHS HB MUTUAL OF OMAHA MMMC	Medicare Advantage	$107	other
GLOBALHEALTH	MHS HB GLOBAL HEALTH MMMC	Medicare Advantage	$110	other
CARE N CARE MEDICARE MANAGED CARE	MHS HB SCOTT AND WHITE MEDICARE MMMC	Medicare Advantage	$110	other
MOLINA MEDICARE MANAGED CARE	MHS HB MOLINA MEDICARE MMMC	Medicare Advantage	$110	other
CIGNA MEDICARE	MHS HB 105% MEDICARE MMMC	Medicare Advantage	$110	other
HUMANA COMMERCIAL	MHS HB HUMANA MEDICARE MMMC	Medicare Advantage	$112	other
WELLPOINT MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE 106% MMMC	Medicare Advantage	$112	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC WELLMED MMMC	Medicare Advantage	$112	other
UNITED HEALTHCARE MANAGED CARE	MHS HB UHC EXCHANGE MMMC	Commercial	$113	other
MULTIPLAN MEDICARE MANAGED CARE	MHS HB MULTIPLAN ADVANTAGE MMMC	Medicare Advantage	$113	other
PROVIDER PARTNERS HEALTH PLAN	MHS HB PROVIDERS PARTNER HEALTH MMMC	Medicare Advantage	$114	other
ALTERNATIVE SERVICE CONCEPTS	MHS HB CITY OF PLANO MMMC	Commercial	$131	other
OSCAR INSURANCE COMPANY	MHS HB OSCAR HMO MMMC	Commercial	$137	other
BRIGHT HEALTHCARE	MHS HB BRIGHT HEALTH MMMC	Commercial	$147	other
MOLINA	MHS HB MOLINA MARKETPLACE MMMC	Commercial	$153	other
WELLPOINT MARKETPLACE EXCHANGE	MHS HB WELLPOINT TEXAS ESSENTIALS MMMC	Commercial	$163	other
KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS	MHS HB TOWER EXTRUSIONS MMMC	Commercial	$168	other
AETNA	MHS HB AETNA EXCHANGE MMMC	Commercial	$170	other
AETNA	MHS HB AETNA CVS MMMC	Commercial	$170	other
ENTRUST/90 DEGREE	MHS HB 90 DEGREE MMMC	Commercial	$174	other
FRIDAY HEALTH PLAN	MHS HB FRIDAY HEALTH MMMC	Commercial	$179	other
AMBETTER SUPERIOR	MHS HB AMBETTER SUPERIOR MMMC	Commercial	$180	other
IMPERIAL INSURANCE COMPANIES	MHS HB IMPERIAL MANAGED CARE MMMC	Commercial	$189	other
BCBS	MHS HB BCBS MY BLUE HEALTH MMMC	Commercial	$189	fee schedule
CIGNA	MHS HB CUSTOM INK MMMC	Commercial	$195	other
EVRY HEALTH	MHS HB EVRY MMMC	Commercial	$210	other
SANA BENEFITS	MHS HB SANA MMMC	Commercial	$210	other
VELOCITY	MHS HB VELOCITY MMMC	Commercial	$210	other
GENERIC WORKERS COMP TX PAR	MHS HB WORKERS COMP MMMC	Workers' comp	$210	other
MEDICAL COST CONTAINMENT PROFESSIONALS	MHS HB MEDICAL COST CONTAINMENT MMMC	Commercial	$263	other
HEALTH PLANS INC	MHS HB EMPLOYERS HEALTH NETWORK MMMC	Commercial	$263	other
DART MEMBER CARE	MHS HB DART MEMBER CARE MMMC	Commercial	$284	other
BCBS	MHS HB BCBS PREMIER MMMC	Commercial	$312	fee schedule
BCBS	MHS HB BCBS HIGH PERFORMANCE NETWORK MMMC	Commercial	$312	fee schedule
BCBS	MHS HB BCBS CITY OF DALLAS MMMC	Commercial	$324	fee schedule
BCBS	MHS HB BCBS HMO MMMC	Commercial	$331	fee schedule
MOLINA MEDICAID MANAGED CARE	MHS HB MEDICAID 110% STAR PLUS MMMC	Medicaid / CHIP	$339	fee schedule
BCBS	MHS HB BCBS PPO MMMC	Commercial	$360	fee schedule
BCBS	MHS HB BCBS TRADITIONAL MMMC	Commercial	$360	fee schedule
WELLPOINT MEDICAID MANAGED CARE	MHS HB WELLPOINT MEDICAID STAR MMMC	Medicaid / CHIP	$411	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	$91.47	fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE COMPLETE MLMC	Medicare Advantage	$105	other
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MHS HB UNINSURED COVID-19 MLMC	Public program	$105	other
AETNA MEDICARE MANAGED CARE	MHS HB AETNA GOLDEN MLMC	Medicare Advantage	$105	other
BCBS MEDICARE MANAGED CARE	MHS HB BCBS MEDICARE ADVANTAGE MLMC	Medicare Advantage	$105	other
GENERIC MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE PART A & B MLMC	Medicare Advantage	$105	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE DIRECT MLMC	Medicare Advantage	$105	other
MUTUAL OF OMAHA MEDICARE MANAGED CARE	MHS HB MUTUAL OF OMAHA MLMC	Medicare Advantage	$107	other
GLOBALHEALTH	MHS HB GLOBAL HEALTH MLMC	Medicare Advantage	$110	other
CARE N CARE MEDICARE MANAGED CARE	MHS HB SCOTT AND WHITE MEDICARE MLMC	Medicare Advantage	$110	other
MOLINA MEDICARE MANAGED CARE	MHS HB MOLINA MEDICARE MLMC	Medicare Advantage	$110	other
CIGNA MEDICARE	MHS HB 105% MEDICARE MLMC	Medicare Advantage	$110	other
HUMANA COMMERCIAL	MHS HB HUMANA MEDICARE MLMC	Medicare Advantage	$111	other
WELLPOINT MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE 106% MLMC	Medicare Advantage	$111	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC WELLMED MLMC	Medicare Advantage	$111	other
UNITED HEALTHCARE MANAGED CARE	MHS HB UHC EXCHANGE MLMC	Commercial	$112	other
MULTIPLAN MEDICARE MANAGED CARE	MHS HB MULTIPLAN ADVANTAGE MLMC	Medicare Advantage	$112	other
PROVIDER PARTNERS HEALTH PLAN	MHS HB PROVIDERS PARTNER HEALTH MLMC	Medicare Advantage	$113	other
ALTERNATIVE SERVICE CONCEPTS	MHS HB CITY OF PLANO MLMC	Commercial	$131	other
OSCAR INSURANCE COMPANY	MHS HB OSCAR HMO MLMC	Commercial	$137	other
BRIGHT HEALTHCARE	MHS HB BRIGHT HEALTH MLMC	Commercial	$147	other
MOLINA	MHS HB MOLINA MARKETPLACE MLMC	Commercial	$152	other
WELLPOINT MARKETPLACE EXCHANGE	MHS HB WELLPOINT TEXAS ESSENTIALS MLMC	Commercial	$163	other
KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS	MHS HB TOWER EXTRUSIONS MLMC	Commercial	$168	other
AETNA	MHS HB AETNA EXCHANGE MLMC	Commercial	$170	other
AETNA	MHS HB AETNA CVS MLMC	Commercial	$170	other
ENTRUST/90 DEGREE	MHS HB 90 DEGREE MLMC	Commercial	$173	other
FRIDAY HEALTH PLAN	MHS HB FRIDAY HEALTH MLMC	Commercial	$179	other
AMBETTER SUPERIOR	MHS HB AMBETTER SUPERIOR MLMC	Commercial	$180	other
IMPERIAL INSURANCE COMPANIES	MHS HB IMPERIAL MANAGED CARE MLMC	Commercial	$189	other
CIGNA	MHS HB CUSTOM INK MLMC	Commercial	$194	other
EVRY HEALTH	MHS HB EVRY MLMC	Commercial	$210	other
SANA BENEFITS	MHS HB SANA MLMC	Commercial	$210	other
VELOCITY	MHS HB VELOCITY MLMC	Commercial	$210	other
GENERIC WORKERS COMP TX PAR	MHS HB WORKERS COMP MLMC	Workers' comp	$210	other
MEDICAL COST CONTAINMENT PROFESSIONALS	MHS HB MEDICAL COST CONTAINMENT MLMC	Commercial	$263	other
HEALTH PLANS INC	MHS HB EMPLOYERS HEALTH NETWORK MLMC	Commercial	$263	other
DART MEMBER CARE	MHS HB DART MEMBER CARE MLMC	Commercial	$284	other
MOLINA MEDICAID MANAGED CARE	MHS HB MEDICAID 110% STAR PLUS MLMC	Medicaid / CHIP	$394	fee schedule

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	$91.47	fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE COMPLETE MRMC	Medicare Advantage	$105	other
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MHS HB UNINSURED COVID-19 MRMC	Public program	$105	other
AETNA MEDICARE MANAGED CARE	MHS HB AETNA GOLDEN MRMC	Medicare Advantage	$105	other
BCBS MEDICARE MANAGED CARE	MHS HB BCBS MEDICARE ADVANTAGE MRMC	Medicare Advantage	$105	other
GENERIC MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE PART A & B MRMC	Medicare Advantage	$105	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE DIRECT MRMC	Medicare Advantage	$105	other
MUTUAL OF OMAHA MEDICARE MANAGED CARE	MHS HB MUTUAL OF OMAHA MRMC	Medicare Advantage	$107	other
GLOBALHEALTH	MHS HB GLOBAL HEALTH MRMC	Medicare Advantage	$110	other
CARE N CARE MEDICARE MANAGED CARE	MHS HB SCOTT AND WHITE MEDICARE MRMC	Medicare Advantage	$110	other
MOLINA MEDICARE MANAGED CARE	MHS HB MOLINA MEDICARE MRMC	Medicare Advantage	$110	other
CIGNA MEDICARE	MHS HB 105% MEDICARE MRMC	Medicare Advantage	$110	other
HUMANA COMMERCIAL	MHS HB HUMANA MEDICARE MRMC	Medicare Advantage	$111	other
WELLPOINT MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE 106% MRMC	Medicare Advantage	$111	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC WELLMED MRMC	Medicare Advantage	$111	other
UNITED HEALTHCARE MANAGED CARE	MHS HB UHC EXCHANGE MRMC	Commercial	$112	other
MULTIPLAN MEDICARE MANAGED CARE	MHS HB MULTIPLAN ADVANTAGE MRMC	Medicare Advantage	$112	other
PROVIDER PARTNERS HEALTH PLAN	MHS HB PROVIDERS PARTNER HEALTH MRMC	Medicare Advantage	$113	other
CORALVITA	MHS HB VIBRA MRMC MCMC MDMC	Commercial	$126	other
ALTERNATIVE SERVICE CONCEPTS	MHS HB CITY OF PLANO MRMC	Commercial	$131	other
OSCAR INSURANCE COMPANY	MHS HB OSCAR HMO MRMC	Commercial	$137	other
BRIGHT HEALTHCARE	MHS HB BRIGHT HEALTH MRMC	Commercial	$147	other
MOLINA	MHS HB MOLINA MARKETPLACE MRMC	Commercial	$152	other
WELLPOINT MARKETPLACE EXCHANGE	MHS HB WELLPOINT TEXAS ESSENTIALS MRMC	Commercial	$163	other
AETNA	MHS HB AETNA EXCHANGE MRMC	Commercial	$170	other
AETNA	MHS HB AETNA CVS MRMC	Commercial	$170	other
ENTRUST/90 DEGREE	MHS HB 90 DEGREE MRMC	Commercial	$173	other
FRIDAY HEALTH PLAN	MHS HB FRIDAY HEALTH MRMC	Commercial	$179	other
AMBETTER SUPERIOR	MHS HB AMBETTER SUPERIOR MRMC	Commercial	$180	other
IMPERIAL INSURANCE COMPANIES	MHS HB IMPERIAL MANAGED CARE MRMC	Commercial	$189	other
CIGNA	MHS HB CUSTOM INK MRMC	Commercial	$194	other
EVRY HEALTH	MHS HB EVRY MRMC	Commercial	$210	other
SANA BENEFITS	MHS HB SANA MRMC	Commercial	$210	other
VELOCITY	MHS HB VELOCITY MRMC	Commercial	$210	other
BCBS	MHS HB BCBS MY BLUE HEALTH MRMC	Commercial	$225	fee schedule
MEDICAL COST CONTAINMENT PROFESSIONALS	MHS HB MEDICAL COST CONTAINMENT MRMC	Commercial	$263	other
HEALTH PLANS INC	MHS HB EMPLOYERS HEALTH NETWORK MRMC	Commercial	$263	other
DART MEMBER CARE	MHS HB DART MEMBER CARE MRMC	Commercial	$284	other
BCBS	MHS HB BCBS PREMIER MRMC	Commercial	$371	fee schedule
BCBS	MHS HB BCBS HIGH PERFORMANCE NETWORK MRMC	Commercial	$371	fee schedule
BCBS	MHS HB BCBS CITY OF DALLAS MRMC	Commercial	$386	fee schedule
BCBS	MHS HB BCBS HMO MRMC	Commercial	$393	fee schedule
MOLINA MEDICAID MANAGED CARE	MHS HB MEDICAID 110% STAR PLUS MRMC	Medicaid / CHIP	$394	fee schedule
BCBS	MHS HB BCBS PPO MRMC	Commercial	$428	fee schedule
BCBS	MHS HB BCBS TRADITIONAL MRMC	Commercial	$428	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	$91.47	fee schedule
TRICARE	MHS HB TRICARE MSMC	Military / VA	$102	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE COMPLETE MSMC	Medicare Advantage	$105	other
