How much does an abdomen and pelvis CT with contrast cost in Houston?

45 hospitals and imaging centers in Houston list a self-pay price of $343–$38,564 for an abdomen and pelvis CT scan with contrast (CPT 74177). The typical commercial rate in the same files is $1,258.

Hospital files dated February 28, 2026 – September 1, 2026 · Data checked October 2, 2026 · How we read these files · Report an error

Published cash price
$343–$38,564
what 45 hospitals and imaging centers list for a self-pay abdomen and pelvis CT with contrast
Typical insured rate
$1,258
median of every commercial plan rate in the files
Lowest insured rate
$258
Renaissance (Commercial|All Plans), St. Luke's Health Sugar Land Hospital

At 11 of 45 hospitals and imaging centers, the published cash price is the full list price — the file shows no discount for paying without insurance. A hospital may still offer an uninsured discount or financial assistance that is not in its price file: ask before you schedule.

Abdomen and pelvis CT with contrast prices by hospital in Houston

Sorted by published cash price. “Typical insured rate” is the median of all commercial plan rates each hospital lists for CPT 74177; Medicaid and Medicare Advantage are shown separately below.

Abdomen and pelvis CT scan with contrast (CPT 74177) — Houston
HospitalPublished cash priceTypical insured rateLowest insured rate
Harris Health Ben Taub HospitalHarris Health · file Mar 2026$343Cash ÷ typical 0.6×$5767 plans$360
Harris Health Lyndon B Johnson HospitalHarris Health · file Mar 2026$343Cash ÷ typical 0.6×$5767 plans$360
Houston Methodist Clear Lake HospitalHouston Methodist · file Apr 2026$2,362Cash ÷ typical 2.8×$8596 plans$571
Houston Methodist HospitalHouston Methodist · file Apr 2026$2,362Cash ÷ typical 2.6×$9076 plans$571
Houston Methodist Baytown HospitalHouston Methodist · file Apr 2026$2,362Cash ÷ typical 2.8×$8465 plans$571
Houston Methodist Cypress HospitalHouston Methodist · file Apr 2026$2,362Cash ÷ typical 2.8×$8465 plans$571
Houston Methodist The Woodlands HospitalHouston Methodist · file Apr 2026$2,362Cash ÷ typical 2.8×$8465 plans$571
Houston Methodist Sugar Land HospitalHouston Methodist · file Apr 2026$2,362Cash ÷ typical 2.8×$8465 plans$571
Houston Methodist West HospitalHouston Methodist · file Apr 2026$2,362Cash ÷ typical 2.8×$8596 plans$571
Houston Methodist Willowbrook HospitalHouston Methodist · file Apr 2026$2,362Cash ÷ typical 2.8×$8465 plans$571
Memorial Hermann Greater Heights HospitalMemorial Hermann · file Apr 2026$3,033Cash ÷ typical 5.5×$5524 plans$526
Memorial Hermann Katy HospitalMemorial Hermann · file Apr 2026$3,033Cash ÷ typical 5.5×$5524 plans$526
Memorial Hermann Memorial City Medical CenterMemorial Hermann · file Apr 2026$3,033Cash ÷ typical 5.5×$5524 plans$526
Memorial Hermann Northeast HospitalMemorial Hermann · file Apr 2026$3,033Cash ÷ typical 5.5×$5524 plans$526
Memorial Hermann Pearland HospitalMemorial Hermann · file Apr 2026$3,033Cash ÷ typical 5.5×$5524 plans$526
Memorial Hermann Southeast HospitalMemorial Hermann · file Apr 2026$3,033Cash ÷ typical 5.5×$5524 plans$526
Memorial Hermann Southwest HospitalMemorial Hermann · file Apr 2026$3,033Cash ÷ typical 5.5×$5524 plans$526
Memorial Hermann Sugar Land HospitalMemorial Hermann · file Apr 2026$3,033Cash ÷ typical 5.5×$5524 plans$526
Memorial Hermann The Woodlands Medical CenterMemorial Hermann · file Apr 2026$3,033Cash ÷ typical 5.5×$5524 plans$526
Memorial Hermann Cypress HospitalMemorial Hermann · file Apr 2026$3,196Cash ÷ typical 5.8×$5524 plans$526
Memorial Hermann Rockets Orthopedic HospitalMemorial Hermann · file Apr 2026$3,196Cash ÷ typical 5.8×$5524 plans$526
Memorial Hermann-Texas Medical CenterMemorial Hermann · file Apr 2026$3,196Cash ÷ typical 5.8×$5524 plans$526
Memorial Hermann Imaging Center (Bellaire)Memorial Hermann · hospital imaging center · file Apr 2026$3,196Cash ÷ typical 5.8×$5524 plans$526
Memorial Hermann Imaging Center (Cypress)Memorial Hermann · hospital imaging center · file Apr 2026$3,196Cash ÷ typical 5.8×$5524 plans$526
Memorial Hermann Imaging Center (Texas Medical Center)Memorial Hermann · hospital imaging center · file Apr 2026$3,196Cash ÷ typical 5.8×$5524 plans$526
Memorial Hermann Imaging Center (Upper Kirby)Memorial Hermann · hospital imaging center · file Apr 2026$3,196Cash ÷ typical 5.8×$5524 plans$526
St. Luke's Health Patients Medical CenterSt. Luke's Health · file Feb 2026$5,001Cash ÷ typical 3.8×$1,31525 plans$507
St. Luke's Health Sugar Land HospitalSt. Luke's Health · file Feb 2026$6,736Cash ÷ typical 5.8×$1,16335 plans$258
St. Luke's Health The Vintage HospitalSt. Luke's Health · file Feb 2026$6,736Cash ÷ typical 5.8×$1,15936 plans$258
St. Luke's Health Lakeside HospitalSt. Luke's Health · file Feb 2026$6,736Cash ÷ typical 5.8×$1,16335 plans$258
Baylor St Luke's Medical CenterSt. Luke's Health · file Feb 2026$6,736Cash ÷ typical 6.2×$1,08938 plans$258
St. Luke's Health Springwoods Village HospitalSt. Luke's Health · file Feb 2026$6,736Cash ÷ typical 5.7×$1,17332 plans$258
St. Luke's Health The Woodlands HospitalSt. Luke's Health · file Feb 2026$6,736Cash ÷ typical 5.7×$1,17334 plans$258
St. Luke's Health Brazosport HospitalSt. Luke's Health · file Feb 2026$7,068Cash ÷ typical 10×$69918 plans$365
HCA Houston Healthcare PearlandHCA Healthcare · file Sep 2026$21,667= list priceCash ÷ typical 16×$1,36131 plans$699
HCA Houston Healthcare Clear LakeHCA Healthcare · file Sep 2026$23,377= list priceCash ÷ typical 15×$1,59538 plans$649
HCA Houston Healthcare MainlandHCA Healthcare · file Sep 2026$23,377= list priceCash ÷ typical 14×$1,63539 plans$649
HCA Houston Healthcare ConroeHCA Healthcare · file Sep 2026$27,886= list priceCash ÷ typical 17×$1,60638 plans$699
HCA Houston Healthcare SoutheastHCA Healthcare · file Sep 2026$32,618= list priceCash ÷ typical 20×$1,60439 plans$699
HCA Houston Healthcare Medical CenterHCA Healthcare · file Sep 2026$33,232= list priceCash ÷ typical 24×$1,36131 plans$699
HCA Houston Healthcare TomballHCA Healthcare · file Sep 2026$33,494= list priceCash ÷ typical 25×$1,36131 plans$699
HCA Houston Healthcare KingwoodHCA Healthcare · file Sep 2026$34,168= list priceCash ÷ typical 21×$1,63539 plans$699
HCA Houston Healthcare North CypressHCA Healthcare · file Sep 2026$34,168= list priceCash ÷ typical 25×$1,36129 plans$699
HCA Houston Healthcare WestHCA Healthcare · file Sep 2026$34,566= list priceCash ÷ typical 22×$1,58139 plans$699
HCA Houston Healthcare NorthwestHCA Healthcare · file Sep 2026$38,564= list priceCash ÷ typical 28×$1,36131 plans$699
Children's Memorial Hermann HospitalMemorial Hermann · children's hospital (not in the summary above) · file Apr 2026$3,196Cash ÷ typical 5.8×$5524 plans$526
Texas Children's Hospital The WoodlandsTexas Children's · children's hospital (not in the summary above) · file Mar 2026$4,893Cash ÷ typical 1.0×$4,67417 plans$4,236
Texas Children's Hospital West CampusTexas Children's · children's hospital (not in the summary above) · file Mar 2026$4,893Cash ÷ typical 1.0×$4,67417 plans$4,236
Texas Children's HospitalTexas Children's · children's hospital (not in the summary above) · file Mar 2026$4,893Cash ÷ typical 1.0×$4,67417 plans$4,236

↓ Download this table (CSV)free to reuse with attribution (CC BY 4.0)

