Chest X-ray 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 71046; Medicaid and Medicare Advantage are shown separately below.
| Hospital | Published cash price | Typical insured rate | Lowest insured rate |
|---|---|---|---|
| Texas Health Harris Methodist Hospital Fort WorthTexas Health Resources · file Apr 2026 | $78–$457Cash ÷ typical 0.8× | $96.9421 plans | $53.07 |
| Methodist Celina Medical CenterMethodist Health System · file Mar 2026 | $195Cash ÷ typical 1.1× | $17519 plans | $114 |
| Methodist Dallas Medical CenterMethodist Health System · file Mar 2026 | $195Cash ÷ typical 1.3× | $14433 plans | $93.54 |
| Methodist Mansfield Medical CenterMethodist Health System · file Mar 2026 | $195Cash ÷ typical 1.2× | $15827 plans | $93.70 |
| Methodist Midlothian Medical CenterMethodist Health System · file Mar 2026 | $195Cash ÷ typical 1.3× | $14620 plans | $93.54 |
| Methodist Richardson Medical CenterMethodist Health System · file Mar 2026 | $195Cash ÷ typical 1.2× | $16027 plans | $93.54 |
| Methodist Southlake Medical CenterMethodist Health System · file Mar 2026 | $195Cash ÷ typical 1.3× | $15033 plans | $82.54 |
| Parkland Health (Parkland Memorial Hospital)Parkland Health · file May 2026 | $272Cash ÷ typical 0.6× | $45311 plans | $122 |
| UT Southwestern William P. Clements Jr. University HospitalUT Southwestern Medical Center · file Mar 2026 | $334Cash ÷ typical 0.8× | $43219 plans | $258 |
| Baylor Scott & White Medical Center – Lake PointeBaylor Scott & White Health · file Jun 2026 | $394Cash ÷ typical 1.1× | $36130 plans | $75.00 |
| Baylor Scott & White The Heart Hospital – DentonBaylor Scott & White Health · file Jun 2026 | $394Cash ÷ typical 1.1× | $36129 plans | $105 |
| Baylor Scott & White The Heart Hospital – McKinneyBaylor Scott & White Health · file Jun 2026 | $394Cash ÷ typical 1.1× | $37122 plans | $160 |
| Baylor Scott & White The Heart Hospital – PlanoBaylor Scott & White Health · file Jun 2026 | $394Cash ÷ typical 1.1× | $36129 plans | $105 |
| Baylor Scott & White All Saints Medical Center – Fort WorthBaylor Scott & White Health · file Jun 2026 | $394Cash ÷ typical 1.1× | $36129 plans | $105 |
| Baylor Scott & White Medical Center – Frisco at PGA ParkwayBaylor Scott & White Health · file Jun 2026 | $394Cash ÷ typical 1.1× | $36128 plans | $105 |
| Baylor Scott & White Medical Center – McKinneyBaylor Scott & White Health · file Jun 2026 | $394Cash ÷ typical 1.1× | $36129 plans | $105 |
| Baylor Scott & White Medical Center – GrapevineBaylor Scott & White Health · file Jun 2026 | $394Cash ÷ typical 1.1× | $36129 plans | $105 |
| Baylor University Medical CenterBaylor Scott & White Health · file Jun 2026 | $394Cash ÷ typical 1.1× | $36130 plans | $105 |
| Baylor Scott & White Medical Center – WaxahachieBaylor Scott & White Health · file Jun 2026 | $394Cash ÷ typical 1.1× | $36129 plans | $105 |
| Baylor Scott & White Medical Center – IrvingBaylor Scott & White Health · file Jun 2026 | $394Cash ÷ typical 1.1× | $36129 plans | $105 |
| Baylor Scott & White Heart and Vascular Hospital – DallasBaylor Scott & White Health · file Jun 2026 | $394Cash ÷ typical 1.1× | $36128 plans | $105 |
| Baylor Scott & White Heart and Vascular Hospital – WaxahachieBaylor Scott & White Health · file Jun 2026 | $394Cash ÷ typical 1.1× | $36123 plans | $105 |
| Baylor Scott & White Medical Center – PlanoBaylor Scott & White Health · file Jun 2026 | $394Cash ÷ typical 1.1× | $36131 plans | $105 |
| Baylor Scott & White Medical Center – CentennialBaylor Scott & White Health · file Jun 2026 | $394Cash ÷ typical 1.1× | $36129 plans | $105 |
| Texas Health Harris Methodist Hospital SouthlakeTexas Health Resources · file Apr 2026 | $457Cash ÷ typical 0.9× | $53121 plans | $210 |
| Texas Health Hospital RockwallTexas Health Resources · file Apr 2026 | $457Cash ÷ typical 0.9× | $53121 plans | $210 |
| Texas Health Heart & Vascular Hospital ArlingtonTexas Health Resources · file Apr 2026 | $457Cash ÷ typical 0.9× | $53121 plans | $210 |
| Texas Health Presbyterian Hospital Flower MoundTexas Health Resources · file Apr 2026 | $457Cash ÷ typical 0.9× | $53121 plans | $210 |
| Texas Health Presbyterian Hospital DentonTexas Health Resources · file Apr 2026 | $457Cash ÷ typical 0.9× | $53121 plans | $123 |
| Texas Health Harris Methodist Hospital AllianceTexas Health Resources · file Apr 2026 | $457Cash ÷ typical 0.9× | $53121 plans | $123 |
| Texas Health Center for Diagnostics and Surgery PlanoTexas Health Resources · file Apr 2026 | $457Cash ÷ typical 0.9× | $53121 plans | $210 |
| Texas Health Arlington Memorial HospitalTexas Health Resources · file Apr 2026 | $457Cash ÷ typical 0.9× | $53121 plans | $123 |
| Texas Health Presbyterian Hospital DallasTexas Health Resources · file Apr 2026 | $457Cash ÷ typical 0.9× | $53121 plans | $123 |
| Texas Health Harris Methodist Hospital Hurst-Euless-BedfordTexas Health Resources · file Apr 2026 | $457Cash ÷ typical 0.9× | $53121 plans | $123 |
| Texas Health Harris Methodist Hospital AzleTexas Health Resources · file Apr 2026 | $457Cash ÷ typical 0.9× | $53421 plans | $210 |
| Texas Health Harris Methodist Hospital CleburneTexas Health Resources · file Apr 2026 | $457Cash ÷ typical 0.9× | $53421 plans | $210 |
| Texas Health Hospital ClearforkTexas Health Resources · file Apr 2026 | $457Cash ÷ typical 0.9× | $53121 plans | $123 |
| Texas Health Presbyterian Hospital PlanoTexas Health Resources · file Apr 2026 | $457Cash ÷ typical 0.9× | $53121 plans | $123 |
| Texas Health Presbyterian Hospital KaufmanTexas Health Resources · file Apr 2026 | $457Cash ÷ typical 0.9× | $53421 plans | $210 |
| Texas Health Presbyterian Hospital AllenTexas Health Resources · file Apr 2026 | $457Cash ÷ typical 0.9× | $53421 plans | $123 |
| Texas Health Hospital FriscoTexas Health Resources · file Apr 2026 | $457Cash ÷ typical 0.9× | $53121 plans | $123 |
| Cook Children's Medical CenterCook Children's · children's hospital (not in the summary above) · file Jan 2026 | $54–$501Cash ÷ typical 0.9× | $60.9519 plans | $31.55 |
| Cook Children's Medical Center – ProsperCook Children's · children's hospital (not in the summary above) · file Jan 2026 | $501Cash ÷ typical 0.9× | $56719 plans | $294 |
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Negotiated rates by insurer
If you have a high deductible, you usually pay the rate your insurer negotiated until you meet it. Ranges cover every plan of that insurer in the file; open a hospital to see plan by plan.