AETNA MEDICARE MANAGED CARE	MHS HB AETNA GOLDEN MSMC	Medicare Advantage	$105	other
BCBS MEDICARE MANAGED CARE	MHS HB BCBS MEDICARE ADVANTAGE MSMC	Medicare Advantage	$105	other
GENERIC MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE PART A & B MSMC	Medicare Advantage	$105	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE DIRECT MSMC	Medicare Advantage	$105	other
MUTUAL OF OMAHA MEDICARE MANAGED CARE	MHS HB MUTUAL OF OMAHA MSMC	Medicare Advantage	$107	other
GLOBALHEALTH	MHS HB GLOBAL HEALTH MSMC	Medicare Advantage	$110	other
CARE N CARE MEDICARE MANAGED CARE	MHS HB SCOTT AND WHITE MEDICARE MSMC	Medicare Advantage	$110	other
MOLINA MEDICARE MANAGED CARE	MHS HB MOLINA MEDICARE MSMC	Medicare Advantage	$110	other
CIGNA MEDICARE	MHS HB 105% MEDICARE MSMC	Medicare Advantage	$110	other
HUMANA COMMERCIAL	MHS HB HUMANA MEDICARE MSMC	Medicare Advantage	$112	other
WELLPOINT MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE 106% MSMC	Medicare Advantage	$112	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC WELLMED MSMC	Medicare Advantage	$112	other
UNITED HEALTHCARE MANAGED CARE	MHS HB UHC EXCHANGE MSMC	Commercial	$113	other
MULTIPLAN MEDICARE MANAGED CARE	MHS HB MULTIPLAN ADVANTAGE MSMC	Medicare Advantage	$113	other
PROVIDER PARTNERS HEALTH PLAN	MHS HB PROVIDERS PARTNER HEALTH MSMC	Medicare Advantage	$114	other
ALTERNATIVE SERVICE CONCEPTS	MHS HB CITY OF PLANO MSMC	Commercial	$131	other
OSCAR INSURANCE COMPANY	MHS HB OSCAR HMO MSMC	Commercial	$137	other
BRIGHT HEALTHCARE	MHS HB BRIGHT HEALTH MSMC	Commercial	$147	other
MOLINA	MHS HB MOLINA MARKETPLACE MSMC	Commercial	$153	other
WELLPOINT MARKETPLACE EXCHANGE	MHS HB WELLPOINT TEXAS ESSENTIALS MSMC	Commercial	$163	other
KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS	MHS HB TOWER EXTRUSIONS MSMC	Commercial	$168	other
AETNA	MHS HB AETNA EXCHANGE MSMC	Commercial	$170	other
AETNA	MHS HB AETNA CVS MSMC	Commercial	$170	other
ENTRUST/90 DEGREE	MHS HB 90 DEGREE MSMC	Commercial	$174	other
FRIDAY HEALTH PLAN	MHS HB FRIDAY HEALTH MSMC	Commercial	$179	other
AMBETTER SUPERIOR	MHS HB AMBETTER SUPERIOR MSMC	Commercial	$180	other
IMPERIAL INSURANCE COMPANIES	MHS HB IMPERIAL MANAGED CARE MSMC	Commercial	$189	other
BCBS	MHS HB BCBS MY BLUE HEALTH MSMC	Commercial	$189	fee schedule
CIGNA	MHS HB CUSTOM INK MSMC	Commercial	$195	other
EVRY HEALTH	MHS HB EVRY MSMC	Commercial	$210	other
SANA BENEFITS	MHS HB SANA MSMC	Commercial	$210	other
VELOCITY	MHS HB VELOCITY MSMC	Commercial	$210	other
GENERIC WORKERS COMP TX PAR	MHS HB WORKERS COMP MSMC	Workers' comp	$210	other
MEDICAL COST CONTAINMENT PROFESSIONALS	MHS HB MEDICAL COST CONTAINMENT MSMC	Commercial	$263	other
HEALTH PLANS INC	MHS HB EMPLOYERS HEALTH NETWORK MSMC	Commercial	$263	other
AETNA COMMERCIAL	MHS HB AETNA TX PREF PLUS II MSMC	Commercial	$266	fee schedule
DART MEMBER CARE	MHS HB DART MEMBER CARE MSMC	Commercial	$284	other
BCBS	MHS HB BCBS HIGH PERFORMANCE NETWORK MSMC	Commercial	$312	fee schedule
BCBS	MHS HB BCBS PREMIER MSMC	Commercial	$312	fee schedule
AETNA COMMERCIAL	MHS HB AETNA TEXAS ADVANTAGE MSMC	Commercial	$315	fee schedule
AETNA MANAGED CARE	MHS HB AETNA WHOLE HEALTH MSMC	Commercial	$315	fee schedule
BCBS	MHS HB BCBS CITY OF DALLAS MSMC	Commercial	$324	fee schedule
BCBS	MHS HB BCBS HMO MSMC	Commercial	$331	fee schedule
MOLINA MEDICAID MANAGED CARE	MHS HB MEDICAID 110% STAR PLUS MSMC	Medicaid / CHIP	$339	fee schedule
AETNA	MHS HB AETNA HMO PPO MSMC	Commercial	$350	fee schedule
BCBS	MHS HB BCBS PPO MSMC	Commercial	$360	fee schedule
BCBS	MHS HB BCBS TRADITIONAL MSMC	Commercial	$360	fee schedule
WELLPOINT MEDICAID MANAGED CARE	MHS HB WELLPOINT MEDICAID STAR MSMC	Medicaid / CHIP	$411	fee schedule
UNITED HEALTHCARE-COMMERCIAL	MHS HB UNITED HEALTHCARE MSMC	Commercial	$496	per diem
AETNA	MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC	Commercial	$705	percent of total billed charges

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

Payer	Plan (as written in the file)	Type	Rate	Method
Parkland	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Superior	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Wellpoint	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$104	fee schedule
Aetna Better Health	Managed Medicaid	Medicaid / CHIP	$106	fee schedule
Procare	Medicare Advantage	Medicare Advantage	$106	fee schedule
Humana	Medicare Advantage	Medicare Advantage	$111	fee schedule
Superior	Medicare Advantage	Medicare Advantage	$112	fee schedule
Molina	Medicare Advantage	Medicare Advantage	$112	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$112	fee schedule
Wellpoint	Medicare Advantage	Medicare Advantage	$112	fee schedule
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$118	fee schedule
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$120	fee schedule
Aetna	Whole Health	Commercial	$384	percent of total billed charges
Blue Cross Blue Shield	MyBlueHealth	Commercial	$393	fee schedule
Aetna	HMO/POS/EPO/PPO	Commercial	$480	percent of total billed charges
Maestro Health/Fort Worth Firefighters	Commercial	Commercial	$530	percent of total billed charges
Blue Cross Blue Shield	HMO	Commercial	$546	fee schedule
HealthFirst	Commercial	Commercial	$557	percent of total billed charges
United Healthcare	Commercial	Commercial	$583	fee schedule
QuikTrip	Commercial	Commercial	$595	percent of total billed charges
Blue Cross Blue Shield	PPO	Commercial	$606	fee schedule
United Options Nexus	Commercial	Commercial	$648	fee schedule
Blue Cross Blue Shield	Traditional	Commercial	$684	fee schedule
Coventry	National/Medical Rental Products	Commercial	$693	percent of total billed charges
Rockwall County	Commercial	Commercial	$694	percent of total billed charges
United Healthcare W500	Commercial	Commercial	$716	percent of total billed charges
Cigna	HMO-PPO	Commercial	$730	percent of total billed charges
PHCS	Commercial	Commercial	$748	percent of total billed charges
HealthSmart	Commercial	Commercial	$823	percent of total billed charges
Multiplan	Commercial	Commercial	$862	percent of total billed charges
Galaxy Health Network	Commercial	Commercial	$872	percent of total billed charges

Parkland Health (Parkland Memorial Hospital): all 38 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
WELLPOINT	WELLPOINT CHIP PERINATE POST PARTUM	Medicaid / CHIP	$96.28	fee schedule
AETNA BETTER HEALTH	AETNA BETTER HEALTH CHIP	Medicaid / CHIP	$96.28	fee schedule
AETNA BETTER HEALTH	BELOW FPIL AETNA CHIP PERINATE	Medicaid / CHIP	$96.28	fee schedule
AETNA BETTER HEALTH	ABOVE FPIL AETNA CHIP PERINATE	Medicaid / CHIP	$96.28	fee schedule
PARKLAND COMMUNITY HEALTH PLAN	Parkland CHIP	Medicaid / CHIP	$101	fee schedule
COOK CHILDREN HEALTH PLAN	COOK CHILDREN STAR MEDICAID	Medicaid / CHIP	$101	fee schedule
COOK CHILDREN HEALTH PLAN	COOK CHILDRENS STAR KIDS	Medicaid / CHIP	$101	fee schedule
COOK CHILDREN HEALTH PLAN	COOK CHILDRENS CHIP	Medicaid / CHIP	$101	fee schedule
SUPERIOR HEALTH PLAN	SUPERIOR STAR HEALTH FOSTER CARE	Medicaid / CHIP	$101	fee schedule
POINT COMFORT UNDERWRITERS	POINT COMFORT UNDERWRITERS	Public program	$106	fee schedule
MOLINA	MOLINA CHIP	Medicaid / CHIP	$106	fee schedule
MOLINA	MOLINA RSA MEDICAID	Medicaid / CHIP	$106	fee schedule
BLUE CROSS BLUE SHIELD	BLUE ADVANTAGE HMO ACA	Commercial	$171	fee schedule
WELLPOINT	BELOW FPIL WELLPOINT CHIP PERINATE	Medicaid / CHIP	$249	percent of total billed charges
WELLPOINT	ABOVE FPIL WELLPOINT CHIP PERINATE	Medicaid / CHIP	$249	percent of total billed charges
MOLINA	POST PARTUM VST-MOLINA CHIP	Medicaid / CHIP	$274	percent of total billed charges
MOLINA	ABOVE FPIL MOLINA CHIP PERINATE	Medicaid / CHIP	$274	percent of total billed charges
MOLINA	BELOW FPIL MOLINA CHIP PERINATE	Medicaid / CHIP	$274	percent of total billed charges
CARE IMPROVEMENT PLUS	CARE IMPROVEMENT PLUS	Medicare Advantage	$344	percent of total billed charges
PROCARE ADVANTAGE	PROCARE ADVANTAGE	Medicare Advantage	$349	percent of total billed charges
WELLPOINT	WELLPOINT STAR PLUS	Medicaid / CHIP	$358	fee schedule
WELLPOINT	WELLPOINT STAR KIDS	Medicaid / CHIP	$367	fee schedule
SUPERIOR HEALTHPLAN	SUPERIOR STAR PLUS	Medicaid / CHIP	$376	fee schedule
MOLINA	MOLINA STAR PLUS	Medicaid / CHIP	$394	fee schedule
WELLPOINT	WELLPOINT STAR	Medicaid / CHIP	$468	fee schedule
PARKLAND COMMUNITY HEALTH PLAN	Parkland STAR	Medicaid / CHIP	$491	fee schedule
AETNA BETTER HEALTH	AETNA BETTER HEALTH STAR	Medicaid / CHIP	$491	fee schedule
MOLINA	MOLINA STAR MEDICAID	Medicaid / CHIP	$515	fee schedule
AETNA HEALTHCARE	AETNA	Commercial	$988	percent of total billed charges
CIGNA	CIGNA	Commercial	$988	percent of total billed charges
GREAT WEST HEALTHCARE	GREAT WEST HEALTHCARE	Commercial	$988	percent of total billed charges
UNITED HEALTHCARE OF TX	UNITED HEALTHCARE OF TX	Commercial	$1,099	percent of total billed charges
UNITED HEALTHCARE OF TX	UHC - UMR	Commercial	$1,099	percent of total billed charges
BLUE CROSS BLUE SHIELD	BCBS TRADITIONAL	Commercial	$1,186	percent of total billed charges
BLUE CROSS BLUE SHIELD	BCBS OUT OF STATE	Commercial	$1,186	percent of total billed charges
BLUE CROSS BLUE SHIELD	BCBS FEDERAL EMPLOYEE	Commercial	$1,186	percent of total billed charges
BLUE CROSS BLUE SHIELD	BLUE CROSS BLUE SHIELD PPO	Commercial	$1,186	percent of total billed charges
BLUE CROSS BLUE SHIELD	BLUE CROSS BLUE SHIELD HMO	Commercial	$1,186	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	$96.28	fee schedule
WellPoint (fka Amerigroup)	CHIP/Medicaid	Medicaid / CHIP	$96.28	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$103	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
TriWest	Community Care Network	Military / VA	$105	fee schedule
