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

45 hospitals and imaging centers in Houston list a self-pay price of $232–$32,860 for an abdomen and pelvis CT scan without contrast (CPT 74176). The typical commercial rate in the same files is $1,071.

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
$232–$32,860
what 45 hospitals and imaging centers list for a self-pay abdomen and pelvis CT
Typical insured rate
$1,071
median of every commercial plan rate in the files
Lowest insured rate
$174
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 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 74176; Medicaid and Medicare Advantage are shown separately below.

Abdomen and pelvis CT scan without contrast (CPT 74176) — Houston
HospitalPublished cash priceTypical insured rateLowest insured rate
Harris Health Ben Taub HospitalHarris Health · file Mar 2026$232Cash ÷ typical 0.4×$5507 plans$244
Harris Health Lyndon B Johnson HospitalHarris Health · file Mar 2026$232Cash ÷ typical 0.4×$5507 plans$244
Houston Methodist Clear Lake HospitalHouston Methodist · file Apr 2026$2,147Cash ÷ typical 4.8×$4476 plans$391
Houston Methodist HospitalHouston Methodist · file Apr 2026$2,147Cash ÷ typical 4.5×$4786 plans$391
Houston Methodist Baytown HospitalHouston Methodist · file Apr 2026$2,147Cash ÷ typical 5.2×$4155 plans$391
Houston Methodist Cypress HospitalHouston Methodist · file Apr 2026$2,147Cash ÷ typical 5.2×$4155 plans$391
Houston Methodist The Woodlands HospitalHouston Methodist · file Apr 2026$2,147Cash ÷ typical 5.2×$4155 plans$391
Houston Methodist Sugar Land HospitalHouston Methodist · file Apr 2026$2,147Cash ÷ typical 5.2×$4155 plans$391
Houston Methodist West HospitalHouston Methodist · file Apr 2026$2,147Cash ÷ typical 4.8×$4476 plans$391
Houston Methodist Willowbrook HospitalHouston Methodist · file Apr 2026$2,147Cash ÷ typical 5.2×$4155 plans$391
Memorial Hermann Greater Heights HospitalMemorial Hermann · file Apr 2026$2,688Cash ÷ typical 7.1×$3784 plans$360
Memorial Hermann Katy HospitalMemorial Hermann · file Apr 2026$2,688Cash ÷ typical 7.1×$3784 plans$360
Memorial Hermann Memorial City Medical CenterMemorial Hermann · file Apr 2026$2,688Cash ÷ typical 7.1×$3784 plans$360
Memorial Hermann Northeast HospitalMemorial Hermann · file Apr 2026$2,688Cash ÷ typical 7.1×$3784 plans$360
Memorial Hermann Pearland HospitalMemorial Hermann · file Apr 2026$2,688Cash ÷ typical 7.1×$3784 plans$360
Memorial Hermann Southeast HospitalMemorial Hermann · file Apr 2026$2,688Cash ÷ typical 7.1×$3784 plans$360
Memorial Hermann Southwest HospitalMemorial Hermann · file Apr 2026$2,688Cash ÷ typical 7.1×$3784 plans$360
Memorial Hermann Sugar Land HospitalMemorial Hermann · file Apr 2026$2,688Cash ÷ typical 7.1×$3784 plans$360
Memorial Hermann The Woodlands Medical CenterMemorial Hermann · file Apr 2026$2,688Cash ÷ typical 7.1×$3784 plans$360
Memorial Hermann Cypress HospitalMemorial Hermann · file Apr 2026$2,725Cash ÷ typical 7.2×$3784 plans$360
Memorial Hermann Rockets Orthopedic HospitalMemorial Hermann · file Apr 2026$2,725Cash ÷ typical 7.2×$3784 plans$360
Memorial Hermann-Texas Medical CenterMemorial Hermann · file Apr 2026$2,725Cash ÷ typical 7.2×$3784 plans$360
Memorial Hermann Imaging Center (Bellaire)Memorial Hermann · hospital imaging center · file Apr 2026$2,725Cash ÷ typical 7.2×$3784 plans$360
Memorial Hermann Imaging Center (Cypress)Memorial Hermann · hospital imaging center · file Apr 2026$2,725Cash ÷ typical 7.2×$3784 plans$360
Memorial Hermann Imaging Center (Texas Medical Center)Memorial Hermann · hospital imaging center · file Apr 2026$2,725Cash ÷ typical 7.2×$3784 plans$360
Memorial Hermann Imaging Center (Upper Kirby)Memorial Hermann · hospital imaging center · file Apr 2026$2,725Cash ÷ typical 7.2×$3784 plans$360
St. Luke's Health Patients Medical CenterSt. Luke's Health · file Feb 2026$4,701Cash ÷ typical 5.2×$90225 plans$340
St. Luke's Health Sugar Land HospitalSt. Luke's Health · file Feb 2026$5,659Cash ÷ typical 6.3×$90035 plans$174
St. Luke's Health The Vintage HospitalSt. Luke's Health · file Feb 2026$5,659Cash ÷ typical 6.7×$85036 plans$174
St. Luke's Health Lakeside HospitalSt. Luke's Health · file Feb 2026$5,659Cash ÷ typical 7.1×$80035 plans$174
Baylor St Luke's Medical CenterSt. Luke's Health · file Feb 2026$5,659Cash ÷ typical 6.7×$85038 plans$174
St. Luke's Health Springwoods Village HospitalSt. Luke's Health · file Feb 2026$5,659Cash ÷ typical 6.3×$90132 plans$174
St. Luke's Health The Woodlands HospitalSt. Luke's Health · file Feb 2026$5,659Cash ÷ typical 6.7×$85134 plans$174
St. Luke's Health Brazosport HospitalSt. Luke's Health · file Feb 2026$5,937Cash ÷ typical 11×$54618 plans$254
