How much does a lower back X-ray cost in Dallas–Fort Worth?

41 hospitals in Dallas–Fort Worth list a self-pay price of $224–$524 for a lower back X-ray (2–3 views) (CPT 72100). The typical commercial rate in the same files is $359.

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

Published cash price

$224–$524

what 41 hospitals list for a self-pay lower back X-ray

Typical insured rate

$359

median of every commercial plan rate in the files

Lowest insured rate

$75.00

Texas A&M Commerce (Injured Athletes), Baylor Scott & White Medical Center – Lake Pointe

Lower back 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 72100; Medicaid and Medicare Advantage are shown separately below.

Lower back X-ray (2–3 views) (CPT 72100) — Dallas–Fort Worth
Hospital	Published cash price	Typical insured rate	Lowest insured rate
Methodist Celina Medical CenterMethodist Health System · file Mar 2026	$224–$280Cash ÷ typical 1.1×	$21019 plans	$137
Methodist Dallas Medical CenterMethodist Health System · file Mar 2026	$224–$280Cash ÷ typical 1.3×	$17933 plans	$112
Methodist Mansfield Medical CenterMethodist Health System · file Mar 2026	$224–$280Cash ÷ typical 1.2×	$18927 plans	$113
Methodist Midlothian Medical CenterMethodist Health System · file Mar 2026	$224–$280Cash ÷ typical 1.3×	$17620 plans	$112
Methodist Richardson Medical CenterMethodist Health System · file Mar 2026	$224–$280Cash ÷ typical 1.2×	$19427 plans	$112
Methodist Southlake Medical CenterMethodist Health System · file Mar 2026	$224–$280Cash ÷ typical 1.2×	$18933 plans	$104
UT Southwestern William P. Clements Jr. University HospitalUT Southwestern Medical Center · file Mar 2026	$249Cash ÷ typical 0.7×	$36619 plans	$192
Baylor Scott & White Medical Center – Lake PointeBaylor Scott & White Health · file Jun 2026	$338Cash ÷ typical 1.0×	$32630 plans	$75.00
Baylor Scott & White The Heart Hospital – DentonBaylor Scott & White Health · file Jun 2026	$338Cash ÷ typical 1.0×	$32629 plans	$126
Baylor Scott & White The Heart Hospital – McKinneyBaylor Scott & White Health · file Jun 2026	$338Cash ÷ typical 1.0×	$35022 plans	$224
Baylor Scott & White The Heart Hospital – PlanoBaylor Scott & White Health · file Jun 2026	$338Cash ÷ typical 1.0×	$32629 plans	$126
Baylor Scott & White All Saints Medical Center – Fort WorthBaylor Scott & White Health · file Jun 2026	$338Cash ÷ typical 1.0×	$32629 plans	$126
Baylor Scott & White Medical Center – Frisco at PGA ParkwayBaylor Scott & White Health · file Jun 2026	$338Cash ÷ typical 1.0×	$32628 plans	$126
Baylor Scott & White Medical Center – McKinneyBaylor Scott & White Health · file Jun 2026	$338Cash ÷ typical 1.0×	$32629 plans	$126
Baylor Scott & White Medical Center – GrapevineBaylor Scott & White Health · file Jun 2026	$338Cash ÷ typical 1.0×	$32629 plans	$126
Baylor University Medical CenterBaylor Scott & White Health · file Jun 2026	$338Cash ÷ typical 1.0×	$32630 plans	$126
Baylor Scott & White Medical Center – WaxahachieBaylor Scott & White Health · file Jun 2026	$338Cash ÷ typical 1.0×	$32629 plans	$126
Baylor Scott & White Medical Center – IrvingBaylor Scott & White Health · file Jun 2026	$338Cash ÷ typical 1.0×	$32629 plans	$126
Baylor Scott & White Heart and Vascular Hospital – DallasBaylor Scott & White Health · file Jun 2026	$338Cash ÷ typical 1.0×	$32628 plans	$126
Baylor Scott & White Heart and Vascular Hospital – WaxahachieBaylor Scott & White Health · file Jun 2026	$338Cash ÷ typical 1.0×	$32623 plans	$126
Baylor Scott & White Medical Center – PlanoBaylor Scott & White Health · file Jun 2026	$338Cash ÷ typical 1.0×	$32631 plans	$126
Baylor Scott & White Medical Center – CentennialBaylor Scott & White Health · file Jun 2026	$338Cash ÷ typical 1.0×	$32629 plans	$126
Parkland Health (Parkland Memorial Hospital)Parkland Health · file May 2026	$360Cash ÷ typical 0.6×	$60111 plans	$171
Texas Health Harris Methodist Hospital SouthlakeTexas Health Resources · file Apr 2026	$524Cash ÷ typical 0.9×	$60721 plans	$294
Texas Health Hospital RockwallTexas Health Resources · file Apr 2026	$524Cash ÷ typical 0.9×	$60721 plans	$294
Texas Health Heart & Vascular Hospital ArlingtonTexas Health Resources · file Apr 2026	$524Cash ÷ typical 0.9×	$60721 plans	$294
Texas Health Presbyterian Hospital Flower MoundTexas Health Resources · file Apr 2026	$524Cash ÷ typical 0.9×	$60721 plans	$294
Texas Health Presbyterian Hospital DentonTexas Health Resources · file Apr 2026	$524Cash ÷ typical 0.9×	$60721 plans	$173
Texas Health Harris Methodist Hospital AllianceTexas Health Resources · file Apr 2026	$524Cash ÷ typical 0.9×	$60721 plans	$173
Texas Health Center for Diagnostics and Surgery PlanoTexas Health Resources · file Apr 2026	$524Cash ÷ typical 0.9×	$60721 plans	$294
Texas Health Arlington Memorial HospitalTexas Health Resources · file Apr 2026	$524Cash ÷ typical 0.9×	$60721 plans	$173
Texas Health Presbyterian Hospital DallasTexas Health Resources · file Apr 2026	$524Cash ÷ typical 0.9×	$60721 plans	$173
Texas Health Harris Methodist Hospital Hurst-Euless-BedfordTexas Health Resources · file Apr 2026	$524Cash ÷ typical 0.9×	$60721 plans	$173
Texas Health Harris Methodist Hospital AzleTexas Health Resources · file Apr 2026	$524Cash ÷ typical 0.9×	$61321 plans	$294
Texas Health Harris Methodist Hospital CleburneTexas Health Resources · file Apr 2026	$524Cash ÷ typical 0.9×	$61321 plans	$294
Texas Health Hospital ClearforkTexas Health Resources · file Apr 2026	$524Cash ÷ typical 0.9×	$60721 plans	$173
Texas Health Presbyterian Hospital PlanoTexas Health Resources · file Apr 2026	$524Cash ÷ typical 0.9×	$60721 plans	$173
Texas Health Presbyterian Hospital KaufmanTexas Health Resources · file Apr 2026	$524Cash ÷ typical 0.9×	$61321 plans	$294
Texas Health Presbyterian Hospital AllenTexas Health Resources · file Apr 2026	$524Cash ÷ typical 0.9×	$61321 plans	$173
Texas Health Harris Methodist Hospital Fort WorthTexas Health Resources · file Apr 2026	$524Cash ÷ typical 0.9×	$60721 plans	$173
Texas Health Hospital FriscoTexas Health Resources · file Apr 2026	$524Cash ÷ typical 0.9×	$60721 plans	$173
Cook Children's Medical CenterCook Children's · children's hospital (not in the summary above) · file Jan 2026	$60–$606Cash ÷ typical 0.9×	$68.2116 plans	$46.55
Cook Children's Medical Center – ProsperCook Children's · children's hospital (not in the summary above) · file Jan 2026	$431–$606Cash ÷ typical 0.9×	$48919 plans	$253

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Negotiated rates by insurer

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

Negotiated rates by insurer
Hospital	Blue Cross Blue Shield	Aetna	Cigna	UnitedHealthcare	Humana	Oscar	Ambetter	Medicaid / CHIP	Medicare Advantage
Methodist Celina Medical Center	$205–$390	$170	—	—	—	$137	—	$44.11	$105–$112
Methodist Dallas Medical Center	$189–$360	$123–$170	$194	$112	—	$137	$180	$38–$164	$105–$113
Methodist Mansfield Medical Center	$189–$360	$170	$195	$113	—	$137	$180	$38–$171	$105–$114
Methodist Midlothian Medical Center	—	$170	$194	$112	—	$137	$180	$38–$164	$105–$113
Methodist Richardson Medical Center	$225–$428	$170	$194	$112	—	$137	$180	$38–$164	$105–$113
Methodist Southlake Medical Center	$189–$360	$104–$418	$195	$113–$453	—	$137	$180	$38–$171	$105–$114
UT Southwestern William P. Clements Jr. University Hospital	$393–$684	$192–$241	$366	$357–$397	—	—	—	$40.10–$44.11	$106–$120
Baylor Scott & White Medical Center – Lake Pointe	$257–$542	$309	$277–$326	$350–$389	$394	—	$226	$40.10–$42.91	$100–$118
Baylor Scott & White The Heart Hospital – Denton	$224–$473	$309	$277–$326	$350–$389	$394	—	$226	$40.10–$42.91	$100–$118
Baylor Scott & White The Heart Hospital – McKinney	$224–$473	$309	$277–$326	$350–$389	$394	—	—	$42.91	$100–$118
Baylor Scott & White The Heart Hospital – Plano	$224–$473	$309	$277–$326	$350–$389	$394	—	$226	$40.10–$42.91	$100–$118
Baylor Scott & White All Saints Medical Center – Fort Worth	$224–$473	$309	$277–$326	$350–$389	$394	—	$226	$40.10–$42.91	$100–$118
Baylor Scott & White Medical Center – Frisco at PGA Parkway	$224–$473	$309	$277–$326	$350–$389	$394	—	$226	$40.10	$100–$118
Baylor Scott & White Medical Center – McKinney	$224–$473	$309	$277–$326	$350–$389	$394	—	$226	$40.10–$42.91	$100–$118
Baylor Scott & White Medical Center – Grapevine	$224–$473	$309	$277–$326	$350–$389	$394	—	$226	$40.10–$42.91	$100–$118
Baylor University Medical Center	$224–$473	$309	$277–$326	$350–$389	$394	—	$226	$40.10–$42.91	$100–$118
Baylor Scott & White Medical Center – Waxahachie	$224–$473	$309	$277–$326	$350–$389	$394	—	$226	$40.10–$42.91	$100–$118
Baylor Scott & White Medical Center – Irving	$224–$473	$309	$277–$326	$350–$389	$394	—	$226	$40.10–$42.91	$100–$118
Baylor Scott & White Heart and Vascular Hospital – Dallas	$224–$473	$309	$277–$326	$350–$389	$394	—	$226	$40.10–$42.91	$100–$118
Baylor Scott & White Heart and Vascular Hospital – Waxahachie	$224–$473	$309	—	$350–$389	$394	—	—	—	$100–$110
Baylor Scott & White Medical Center – Plano	$224–$473	$309	$277–$326	$350–$389	$394	—	$226	$40.10–$42.91	$100–$118
Baylor Scott & White Medical Center – Centennial	$257–$542	$309	$277–$326	$350–$389	$394	—	$226	$40.10–$42.91	$100–$118
Parkland Health (Parkland Memorial Hospital)	$171–$649	$541	$541	$601	—	—	—	$40–$214	$188–$191
Texas Health Harris Methodist Hospital Southlake	$294–$885	$359–$613	$483–$822	$551–$722	—	—	—	$40–$116	$105–$119
Texas Health Hospital Rockwall	$294–$885	$359–$613	$483–$822	$551–$722	—	—	—	$40–$116	$105–$119
Texas Health Heart & Vascular Hospital Arlington	$294–$885	$359–$613	$483–$822	$551–$722	—	—	—	$40–$116	$105–$119
Texas Health Presbyterian Hospital Flower Mound	$294–$885	$359–$613	$483–$822	$551–$722	—	—	—	$40–$116	$105–$119
Texas Health Presbyterian Hospital Denton	$173–$885	$359–$613	$483–$822	$551–$722	—	—	—	$40–$116	$105–$119
Texas Health Harris Methodist Hospital Alliance	$173–$885	$359–$613	$483–$822	$551–$722	—	—	—	$40–$116	$105–$119
Texas Health Center for Diagnostics and Surgery Plano	$294–$885	$359–$613	$483–$822	$551–$722	—	—	—	$40–$113	$102–$116
Texas Health Arlington Memorial Hospital	$173–$885	$359–$613	$483–$822	$551–$722	—	—	—	$40–$116	$105–$119
Texas Health Presbyterian Hospital Dallas	$173–$885	$359–$613	$483–$822	$551–$722	—	—	—	$40–$116	$105–$119
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford	$173–$885	$359–$613	$483–$822	$551–$722	—	—	—	$40–$116	$105–$119
Texas Health Harris Methodist Hospital Azle	$294–$885	$359–$613	$483–$822	$551–$722	—	—	—	$40–$116	$105–$119
Texas Health Harris Methodist Hospital Cleburne	$294–$885	$359–$613	$483–$822	$551–$722	—	—	—	$40–$112	$101–$115
Texas Health Hospital Clearfork	$173–$885	$359–$613	$483–$822	$551–$722	—	—	—	$40–$116	$105–$119
Texas Health Presbyterian Hospital Plano	$173–$885	$359–$613	$483–$822	$551–$722	—	—	—	$40–$116	$105–$119
Texas Health Presbyterian Hospital Kaufman	$294–$885	$359–$613	$483–$822	$551–$722	—	—	—	$40–$116	$105–$119
Texas Health Presbyterian Hospital Allen	$173–$885	$359–$613	$483–$822	$551–$722	—	—	—	$40–$116	$105–$119
Texas Health Harris Methodist Hospital Fort Worth	$173–$801	$359–$613	$483–$822	$551–$722	—	—	—	$40–$116	$105–$119
Texas Health Hospital Frisco	$173–$885	$359–$613	$483–$822	$551–$722	—	—	—	$40–$116	$105–$119
Cook Children's Medical Center	$62.60–$67.41	—	$68.21	$68.21	$69.82–$70.62	—	—	$19.26–$35.31	—
Cook Children's Medical Center – Prosper	$449–$518	$489	$489	$489	$500–$506	—	—	$36–$148	—