| Hospital | Blue Cross Blue Shield | Aetna | Cigna | UnitedHealthcare | Humana | Oscar | Ambetter | Medicaid / CHIP | Medicare Advantage |
|---|---|---|---|---|---|---|---|---|---|
| Texas Health Harris Methodist Hospital Fort Worth | $123–$630 | $53.07–$90.60 | $71–$122 | $551–$722 | — | — | — | $33.75–$96.16 | $87.42–$98.79 |
| Methodist Celina Medical Center | $146–$278 | $142 | — | — | — | $114 | — | $37.13 | $87.42–$93.54 |
| Methodist Dallas Medical Center | $135–$256 | $97–$142 | $162 | $93.54 | — | $114 | $149 | $32–$138 | $87.42–$94.42 |
| Methodist Mansfield Medical Center | $135–$256 | $142 | $162 | $93.70 | — | $114 | $150 | $32–$144 | $87.57–$94.57 |
| Methodist Midlothian Medical Center | — | $142 | $162 | $93.54 | — | $114 | $149 | $32–$138 | $87.42–$94.42 |
| Methodist Richardson Medical Center | $160–$305 | $142 | $162 | $93.54 | — | $114 | $149 | $32–$138 | $87.42–$94.42 |
| Methodist Southlake Medical Center | $135–$256 | $83–$363 | $162 | $94–$453 | — | $114 | $150 | $32–$144 | $87.57–$94.57 |
| Parkland Health (Parkland Memorial Hospital) | $122–$489 | $407 | $407 | $453 | — | — | — | $34–$180 | $142–$144 |
| UT Southwestern William P. Clements Jr. University Hospital | $280–$487 | $258–$323 | $491 | $357–$482 | — | — | — | $33.75–$37.13 | $88.05–$99.50 |
| Baylor Scott & White Medical Center – Lake Pointe | $183–$386 | $361 | $324–$381 | $408–$454 | $459 | — | $188 | $33.75–$36.11 | $83.05–$97.91 |
| Baylor Scott & White The Heart Hospital – Denton | $160–$337 | $361 | $324–$381 | $408–$454 | $459 | — | $188 | $33.75–$36.11 | $83.05–$97.91 |
| Baylor Scott & White The Heart Hospital – McKinney | $160–$337 | $361 | $324–$381 | $408–$454 | $459 | — | — | $36.11 | $83.05–$97.91 |
| Baylor Scott & White The Heart Hospital – Plano | $160–$337 | $361 | $324–$381 | $408–$454 | $459 | — | $188 | $33.75–$36.11 | $83.05–$97.91 |
| Baylor Scott & White All Saints Medical Center – Fort Worth | $160–$337 | $361 | $324–$381 | $408–$454 | $459 | — | $188 | $33.75–$36.11 | $83.05–$97.91 |
| Baylor Scott & White Medical Center – Frisco at PGA Parkway | $160–$337 | $361 | $324–$381 | $408–$454 | $459 | — | $188 | $33.75 | $83.05–$97.91 |
| Baylor Scott & White Medical Center – McKinney | $160–$337 | $361 | $324–$381 | $408–$454 | $459 | — | $188 | $33.75–$36.11 | $83.05–$97.91 |
| Baylor Scott & White Medical Center – Grapevine | $160–$337 | $361 | $324–$381 | $408–$454 | $459 | — | $188 | $33.75–$36.11 | $83.19–$98.08 |
| Baylor University Medical Center | $160–$337 | $361 | $324–$381 | $408–$454 | $459 | — | $188 | $33.75–$36.11 | $83.05–$97.91 |
| Baylor Scott & White Medical Center – Waxahachie | $160–$337 | $361 | $324–$381 | $408–$454 | $459 | — | $188 | $33.75–$36.11 | $83.05–$97.91 |
| Baylor Scott & White Medical Center – Irving | $160–$337 | $361 | $324–$381 | $408–$454 | $459 | — | $188 | $33.75–$36.11 | $83.05–$97.91 |
| Baylor Scott & White Heart and Vascular Hospital – Dallas | $160–$337 | $361 | $324–$381 | $408–$454 | $459 | — | $188 | $33.75–$36.11 | $83.05–$97.91 |
| Baylor Scott & White Heart and Vascular Hospital – Waxahachie | $160–$337 | $361 | — | $408–$454 | $459 | — | — | — | $83.05–$91.79 |
| Baylor Scott & White Medical Center – Plano | $160–$337 | $361 | $324–$381 | $408–$454 | $459 | — | $188 | $33.75–$36.11 | $83.05–$97.91 |
| Baylor Scott & White Medical Center – Centennial | $183–$386 | $361 | $324–$381 | $408–$454 | $459 | — | $188 | $33.75–$36.11 | $83.05–$97.91 |
| Texas Health Harris Methodist Hospital Southlake | $210–$630 | $313–$534 | $421–$717 | $551–$722 | — | — | — | $33.75–$96.32 | $87.57–$98.95 |
| Texas Health Hospital Rockwall | $210–$630 | $313–$534 | $421–$717 | $551–$722 | — | — | — | $33.75–$96.16 | $87.42–$98.79 |
| Texas Health Heart & Vascular Hospital Arlington | $210–$630 | $313–$534 | $421–$717 | $551–$722 | — | — | — | $33.75–$96.32 | $87.57–$98.95 |
| Texas Health Presbyterian Hospital Flower Mound | $210–$630 | $313–$534 | $421–$717 | $551–$722 | — | — | — | $33.75–$96.16 | $87.42–$98.79 |
| Texas Health Presbyterian Hospital Denton | $123–$630 | $313–$534 | $421–$717 | $551–$722 | — | — | — | $33.75–$96.16 | $87.42–$98.79 |
| Texas Health Harris Methodist Hospital Alliance | $123–$630 | $313–$534 | $421–$717 | $551–$722 | — | — | — | $33.75–$96.32 | $87.57–$98.95 |
| Texas Health Center for Diagnostics and Surgery Plano | $210–$630 | $313–$534 | $421–$717 | $551–$722 | — | — | — | $33.75–$93.15 | $84.68–$95.69 |
| Texas Health Arlington Memorial Hospital | $123–$630 | $313–$534 | $421–$717 | $551–$722 | — | — | — | $33.75–$96.32 | $87.57–$98.95 |
| Texas Health Presbyterian Hospital Dallas | $123–$630 | $313–$534 | $421–$717 | $551–$722 | — | — | — | $33.75–$96.16 | $87.42–$98.79 |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | $123–$630 | $313–$534 | $421–$717 | $551–$722 | — | — | — | $33.75–$96.32 | $87.57–$98.95 |
| Texas Health Harris Methodist Hospital Azle | $210–$630 | $313–$534 | $421–$717 | $551–$722 | — | — | — | $33.75–$96.32 | $87.57–$98.95 |
| Texas Health Harris Methodist Hospital Cleburne | $210–$630 | $313–$534 | $421–$717 | $551–$722 | — | — | — | $33.75–$92.37 | $83.98–$94.89 |
| Texas Health Hospital Clearfork | $123–$630 | $313–$534 | $421–$717 | $551–$722 | — | — | — | $33.75–$96.32 | $87.57–$98.95 |
| Texas Health Presbyterian Hospital Plano | $123–$630 | $313–$534 | $421–$717 | $551–$722 | — | — | — | $33.75–$96.16 | $87.42–$98.79 |
| Texas Health Presbyterian Hospital Kaufman | $210–$630 | $313–$534 | $421–$717 | $551–$722 | — | — | — | $33.75–$96.16 | $87.42–$98.79 |
| Texas Health Presbyterian Hospital Allen | $123–$630 | $313–$534 | $421–$717 | $551–$722 | — | — | — | $33.75–$96.16 | $87.42–$98.79 |
| Texas Health Hospital Frisco | $123–$630 | $313–$534 | $421–$717 | $551–$722 | — | — | — | $33.75–$96.16 | $87.42–$98.79 |
| Cook Children's Medical Center | $55.93–$64.53 | $60.95 | $60.95 | $60.95 | $62.38–$63.10 | — | — | $17–$120 | — |
| Cook Children's Medical Center – Prosper | $521–$601 | $567 | $567 | $567 | $581–$587 | — | — | $32–$120 | — |
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 | $33.75 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $35.44 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $36.45 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $37.13 | fee schedule |
| Aetna | Whole Health | Commercial | $53.07 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $56.78 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $60.75 | percent of total billed charges |
| Aetna | Commercial | Commercial | $70.76 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $71.45 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $77.55 | percent of total billed charges |
| American Health | Medicare Advantage | Medicare Advantage | $87.42 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $87.42 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $89.17 | case rate |
| PHCS | PPO | Commercial | $89.83 | percent of total billed charges |
| Cigna | PPO | Commercial | $90.09 | percent of total billed charges |
| Aetna | ASA | Commercial | $90.60 | percent of total billed charges |
| Aetna | Coventry | Commercial | $90.60 | percent of total billed charges |
| Humana | Medicare Advantage | Medicare Advantage | $90.92 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $91.79 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $91.79 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $91.79 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $96.16 | case rate |
| Healthsmart | Commercial | Commercial | $96.94 | percent of total billed charges |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $97.04 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $98.79 | case rate |
| Multiplan | Commercial | Commercial | $112 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $114 | percent of total billed charges |
| USA | MCO | Commercial | $114 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $122 | percent of total billed charges |
| Blue Cross Blue Shield | Exchange | Commercial | $123 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $210 | percent of total billed charges |
| Blue Cross Blue Shield | PPO | Commercial | $233 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $630 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
Methodist Celina Medical Center: all 33 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| SUPERIOR MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MCEL | Medicaid / CHIP | $37.13 | fee schedule |
| TRICARE | MHS HB TRICARE MCEL | Military / VA | $84.68 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MCEL | Medicare Advantage | $87.42 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MCEL | Medicare Advantage | $87.42 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MCEL | Medicare Advantage | $87.42 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MCEL | Medicare Advantage | $87.42 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MCEL | Medicare Advantage | $87.42 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MCEL | Medicare Advantage | $91.79 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MCEL | Medicare Advantage | $91.79 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MCEL | Medicare Advantage | $92.67 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MCEL | Medicare Advantage | $92.67 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MCEL | Medicare Advantage | $92.67 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MCEL | Medicare Advantage | $93.54 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MCEL | Commercial | $114 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MCEL | Commercial | $127 | other |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MCEL | Commercial | $136 | other |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MCEL | Commercial | $140 | other |
| AETNA | MHS HB AETNA CVS MCEL | Commercial | $142 | other |
| AETNA | MHS HB AETNA EXCHANGE MCEL | Commercial | $142 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MCEL | Commercial | $144 | other |
| BCBS | MHS HB BCBS MY BLUE HEALTH MCEL | Commercial | $146 | fee schedule |
| SANA BENEFITS | MHS HB SANA MCEL | Commercial | $175 | other |
| VELOCITY | MHS HB VELOCITY MCEL | Commercial | $175 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MCEL | Workers' comp | $175 | other |
| EVRY HEALTH | MHS HB EVRY MCEL | Commercial | $175 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MCEL | Commercial | $219 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MCEL | Commercial | $219 | other |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL | Commercial | $241 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MCEL | Commercial | $241 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MCEL | Commercial | $250 | fee schedule |
| BCBS | MHS HB BCBS HMO MCEL | Commercial | $255 | fee schedule |
| BCBS | MHS HB BCBS PPO MCEL | Commercial | $278 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MCEL | Commercial | $278 | 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 | $32.06 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MDMC | Medicare Advantage | $87.42 | other |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MDMC | Public program | $87.42 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MDMC | Medicare Advantage | $87.42 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MDMC | Medicare Advantage | $87.42 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MDMC | Medicare Advantage | $87.42 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MDMC | Medicare Advantage | $87.42 | other |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MDMC | Medicare Advantage | $89.17 | other |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MDMC | Medicare Advantage | $91.79 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MDMC | Medicare Advantage | $91.79 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MDMC | Medicare Advantage | $91.79 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MDMC | Medicare Advantage | $91.79 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MDMC | Medicare Advantage | $92.67 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MDMC | Medicare Advantage | $92.67 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MDMC | Medicare Advantage | $92.67 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MDMC | Commercial | $93.54 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MDMC | Medicare Advantage | $93.54 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MDMC | Medicare Advantage | $94.42 | other |
| AETNA COMMERCIAL | MHS HB AETNA TX PREF PLUS II MDMC | Commercial | $97.18 | fee schedule |
| AETNA | MHS HB AETNA BAYLOR SCOTT AND WHITE MDMC | Commercial | $102 | fee schedule |
| AETNA COMMERCIAL | MHS HB AETNA TEXAS ADVANTAGE MDMC | Commercial | $103 | fee schedule |
| AETNA MANAGED CARE | MHS HB AETNA WHOLE HEALTH MDMC | Commercial | $103 | fee schedule |
| CORALVITA | MHS HB VIBRA MRMC MCMC MDMC | Commercial | $105 | other |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MDMC | Commercial | $109 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MDMC | Commercial | $114 | other |
| AETNA | MHS HB AETNA HMO PPO MDMC | Commercial | $114 | fee schedule |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MDMC | Commercial | $122 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MDMC | Commercial | $127 | other |
| BCBS | MHS HB BCBS MY BLUE HEALTH MDMC | Commercial | $135 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MDMC | Commercial | $136 | other |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MDMC | Medicaid / CHIP | $138 | fee schedule |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MDMC | Commercial | $140 | other |
| AETNA | MHS HB AETNA EXCHANGE MDMC | Commercial | $142 | other |
| AETNA | MHS HB AETNA CVS MDMC | Commercial | $142 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MDMC | Commercial | $144 | other |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MDMC | Commercial | $149 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MDMC | Commercial | $149 | other |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MDMC | Commercial | $157 | other |
| CIGNA | MHS HB CUSTOM INK MDMC | Commercial | $162 | other |
| EVRY HEALTH | MHS HB EVRY MDMC | Commercial | $175 | other |
| SANA BENEFITS | MHS HB SANA MDMC | Commercial | $175 | other |
| VELOCITY | MHS HB VELOCITY MDMC | Commercial | $175 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MDMC | Workers' comp | $175 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MDMC | Commercial | $219 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MDMC | Commercial | $219 | other |
| BCBS | MHS HB BCBS PREMIER MDMC | Commercial | $222 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MDMC | Commercial | $222 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MDMC | Commercial | $231 | fee schedule |
| BCBS | MHS HB BCBS HMO MDMC | Commercial | $235 | fee schedule |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MDMC | Commercial | $236 | other |
| BCBS | MHS HB BCBS PPO MDMC | Commercial | $256 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MDMC | Commercial | $256 | 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 | $32.06 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MMMC | Medicare Advantage | $87.57 | other |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MMMC | Public program | $87.57 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MMMC | Medicare Advantage | $87.57 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MMMC | Medicare Advantage | $87.57 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MMMC | Medicare Advantage | $87.57 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MMMC | Medicare Advantage | $87.57 | other |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MMMC | Medicare Advantage | $89.32 | other |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MMMC | Medicare Advantage | $91.94 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MMMC | Medicare Advantage | $91.94 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MMMC | Medicare Advantage | $91.94 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MMMC | Medicare Advantage | $91.94 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MMMC | Medicare Advantage | $92.82 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MMMC | Medicare Advantage | $92.82 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MMMC | Medicare Advantage | $92.82 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MMMC | Commercial | $93.70 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MMMC | Medicare Advantage | $93.70 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MMMC | Medicare Advantage | $94.57 | other |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MMMC | Commercial | $109 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MMMC | Commercial | $114 | other |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MMMC | Medicaid / CHIP | $119 | fee schedule |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MMMC | Commercial | $123 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MMMC | Commercial | $127 | other |