Negotiated rates by insurer

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

Negotiated rates by insurer
HospitalBlue Cross Blue ShieldAetnaCignaUnitedHealthcareHumanaAmbetterMedicaid / CHIPMedicare Advantage
Harris Health Ben Taub Hospital$518–$576$4,219$550$3,246——$312–$343$343
Harris Health Lyndon B Johnson Hospital$518–$576$4,219$550$3,246——$312–$343$343
Houston Methodist Clear Lake Hospital$1,042–$2,772$846–$872—————$350–$386
Houston Methodist Hospital$2,772$893–$921—————$350–$386
Houston Methodist Baytown Hospital$2,772$846–$872—————$350–$386
Houston Methodist Cypress Hospital$2,772$846–$872—————$350–$375
Houston Methodist The Woodlands Hospital$2,772$846–$872—————$350–$375
Houston Methodist Sugar Land Hospital$2,772$846–$872—————$350–$386
Houston Methodist West Hospital$2,772$846–$872—————$350–$386
Houston Methodist Willowbrook Hospital$2,772$846–$872—————$350–$386
Memorial Hermann Greater Heights Hospital—$543—————$350–$403
Memorial Hermann Katy Hospital—$543—————$350–$403
Memorial Hermann Memorial City Medical Center—$543—————$350–$403
Memorial Hermann Northeast Hospital—$543—————$350–$386
Memorial Hermann Pearland Hospital—$543—————$350–$403
Memorial Hermann Southeast Hospital—$543—————$350–$403
Memorial Hermann Southwest Hospital—$543—————$350–$403
Memorial Hermann Sugar Land Hospital—$543—————$350–$403
Memorial Hermann The Woodlands Medical Center—$543—————$350–$403
Memorial Hermann Cypress Hospital—$543—————$350–$403
Memorial Hermann Rockets Orthopedic Hospital—$543—————$350–$403
Memorial Hermann-Texas Medical Center—$543—————$350–$403
Memorial Hermann Imaging Center (Bellaire)—$543—————$350–$403
Memorial Hermann Imaging Center (Cypress)—$543—————$350–$403
Memorial Hermann Imaging Center (Texas Medical Center)—$543—————$350–$403
Memorial Hermann Imaging Center (Upper Kirby)—$543—————$350–$403
St. Luke's Health Patients Medical Center$558–$1,661$667–$9,715$507–$1,405$1,315–$2,156$800$537$296–$974$358–$383
St. Luke's Health Sugar Land Hospital$558–$1,661$551–$13,088$507–$1,405$1,315–$9,046$800—$312–$15,902$248–$5,197
St. Luke's Health The Vintage Hospital$558–$1,661$551–$13,088$507–$1,405$1,315–$9,046$800—$312–$15,902$358–$5,197
St. Luke's Health Lakeside Hospital$558–$1,661$551–$13,088$507–$1,405$1,315–$9,046$800$537$312–$15,902$358–$5,197
Baylor St Luke's Medical Center$458–$1,665$551–$13,473$507–$1,405$1,264–$9,046$800—$312–$15,902$358–$5,197
St. Luke's Health Springwoods Village Hospital$558–$1,661$667–$13,088$507–$1,405$1,315–$9,046$800—$312–$10,586$358–$5,197
St. Luke's Health The Woodlands Hospital$558–$1,661$551–$13,088$507–$1,405$1,315–$9,046$800—$312–$15,902$358–$5,197
St. Luke's Health Brazosport Hospital$661–$1,409$508–$551$8,078$365–$554$933$519$265–$1,624$358–$3,029
HCA Houston Healthcare Pearland$821–$7,583$1,007–$1,361$1,635–$2,106$699–$9,750$7,178—$312–$1,300—
HCA Houston Healthcare Clear Lake$649–$8,182$1,007–$1,361$1,635–$2,106$699–$10,520$7,745—$306–$1,403$10,520
HCA Houston Healthcare Mainland$649–$8,182$1,007–$1,361$1,635–$2,106$699–$10,520$7,745—$306–$1,403$10,520
HCA Houston Healthcare Conroe$821–$9,760$1,007–$1,361$1,635–$2,106$699–$12,549$9,239—$306–$1,673$12,549
HCA Houston Healthcare Southeast$821–$11,416$1,007–$1,361$1,635–$2,106$699–$14,678$10,806—$306–$1,957$14,678
HCA Houston Healthcare Medical Center$821–$11,631$1,007–$1,361$1,635–$2,106$699–$14,954$11,010—$312–$1,994—
HCA Houston Healthcare Tomball$821–$11,723$1,007–$1,361$1,635–$2,106$699–$15,072$11,097—$312–$2,010—
HCA Houston Healthcare Kingwood$829–$11,959$1,007–$1,361$1,635–$2,106$699–$15,376$11,320—$306–$2,050$15,376
HCA Houston Healthcare North Cypress$829–$11,959$1,007–$1,361$1,635–$2,106$699–$15,376——$312–$2,050—
HCA Houston Healthcare West$764–$12,098$1,007–$1,361$1,635–$2,106$699–$15,555$11,452—$306–$2,074$15,555
HCA Houston Healthcare Northwest$829–$13,497$1,007–$1,361$1,635–$2,106$699–$17,354$12,776—$312–$2,314—
Children's Memorial Hermann Hospital—$543—————$350–$403
Texas Children's Hospital The Woodlands$4,601$4,674$4,236–$4,528$4,674——$312–$2,921—
Texas Children's Hospital West Campus$4,601$4,674$4,236–$4,528$4,674——$312–$2,921—
Texas Children's Hospital$4,601$4,674$4,236–$4,528$4,674——$312–$2,921—
Harris Health Ben Taub Hospital: all 14 plan rates
PayerPlan (as written in the file)TypeRateMethod
MolinaMedicaidMedicaid / CHIP$312fee schedule
UHCMedicaidMedicaid / CHIP$312fee schedule
TX ChildrensMedicaidMedicaid / CHIP$312fee schedule
CHCMedicaidMedicaid / CHIP$318fee schedule
SuperiorMedicaidMedicaid / CHIP$321fee schedule
CHCD-SNPMedicare Advantage$343fee schedule
MolinaMedicare & MMPMedicaid / CHIP$343fee schedule
CHCMarketplaceCommercial$360fee schedule
BCBS TXBlue AdvantageCommercial$518fee schedule
CignaCommercialCommercial$550fee schedule
BCBS TXPPO POSCommercial$576fee schedule
UHCCommercialCommercial$3,246percent of total billed charges
AetnaCommercial HMOCommercial$4,219percent of total billed charges
AetnaCommercial PPOCommercial$4,219percent of total billed charges
Harris Health Lyndon B Johnson Hospital: all 14 plan rates
PayerPlan (as written in the file)TypeRateMethod
MolinaMedicaidMedicaid / CHIP$312fee schedule
UHCMedicaidMedicaid / CHIP$312fee schedule
TX ChildrensMedicaidMedicaid / CHIP$312fee schedule
CHCMedicaidMedicaid / CHIP$318fee schedule
SuperiorMedicaidMedicaid / CHIP$321fee schedule
CHCD-SNPMedicare Advantage$343fee schedule
MolinaMedicare & MMPMedicaid / CHIP$343fee schedule
CHCMarketplaceCommercial$360fee schedule
BCBS TXBlue AdvantageCommercial$518fee schedule
CignaCommercialCommercial$550fee schedule
BCBS TXPPO POSCommercial$576fee schedule
UHCCommercialCommercial$3,246percent of total billed charges
AetnaCommercial HMOCommercial$4,219percent of total billed charges
AetnaCommercial PPOCommercial$4,219percent of total billed charges
Houston Methodist Clear Lake Hospital: all 13 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$350fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$356fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$357fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$361fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$368fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$375fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$386fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$571fee schedule
Molina HealthcareExchangeCommercial$701fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$846fee schedule
AetnaHmo/Pos/PpoCommercial$872fee schedule
BcbsBlue Advantage ExchangeCommercial$1,042fee schedule
BcbsAll Commercial PlansCommercial$2,772fee schedule
Houston Methodist Hospital: all 13 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$350fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$356fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$357fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$361fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$368fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$375fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$386fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$571fee schedule
Molina HealthcareExchangeCommercial$757fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$893fee schedule
AetnaHmo/Pos/PpoCommercial$921fee schedule
UaeAll Commercial PlansCommercial$1,402fee schedule
BcbsAll Commercial PlansCommercial$2,772fee schedule
Houston Methodist Baytown Hospital: all 12 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$350fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$356fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$357fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$361fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$368fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$375fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$386fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$571fee schedule
Molina HealthcareExchangeCommercial$701fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$846fee schedule
AetnaHmo/Pos/PpoCommercial$872fee schedule
BcbsAll Commercial PlansCommercial$2,772fee schedule
Houston Methodist Cypress Hospital: all 11 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$350fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$356fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$357fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$361fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$368fee schedule
Devoted HealthMedicare Managed Care - HmoMedicare Advantage$375fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$571fee schedule
Molina HealthcareExchangeCommercial$701fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$846fee schedule
AetnaHmo/Pos/PpoCommercial$872fee schedule
BcbsAll Commercial PlansCommercial$2,772fee schedule
Houston Methodist The Woodlands Hospital: all 11 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$350fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$356fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$357fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$361fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$368fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$375fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$571fee schedule
Advanced Medical Pricing SolutionsAll Commercial PlansCommercial$701fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$846fee schedule
AetnaHmo/Pos/PpoCommercial$872fee schedule
BcbsAll Commercial PlansCommercial$2,772fee schedule
Houston Methodist Sugar Land Hospital: all 12 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$350fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$356fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$357fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$361fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$368fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$375fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$386fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$571fee schedule
Molina HealthcareExchangeCommercial$701fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$846fee schedule
AetnaHmo/Pos/PpoCommercial$872fee schedule
BcbsAll Commercial PlansCommercial$2,772fee schedule
Houston Methodist West Hospital: all 13 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$350fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$356fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$357fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$361fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$368fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$375fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$386fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$571fee schedule
Molina HealthcareExchangeCommercial$701fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$846fee schedule
AetnaHmo/Pos/PpoCommercial$872fee schedule
UaeAll Commercial PlansCommercial$1,402fee schedule
BcbsAll Commercial PlansCommercial$2,772fee schedule
Houston Methodist Willowbrook Hospital: all 12 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$350fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$356fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$357fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$361fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$368fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$375fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$386fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$571fee schedule
Molina HealthcareExchangeCommercial$701fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$846fee schedule
AetnaHmo/Pos/PpoCommercial$872fee schedule
BcbsAll Commercial PlansCommercial$2,772fee schedule
Memorial Hermann Greater Heights Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$350fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$386fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$403fee schedule
Community HealthPrem/Select ExchangeCommercial$526fee schedule
AetnaExchangeCommercial$543fee schedule
Community HealthUltra ExchangeCommercial$561fee schedule
90 DegreesAll Commercial PlansCommercial$666fee schedule
Memorial Hermann Katy Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$350fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$386fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$403fee schedule
Community HealthPrem/Select ExchangeCommercial$526fee schedule
AetnaExchangeCommercial$543fee schedule
Community HealthUltra ExchangeCommercial$561fee schedule
90 DegreesAll Commercial PlansCommercial$666fee schedule
Memorial Hermann Memorial City Medical Center: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$350fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$386fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$403fee schedule
Community HealthPrem/Select ExchangeCommercial$526fee schedule
AetnaExchangeCommercial$543fee schedule
Community HealthUltra ExchangeCommercial$561fee schedule
90 DegreesAll Commercial PlansCommercial$666fee schedule
Memorial Hermann Northeast Hospital: all 6 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$350fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$386fee schedule
Community HealthPrem/Select ExchangeCommercial$526fee schedule
AetnaExchangeCommercial$543fee schedule
Community HealthUltra ExchangeCommercial$561fee schedule