WellPoint (fka Amerigroup)	Medicare	Medicare Advantage	$108	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
Molina	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Texas A&M Commerce	Injured Athletes	Commercial	$235	case rate
Blue Cross Blue Shield	Blue Advantage	Commercial	$257	fee schedule
Mark Cuban	Commercial	Commercial	$272	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$363	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$489	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$516	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$542	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$596	percent of total billed charges
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$626	percent of total billed charges
Cigna	Local Plus	Commercial	$626	percent of total billed charges
Aetna	Commercial	Commercial	$698	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$698	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$698	percent of total billed charges
Imagine Health	Commercial	Commercial	$698	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$736	percent of total billed charges
Cigna	HMO/PPO	Commercial	$736	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$736	percent of total billed charges
United Healthcare	Charter	Commercial	$789	percent of total billed charges
United Healthcare	Nexus	Commercial	$789	percent of total billed charges
Curative	Commercial	Commercial	$825	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$877	percent of total billed charges
First Health	PPO	Commercial	$888	percent of total billed charges
HealthSmart	Accel Network	Commercial	$888	percent of total billed charges
Humana	Commercial PPO	Commercial	$888	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$952	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$952	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	$96.28	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$103	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
TriWest	Community Care Network	Military / VA	$105	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Mark Cuban	Commercial	Commercial	$272	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$596	percent of total billed charges
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$626	percent of total billed charges
Cigna	Local Plus	Commercial	$626	percent of total billed charges
Aetna	Commercial	Commercial	$698	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$698	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$698	percent of total billed charges
Imagine Health	Commercial	Commercial	$698	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$736	percent of total billed charges
Cigna	HMO/PPO	Commercial	$736	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$736	percent of total billed charges
United Healthcare	Charter	Commercial	$789	percent of total billed charges
United Healthcare	Nexus	Commercial	$789	percent of total billed charges
Curative	Commercial	Commercial	$825	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$877	percent of total billed charges
First Health	PPO	Commercial	$888	percent of total billed charges
HealthSmart	Accel Network	Commercial	$888	percent of total billed charges
Humana	Commercial PPO	Commercial	$888	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$952	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$952	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
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$103	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Mark Cuban	Commercial	Commercial	$272	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$596	percent of total billed charges
Cigna	Local Plus	Commercial	$626	percent of total billed charges
Aetna	Commercial	Commercial	$698	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$698	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$698	percent of total billed charges
Cigna	HMO/PPO	Commercial	$736	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$736	percent of total billed charges
United Healthcare	Charter	Commercial	$789	percent of total billed charges
United Healthcare	Nexus	Commercial	$789	percent of total billed charges
Curative	Commercial	Commercial	$825	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$877	percent of total billed charges
First Health	PPO	Commercial	$888	percent of total billed charges
HealthSmart	Accel Network	Commercial	$888	percent of total billed charges
Humana	Commercial PPO	Commercial	$888	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$952	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$952	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	$96.28	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$103	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$105	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
TriWest	Community Care Network	Military / VA	$105	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Mark Cuban	Commercial	Commercial	$272	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$596	percent of total billed charges
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$626	percent of total billed charges
Cigna	Local Plus	Commercial	$626	percent of total billed charges
Aetna	Commercial	Commercial	$698	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$698	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$698	percent of total billed charges
Imagine Health	Commercial	Commercial	$698	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$736	percent of total billed charges
Cigna	HMO/PPO	Commercial	$736	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$736	percent of total billed charges
United Healthcare	Charter	Commercial	$789	percent of total billed charges
United Healthcare	Nexus	Commercial	$789	percent of total billed charges
Curative	Commercial	Commercial	$825	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$877	percent of total billed charges
First Health	PPO	Commercial	$888	percent of total billed charges
HealthSmart	Accel Network	Commercial	$888	percent of total billed charges
Humana	Commercial PPO	Commercial	$888	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$952	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$952	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	$96.28	fee schedule
Superior Health Plan	Medicaid	Medicaid / CHIP	$96.28	fee schedule
WellPoint (fka Amerigroup)	CHIP/Medicaid	Medicaid / CHIP	$96.28	fee schedule
Aetna	Medicaid	Medicaid / CHIP	$98.21	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$103	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$105	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
TriWest	Community Care Network	Military / VA	$105	fee schedule
WellPoint (fka Amerigroup)	Medicare	Medicare Advantage	$108	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Mark Cuban	Commercial	Commercial	$272	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$596	percent of total billed charges
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$626	percent of total billed charges
Cigna	Local Plus	Commercial	$626	percent of total billed charges
Aetna	Commercial	Commercial	$698	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$698	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$698	percent of total billed charges
Imagine Health	Commercial	Commercial	$698	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$736	percent of total billed charges
Cigna	HMO/PPO	Commercial	$736	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$736	percent of total billed charges
United Healthcare	Charter	Commercial	$789	percent of total billed charges
United Healthcare	Nexus	Commercial	$789	percent of total billed charges
Curative	Commercial	Commercial	$825	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$877	percent of total billed charges
First Health	PPO	Commercial	$888	percent of total billed charges
HealthSmart	Accel Network	Commercial	$888	percent of total billed charges
Humana	Commercial PPO	Commercial	$888	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$952	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$952	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	$96.28	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$105	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$596	percent of total billed charges
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$626	percent of total billed charges
Cigna	Local Plus	Commercial	$626	percent of total billed charges
Aetna	Commercial	Commercial	$698	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$698	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$698	percent of total billed charges
Imagine Health	Commercial	Commercial	$698	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$736	percent of total billed charges
Cigna	HMO/PPO	Commercial	$736	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$736	percent of total billed charges
United Healthcare	Charter	Commercial	$789	percent of total billed charges
United Healthcare	Nexus	Commercial	$789	percent of total billed charges
Curative	Commercial	Commercial	$825	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$877	percent of total billed charges
First Health	PPO	Commercial	$888	percent of total billed charges
HealthSmart	Accel Network	Commercial	$888	percent of total billed charges
Humana	Commercial PPO	Commercial	$888	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$952	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$952	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	$96.28	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$103	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$105	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