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	$44.11	fee schedule
TRICARE	MHS HB TRICARE MCEL	Military / VA	$102	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE COMPLETE MCEL	Medicare Advantage	$105	other
AETNA MEDICARE MANAGED CARE	MHS HB AETNA GOLDEN MCEL	Medicare Advantage	$105	other
BCBS MEDICARE MANAGED CARE	MHS HB BCBS MEDICARE ADVANTAGE MCEL	Medicare Advantage	$105	other
GENERIC MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE PART A & B MCEL	Medicare Advantage	$105	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE DIRECT MCEL	Medicare Advantage	$105	other
MOLINA MEDICARE MANAGED CARE	MHS HB MOLINA MEDICARE MCEL	Medicare Advantage	$110	other
CIGNA MEDICARE	MHS HB 105% MEDICARE MCEL	Medicare Advantage	$110	other
HUMANA COMMERCIAL	MHS HB HUMANA MEDICARE MCEL	Medicare Advantage	$111	other
WELLPOINT MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE 106% MCEL	Medicare Advantage	$111	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC WELLMED MCEL	Medicare Advantage	$111	other
MULTIPLAN MEDICARE MANAGED CARE	MHS HB MULTIPLAN ADVANTAGE MCEL	Medicare Advantage	$112	other
OSCAR INSURANCE COMPANY	MHS HB OSCAR HMO MCEL	Commercial	$137	other
MOLINA	MHS HB MOLINA MARKETPLACE MCEL	Commercial	$152	other
WELLPOINT MARKETPLACE EXCHANGE	MHS HB WELLPOINT TEXAS ESSENTIALS MCEL	Commercial	$163	other
KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS	MHS HB TOWER EXTRUSIONS MCEL	Commercial	$168	other
AETNA	MHS HB AETNA CVS MCEL	Commercial	$170	other
AETNA	MHS HB AETNA EXCHANGE MCEL	Commercial	$170	other
ENTRUST/90 DEGREE	MHS HB 90 DEGREE MCEL	Commercial	$173	other
BCBS	MHS HB BCBS MY BLUE HEALTH MCEL	Commercial	$205	fee schedule
SANA BENEFITS	MHS HB SANA MCEL	Commercial	$210	other
VELOCITY	MHS HB VELOCITY MCEL	Commercial	$210	other
GENERIC WORKERS COMP TX PAR	MHS HB WORKERS COMP MCEL	Workers' comp	$210	other
EVRY HEALTH	MHS HB EVRY MCEL	Commercial	$210	other
MEDICAL COST CONTAINMENT PROFESSIONALS	MHS HB MEDICAL COST CONTAINMENT MCEL	Commercial	$263	other
HEALTH PLANS INC	MHS HB EMPLOYERS HEALTH NETWORK MCEL	Commercial	$263	other
BCBS	MHS HB BCBS HIGH PERFORMANCE NETWORK MCEL	Commercial	$338	fee schedule
BCBS	MHS HB BCBS PREMIER MCEL	Commercial	$338	fee schedule
BCBS	MHS HB BCBS CITY OF DALLAS MCEL	Commercial	$351	fee schedule
BCBS	MHS HB BCBS HMO MCEL	Commercial	$359	fee schedule
BCBS	MHS HB BCBS PPO MCEL	Commercial	$390	fee schedule
BCBS	MHS HB BCBS TRADITIONAL MCEL	Commercial	$390	fee schedule

Methodist Dallas Medical Center: all 52 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
UNITED HEALTHCARE MEDICAID MANAGED CARE	MHS HB UNITED MEDICAID STAR PLUS MDMC	Medicaid / CHIP	$38.10	fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE COMPLETE MDMC	Medicare Advantage	$105	other
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MHS HB UNINSURED COVID-19 MDMC	Public program	$105	other
AETNA MEDICARE MANAGED CARE	MHS HB AETNA GOLDEN MDMC	Medicare Advantage	$105	other
BCBS MEDICARE MANAGED CARE	MHS HB BCBS MEDICARE ADVANTAGE MDMC	Medicare Advantage	$105	other
GENERIC MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE PART A & B MDMC	Medicare Advantage	$105	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE DIRECT MDMC	Medicare Advantage	$105	other
MUTUAL OF OMAHA MEDICARE MANAGED CARE	MHS HB MUTUAL OF OMAHA MDMC	Medicare Advantage	$107	other
GLOBALHEALTH	MHS HB GLOBAL HEALTH MDMC	Medicare Advantage	$110	other
CARE N CARE MEDICARE MANAGED CARE	MHS HB SCOTT AND WHITE MEDICARE MDMC	Medicare Advantage	$110	other
MOLINA MEDICARE MANAGED CARE	MHS HB MOLINA MEDICARE MDMC	Medicare Advantage	$110	other
CIGNA MEDICARE	MHS HB 105% MEDICARE MDMC	Medicare Advantage	$110	other
HUMANA COMMERCIAL	MHS HB HUMANA MEDICARE MDMC	Medicare Advantage	$111	other
WELLPOINT MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE 106% MDMC	Medicare Advantage	$111	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC WELLMED MDMC	Medicare Advantage	$111	other
UNITED HEALTHCARE MANAGED CARE	MHS HB UHC EXCHANGE MDMC	Commercial	$112	other
MULTIPLAN MEDICARE MANAGED CARE	MHS HB MULTIPLAN ADVANTAGE MDMC	Medicare Advantage	$112	other
PROVIDER PARTNERS HEALTH PLAN	MHS HB PROVIDERS PARTNER HEALTH MDMC	Medicare Advantage	$113	other
AETNA COMMERCIAL	MHS HB AETNA TX PREF PLUS II MDMC	Commercial	$123	fee schedule
CORALVITA	MHS HB VIBRA MRMC MCMC MDMC	Commercial	$126	other
AETNA	MHS HB AETNA BAYLOR SCOTT AND WHITE MDMC	Commercial	$129	fee schedule
AETNA COMMERCIAL	MHS HB AETNA TEXAS ADVANTAGE MDMC	Commercial	$130	fee schedule
AETNA MANAGED CARE	MHS HB AETNA WHOLE HEALTH MDMC	Commercial	$130	fee schedule
ALTERNATIVE SERVICE CONCEPTS	MHS HB CITY OF PLANO MDMC	Commercial	$131	other
OSCAR INSURANCE COMPANY	MHS HB OSCAR HMO MDMC	Commercial	$137	other
AETNA	MHS HB AETNA HMO PPO MDMC	Commercial	$144	fee schedule
BRIGHT HEALTHCARE	MHS HB BRIGHT HEALTH MDMC	Commercial	$147	other
MOLINA	MHS HB MOLINA MARKETPLACE MDMC	Commercial	$152	other
WELLPOINT MARKETPLACE EXCHANGE	MHS HB WELLPOINT TEXAS ESSENTIALS MDMC	Commercial	$163	other
MOLINA MEDICAID MANAGED CARE	MHS HB MEDICAID 110% STAR PLUS MDMC	Medicaid / CHIP	$164	fee schedule
KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS	MHS HB TOWER EXTRUSIONS MDMC	Commercial	$168	other
AETNA	MHS HB AETNA EXCHANGE MDMC	Commercial	$170	other
AETNA	MHS HB AETNA CVS MDMC	Commercial	$170	other
ENTRUST/90 DEGREE	MHS HB 90 DEGREE MDMC	Commercial	$173	other
FRIDAY HEALTH PLAN	MHS HB FRIDAY HEALTH MDMC	Commercial	$179	other
AMBETTER SUPERIOR	MHS HB AMBETTER SUPERIOR MDMC	Commercial	$180	other
IMPERIAL INSURANCE COMPANIES	MHS HB IMPERIAL MANAGED CARE MDMC	Commercial	$189	other
BCBS	MHS HB BCBS MY BLUE HEALTH MDMC	Commercial	$189	fee schedule
CIGNA	MHS HB CUSTOM INK MDMC	Commercial	$194	other
EVRY HEALTH	MHS HB EVRY MDMC	Commercial	$210	other
SANA BENEFITS	MHS HB SANA MDMC	Commercial	$210	other
VELOCITY	MHS HB VELOCITY MDMC	Commercial	$210	other
GENERIC WORKERS COMP TX PAR	MHS HB WORKERS COMP MDMC	Workers' comp	$210	other
MEDICAL COST CONTAINMENT PROFESSIONALS	MHS HB MEDICAL COST CONTAINMENT MDMC	Commercial	$263	other
HEALTH PLANS INC	MHS HB EMPLOYERS HEALTH NETWORK MDMC	Commercial	$263	other
DART MEMBER CARE	MHS HB DART MEMBER CARE MDMC	Commercial	$284	other
BCBS	MHS HB BCBS PREMIER MDMC	Commercial	$312	fee schedule
BCBS	MHS HB BCBS HIGH PERFORMANCE NETWORK MDMC	Commercial	$312	fee schedule
BCBS	MHS HB BCBS CITY OF DALLAS MDMC	Commercial	$324	fee schedule
BCBS	MHS HB BCBS HMO MDMC	Commercial	$331	fee schedule
BCBS	MHS HB BCBS PPO MDMC	Commercial	$360	fee schedule
BCBS	MHS HB BCBS TRADITIONAL MDMC	Commercial	$360	fee schedule