| BCBS | MHS HB BCBS MY BLUE HEALTH MMMC | Commercial | $135 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MMMC | Commercial | $136 | other |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MMMC | Commercial | $140 | other |
| AETNA | MHS HB AETNA EXCHANGE MMMC | Commercial | $142 | other |
| AETNA | MHS HB AETNA CVS MMMC | Commercial | $142 | other |
| WELLPOINT MEDICAID MANAGED CARE | MHS HB WELLPOINT MEDICAID STAR MMMC | Medicaid / CHIP | $144 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MMMC | Commercial | $144 | other |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MMMC | Commercial | $149 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MMMC | Commercial | $150 | other |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MMMC | Commercial | $158 | other |
| CIGNA | MHS HB CUSTOM INK MMMC | Commercial | $162 | other |
| EVRY HEALTH | MHS HB EVRY MMMC | Commercial | $175 | other |
| SANA BENEFITS | MHS HB SANA MMMC | Commercial | $175 | other |
| VELOCITY | MHS HB VELOCITY MMMC | Commercial | $175 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MMMC | Workers' comp | $175 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MMMC | Commercial | $219 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MMMC | Commercial | $219 | other |
| BCBS | MHS HB BCBS PREMIER MMMC | Commercial | $222 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MMMC | Commercial | $222 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MMMC | Commercial | $231 | fee schedule |
| BCBS | MHS HB BCBS HMO MMMC | Commercial | $235 | fee schedule |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MMMC | Commercial | $236 | other |
| BCBS | MHS HB BCBS PPO MMMC | Commercial | $256 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MMMC | Commercial | $256 | 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 | $32.06 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MLMC | Medicare Advantage | $87.42 | other |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MLMC | Public program | $87.42 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MLMC | Medicare Advantage | $87.42 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MLMC | Medicare Advantage | $87.42 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MLMC | Medicare Advantage | $87.42 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MLMC | Medicare Advantage | $87.42 | other |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MLMC | Medicare Advantage | $89.17 | other |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MLMC | Medicare Advantage | $91.79 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MLMC | Medicare Advantage | $91.79 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MLMC | Medicare Advantage | $91.79 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MLMC | Medicare Advantage | $91.79 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MLMC | Medicare Advantage | $92.67 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MLMC | Medicare Advantage | $92.67 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MLMC | Medicare Advantage | $92.67 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MLMC | Commercial | $93.54 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MLMC | Medicare Advantage | $93.54 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MLMC | Medicare Advantage | $94.42 | other |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MLMC | Commercial | $109 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MLMC | Commercial | $114 | other |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MLMC | Commercial | $122 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MLMC | Commercial | $127 | other |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MLMC | Commercial | $136 | other |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MLMC | Medicaid / CHIP | $138 | fee schedule |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MLMC | Commercial | $140 | other |
| AETNA | MHS HB AETNA EXCHANGE MLMC | Commercial | $142 | other |
| AETNA | MHS HB AETNA CVS MLMC | Commercial | $142 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MLMC | Commercial | $144 | other |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MLMC | Commercial | $149 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MLMC | Commercial | $149 | other |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MLMC | Commercial | $157 | other |
| CIGNA | MHS HB CUSTOM INK MLMC | Commercial | $162 | other |
| EVRY HEALTH | MHS HB EVRY MLMC | Commercial | $175 | other |
| SANA BENEFITS | MHS HB SANA MLMC | Commercial | $175 | other |
| VELOCITY | MHS HB VELOCITY MLMC | Commercial | $175 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MLMC | Workers' comp | $175 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MLMC | Commercial | $219 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MLMC | Commercial | $219 | other |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MLMC | Commercial | $236 | other |
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 | $32.06 | fee schedule |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MRMC | Medicare Advantage | $87.42 | other |
| COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND | MHS HB UNINSURED COVID-19 MRMC | Public program | $87.42 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MRMC | Medicare Advantage | $87.42 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MRMC | Medicare Advantage | $87.42 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MRMC | Medicare Advantage | $87.42 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MRMC | Medicare Advantage | $87.42 | other |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MRMC | Medicare Advantage | $89.17 | other |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MRMC | Medicare Advantage | $91.79 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MRMC | Medicare Advantage | $91.79 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MRMC | Medicare Advantage | $91.79 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MRMC | Medicare Advantage | $91.79 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MRMC | Medicare Advantage | $92.67 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MRMC | Medicare Advantage | $92.67 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MRMC | Medicare Advantage | $92.67 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MRMC | Commercial | $93.54 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MRMC | Medicare Advantage | $93.54 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MRMC | Medicare Advantage | $94.42 | other |
| CORALVITA | MHS HB VIBRA MRMC MCMC MDMC | Commercial | $105 | other |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MRMC | Commercial | $109 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MRMC | Commercial | $114 | other |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MRMC | Commercial | $122 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MRMC | Commercial | $127 | other |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MRMC | Commercial | $136 | other |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MRMC | Medicaid / CHIP | $138 | fee schedule |
| AETNA | MHS HB AETNA EXCHANGE MRMC | Commercial | $142 | other |
| AETNA | MHS HB AETNA CVS MRMC | Commercial | $142 | other |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MRMC | Commercial | $144 | other |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MRMC | Commercial | $149 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MRMC | Commercial | $149 | other |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MRMC | Commercial | $157 | other |
| BCBS | MHS HB BCBS MY BLUE HEALTH MRMC | Commercial | $160 | fee schedule |
| CIGNA | MHS HB CUSTOM INK MRMC | Commercial | $162 | other |
| EVRY HEALTH | MHS HB EVRY MRMC | Commercial | $175 | other |
| SANA BENEFITS | MHS HB SANA MRMC | Commercial | $175 | other |
| VELOCITY | MHS HB VELOCITY MRMC | Commercial | $175 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MRMC | Commercial | $219 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MRMC | Commercial | $219 | other |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MRMC | Commercial | $236 | other |
| BCBS | MHS HB BCBS PREMIER MRMC | Commercial | $264 | fee schedule |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MRMC | Commercial | $264 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MRMC | Commercial | $275 | fee schedule |
| BCBS | MHS HB BCBS HMO MRMC | Commercial | $280 | fee schedule |
| BCBS | MHS HB BCBS PPO MRMC | Commercial | $305 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MRMC | Commercial | $305 | 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 | $32.06 | fee schedule |
| AETNA COMMERCIAL | MHS HB AETNA TX PREF PLUS II MSMC | Commercial | $82.54 | fee schedule |
| TRICARE | MHS HB TRICARE MSMC | Military / VA | $84.12 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE COMPLETE MSMC | Medicare Advantage | $87.57 | other |
| AETNA MEDICARE MANAGED CARE | MHS HB AETNA GOLDEN MSMC | Medicare Advantage | $87.57 | other |
| BCBS MEDICARE MANAGED CARE | MHS HB BCBS MEDICARE ADVANTAGE MSMC | Medicare Advantage | $87.57 | other |
| GENERIC MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE PART A & B MSMC | Medicare Advantage | $87.57 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC MEDICARE DIRECT MSMC | Medicare Advantage | $87.57 | other |
| MUTUAL OF OMAHA MEDICARE MANAGED CARE | MHS HB MUTUAL OF OMAHA MSMC | Medicare Advantage | $89.32 | other |
| GLOBALHEALTH | MHS HB GLOBAL HEALTH MSMC | Medicare Advantage | $91.94 | other |
| CARE N CARE MEDICARE MANAGED CARE | MHS HB SCOTT AND WHITE MEDICARE MSMC | Medicare Advantage | $91.94 | other |
| MOLINA MEDICARE MANAGED CARE | MHS HB MOLINA MEDICARE MSMC | Medicare Advantage | $91.94 | other |
| CIGNA MEDICARE | MHS HB 105% MEDICARE MSMC | Medicare Advantage | $91.94 | other |
| HUMANA COMMERCIAL | MHS HB HUMANA MEDICARE MSMC | Medicare Advantage | $92.82 | other |
| WELLPOINT MEDICARE MANAGED CARE | MHS HB MANAGED MEDICARE 106% MSMC | Medicare Advantage | $92.82 | other |
| UNITED HEALTHCARE MEDICARE MANAGED CARE | MHS HB UHC WELLMED MSMC | Medicare Advantage | $92.82 | other |
| UNITED HEALTHCARE MANAGED CARE | MHS HB UHC EXCHANGE MSMC | Commercial | $93.70 | other |
| MULTIPLAN MEDICARE MANAGED CARE | MHS HB MULTIPLAN ADVANTAGE MSMC | Medicare Advantage | $93.70 | other |
| PROVIDER PARTNERS HEALTH PLAN | MHS HB PROVIDERS PARTNER HEALTH MSMC | Medicare Advantage | $94.57 | other |
| AETNA COMMERCIAL | MHS HB AETNA TEXAS ADVANTAGE MSMC | Commercial | $97.93 | fee schedule |
| AETNA MANAGED CARE | MHS HB AETNA WHOLE HEALTH MSMC | Commercial | $97.93 | fee schedule |
| AETNA | MHS HB AETNA HMO PPO MSMC | Commercial | $109 | fee schedule |
| ALTERNATIVE SERVICE CONCEPTS | MHS HB CITY OF PLANO MSMC | Commercial | $109 | other |
| OSCAR INSURANCE COMPANY | MHS HB OSCAR HMO MSMC | Commercial | $114 | other |
| MOLINA MEDICAID MANAGED CARE | MHS HB MEDICAID 110% STAR PLUS MSMC | Medicaid / CHIP | $119 | fee schedule |
| BRIGHT HEALTHCARE | MHS HB BRIGHT HEALTH MSMC | Commercial | $123 | other |
| MOLINA | MHS HB MOLINA MARKETPLACE MSMC | Commercial | $127 | other |
| BCBS | MHS HB BCBS MY BLUE HEALTH MSMC | Commercial | $135 | fee schedule |
| WELLPOINT MARKETPLACE EXCHANGE | MHS HB WELLPOINT TEXAS ESSENTIALS MSMC | Commercial | $136 | other |
| KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS | MHS HB TOWER EXTRUSIONS MSMC | Commercial | $140 | other |
| AETNA | MHS HB AETNA EXCHANGE MSMC | Commercial | $142 | other |
| AETNA | MHS HB AETNA CVS MSMC | Commercial | $142 | other |
| WELLPOINT MEDICAID MANAGED CARE | MHS HB WELLPOINT MEDICAID STAR MSMC | Medicaid / CHIP | $144 | fee schedule |
| ENTRUST/90 DEGREE | MHS HB 90 DEGREE MSMC | Commercial | $144 | other |
| FRIDAY HEALTH PLAN | MHS HB FRIDAY HEALTH MSMC | Commercial | $149 | other |
| AMBETTER SUPERIOR | MHS HB AMBETTER SUPERIOR MSMC | Commercial | $150 | other |
| IMPERIAL INSURANCE COMPANIES | MHS HB IMPERIAL MANAGED CARE MSMC | Commercial | $158 | other |
| CIGNA | MHS HB CUSTOM INK MSMC | Commercial | $162 | other |
| EVRY HEALTH | MHS HB EVRY MSMC | Commercial | $175 | other |
| SANA BENEFITS | MHS HB SANA MSMC | Commercial | $175 | other |
| VELOCITY | MHS HB VELOCITY MSMC | Commercial | $175 | other |
| GENERIC WORKERS COMP TX PAR | MHS HB WORKERS COMP MSMC | Workers' comp | $175 | other |
| MEDICAL COST CONTAINMENT PROFESSIONALS | MHS HB MEDICAL COST CONTAINMENT MSMC | Commercial | $219 | other |
| HEALTH PLANS INC | MHS HB EMPLOYERS HEALTH NETWORK MSMC | Commercial | $219 | other |
| BCBS | MHS HB BCBS HIGH PERFORMANCE NETWORK MSMC | Commercial | $222 | fee schedule |
| BCBS | MHS HB BCBS PREMIER MSMC | Commercial | $222 | fee schedule |
| BCBS | MHS HB BCBS CITY OF DALLAS MSMC | Commercial | $231 | fee schedule |
| BCBS | MHS HB BCBS HMO MSMC | Commercial | $235 | fee schedule |
| DART MEMBER CARE | MHS HB DART MEMBER CARE MSMC | Commercial | $236 | other |
| BCBS | MHS HB BCBS PPO MSMC | Commercial | $256 | fee schedule |
| BCBS | MHS HB BCBS TRADITIONAL MSMC | Commercial | $256 | fee schedule |
| AETNA | MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC | Commercial | $363 | percent of total billed charges |
| UNITED HEALTHCARE-COMMERCIAL | MHS HB UNITED HEALTHCARE MSMC | Commercial | $453 | per diem |
Parkland Health (Parkland Memorial Hospital): all 33 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| WELLPOINT | WELLPOINT CHIP PERINATE POST PARTUM | Medicaid / CHIP | $33.75 | fee schedule |
| AETNA BETTER HEALTH | AETNA BETTER HEALTH CHIP | Medicaid / CHIP | $33.75 | fee schedule |
| AETNA BETTER HEALTH | BELOW FPIL AETNA CHIP PERINATE | Medicaid / CHIP | $33.75 | fee schedule |
| AETNA BETTER HEALTH | ABOVE FPIL AETNA CHIP PERINATE | Medicaid / CHIP | $33.75 | fee schedule |
| PARKLAND COMMUNITY HEALTH PLAN | Parkland CHIP | Medicaid / CHIP | $35.44 | fee schedule |
| SUPERIOR HEALTH PLAN | SUPERIOR STAR HEALTH FOSTER CARE | Medicaid / CHIP | $35.44 | fee schedule |
| COOK CHILDREN HEALTH PLAN | COOK CHILDREN STAR MEDICAID | Medicaid / CHIP | $35.44 | fee schedule |
| COOK CHILDREN HEALTH PLAN | COOK CHILDRENS STAR KIDS | Medicaid / CHIP | $35.44 | fee schedule |
| COOK CHILDREN HEALTH PLAN | COOK CHILDRENS CHIP | Medicaid / CHIP | $35.44 | fee schedule |
| POINT COMFORT UNDERWRITERS | POINT COMFORT UNDERWRITERS | Public program | $37.13 | fee schedule |
| MOLINA | MOLINA CHIP | Medicaid / CHIP | $37.13 | fee schedule |
| MOLINA | MOLINA RSA MEDICAID | Medicaid / CHIP | $37.13 | fee schedule |
| BLUE CROSS BLUE SHIELD | BLUE ADVANTAGE HMO ACA | Commercial | $122 | fee schedule |
| WELLPOINT | WELLPOINT STAR PLUS | Medicaid / CHIP | $126 | fee schedule |
| WELLPOINT | WELLPOINT STAR KIDS | Medicaid / CHIP | $129 | fee schedule |
| SUPERIOR HEALTHPLAN | SUPERIOR STAR PLUS | Medicaid / CHIP | $132 | fee schedule |
| MOLINA | MOLINA STAR PLUS | Medicaid / CHIP | $138 | fee schedule |
| CARE IMPROVEMENT PLUS | CARE IMPROVEMENT PLUS | Medicare Advantage | $142 | percent of total billed charges |
| PROCARE ADVANTAGE | PROCARE ADVANTAGE | Medicare Advantage | $144 | percent of total billed charges |
| WELLPOINT | WELLPOINT STAR | Medicaid / CHIP | $164 | fee schedule |
| PARKLAND COMMUNITY HEALTH PLAN | Parkland STAR | Medicaid / CHIP | $172 | fee schedule |
| AETNA BETTER HEALTH | AETNA BETTER HEALTH STAR | Medicaid / CHIP | $172 | fee schedule |
| MOLINA | MOLINA STAR MEDICAID | Medicaid / CHIP | $180 | fee schedule |
| AETNA HEALTHCARE | AETNA | Commercial | $407 | percent of total billed charges |
| CIGNA | CIGNA | Commercial | $407 | percent of total billed charges |
| GREAT WEST HEALTHCARE | GREAT WEST HEALTHCARE | Commercial | $407 | percent of total billed charges |
| UNITED HEALTHCARE OF TX | UNITED HEALTHCARE OF TX | Commercial | $453 | percent of total billed charges |