TriWest	Community Care Network	Military / VA	$105	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Mark Cuban	Commercial	Commercial	$272	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$596	percent of total billed charges
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$626	percent of total billed charges
Cigna	Local Plus	Commercial	$626	percent of total billed charges
Aetna	Commercial	Commercial	$698	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$698	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$698	percent of total billed charges
Imagine Health	Commercial	Commercial	$698	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$736	percent of total billed charges
Cigna	HMO/PPO	Commercial	$736	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$736	percent of total billed charges
United Healthcare	Charter	Commercial	$789	percent of total billed charges
United Healthcare	Nexus	Commercial	$789	percent of total billed charges
Curative	Commercial	Commercial	$825	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$877	percent of total billed charges
First Health	PPO	Commercial	$888	percent of total billed charges
HealthSmart	Accel Network	Commercial	$888	percent of total billed charges
Humana	Commercial PPO	Commercial	$888	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$952	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$952	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	$96.28	fee schedule
Aetna	Medicaid	Medicaid / CHIP	$98.21	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.94	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$103	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$105	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
TriWest	Community Care Network	Military / VA	$105	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$133	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$174	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Mark Cuban	Commercial	Commercial	$272	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$596	percent of total billed charges
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$626	percent of total billed charges
Cigna	Local Plus	Commercial	$626	percent of total billed charges
Aetna	Commercial	Commercial	$698	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$698	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$698	percent of total billed charges
Imagine Health	Commercial	Commercial	$698	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$736	percent of total billed charges
Cigna	HMO/PPO	Commercial	$736	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$736	percent of total billed charges
United Healthcare	Charter	Commercial	$789	percent of total billed charges
United Healthcare	Nexus	Commercial	$789	percent of total billed charges
Curative	Commercial	Commercial	$825	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$877	percent of total billed charges
First Health	PPO	Commercial	$888	percent of total billed charges
HealthSmart	Accel Network	Commercial	$888	percent of total billed charges
Humana	Commercial PPO	Commercial	$888	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$952	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$952	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	$96.28	fee schedule
WellPoint (fka Amerigroup)	CHIP/Medicaid	Medicaid / CHIP	$96.28	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$103	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$105	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
TriWest	Community Care Network	Military / VA	$105	fee schedule
WellPoint (fka Amerigroup)	Medicare	Medicare Advantage	$108	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
Molina	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Mark Cuban	Commercial	Commercial	$272	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Texas Workforce Commission	Workers Compensation	Workers' comp	$457	percent of total billed charges
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$596	percent of total billed charges
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$626	percent of total billed charges
Cigna	Local Plus	Commercial	$626	percent of total billed charges
Aetna	Commercial	Commercial	$698	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$698	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$698	percent of total billed charges
Imagine Health	Commercial	Commercial	$698	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$736	percent of total billed charges
Cigna	HMO/PPO	Commercial	$736	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$736	percent of total billed charges
United Healthcare	Charter	Commercial	$789	percent of total billed charges
United Healthcare	Nexus	Commercial	$789	percent of total billed charges
Curative	Commercial	Commercial	$825	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$877	percent of total billed charges
First Health	PPO	Commercial	$888	percent of total billed charges
HealthSmart	Accel Network	Commercial	$888	percent of total billed charges
Humana	Commercial PPO	Commercial	$888	percent of total billed charges
Optum	Commercial	Commercial	$888	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$952	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$952	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	$96.28	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$103	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$105	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
TriWest	Community Care Network	Military / VA	$105	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Mark Cuban	Commercial	Commercial	$272	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$596	percent of total billed charges
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$626	percent of total billed charges
Cigna	Local Plus	Commercial	$626	percent of total billed charges
Aetna	Commercial	Commercial	$698	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$698	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$698	percent of total billed charges
Imagine Health	Commercial	Commercial	$698	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$736	percent of total billed charges
Cigna	HMO/PPO	Commercial	$736	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$736	percent of total billed charges
United Healthcare	Charter	Commercial	$789	percent of total billed charges
United Healthcare	Nexus	Commercial	$789	percent of total billed charges
Curative	Commercial	Commercial	$825	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$877	percent of total billed charges
First Health	PPO	Commercial	$888	percent of total billed charges
HealthSmart	Accel Network	Commercial	$888	percent of total billed charges
Humana	Commercial PPO	Commercial	$888	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$952	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$952	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	$96.28	fee schedule
WellPoint (fka Amerigroup)	CHIP/Medicaid	Medicaid / CHIP	$96.28	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$103	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$105	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
TriWest	Community Care Network	Military / VA	$105	fee schedule
WellPoint (fka Amerigroup)	Medicare	Medicare Advantage	$108	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Mark Cuban	Commercial	Commercial	$272	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$596	percent of total billed charges
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$626	percent of total billed charges
Cigna	Local Plus	Commercial	$626	percent of total billed charges
Aetna	Commercial	Commercial	$698	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$698	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$698	percent of total billed charges
Imagine Health	Commercial	Commercial	$698	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$736	percent of total billed charges
Cigna	HMO/PPO	Commercial	$736	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$736	percent of total billed charges
United Healthcare	Charter	Commercial	$789	percent of total billed charges
United Healthcare	Nexus	Commercial	$789	percent of total billed charges
Curative	Commercial	Commercial	$825	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$877	percent of total billed charges
First Health	PPO	Commercial	$888	percent of total billed charges
HealthSmart	Accel Network	Commercial	$888	percent of total billed charges
Humana	Commercial PPO	Commercial	$888	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$952	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$952	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	$96.28	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$103	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$105	fee schedule
TriWest	Community Care Network	Military / VA	$105	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Mark Cuban	Commercial	Commercial	$272	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$596	percent of total billed charges
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$626	percent of total billed charges
Cigna	Local Plus	Commercial	$626	percent of total billed charges
Aetna	Commercial	Commercial	$698	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$698	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$698	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$736	percent of total billed charges
Cigna	HMO/PPO	Commercial	$736	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$736	percent of total billed charges