HCA Houston Healthcare PearlandHCA Healthcare · file Sep 2026$17,349= list priceCash ÷ typical 14×$1,25831 plans$437
HCA Houston Healthcare Clear LakeHCA Healthcare · file Sep 2026$18,717= list priceCash ÷ typical 14×$1,36138 plans$396
HCA Houston Healthcare MainlandHCA Healthcare · file Sep 2026$18,717= list priceCash ÷ typical 14×$1,36139 plans$396
HCA Houston Healthcare ConroeHCA Healthcare · file Sep 2026$25,787= list priceCash ÷ typical 19×$1,36138 plans$437
HCA Houston Healthcare Medical CenterHCA Healthcare · file Sep 2026$28,318= list priceCash ÷ typical 23×$1,25831 plans$437
HCA Houston Healthcare TomballHCA Healthcare · file Sep 2026$28,542= list priceCash ÷ typical 23×$1,25831 plans$437
HCA Houston Healthcare KingwoodHCA Healthcare · file Sep 2026$29,108–$29,113= list priceCash ÷ typical 21×$1,36139 plans$437
HCA Houston Healthcare North CypressHCA Healthcare · file Sep 2026$29,108= list priceCash ÷ typical 23×$1,25829 plans$437
HCA Houston Healthcare SoutheastHCA Healthcare · file Sep 2026$30,027= list priceCash ÷ typical 22×$1,36139 plans$437
HCA Houston Healthcare WestHCA Healthcare · file Sep 2026$31,983= list priceCash ÷ typical 23×$1,36139 plans$437
HCA Houston Healthcare NorthwestHCA Healthcare · file Sep 2026$32,860= list priceCash ÷ typical 26×$1,25831 plans$437
Children's Memorial Hermann HospitalMemorial Hermann · children's hospital (not in the summary above) · file Apr 2026$2,725Cash ÷ typical 7.2×$3784 plans$360
Texas Children's Hospital The WoodlandsTexas Children's · children's hospital (not in the summary above) · file Mar 2026$3,980Cash ÷ typical 1.0×$3,80217 plans$3,446
Texas Children's Hospital West CampusTexas Children's · children's hospital (not in the summary above) · file Mar 2026$3,980Cash ÷ typical 1.0×$3,80217 plans$3,446
Texas Children's HospitalTexas Children's · children's hospital (not in the summary above) · file Mar 2026$3,980Cash ÷ typical 1.0×$3,80217 plans$3,446

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Negotiated rates by insurer

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

Negotiated rates by insurer
HospitalBlue Cross Blue ShieldAetnaCignaUnitedHealthcareHumanaAmbetterMedicaid / CHIPMedicare Advantage
Harris Health Ben Taub Hospital$476–$530$3,665$550$2,820——$188–$232$232
Harris Health Lyndon B Johnson Hospital$476–$530$3,665$550$2,820——$188–$232$232
Houston Methodist Clear Lake Hospital$636–$1,692$402–$415—————$240–$264
Houston Methodist Hospital$1,692$425–$438—————$240–$264
Houston Methodist Baytown Hospital$1,692$402–$415—————$240–$264
Houston Methodist Cypress Hospital$1,692$402–$415—————$240–$256
Houston Methodist The Woodlands Hospital$1,692$402–$415—————$240–$256
Houston Methodist Sugar Land Hospital$1,692$402–$415—————$240–$264
Houston Methodist West Hospital$1,692$402–$415—————$240–$264
Houston Methodist Willowbrook Hospital$1,692$402–$415—————$240–$264
Memorial Hermann Greater Heights Hospital—$372—————$240–$276
Memorial Hermann Katy Hospital—$372—————$240–$276
Memorial Hermann Memorial City Medical Center—$372—————$240–$276
Memorial Hermann Northeast Hospital—$372—————$240–$264
Memorial Hermann Pearland Hospital—$372—————$240–$276
Memorial Hermann Southeast Hospital—$372—————$240–$276
Memorial Hermann Southwest Hospital—$372—————$240–$276
Memorial Hermann Sugar Land Hospital—$372—————$240–$276
Memorial Hermann The Woodlands Medical Center—$372—————$240–$276
Memorial Hermann Cypress Hospital—$372—————$240–$276
Memorial Hermann Rockets Orthopedic Hospital—$372—————$240–$276
Memorial Hermann-Texas Medical Center—$372—————$240–$276
Memorial Hermann Imaging Center (Bellaire)—$372—————$240–$276
Memorial Hermann Imaging Center (Cypress)—$372—————$240–$276
Memorial Hermann Imaging Center (Texas Medical Center)—$372—————$240–$276
Memorial Hermann Imaging Center (Upper Kirby)—$372—————$240–$276
St. Luke's Health Patients Medical Center$340–$1,014$667–$9,133$507–$1,405$1,315–$2,156$800$363$179–$587$242–$259
St. Luke's Health Sugar Land Hospital$340–$1,014$373–$10,994$507–$1,405$1,315–$7,599$800—$188–$13,358$228–$4,365
St. Luke's Health The Vintage Hospital$340–$1,014$373–$10,994$507–$1,405$1,315–$7,599$800—$188–$13,358$242–$4,365
St. Luke's Health Lakeside Hospital$340–$1,014$373–$10,994$507–$1,405$1,315–$7,599$800$363$188–$13,358$242–$4,365
Baylor St Luke's Medical Center$280–$1,016$373–$11,318$507–$1,405$1,264–$7,599$800—$188–$13,358$242–$4,365
St. Luke's Health Springwoods Village Hospital$340–$1,014$667–$10,994$363–$1,405$1,315–$7,599$800—$188–$8,892$242–$4,365
St. Luke's Health The Woodlands Hospital$340–$1,014$373–$10,994$363–$1,405$1,315–$7,599$800—$188–$13,358$242–$4,365