| UNITED HEALTHCARE OF TX | UHC - UMR | Commercial | $453 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS TRADITIONAL | Commercial | $489 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS OUT OF STATE | Commercial | $489 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BCBS FEDERAL EMPLOYEE | Commercial | $489 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BLUE CROSS BLUE SHIELD PPO | Commercial | $489 | percent of total billed charges |
| BLUE CROSS BLUE SHIELD | BLUE CROSS BLUE SHIELD HMO | Commercial | $489 | 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 |
|---|---|---|---|---|
| Wellpoint | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Superior | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $36.45 | fee schedule |
| Aetna Better Health | Managed Medicaid | Medicaid / CHIP | $37.13 | fee schedule |
| Procare | Medicare Advantage | Medicare Advantage | $88.05 | fee schedule |
| Humana | Medicare Advantage | Medicare Advantage | $91.57 | fee schedule |
| Superior | Medicare Advantage | Medicare Advantage | $92.45 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $92.45 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $92.45 | fee schedule |
| Wellpoint | Medicare Advantage | Medicare Advantage | $92.45 | fee schedule |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $97.74 | fee schedule |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $99.50 | fee schedule |
| Aetna | Whole Health | Commercial | $258 | percent of total billed charges |
| Blue Cross Blue Shield | MyBlueHealth | Commercial | $280 | fee schedule |
| Aetna | HMO/POS/EPO/PPO | Commercial | $323 | percent of total billed charges |
| Maestro Health/Fort Worth Firefighters | Commercial | Commercial | $357 | percent of total billed charges |
| United Healthcare | Commercial | Commercial | $357 | case rate |
| HealthFirst | Commercial | Commercial | $375 | percent of total billed charges |
| Blue Cross Blue Shield | HMO | Commercial | $389 | fee schedule |
| United Options Nexus | Commercial | Commercial | $397 | case rate |
| QuikTrip | Commercial | Commercial | $400 | percent of total billed charges |
| Blue Cross Blue Shield | PPO | Commercial | $432 | fee schedule |
| Coventry | National/Medical Rental Products | Commercial | $466 | percent of total billed charges |
| Rockwall County | Commercial | Commercial | $467 | percent of total billed charges |
| United Healthcare W500 | Commercial | Commercial | $482 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $487 | fee schedule |
| Cigna | HMO-PPO | Commercial | $491 | percent of total billed charges |
| PHCS | Commercial | Commercial | $504 | percent of total billed charges |
| HealthSmart | Commercial | Commercial | $554 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $580 | percent of total billed charges |
| Galaxy Health Network | Commercial | Commercial | $587 | 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 | $33.75 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $36.11 | fee schedule |
| Texas A&M Commerce | Injured Athletes | Commercial | $75.00 | case rate |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $83.05 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $84.80 | fee schedule |
| Humana | Medicare | Medicare Advantage | $87.42 | fee schedule |
| TriWest | Community Care Network | Military / VA | $87.42 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $90.04 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $91.79 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $97.91 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $105 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $110 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $110 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $131 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $144 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $183 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $188 | fee schedule |
| Mark Cuban | Commercial | Commercial | $225 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $259 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $308 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $324 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $324 | percent of total billed charges |
| Blue Cross Blue Shield | City of Dallas | Commercial | $348 | fee schedule |
| Aetna | Commercial | Commercial | $361 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $361 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $361 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $361 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $367 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $381 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $381 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $381 | percent of total billed charges |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $386 | fee schedule |
| United Healthcare | Charter | Commercial | $408 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $408 | percent of total billed charges |
| Curative | Commercial | Commercial | $427 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $454 | percent of total billed charges |
| First Health | PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $459 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $492 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $492 | 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 | $33.75 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $36.11 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $83.05 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $84.80 | fee schedule |
| Humana | Medicare | Medicare Advantage | $87.42 | fee schedule |
| TriWest | Community Care Network | Military / VA | $87.42 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $91.79 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $97.91 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $105 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $110 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $110 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $131 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $144 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $160 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $188 | fee schedule |
| Mark Cuban | Commercial | Commercial | $225 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $226 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $303 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $308 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $320 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $324 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $324 | percent of total billed charges |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $337 | fee schedule |
| Aetna | Commercial | Commercial | $361 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $361 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $361 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $361 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $381 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $381 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $381 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $408 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $408 | percent of total billed charges |
| Curative | Commercial | Commercial | $427 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $454 | percent of total billed charges |
| First Health | PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $459 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $492 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $492 | percent of total billed charges |
Baylor Scott & White The Heart Hospital – McKinney: all 32 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $36.11 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $83.05 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $84.80 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $97.91 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $110 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $131 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $160 | fee schedule |
| Mark Cuban | Commercial | Commercial | $225 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $226 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $303 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $308 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $320 | fee schedule |
| Cigna | Local Plus | Commercial | $324 | percent of total billed charges |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $337 | fee schedule |
| Aetna | Commercial | Commercial | $361 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $361 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $361 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $381 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $381 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $408 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $408 | percent of total billed charges |
| Curative | Commercial | Commercial | $427 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $454 | percent of total billed charges |
| First Health | PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $459 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $492 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $492 | 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 | $33.75 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $36.11 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $83.05 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $84.80 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $87.42 | fee schedule |
| Humana | Medicare | Medicare Advantage | $87.42 | fee schedule |
| TriWest | Community Care Network | Military / VA | $87.42 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $91.79 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $97.91 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $105 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $110 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $110 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $131 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $144 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $160 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $188 | fee schedule |
| Mark Cuban | Commercial | Commercial | $225 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $226 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $303 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $308 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $320 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $324 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $324 | percent of total billed charges |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $337 | fee schedule |
| Aetna | Commercial | Commercial | $361 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $361 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $361 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $361 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $381 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $381 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $381 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $408 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $408 | percent of total billed charges |
| Curative | Commercial | Commercial | $427 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $454 | percent of total billed charges |
| First Health | PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $459 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $492 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $492 | 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 | $33.75 | fee schedule |
| Superior Health Plan | Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Aetna | Medicaid | Medicaid / CHIP | $34.42 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $36.11 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $83.05 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $84.80 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $87.42 | fee schedule |
| Humana | Medicare | Medicare Advantage | $87.42 | fee schedule |
| TriWest | Community Care Network | Military / VA | $87.42 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $90.04 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $91.79 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $97.91 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $105 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $110 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $110 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $131 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $144 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $160 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $188 | fee schedule |
| Mark Cuban | Commercial | Commercial | $225 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $226 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $303 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $308 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $320 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $324 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $324 | percent of total billed charges |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $337 | fee schedule |
| Aetna | Commercial | Commercial | $361 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $361 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $361 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $361 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $381 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $381 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $381 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $408 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $408 | percent of total billed charges |
| Curative | Commercial | Commercial | $427 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $454 | percent of total billed charges |
| First Health | PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $459 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $492 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $492 | 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 | $33.75 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $83.05 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $84.80 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $87.42 | fee schedule |
| Humana | Medicare | Medicare Advantage | $87.42 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $91.79 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $97.91 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $105 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $110 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $110 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $144 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $160 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $188 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $226 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $303 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $308 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $320 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $324 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $324 | percent of total billed charges |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $337 | fee schedule |
| Aetna | Commercial | Commercial | $361 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $361 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $361 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $361 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $381 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $381 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $381 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $408 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $408 | percent of total billed charges |
| Curative | Commercial | Commercial | $427 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $454 | percent of total billed charges |
| First Health | PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $459 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $492 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $492 | 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 | $33.75 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $36.11 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $83.05 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $84.80 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $87.42 | fee schedule |
| Humana | Medicare | Medicare Advantage | $87.42 | fee schedule |