90 DegreesAll Commercial PlansCommercial$666fee schedule
Memorial Hermann Pearland Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$350fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$386fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$403fee schedule
Community HealthPrem/Select ExchangeCommercial$526fee schedule
AetnaExchangeCommercial$543fee schedule
Community HealthUltra ExchangeCommercial$561fee schedule
90 DegreesAll Commercial PlansCommercial$666fee schedule
Memorial Hermann Southeast Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$350fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$386fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$403fee schedule
Community HealthPrem/Select ExchangeCommercial$526fee schedule
AetnaExchangeCommercial$543fee schedule
Community HealthUltra ExchangeCommercial$561fee schedule
90 DegreesAll Commercial PlansCommercial$666fee schedule
Memorial Hermann Southwest Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$350fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$386fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$403fee schedule
Community HealthPrem/Select ExchangeCommercial$526fee schedule
AetnaExchangeCommercial$543fee schedule
Community HealthUltra ExchangeCommercial$561fee schedule
90 DegreesAll Commercial PlansCommercial$666fee schedule
Memorial Hermann Sugar Land Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$350fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$386fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$403fee schedule
Community HealthPrem/Select ExchangeCommercial$526fee schedule
AetnaExchangeCommercial$543fee schedule
Community HealthUltra ExchangeCommercial$561fee schedule
90 DegreesAll Commercial PlansCommercial$666fee schedule
Memorial Hermann The Woodlands Medical Center: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$350fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$386fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$403fee schedule
Community HealthPrem/Select ExchangeCommercial$526fee schedule
AetnaExchangeCommercial$543fee schedule
Community HealthUltra ExchangeCommercial$561fee schedule
90 DegreesAll Commercial PlansCommercial$666fee schedule
Memorial Hermann Cypress Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$350fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$386fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$403fee schedule
Community HealthPremier/Select ExchangeCommercial$526fee schedule
AetnaExchangeCommercial$543fee schedule
Community HealthUltra ExchangeCommercial$561fee schedule
90 DegreesAll Commercial PlansCommercial$666fee schedule
Memorial Hermann Rockets Orthopedic Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$350fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$386fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$403fee schedule
Community HealthPremier/Select ExchangeCommercial$526fee schedule
AetnaExchangeCommercial$543fee schedule
Community HealthUltra ExchangeCommercial$561fee schedule
90 DegreesAll Commercial PlansCommercial$666fee schedule
Memorial Hermann-Texas Medical Center: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$350fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$386fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$403fee schedule
Community HealthPremier/Select ExchangeCommercial$526fee schedule
AetnaExchangeCommercial$543fee schedule
Community HealthUltra ExchangeCommercial$561fee schedule
90 DegreesAll Commercial PlansCommercial$666fee schedule
Memorial Hermann Imaging Center (Bellaire): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$350fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$386fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$403fee schedule
Community HealthPremier/Select ExchangeCommercial$526fee schedule
AetnaExchangeCommercial$543fee schedule
Community HealthUltra ExchangeCommercial$561fee schedule
90 DegreesAll Commercial PlansCommercial$666fee schedule
Memorial Hermann Imaging Center (Cypress): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$350fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$386fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$403fee schedule
Community HealthPremier/Select ExchangeCommercial$526fee schedule
AetnaExchangeCommercial$543fee schedule
Community HealthUltra ExchangeCommercial$561fee schedule
90 DegreesAll Commercial PlansCommercial$666fee schedule
Memorial Hermann Imaging Center (Texas Medical Center): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$350fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$386fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$403fee schedule
Community HealthPremier/Select ExchangeCommercial$526fee schedule
AetnaExchangeCommercial$543fee schedule
Community HealthUltra ExchangeCommercial$561fee schedule
90 DegreesAll Commercial PlansCommercial$666fee schedule
Memorial Hermann Imaging Center (Upper Kirby): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$350fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$386fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$403fee schedule
Community HealthPremier/Select ExchangeCommercial$526fee schedule
AetnaExchangeCommercial$543fee schedule
Community HealthUltra ExchangeCommercial$561fee schedule
90 DegreesAll Commercial PlansCommercial$666fee schedule
St. Luke's Health Patients Medical Center: all 40 plan rates
PayerPlan (as written in the file)TypeRateMethod
CHCMedicaid|All PlansMedicaid / CHIP$296fee schedule
TCHPMedicaid|All PlansMedicaid / CHIP$296fee schedule
WellpointMedicaid|All PlansMedicaid / CHIP$312fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$318fee schedule
BCBSMedicare|All PlansMedicare Advantage$358case rate
CIGNA-HEALTHSPRINGMedicare|All PlansMedicare Advantage$358case rate
HUMANAMedicare|All PlansMedicare Advantage$358case rate
KELSEYMedicare|All PlansMedicare Advantage$358case rate
AETNAMedicare|All PlansMedicare Advantage$365case rate
UNITEDMedicare|All PlansMedicare Advantage$365case rate
AMERIVANTAGEMedicare|All PlansMedicare Advantage$368case rate
DEVOTEDMedicare|All PlansMedicare Advantage$383case rate
SCANHealthMedicare|All PlansMedicare Advantage$383case rate
UNITEDMedicaid|STARMedicaid / CHIP$428fee schedule
CignaCommercial|SurefitCommercial$507fee schedule
AmbetterCommercial|All PlansCommercial$537case rate
Community Health ChoiceCommercial|ExchangeCommercial$537case rate
WellpointCommercial|ExchangeCommercial$537case rate
BCBS - TXCommercial|MyBlue Health ExchangeCommercial$558fee schedule
CignaCommercial|HMOCommercial$559fee schedule
Bright HealthCommercial|All PlansCommercial$616case rate
BCBS-TXCommercial|ExchangeCommercial$649fee schedule
AetnaCommercial|PPOCommercial$667fee schedule
HumanaCommercial|HMOCommercial$800fee schedule
HumanaCommercial|PPOCommercial$800fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$974fee schedule
BCBS-TXCommercial|Blue PremierCommercial$1,184fee schedule
UnitedCommercial|ExchangeCommercial$1,315fee schedule
CignaCommercial|PPOCommercial$1,405fee schedule
BCBS-TXCommercial|HMOCommercial$1,478fee schedule
BCBS-TXCommercial|PPOCommercial$1,661fee schedule
UnitedCommercial|CharterCommercial$1,942fee schedule
UnitedCommercial|HMOCommercial$2,156fee schedule
UnitedCommercial|PPOCommercial$2,156fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$8,430fee schedule
CoventryCommercial|PPOCommercial$9,287fee schedule
First HealthCommercial|All PlansCommercial$9,287fee schedule
AetnaCommercial|HMOCommercial$9,715fee schedule
HealthsmartCommercial|PPOCommercial$10,001fee schedule
MultiPlanCommercial|All PlansCommercial$10,716fee schedule
St. Luke's Health Sugar Land Hospital: all 70 plan rates
PayerPlan (as written in the file)TypeRateMethod
KELSEYMedicare|All PlansMedicare Advantage$248case rate
RenaissanceCommercial|All PlansCommercial$258case rate
WellpointMedicaid|All Other PlansMedicaid / CHIP$312fee schedule
WellpointMedicaid|CHIPMedicaid / CHIP$318fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$318fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$318fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$318fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$324fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$328fee schedule
BCBSMedicare|All PlansMedicare Advantage$358case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$358case rate
HUMANAMedicare|All Other PlansMedicare Advantage$358case rate
SELECTCAREMedicare|All PlansMedicare Advantage$358case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$361case rate
AETNAMedicare|All PlansMedicare Advantage$365case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$365case rate
CHCMedicaid|All Other PlansMedicaid / CHIP$366fee schedule
AmerivantageMedicare|All PlansMedicare Advantage$368case rate
DEVOTEDMedicare|All PlansMedicare Advantage$383case rate
SCANHealthMedicare|All PlansMedicare Advantage$383case rate
KINDREDMedicare|All PlansMedicare Advantage$393case rate
WellpointMedicaid|STARMedicaid / CHIP$426fee schedule
UNITEDMedicaid|STARMedicaid / CHIP$436fee schedule
KelseyCareCommercial|ExchangeCommercial$483case rate
CHCMedicaid|STARMedicaid / CHIP$490fee schedule
CignaCommercial|SurefitCommercial$507fee schedule
Community Health ChoiceCommercial|All Other PlansCommercial$537case rate
Community Health ChoiceCommercial|ExchangeCommercial$537case rate
Superior Health PlanCommercial|All PlansCommercial$537case rate
WellpointCommercial|ExchangeCommercial$537case rate
AetnaCommercial|ExchangeCommercial$551case rate
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$558fee schedule
CignaCommercial|HMOCommercial$559fee schedule
Bright HealthCommercial|All PlansCommercial$616case rate
BCBS-TXCommercial|ExchangeCommercial$649fee schedule
AetnaCommercial|PPOCommercial$667fee schedule
HumanaCommercial|HMOCommercial$800fee schedule
HumanaCommercial|PPOCommercial$800fee schedule
HealthsmartCommercial|AP3-PPOCommercial$900fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$992fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$992fee schedule
KelseyCareCommercial|All Other PlansCommercial$1,155fee schedule
NX HealthCommercial|PPOCommercial$1,163case rate
BCBS-TXCommercial|Blue PremierCommercial$1,184fee schedule
UnitedCommercial|ExchangeCommercial$1,315fee schedule
CignaCommercial|PPOCommercial$1,405fee schedule
BCBS-TXCommercial|HMOCommercial$1,478fee schedule
TCHPMedicaid|All Other PlansMedicaid / CHIP$1,540fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$1,540fee schedule
BCBS-TXCommercial|PPOCommercial$1,661fee schedule
UnitedCommercial|CharterCommercial$1,942fee schedule
TCHPMedicaid|STARMedicaid / CHIP$2,063fee schedule
UnitedCommercial|HMOCommercial$2,156fee schedule
UnitedCommercial|PPOCommercial$2,156fee schedule
OPTUMMedicare|All PlansMedicare Advantage$5,197fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$6,736fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$6,964fee schedule
UnitedCommercial|OptumCommercial$9,046fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$10,586fee schedule
CHCMedicaid|HMOMedicaid / CHIP$10,586fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$10,586fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$11,356fee schedule
CoventryCommercial|PPOCommercial$12,511fee schedule
First HealthCommercial|All PlansCommercial$12,511fee schedule
AetnaCommercial|HMOCommercial$13,088fee schedule
HealthsmartCommercial|PPOCommercial$13,473fee schedule
MultiPlanCommercial|All PlansCommercial$14,435fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$15,902fee schedule
USA Health NetworkCommercial|All PlansCommercial$16,360fee schedule
MHealth NetworkCommercial|PPOCommercial$19,247fee schedule
St. Luke's Health The Vintage Hospital: all 71 plan rates
PayerPlan (as written in the file)TypeRateMethod
RenaissanceCommercial|All PlansCommercial$258case rate
WellpointMedicaid|All Other PlansMedicaid / CHIP$312fee schedule
WellpointMedicaid|CHIPMedicaid / CHIP$318fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$318fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$318fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$318fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$324fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$328fee schedule
BCBSMedicare|All PlansMedicare Advantage$358case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$358case rate
HUMANAMedicare|All Other PlansMedicare Advantage$358case rate
KELSEYMedicare|All PlansMedicare Advantage$358case rate
SELECTCAREMedicare|All PlansMedicare Advantage$358case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$361case rate
AETNAMedicare|All PlansMedicare Advantage$365case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$365case rate
CHCMedicaid|All Other PlansMedicaid / CHIP$366fee schedule
AmerivantageMedicare|All PlansMedicare Advantage$368case rate
DEVOTEDMedicare|All PlansMedicare Advantage$383case rate
SCANHealthMedicare|All PlansMedicare Advantage$383case rate
KINDREDMedicare|All PlansMedicare Advantage$393case rate
WellpointMedicaid|STARMedicaid / CHIP$426fee schedule
UNITEDMedicaid|STARMedicaid / CHIP$436fee schedule
KelseyCareCommercial|ExchangeCommercial$483case rate
CHCMedicaid|STARMedicaid / CHIP$490fee schedule
Employer DirectCommercial|PPOCommercial$501case rate
CignaCommercial|SurefitCommercial$507fee schedule