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	$38.10	fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE COMPLETE MMMC	Medicare Advantage	$105	other
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MHS HB UNINSURED COVID-19 MMMC	Public program	$105	other
AETNA MEDICARE MANAGED CARE	MHS HB AETNA GOLDEN MMMC	Medicare Advantage	$105	other
BCBS MEDICARE MANAGED CARE	MHS HB BCBS MEDICARE ADVANTAGE MMMC	Medicare Advantage	$105	other
GENERIC MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE PART A & B MMMC	Medicare Advantage	$105	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE DIRECT MMMC	Medicare Advantage	$105	other
MUTUAL OF OMAHA MEDICARE MANAGED CARE	MHS HB MUTUAL OF OMAHA MMMC	Medicare Advantage	$107	other
GLOBALHEALTH	MHS HB GLOBAL HEALTH MMMC	Medicare Advantage	$110	other
CARE N CARE MEDICARE MANAGED CARE	MHS HB SCOTT AND WHITE MEDICARE MMMC	Medicare Advantage	$110	other
MOLINA MEDICARE MANAGED CARE	MHS HB MOLINA MEDICARE MMMC	Medicare Advantage	$110	other
CIGNA MEDICARE	MHS HB 105% MEDICARE MMMC	Medicare Advantage	$110	other
HUMANA COMMERCIAL	MHS HB HUMANA MEDICARE MMMC	Medicare Advantage	$112	other
WELLPOINT MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE 106% MMMC	Medicare Advantage	$112	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC WELLMED MMMC	Medicare Advantage	$112	other
UNITED HEALTHCARE MANAGED CARE	MHS HB UHC EXCHANGE MMMC	Commercial	$113	other
MULTIPLAN MEDICARE MANAGED CARE	MHS HB MULTIPLAN ADVANTAGE MMMC	Medicare Advantage	$113	other
PROVIDER PARTNERS HEALTH PLAN	MHS HB PROVIDERS PARTNER HEALTH MMMC	Medicare Advantage	$114	other
ALTERNATIVE SERVICE CONCEPTS	MHS HB CITY OF PLANO MMMC	Commercial	$131	other
OSCAR INSURANCE COMPANY	MHS HB OSCAR HMO MMMC	Commercial	$137	other
MOLINA MEDICAID MANAGED CARE	MHS HB MEDICAID 110% STAR PLUS MMMC	Medicaid / CHIP	$141	fee schedule
BRIGHT HEALTHCARE	MHS HB BRIGHT HEALTH MMMC	Commercial	$147	other
MOLINA	MHS HB MOLINA MARKETPLACE MMMC	Commercial	$153	other
WELLPOINT MARKETPLACE EXCHANGE	MHS HB WELLPOINT TEXAS ESSENTIALS MMMC	Commercial	$163	other
KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS	MHS HB TOWER EXTRUSIONS MMMC	Commercial	$168	other
AETNA	MHS HB AETNA EXCHANGE MMMC	Commercial	$170	other
AETNA	MHS HB AETNA CVS MMMC	Commercial	$170	other
WELLPOINT MEDICAID MANAGED CARE	MHS HB WELLPOINT MEDICAID STAR MMMC	Medicaid / CHIP	$171	fee schedule
ENTRUST/90 DEGREE	MHS HB 90 DEGREE MMMC	Commercial	$174	other
FRIDAY HEALTH PLAN	MHS HB FRIDAY HEALTH MMMC	Commercial	$179	other
AMBETTER SUPERIOR	MHS HB AMBETTER SUPERIOR MMMC	Commercial	$180	other
IMPERIAL INSURANCE COMPANIES	MHS HB IMPERIAL MANAGED CARE MMMC	Commercial	$189	other
BCBS	MHS HB BCBS MY BLUE HEALTH MMMC	Commercial	$189	fee schedule
CIGNA	MHS HB CUSTOM INK MMMC	Commercial	$195	other
EVRY HEALTH	MHS HB EVRY MMMC	Commercial	$210	other
SANA BENEFITS	MHS HB SANA MMMC	Commercial	$210	other
VELOCITY	MHS HB VELOCITY MMMC	Commercial	$210	other
GENERIC WORKERS COMP TX PAR	MHS HB WORKERS COMP MMMC	Workers' comp	$210	other
MEDICAL COST CONTAINMENT PROFESSIONALS	MHS HB MEDICAL COST CONTAINMENT MMMC	Commercial	$263	other
HEALTH PLANS INC	MHS HB EMPLOYERS HEALTH NETWORK MMMC	Commercial	$263	other
DART MEMBER CARE	MHS HB DART MEMBER CARE MMMC	Commercial	$284	other
BCBS	MHS HB BCBS PREMIER MMMC	Commercial	$312	fee schedule
BCBS	MHS HB BCBS HIGH PERFORMANCE NETWORK MMMC	Commercial	$312	fee schedule
BCBS	MHS HB BCBS CITY OF DALLAS MMMC	Commercial	$324	fee schedule
BCBS	MHS HB BCBS HMO MMMC	Commercial	$331	fee schedule
BCBS	MHS HB BCBS PPO MMMC	Commercial	$360	fee schedule
BCBS	MHS HB BCBS TRADITIONAL MMMC	Commercial	$360	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	$38.10	fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE COMPLETE MLMC	Medicare Advantage	$105	other
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MHS HB UNINSURED COVID-19 MLMC	Public program	$105	other
AETNA MEDICARE MANAGED CARE	MHS HB AETNA GOLDEN MLMC	Medicare Advantage	$105	other
BCBS MEDICARE MANAGED CARE	MHS HB BCBS MEDICARE ADVANTAGE MLMC	Medicare Advantage	$105	other
GENERIC MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE PART A & B MLMC	Medicare Advantage	$105	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE DIRECT MLMC	Medicare Advantage	$105	other
MUTUAL OF OMAHA MEDICARE MANAGED CARE	MHS HB MUTUAL OF OMAHA MLMC	Medicare Advantage	$107	other
GLOBALHEALTH	MHS HB GLOBAL HEALTH MLMC	Medicare Advantage	$110	other
CARE N CARE MEDICARE MANAGED CARE	MHS HB SCOTT AND WHITE MEDICARE MLMC	Medicare Advantage	$110	other
MOLINA MEDICARE MANAGED CARE	MHS HB MOLINA MEDICARE MLMC	Medicare Advantage	$110	other
CIGNA MEDICARE	MHS HB 105% MEDICARE MLMC	Medicare Advantage	$110	other
HUMANA COMMERCIAL	MHS HB HUMANA MEDICARE MLMC	Medicare Advantage	$111	other
WELLPOINT MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE 106% MLMC	Medicare Advantage	$111	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC WELLMED MLMC	Medicare Advantage	$111	other
UNITED HEALTHCARE MANAGED CARE	MHS HB UHC EXCHANGE MLMC	Commercial	$112	other
MULTIPLAN MEDICARE MANAGED CARE	MHS HB MULTIPLAN ADVANTAGE MLMC	Medicare Advantage	$112	other
PROVIDER PARTNERS HEALTH PLAN	MHS HB PROVIDERS PARTNER HEALTH MLMC	Medicare Advantage	$113	other
ALTERNATIVE SERVICE CONCEPTS	MHS HB CITY OF PLANO MLMC	Commercial	$131	other
OSCAR INSURANCE COMPANY	MHS HB OSCAR HMO MLMC	Commercial	$137	other
BRIGHT HEALTHCARE	MHS HB BRIGHT HEALTH MLMC	Commercial	$147	other
MOLINA	MHS HB MOLINA MARKETPLACE MLMC	Commercial	$152	other
WELLPOINT MARKETPLACE EXCHANGE	MHS HB WELLPOINT TEXAS ESSENTIALS MLMC	Commercial	$163	other
MOLINA MEDICAID MANAGED CARE	MHS HB MEDICAID 110% STAR PLUS MLMC	Medicaid / CHIP	$164	fee schedule
KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS	MHS HB TOWER EXTRUSIONS MLMC	Commercial	$168	other
AETNA	MHS HB AETNA EXCHANGE MLMC	Commercial	$170	other
AETNA	MHS HB AETNA CVS MLMC	Commercial	$170	other
ENTRUST/90 DEGREE	MHS HB 90 DEGREE MLMC	Commercial	$173	other
FRIDAY HEALTH PLAN	MHS HB FRIDAY HEALTH MLMC	Commercial	$179	other
AMBETTER SUPERIOR	MHS HB AMBETTER SUPERIOR MLMC	Commercial	$180	other
IMPERIAL INSURANCE COMPANIES	MHS HB IMPERIAL MANAGED CARE MLMC	Commercial	$189	other
CIGNA	MHS HB CUSTOM INK MLMC	Commercial	$194	other
EVRY HEALTH	MHS HB EVRY MLMC	Commercial	$210	other
SANA BENEFITS	MHS HB SANA MLMC	Commercial	$210	other
VELOCITY	MHS HB VELOCITY MLMC	Commercial	$210	other
GENERIC WORKERS COMP TX PAR	MHS HB WORKERS COMP MLMC	Workers' comp	$210	other
MEDICAL COST CONTAINMENT PROFESSIONALS	MHS HB MEDICAL COST CONTAINMENT MLMC	Commercial	$263	other
HEALTH PLANS INC	MHS HB EMPLOYERS HEALTH NETWORK MLMC	Commercial	$263	other
DART MEMBER CARE	MHS HB DART MEMBER CARE MLMC	Commercial	$284	other

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	$38.10	fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE COMPLETE MRMC	Medicare Advantage	$105	other
COVID19 HRSA UNINSURED TESTING AND TREATMENT FUND	MHS HB UNINSURED COVID-19 MRMC	Public program	$105	other
AETNA MEDICARE MANAGED CARE	MHS HB AETNA GOLDEN MRMC	Medicare Advantage	$105	other
BCBS MEDICARE MANAGED CARE	MHS HB BCBS MEDICARE ADVANTAGE MRMC	Medicare Advantage	$105	other
GENERIC MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE PART A & B MRMC	Medicare Advantage	$105	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE DIRECT MRMC	Medicare Advantage	$105	other
MUTUAL OF OMAHA MEDICARE MANAGED CARE	MHS HB MUTUAL OF OMAHA MRMC	Medicare Advantage	$107	other
GLOBALHEALTH	MHS HB GLOBAL HEALTH MRMC	Medicare Advantage	$110	other
CARE N CARE MEDICARE MANAGED CARE	MHS HB SCOTT AND WHITE MEDICARE MRMC	Medicare Advantage	$110	other
MOLINA MEDICARE MANAGED CARE	MHS HB MOLINA MEDICARE MRMC	Medicare Advantage	$110	other
CIGNA MEDICARE	MHS HB 105% MEDICARE MRMC	Medicare Advantage	$110	other
HUMANA COMMERCIAL	MHS HB HUMANA MEDICARE MRMC	Medicare Advantage	$111	other
WELLPOINT MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE 106% MRMC	Medicare Advantage	$111	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC WELLMED MRMC	Medicare Advantage	$111	other
UNITED HEALTHCARE MANAGED CARE	MHS HB UHC EXCHANGE MRMC	Commercial	$112	other
MULTIPLAN MEDICARE MANAGED CARE	MHS HB MULTIPLAN ADVANTAGE MRMC	Medicare Advantage	$112	other
PROVIDER PARTNERS HEALTH PLAN	MHS HB PROVIDERS PARTNER HEALTH MRMC	Medicare Advantage	$113	other
CORALVITA	MHS HB VIBRA MRMC MCMC MDMC	Commercial	$126	other
ALTERNATIVE SERVICE CONCEPTS	MHS HB CITY OF PLANO MRMC	Commercial	$131	other
OSCAR INSURANCE COMPANY	MHS HB OSCAR HMO MRMC	Commercial	$137	other
BRIGHT HEALTHCARE	MHS HB BRIGHT HEALTH MRMC	Commercial	$147	other
MOLINA	MHS HB MOLINA MARKETPLACE MRMC	Commercial	$152	other
WELLPOINT MARKETPLACE EXCHANGE	MHS HB WELLPOINT TEXAS ESSENTIALS MRMC	Commercial	$163	other
MOLINA MEDICAID MANAGED CARE	MHS HB MEDICAID 110% STAR PLUS MRMC	Medicaid / CHIP	$164	fee schedule
AETNA	MHS HB AETNA EXCHANGE MRMC	Commercial	$170	other
AETNA	MHS HB AETNA CVS MRMC	Commercial	$170	other
ENTRUST/90 DEGREE	MHS HB 90 DEGREE MRMC	Commercial	$173	other
FRIDAY HEALTH PLAN	MHS HB FRIDAY HEALTH MRMC	Commercial	$179	other
AMBETTER SUPERIOR	MHS HB AMBETTER SUPERIOR MRMC	Commercial	$180	other
IMPERIAL INSURANCE COMPANIES	MHS HB IMPERIAL MANAGED CARE MRMC	Commercial	$189	other
CIGNA	MHS HB CUSTOM INK MRMC	Commercial	$194	other
EVRY HEALTH	MHS HB EVRY MRMC	Commercial	$210	other
SANA BENEFITS	MHS HB SANA MRMC	Commercial	$210	other
VELOCITY	MHS HB VELOCITY MRMC	Commercial	$210	other
BCBS	MHS HB BCBS MY BLUE HEALTH MRMC	Commercial	$225	fee schedule
MEDICAL COST CONTAINMENT PROFESSIONALS	MHS HB MEDICAL COST CONTAINMENT MRMC	Commercial	$263	other
HEALTH PLANS INC	MHS HB EMPLOYERS HEALTH NETWORK MRMC	Commercial	$263	other
DART MEMBER CARE	MHS HB DART MEMBER CARE MRMC	Commercial	$284	other
BCBS	MHS HB BCBS PREMIER MRMC	Commercial	$371	fee schedule
BCBS	MHS HB BCBS HIGH PERFORMANCE NETWORK MRMC	Commercial	$371	fee schedule
BCBS	MHS HB BCBS CITY OF DALLAS MRMC	Commercial	$386	fee schedule
BCBS	MHS HB BCBS HMO MRMC	Commercial	$393	fee schedule
BCBS	MHS HB BCBS PPO MRMC	Commercial	$428	fee schedule
BCBS	MHS HB BCBS TRADITIONAL MRMC	Commercial	$428	fee schedule