| TriWest | Community Care Network | Military / VA | $87.42 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $91.79 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $97.91 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $105 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $110 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $110 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $131 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $144 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $160 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $188 | fee schedule |
| Mark Cuban | Commercial | Commercial | $225 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $226 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $303 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $308 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $320 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $324 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $324 | percent of total billed charges |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $337 | fee schedule |
| Aetna | Commercial | Commercial | $361 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $361 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $361 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $361 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $381 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $381 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $381 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $408 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $408 | percent of total billed charges |
| Curative | Commercial | Commercial | $427 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $454 | percent of total billed charges |
| First Health | PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $459 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $492 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $492 | 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 | $33.75 | fee schedule |
| Aetna | Medicaid | Medicaid / CHIP | $34.42 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $36.11 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $83.19 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $84.94 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $87.57 | fee schedule |
| Humana | Medicare | Medicare Advantage | $87.57 | fee schedule |
| TriWest | Community Care Network | Military / VA | $87.57 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $91.95 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $91.95 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $91.95 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $91.95 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $91.95 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $98.08 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $105 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $110 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $110 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $131 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $144 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $160 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $188 | fee schedule |
| Mark Cuban | Commercial | Commercial | $225 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $226 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $303 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $308 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $320 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $324 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $324 | percent of total billed charges |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $337 | fee schedule |
| Aetna | Commercial | Commercial | $361 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $361 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $361 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $361 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $381 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $381 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $381 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $408 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $408 | percent of total billed charges |
| Curative | Commercial | Commercial | $427 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $454 | percent of total billed charges |
| First Health | PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $459 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $492 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $492 | 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 | $33.75 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $36.11 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $83.05 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $84.80 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $87.42 | fee schedule |
| Humana | Medicare | Medicare Advantage | $87.42 | fee schedule |
| TriWest | Community Care Network | Military / VA | $87.42 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $90.04 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $91.79 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $97.91 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $105 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $110 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $110 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $131 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $144 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $160 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $188 | fee schedule |
| Mark Cuban | Commercial | Commercial | $225 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $226 | fee schedule |
| Texas Workforce Commission | Workers Compensation | Workers' comp | $236 | percent of total billed charges |
| Blue Cross Blue Shield | City of Dallas | Commercial | $303 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $308 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $320 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $324 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $324 | percent of total billed charges |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $337 | fee schedule |
| Aetna | Commercial | Commercial | $361 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $361 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $361 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $361 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $381 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $381 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $381 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $408 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $408 | percent of total billed charges |
| Curative | Commercial | Commercial | $427 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $454 | percent of total billed charges |
| First Health | PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $459 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $459 | percent of total billed charges |
| Optum | Commercial | Commercial | $459 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $492 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $492 | 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 | $33.75 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $36.11 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $83.05 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $84.80 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $87.42 | fee schedule |
| Humana | Medicare | Medicare Advantage | $87.42 | fee schedule |
| TriWest | Community Care Network | Military / VA | $87.42 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $91.79 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $97.91 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $105 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $110 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $110 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $131 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $144 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $160 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $188 | fee schedule |
| Mark Cuban | Commercial | Commercial | $225 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $226 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $303 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $308 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $320 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $324 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $324 | percent of total billed charges |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $337 | fee schedule |
| Aetna | Commercial | Commercial | $361 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $361 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $361 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $361 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $381 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $381 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $381 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $408 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $408 | percent of total billed charges |
| Curative | Commercial | Commercial | $427 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $454 | percent of total billed charges |
| First Health | PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $459 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $492 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $492 | 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 | $33.75 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $36.11 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $83.05 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $84.80 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $87.42 | fee schedule |
| Humana | Medicare | Medicare Advantage | $87.42 | fee schedule |
| TriWest | Community Care Network | Military / VA | $87.42 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $90.04 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $91.79 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $97.91 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $105 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $110 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $110 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $131 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $144 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $160 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $188 | fee schedule |
| Mark Cuban | Commercial | Commercial | $225 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $226 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $303 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $308 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $320 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $324 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $324 | percent of total billed charges |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $337 | fee schedule |
| Aetna | Commercial | Commercial | $361 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $361 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $361 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $361 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $381 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $381 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $381 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $408 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $408 | percent of total billed charges |
| Curative | Commercial | Commercial | $427 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $454 | percent of total billed charges |
| First Health | PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $459 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $492 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $492 | 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 | $33.75 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $36.11 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $83.05 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $84.80 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $87.42 | fee schedule |
| TriWest | Community Care Network | Military / VA | $87.42 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $91.79 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $97.91 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $105 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $110 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $110 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $131 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $144 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $160 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $188 | fee schedule |
| Mark Cuban | Commercial | Commercial | $225 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $226 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $303 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $308 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $320 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $324 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $324 | percent of total billed charges |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $337 | fee schedule |
| Aetna | Commercial | Commercial | $361 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $361 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $361 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $381 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $381 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $381 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $408 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $408 | percent of total billed charges |
| Curative | Commercial | Commercial | $427 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $454 | percent of total billed charges |
| First Health | PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $459 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $492 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $492 | 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 | $83.05 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $84.80 | fee schedule |
| Humana | Medicare | Medicare Advantage | $87.42 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $105 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $110 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $110 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $144 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $160 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $226 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $303 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $308 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $320 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $324 | percent of total billed charges |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $337 | fee schedule |
| Aetna | Commercial | Commercial | $361 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $361 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $361 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $361 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $381 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $381 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $408 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $408 | percent of total billed charges |
| Curative | Commercial | Commercial | $427 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $454 | percent of total billed charges |
| First Health | PPO | Commercial | $459 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $459 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $492 | 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 | $33.75 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $36.11 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $83.05 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $84.80 | fee schedule |
| Aetna | Medicare Advantage | Medicare Advantage | $87.42 | fee schedule |
| Humana | Medicare | Medicare Advantage | $87.42 | fee schedule |
| TriWest | Community Care Network | Military / VA | $87.42 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $91.79 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $97.91 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $105 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $110 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $110 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $131 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $144 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $160 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $188 | fee schedule |