Community Health ChoiceCommercial|All Other PlansCommercial$537case rate
Community Health ChoiceCommercial|ExchangeCommercial$537case rate
Superior Health PlanCommercial|All PlansCommercial$537case rate
WellpointCommercial|ExchangeCommercial$537case rate
AetnaCommercial|ExchangeCommercial$551case rate
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$558fee schedule
CignaCommercial|HMOCommercial$559fee schedule
Bright HealthCommercial|All PlansCommercial$616case rate
BCBS-TXCommercial|ExchangeCommercial$649fee schedule
AetnaCommercial|PPOCommercial$667fee schedule
HumanaCommercial|HMOCommercial$800fee schedule
HumanaCommercial|PPOCommercial$800fee schedule
HealthsmartCommercial|AP3-PPOCommercial$900fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$992fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$992fee schedule
KelseyCareCommercial|All Other PlansCommercial$1,155fee schedule
NX HealthCommercial|PPOCommercial$1,163case rate
BCBS-TXCommercial|Blue PremierCommercial$1,184fee schedule
UnitedCommercial|ExchangeCommercial$1,315fee schedule
CignaCommercial|PPOCommercial$1,405fee schedule
BCBS-TXCommercial|HMOCommercial$1,478fee schedule
TCHPMedicaid|All Other PlansMedicaid / CHIP$1,540fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$1,540fee schedule
BCBS-TXCommercial|PPOCommercial$1,661fee schedule
UnitedCommercial|CharterCommercial$1,942fee schedule
TCHPMedicaid|STARMedicaid / CHIP$2,063fee schedule
UnitedCommercial|HMOCommercial$2,156fee schedule
UnitedCommercial|PPOCommercial$2,156fee schedule
OPTUMMedicare|All PlansMedicare Advantage$5,197fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$6,736fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$6,964fee schedule
UnitedCommercial|OptumCommercial$9,046fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$10,586fee schedule
CHCMedicaid|HMOMedicaid / CHIP$10,586fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$10,586fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$11,356fee schedule
CoventryCommercial|PPOCommercial$12,511fee schedule
First HealthCommercial|All PlansCommercial$12,511fee schedule
AetnaCommercial|HMOCommercial$13,088fee schedule
HealthsmartCommercial|PPOCommercial$13,473fee schedule
MultiPlanCommercial|All PlansCommercial$14,435fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$15,902fee schedule
USA Health NetworkCommercial|All PlansCommercial$16,360fee schedule
MHealth NetworkCommercial|PPOCommercial$19,247fee schedule
St. Luke's Health Lakeside Hospital: all 70 plan rates
PayerPlan (as written in the file)TypeRateMethod
RenaissanceCommercial|All PlansCommercial$258case rate
WellpointMedicaid|All Other PlansMedicaid / CHIP$312fee schedule
WellpointMedicaid|CHIPMedicaid / CHIP$318fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$318fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$318fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$318fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$324fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$328fee schedule
BCBSMedicare|All PlansMedicare Advantage$358case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$358case rate
HUMANAMedicare|All Other PlansMedicare Advantage$358case rate
KELSEYMedicare|All PlansMedicare Advantage$358case rate
SELECTCAREMedicare|All PlansMedicare Advantage$358case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$361case rate
AETNAMedicare|All PlansMedicare Advantage$365case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$365case rate
CHCMedicaid|All Other PlansMedicaid / CHIP$366fee schedule
AmerivantageMedicare|All PlansMedicare Advantage$368case rate
DEVOTEDMedicare|All PlansMedicare Advantage$383case rate
SCANHealthMedicare|All PlansMedicare Advantage$383case rate
KINDREDMedicare|All PlansMedicare Advantage$393case rate
WellpointMedicaid|STARMedicaid / CHIP$426fee schedule
UNITEDMedicaid|STARMedicaid / CHIP$436fee schedule
KelseyCareCommercial|ExchangeCommercial$483case rate
CHCMedicaid|STARMedicaid / CHIP$490fee schedule
CignaCommercial|SurefitCommercial$507fee schedule
AmbetterCommercial|All PlansCommercial$537case rate
Community Health ChoiceCommercial|All Other PlansCommercial$537case rate
Community Health ChoiceCommercial|ExchangeCommercial$537case rate
Harris HealthCommercial|ERSCommercial$537case rate
WellpointCommercial|ExchangeCommercial$537case rate
AetnaCommercial|ExchangeCommercial$551case rate
BCBS - TXCommercial|MyBlue Health ExchangeCommercial$558fee schedule
CignaCommercial|HMOCommercial$559fee schedule
Bright HealthCommercial|All PlansCommercial$616case rate
BCBS-TXCommercial|ExchangeCommercial$649fee schedule
AetnaCommercial|PPOCommercial$667fee schedule
HumanaCommercial|HMOCommercial$800fee schedule
HumanaCommercial|PPOCommercial$800fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$992fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$992fee schedule
KelseyCareCommercial|All Other PlansCommercial$1,155fee schedule
NX HealthCommercial|PPOCommercial$1,163case rate
BCBS-TXCommercial|Blue PremierCommercial$1,184fee schedule
UnitedCommercial|ExchangeCommercial$1,315fee schedule
CignaCommercial|PPOCommercial$1,405fee schedule
BCBS-TXCommercial|HMOCommercial$1,478fee schedule
TCHPMedicaid|LakesideMedicaid / CHIP$1,540fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$1,540fee schedule
BCBS-TXCommercial|PPOCommercial$1,661fee schedule
UnitedCommercial|CharterCommercial$1,942fee schedule
TCHPMedicaid|STARMedicaid / CHIP$2,063fee schedule
UnitedCommercial|HMOCommercial$2,156fee schedule
UnitedCommercial|PPOCommercial$2,156fee schedule
OPTUMMedicare|All PlansMedicare Advantage$5,197fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$6,736fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$6,964fee schedule
UnitedCommercial|OptumCommercial$9,046fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$10,586fee schedule
CHCMedicaid|HMOMedicaid / CHIP$10,586fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$10,586fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$11,356fee schedule
CoventryCommercial|PPOCommercial$12,511fee schedule
First HealthCommercial|All PlansCommercial$12,511fee schedule
AetnaCommercial|HMOCommercial$13,088fee schedule
HealthsmartCommercial|PPOCommercial$13,473fee schedule
MultiPlanCommercial|All PlansCommercial$14,435fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$15,902fee schedule
USA Health NetworkCommercial|All PlansCommercial$16,360fee schedule
MHealth NetworkCommercial|PPOCommercial$19,247fee schedule
Baylor St Luke's Medical Center: all 73 plan rates
PayerPlan (as written in the file)TypeRateMethod
RenaissanceCommercial|All PlansCommercial$258case rate
WellpointMedicaid|All Other PlansMedicaid / CHIP$312fee schedule
WellpointMedicaid|CHIPMedicaid / CHIP$318fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$318fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$318fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$318fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$324fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$328fee schedule
BCBSMedicare|All PlansMedicare Advantage$358case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$358case rate
HumanaMedicare|All Other PlansMedicare Advantage$358case rate
KELSEYMedicare|All PlansMedicare Advantage$358case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$361case rate
AETNAMedicare|All Other PlansMedicare Advantage$365case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$365case rate
CHCMedicaid|All Other PlansMedicaid / CHIP$366fee schedule
AmerivantageMedicare|All PlansMedicare Advantage$368case rate
SELECTCAREMedicare|All PlansMedicare Advantage$376case rate
DEVOTEDMedicare|All PlansMedicare Advantage$383case rate
SCANHealthMedicare|All PlansMedicare Advantage$383case rate
WellpointMedicaid|STARMedicaid / CHIP$426fee schedule
KINDREDMedicare|All PlansMedicare Advantage$429case rate
UNITEDMedicaid|STARMedicaid / CHIP$436fee schedule
BCBS - TXCommercial|MyBlue Health ExchangeCommercial$458fee schedule
KelseyCareCommercial|ExchangeCommercial$483case rate
CHCMedicaid|STARMedicaid / CHIP$490fee schedule
Employer DirectCommercial|PPOCommercial$501case rate
CignaCommercial|SurefitCommercial$507fee schedule
BCBS - TXCommercial|Blue Advantage ExchangeCommercial$512fee schedule
Community Health ChoiceCommercial|All Other PlansCommercial$537case rate
Community Health ChoiceCommercial|ExchangeCommercial$537case rate
Harris HealthCommercial|ERSCommercial$537case rate
Superior Health PlanCommercial|All PlansCommercial$537case rate
WellpointCommercial|ExchangeCommercial$537case rate
AetnaCommercial|ExchangeCommercial$551case rate
CignaCommercial|HMOCommercial$559fee schedule
Bright HealthCommercial|All PlansCommercial$616case rate
AetnaCommercial|PPOCommercial$761fee schedule
HumanaCommercial|HMOCommercial$800fee schedule
HumanaCommercial|PPOCommercial$800fee schedule
HealthsmartCommercial|AP3Commercial$900fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$992fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$992fee schedule
BCBS - TXCommercial|PremierCommercial$1,023fee schedule
KelseyCareCommercial|All Other PlansCommercial$1,155fee schedule
NX HealthCommercial|PPOCommercial$1,163case rate
UnitedCommercial|ExchangeCommercial$1,264fee schedule
CignaCommercial|PPOCommercial$1,405fee schedule
BCBS - TXCommercial|HMOCommercial$1,573fee schedule
BCBS - TXCommercial|PPO TradCommercial$1,665fee schedule
UnitedCommercial|CharterCommercial$1,703fee schedule
UnitedCommercial|HMOCommercial$1,891fee schedule
UnitedCommercial|PPOCommercial$1,891fee schedule
TCHPMedicaid|All Other PlansMedicaid / CHIP$2,117fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$2,117fee schedule
TCHPMedicaid|STARMedicaid / CHIP$2,837fee schedule
OPTUMMedicare|All PlansMedicare Advantage$5,197fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$6,964fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$7,891fee schedule
UnitedCommercial|OptumCommercial$9,046fee schedule
ShellCommercial|All PlansCommercial$9,624fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$10,586fee schedule
CHCMedicaid|HMOMedicaid / CHIP$10,586fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$10,586fee schedule
AetnaCommercial|KelseyCareCommercial$11,741fee schedule
CoventryCommercial|PPOCommercial$12,511fee schedule
First HealthCommercial|All PlansCommercial$12,511fee schedule
HealthsmartCommercial|PPOCommercial$13,473fee schedule
AetnaCommercial|HMOCommercial$13,473fee schedule
MultiPlanCommercial|All PlansCommercial$14,435fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$15,902fee schedule
USA Health NetworkCommercial|All PlansCommercial$16,360fee schedule
MHealth NetworkCommercial|PPOCommercial$19,247fee schedule
St. Luke's Health Springwoods Village Hospital: all 60 plan rates
PayerPlan (as written in the file)TypeRateMethod
RenaissanceCommercial|All PlansCommercial$258case rate
Montgomery Hospital DistrictCommercial|All PlansPublic program$312fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$312fee schedule
WellpointMedicaid|CHIPMedicaid / CHIP$318fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$318fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$318fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$324fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$328fee schedule
BCBSMedicare|All PlansMedicare Advantage$358case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$358case rate
HUMANAMedicare|All Other PlansMedicare Advantage$358case rate
KELSEYMedicare|All PlansMedicare Advantage$358case rate
SELECTCAREMedicare|All PlansMedicare Advantage$358case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$361case rate
AETNAMedicare|All PlansMedicare Advantage$365case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$365case rate
CHCMedicaid|All Other PlansMedicaid / CHIP$366fee schedule
AmerivantageMedicare|All PlansMedicare Advantage$368case rate
DEVOTEDMedicare|All PlansMedicare Advantage$383case rate
KINDREDMedicare|All PlansMedicare Advantage$393case rate
UHCMedicaid|STARMedicaid / CHIP$436fee schedule
KelseyCareCommercial|ExchangeCommercial$483case rate
CignaCommercial|SurefitCommercial$507fee schedule
CignaCommercial|All Other PlansCommercial$537case rate
Community Health ChoiceCommercial|ExchangeCommercial$537case rate
Superior Health PlanCommercial|All PlansCommercial$537case rate
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$558fee schedule
CignaCommercial|HMOCommercial$559fee schedule
Bright HealthCommercial|All PlansCommercial$616case rate
BCBS-TXCommercial|ExchangeCommercial$649fee schedule
AetnaCommercial|PPOCommercial$667fee schedule
HumanaCommercial|HMOCommercial$800fee schedule
HumanaCommercial|PPOCommercial$800fee schedule
HealthsmartCommercial|AP3-PPOCommercial$900fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$992fee schedule
KelseyCareCommercial|All Other PlansCommercial$1,155fee schedule
NXHealthCommercial|All PlansCommercial$1,163case rate
BCBS-TXCommercial|Blue PremierCommercial$1,184fee schedule
UnitedCommercial|ExchangeCommercial$1,315fee schedule
CignaCommercial|PPOCommercial$1,405fee schedule
BCBS-TXCommercial|HMOCommercial$1,478fee schedule
BCBS-TXCommercial|PPOCommercial$1,661fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$1,925fee schedule
UnitedCommercial|HMOCommercial$2,156fee schedule