Methodist Southlake Medical Center: all 53 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
UNITED HEALTHCARE MEDICAID MANAGED CARE	MHS HB UNITED MEDICAID STAR PLUS MSMC	Medicaid / CHIP	$38.10	fee schedule
TRICARE	MHS HB TRICARE MSMC	Military / VA	$102	other
AETNA COMMERCIAL	MHS HB AETNA TX PREF PLUS II MSMC	Commercial	$104	fee schedule
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE COMPLETE MSMC	Medicare Advantage	$105	other
AETNA MEDICARE MANAGED CARE	MHS HB AETNA GOLDEN MSMC	Medicare Advantage	$105	other
BCBS MEDICARE MANAGED CARE	MHS HB BCBS MEDICARE ADVANTAGE MSMC	Medicare Advantage	$105	other
GENERIC MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE PART A & B MSMC	Medicare Advantage	$105	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC MEDICARE DIRECT MSMC	Medicare Advantage	$105	other
MUTUAL OF OMAHA MEDICARE MANAGED CARE	MHS HB MUTUAL OF OMAHA MSMC	Medicare Advantage	$107	other
GLOBALHEALTH	MHS HB GLOBAL HEALTH MSMC	Medicare Advantage	$110	other
CARE N CARE MEDICARE MANAGED CARE	MHS HB SCOTT AND WHITE MEDICARE MSMC	Medicare Advantage	$110	other
MOLINA MEDICARE MANAGED CARE	MHS HB MOLINA MEDICARE MSMC	Medicare Advantage	$110	other
CIGNA MEDICARE	MHS HB 105% MEDICARE MSMC	Medicare Advantage	$110	other
HUMANA COMMERCIAL	MHS HB HUMANA MEDICARE MSMC	Medicare Advantage	$112	other
WELLPOINT MEDICARE MANAGED CARE	MHS HB MANAGED MEDICARE 106% MSMC	Medicare Advantage	$112	other
UNITED HEALTHCARE MEDICARE MANAGED CARE	MHS HB UHC WELLMED MSMC	Medicare Advantage	$112	other
UNITED HEALTHCARE MANAGED CARE	MHS HB UHC EXCHANGE MSMC	Commercial	$113	other
MULTIPLAN MEDICARE MANAGED CARE	MHS HB MULTIPLAN ADVANTAGE MSMC	Medicare Advantage	$113	other
PROVIDER PARTNERS HEALTH PLAN	MHS HB PROVIDERS PARTNER HEALTH MSMC	Medicare Advantage	$114	other
AETNA COMMERCIAL	MHS HB AETNA TEXAS ADVANTAGE MSMC	Commercial	$124	fee schedule
AETNA MANAGED CARE	MHS HB AETNA WHOLE HEALTH MSMC	Commercial	$124	fee schedule
ALTERNATIVE SERVICE CONCEPTS	MHS HB CITY OF PLANO MSMC	Commercial	$131	other
OSCAR INSURANCE COMPANY	MHS HB OSCAR HMO MSMC	Commercial	$137	other
AETNA	MHS HB AETNA HMO PPO MSMC	Commercial	$137	fee schedule
MOLINA MEDICAID MANAGED CARE	MHS HB MEDICAID 110% STAR PLUS MSMC	Medicaid / CHIP	$141	fee schedule
BRIGHT HEALTHCARE	MHS HB BRIGHT HEALTH MSMC	Commercial	$147	other
MOLINA	MHS HB MOLINA MARKETPLACE MSMC	Commercial	$153	other
WELLPOINT MARKETPLACE EXCHANGE	MHS HB WELLPOINT TEXAS ESSENTIALS MSMC	Commercial	$163	other
KEMPTON GROUP ADMINISTRATORS, TOWER EXTRUSIONS	MHS HB TOWER EXTRUSIONS MSMC	Commercial	$168	other
AETNA	MHS HB AETNA EXCHANGE MSMC	Commercial	$170	other
AETNA	MHS HB AETNA CVS MSMC	Commercial	$170	other
WELLPOINT MEDICAID MANAGED CARE	MHS HB WELLPOINT MEDICAID STAR MSMC	Medicaid / CHIP	$171	fee schedule
ENTRUST/90 DEGREE	MHS HB 90 DEGREE MSMC	Commercial	$174	other
FRIDAY HEALTH PLAN	MHS HB FRIDAY HEALTH MSMC	Commercial	$179	other
AMBETTER SUPERIOR	MHS HB AMBETTER SUPERIOR MSMC	Commercial	$180	other
IMPERIAL INSURANCE COMPANIES	MHS HB IMPERIAL MANAGED CARE MSMC	Commercial	$189	other
BCBS	MHS HB BCBS MY BLUE HEALTH MSMC	Commercial	$189	fee schedule
CIGNA	MHS HB CUSTOM INK MSMC	Commercial	$195	other
EVRY HEALTH	MHS HB EVRY MSMC	Commercial	$210	other
SANA BENEFITS	MHS HB SANA MSMC	Commercial	$210	other
VELOCITY	MHS HB VELOCITY MSMC	Commercial	$210	other
GENERIC WORKERS COMP TX PAR	MHS HB WORKERS COMP MSMC	Workers' comp	$210	other
MEDICAL COST CONTAINMENT PROFESSIONALS	MHS HB MEDICAL COST CONTAINMENT MSMC	Commercial	$263	other
HEALTH PLANS INC	MHS HB EMPLOYERS HEALTH NETWORK MSMC	Commercial	$263	other
DART MEMBER CARE	MHS HB DART MEMBER CARE MSMC	Commercial	$284	other
BCBS	MHS HB BCBS HIGH PERFORMANCE NETWORK MSMC	Commercial	$312	fee schedule
BCBS	MHS HB BCBS PREMIER MSMC	Commercial	$312	fee schedule
BCBS	MHS HB BCBS CITY OF DALLAS MSMC	Commercial	$324	fee schedule
BCBS	MHS HB BCBS HMO MSMC	Commercial	$331	fee schedule
BCBS	MHS HB BCBS PPO MSMC	Commercial	$360	fee schedule
BCBS	MHS HB BCBS TRADITIONAL MSMC	Commercial	$360	fee schedule
AETNA	MHS HB AETNA BAYLOR SCOTT AND WHITE MSMC	Commercial	$418	percent of total billed charges
UNITED HEALTHCARE-COMMERCIAL	MHS HB UNITED HEALTHCARE MSMC	Commercial	$453	per diem

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

Payer	Plan (as written in the file)	Type	Rate	Method
United Healthcare	Managed Medicaid	Medicaid / CHIP	$40.10	percent of total billed charges
Wellpoint	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Superior	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Parkland	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$43.31	fee schedule
Aetna Better Health	Managed Medicaid	Medicaid / CHIP	$44.11	fee schedule
Procare	Medicare Advantage	Medicare Advantage	$106	fee schedule
Humana	Medicare Advantage	Medicare Advantage	$111	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$112	fee schedule
Wellpoint	Medicare Advantage	Medicare Advantage	$112	fee schedule
Molina	Medicare Advantage	Medicare Advantage	$112	fee schedule
Superior	Medicare Advantage	Medicare Advantage	$112	fee schedule
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$118	fee schedule
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$120	fee schedule
Aetna	Whole Health	Commercial	$192	percent of total billed charges
Aetna	HMO/POS/EPO/PPO	Commercial	$241	percent of total billed charges
Maestro Health/Fort Worth Firefighters	Commercial	Commercial	$266	percent of total billed charges
HealthFirst	Commercial	Commercial	$279	percent of total billed charges
QuikTrip	Commercial	Commercial	$298	percent of total billed charges
Coventry	National/Medical Rental Products	Commercial	$347	percent of total billed charges
Rockwall County	Commercial	Commercial	$348	percent of total billed charges
United Healthcare	Commercial	Commercial	$357	case rate
United Healthcare W500	Commercial	Commercial	$359	percent of total billed charges
Cigna	HMO-PPO	Commercial	$366	percent of total billed charges
PHCS	Commercial	Commercial	$375	percent of total billed charges
Blue Cross Blue Shield	MyBlueHealth	Commercial	$393	fee schedule
United Options Nexus	Commercial	Commercial	$397	case rate
HealthSmart	Commercial	Commercial	$413	percent of total billed charges
Multiplan	Commercial	Commercial	$432	percent of total billed charges
Galaxy Health Network	Commercial	Commercial	$437	percent of total billed charges
Blue Cross Blue Shield	HMO	Commercial	$546	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$606	fee schedule
Blue Cross Blue Shield	Traditional	Commercial	$684	fee schedule

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	$40.10	fee schedule
WellPoint (fka Amerigroup)	CHIP/Medicaid	Medicaid / CHIP	$40.10	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$42.91	fee schedule
Texas A&M Commerce	Injured Athletes	Commercial	$75.00	case rate
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
TriWest	Community Care Network	Military / VA	$105	fee schedule
WellPoint (fka Amerigroup)	Medicare	Medicare Advantage	$108	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
Molina	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$257	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$264	percent of total billed charges
Mark Cuban	Commercial	Commercial	$272	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$277	percent of total billed charges
Cigna	Local Plus	Commercial	$277	percent of total billed charges
Aetna	Commercial	Commercial	$309	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$309	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$309	percent of total billed charges
Imagine Health	Commercial	Commercial	$309	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$326	percent of total billed charges
Cigna	HMO/PPO	Commercial	$326	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$326	percent of total billed charges
United Healthcare	Charter	Commercial	$350	percent of total billed charges
United Healthcare	Nexus	Commercial	$350	percent of total billed charges
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$363	fee schedule
Curative	Commercial	Commercial	$366	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$389	percent of total billed charges
First Health	PPO	Commercial	$394	percent of total billed charges
HealthSmart	Accel Network	Commercial	$394	percent of total billed charges
Humana	Commercial PPO	Commercial	$394	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$422	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$422	percent of total billed charges
Blue Cross Blue Shield	City of Dallas	Commercial	$489	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$516	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$542	fee schedule

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	$40.10	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$42.91	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
TriWest	Community Care Network	Military / VA	$105	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$264	percent of total billed charges
Mark Cuban	Commercial	Commercial	$272	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$277	percent of total billed charges
Cigna	Local Plus	Commercial	$277	percent of total billed charges
Aetna	Commercial	Commercial	$309	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$309	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$309	percent of total billed charges
Imagine Health	Commercial	Commercial	$309	percent of total billed charges
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$326	percent of total billed charges
Cigna	HMO/PPO	Commercial	$326	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$326	percent of total billed charges
United Healthcare	Charter	Commercial	$350	percent of total billed charges
United Healthcare	Nexus	Commercial	$350	percent of total billed charges
Curative	Commercial	Commercial	$366	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$389	percent of total billed charges
First Health	PPO	Commercial	$394	percent of total billed charges
HealthSmart	Accel Network	Commercial	$394	percent of total billed charges
Humana	Commercial PPO	Commercial	$394	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$422	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$422	percent of total billed charges
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule

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	$42.91	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$264	percent of total billed charges
Mark Cuban	Commercial	Commercial	$272	fee schedule
Cigna	Local Plus	Commercial	$277	percent of total billed charges
Aetna	Commercial	Commercial	$309	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$309	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$309	percent of total billed charges
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Cigna	HMO/PPO	Commercial	$326	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$326	percent of total billed charges
United Healthcare	Charter	Commercial	$350	percent of total billed charges
United Healthcare	Nexus	Commercial	$350	percent of total billed charges
Curative	Commercial	Commercial	$366	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$389	percent of total billed charges
First Health	PPO	Commercial	$394	percent of total billed charges
HealthSmart	Accel Network	Commercial	$394	percent of total billed charges
Humana	Commercial PPO	Commercial	$394	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$422	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$422	percent of total billed charges
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule

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	$40.10	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$42.91	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$105	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
TriWest	Community Care Network	Military / VA	$105	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$264	percent of total billed charges
Mark Cuban	Commercial	Commercial	$272	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$277	percent of total billed charges
Cigna	Local Plus	Commercial	$277	percent of total billed charges
Aetna	Commercial	Commercial	$309	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$309	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$309	percent of total billed charges
Imagine Health	Commercial	Commercial	$309	percent of total billed charges
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$326	percent of total billed charges
Cigna	HMO/PPO	Commercial	$326	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$326	percent of total billed charges
United Healthcare	Charter	Commercial	$350	percent of total billed charges
United Healthcare	Nexus	Commercial	$350	percent of total billed charges
Curative	Commercial	Commercial	$366	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$389	percent of total billed charges
First Health	PPO	Commercial	$394	percent of total billed charges
HealthSmart	Accel Network	Commercial	$394	percent of total billed charges
Humana	Commercial PPO	Commercial	$394	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$422	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$422	percent of total billed charges
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule

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	$40.10	fee schedule
Superior Health Plan	Medicaid	Medicaid / CHIP	$40.10	fee schedule
WellPoint (fka Amerigroup)	CHIP/Medicaid	Medicaid / CHIP	$40.10	fee schedule
Aetna	Medicaid	Medicaid / CHIP	$40.90	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$42.91	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$105	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
TriWest	Community Care Network	Military / VA	$105	fee schedule
WellPoint (fka Amerigroup)	Medicare	Medicare Advantage	$108	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$264	percent of total billed charges
Mark Cuban	Commercial	Commercial	$272	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$277	percent of total billed charges
Cigna	Local Plus	Commercial	$277	percent of total billed charges
Aetna	Commercial	Commercial	$309	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$309	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$309	percent of total billed charges
Imagine Health	Commercial	Commercial	$309	percent of total billed charges
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$326	percent of total billed charges
Cigna	HMO/PPO	Commercial	$326	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$326	percent of total billed charges
United Healthcare	Charter	Commercial	$350	percent of total billed charges
United Healthcare	Nexus	Commercial	$350	percent of total billed charges
Curative	Commercial	Commercial	$366	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$389	percent of total billed charges
First Health	PPO	Commercial	$394	percent of total billed charges
HealthSmart	Accel Network	Commercial	$394	percent of total billed charges
Humana	Commercial PPO	Commercial	$394	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$422	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$422	percent of total billed charges
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule

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	$40.10	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$105	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$264	percent of total billed charges
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$277	percent of total billed charges
Cigna	Local Plus	Commercial	$277	percent of total billed charges
Aetna	Commercial	Commercial	$309	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$309	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$309	percent of total billed charges
Imagine Health	Commercial	Commercial	$309	percent of total billed charges
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$326	percent of total billed charges
Cigna	HMO/PPO	Commercial	$326	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$326	percent of total billed charges
United Healthcare	Charter	Commercial	$350	percent of total billed charges
United Healthcare	Nexus	Commercial	$350	percent of total billed charges
Curative	Commercial	Commercial	$366	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$389	percent of total billed charges
First Health	PPO	Commercial	$394	percent of total billed charges
HealthSmart	Accel Network	Commercial	$394	percent of total billed charges
Humana	Commercial PPO	Commercial	$394	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$422	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$422	percent of total billed charges
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule

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	$40.10	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$42.91	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$105	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
TriWest	Community Care Network	Military / VA	$105	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$264	percent of total billed charges
Mark Cuban	Commercial	Commercial	$272	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$277	percent of total billed charges
Cigna	Local Plus	Commercial	$277	percent of total billed charges
Aetna	Commercial	Commercial	$309	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$309	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$309	percent of total billed charges
Imagine Health	Commercial	Commercial	$309	percent of total billed charges
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$326	percent of total billed charges
Cigna	HMO/PPO	Commercial	$326	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$326	percent of total billed charges
United Healthcare	Charter	Commercial	$350	percent of total billed charges
United Healthcare	Nexus	Commercial	$350	percent of total billed charges
Curative	Commercial	Commercial	$366	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$389	percent of total billed charges
First Health	PPO	Commercial	$394	percent of total billed charges
HealthSmart	Accel Network	Commercial	$394	percent of total billed charges
Humana	Commercial PPO	Commercial	$394	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$422	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$422	percent of total billed charges
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule

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	$40.10	fee schedule
Aetna	Medicaid	Medicaid / CHIP	$40.90	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$42.91	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.94	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$105	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
TriWest	Community Care Network	Military / VA	$105	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$133	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$174	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$264	percent of total billed charges
Mark Cuban	Commercial	Commercial	$272	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$277	percent of total billed charges
Cigna	Local Plus	Commercial	$277	percent of total billed charges
Aetna	Commercial	Commercial	$309	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$309	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$309	percent of total billed charges
Imagine Health	Commercial	Commercial	$309	percent of total billed charges
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$326	percent of total billed charges
Cigna	HMO/PPO	Commercial	$326	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$326	percent of total billed charges
United Healthcare	Charter	Commercial	$350	percent of total billed charges
United Healthcare	Nexus	Commercial	$350	percent of total billed charges
Curative	Commercial	Commercial	$366	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$389	percent of total billed charges
First Health	PPO	Commercial	$394	percent of total billed charges
HealthSmart	Accel Network	Commercial	$394	percent of total billed charges
Humana	Commercial PPO	Commercial	$394	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$422	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$422	percent of total billed charges
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule

Baylor University Medical Center: all 49 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Superior Health Plan	Medicaid	Medicaid / CHIP	$40.10	fee schedule
WellPoint (fka Amerigroup)	CHIP/Medicaid	Medicaid / CHIP	$40.10	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$42.91	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$105	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
TriWest	Community Care Network	Military / VA	$105	fee schedule
WellPoint (fka Amerigroup)	Medicare	Medicare Advantage	$108	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
Molina	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Texas Workforce Commission	Workers Compensation	Workers' comp	$203	percent of total billed charges
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$264	percent of total billed charges
Mark Cuban	Commercial	Commercial	$272	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$277	percent of total billed charges
Cigna	Local Plus	Commercial	$277	percent of total billed charges
Aetna	Commercial	Commercial	$309	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$309	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$309	percent of total billed charges
Imagine Health	Commercial	Commercial	$309	percent of total billed charges
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$326	percent of total billed charges
Cigna	HMO/PPO	Commercial	$326	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$326	percent of total billed charges
United Healthcare	Charter	Commercial	$350	percent of total billed charges
United Healthcare	Nexus	Commercial	$350	percent of total billed charges
Curative	Commercial	Commercial	$366	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$389	percent of total billed charges
First Health	PPO	Commercial	$394	percent of total billed charges
HealthSmart	Accel Network	Commercial	$394	percent of total billed charges
Humana	Commercial PPO	Commercial	$394	percent of total billed charges
Optum	Commercial	Commercial	$394	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$422	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$422	percent of total billed charges
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule

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	$40.10	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$42.91	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$105	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
TriWest	Community Care Network	Military / VA	$105	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$264	percent of total billed charges
Mark Cuban	Commercial	Commercial	$272	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$277	percent of total billed charges
Cigna	Local Plus	Commercial	$277	percent of total billed charges
Aetna	Commercial	Commercial	$309	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$309	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$309	percent of total billed charges
Imagine Health	Commercial	Commercial	$309	percent of total billed charges
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$326	percent of total billed charges
Cigna	HMO/PPO	Commercial	$326	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$326	percent of total billed charges
United Healthcare	Charter	Commercial	$350	percent of total billed charges
United Healthcare	Nexus	Commercial	$350	percent of total billed charges
Curative	Commercial	Commercial	$366	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$389	percent of total billed charges
First Health	PPO	Commercial	$394	percent of total billed charges
HealthSmart	Accel Network	Commercial	$394	percent of total billed charges
Humana	Commercial PPO	Commercial	$394	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$422	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$422	percent of total billed charges
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule

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	$40.10	fee schedule
WellPoint (fka Amerigroup)	CHIP/Medicaid	Medicaid / CHIP	$40.10	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$42.91	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$105	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
TriWest	Community Care Network	Military / VA	$105	fee schedule
WellPoint (fka Amerigroup)	Medicare	Medicare Advantage	$108	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$264	percent of total billed charges
Mark Cuban	Commercial	Commercial	$272	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$277	percent of total billed charges
Cigna	Local Plus	Commercial	$277	percent of total billed charges
Aetna	Commercial	Commercial	$309	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$309	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$309	percent of total billed charges
Imagine Health	Commercial	Commercial	$309	percent of total billed charges
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$326	percent of total billed charges
Cigna	HMO/PPO	Commercial	$326	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$326	percent of total billed charges
United Healthcare	Charter	Commercial	$350	percent of total billed charges
United Healthcare	Nexus	Commercial	$350	percent of total billed charges
Curative	Commercial	Commercial	$366	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$389	percent of total billed charges
First Health	PPO	Commercial	$394	percent of total billed charges
HealthSmart	Accel Network	Commercial	$394	percent of total billed charges
Humana	Commercial PPO	Commercial	$394	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$422	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$422	percent of total billed charges
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule

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	$40.10	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$42.91	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$105	fee schedule
TriWest	Community Care Network	Military / VA	$105	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$264	percent of total billed charges
Mark Cuban	Commercial	Commercial	$272	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$277	percent of total billed charges
Cigna	Local Plus	Commercial	$277	percent of total billed charges
Aetna	Commercial	Commercial	$309	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$309	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$309	percent of total billed charges
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$326	percent of total billed charges
Cigna	HMO/PPO	Commercial	$326	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$326	percent of total billed charges
United Healthcare	Charter	Commercial	$350	percent of total billed charges
United Healthcare	Nexus	Commercial	$350	percent of total billed charges
Curative	Commercial	Commercial	$366	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$389	percent of total billed charges
First Health	PPO	Commercial	$394	percent of total billed charges
HealthSmart	Accel Network	Commercial	$394	percent of total billed charges
Humana	Commercial PPO	Commercial	$394	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$422	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$422	percent of total billed charges
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule

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

Payer	Plan (as written in the file)	Type	Rate	Method
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$264	percent of total billed charges
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$277	percent of total billed charges
Aetna	Commercial	Commercial	$309	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$309	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$309	percent of total billed charges
Imagine Health	Commercial	Commercial	$309	percent of total billed charges
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$326	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$326	percent of total billed charges
United Healthcare	Charter	Commercial	$350	percent of total billed charges
United Healthcare	Nexus	Commercial	$350	percent of total billed charges
Curative	Commercial	Commercial	$366	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$389	percent of total billed charges
First Health	PPO	Commercial	$394	percent of total billed charges
Humana	Commercial PPO	Commercial	$394	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$422	percent of total billed charges
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule

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	$40.10	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$42.91	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
Aetna	Medicare Advantage	Medicare Advantage	$105	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
TriWest	Community Care Network	Military / VA	$105	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$224	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$264	percent of total billed charges
Mark Cuban	Commercial	Commercial	$272	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$277	percent of total billed charges
Cigna	Local Plus	Commercial	$277	percent of total billed charges
Aetna	Commercial	Commercial	$309	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$309	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$309	percent of total billed charges
Imagine Health	Commercial	Commercial	$309	percent of total billed charges
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$317	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$326	percent of total billed charges
Cigna	HMO/PPO	Commercial	$326	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$326	percent of total billed charges
Independent Medical System	Commercial PPO	Commercial	$338	percent of total billed charges
United Healthcare	Charter	Commercial	$350	percent of total billed charges
United Healthcare	Nexus	Commercial	$350	percent of total billed charges
Curative	Commercial	Commercial	$366	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$389	percent of total billed charges
First Health	PPO	Commercial	$394	percent of total billed charges
HealthSmart	Accel Network	Commercial	$394	percent of total billed charges
Humana	Commercial PPO	Commercial	$394	percent of total billed charges
Optum	Commercial	Commercial	$394	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$422	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$422	percent of total billed charges
Blue Cross Blue Shield	City of Dallas	Commercial	$426	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$449	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$473	fee schedule

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	$40.10	fee schedule
WellPoint (fka Amerigroup)	CHIP/Medicaid	Medicaid / CHIP	$40.10	fee schedule
United Healthcare	Medicaid/CHIP	Medicaid / CHIP	$42.91	fee schedule
Baylor Scott & White Health Plan	Medicare Advantage	Medicare Advantage	$99.77	fee schedule
CORVEL	Worker's Compensation	Workers' comp	$102	fee schedule
Humana	Medicare	Medicare Advantage	$105	fee schedule
TriWest	Community Care Network	Military / VA	$105	fee schedule
WellPoint (fka Amerigroup)	Medicare	Medicare Advantage	$108	fee schedule
American Health Plan	Medicare Advantage	Medicare Advantage	$110	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$110	fee schedule
HealthSpring	Medicare Advantage	Medicare Advantage	$110	fee schedule
Molina	Medicare Advantage	Medicare Advantage	$110	fee schedule
ProCare Advantage	Medicare Advantage	Medicare Advantage	$110	fee schedule
Superior Health Plan	Medicare	Medicare Advantage	$110	fee schedule
United Healthcare	Medicare Advantage	Medicare Advantage	$118	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Small Group	Commercial	$126	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Individual	Commercial	$132	fee schedule
Prime Health Services	Worker's Compensation	Workers' comp	$132	fee schedule
Sedgwick	Preferred Network	Workers' comp	$157	fee schedule
Baylor Scott & White Health Plan	BSW Plus - Small Group	Commercial	$173	fee schedule
Superior Ambetter	Ambetter Exchange	Commercial	$226	fee schedule
Blue Cross Blue Shield	Blue Advantage	Commercial	$257	fee schedule
Employers Health Network	BSWQA Direct/EHN Rental	Commercial	$264	percent of total billed charges
Mark Cuban	Commercial	Commercial	$272	fee schedule
Baylor Scott & White Health Plan	BSW Premier - Large Group/BSW Premier Direct to Employer (Rate 1)/BSWH Employee	Commercial	$277	percent of total billed charges
Cigna	Local Plus	Commercial	$277	percent of total billed charges
Aetna	Commercial	Commercial	$309	percent of total billed charges
QuikTrip	Employee Benefit Plan	Commercial	$309	percent of total billed charges
Employers Health Network	EHN Network	Commercial	$309	percent of total billed charges
Imagine Health	Commercial	Commercial	$309	percent of total billed charges
Baylor Scott & White Health Plan	BSW Plus - Large Group/BSW Premier Direct to Employer (Rate 2)	Commercial	$326	percent of total billed charges
Cigna	HMO/PPO	Commercial	$326	percent of total billed charges
University of Mary Hardin-Baylor	Commercial	Commercial	$326	percent of total billed charges
United Healthcare	Charter	Commercial	$350	percent of total billed charges
United Healthcare	Nexus	Commercial	$350	percent of total billed charges
Blue Cross Blue Shield	Blue Premier/High Performance Network/My BlueHealth	Commercial	$363	fee schedule
Curative	Commercial	Commercial	$366	percent of total billed charges
United Healthcare	Commercial Broad	Commercial	$389	percent of total billed charges
First Health	PPO	Commercial	$394	percent of total billed charges
HealthSmart	Accel Network	Commercial	$394	percent of total billed charges
Humana	Commercial PPO	Commercial	$394	percent of total billed charges
HealthSmart	Preferred Network	Commercial	$422	percent of total billed charges
Private Health Care System	PHCS Network	Commercial	$422	percent of total billed charges
Blue Cross Blue Shield	City of Dallas	Commercial	$489	fee schedule
Blue Cross Blue Shield	Blue Essentials (HMO)	Commercial	$516	fee schedule
Blue Cross Blue Shield	BlueChoice (PPO)	Commercial	$542	fee schedule