| Mark Cuban | Commercial | Commercial | $225 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $226 | fee schedule |
| Blue Cross Blue Shield | City of Dallas | Commercial | $303 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $308 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $320 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $324 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $324 | percent of total billed charges |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $337 | fee schedule |
| Aetna | Commercial | Commercial | $361 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $361 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $361 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $361 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $381 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $381 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $381 | percent of total billed charges |
| Independent Medical System | Commercial PPO | Commercial | $394 | percent of total billed charges |
| United Healthcare | Charter | Commercial | $408 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $408 | percent of total billed charges |
| Curative | Commercial | Commercial | $427 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $454 | percent of total billed charges |
| First Health | PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $459 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $459 | percent of total billed charges |
| Optum | Commercial | Commercial | $459 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $492 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $492 | 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 | $33.75 | fee schedule |
| WellPoint (fka Amerigroup) | CHIP/Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| United Healthcare | Medicaid/CHIP | Medicaid / CHIP | $36.11 | fee schedule |
| Baylor Scott & White Health Plan | Medicare Advantage | Medicare Advantage | $83.05 | fee schedule |
| CORVEL | Worker's Compensation | Workers' comp | $84.80 | fee schedule |
| Humana | Medicare | Medicare Advantage | $87.42 | fee schedule |
| TriWest | Community Care Network | Military / VA | $87.42 | fee schedule |
| WellPoint (fka Amerigroup) | Medicare | Medicare Advantage | $90.04 | fee schedule |
| American Health Plan | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| HealthSpring | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Molina | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| ProCare Advantage | Medicare Advantage | Medicare Advantage | $91.79 | fee schedule |
| Superior Health Plan | Medicare | Medicare Advantage | $91.79 | fee schedule |
| United Healthcare | Medicare Advantage | Medicare Advantage | $97.91 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | Commercial | $105 | fee schedule |
| Baylor Scott & White Health Plan | BSW Premier - Individual | Commercial | $110 | fee schedule |
| Prime Health Services | Worker's Compensation | Workers' comp | $110 | fee schedule |
| Sedgwick | Preferred Network | Workers' comp | $131 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | Commercial | $144 | fee schedule |
| Blue Cross Blue Shield | Blue Advantage | Commercial | $183 | fee schedule |
| Superior Ambetter | Ambetter Exchange | Commercial | $188 | fee schedule |
| Mark Cuban | Commercial | Commercial | $225 | fee schedule |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My BlueHealth | Commercial | $259 | fee schedule |
| Employers Health Network | BSWQA Direct/EHN Rental | Commercial | $308 | percent of total billed charges |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee | Commercial | $324 | percent of total billed charges |
| Cigna | Local Plus | Commercial | $324 | percent of total billed charges |
| Blue Cross Blue Shield | City of Dallas | Commercial | $348 | fee schedule |
| Aetna | Commercial | Commercial | $361 | percent of total billed charges |
| QuikTrip | Employee Benefit Plan | Commercial | $361 | percent of total billed charges |
| Employers Health Network | EHN Network | Commercial | $361 | percent of total billed charges |
| Imagine Health | Commercial | Commercial | $361 | percent of total billed charges |
| Blue Cross Blue Shield | Blue Essentials (HMO) | Commercial | $367 | fee schedule |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2) | Commercial | $381 | percent of total billed charges |
| Cigna | HMO/PPO | Commercial | $381 | percent of total billed charges |
| University of Mary Hardin-Baylor | Commercial | Commercial | $381 | percent of total billed charges |
| Blue Cross Blue Shield | BlueChoice (PPO) | Commercial | $386 | fee schedule |
| United Healthcare | Charter | Commercial | $408 | percent of total billed charges |
| United Healthcare | Nexus | Commercial | $408 | percent of total billed charges |
| Curative | Commercial | Commercial | $427 | percent of total billed charges |
| United Healthcare | Commercial Broad | Commercial | $454 | percent of total billed charges |
| First Health | PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Accel Network | Commercial | $459 | percent of total billed charges |
| Humana | Commercial PPO | Commercial | $459 | percent of total billed charges |
| HealthSmart | Preferred Network | Commercial | $492 | percent of total billed charges |
| Private Health Care System | PHCS Network | Commercial | $492 | 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 | $33.75 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $35.44 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $36.45 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $37.13 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $87.57 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $87.57 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $89.32 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $91.07 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $91.94 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $91.94 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $91.94 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $96.32 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $97.20 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $98.95 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $210 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $215 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $233 | fee schedule |
| Aetna | Whole Health | Commercial | $313 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $335 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $358 | percent of total billed charges |
| Aetna | Commercial | Commercial | $417 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $421 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $457 | percent of total billed charges |
| PHCS | PPO | Commercial | $529 | percent of total billed charges |
| Cigna | PPO | Commercial | $531 | percent of total billed charges |
| Aetna | Coventry | Commercial | $534 | percent of total billed charges |
| Aetna | ASA | Commercial | $534 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Healthsmart | Commercial | Commercial | $571 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $630 | fee schedule |
| Multiplan | Commercial | Commercial | $663 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $670 | percent of total billed charges |
| USA | MCO | Commercial | $670 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $717 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
Texas Health Hospital Rockwall: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Parkland | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $35.44 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $36.45 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $87.42 | case rate |
| American Health | Medicare Advantage | Medicare Advantage | $87.42 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $89.17 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $90.92 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $91.79 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $91.79 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $91.79 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $96.16 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $97.04 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $98.79 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $210 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $215 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $233 | fee schedule |
| Aetna | Whole Health | Commercial | $313 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $335 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $358 | percent of total billed charges |
| Aetna | Commercial | Commercial | $417 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $421 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $457 | percent of total billed charges |
| PHCS | PPO | Commercial | $529 | percent of total billed charges |
| Cigna | PPO | Commercial | $531 | percent of total billed charges |
| Aetna | ASA | Commercial | $534 | percent of total billed charges |
| Aetna | Coventry | Commercial | $534 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Healthsmart | Commercial | Commercial | $571 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $630 | fee schedule |
| Multiplan | Commercial | Commercial | $663 | percent of total billed charges |
| USA | MCO | Commercial | $670 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $670 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $717 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
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 | $33.75 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $35.44 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $36.45 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $37.13 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $87.57 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $87.57 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $89.32 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $91.07 | case rate |
| Humana | Medicare Advantage PPO | Medicare Advantage | $91.07 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $91.94 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $91.94 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $91.94 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $96.32 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $97.20 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $98.95 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $210 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $215 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $233 | fee schedule |
| Aetna | Whole Health | Commercial | $313 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $335 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $358 | percent of total billed charges |
| Aetna | Commercial | Commercial | $417 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $421 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $457 | percent of total billed charges |
| PHCS | PPO | Commercial | $529 | percent of total billed charges |
| Cigna | PPO | Commercial | $531 | percent of total billed charges |
| Aetna | ASA | Commercial | $534 | percent of total billed charges |
| Aetna | Coventry | Commercial | $534 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Healthsmart | Commercial | Commercial | $571 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $630 | fee schedule |
| Multiplan | Commercial | Commercial | $663 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $670 | percent of total billed charges |
| USA | MCO | Commercial | $670 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $717 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
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 | $33.75 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $35.44 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $36.45 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $37.13 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $87.42 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $87.42 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $89.17 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $90.92 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $91.79 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $91.79 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $91.79 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $96.16 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $97.04 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $98.79 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $210 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $215 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $233 | fee schedule |
| Aetna | Whole Health | Commercial | $313 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $335 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $358 | percent of total billed charges |
| Aetna | Commercial | Commercial | $417 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $421 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $457 | percent of total billed charges |
| PHCS | PPO | Commercial | $529 | percent of total billed charges |
| Cigna | PPO | Commercial | $531 | percent of total billed charges |
| Aetna | ASA | Commercial | $534 | percent of total billed charges |
| Aetna | Coventry | Commercial | $534 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Healthsmart | Commercial | Commercial | $571 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $630 | fee schedule |
| Multiplan | Commercial | Commercial | $663 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $670 | percent of total billed charges |
| USA | MCO | Commercial | $670 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $717 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
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 | $33.75 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $35.44 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $36.45 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $37.13 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $87.42 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $87.42 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $89.17 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $90.92 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $91.79 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $91.79 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $91.79 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $96.16 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $97.04 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $98.79 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $123 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $210 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $233 | fee schedule |
| Aetna | Whole Health | Commercial | $313 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $335 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $358 | percent of total billed charges |
| Aetna | Commercial | Commercial | $417 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $421 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $457 | percent of total billed charges |
| PHCS | PPO | Commercial | $529 | percent of total billed charges |
| Cigna | PPO | Commercial | $531 | percent of total billed charges |
| Aetna | Coventry | Commercial | $534 | percent of total billed charges |
| Aetna | ASA | Commercial | $534 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Healthsmart | Commercial | Commercial | $571 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $630 | fee schedule |
| Multiplan | Commercial | Commercial | $663 | percent of total billed charges |
| USA | MCO | Commercial | $670 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $670 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $717 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