UnitedCommercial|PPOCommercial$2,156fee schedule
OPTUMMedicare|All PlansMedicare Advantage$5,197fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$6,736fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$6,964fee schedule
UnitedCommercial|OptumCommercial$9,046fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$10,586fee schedule
CHCMedicaid|HMOMedicaid / CHIP$10,586fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$10,586fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$11,356fee schedule
CoventryCommercial|PPOCommercial$12,511fee schedule
First HealthCommercial|All PlansCommercial$12,511fee schedule
AetnaCommercial|HMOCommercial$13,088fee schedule
HealthsmartCommercial|PPOCommercial$13,473fee schedule
MultiPlanCommercial|All PlansCommercial$14,435fee schedule
USA Health NetworkCommercial|All PlansCommercial$16,360fee schedule
MHealth NetworkCommercial|PPOCommercial$19,247fee schedule
St. Luke's Health The Woodlands Hospital: all 70 plan rates
PayerPlan (as written in the file)TypeRateMethod
RenaissanceCommercial|All PlansCommercial$258case rate
Montgomery Hospital DistrictCommercial|All PlansPublic program$312fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$312fee schedule
WellpointMedicaid|CHIPMedicaid / CHIP$318fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$318fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$318fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$324fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$324fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$328fee schedule
BCBSMedicare|All PlansMedicare Advantage$358case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$358case rate
HUMANAMedicare|All Other PlansMedicare Advantage$358case rate
KELSEYMedicare|All PlansMedicare Advantage$358case rate
SELECTCAREMedicare|All PlansMedicare Advantage$358case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$361case rate
AETNAMedicare|All PlansMedicare Advantage$365case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$365case rate
CHCMedicaid|All Other PlansMedicaid / CHIP$366fee schedule
AmerivantageMedicare|All PlansMedicare Advantage$368case rate
DEVOTEDMedicare|All PlansMedicare Advantage$383case rate
SCANHealthMedicare|All PlansMedicare Advantage$383case rate
KINDREDMedicare|All PlansMedicare Advantage$393case rate
WellpointMedicaid|STARMedicaid / CHIP$426fee schedule
UHCMedicaid|STARMedicaid / CHIP$436fee schedule
KelseyCareCommercial|ExchangeCommercial$483case rate
CHCMedicaid|STARMedicaid / CHIP$490fee schedule
CignaCommercial|SurefitCommercial$507fee schedule
CignaCommercial|All Other PlansCommercial$537case rate
Community Health ChoiceCommercial|ExchangeCommercial$537case rate
Superior Health PlanCommercial|All PlansCommercial$537case rate
WellpointCommercial|ExchangeCommercial$537case rate
AetnaCommercial|ExchangeCommercial$551case rate
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$558fee schedule
CignaCommercial|HMOCommercial$559fee schedule
Bright HealthCommercial|All PlansCommercial$616case rate
BCBS-TXCommercial|ExchangeCommercial$649fee schedule
AetnaCommercial|PPOCommercial$667fee schedule
HumanaCommercial|HMOCommercial$800fee schedule
HumanaCommercial|PPOCommercial$800fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$992fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$992fee schedule
KelseyCareCommercial|All Other PlansCommercial$1,155fee schedule
NXHealthCommercial|All PlansCommercial$1,163case rate
BCBS-TXCommercial|Blue PremierCommercial$1,184fee schedule
UnitedCommercial|ExchangeCommercial$1,315fee schedule
CignaCommercial|PPOCommercial$1,405fee schedule
BCBS-TXCommercial|HMOCommercial$1,478fee schedule
BCBS-TXCommercial|PPOCommercial$1,661fee schedule
TCHPMedicaid|All Other PlansMedicaid / CHIP$1,925fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$1,925fee schedule
UnitedCommercial|CharterCommercial$1,942fee schedule
UnitedCommercial|HMOCommercial$2,156fee schedule
UnitedCommercial|PPOCommercial$2,156fee schedule
TCHPMedicaid|STARMedicaid / CHIP$2,579fee schedule
OPTUMMedicare|All PlansMedicare Advantage$5,197fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$6,736fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$6,964fee schedule
UnitedCommercial|OptumCommercial$9,046fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$10,586fee schedule
CHCMedicaid|HMOMedicaid / CHIP$10,586fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$10,586fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$11,356fee schedule
CoventryCommercial|PPOCommercial$12,511fee schedule
First HealthCommercial|All PlansCommercial$12,511fee schedule
AetnaCommercial|HMOCommercial$13,088fee schedule
HealthsmartCommercial|PPOCommercial$13,473fee schedule
MultiPlanCommercial|All PlansCommercial$14,435fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$15,902fee schedule
USA Health NetworkCommercial|All PlansCommercial$16,360fee schedule
MHealth NetworkCommercial|PPOCommercial$19,247fee schedule
St. Luke's Health Brazosport Hospital: all 41 plan rates
PayerPlan (as written in the file)TypeRateMethod
CHCMedicaid|CHIPMedicaid / CHIP$265fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$318fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$328fee schedule
CHCMedicaid|All Other PlansMedicaid / CHIP$328fee schedule
SUPERIORMedicaid|All PlansMedicaid / CHIP$328fee schedule
BCBSMedicare|All PlansMedicare Advantage$358case rate
CIGNA-HEALTHSPRINGMedicare|All PlansMedicare Advantage$358case rate
HUMANAMedicare|All PlansMedicare Advantage$358case rate
KELSEYMedicare|All PlansMedicare Advantage$358case rate
UNITEDMedicare|All PlansMedicare Advantage$358case rate
UnitedCommercial|All Other PlansCommercial$365fee schedule
SELECTCAREMedicare|All PlansMedicare Advantage$368case rate
WellcareTPMedicare|All PlansMedicare Advantage$368case rate
WellpointMedicare|All PlansMedicare Advantage$368case rate
Community Health ChoiceCommercial|ExchangeCommercial$376case rate
DevotedMedicare|All PlansMedicare Advantage$383case rate
SCANHealthMedicare|All PlansMedicare Advantage$383case rate
UNITEDMedicaid|STARMedicaid / CHIP$426fee schedule
CHCMedicaid|STARMedicaid / CHIP$440fee schedule
AetnaCommercial|All Other PlansCommercial$508fee schedule
AmbetterCommercial|All PlansCommercial$519case rate
WellpointCommercial|ExchangeCommercial$537case rate
AetnaCommercial|ExchangeCommercial$551case rate
UnitedCommercial|ExchangeCommercial$554case rate
Bright HealthCommercial|All PlansCommercial$616case rate
BCBS-TXCommercial|Blue Advantage HMOCommercial$661fee schedule
BCBS-TXCommercial|Blue OptionsCommercial$738fee schedule
BCBS-TXCommercial|TraditionalCommercial$819fee schedule
HumanaCommercial|All PlansCommercial$933case rate
EntrustCommercial|All PlansCommercial$970case rate
UNITEDMedicaid|STARPLUSMedicaid / CHIP$973fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$1,000fee schedule
BCBS-TXCommercial|PPO-POSCommercial$1,176fee schedule
TCHPMedicaid|All Other PlansMedicaid / CHIP$1,212fee schedule
BCBS-TXCommercial|HMOCommercial$1,260fee schedule
WellpointMedicaid|STARMedicaid / CHIP$1,340fee schedule
BCBS-TXCommercial|PPOCommercial$1,409fee schedule
TCHPMedicaid|STARMedicaid / CHIP$1,624fee schedule
AetnaMedicare|All PlansMedicare Advantage$3,029fee schedule
CignaCommercial|All PlansCommercial$8,078fee schedule
Health FirstCommercial|All PlansCommercial$10,098fee schedule
HCA Houston Healthcare Pearland: all 53 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupMCDCHIPBHMedicaid / CHIP$312fee schedule
AmerigroupMGMCDMedicaid / CHIP$312fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$318fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$318fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$318fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$318fee schedule
UnitedMGMCDMedicaid / CHIP$324fee schedule
Molina HealthcareCHIPMedicaid / CHIP$343fee schedule
Molina HealthcareSTARMedicaid / CHIP$343fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$343fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$343fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$344fee schedule
HumanaMCDMedicaid / CHIP$390fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$468fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$468fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$468fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$699fee schedule
BCBSMyBlueHealthCommercial$821fee schedule
UnitedAllPayerAppendixCommercial$828fee schedule
UnitedSmallGroupCommercial$828fee schedule
BCBSBAVCommercial$947fee schedule
AetnaNBHMOCommercial$1,007per diem
AetnaNBPOSCommercial$1,007per diem
AetnaNBPPOCommercial$1,007per diem
AetnaCOMMHMOCommercial$1,071per diem
AetnaCOMMPOSCommercial$1,071per diem
AetnaCOMMPPOCommercial$1,071per diem
AetnaOONHMOCommercial$1,258per diem
AetnaOONPOSCommercial$1,258per diem
AetnaOONPPOCommercial$1,258per diem
Superior Health PlanCHIPMedicaid / CHIP$1,300percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$1,300percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$1,300percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$1,300percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$1,300percent of total billed charges
AetnaASAHMOCommercial$1,361per diem
AetnaASAPOSCommercial$1,361per diem
AetnaASAPPOCommercial$1,361per diem
BCBSHMOCommercial$1,440fee schedule
BCBSEPOSOACommercial$1,535fee schedule
BCBSPPOCommercial$1,627fee schedule
CignaCSNCommercial$1,635case rate
CignaOpenAccessPlusCommercial$1,771case rate
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$3,640percent of total billed charges
HumanaHMOCommercial$7,178percent of total billed charges
HumanaPPOCommercial$7,178percent of total billed charges
BCBSTraditionalCommercial$7,583percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$8,667percent of total billed charges
UnitedGlobalAppendixCommercial$9,750percent of total billed charges
Coventry National First HealthCOMMCommercial$11,224percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$16,250percent of total billed charges
MultiplanComplementaryNetworkCommercial$18,417percent of total billed charges
HCA Houston Healthcare Clear Lake: all 68 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$306fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$312fee schedule
AmerigroupMGMCDMedicaid / CHIP$312fee schedule
UTMBMGMCDMedicaid / CHIP$312fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$318fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$318fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$318fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$318fee schedule
UnitedMGMCDMedicaid / CHIP$324fee schedule
Molina HealthcareCHIPMedicaid / CHIP$343fee schedule
Molina HealthcareSTARMedicaid / CHIP$343fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$343fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$343fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$344fee schedule
HumanaMCDMedicaid / CHIP$390fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$468fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$468fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$468fee schedule
BCBSMyBlueHealthCommercial$649fee schedule
BCBSBAVCommercial$687fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$699fee schedule
UnitedAllPayerAppendixCommercial$828fee schedule
UnitedSmallGroupCommercial$828fee schedule
AetnaNBHMOCommercial$1,007per diem
AetnaNBPOSCommercial$1,007per diem
AetnaNBPPOCommercial$1,007per diem
AetnaCOMMHMOCommercial$1,071per diem
AetnaCOMMPOSCommercial$1,071per diem
AetnaCOMMPPOCommercial$1,071per diem
AetnaOONHMOCommercial$1,258per diem
AetnaOONPOSCommercial$1,258per diem
AetnaOONPPOCommercial$1,258per diem
AetnaASAHMOCommercial$1,361per diem
AetnaASAPOSCommercial$1,361per diem
AetnaASAPPOCommercial$1,361per diem
Superior Health PlanCHIPMedicaid / CHIP$1,403percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$1,403percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$1,403percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$1,403percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$1,403percent of total billed charges
BCBSHMOCommercial$1,440fee schedule
BCBSEPOSOACommercial$1,554fee schedule
CignaCSNCommercial$1,635case rate
BCBSPPOCommercial$1,669fee schedule
CignaOpenAccessPlusCommercial$1,771case rate
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$4,114percent of total billed charges
Texas Workforce CommissionWCOMPWorkers' comp$5,611percent of total billed charges
HumanaHMOCommercial$7,745percent of total billed charges
HumanaPPOCommercial$7,745percent of total billed charges
BCBSTraditionalCommercial$8,182percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$9,351percent of total billed charges
HealthSmart Preferred CareACCELCommercial$10,052percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$10,520percent of total billed charges
UnitedGlobalAppendixCommercial$10,520percent of total billed charges
Coventry National First HealthCOMMCommercial$12,109percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$12,857percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$12,857percent of total billed charges
Independent Medical SystemCOMMCommercial$14,026percent of total billed charges