St. Luke's Health Brazosport Hospital$403–$860$373–$508$6,786$365–$375$583$351$190–$1,364$242–$2,545
HCA Houston Healthcare Pearland$501–$6,072$1,007–$1,361$1,635–$2,106$437–$7,807$5,748—$188–$1,041—
HCA Houston Healthcare Clear Lake$396–$6,551$1,007–$1,361$1,635–$2,106$437–$8,423$6,201—$184–$1,123$8,423
HCA Houston Healthcare Mainland$396–$6,551$1,007–$1,361$1,635–$2,106$437–$8,423$6,201—$184–$1,123$8,423
HCA Houston Healthcare Conroe$501–$9,025$1,007–$1,361$1,635–$2,106$437–$11,604$8,543—$184–$1,547$11,604
HCA Houston Healthcare Medical Center$501–$9,911$1,007–$1,361$1,635–$2,106$437–$12,743$9,382—$188–$1,699—
HCA Houston Healthcare Tomball$501–$9,990$1,007–$1,361$1,635–$2,106$437–$12,844$9,456—$188–$1,713—
HCA Houston Healthcare Kingwood$506–$10,188$1,007–$1,361$1,635–$2,106$437–$13,099$9,643—$184–$1,746$13,099
HCA Houston Healthcare North Cypress$506–$10,188$1,007–$1,361$1,635–$2,106$437–$13,099——$188–$1,746—
HCA Houston Healthcare Southeast$501–$10,510$1,007–$1,361$1,635–$2,106$437–$13,512$9,948—$184–$1,802$13,512
HCA Houston Healthcare West$466–$11,194$1,007–$1,361$1,635–$2,106$437–$14,392$10,596—$184–$1,919$14,392
HCA Houston Healthcare Northwest$506–$11,501$1,007–$1,361$1,635–$2,106$437–$14,787$10,886—$188–$1,972—
Children's Memorial Hermann Hospital—$372—————$240–$276
Texas Children's Hospital The Woodlands$3,743$3,802$3,446–$3,683$3,802——$188–$2,376—
Texas Children's Hospital West Campus$3,743$3,802$3,446–$3,683$3,802——$188–$2,376—
Texas Children's Hospital$3,743$3,802$3,446–$3,683$3,802——$188–$2,376—
Harris Health Ben Taub Hospital: all 14 plan rates
PayerPlan (as written in the file)TypeRateMethod
MolinaMedicaidMedicaid / CHIP$188fee schedule
UHCMedicaidMedicaid / CHIP$188fee schedule
TX ChildrensMedicaidMedicaid / CHIP$188fee schedule
CHCMedicaidMedicaid / CHIP$192fee schedule
SuperiorMedicaidMedicaid / CHIP$194fee schedule
CHCD-SNPMedicare Advantage$232fee schedule
MolinaMedicare & MMPMedicaid / CHIP$232fee schedule
CHCMarketplaceCommercial$244fee schedule
BCBS TXBlue AdvantageCommercial$476fee schedule
BCBS TXPPO POSCommercial$530fee schedule
CignaCommercialCommercial$550fee schedule
UHCCommercialCommercial$2,820percent of total billed charges
AetnaCommercial HMOCommercial$3,665percent of total billed charges
AetnaCommercial PPOCommercial$3,665percent of total billed charges
Harris Health Lyndon B Johnson Hospital: all 14 plan rates
PayerPlan (as written in the file)TypeRateMethod
MolinaMedicaidMedicaid / CHIP$188fee schedule
UHCMedicaidMedicaid / CHIP$188fee schedule
TX ChildrensMedicaidMedicaid / CHIP$188fee schedule
CHCMedicaidMedicaid / CHIP$192fee schedule
SuperiorMedicaidMedicaid / CHIP$194fee schedule
CHCD-SNPMedicare Advantage$232fee schedule
MolinaMedicare & MMPMedicaid / CHIP$232fee schedule
CHCMarketplaceCommercial$244fee schedule
BCBS TXBlue AdvantageCommercial$476fee schedule
BCBS TXPPO POSCommercial$530fee schedule
CignaCommercialCommercial$550fee schedule
UHCCommercialCommercial$2,820percent of total billed charges
AetnaCommercial HMOCommercial$3,665percent of total billed charges
AetnaCommercial PPOCommercial$3,665percent 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$240fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$243fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$244fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$247fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$252fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$256fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$264fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$391fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$402fee schedule
AetnaHmo/Pos/PpoCommercial$415fee schedule
Molina HealthcareExchangeCommercial$479fee schedule
BcbsBlue Advantage ExchangeCommercial$636fee schedule
BcbsAll Commercial PlansCommercial$1,692fee schedule
Houston Methodist Hospital: all 13 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$240fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$243fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$244fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$247fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$252fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$256fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$264fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$391fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$425fee schedule
AetnaHmo/Pos/PpoCommercial$438fee schedule
Molina HealthcareExchangeCommercial$518fee schedule
UaeAll Commercial PlansCommercial$959fee schedule
BcbsAll Commercial PlansCommercial$1,692fee schedule