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 | $33.75 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $35.44 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $36.45 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $37.13 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $87.57 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $87.57 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $89.32 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $91.07 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $91.94 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $91.94 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $91.94 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $96.32 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $97.20 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $98.95 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $123 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $210 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $233 | fee schedule |
| Aetna | Whole Health | Commercial | $313 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $335 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $358 | percent of total billed charges |
| Aetna | Commercial | Commercial | $417 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $421 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $457 | percent of total billed charges |
| PHCS | PPO | Commercial | $529 | percent of total billed charges |
| Cigna | PPO | Commercial | $531 | percent of total billed charges |
| Aetna | Coventry | Commercial | $534 | percent of total billed charges |
| Aetna | ASA | Commercial | $534 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Healthsmart | Commercial | Commercial | $571 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $630 | fee schedule |
| Multiplan | Commercial | Commercial | $663 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $670 | percent of total billed charges |
| USA | MCO | Commercial | $670 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $717 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
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 | $33.75 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $35.44 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $36.45 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $84.68 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $84.68 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $86.37 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $88.07 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $88.91 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $88.91 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $88.91 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $93.15 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $93.99 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $95.69 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $210 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $215 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $233 | fee schedule |
| Aetna | Whole Health | Commercial | $313 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $335 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $358 | percent of total billed charges |
| Aetna | Commercial | Commercial | $417 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $421 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $457 | percent of total billed charges |
| PHCS | PPO | Commercial | $529 | percent of total billed charges |
| Cigna | PPO | Commercial | $531 | percent of total billed charges |
| Aetna | Coventry | Commercial | $534 | percent of total billed charges |
| Aetna | ASA | Commercial | $534 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Healthsmart | Commercial | Commercial | $571 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $630 | fee schedule |
| Multiplan | Commercial | Commercial | $663 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $670 | percent of total billed charges |
| USA | MCO | Commercial | $670 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $717 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
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 | $33.75 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $35.44 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $36.45 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $37.13 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $87.57 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $87.57 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $89.32 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $91.07 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $91.94 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $91.94 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $91.94 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $96.32 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $97.20 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $98.95 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $123 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $210 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $233 | fee schedule |
| Aetna | Whole Health | Commercial | $313 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $335 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $358 | percent of total billed charges |
| Aetna | Commercial | Commercial | $417 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $421 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $457 | percent of total billed charges |
| PHCS | PPO | Commercial | $529 | percent of total billed charges |
| Cigna | PPO | Commercial | $531 | percent of total billed charges |
| Aetna | ASA | Commercial | $534 | percent of total billed charges |
| Aetna | Coventry | Commercial | $534 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Healthsmart | Commercial | Commercial | $571 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $630 | fee schedule |
| Multiplan | Commercial | Commercial | $663 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $670 | percent of total billed charges |
| USA | MCO | Commercial | $670 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $717 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
Texas Health Presbyterian Hospital Dallas: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Parkland | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $35.44 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $36.45 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $87.42 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $87.42 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $89.17 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $90.92 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $91.79 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $91.79 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $91.79 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $96.16 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $97.04 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $98.79 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $123 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $210 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $233 | fee schedule |
| Aetna | Whole Health | Commercial | $313 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $335 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $358 | percent of total billed charges |
| Aetna | Commercial | Commercial | $417 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $421 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $457 | percent of total billed charges |
| PHCS | PPO | Commercial | $529 | percent of total billed charges |
| Cigna | PPO | Commercial | $531 | percent of total billed charges |
| Aetna | ASA | Commercial | $534 | percent of total billed charges |
| Aetna | Coventry | Commercial | $534 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Healthsmart | Commercial | Commercial | $571 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $630 | fee schedule |
| Multiplan | Commercial | Commercial | $663 | percent of total billed charges |
| USA | MCO | Commercial | $670 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $670 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $717 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
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 | $33.75 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $35.44 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $36.45 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $37.13 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $87.57 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $87.57 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $89.32 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $91.07 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $91.94 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $91.94 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $91.94 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $96.32 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $97.20 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $98.95 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $123 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $210 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $233 | fee schedule |
| Aetna | Whole Health | Commercial | $313 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $335 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $358 | percent of total billed charges |
| Aetna | Commercial | Commercial | $417 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $421 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $457 | percent of total billed charges |
| PHCS | PPO | Commercial | $529 | percent of total billed charges |
| Cigna | PPO | Commercial | $531 | percent of total billed charges |
| Aetna | ASA | Commercial | $534 | percent of total billed charges |
| Aetna | Coventry | Commercial | $534 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Healthsmart | Commercial | Commercial | $571 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $630 | fee schedule |
| Multiplan | Commercial | Commercial | $663 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $670 | percent of total billed charges |
| USA | MCO | Commercial | $670 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $717 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
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 | $33.75 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $35.44 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $36.45 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $37.13 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $87.57 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $87.57 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $89.32 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $91.07 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $91.94 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $91.94 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $91.94 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $96.32 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $97.20 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $98.95 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $210 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $231 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $233 | fee schedule |
| Aetna | Whole Health | Commercial | $313 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $335 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $358 | percent of total billed charges |
| Aetna | Commercial | Commercial | $417 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $421 | percent of total billed charges |
| Cigna | PPO | Commercial | $531 | percent of total billed charges |
| Aetna | ASA | Commercial | $534 | percent of total billed charges |
| Aetna | Coventry | Commercial | $534 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $541 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Healthsmart | Commercial | Commercial | $571 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $630 | fee schedule |
| PHCS | PPO | Commercial | $637 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $663 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $670 | percent of total billed charges |
| USA | MCO | Commercial | $670 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $717 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
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 | $33.75 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $35.44 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $36.45 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $37.13 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $83.98 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $83.98 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $85.66 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $87.34 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $88.18 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $88.18 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $88.18 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $92.37 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $93.21 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $94.89 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $210 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $231 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $233 | fee schedule |
| Aetna | Whole Health | Commercial | $313 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $335 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $358 | percent of total billed charges |
| Aetna | Commercial | Commercial | $417 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $421 | percent of total billed charges |
| Cigna | PPO | Commercial | $531 | percent of total billed charges |
| Aetna | ASA | Commercial | $534 | percent of total billed charges |
| Aetna | Coventry | Commercial | $534 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $541 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $630 | fee schedule |
| PHCS | PPO | Commercial | $637 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $663 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $663 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $670 | percent of total billed charges |
| USA | MCO | Commercial | $670 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $717 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
Texas Health Hospital Clearfork: all 38 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Cook Childrens | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $35.44 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $36.45 | fee schedule |
| Aetna | Managed Medicaid | Medicaid / CHIP | $37.13 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $87.57 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $87.57 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $89.32 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $91.07 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $91.94 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $91.94 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $91.94 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $96.32 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $97.20 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $98.95 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $123 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $210 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $233 | fee schedule |
| Aetna | Whole Health | Commercial | $313 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $335 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $358 | percent of total billed charges |
| Aetna | Commercial | Commercial | $417 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $421 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $457 | percent of total billed charges |
| PHCS | PPO | Commercial | $529 | percent of total billed charges |
| Cigna | PPO | Commercial | $531 | percent of total billed charges |
| Aetna | ASA | Commercial | $534 | percent of total billed charges |
| Aetna | Coventry | Commercial | $534 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Healthsmart | Commercial | Commercial | $571 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $630 | fee schedule |
| Multiplan | Commercial | Commercial | $663 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $670 | percent of total billed charges |
| USA | MCO | Commercial | $670 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $717 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