United Healthcare	Charter	Commercial	$789	percent of total billed charges
United Healthcare	Nexus	Commercial	$789	percent of total billed charges
Curative	Commercial	Commercial	$825	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$877	percent of total billed charges
First Health	PPO	Commercial	$888	percent of total billed charges
HealthSmart	Accel Network	Commercial	$888	percent of total billed charges
Humana	Commercial PPO	Commercial	$888	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$952	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$952	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	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$596	percent of total billed charges
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$626	percent of total billed charges
Aetna	Commercial	Commercial	$698	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$698	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$698	percent of total billed charges
Imagine Health	Commercial	Commercial	$698	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$736	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$736	percent of total billed charges
United Healthcare	Charter	Commercial	$789	percent of total billed charges
United Healthcare	Nexus	Commercial	$789	percent of total billed charges
Curative	Commercial	Commercial	$825	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$877	percent of total billed charges
First Health	PPO	Commercial	$888	percent of total billed charges
Humana	Commercial PPO	Commercial	$888	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$952	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	$96.28	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$103	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$105	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
TriWest	Community Care Network	Military / VA	$105	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Mark Cuban	Commercial	Commercial	$272	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$596	percent of total billed charges
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$626	percent of total billed charges
Cigna	Local Plus	Commercial	$626	percent of total billed charges
Aetna	Commercial	Commercial	$698	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$698	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$698	percent of total billed charges
Imagine Health	Commercial	Commercial	$698	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$736	percent of total billed charges
Cigna	HMO/PPO	Commercial	$736	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$736	percent of total billed charges
Independent Medical System	Commercial PPO	Commercial	$761	percent of total billed charges
United Healthcare	Charter	Commercial	$789	percent of total billed charges
United Healthcare	Nexus	Commercial	$789	percent of total billed charges
Curative	Commercial	Commercial	$825	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$877	percent of total billed charges
First Health	PPO	Commercial	$888	percent of total billed charges
HealthSmart	Accel Network	Commercial	$888	percent of total billed charges
Humana	Commercial PPO	Commercial	$888	percent of total billed charges
Optum	Commercial	Commercial	$888	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$952	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$952	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	$96.28	fee schedule
WellPoint (fka Amerigroup)	CHIP/Medicaid	Medicaid / CHIP	$96.28	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$103	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
TriWest	Community Care Network	Military / VA	$105	fee schedule
WellPoint (fka Amerigroup)	Medicare	Medicare Advantage	$108	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
Molina	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$257	fee schedule
Mark Cuban	Commercial	Commercial	$272	fee schedule
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$363	fee schedule
Blue Cross Blue Shield	City of Dallas	Commercial	$489	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$516	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$542	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$596	percent of total billed charges
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$626	percent of total billed charges
Cigna	Local Plus	Commercial	$626	percent of total billed charges
Aetna	Commercial	Commercial	$698	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$698	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$698	percent of total billed charges
Imagine Health	Commercial	Commercial	$698	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$736	percent of total billed charges
Cigna	HMO/PPO	Commercial	$736	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$736	percent of total billed charges
United Healthcare	Charter	Commercial	$789	percent of total billed charges
United Healthcare	Nexus	Commercial	$789	percent of total billed charges
Curative	Commercial	Commercial	$825	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$877	percent of total billed charges
First Health	PPO	Commercial	$888	percent of total billed charges
HealthSmart	Accel Network	Commercial	$888	percent of total billed charges
Humana	Commercial PPO	Commercial	$888	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$952	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$952	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	$96.28	fee schedule
Amerigroup	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$101	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$104	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
Aetna	Managed Medicaid	Medicaid / CHIP	$106	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	Exchange	Commercial	$303	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$378	percent of total billed charges
United Healthcare	All Payer	Commercial	$440	case rate
United Healthcare Options	PPO	Commercial	$578	case rate
Aetna	Whole Health	Commercial	$590	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$675	percent of total billed charges
Aetna	Commercial	Commercial	$786	percent of total billed charges
Cigna	OAP/HMO	Commercial	$794	percent of total billed charges
Quick Trip	Commercial	Commercial	$861	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule
PHCS	PPO	Commercial	$998	percent of total billed charges
Cigna	PPO	Commercial	$1,001	percent of total billed charges
Aetna	Coventry	Commercial	$1,006	percent of total billed charges
Aetna	ASA	Commercial	$1,006	percent of total billed charges
Healthsmart	Commercial	Commercial	$1,077	percent of total billed charges
Multiplan	Commercial	Commercial	$1,249	percent of total billed charges
Galaxy	Commercial	Commercial	$1,263	percent of total billed charges
USA	MCO	Commercial	$1,263	percent of total billed charges
Cigna	Indemnity	Commercial	$1,351	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	$96.28	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Amerigroup	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$101	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$104	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	Exchange	Commercial	$303	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$378	percent of total billed charges
United Healthcare	All Payer	Commercial	$440	case rate
United Healthcare Options	PPO	Commercial	$578	case rate
Aetna	Whole Health	Commercial	$590	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$675	percent of total billed charges
Aetna	Commercial	Commercial	$786	percent of total billed charges
Cigna	OAP/HMO	Commercial	$794	percent of total billed charges
Quick Trip	Commercial	Commercial	$861	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule
PHCS	PPO	Commercial	$998	percent of total billed charges
Cigna	PPO	Commercial	$1,001	percent of total billed charges
Aetna	ASA	Commercial	$1,006	percent of total billed charges
Aetna	Coventry	Commercial	$1,006	percent of total billed charges
Healthsmart	Commercial	Commercial	$1,077	percent of total billed charges
Multiplan	Commercial	Commercial	$1,249	percent of total billed charges
USA	MCO	Commercial	$1,263	percent of total billed charges
Galaxy	Commercial	Commercial	$1,263	percent of total billed charges
Cigna	Indemnity	Commercial	$1,351	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	$96.28	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$101	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$104	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
Aetna	Managed Medicaid	Medicaid / CHIP	$106	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Humana	Medicare Advantage PPO	Medicare Advantage	$109	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	Exchange	Commercial	$303	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$378	case rate
United Healthcare	All Payer	Commercial	$440	case rate
United Healthcare Options	PPO	Commercial	$578	case rate
Aetna	Whole Health	Commercial	$590	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$675	percent of total billed charges
Aetna	Commercial	Commercial	$786	percent of total billed charges
Cigna	OAP/HMO	Commercial	$794	percent of total billed charges
Quick Trip	Commercial	Commercial	$861	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule
PHCS	PPO	Commercial	$998	percent of total billed charges
Cigna	PPO	Commercial	$1,001	percent of total billed charges
Aetna	ASA	Commercial	$1,006	percent of total billed charges
Aetna	Coventry	Commercial	$1,006	percent of total billed charges
Healthsmart	Commercial	Commercial	$1,077	percent of total billed charges
Multiplan	Commercial	Commercial	$1,249	percent of total billed charges