National Healthcare SolutionsCOMMCommercial$14,026percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$14,026percent of total billed charges
Coastal CompCOMMWorkers' comp$15,195percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$17,533percent of total billed charges
HealthSmart Preferred CarePPOCommercial$19,169percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$19,871percent of total billed charges
MultiplanComplementaryNetworkCommercial$19,871percent of total billed charges
Physicians, INCCOMMCommercial$19,871percent of total billed charges
Affiliated PPOCOMMCommercial$21,039percent of total billed charges
HCA Houston Healthcare Mainland: all 67 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$306fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$312fee schedule
AmerigroupMGMCDMedicaid / CHIP$312fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$318fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$318fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$318fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$318fee schedule
UnitedMGMCDMedicaid / CHIP$324fee schedule
Molina HealthcareCHIPMedicaid / CHIP$343fee schedule
Molina HealthcareSTARMedicaid / CHIP$343fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$343fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$343fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$344fee schedule
HumanaMCDMedicaid / CHIP$390fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$468fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$468fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$468fee schedule
BCBSMyBlueHealthCommercial$649fee schedule
BCBSBAVCommercial$687fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$699fee schedule
UnitedAllPayerAppendixCommercial$828fee schedule
UnitedSmallGroupCommercial$828fee schedule
AetnaNBHMOCommercial$1,007per diem
AetnaNBPOSCommercial$1,007per diem
AetnaNBPPOCommercial$1,007per diem
AetnaCOMMHMOCommercial$1,071per diem
AetnaCOMMPOSCommercial$1,071per diem
AetnaCOMMPPOCommercial$1,071per diem
AetnaOONHMOCommercial$1,258per diem
AetnaOONPOSCommercial$1,258per diem
AetnaOONPPOCommercial$1,258per diem
AetnaASAHMOCommercial$1,361per diem
AetnaASAPOSCommercial$1,361per diem
AetnaASAPPOCommercial$1,361per diem
Superior Health PlanCHIPMedicaid / CHIP$1,403percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$1,403percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$1,403percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$1,403percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$1,403percent of total billed charges
BCBSHMOCommercial$1,440fee schedule
BCBSEPOSOACommercial$1,554fee schedule
CignaCSNCommercial$1,635case rate
BCBSPPOCommercial$1,669fee schedule
CignaOpenAccessPlusCommercial$1,771case rate
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$4,722percent of total billed charges
IPA Management ServicesCOMMCommercial$5,844percent of total billed charges
HumanaHMOCommercial$7,745percent of total billed charges
HumanaPPOCommercial$7,745percent of total billed charges
BCBSTraditionalCommercial$8,182percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$9,351percent of total billed charges
HealthSmart Preferred CareACCELCommercial$10,052percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$10,520percent of total billed charges
UnitedGlobalAppendixCommercial$10,520percent of total billed charges
Coventry National First HealthCOMMCommercial$12,109percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$12,857percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$12,857percent of total billed charges
Independent Medical SystemCOMMCommercial$14,026percent of total billed charges
National Healthcare SolutionsCOMMCommercial$14,026percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$14,026percent of total billed charges
Coastal CompCOMMWorkers' comp$15,195percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$17,533percent of total billed charges
HealthSmart Preferred CarePPOCommercial$19,169percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$19,871percent of total billed charges
MultiplanComplementaryNetworkCommercial$19,871percent of total billed charges
Physicians, INCCOMMCommercial$19,871percent of total billed charges
Affiliated PPOCOMMCommercial$21,039percent of total billed charges
HCA Houston Healthcare Conroe: all 68 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$306fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$312fee schedule
AmerigroupMGMCDMedicaid / CHIP$312fee schedule
Liberty County IndigentLOCALGOVPublic program$312fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$318fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$318fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$318fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$318fee schedule
UnitedMGMCDMedicaid / CHIP$324fee schedule
Molina HealthcareCHIPMedicaid / CHIP$343fee schedule
Molina HealthcareSTARMedicaid / CHIP$343fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$343fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$343fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$344fee schedule
HumanaMCDMedicaid / CHIP$390fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$468fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$468fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$468fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$699fee schedule
BCBSMyBlueHealthCommercial$821fee schedule
UnitedAllPayerAppendixCommercial$828fee schedule
UnitedSmallGroupCommercial$828fee schedule
BCBSBAVCommercial$947fee schedule
AetnaNBHMOCommercial$1,007per diem
AetnaNBPOSCommercial$1,007per diem
AetnaNBPPOCommercial$1,007per diem
AetnaCOMMHMOCommercial$1,071per diem
AetnaCOMMPOSCommercial$1,071per diem
AetnaCOMMPPOCommercial$1,071per diem
AetnaOONHMOCommercial$1,258per diem
AetnaOONPOSCommercial$1,258per diem
AetnaOONPPOCommercial$1,258per diem
AetnaASAHMOCommercial$1,361per diem
AetnaASAPOSCommercial$1,361per diem
AetnaASAPPOCommercial$1,361per diem
BCBSHMOCommercial$1,440fee schedule
BCBSEPOSOACommercial$1,577fee schedule
CignaCSNCommercial$1,635case rate
Superior Health PlanCHIPMedicaid / CHIP$1,673percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$1,673percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$1,673percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$1,673percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$1,673percent of total billed charges
BCBSPPOCommercial$1,711fee schedule
CignaOpenAccessPlusCommercial$1,771case rate
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$4,908percent of total billed charges
TX Workforce CommissionGVTPublic program$6,693percent of total billed charges
HumanaHMOCommercial$9,239percent of total billed charges
HumanaPPOCommercial$9,239percent of total billed charges
BCBSTraditionalCommercial$9,760percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$11,154percent of total billed charges
HealthSmart Preferred CareACCELCommercial$11,991percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$12,549percent of total billed charges
UnitedGlobalAppendixCommercial$12,549percent of total billed charges
Coventry National First HealthCOMMCommercial$14,445percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$15,337percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$15,337percent of total billed charges
Independent Medical SystemCOMMCommercial$16,732percent of total billed charges
National Healthcare SolutionsCOMMCommercial$16,732percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$16,732percent of total billed charges
Coastal CompCOMMWorkers' comp$18,126percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$20,915percent of total billed charges
HealthSmart Preferred CarePPOCommercial$22,867percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$23,703percent of total billed charges
MultiplanComplementaryNetworkCommercial$23,703percent of total billed charges
Physicians, INCCOMMCommercial$23,703percent of total billed charges
Affiliated PPOCOMMCommercial$25,097percent of total billed charges
HCA Houston Healthcare Southeast: all 68 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$306fee schedule
AmerigroupMGMCDMedicaid / CHIP$312fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$318fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$318fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$318fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$318fee schedule
UnitedMGMCDMedicaid / CHIP$324fee schedule
Molina HealthcareCHIPMedicaid / CHIP$343fee schedule
Molina HealthcareSTARMedicaid / CHIP$343fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$343fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$343fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$344fee schedule
HumanaMCDMedicaid / CHIP$390fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$468fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$468fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$468fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$699fee schedule
BCBSMyBlueHealthCommercial$821fee schedule
UnitedAllPayerAppendixCommercial$828fee schedule
UnitedSmallGroupCommercial$828fee schedule
BCBSBAVCommercial$947fee schedule
AetnaNBHMOCommercial$1,007per diem
AetnaNBPOSCommercial$1,007per diem
AetnaNBPPOCommercial$1,007per diem
AetnaCOMMHMOCommercial$1,071per diem
AetnaCOMMPOSCommercial$1,071per diem
AetnaCOMMPPOCommercial$1,071per diem
AetnaOONHMOCommercial$1,258per diem
AetnaOONPOSCommercial$1,258per diem
AetnaOONPPOCommercial$1,258per diem
AetnaASAHMOCommercial$1,361per diem
AetnaASAPOSCommercial$1,361per diem
AetnaASAPPOCommercial$1,361per diem
BCBSHMOCommercial$1,440fee schedule
BCBSEPOSOACommercial$1,524fee schedule
BCBSPPOCommercial$1,604fee schedule
CignaCSNCommercial$1,635case rate
CignaOpenAccessPlusCommercial$1,771case rate
Superior Health PlanCHIPMedicaid / CHIP$1,957percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$1,957percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$1,957percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$1,957percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$1,957percent of total billed charges
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$6,589percent of total billed charges
Texas Workforce CommissionWCOMPWorkers' comp$7,828percent of total billed charges
HumanaHMOCommercial$10,806percent of total billed charges
HumanaPPOCommercial$10,806percent of total billed charges
BCBSTraditionalCommercial$11,416percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$13,047percent of total billed charges
HealthSmart Preferred CareACCELCommercial$14,026percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$14,678percent of total billed charges
UnitedGlobalAppendixCommercial$14,678percent of total billed charges
Coventry National First HealthCOMMCommercial$16,896percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$17,940percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$17,940percent of total billed charges
Independent Medical SystemCOMMCommercial$19,571percent of total billed charges
National Healthcare SolutionsCOMMCommercial$19,571percent of total billed charges
Prime Health ServicesWORKERSCOMPWorkers' comp$19,571percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$19,571percent of total billed charges
Coastal CompCOMMWorkers' comp$21,201percent of total billed charges
Fiesta Mart, IncCOMMCommercial$24,463percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$24,463percent of total billed charges
HealthSmart Preferred CarePPOCommercial$26,746percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$27,725percent of total billed charges
MultiplanComplementaryNetworkCommercial$27,725percent of total billed charges
Physicians, INCCOMMCommercial$27,725percent of total billed charges
Affiliated PPOCOMMCommercial$29,356percent of total billed charges
HCA Houston Healthcare Medical Center: all 50 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupMCDCHIPBHMedicaid / CHIP$312fee schedule
AmerigroupMGMCDMedicaid / CHIP$312fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$318fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$318fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$318fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$318fee schedule
UnitedMGMCDMedicaid / CHIP$324fee schedule
Molina HealthcareCHIPMedicaid / CHIP$343fee schedule
Molina HealthcareSTARMedicaid / CHIP$343fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$343fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$343fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$344fee schedule
HumanaMCDMedicaid / CHIP$390fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$699fee schedule
BCBSMyBlueHealthCommercial$821fee schedule
UnitedAllPayerAppendixCommercial$828fee schedule
UnitedSmallGroupCommercial$828fee schedule
BCBSBAVCommercial$947fee schedule
AetnaNBHMOCommercial$1,007per diem
AetnaNBPOSCommercial$1,007per diem
AetnaNBPPOCommercial$1,007per diem
AetnaCOMMHMOCommercial$1,071per diem
AetnaCOMMPOSCommercial$1,071per diem
AetnaCOMMPPOCommercial$1,071per diem
AetnaOONHMOCommercial$1,258per diem
AetnaOONPOSCommercial$1,258per diem
AetnaOONPPOCommercial$1,258per diem
AetnaASAHMOCommercial$1,361per diem
AetnaASAPOSCommercial$1,361per diem
AetnaASAPPOCommercial$1,361per diem