Texas Health Presbyterian Hospital Plano: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $35.44 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $36.45 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $87.42 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $87.42 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $89.17 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $90.92 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $91.79 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $91.79 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $91.79 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $96.16 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $97.04 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $98.79 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $123 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $210 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $233 | fee schedule |
| Aetna | Whole Health | Commercial | $313 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $335 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $358 | percent of total billed charges |
| Aetna | Commercial | Commercial | $417 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $421 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $457 | percent of total billed charges |
| PHCS | PPO | Commercial | $529 | percent of total billed charges |
| Cigna | PPO | Commercial | $531 | percent of total billed charges |
| Aetna | ASA | Commercial | $534 | percent of total billed charges |
| Aetna | Coventry | Commercial | $534 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Healthsmart | Commercial | Commercial | $571 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $630 | fee schedule |
| Multiplan | Commercial | Commercial | $663 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $670 | percent of total billed charges |
| USA | MCO | Commercial | $670 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $717 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
Texas Health Presbyterian Hospital Kaufman: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $35.44 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $36.45 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $87.42 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $87.42 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $89.17 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $90.92 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $91.79 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $91.79 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $91.79 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $96.16 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $97.04 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $98.79 | case rate |
| Blue Cross Blue Shield | HMO | Commercial | $210 | fee schedule |
| Blue Cross Blue Shield | Exchange | Commercial | $231 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $233 | fee schedule |
| Aetna | Whole Health | Commercial | $313 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $335 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $358 | percent of total billed charges |
| Aetna | Commercial | Commercial | $417 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $421 | percent of total billed charges |
| Cigna | PPO | Commercial | $531 | percent of total billed charges |
| Aetna | ASA | Commercial | $534 | percent of total billed charges |
| Aetna | Coventry | Commercial | $534 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $541 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Blue Cross Blue Shield | Traditional | Commercial | $630 | fee schedule |
| PHCS | PPO | Commercial | $637 | percent of total billed charges |
| Healthsmart | Commercial | Commercial | $663 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $663 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $670 | percent of total billed charges |
| USA | MCO | Commercial | $670 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $717 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
Texas Health Presbyterian Hospital Allen: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Parkland | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $35.44 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $36.45 | fee schedule |
| American Health | Medicare Advantage | Medicare Advantage | $87.42 | case rate |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $87.42 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $89.17 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $90.92 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $91.79 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $91.79 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $91.79 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $96.16 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $97.04 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $98.79 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $123 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $210 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $233 | fee schedule |
| Aetna | Whole Health | Commercial | $313 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $335 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $358 | percent of total billed charges |
| Aetna | Commercial | Commercial | $417 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $421 | percent of total billed charges |
| Cigna | PPO | Commercial | $531 | percent of total billed charges |
| Aetna | ASA | Commercial | $534 | percent of total billed charges |
| Aetna | Coventry | Commercial | $534 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $541 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Healthsmart | Commercial | Commercial | $571 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $630 | fee schedule |
| PHCS | PPO | Commercial | $637 | percent of total billed charges |
| Multiplan | Commercial | Commercial | $663 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $670 | percent of total billed charges |
| USA | MCO | Commercial | $670 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $717 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
Texas Health Hospital Frisco: all 37 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| Amerigroup | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Blue Cross Blue Shield | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| United Healthcare | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Parkland | Managed Medicaid | Medicaid / CHIP | $33.75 | fee schedule |
| Superior Wellcare | Managed Medicaid | Medicaid / CHIP | $35.44 | fee schedule |
| Molina | Managed Medicaid | Medicaid / CHIP | $36.45 | fee schedule |
| Blue Cross Blue Shield | Medicare Advantage | Medicare Advantage | $87.42 | case rate |
| American Health | Medicare Advantage | Medicare Advantage | $87.42 | case rate |
| HealthSpring | Medicare Advantage | Medicare Advantage | $89.17 | case rate |
| Humana | Medicare Advantage | Medicare Advantage | $90.92 | case rate |
| Amerigroup | Medicare Advantage | Medicare Advantage | $91.79 | case rate |
| Molina | Medicare Advantage | Medicare Advantage | $91.79 | case rate |
| Superior Wellcare | Medicare Advantage HMO | Medicare Advantage | $91.79 | case rate |
| Superior Wellcare | Medicare Advantage MMP | Medicaid / CHIP | $96.16 | case rate |
| United Healthcare | Medicare Advantage PPO | Medicare Advantage | $97.04 | case rate |
| United Healthcare | Medicare Advantage HMO | Medicare Advantage | $98.79 | case rate |
| Blue Cross Blue Shield | Exchange | Commercial | $123 | fee schedule |
| Blue Cross Blue Shield | HMO | Commercial | $210 | fee schedule |
| Blue Cross Blue Shield | PPO | Commercial | $233 | fee schedule |
| Aetna | Whole Health | Commercial | $313 | percent of total billed charges |
| Fort Worth Firefighters | Commercial | Commercial | $335 | percent of total billed charges |
| City of Fort Worth | Commercial | Commercial | $358 | percent of total billed charges |
| Aetna | Commercial | Commercial | $417 | percent of total billed charges |
| Cigna | OAP/HMO | Commercial | $421 | percent of total billed charges |
| Quick Trip | Commercial | Commercial | $457 | percent of total billed charges |
| PHCS | PPO | Commercial | $529 | percent of total billed charges |
| Cigna | PPO | Commercial | $531 | percent of total billed charges |
| Aetna | Coventry | Commercial | $534 | percent of total billed charges |
| Aetna | ASA | Commercial | $534 | percent of total billed charges |
| United Healthcare | All Payer | Commercial | $551 | case rate |
| Healthsmart | Commercial | Commercial | $571 | percent of total billed charges |
| Blue Cross Blue Shield | Traditional | Commercial | $630 | fee schedule |
| Multiplan | Commercial | Commercial | $663 | percent of total billed charges |
| Galaxy | Commercial | Commercial | $670 | percent of total billed charges |
| USA | MCO | Commercial | $670 | percent of total billed charges |
| Cigna | Indemnity | Commercial | $717 | percent of total billed charges |
| United Healthcare Options | PPO | Commercial | $722 | case rate |
Cook Children's Medical Center: all 50 plan rates
| Payer | Plan (as written in the file) | Type | Rate | Method |
|---|---|---|---|---|
| FIRSTCARE | STAR | Medicaid / CHIP | $17.21 | Percent of Total Billed Charges |
| RIGHTCARE | MDC S&W | Medicaid / CHIP | $23.98 | Percent of Total Billed Charges |
| RIGHTCARE | STAR | Medicaid / CHIP | $23.98 | Percent of Total Billed Charges |
| BCBS | CHIP | Medicaid / CHIP | $25.91 | Percent of Total Billed Charges |
| BCBS | CHIP STAR KIDS | Medicaid / CHIP | $25.91 | Percent of Total Billed Charges |
| BCBS | BCBS TX STAR | Medicaid / CHIP | $25.91 | Percent of Total Billed Charges |
| HEALTH PLAN w. UHRIP | STAR | Medicaid / CHIP | $29.77 | Percent of Total Billed Charges |
| HEALTH PLAN w/o UHRIP | CHIP | Medicaid / CHIP | $29.77 | Percent of Total Billed Charges |
| HEALTH PLAN w/o UHRIP | STAR KIDS | Medicaid / CHIP | $29.77 | Percent of Total Billed Charges |
| Optum | ALL PRODUCTS | Commercial | $31.55 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | STAR | Medicaid / CHIP | $31.55 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | CHIP | Medicaid / CHIP | $31.55 | Percent of Total Billed Charges |
| EL PASO HEALTH FIRST | STAR MEDICAID | Medicaid / CHIP | $31.55 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | STAR KIDS | Medicaid / CHIP | $31.55 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | CHIP | Medicaid / CHIP | $31.55 | Percent of Total Billed Charges |
| TX CHILDREN HEALTH | STAR | Medicaid / CHIP | $31.55 | Percent of Total Billed Charges |
| Aetna | BETTER HEALTH STAR UHRIP | Medicaid / CHIP | $42.53 | Fee Schedule |
| Aetna | BETTER HEALTH CHIP | Medicaid / CHIP | $42.53 | Fee Schedule |
| Aetna | BETTER HEALTH STAR Kids | Medicaid / CHIP | $42.53 | Fee Schedule |
| BCBS | HMO | Commercial | $55.93 | Percent of Total Billed Charges |
| FIRSTCARE | ALL PRODUCTS | Commercial | $57.36 | Percent of Total Billed Charges |
| BCBS | PPO | Commercial | $60.23 | Percent of Total Billed Charges |
| S&W HEALTH | ALL PRODUCTS | Commercial | $60.23 | Percent of Total Billed Charges |
| Aetna | ALL PRODUCTS | Commercial | $60.95 | Percent of Total Billed Charges |
| CIGNA | CIGNA-MGD | Commercial | $60.95 | Percent of Total Billed Charges |
| HEALTHSCOPE | ALL PRODUCTS | Commercial | $60.95 | Percent of Total Billed Charges |
| IMAGINE HEALTH | ALL PRODUCTS | Commercial | $60.95 | Percent of Total Billed Charges |
| UHC | MGD | Commercial | $60.95 | Percent of Total Billed Charges |
| HUMANA | CONCENTRIC PPO | Commercial | $62.38 | Percent of Total Billed Charges |
| MULTIPLAN | ALL PRODUCTS | Commercial | $62.38 | Percent of Total Billed Charges |
| MULTIPLAN | PHCS | Commercial | $62.38 | Percent of Total Billed Charges |
| FIRST HEALTH | PPO | Commercial | $63.10 | Percent of Total Billed Charges |
| HUMANA | CHOICECARE PPO | Commercial | $63.10 | Percent of Total Billed Charges |
| BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | Commercial | $64.53 | Percent of Total Billed Charges |
| GALAXY HEALTH | ALL PRODUCTS | Commercial | $64.53 | Percent of Total Billed Charges |
| Healthsmart | ALL PRODUCTS | Commercial | $64.53 | Percent of Total Billed Charges |
| USAMCO | ALL PRODUCTS | Commercial | $65.96 | Percent of Total Billed Charges |
| WELLPOINT | CHIP | Medicaid / CHIP | $115 | Fee Schedule |
| WELLPOINT | STAR PLUS | Medicaid / CHIP | $115 | Fee Schedule |
| WELLPOINT | STAR | Medicaid / CHIP | $115 | Fee Schedule |
| SUPERIOR HEALTH | CHIP | Medicaid / CHIP | $118 | Fee Schedule |
| SUPERIOR HEALTH | STAR PLUS | Medicaid / CHIP | $118 | Fee Schedule |
| SUPERIOR HEALTH | STAR | Medicaid / CHIP | $118 | Fee Schedule |
| MOLINA | CHIP | Medicaid / CHIP | $120 | Fee Schedule |
| MOLINA | STAR | Medicaid / CHIP | $120 | Fee Schedule |
| MOLINA | STAR KIDS | Medicaid / CHIP | $120 | Fee Schedule |
| UNITED COMMUNITY | STAR KIDS | Medicaid / CHIP | $120 | Fee Schedule |
| UNITED COMMUNITY | STAR | Medicaid / CHIP | $120 | Fee Schedule |
| UNITED COMMUNITY | STAR PLUS | Medicaid / CHIP | $120 | Fee Schedule |
| UNITED COMMUNITY | CHIP | Medicaid / CHIP | $120 | Fee Schedule |
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 | $31.61 | Fee Schedule |
| Aetna | BETTER HEALTH STAR Kids | Medicaid / CHIP | $31.61 | Fee Schedule |
| Aetna | BETTER HEALTH CHIP | Medicaid / CHIP | $31.61 | Fee Schedule |
| EL PASO HEALTH FIRST | STAR MEDICAID | Medicaid / CHIP | $109 | Fee Schedule |
| EL PASO HEALTH FIRST | STAR | Medicaid / CHIP | $109 | Fee Schedule |
| EL PASO HEALTH FIRST | CHIP | Medicaid / CHIP | $109 | Fee Schedule |
| HEALTH PLAN w. UHRIP | STAR | Medicaid / CHIP | $109 | Fee Schedule |
| HEALTH PLAN w/o UHRIP | CHIP | Medicaid / CHIP | $109 | Fee Schedule |
| HEALTH PLAN w/o UHRIP | STAR KIDS | Medicaid / CHIP | $109 | Fee Schedule |
| TX CHILDREN HEALTH | STAR KIDS | Medicaid / CHIP | $109 | Fee Schedule |
| TX CHILDREN HEALTH | STAR | Medicaid / CHIP | $109 | Fee Schedule |
| TX CHILDREN HEALTH | CHIP | Medicaid / CHIP | $109 | Fee Schedule |
| WELLPOINT | CHIP | Medicaid / CHIP | $115 | Fee Schedule |
| WELLPOINT | STAR | Medicaid / CHIP | $115 | Fee Schedule |
| WELLPOINT | STAR PLUS | Medicaid / CHIP | $115 | Fee Schedule |
| BCBS | CHIP | Medicaid / CHIP | $118 | Fee Schedule |
| BCBS | BCBS TX STAR | Medicaid / CHIP | $118 | Fee Schedule |
| BCBS | CHIP STAR KIDS | Medicaid / CHIP | $118 | Fee Schedule |
| SUPERIOR HEALTH | STAR | Medicaid / CHIP | $118 | Fee Schedule |
| SUPERIOR HEALTH | STAR PLUS | Medicaid / CHIP | $118 | Fee Schedule |
| SUPERIOR HEALTH | CHIP | Medicaid / CHIP | $118 | Fee Schedule |
| FIRSTCARE | STAR | Medicaid / CHIP | $120 | Fee Schedule |
| UNITED COMMUNITY | STAR PLUS | Medicaid / CHIP | $120 | Fee Schedule |
| UNITED COMMUNITY | STAR | Medicaid / CHIP | $120 | Fee Schedule |
| UNITED COMMUNITY | STAR KIDS | Medicaid / CHIP | $120 | Fee Schedule |
| UNITED COMMUNITY | CHIP | Medicaid / CHIP | $120 | Fee Schedule |
| Optum | ALL PRODUCTS | Commercial | $294 | Percent of Total Billed Charges |
| BCBS | HMO | Commercial | $521 | Percent of Total Billed Charges |
| FIRSTCARE | ALL PRODUCTS | Commercial | $534 | Percent of Total Billed Charges |
| BCBS | PPO | Commercial | $561 | Percent of Total Billed Charges |
| S&W HEALTH | ALL PRODUCTS | Commercial | $561 | Percent of Total Billed Charges |
| Aetna | ALL PRODUCTS | Commercial | $567 | Percent of Total Billed Charges |
| CIGNA | CIGNA-MGD | Commercial | $567 | Percent of Total Billed Charges |
| HEALTHSCOPE | ALL PRODUCTS | Commercial | $567 | Percent of Total Billed Charges |
| IMAGINE HEALTH | ALL PRODUCTS | Commercial | $567 | Percent of Total Billed Charges |
| UHC | MGD | Commercial | $567 | Percent of Total Billed Charges |
| HUMANA | CONCENTRIC PPO | Commercial | $581 | Percent of Total Billed Charges |
| MULTIPLAN | ALL PRODUCTS | Commercial | $581 | Percent of Total Billed Charges |
| MULTIPLAN | PHCS | Commercial | $581 | Percent of Total Billed Charges |
| FIRST HEALTH | PPO | Commercial | $587 | Percent of Total Billed Charges |
| HUMANA | CHOICECARE PPO | Commercial | $587 | Percent of Total Billed Charges |
| BCBS | Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity | Commercial | $601 | Percent of Total Billed Charges |
| GALAXY HEALTH | ALL PRODUCTS | Commercial | $601 | Percent of Total Billed Charges |
| Healthsmart | ALL PRODUCTS | Commercial | $601 | Percent of Total Billed Charges |
| USAMCO | ALL PRODUCTS | Commercial | $614 | Percent of Total Billed Charges |
What this price covers
These are hospital charges for CPT code 71046 (Chest X-ray (2 views)). 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.