Galaxy	Commercial	Commercial	$1,263	percent of total billed charges
USA	MCO	Commercial	$1,263	percent of total billed charges
Cigna	Indemnity	Commercial	$1,351	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	$96.28	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Amerigroup	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$101	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$104	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
Aetna	Managed Medicaid	Medicaid / CHIP	$106	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	Exchange	Commercial	$303	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$378	percent of total billed charges
United Healthcare	All Payer	Commercial	$440	case rate
United Healthcare Options	PPO	Commercial	$578	case rate
Aetna	Whole Health	Commercial	$590	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$675	percent of total billed charges
Aetna	Commercial	Commercial	$786	percent of total billed charges
Cigna	OAP/HMO	Commercial	$794	percent of total billed charges
Quick Trip	Commercial	Commercial	$861	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule
PHCS	PPO	Commercial	$998	percent of total billed charges
Cigna	PPO	Commercial	$1,001	percent of total billed charges
Aetna	ASA	Commercial	$1,006	percent of total billed charges
Aetna	Coventry	Commercial	$1,006	percent of total billed charges
Healthsmart	Commercial	Commercial	$1,077	percent of total billed charges
Multiplan	Commercial	Commercial	$1,249	percent of total billed charges
Galaxy	Commercial	Commercial	$1,263	percent of total billed charges
USA	MCO	Commercial	$1,263	percent of total billed charges
Cigna	Indemnity	Commercial	$1,351	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	$96.28	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Amerigroup	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$101	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$104	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
Aetna	Managed Medicaid	Medicaid / CHIP	$106	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	Exchange	Commercial	$173	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$378	percent of total billed charges
United Healthcare	All Payer	Commercial	$440	case rate
United Healthcare Options	PPO	Commercial	$578	case rate
Aetna	Whole Health	Commercial	$590	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$675	percent of total billed charges
Aetna	Commercial	Commercial	$786	percent of total billed charges
Cigna	OAP/HMO	Commercial	$794	percent of total billed charges
Quick Trip	Commercial	Commercial	$861	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule
PHCS	PPO	Commercial	$998	percent of total billed charges
Cigna	PPO	Commercial	$1,001	percent of total billed charges
Aetna	Coventry	Commercial	$1,006	percent of total billed charges
Aetna	ASA	Commercial	$1,006	percent of total billed charges
Healthsmart	Commercial	Commercial	$1,077	percent of total billed charges
Multiplan	Commercial	Commercial	$1,249	percent of total billed charges
USA	MCO	Commercial	$1,263	percent of total billed charges
Galaxy	Commercial	Commercial	$1,263	percent of total billed charges
Cigna	Indemnity	Commercial	$1,351	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	$96.28	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$101	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$104	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
Aetna	Managed Medicaid	Medicaid / CHIP	$106	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	Exchange	Commercial	$173	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$378	case rate
United Healthcare	All Payer	Commercial	$440	case rate
United Healthcare Options	PPO	Commercial	$578	case rate
Aetna	Whole Health	Commercial	$590	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$675	percent of total billed charges
Aetna	Commercial	Commercial	$786	percent of total billed charges
Cigna	OAP/HMO	Commercial	$794	percent of total billed charges
Quick Trip	Commercial	Commercial	$861	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule
PHCS	PPO	Commercial	$998	percent of total billed charges
Cigna	PPO	Commercial	$1,001	percent of total billed charges
Aetna	Coventry	Commercial	$1,006	percent of total billed charges
Aetna	ASA	Commercial	$1,006	percent of total billed charges
Healthsmart	Commercial	Commercial	$1,077	percent of total billed charges
Multiplan	Commercial	Commercial	$1,249	percent of total billed charges
Galaxy	Commercial	Commercial	$1,263	percent of total billed charges
USA	MCO	Commercial	$1,263	percent of total billed charges
Cigna	Indemnity	Commercial	$1,351	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	$96.28	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Parkland	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$101	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$102	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$102	case rate
Molina	Managed Medicaid	Medicaid / CHIP	$104	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$104	case rate
Humana	Medicare Advantage	Medicare Advantage	$106	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$107	case rate
Molina	Medicare Advantage	Medicare Advantage	$107	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$107	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$113	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$114	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$116	case rate
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	Exchange	Commercial	$303	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$378	case rate
United Healthcare	All Payer	Commercial	$440	case rate
United Healthcare Options	PPO	Commercial	$578	case rate
Aetna	Whole Health	Commercial	$590	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$675	percent of total billed charges
Aetna	Commercial	Commercial	$786	percent of total billed charges
Cigna	OAP/HMO	Commercial	$794	percent of total billed charges
Quick Trip	Commercial	Commercial	$861	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule
PHCS	PPO	Commercial	$998	percent of total billed charges
Cigna	PPO	Commercial	$1,001	percent of total billed charges
Aetna	Coventry	Commercial	$1,006	percent of total billed charges
Aetna	ASA	Commercial	$1,006	percent of total billed charges
Healthsmart	Commercial	Commercial	$1,077	percent of total billed charges
Multiplan	Commercial	Commercial	$1,249	percent of total billed charges
Galaxy	Commercial	Commercial	$1,263	percent of total billed charges
USA	MCO	Commercial	$1,263	percent of total billed charges
Cigna	Indemnity	Commercial	$1,351	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	$96.28	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Amerigroup	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Parkland	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$101	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$104	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
Aetna	Managed Medicaid	Medicaid / CHIP	$106	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	Exchange	Commercial	$173	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$378	percent of total billed charges
United Healthcare	All Payer	Commercial	$440	case rate
United Healthcare Options	PPO	Commercial	$578	case rate
Aetna	Whole Health	Commercial	$590	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$675	percent of total billed charges
Aetna	Commercial	Commercial	$786	percent of total billed charges
Cigna	OAP/HMO	Commercial	$794	percent of total billed charges
Quick Trip	Commercial	Commercial	$861	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule
PHCS	PPO	Commercial	$998	percent of total billed charges
Cigna	PPO	Commercial	$1,001	percent of total billed charges
Aetna	ASA	Commercial	$1,006	percent of total billed charges
Aetna	Coventry	Commercial	$1,006	percent of total billed charges
Healthsmart	Commercial	Commercial	$1,077	percent of total billed charges
Multiplan	Commercial	Commercial	$1,249	percent of total billed charges
Galaxy	Commercial	Commercial	$1,263	percent of total billed charges
USA	MCO	Commercial	$1,263	percent of total billed charges
Cigna	Indemnity	Commercial	$1,351	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	$96.28	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Amerigroup	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$101	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$104	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	Exchange	Commercial	$173	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$378	case rate
United Healthcare	All Payer	Commercial	$440	case rate
United Healthcare Options	PPO	Commercial	$578	case rate
Aetna	Whole Health	Commercial	$590	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$675	percent of total billed charges
Aetna	Commercial	Commercial	$786	percent of total billed charges
Cigna	OAP/HMO	Commercial	$794	percent of total billed charges
Quick Trip	Commercial	Commercial	$861	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule
PHCS	PPO	Commercial	$998	percent of total billed charges
Cigna	PPO	Commercial	$1,001	percent of total billed charges
Aetna	ASA	Commercial	$1,006	percent of total billed charges
Aetna	Coventry	Commercial	$1,006	percent of total billed charges
Healthsmart	Commercial	Commercial	$1,077	percent of total billed charges
Multiplan	Commercial	Commercial	$1,249	percent of total billed charges
USA	MCO	Commercial	$1,263	percent of total billed charges
Galaxy	Commercial	Commercial	$1,263	percent of total billed charges