BCBSHMOCommercial$1,440fee schedule
BCBSEPOSOACommercial$1,535fee schedule
BCBSPPOCommercial$1,627fee schedule
CignaCSNCommercial$1,635case rate
CignaOpenAccessPlusCommercial$1,771case rate
Superior Health PlanCHIPMedicaid / CHIP$1,994percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$1,994percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$1,994percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$1,994percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$1,994percent of total billed charges
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$5,583percent of total billed charges
HumanaHMOCommercial$11,010percent of total billed charges
HumanaPPOCommercial$11,010percent of total billed charges
BCBSTraditionalCommercial$11,631percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$13,293percent of total billed charges
UnitedGlobalAppendixCommercial$14,954percent of total billed charges
Coventry National First HealthCOMMCommercial$17,214percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$24,924percent of total billed charges
MultiplanComplementaryNetworkCommercial$28,247percent of total billed charges
HCA Houston Healthcare Tomball: all 53 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupMCDCHIPBHMedicaid / CHIP$312fee schedule
AmerigroupMGMCDMedicaid / CHIP$312fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$318fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$318fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$318fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$318fee schedule
UnitedMGMCDMedicaid / CHIP$324fee schedule
Molina HealthcareCHIPMedicaid / CHIP$343fee schedule
Molina HealthcareSTARMedicaid / CHIP$343fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$343fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$343fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$344fee schedule
HumanaMCDMedicaid / CHIP$390fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$468fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$468fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$468fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$699fee schedule
BCBSMyBlueHealthCommercial$821fee schedule
UnitedAllPayerAppendixCommercial$828fee schedule
UnitedSmallGroupCommercial$828fee schedule
BCBSBAVCommercial$947fee schedule
AetnaNBHMOCommercial$1,007per diem
AetnaNBPOSCommercial$1,007per diem
AetnaNBPPOCommercial$1,007per diem
AetnaCOMMHMOCommercial$1,071per diem
AetnaCOMMPOSCommercial$1,071per diem
AetnaCOMMPPOCommercial$1,071per diem
AetnaOONHMOCommercial$1,258per diem
AetnaOONPOSCommercial$1,258per diem
AetnaOONPPOCommercial$1,258per diem
AetnaASAHMOCommercial$1,361per diem
AetnaASAPOSCommercial$1,361per diem
AetnaASAPPOCommercial$1,361per diem
BCBSHMOCommercial$1,440fee schedule
BCBSEPOSOACommercial$1,577fee schedule
CignaCSNCommercial$1,635case rate
BCBSPPOCommercial$1,711fee schedule
CignaOpenAccessPlusCommercial$1,771case rate
Superior Health PlanCHIPMedicaid / CHIP$2,010percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$2,010percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$2,010percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$2,010percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$2,010percent of total billed charges
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$5,627percent of total billed charges
HumanaHMOCommercial$11,097percent of total billed charges
HumanaPPOCommercial$11,097percent of total billed charges
BCBSTraditionalCommercial$11,723percent of total billed charges
Coventry National First HealthCOMMCommercial$11,857percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$13,398percent of total billed charges
UnitedGlobalAppendixCommercial$15,072percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$25,120percent of total billed charges
MultiplanComplementaryNetworkCommercial$28,470percent of total billed charges
HCA Houston Healthcare Kingwood: all 67 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$306fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$312fee schedule
AmerigroupMGMCDMedicaid / CHIP$312fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$318fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$318fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$318fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$318fee schedule
UnitedMGMCDMedicaid / CHIP$324fee schedule
Molina HealthcareCHIPMedicaid / CHIP$343fee schedule
Molina HealthcareSTARMedicaid / CHIP$343fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$343fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$343fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$344fee schedule
HumanaMCDMedicaid / CHIP$390fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$468fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$468fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$468fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$699fee schedule
UnitedAllPayerAppendixCommercial$828fee schedule
UnitedSmallGroupCommercial$828fee schedule
BCBSMyBlueHealthCommercial$829fee schedule
BCBSBAVCommercial$947fee schedule
AetnaNBHMOCommercial$1,007per diem
AetnaNBPOSCommercial$1,007per diem
AetnaNBPPOCommercial$1,007per diem
AetnaCOMMHMOCommercial$1,071per diem
AetnaCOMMPOSCommercial$1,071per diem
AetnaCOMMPPOCommercial$1,071per diem
AetnaOONHMOCommercial$1,258per diem
AetnaOONPOSCommercial$1,258per diem
AetnaOONPPOCommercial$1,258per diem
AetnaASAHMOCommercial$1,361per diem
AetnaASAPOSCommercial$1,361per diem
AetnaASAPPOCommercial$1,361per diem
BCBSHMOCommercial$1,440fee schedule
BCBSEPOSOACommercial$1,569fee schedule
CignaCSNCommercial$1,635case rate
BCBSPPOCommercial$1,699fee schedule
CignaOpenAccessPlusCommercial$1,771case rate
Superior Health PlanCHIPMedicaid / CHIP$2,050percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$2,050percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$2,050percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$2,050percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$2,050percent of total billed charges
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$5,740percent of total billed charges
HumanaHMOCommercial$11,320percent of total billed charges
HumanaPPOCommercial$11,320percent of total billed charges
BCBSTraditionalCommercial$11,959percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$13,667percent of total billed charges
HealthSmart Preferred CareACCELCommercial$14,692percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$15,376percent of total billed charges
UnitedGlobalAppendixCommercial$15,376percent of total billed charges
Coventry National First HealthCOMMCommercial$17,699percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$18,792percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$18,792percent of total billed charges
Independent Medical SystemCOMMCommercial$20,501percent of total billed charges
National Healthcare SolutionsCOMMCommercial$20,501percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$20,501percent of total billed charges
Coastal CompCOMMWorkers' comp$22,209percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$25,626percent of total billed charges
HealthSmart Preferred CarePPOCommercial$28,018percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$29,043percent of total billed charges
MultiplanComplementaryNetworkCommercial$29,043percent of total billed charges
Physicians, INCCOMMCommercial$29,043percent of total billed charges
USA Managed CareCOMMCommercial$29,043percent of total billed charges
Affiliated PPOCOMMCommercial$30,751percent of total billed charges
HCA Houston Healthcare North Cypress: all 44 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupMCDCHIPBHMedicaid / CHIP$312fee schedule
AmerigroupMGMCDMedicaid / CHIP$312fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$318fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$318fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$318fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$318fee schedule
UnitedMGMCDMedicaid / CHIP$324fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$344fee schedule
HumanaMCDMedicaid / CHIP$390fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$699fee schedule
UnitedAllPayerAppendixCommercial$828fee schedule
UnitedSmallGroupCommercial$828fee schedule
BCBSMyBlueHealthCommercial$829fee schedule
BCBSBAVCommercial$947fee schedule
AetnaNBHMOCommercial$1,007per diem
AetnaNBPOSCommercial$1,007per diem
AetnaNBPPOCommercial$1,007per diem
AetnaCOMMHMOCommercial$1,071per diem
AetnaCOMMPOSCommercial$1,071per diem
AetnaCOMMPPOCommercial$1,071per diem
AetnaOONHMOCommercial$1,258per diem
AetnaOONPOSCommercial$1,258per diem
AetnaOONPPOCommercial$1,258per diem
AetnaASAHMOCommercial$1,361per diem
AetnaASAPOSCommercial$1,361per diem
AetnaASAPPOCommercial$1,361per diem
BCBSHMOCommercial$1,440fee schedule
BCBSEPOSOACommercial$1,569fee schedule
CignaCSNCommercial$1,635case rate
BCBSPPOCommercial$1,699fee schedule
CignaOpenAccessPlusCommercial$1,771case rate
Superior Health PlanCHIPMedicaid / CHIP$2,050percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$2,050percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$2,050percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$2,050percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$2,050percent of total billed charges
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$6,902percent of total billed charges
BCBSTraditionalCommercial$11,959percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$13,667percent of total billed charges
UnitedGlobalAppendixCommercial$15,376percent of total billed charges
Coventry National First HealthCOMMCommercial$17,699percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$25,626percent of total billed charges
MultiplanComplementaryNetworkCommercial$29,043percent of total billed charges
HCA Houston Healthcare West: all 68 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$306fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$312fee schedule
AmerigroupMGMCDMedicaid / CHIP$312fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$318fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$318fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$318fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$318fee schedule
UnitedMGMCDMedicaid / CHIP$324fee schedule
Molina HealthcareCHIPMedicaid / CHIP$343fee schedule
Molina HealthcareSTARMedicaid / CHIP$343fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$343fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$343fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$344fee schedule
HumanaMCDMedicaid / CHIP$390fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$468fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$468fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$468fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$699fee schedule
BCBSMyBlueHealthCommercial$764fee schedule
UnitedAllPayerAppendixCommercial$828fee schedule
UnitedSmallGroupCommercial$828fee schedule
BCBSBAVCommercial$947fee schedule
AetnaNBHMOCommercial$1,007per diem
AetnaNBPOSCommercial$1,007per diem
AetnaNBPPOCommercial$1,007per diem
AetnaCOMMHMOCommercial$1,071per diem
AetnaCOMMPOSCommercial$1,071per diem
AetnaCOMMPPOCommercial$1,071per diem
AetnaOONHMOCommercial$1,258per diem
AetnaOONPOSCommercial$1,258per diem
AetnaOONPPOCommercial$1,258per diem
AetnaASAHMOCommercial$1,361per diem
AetnaASAPOSCommercial$1,361per diem
AetnaASAPPOCommercial$1,361per diem
BCBSHMOCommercial$1,440fee schedule
BCBSEPOSOACommercial$1,512fee schedule
BCBSPPOCommercial$1,581fee schedule
CignaCSNCommercial$1,635case rate
CignaOpenAccessPlusCommercial$1,771case rate
Superior Health PlanCHIPMedicaid / CHIP$2,074percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$2,074percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$2,074percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$2,074percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$2,074percent of total billed charges
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$5,807percent of total billed charges
Texas Workforce CommissionWCOMPWorkers' comp$8,296percent of total billed charges
HumanaHMOCommercial$11,452percent of total billed charges
HumanaPPOCommercial$11,452percent of total billed charges
BCBSTraditionalCommercial$12,098percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$13,826percent of total billed charges
HealthSmart Preferred CareACCELCommercial$14,863percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$15,555percent of total billed charges
UnitedGlobalAppendixCommercial$15,555percent of total billed charges
Coventry National First HealthCOMMCommercial$17,905percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$19,011percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$19,011percent of total billed charges
Independent Medical SystemCOMMCommercial$20,740percent of total billed charges
National Healthcare SolutionsCOMMCommercial$20,740percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$20,740percent of total billed charges
TriumphCOMMCommercial$20,740percent of total billed charges
Coastal CompCOMMWorkers' comp$22,468percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$25,925percent of total billed charges