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	$40.10	fee schedule
AETNA BETTER HEALTH	AETNA BETTER HEALTH CHIP	Medicaid / CHIP	$40.10	fee schedule
AETNA BETTER HEALTH	BELOW FPIL AETNA CHIP PERINATE	Medicaid / CHIP	$40.10	fee schedule
AETNA BETTER HEALTH	ABOVE FPIL AETNA CHIP PERINATE	Medicaid / CHIP	$40.10	fee schedule
COOK CHILDREN HEALTH PLAN	COOK CHILDREN STAR MEDICAID	Medicaid / CHIP	$42.11	fee schedule
COOK CHILDREN HEALTH PLAN	COOK CHILDRENS STAR KIDS	Medicaid / CHIP	$42.11	fee schedule
COOK CHILDREN HEALTH PLAN	COOK CHILDRENS CHIP	Medicaid / CHIP	$42.11	fee schedule
SUPERIOR HEALTH PLAN	SUPERIOR STAR HEALTH FOSTER CARE	Medicaid / CHIP	$42.11	fee schedule
PARKLAND COMMUNITY HEALTH PLAN	Parkland CHIP	Medicaid / CHIP	$42.11	fee schedule
MOLINA	MOLINA CHIP	Medicaid / CHIP	$44.11	fee schedule
MOLINA	MOLINA RSA MEDICAID	Medicaid / CHIP	$44.11	fee schedule
POINT COMFORT UNDERWRITERS	POINT COMFORT UNDERWRITERS	Public program	$44.11	fee schedule
WELLPOINT	WELLPOINT STAR PLUS	Medicaid / CHIP	$149	fee schedule
WELLPOINT	WELLPOINT STAR KIDS	Medicaid / CHIP	$153	fee schedule
SUPERIOR HEALTHPLAN	SUPERIOR STAR PLUS	Medicaid / CHIP	$157	fee schedule
MOLINA	MOLINA STAR PLUS	Medicaid / CHIP	$164	fee schedule
BLUE CROSS BLUE SHIELD	BLUE ADVANTAGE HMO ACA	Commercial	$171	fee schedule
CARE IMPROVEMENT PLUS	CARE IMPROVEMENT PLUS	Medicare Advantage	$188	percent of total billed charges
PROCARE ADVANTAGE	PROCARE ADVANTAGE	Medicare Advantage	$191	percent of total billed charges
WELLPOINT	WELLPOINT STAR	Medicaid / CHIP	$195	fee schedule
PARKLAND COMMUNITY HEALTH PLAN	Parkland STAR	Medicaid / CHIP	$205	fee schedule
AETNA BETTER HEALTH	AETNA BETTER HEALTH STAR	Medicaid / CHIP	$205	fee schedule
MOLINA	MOLINA STAR MEDICAID	Medicaid / CHIP	$214	fee schedule
AETNA HEALTHCARE	AETNA	Commercial	$541	percent of total billed charges
CIGNA	CIGNA	Commercial	$541	percent of total billed charges
GREAT WEST HEALTHCARE	GREAT WEST HEALTHCARE	Commercial	$541	percent of total billed charges
UNITED HEALTHCARE OF TX	UNITED HEALTHCARE OF TX	Commercial	$601	percent of total billed charges
UNITED HEALTHCARE OF TX	UHC - UMR	Commercial	$601	percent of total billed charges
BLUE CROSS BLUE SHIELD	BCBS TRADITIONAL	Commercial	$649	percent of total billed charges
BLUE CROSS BLUE SHIELD	BCBS OUT OF STATE	Commercial	$649	percent of total billed charges
BLUE CROSS BLUE SHIELD	BCBS FEDERAL EMPLOYEE	Commercial	$649	percent of total billed charges
BLUE CROSS BLUE SHIELD	BLUE CROSS BLUE SHIELD PPO	Commercial	$649	percent of total billed charges
BLUE CROSS BLUE SHIELD	BLUE CROSS BLUE SHIELD HMO	Commercial	$649	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	$40.10	fee schedule
Amerigroup	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$42.11	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$43.31	fee schedule
Aetna	Managed Medicaid	Medicaid / CHIP	$44.11	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	Exchange	Commercial	$303	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Aetna	Whole Health	Commercial	$359	percent of total billed charges
Fort Worth Firefighters	Commercial	Commercial	$384	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$411	percent of total billed charges
Aetna	Commercial	Commercial	$479	percent of total billed charges
Cigna	OAP/HMO	Commercial	$483	percent of total billed charges
Quick Trip	Commercial	Commercial	$524	percent of total billed charges
United Healthcare	All Payer	Commercial	$551	case rate
PHCS	PPO	Commercial	$607	percent of total billed charges
Cigna	PPO	Commercial	$609	percent of total billed charges
Aetna	Coventry	Commercial	$613	percent of total billed charges
Aetna	ASA	Commercial	$613	percent of total billed charges
Healthsmart	Commercial	Commercial	$656	percent of total billed charges
United Healthcare Options	PPO	Commercial	$722	case rate
Multiplan	Commercial	Commercial	$760	percent of total billed charges
Galaxy	Commercial	Commercial	$769	percent of total billed charges
USA	MCO	Commercial	$769	percent of total billed charges
Cigna	Indemnity	Commercial	$822	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule

Texas Health Hospital Rockwall: all 37 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Parkland	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Amerigroup	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$42.11	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$43.31	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	Exchange	Commercial	$303	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Aetna	Whole Health	Commercial	$359	percent of total billed charges
Fort Worth Firefighters	Commercial	Commercial	$384	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$411	percent of total billed charges
Aetna	Commercial	Commercial	$479	percent of total billed charges
Cigna	OAP/HMO	Commercial	$483	percent of total billed charges
Quick Trip	Commercial	Commercial	$524	percent of total billed charges
United Healthcare	All Payer	Commercial	$551	case rate
PHCS	PPO	Commercial	$607	percent of total billed charges
Cigna	PPO	Commercial	$609	percent of total billed charges
Aetna	ASA	Commercial	$613	percent of total billed charges
Aetna	Coventry	Commercial	$613	percent of total billed charges
Healthsmart	Commercial	Commercial	$656	percent of total billed charges
United Healthcare Options	PPO	Commercial	$722	case rate
Multiplan	Commercial	Commercial	$760	percent of total billed charges
USA	MCO	Commercial	$769	percent of total billed charges
Galaxy	Commercial	Commercial	$769	percent of total billed charges
Cigna	Indemnity	Commercial	$822	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule

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	$40.10	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$42.11	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$43.31	fee schedule
Aetna	Managed Medicaid	Medicaid / CHIP	$44.11	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Humana	Medicare Advantage PPO	Medicare Advantage	$109	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	Exchange	Commercial	$303	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Aetna	Whole Health	Commercial	$359	percent of total billed charges
Fort Worth Firefighters	Commercial	Commercial	$384	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$411	percent of total billed charges
Aetna	Commercial	Commercial	$479	percent of total billed charges
Cigna	OAP/HMO	Commercial	$483	percent of total billed charges
Quick Trip	Commercial	Commercial	$524	percent of total billed charges
United Healthcare	All Payer	Commercial	$551	case rate
PHCS	PPO	Commercial	$607	percent of total billed charges
Cigna	PPO	Commercial	$609	percent of total billed charges
Aetna	ASA	Commercial	$613	percent of total billed charges
Aetna	Coventry	Commercial	$613	percent of total billed charges
Healthsmart	Commercial	Commercial	$656	percent of total billed charges
United Healthcare Options	PPO	Commercial	$722	case rate
Multiplan	Commercial	Commercial	$760	percent of total billed charges
Galaxy	Commercial	Commercial	$769	percent of total billed charges
USA	MCO	Commercial	$769	percent of total billed charges
Cigna	Indemnity	Commercial	$822	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule

Texas Health Presbyterian Hospital Flower Mound: all 38 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Amerigroup	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$42.11	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$43.31	fee schedule
Aetna	Managed Medicaid	Medicaid / CHIP	$44.11	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	Exchange	Commercial	$303	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Aetna	Whole Health	Commercial	$359	percent of total billed charges
Fort Worth Firefighters	Commercial	Commercial	$384	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$411	percent of total billed charges
Aetna	Commercial	Commercial	$479	percent of total billed charges
Cigna	OAP/HMO	Commercial	$483	percent of total billed charges
Quick Trip	Commercial	Commercial	$524	percent of total billed charges
United Healthcare	All Payer	Commercial	$551	case rate
PHCS	PPO	Commercial	$607	percent of total billed charges
Cigna	PPO	Commercial	$609	percent of total billed charges
Aetna	ASA	Commercial	$613	percent of total billed charges
Aetna	Coventry	Commercial	$613	percent of total billed charges
Healthsmart	Commercial	Commercial	$656	percent of total billed charges
United Healthcare Options	PPO	Commercial	$722	case rate
Multiplan	Commercial	Commercial	$760	percent of total billed charges
Galaxy	Commercial	Commercial	$769	percent of total billed charges
USA	MCO	Commercial	$769	percent of total billed charges
Cigna	Indemnity	Commercial	$822	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule

Texas Health Presbyterian Hospital Denton: all 38 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Amerigroup	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$42.11	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$43.31	fee schedule
Aetna	Managed Medicaid	Medicaid / CHIP	$44.11	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	Exchange	Commercial	$173	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Aetna	Whole Health	Commercial	$359	percent of total billed charges
Fort Worth Firefighters	Commercial	Commercial	$384	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$411	percent of total billed charges
Aetna	Commercial	Commercial	$479	percent of total billed charges
Cigna	OAP/HMO	Commercial	$483	percent of total billed charges
Quick Trip	Commercial	Commercial	$524	percent of total billed charges
United Healthcare	All Payer	Commercial	$551	case rate
PHCS	PPO	Commercial	$607	percent of total billed charges
Cigna	PPO	Commercial	$609	percent of total billed charges
Aetna	Coventry	Commercial	$613	percent of total billed charges
Aetna	ASA	Commercial	$613	percent of total billed charges
Healthsmart	Commercial	Commercial	$656	percent of total billed charges
United Healthcare Options	PPO	Commercial	$722	case rate
Multiplan	Commercial	Commercial	$760	percent of total billed charges
USA	MCO	Commercial	$769	percent of total billed charges
Galaxy	Commercial	Commercial	$769	percent of total billed charges
Cigna	Indemnity	Commercial	$822	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule

Texas Health Harris Methodist Hospital Alliance: all 38 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$42.11	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$43.31	fee schedule
Aetna	Managed Medicaid	Medicaid / CHIP	$44.11	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	Exchange	Commercial	$173	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Aetna	Whole Health	Commercial	$359	percent of total billed charges
Fort Worth Firefighters	Commercial	Commercial	$384	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$411	percent of total billed charges
Aetna	Commercial	Commercial	$479	percent of total billed charges
Cigna	OAP/HMO	Commercial	$483	percent of total billed charges
Quick Trip	Commercial	Commercial	$524	percent of total billed charges
United Healthcare	All Payer	Commercial	$551	case rate
PHCS	PPO	Commercial	$607	percent of total billed charges
Cigna	PPO	Commercial	$609	percent of total billed charges
Aetna	Coventry	Commercial	$613	percent of total billed charges
Aetna	ASA	Commercial	$613	percent of total billed charges
Healthsmart	Commercial	Commercial	$656	percent of total billed charges
United Healthcare Options	PPO	Commercial	$722	case rate
Multiplan	Commercial	Commercial	$760	percent of total billed charges
Galaxy	Commercial	Commercial	$769	percent of total billed charges
USA	MCO	Commercial	$769	percent of total billed charges
Cigna	Indemnity	Commercial	$822	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule

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

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Parkland	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$42.11	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$43.31	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$102	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$102	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$104	case rate
Humana	Medicare Advantage	Medicare Advantage	$106	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$107	case rate
Molina	Medicare Advantage	Medicare Advantage	$107	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$107	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$113	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$114	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$116	case rate
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	Exchange	Commercial	$303	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Aetna	Whole Health	Commercial	$359	percent of total billed charges
Fort Worth Firefighters	Commercial	Commercial	$384	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$411	percent of total billed charges
Aetna	Commercial	Commercial	$479	percent of total billed charges
Cigna	OAP/HMO	Commercial	$483	percent of total billed charges
Quick Trip	Commercial	Commercial	$524	percent of total billed charges
United Healthcare	All Payer	Commercial	$551	case rate
PHCS	PPO	Commercial	$607	percent of total billed charges
Cigna	PPO	Commercial	$609	percent of total billed charges
Aetna	Coventry	Commercial	$613	percent of total billed charges
Aetna	ASA	Commercial	$613	percent of total billed charges
Healthsmart	Commercial	Commercial	$656	percent of total billed charges
United Healthcare Options	PPO	Commercial	$722	case rate
Multiplan	Commercial	Commercial	$760	percent of total billed charges
Galaxy	Commercial	Commercial	$769	percent of total billed charges
USA	MCO	Commercial	$769	percent of total billed charges
Cigna	Indemnity	Commercial	$822	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule

Texas Health Arlington Memorial Hospital: all 39 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Amerigroup	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Parkland	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$42.11	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$43.31	fee schedule
Aetna	Managed Medicaid	Medicaid / CHIP	$44.11	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	Exchange	Commercial	$173	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Aetna	Whole Health	Commercial	$359	percent of total billed charges
Fort Worth Firefighters	Commercial	Commercial	$384	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$411	percent of total billed charges
Aetna	Commercial	Commercial	$479	percent of total billed charges
Cigna	OAP/HMO	Commercial	$483	percent of total billed charges
Quick Trip	Commercial	Commercial	$524	percent of total billed charges
United Healthcare	All Payer	Commercial	$551	case rate
PHCS	PPO	Commercial	$607	percent of total billed charges
Cigna	PPO	Commercial	$609	percent of total billed charges
Aetna	ASA	Commercial	$613	percent of total billed charges
Aetna	Coventry	Commercial	$613	percent of total billed charges
Healthsmart	Commercial	Commercial	$656	percent of total billed charges
United Healthcare Options	PPO	Commercial	$722	case rate
Multiplan	Commercial	Commercial	$760	percent of total billed charges
Galaxy	Commercial	Commercial	$769	percent of total billed charges
USA	MCO	Commercial	$769	percent of total billed charges
Cigna	Indemnity	Commercial	$822	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule

Texas Health Presbyterian Hospital Dallas: all 37 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Parkland	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Amerigroup	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$42.11	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$43.31	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	Exchange	Commercial	$173	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Aetna	Whole Health	Commercial	$359	percent of total billed charges
Fort Worth Firefighters	Commercial	Commercial	$384	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$411	percent of total billed charges
Aetna	Commercial	Commercial	$479	percent of total billed charges
Cigna	OAP/HMO	Commercial	$483	percent of total billed charges
Quick Trip	Commercial	Commercial	$524	percent of total billed charges
United Healthcare	All Payer	Commercial	$551	case rate
PHCS	PPO	Commercial	$607	percent of total billed charges
Cigna	PPO	Commercial	$609	percent of total billed charges
Aetna	ASA	Commercial	$613	percent of total billed charges
Aetna	Coventry	Commercial	$613	percent of total billed charges
Healthsmart	Commercial	Commercial	$656	percent of total billed charges
United Healthcare Options	PPO	Commercial	$722	case rate
Multiplan	Commercial	Commercial	$760	percent of total billed charges
USA	MCO	Commercial	$769	percent of total billed charges
Galaxy	Commercial	Commercial	$769	percent of total billed charges
Cigna	Indemnity	Commercial	$822	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule

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	$40.10	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Parkland	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$42.11	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$43.31	fee schedule
Aetna	Managed Medicaid	Medicaid / CHIP	$44.11	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	Exchange	Commercial	$173	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Aetna	Whole Health	Commercial	$359	percent of total billed charges
Fort Worth Firefighters	Commercial	Commercial	$384	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$411	percent of total billed charges
Aetna	Commercial	Commercial	$479	percent of total billed charges
Cigna	OAP/HMO	Commercial	$483	percent of total billed charges
Quick Trip	Commercial	Commercial	$524	percent of total billed charges
United Healthcare	All Payer	Commercial	$551	case rate
PHCS	PPO	Commercial	$607	percent of total billed charges
Cigna	PPO	Commercial	$609	percent of total billed charges
Aetna	ASA	Commercial	$613	percent of total billed charges
Aetna	Coventry	Commercial	$613	percent of total billed charges
Healthsmart	Commercial	Commercial	$656	percent of total billed charges
United Healthcare Options	PPO	Commercial	$722	case rate
Multiplan	Commercial	Commercial	$760	percent of total billed charges
Galaxy	Commercial	Commercial	$769	percent of total billed charges
USA	MCO	Commercial	$769	percent of total billed charges
Cigna	Indemnity	Commercial	$822	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule

Texas Health Harris Methodist Hospital Azle: all 38 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$42.11	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$43.31	fee schedule
Aetna	Managed Medicaid	Medicaid / CHIP	$44.11	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	Exchange	Commercial	$324	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Aetna	Whole Health	Commercial	$359	percent of total billed charges
Fort Worth Firefighters	Commercial	Commercial	$384	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$411	percent of total billed charges
Aetna	Commercial	Commercial	$479	percent of total billed charges
Cigna	OAP/HMO	Commercial	$483	percent of total billed charges
United Healthcare	All Payer	Commercial	$551	case rate
Cigna	PPO	Commercial	$609	percent of total billed charges
Aetna	ASA	Commercial	$613	percent of total billed charges
Aetna	Coventry	Commercial	$613	percent of total billed charges
Quick Trip	Commercial	Commercial	$621	percent of total billed charges
Healthsmart	Commercial	Commercial	$656	percent of total billed charges
United Healthcare Options	PPO	Commercial	$722	case rate
PHCS	PPO	Commercial	$731	percent of total billed charges
Multiplan	Commercial	Commercial	$760	percent of total billed charges
Galaxy	Commercial	Commercial	$769	percent of total billed charges
USA	MCO	Commercial	$769	percent of total billed charges
Cigna	Indemnity	Commercial	$822	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule

Texas Health Harris Methodist Hospital Cleburne: all 38 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$42.11	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$43.31	fee schedule
Aetna	Managed Medicaid	Medicaid / CHIP	$44.11	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$101	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$101	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$103	case rate
Humana	Medicare Advantage	Medicare Advantage	$105	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$106	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$106	case rate
Molina	Medicare Advantage	Medicare Advantage	$106	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$112	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$113	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$115	case rate
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	Exchange	Commercial	$324	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Aetna	Whole Health	Commercial	$359	percent of total billed charges
Fort Worth Firefighters	Commercial	Commercial	$384	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$411	percent of total billed charges
Aetna	Commercial	Commercial	$479	percent of total billed charges
Cigna	OAP/HMO	Commercial	$483	percent of total billed charges
United Healthcare	All Payer	Commercial	$551	case rate
Cigna	PPO	Commercial	$609	percent of total billed charges
Aetna	ASA	Commercial	$613	percent of total billed charges
Aetna	Coventry	Commercial	$613	percent of total billed charges
Quick Trip	Commercial	Commercial	$621	percent of total billed charges
United Healthcare Options	PPO	Commercial	$722	case rate
PHCS	PPO	Commercial	$731	percent of total billed charges
Healthsmart	Commercial	Commercial	$760	percent of total billed charges
Multiplan	Commercial	Commercial	$760	percent of total billed charges
Galaxy	Commercial	Commercial	$769	percent of total billed charges
USA	MCO	Commercial	$769	percent of total billed charges
Cigna	Indemnity	Commercial	$822	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule

Texas Health Hospital Clearfork: all 38 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$42.11	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$43.31	fee schedule
Aetna	Managed Medicaid	Medicaid / CHIP	$44.11	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	Exchange	Commercial	$173	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Aetna	Whole Health	Commercial	$359	percent of total billed charges
Fort Worth Firefighters	Commercial	Commercial	$384	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$411	percent of total billed charges
Aetna	Commercial	Commercial	$479	percent of total billed charges
Cigna	OAP/HMO	Commercial	$483	percent of total billed charges
Quick Trip	Commercial	Commercial	$524	percent of total billed charges
United Healthcare	All Payer	Commercial	$551	case rate
PHCS	PPO	Commercial	$607	percent of total billed charges
Cigna	PPO	Commercial	$609	percent of total billed charges
Aetna	ASA	Commercial	$613	percent of total billed charges
Aetna	Coventry	Commercial	$613	percent of total billed charges
Healthsmart	Commercial	Commercial	$656	percent of total billed charges
United Healthcare Options	PPO	Commercial	$722	case rate
Multiplan	Commercial	Commercial	$760	percent of total billed charges
Galaxy	Commercial	Commercial	$769	percent of total billed charges
USA	MCO	Commercial	$769	percent of total billed charges
Cigna	Indemnity	Commercial	$822	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule

Texas Health Presbyterian Hospital Plano: all 37 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Parkland	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$42.11	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$43.31	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	Exchange	Commercial	$173	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Aetna	Whole Health	Commercial	$359	percent of total billed charges
Fort Worth Firefighters	Commercial	Commercial	$384	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$411	percent of total billed charges
Aetna	Commercial	Commercial	$479	percent of total billed charges
Cigna	OAP/HMO	Commercial	$483	percent of total billed charges
Quick Trip	Commercial	Commercial	$524	percent of total billed charges
United Healthcare	All Payer	Commercial	$551	case rate
PHCS	PPO	Commercial	$607	percent of total billed charges
Cigna	PPO	Commercial	$609	percent of total billed charges
Aetna	ASA	Commercial	$613	percent of total billed charges
Aetna	Coventry	Commercial	$613	percent of total billed charges
Healthsmart	Commercial	Commercial	$656	percent of total billed charges
United Healthcare Options	PPO	Commercial	$722	case rate
Multiplan	Commercial	Commercial	$760	percent of total billed charges
Galaxy	Commercial	Commercial	$769	percent of total billed charges
USA	MCO	Commercial	$769	percent of total billed charges
Cigna	Indemnity	Commercial	$822	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule

Texas Health Presbyterian Hospital Kaufman: all 37 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Parkland	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$42.11	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$43.31	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	Exchange	Commercial	$324	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Aetna	Whole Health	Commercial	$359	percent of total billed charges
Fort Worth Firefighters	Commercial	Commercial	$384	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$411	percent of total billed charges
Aetna	Commercial	Commercial	$479	percent of total billed charges
Cigna	OAP/HMO	Commercial	$483	percent of total billed charges
United Healthcare	All Payer	Commercial	$551	case rate
Cigna	PPO	Commercial	$609	percent of total billed charges
Aetna	ASA	Commercial	$613	percent of total billed charges
Aetna	Coventry	Commercial	$613	percent of total billed charges
Quick Trip	Commercial	Commercial	$621	percent of total billed charges
United Healthcare Options	PPO	Commercial	$722	case rate
PHCS	PPO	Commercial	$731	percent of total billed charges
Healthsmart	Commercial	Commercial	$760	percent of total billed charges
Multiplan	Commercial	Commercial	$760	percent of total billed charges
Galaxy	Commercial	Commercial	$769	percent of total billed charges
USA	MCO	Commercial	$769	percent of total billed charges
Cigna	Indemnity	Commercial	$822	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule

Texas Health Presbyterian Hospital Allen: all 37 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Parkland	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Amerigroup	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$42.11	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$43.31	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	Exchange	Commercial	$173	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Aetna	Whole Health	Commercial	$359	percent of total billed charges
Fort Worth Firefighters	Commercial	Commercial	$384	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$411	percent of total billed charges
Aetna	Commercial	Commercial	$479	percent of total billed charges
Cigna	OAP/HMO	Commercial	$483	percent of total billed charges
United Healthcare	All Payer	Commercial	$551	case rate
Cigna	PPO	Commercial	$609	percent of total billed charges
Aetna	ASA	Commercial	$613	percent of total billed charges
Aetna	Coventry	Commercial	$613	percent of total billed charges
Quick Trip	Commercial	Commercial	$621	percent of total billed charges
Healthsmart	Commercial	Commercial	$656	percent of total billed charges
United Healthcare Options	PPO	Commercial	$722	case rate
PHCS	PPO	Commercial	$731	percent of total billed charges
Multiplan	Commercial	Commercial	$760	percent of total billed charges
Galaxy	Commercial	Commercial	$769	percent of total billed charges
USA	MCO	Commercial	$769	percent of total billed charges
Cigna	Indemnity	Commercial	$822	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule

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

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Cook Childrens	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$42.11	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$43.31	fee schedule
Aetna	Managed Medicaid	Medicaid / CHIP	$44.11	fee schedule
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	Exchange	Commercial	$173	percent of total billed charges
Blue Cross Blue Shield	HMO	Commercial	$294	percent of total billed charges
Blue Cross Blue Shield	PPO	Commercial	$327	percent of total billed charges
Aetna	Whole Health	Commercial	$359	percent of total billed charges
Fort Worth Firefighters	Commercial	Commercial	$384	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$411	percent of total billed charges
Aetna	Commercial	Commercial	$479	percent of total billed charges
Cigna	OAP/HMO	Commercial	$483	percent of total billed charges
Quick Trip	Commercial	Commercial	$524	percent of total billed charges
United Healthcare	All Payer	Commercial	$551	case rate
PHCS	PPO	Commercial	$607	percent of total billed charges
Cigna	PPO	Commercial	$609	percent of total billed charges
Aetna	ASA	Commercial	$613	percent of total billed charges
Aetna	Coventry	Commercial	$613	percent of total billed charges
Healthsmart	Commercial	Commercial	$656	percent of total billed charges
United Healthcare Options	PPO	Commercial	$722	case rate
Multiplan	Commercial	Commercial	$760	percent of total billed charges
Galaxy	Commercial	Commercial	$769	percent of total billed charges
USA	MCO	Commercial	$769	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$801	percent of total billed charges
Cigna	Indemnity	Commercial	$822	percent of total billed charges

Texas Health Hospital Frisco: all 37 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
Amerigroup	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Blue Cross Blue Shield	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
United Healthcare	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Parkland	Managed Medicaid	Medicaid / CHIP	$40.10	fee schedule
Superior Wellcare	Managed Medicaid	Medicaid / CHIP	$42.11	fee schedule
Molina	Managed Medicaid	Medicaid / CHIP	$43.31	fee schedule
Blue Cross Blue Shield	Medicare Advantage	Medicare Advantage	$105	case rate
American Health	Medicare Advantage	Medicare Advantage	$105	case rate
HealthSpring	Medicare Advantage	Medicare Advantage	$107	case rate
Humana	Medicare Advantage	Medicare Advantage	$109	case rate
Amerigroup	Medicare Advantage	Medicare Advantage	$110	case rate
Molina	Medicare Advantage	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage HMO	Medicare Advantage	$110	case rate
Superior Wellcare	Medicare Advantage MMP	Medicaid / CHIP	$116	case rate
United Healthcare	Medicare Advantage PPO	Medicare Advantage	$117	case rate
United Healthcare	Medicare Advantage HMO	Medicare Advantage	$119	case rate
Blue Cross Blue Shield	Exchange	Commercial	$173	fee schedule
Blue Cross Blue Shield	HMO	Commercial	$294	fee schedule
Blue Cross Blue Shield	PPO	Commercial	$327	fee schedule
Aetna	Whole Health	Commercial	$359	percent of total billed charges
Fort Worth Firefighters	Commercial	Commercial	$384	percent of total billed charges
City of Fort Worth	Commercial	Commercial	$411	percent of total billed charges
Aetna	Commercial	Commercial	$479	percent of total billed charges
Cigna	OAP/HMO	Commercial	$483	percent of total billed charges
Quick Trip	Commercial	Commercial	$524	percent of total billed charges
United Healthcare	All Payer	Commercial	$551	case rate
PHCS	PPO	Commercial	$607	percent of total billed charges
Cigna	PPO	Commercial	$609	percent of total billed charges
Aetna	Coventry	Commercial	$613	percent of total billed charges
Aetna	ASA	Commercial	$613	percent of total billed charges
Healthsmart	Commercial	Commercial	$656	percent of total billed charges
United Healthcare Options	PPO	Commercial	$722	case rate
Multiplan	Commercial	Commercial	$760	percent of total billed charges
Galaxy	Commercial	Commercial	$769	percent of total billed charges
USA	MCO	Commercial	$769	percent of total billed charges
Cigna	Indemnity	Commercial	$822	percent of total billed charges
Blue Cross Blue Shield	Traditional	Commercial	$885	fee schedule

Cook Children's Medical Center: all 31 plan rates

Payer	Plan (as written in the file)	Type	Rate	Method
FIRSTCARE	STAR	Medicaid / CHIP	$19.26	Percent of Total Billed Charges
HEALTH PLAN w/o UHRIP	STAR KIDS	Medicaid / CHIP	$19.26	Percent of Total Billed Charges
HEALTH PLAN w/o UHRIP	CHIP	Medicaid / CHIP	$19.26	Percent of Total Billed Charges
RIGHTCARE	STAR	Medicaid / CHIP	$26.84	Percent of Total Billed Charges
RIGHTCARE	MDC S&W	Medicaid / CHIP	$26.84	Percent of Total Billed Charges
MOLINA	CHIP	Medicaid / CHIP	$29.69	Percent of Total Billed Charges
MOLINA	STAR	Medicaid / CHIP	$29.69	Percent of Total Billed Charges
MOLINA	STAR KIDS	Medicaid / CHIP	$29.69	Percent of Total Billed Charges
HEALTH PLAN w. UHRIP	STAR	Medicaid / CHIP	$30.51	Percent of Total Billed Charges
EL PASO HEALTH FIRST	CHIP	Medicaid / CHIP	$35.31	Percent of Total Billed Charges
EL PASO HEALTH FIRST	STAR MEDICAID	Medicaid / CHIP	$35.31	Percent of Total Billed Charges
EL PASO HEALTH FIRST	STAR	Medicaid / CHIP	$35.31	Percent of Total Billed Charges
TX CHILDREN HEALTH	STAR KIDS	Medicaid / CHIP	$35.31	Percent of Total Billed Charges
TX CHILDREN HEALTH	STAR	Medicaid / CHIP	$35.31	Percent of Total Billed Charges
TX CHILDREN HEALTH	CHIP	Medicaid / CHIP	$35.31	Percent of Total Billed Charges
Optum	ALL PRODUCTS	Commercial	$46.55	Percent of Total Billed Charges
BCBS	HMO	Commercial	$62.60	Percent of Total Billed Charges
FIRSTCARE	ALL PRODUCTS	Commercial	$64.20	Percent of Total Billed Charges
BCBS	PPO	Commercial	$67.41	Percent of Total Billed Charges
S&W HEALTH	ALL PRODUCTS	Commercial	$67.41	Percent of Total Billed Charges
CIGNA	CIGNA-MGD	Commercial	$68.21	Percent of Total Billed Charges
HEALTHSCOPE	ALL PRODUCTS	Commercial	$68.21	Percent of Total Billed Charges
IMAGINE HEALTH	ALL PRODUCTS	Commercial	$68.21	Percent of Total Billed Charges
UHC	MGD	Commercial	$68.21	Percent of Total Billed Charges
HUMANA	CONCENTRIC PPO	Commercial	$69.82	Percent of Total Billed Charges
MULTIPLAN	PHCS	Commercial	$69.82	Percent of Total Billed Charges
MULTIPLAN	ALL PRODUCTS	Commercial	$69.82	Percent of Total Billed Charges
FIRST HEALTH	PPO	Commercial	$70.62	Percent of Total Billed Charges
HUMANA	CHOICECARE PPO	Commercial	$70.62	Percent of Total Billed Charges
GALAXY HEALTH	ALL PRODUCTS	Commercial	$72.23	Percent of Total Billed Charges
USAMCO	ALL PRODUCTS	Commercial	$73.83	Percent of Total Billed Charges

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

Payer	Plan (as written in the file)	Type	Rate	Method
Aetna	BETTER HEALTH STAR Kids	Medicaid / CHIP	$36.39	Fee Schedule
Aetna	BETTER HEALTH STAR UHRIP	Medicaid / CHIP	$36.39	Fee Schedule
Aetna	BETTER HEALTH CHIP	Medicaid / CHIP	$36.39	Fee Schedule
EL PASO HEALTH FIRST	STAR	Medicaid / CHIP	$135	Fee Schedule
EL PASO HEALTH FIRST	CHIP	Medicaid / CHIP	$135	Fee Schedule
EL PASO HEALTH FIRST	STAR MEDICAID	Medicaid / CHIP	$135	Fee Schedule
HEALTH PLAN w. UHRIP	STAR	Medicaid / CHIP	$135	Fee Schedule
HEALTH PLAN w/o UHRIP	STAR KIDS	Medicaid / CHIP	$135	Fee Schedule
HEALTH PLAN w/o UHRIP	CHIP	Medicaid / CHIP	$135	Fee Schedule
TX CHILDREN HEALTH	CHIP	Medicaid / CHIP	$135	Fee Schedule
TX CHILDREN HEALTH	STAR	Medicaid / CHIP	$135	Fee Schedule
TX CHILDREN HEALTH	STAR KIDS	Medicaid / CHIP	$135	Fee Schedule
WELLPOINT	CHIP	Medicaid / CHIP	$141	Fee Schedule
WELLPOINT	STAR PLUS	Medicaid / CHIP	$141	Fee Schedule
WELLPOINT	STAR	Medicaid / CHIP	$141	Fee Schedule
BCBS	BCBS TX STAR	Medicaid / CHIP	$145	Fee Schedule
BCBS	CHIP	Medicaid / CHIP	$145	Fee Schedule
BCBS	CHIP STAR KIDS	Medicaid / CHIP	$145	Fee Schedule
SUPERIOR HEALTH	STAR PLUS	Medicaid / CHIP	$145	Fee Schedule
SUPERIOR HEALTH	STAR	Medicaid / CHIP	$145	Fee Schedule
SUPERIOR HEALTH	CHIP	Medicaid / CHIP	$145	Fee Schedule
FIRSTCARE	STAR	Medicaid / CHIP	$148	Fee Schedule
UNITED COMMUNITY	STAR KIDS	Medicaid / CHIP	$148	Fee Schedule
UNITED COMMUNITY	CHIP	Medicaid / CHIP	$148	Fee Schedule
UNITED COMMUNITY	STAR	Medicaid / CHIP	$148	Fee Schedule
UNITED COMMUNITY	STAR PLUS	Medicaid / CHIP	$148	Fee Schedule
Optum	ALL PRODUCTS	Commercial	$253	Percent of Total Billed Charges
BCBS	HMO	Commercial	$449	Percent of Total Billed Charges
FIRSTCARE	ALL PRODUCTS	Commercial	$460	Percent of Total Billed Charges
BCBS	PPO	Commercial	$483	Percent of Total Billed Charges
S&W HEALTH	ALL PRODUCTS	Commercial	$483	Percent of Total Billed Charges
Aetna	ALL PRODUCTS	Commercial	$489	Percent of Total Billed Charges
CIGNA	CIGNA-MGD	Commercial	$489	Percent of Total Billed Charges
HEALTHSCOPE	ALL PRODUCTS	Commercial	$489	Percent of Total Billed Charges
IMAGINE HEALTH	ALL PRODUCTS	Commercial	$489	Percent of Total Billed Charges
UHC	MGD	Commercial	$489	Percent of Total Billed Charges
HUMANA	CONCENTRIC PPO	Commercial	$500	Percent of Total Billed Charges
MULTIPLAN	ALL PRODUCTS	Commercial	$500	Percent of Total Billed Charges
MULTIPLAN	PHCS	Commercial	$500	Percent of Total Billed Charges
FIRST HEALTH	PPO	Commercial	$506	Percent of Total Billed Charges
HUMANA	CHOICECARE PPO	Commercial	$506	Percent of Total Billed Charges
BCBS	Blue Cross Blue Shield PAR (BCBSPAR) - Indemnity	Commercial	$518	Percent of Total Billed Charges
GALAXY HEALTH	ALL PRODUCTS	Commercial	$518	Percent of Total Billed Charges
Healthsmart	ALL PRODUCTS	Commercial	$518	Percent of Total Billed Charges
USAMCO	ALL PRODUCTS	Commercial	$529	Percent of Total Billed Charges

What this price covers

These are hospital charges for CPT code 72100 (Lower back X-ray (2–3 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.

Lower back X-ray in other cities

Compare Lower back X-ray prices across all cities →

Houston, TXCash $102–$3,837 Phoenix, AZCash $66–$1,080 Austin, TXCash $132–$475

Other X-ray prices in Dallas–Fort Worth

Chest X-rayCPT 71046 Knee X-rayCPT 73562 Shoulder X-rayCPT 73030