Cigna	Indemnity	Commercial	$1,351	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	$96.28	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Parkland	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$101	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$104	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
Aetna	Managed Medicaid	Medicaid / CHIP	$106	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	Exchange	Commercial	$173	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$378	percent of total billed charges
United Healthcare	All Payer	Commercial	$440	case rate
United Healthcare Options	PPO	Commercial	$578	case rate
Aetna	Whole Health	Commercial	$590	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$675	percent of total billed charges
Aetna	Commercial	Commercial	$786	percent of total billed charges
Cigna	OAP/HMO	Commercial	$794	percent of total billed charges
Quick Trip	Commercial	Commercial	$861	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule
PHCS	PPO	Commercial	$998	percent of total billed charges
Cigna	PPO	Commercial	$1,001	percent of total billed charges
Aetna	ASA	Commercial	$1,006	percent of total billed charges
Aetna	Coventry	Commercial	$1,006	percent of total billed charges
Healthsmart	Commercial	Commercial	$1,077	percent of total billed charges
Multiplan	Commercial	Commercial	$1,249	percent of total billed charges
Galaxy	Commercial	Commercial	$1,263	percent of total billed charges
USA	MCO	Commercial	$1,263	percent of total billed charges
Cigna	Indemnity	Commercial	$1,351	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	$96.28	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$101	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$104	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
Aetna	Managed Medicaid	Medicaid / CHIP	$106	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	Exchange	Commercial	$324	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$378	case rate
United Healthcare	All Payer	Commercial	$440	case rate
United Healthcare Options	PPO	Commercial	$578	case rate
Aetna	Whole Health	Commercial	$590	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$675	percent of total billed charges
Aetna	Commercial	Commercial	$786	percent of total billed charges
Cigna	OAP/HMO	Commercial	$794	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule
Cigna	PPO	Commercial	$1,001	percent of total billed charges
Aetna	ASA	Commercial	$1,006	percent of total billed charges
Aetna	Coventry	Commercial	$1,006	percent of total billed charges
Quick Trip	Commercial	Commercial	$1,019	percent of total billed charges
Healthsmart	Commercial	Commercial	$1,077	percent of total billed charges
PHCS	PPO	Commercial	$1,200	percent of total billed charges
Multiplan	Commercial	Commercial	$1,249	percent of total billed charges
Galaxy	Commercial	Commercial	$1,263	percent of total billed charges
USA	MCO	Commercial	$1,263	percent of total billed charges
Cigna	Indemnity	Commercial	$1,351	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	$96.28	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$101	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$101	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$101	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$103	case rate
Molina	Managed Medicaid	Medicaid / CHIP	$104	fee schedule
Humana	Medicare Advantage	Medicare Advantage	$105	case rate
Aetna	Managed Medicaid	Medicaid / CHIP	$106	fee schedule
Amerigroup	Medicare Advantage	Medicare Advantage	$106	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$106	case rate
Molina	Medicare Advantage	Medicare Advantage	$106	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$112	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$113	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$115	case rate
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	Exchange	Commercial	$324	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$378	percent of total billed charges
United Healthcare	All Payer	Commercial	$440	case rate
United Healthcare Options	PPO	Commercial	$578	case rate
Aetna	Whole Health	Commercial	$590	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$675	percent of total billed charges
Aetna	Commercial	Commercial	$786	percent of total billed charges
Cigna	OAP/HMO	Commercial	$794	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule
Cigna	PPO	Commercial	$1,001	percent of total billed charges
Aetna	ASA	Commercial	$1,006	percent of total billed charges
Aetna	Coventry	Commercial	$1,006	percent of total billed charges
Quick Trip	Commercial	Commercial	$1,019	percent of total billed charges
PHCS	PPO	Commercial	$1,200	percent of total billed charges
Healthsmart	Commercial	Commercial	$1,249	percent of total billed charges
Multiplan	Commercial	Commercial	$1,249	percent of total billed charges
Galaxy	Commercial	Commercial	$1,263	percent of total billed charges
USA	MCO	Commercial	$1,263	percent of total billed charges
Cigna	Indemnity	Commercial	$1,351	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	$96.28	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$101	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$104	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
Aetna	Managed Medicaid	Medicaid / CHIP	$106	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	Exchange	Commercial	$173	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$378	case rate
United Healthcare	All Payer	Commercial	$440	case rate
United Healthcare Options	PPO	Commercial	$578	case rate
Aetna	Whole Health	Commercial	$590	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$675	percent of total billed charges
Aetna	Commercial	Commercial	$786	percent of total billed charges
Cigna	OAP/HMO	Commercial	$794	percent of total billed charges
Quick Trip	Commercial	Commercial	$861	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule
PHCS	PPO	Commercial	$998	percent of total billed charges
Cigna	PPO	Commercial	$1,001	percent of total billed charges
Aetna	ASA	Commercial	$1,006	percent of total billed charges
Aetna	Coventry	Commercial	$1,006	percent of total billed charges
Healthsmart	Commercial	Commercial	$1,077	percent of total billed charges
Multiplan	Commercial	Commercial	$1,249	percent of total billed charges
Galaxy	Commercial	Commercial	$1,263	percent of total billed charges
USA	MCO	Commercial	$1,263	percent of total billed charges
Cigna	Indemnity	Commercial	$1,351	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	$96.28	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Parkland	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$101	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$104	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	Exchange	Commercial	$173	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$378	case rate
United Healthcare	All Payer	Commercial	$440	case rate
United Healthcare Options	PPO	Commercial	$578	case rate
Aetna	Whole Health	Commercial	$590	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$675	percent of total billed charges
Aetna	Commercial	Commercial	$786	percent of total billed charges
Cigna	OAP/HMO	Commercial	$794	percent of total billed charges
Quick Trip	Commercial	Commercial	$861	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule
PHCS	PPO	Commercial	$998	percent of total billed charges
Cigna	PPO	Commercial	$1,001	percent of total billed charges
Aetna	ASA	Commercial	$1,006	percent of total billed charges
Aetna	Coventry	Commercial	$1,006	percent of total billed charges
Healthsmart	Commercial	Commercial	$1,077	percent of total billed charges
Multiplan	Commercial	Commercial	$1,249	percent of total billed charges
Galaxy	Commercial	Commercial	$1,263	percent of total billed charges
USA	MCO	Commercial	$1,263	percent of total billed charges
Cigna	Indemnity	Commercial	$1,351	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	$96.28	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Parkland	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$101	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$104	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	Exchange	Commercial	$324	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$378	case rate
United Healthcare	All Payer	Commercial	$440	case rate
United Healthcare Options	PPO	Commercial	$578	case rate
Aetna	Whole Health	Commercial	$590	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$675	percent of total billed charges
Aetna	Commercial	Commercial	$786	percent of total billed charges
Cigna	OAP/HMO	Commercial	$794	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule
Cigna	PPO	Commercial	$1,001	percent of total billed charges
Aetna	ASA	Commercial	$1,006	percent of total billed charges
Aetna	Coventry	Commercial	$1,006	percent of total billed charges
Quick Trip	Commercial	Commercial	$1,019	percent of total billed charges
PHCS	PPO	Commercial	$1,200	percent of total billed charges
Healthsmart	Commercial	Commercial	$1,249	percent of total billed charges
Multiplan	Commercial	Commercial	$1,249	percent of total billed charges
Galaxy	Commercial	Commercial	$1,263	percent of total billed charges
USA	MCO	Commercial	$1,263	percent of total billed charges
Cigna	Indemnity	Commercial	$1,351	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	$96.28	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Amerigroup	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$101	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$104	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	Exchange	Commercial	$173	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$378	case rate
United Healthcare	All Payer	Commercial	$440	case rate
United Healthcare Options	PPO	Commercial	$578	case rate