HealthSmart Preferred CarePPOCommercial$28,344percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$29,381percent of total billed charges
MultiplanComplementaryNetworkCommercial$29,381percent of total billed charges
Physicians, INCCOMMCommercial$29,381percent of total billed charges
Affiliated PPOCOMMCommercial$31,109percent of total billed charges
HCA Houston Healthcare Northwest: all 53 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupMCDCHIPBHMedicaid / CHIP$312fee schedule
AmerigroupMGMCDMedicaid / CHIP$312fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$318fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$318fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$318fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$318fee schedule
UnitedMGMCDMedicaid / CHIP$324fee schedule
Molina HealthcareCHIPMedicaid / CHIP$343fee schedule
Molina HealthcareSTARMedicaid / CHIP$343fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$343fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$343fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$344fee schedule
HumanaMCDMedicaid / CHIP$390fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$468fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$468fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$468fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$699fee schedule
UnitedAllPayerAppendixCommercial$828fee schedule
UnitedSmallGroupCommercial$828fee schedule
BCBSMyBlueHealthCommercial$829fee schedule
BCBSBAVCommercial$947fee schedule
AetnaNBHMOCommercial$1,007per diem
AetnaNBPOSCommercial$1,007per diem
AetnaNBPPOCommercial$1,007per diem
AetnaCOMMHMOCommercial$1,071per diem
AetnaCOMMPOSCommercial$1,071per diem
AetnaCOMMPPOCommercial$1,071per diem
AetnaOONHMOCommercial$1,258per diem
AetnaOONPOSCommercial$1,258per diem
AetnaOONPPOCommercial$1,258per diem
AetnaASAHMOCommercial$1,361per diem
AetnaASAPOSCommercial$1,361per diem
AetnaASAPPOCommercial$1,361per diem
BCBSHMOCommercial$1,440fee schedule
BCBSEPOSOACommercial$1,569fee schedule
CignaCSNCommercial$1,635case rate
BCBSPPOCommercial$1,699fee schedule
CignaOpenAccessPlusCommercial$1,771case rate
CignaPPOCommercial$2,106case rate
Superior Health PlanCHIPMedicaid / CHIP$2,314percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$2,314percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$2,314percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$2,314percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$2,314percent of total billed charges
UnitedOptionsPPOCommercial$6,479percent of total billed charges
HumanaHMOCommercial$12,776percent of total billed charges
HumanaPPOCommercial$12,776percent of total billed charges
BCBSTraditionalCommercial$13,497percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$15,426percent of total billed charges
UnitedGlobalAppendixCommercial$17,354percent of total billed charges
Coventry National First HealthCOMMCommercial$19,976percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$28,923percent of total billed charges
MultiplanComplementaryNetworkCommercial$32,779percent of total billed charges
Children's Memorial Hermann Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$350fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$386fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$403fee schedule
Community HealthPremier/Select ExchangeCommercial$526fee schedule
AetnaExchangeCommercial$543fee schedule
Community HealthUltra ExchangeCommercial$561fee schedule
90 DegreesAll Commercial PlansCommercial$666fee schedule
Texas Children's Hospital The Woodlands: all 30 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior CHIPSTAR KIDS/STAR/STAR+PLUSMedicaid / CHIP$312fee schedule
Superior CHIPSuperior CHIP/Superior Perinate CHIPMedicaid / CHIP$328fee schedule
Driscoll Children's Health Plan MCDDriscoll CHIP/STAR KidsMedicaid / CHIP$343fee schedule
Driscoll Children's Health Plan MCDDriscoll Star MCDMedicaid / CHIP$343fee schedule
First Care Health PlanFirst Care CHIP/First Care Star PlusMedicaid / CHIP$1,972percent of total billed charges
First Care Health PlanFirst Care Star MCDMedicaid / CHIP$1,972percent of total billed charges
United Healthcare CHIPUnited Healthcare CHIPMedicaid / CHIP$1,972percent of total billed charges
United Healthcare MCDUnited Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCDMedicaid / CHIP$1,972percent of total billed charges
Molina MCDMolina CHIP/Molina Star MCD/Molina Star Plus MCDMedicaid / CHIP$2,191percent of total billed charges
Blue Cross Blue Shield MCDBCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCDMedicaid / CHIP$2,556percent of total billed charges
Community Health ChoiceCommunity HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIPMedicaid / CHIP$2,578percent of total billed charges
Community First Health Plan MCDCommunity First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCDMedicaid / CHIP$2,921percent of total billed charges
Cook Children's Health PlanCook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCDMedicaid / CHIP$2,921percent of total billed charges
CignaCigna Local Plus/Cigna Sure Fit HMOCommercial$4,236percent of total billed charges
CignaCigna Harris County PPO/HMO/Cigna PPOCommercial$4,528percent of total billed charges
Blue Cross Blue ShieldBCBS HMO Blue Essentials TXCommercial$4,601percent of total billed charges
Blue Cross Blue ShieldBCBS PPOCommercial$4,601percent of total billed charges
Blue Cross Blue ShieldBCBS TraditionalCommercial$4,601percent of total billed charges
AetnaAetna HMOCommercial$4,674percent of total billed charges
AetnaAetna EPO/Aetna POS/Aetna PPOCommercial$4,674percent of total billed charges
Community Health ChoiceCommunity HC MarketplaceCommercial$4,674percent of total billed charges
First Care Health PlanFirst Care HMO/PPO/EPOCommercial$4,674percent of total billed charges
United HealthcareGolden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPOCommercial$4,674percent of total billed charges
KelseyCareKelseyCareCommercial$4,747percent of total billed charges
HealthSmartHealthSmart OtherCommercial$5,112percent of total billed charges
Evolutions HealthcareEvolutions PPOCommercial$5,477percent of total billed charges
First HealthCommercialCommercial$6,427percent of total billed charges
MultiplanMultiplan OtherCommercial$6,573percent of total billed charges
First HealthCCN NetworkCommercial$6,938percent of total billed charges
Galaxy Health NetworkGalaxy Health NetworkCommercial$6,938percent of total billed charges
Texas Children's Hospital West Campus: all 30 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior CHIPSTAR KIDS/STAR/STAR+PLUSMedicaid / CHIP$312fee schedule
Superior CHIPSuperior CHIP/Superior Perinate CHIPMedicaid / CHIP$328fee schedule
Driscoll Children's Health Plan MCDDriscoll CHIP/STAR KidsMedicaid / CHIP$343fee schedule
Driscoll Children's Health Plan MCDDriscoll Star MCDMedicaid / CHIP$343fee schedule
First Care Health PlanFirst Care CHIP/First Care Star PlusMedicaid / CHIP$1,972percent of total billed charges
First Care Health PlanFirst Care Star MCDMedicaid / CHIP$1,972percent of total billed charges
United Healthcare CHIPUnited Healthcare CHIPMedicaid / CHIP$1,972percent of total billed charges
United Healthcare MCDUnited Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCDMedicaid / CHIP$1,972percent of total billed charges
Molina MCDMolina CHIP/Molina Star MCD/Molina Star Plus MCDMedicaid / CHIP$2,191percent of total billed charges
Blue Cross Blue Shield MCDBCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCDMedicaid / CHIP$2,556percent of total billed charges
Community Health ChoiceCommunity HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIPMedicaid / CHIP$2,578percent of total billed charges
Community First Health Plan MCDCommunity First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCDMedicaid / CHIP$2,921percent of total billed charges
Cook Children's Health PlanCook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCDMedicaid / CHIP$2,921percent of total billed charges
CignaCigna Local Plus/Cigna Sure Fit HMOCommercial$4,236percent of total billed charges
CignaCigna Harris County PPO/HMO/Cigna PPOCommercial$4,528percent of total billed charges
Blue Cross Blue ShieldBCBS HMO Blue Essentials TXCommercial$4,601percent of total billed charges
Blue Cross Blue ShieldBCBS PPOCommercial$4,601percent of total billed charges
Blue Cross Blue ShieldBCBS TraditionalCommercial$4,601percent of total billed charges
AetnaAetna HMOCommercial$4,674percent of total billed charges
AetnaAetna EPO/Aetna POS/Aetna PPOCommercial$4,674percent of total billed charges
Community Health ChoiceCommunity HC MarketplaceCommercial$4,674percent of total billed charges
First Care Health PlanFirst Care HMO/PPO/EPOCommercial$4,674percent of total billed charges
United HealthcareGolden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPOCommercial$4,674percent of total billed charges
KelseyCareKelseyCareCommercial$4,747percent of total billed charges
HealthSmartHealthSmart OtherCommercial$5,112percent of total billed charges
Evolutions HealthcareEvolutions PPOCommercial$5,477percent of total billed charges
First HealthCommercialCommercial$6,427percent of total billed charges
MultiplanMultiplan OtherCommercial$6,573percent of total billed charges
First HealthCCN NetworkCommercial$6,938percent of total billed charges
Galaxy Health NetworkGalaxy Health NetworkCommercial$6,938percent of total billed charges
Texas Children's Hospital: all 30 plan rates
PayerPlan (as written in the file)TypeRateMethod
Superior CHIPSTAR KIDS/STAR/STAR+PLUSMedicaid / CHIP$312fee schedule
Superior CHIPSuperior CHIP/Superior Perinate CHIPMedicaid / CHIP$328fee schedule
Driscoll Children's Health Plan MCDDriscoll CHIP/STAR KidsMedicaid / CHIP$343fee schedule
Driscoll Children's Health Plan MCDDriscoll Star MCDMedicaid / CHIP$343fee schedule
First Care Health PlanFirst Care CHIP/First Care Star PlusMedicaid / CHIP$1,972percent of total billed charges
First Care Health PlanFirst Care Star MCDMedicaid / CHIP$1,972percent of total billed charges
United Healthcare CHIPUnited Healthcare CHIPMedicaid / CHIP$1,972percent of total billed charges
United Healthcare MCDUnited Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCDMedicaid / CHIP$1,972percent of total billed charges
Molina MCDMolina CHIP/Molina Star MCD/Molina Star Plus MCDMedicaid / CHIP$2,191percent of total billed charges
Blue Cross Blue Shield MCDBCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCDMedicaid / CHIP$2,556percent of total billed charges
Community Health ChoiceCommunity HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIPMedicaid / CHIP$2,578percent of total billed charges
Community First Health Plan MCDCommunity First CHIP/Community First Health Perinate CHIP/Community First Star MCD/Community First Start Kids MCDMedicaid / CHIP$2,921percent of total billed charges
Cook Children's Health PlanCook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCDMedicaid / CHIP$2,921percent of total billed charges
CignaCigna Local Plus/Cigna Sure Fit HMOCommercial$4,236percent of total billed charges
CignaCigna Harris County PPO/HMO/Cigna PPOCommercial$4,528percent of total billed charges
Blue Cross Blue ShieldBCBS HMO Blue Essentials TXCommercial$4,601percent of total billed charges
Blue Cross Blue ShieldBCBS PPOCommercial$4,601percent of total billed charges
Blue Cross Blue ShieldBCBS TraditionalCommercial$4,601percent of total billed charges
AetnaAetna HMOCommercial$4,674percent of total billed charges
AetnaAetna EPO/Aetna POS/Aetna PPOCommercial$4,674percent of total billed charges
Community Health ChoiceCommunity HC MarketplaceCommercial$4,674percent of total billed charges
First Care Health PlanFirst Care HMO/PPO/EPOCommercial$4,674percent of total billed charges
United HealthcareGolden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPOCommercial$4,674percent of total billed charges
KelseyCareKelseyCareCommercial$4,747percent of total billed charges
HealthSmartHealthSmart OtherCommercial$5,112percent of total billed charges
Evolutions HealthcareEvolutions PPOCommercial$5,477percent of total billed charges
First HealthCommercialCommercial$6,427percent of total billed charges
MultiplanMultiplan OtherCommercial$6,573percent of total billed charges
First HealthCCN NetworkCommercial$6,938percent of total billed charges
Galaxy Health NetworkGalaxy Health NetworkCommercial$6,938percent of total billed charges

What this price covers

These are hospital charges for CPT code 74177 (Abdomen and pelvis CT scan with contrast). A hospital price file covers the hospital's own charges. Doctors who are not hospital employees — for imaging, usually the radiologist who reads the scan — can bill you separately, and extra services on the same day (contrast, an injection, a consultation) have their own codes.

How to ask for a lower price without insurance

  1. 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).
  2. Ask whether the hospital has an uninsured discount or a financial assistance policy, and how to apply.
  3. Compare with an independent imaging center or lab: they are not covered by the hospital price rule and often quote lower cash prices.

Abdomen and pelvis CT with contrast in other cities

Compare Abdomen and pelvis CT with contrast prices across all cities →

Other CT scan prices in Houston