Aetna	Whole Health	Commercial	$590	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$675	percent of total billed charges
Aetna	Commercial	Commercial	$786	percent of total billed charges
Cigna	OAP/HMO	Commercial	$794	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule
Cigna	PPO	Commercial	$1,001	percent of total billed charges
Aetna	ASA	Commercial	$1,006	percent of total billed charges
Aetna	Coventry	Commercial	$1,006	percent of total billed charges
Quick Trip	Commercial	Commercial	$1,019	percent of total billed charges
Healthsmart	Commercial	Commercial	$1,077	percent of total billed charges
PHCS	PPO	Commercial	$1,200	percent of total billed charges
Multiplan	Commercial	Commercial	$1,249	percent of total billed charges
Galaxy	Commercial	Commercial	$1,263	percent of total billed charges
USA	MCO	Commercial	$1,263	percent of total billed charges
Cigna	Indemnity	Commercial	$1,351	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	$96.28	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$101	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$104	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
Aetna	Managed Medicaid	Medicaid / CHIP	$106	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	Exchange	Commercial	$173	percent of total billed charges
Blue Cross Blue Shield	HMO	Commercial	$294	percent of total billed charges
Blue Cross Blue Shield	PPO	Commercial	$327	percent of total billed charges
Fort Worth Firefighters	Commercial	Commercial	$378	percent of total billed charges
United Healthcare	All Payer	Commercial	$440	case rate
United Healthcare Options	PPO	Commercial	$578	case rate
Aetna	Whole Health	Commercial	$590	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$675	percent of total billed charges
Aetna	Commercial	Commercial	$786	percent of total billed charges
Cigna	OAP/HMO	Commercial	$794	percent of total billed charges
Quick Trip	Commercial	Commercial	$861	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	percent of total billed charges
PHCS	PPO	Commercial	$998	percent of total billed charges
Cigna	PPO	Commercial	$1,001	percent of total billed charges
Aetna	ASA	Commercial	$1,006	percent of total billed charges
Aetna	Coventry	Commercial	$1,006	percent of total billed charges
Healthsmart	Commercial	Commercial	$1,077	percent of total billed charges
Multiplan	Commercial	Commercial	$1,249	percent of total billed charges
Galaxy	Commercial	Commercial	$1,263	percent of total billed charges
USA	MCO	Commercial	$1,263	percent of total billed charges
Cigna	Indemnity	Commercial	$1,351	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	$96.28	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Parkland	Managed Medicaid	Medicaid / CHIP	$96.28	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$101	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$104	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	Exchange	Commercial	$173	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Fort Worth Firefighters	Commercial	Commercial	$378	percent of total billed charges
United Healthcare	All Payer	Commercial	$440	case rate
United Healthcare Options	PPO	Commercial	$578	case rate
Aetna	Whole Health	Commercial	$590	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$675	percent of total billed charges
Aetna	Commercial	Commercial	$786	percent of total billed charges
Cigna	OAP/HMO	Commercial	$794	percent of total billed charges
Quick Trip	Commercial	Commercial	$861	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule
PHCS	PPO	Commercial	$998	percent of total billed charges
Cigna	PPO	Commercial	$1,001	percent of total billed charges
Aetna	Coventry	Commercial	$1,006	percent of total billed charges
Aetna	ASA	Commercial	$1,006	percent of total billed charges
Healthsmart	Commercial	Commercial	$1,077	percent of total billed charges
Multiplan	Commercial	Commercial	$1,249	percent of total billed charges
Galaxy	Commercial	Commercial	$1,263	percent of total billed charges
USA	MCO	Commercial	$1,263	percent of total billed charges
Cigna	Indemnity	Commercial	$1,351	percent of total billed charges

Cook Children's Medical Center: all 31 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
FIRSTCARE	STAR	Medicaid / CHIP	$228	Percent of Total Billed Charges
HEALTH PLAN w/o UHRIP	STAR KIDS	Medicaid / CHIP	$228	Percent of Total Billed Charges
HEALTH PLAN w/o UHRIP	CHIP	Medicaid / CHIP	$228	Percent of Total Billed Charges
RIGHTCARE	STAR	Medicaid / CHIP	$318	Percent of Total Billed Charges
RIGHTCARE	MDC S&W	Medicaid / CHIP	$318	Percent of Total Billed Charges
MOLINA	STAR KIDS	Medicaid / CHIP	$352	Percent of Total Billed Charges
MOLINA	CHIP	Medicaid / CHIP	$352	Percent of Total Billed Charges
MOLINA	STAR	Medicaid / CHIP	$352	Percent of Total Billed Charges
HEALTH PLAN w. UHRIP	STAR	Medicaid / CHIP	$362	Percent of Total Billed Charges
EL PASO HEALTH FIRST	STAR MEDICAID	Medicaid / CHIP	$419	Percent of Total Billed Charges
EL PASO HEALTH FIRST	STAR	Medicaid / CHIP	$419	Percent of Total Billed Charges
EL PASO HEALTH FIRST	CHIP	Medicaid / CHIP	$419	Percent of Total Billed Charges
TX CHILDREN HEALTH	STAR KIDS	Medicaid / CHIP	$419	Percent of Total Billed Charges
TX CHILDREN HEALTH	CHIP	Medicaid / CHIP	$419	Percent of Total Billed Charges
TX CHILDREN HEALTH	STAR	Medicaid / CHIP	$419	Percent of Total Billed Charges
Optum	ALL PRODUCTS	Commercial	$552	Percent of Total Billed Charges
BCBS	HMO	Commercial	$742	Percent of Total Billed Charges
FIRSTCARE	ALL PRODUCTS	Commercial	$761	Percent of Total Billed Charges
BCBS	PPO	Commercial	$799	Percent of Total Billed Charges
S&W HEALTH	ALL PRODUCTS	Commercial	$799	Percent of Total Billed Charges
CIGNA	CIGNA-MGD	Commercial	$809	Percent of Total Billed Charges
HEALTHSCOPE	ALL PRODUCTS	Commercial	$809	Percent of Total Billed Charges
IMAGINE HEALTH	ALL PRODUCTS	Commercial	$809	Percent of Total Billed Charges
UHC	MGD	Commercial	$809	Percent of Total Billed Charges
HUMANA	CONCENTRIC PPO	Commercial	$828	Percent of Total Billed Charges
MULTIPLAN	ALL PRODUCTS	Commercial	$828	Percent of Total Billed Charges
MULTIPLAN	PHCS	Commercial	$828	Percent of Total Billed Charges
FIRST HEALTH	PPO	Commercial	$837	Percent of Total Billed Charges
HUMANA	CHOICECARE PPO	Commercial	$837	Percent of Total Billed Charges
GALAXY HEALTH	ALL PRODUCTS	Commercial	$856	Percent of Total Billed Charges
USAMCO	ALL PRODUCTS	Commercial	$875	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 STAR UHRIP	Medicaid / CHIP	$106	Fee Schedule
Aetna	BETTER HEALTH CHIP	Medicaid / CHIP	$106	Fee Schedule
Aetna	BETTER HEALTH STAR Kids	Medicaid / CHIP	$106	Fee Schedule
EL PASO HEALTH FIRST	STAR	Medicaid / CHIP	$137	Fee Schedule
EL PASO HEALTH FIRST	STAR MEDICAID	Medicaid / CHIP	$137	Fee Schedule
EL PASO HEALTH FIRST	CHIP	Medicaid / CHIP	$137	Fee Schedule
HEALTH PLAN w. UHRIP	STAR	Medicaid / CHIP	$137	Fee Schedule
HEALTH PLAN w/o UHRIP	STAR KIDS	Medicaid / CHIP	$137	Fee Schedule
HEALTH PLAN w/o UHRIP	CHIP	Medicaid / CHIP	$137	Fee Schedule
TX CHILDREN HEALTH	STAR	Medicaid / CHIP	$137	Fee Schedule
TX CHILDREN HEALTH	CHIP	Medicaid / CHIP	$137	Fee Schedule
TX CHILDREN HEALTH	STAR KIDS	Medicaid / CHIP	$137	Fee Schedule
WELLPOINT	CHIP	Medicaid / CHIP	$144	Fee Schedule
WELLPOINT	STAR	Medicaid / CHIP	$144	Fee Schedule
WELLPOINT	STAR PLUS	Medicaid / CHIP	$144	Fee Schedule
BCBS	BCBS TX STAR	Medicaid / CHIP	$148	Fee Schedule
BCBS	CHIP STAR KIDS	Medicaid / CHIP	$148	Fee Schedule
BCBS	CHIP	Medicaid / CHIP	$148	Fee Schedule
SUPERIOR HEALTH	STAR	Medicaid / CHIP	$148	Fee Schedule
SUPERIOR HEALTH	STAR PLUS	Medicaid / CHIP	$148	Fee Schedule
SUPERIOR HEALTH	CHIP	Medicaid / CHIP	$148	Fee Schedule
FIRSTCARE	STAR	Medicaid / CHIP	$151	Fee Schedule
UNITED COMMUNITY	CHIP	Medicaid / CHIP	$151	Fee Schedule
UNITED COMMUNITY	STAR KIDS	Medicaid / CHIP	$151	Fee Schedule
UNITED COMMUNITY	STAR PLUS	Medicaid / CHIP	$151	Fee Schedule
UNITED COMMUNITY	STAR	Medicaid / CHIP	$151	Fee Schedule
Optum	ALL PRODUCTS	Commercial	$419	Percent of Total Billed Charges
BCBS	HMO	Commercial	$742	Percent of Total Billed Charges
FIRSTCARE	ALL PRODUCTS	Commercial	$761	Percent of Total Billed Charges
BCBS	PPO	Commercial	$799	Percent of Total Billed Charges
S&W HEALTH	ALL PRODUCTS	Commercial	$799	Percent of Total Billed Charges
Aetna	ALL PRODUCTS	Commercial	$809	Percent of Total Billed Charges
CIGNA	CIGNA-MGD	Commercial	$809	Percent of Total Billed Charges
HEALTHSCOPE	ALL PRODUCTS	Commercial	$809	Percent of Total Billed Charges
IMAGINE HEALTH	ALL PRODUCTS	Commercial	$809	Percent of Total Billed Charges
UHC	MGD	Commercial	$809	Percent of Total Billed Charges
HUMANA	CONCENTRIC PPO	Commercial	$828	Percent of Total Billed Charges
MULTIPLAN	ALL PRODUCTS	Commercial	$828	Percent of Total Billed Charges
MULTIPLAN	PHCS	Commercial	$828	Percent of Total Billed Charges
FIRST HEALTH	PPO	Commercial	$837	Percent of Total Billed Charges
HUMANA	CHOICECARE PPO	Commercial	$837	Percent of Total Billed Charges
BCBS	Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity	Commercial	$856	Percent of Total Billed Charges
GALAXY HEALTH	ALL PRODUCTS	Commercial	$856	Percent of Total Billed Charges
Healthsmart	ALL PRODUCTS	Commercial	$856	Percent of Total Billed Charges
USAMCO	ALL PRODUCTS	Commercial	$875	Percent of Total Billed Charges

What this price covers

These are hospital charges for CPT code 76856 (Complete pelvic ultrasound). 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.

Pelvic ultrasound in other cities

Compare Pelvic ultrasound prices across all cities →

Houston, TXCash $102–$6,351 Phoenix, AZCash $71–$1,639 Austin, TXCash $134–$586

Other ultrasound prices in Dallas–Fort Worth

Abdominal ultrasoundCPT 76700 Transvaginal ultrasoundCPT 76830 Thyroid ultrasoundCPT 76536 Breast ultrasoundCPT 76641