Houston Methodist Baytown Hospital: all 12 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$240fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$243fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$244fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$247fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$252fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$256fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$264fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$391fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$402fee schedule
AetnaHmo/Pos/PpoCommercial$415fee schedule
Molina HealthcareExchangeCommercial$479fee schedule
BcbsAll Commercial PlansCommercial$1,692fee schedule
Houston Methodist Cypress Hospital: all 11 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$240fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$243fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$244fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$247fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$252fee schedule
Devoted HealthMedicare Managed Care - HmoMedicare Advantage$256fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$391fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$402fee schedule
AetnaHmo/Pos/PpoCommercial$415fee schedule
Molina HealthcareExchangeCommercial$479fee schedule
BcbsAll Commercial PlansCommercial$1,692fee schedule
Houston Methodist The Woodlands Hospital: all 11 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$240fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$243fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$244fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$247fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$252fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$256fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$391fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$402fee schedule
AetnaHmo/Pos/PpoCommercial$415fee schedule
Advanced Medical Pricing SolutionsAll Commercial PlansCommercial$479fee schedule
BcbsAll Commercial PlansCommercial$1,692fee schedule
Houston Methodist Sugar Land Hospital: all 12 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$240fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$243fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$244fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$247fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$252fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$256fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$264fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$391fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$402fee schedule
AetnaHmo/Pos/PpoCommercial$415fee schedule
Molina HealthcareExchangeCommercial$479fee schedule
BcbsAll Commercial PlansCommercial$1,692fee schedule
Houston Methodist West Hospital: all 13 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$240fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$243fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$244fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$247fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$252fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$256fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$264fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$391fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$402fee schedule
AetnaHmo/Pos/PpoCommercial$415fee schedule
Molina HealthcareExchangeCommercial$479fee schedule
UaeAll Commercial PlansCommercial$959fee schedule
BcbsAll Commercial PlansCommercial$1,692fee schedule
Houston Methodist Willowbrook Hospital: all 12 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$240fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$243fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$244fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$247fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$252fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$256fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$264fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$391fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$402fee schedule
AetnaHmo/Pos/PpoCommercial$415fee schedule
Molina HealthcareExchangeCommercial$479fee schedule
BcbsAll Commercial PlansCommercial$1,692fee schedule
Memorial Hermann Greater Heights Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$240fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$264fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$276fee schedule
Community HealthPrem/Select ExchangeCommercial$360fee schedule
AetnaExchangeCommercial$372fee schedule
Community HealthUltra ExchangeCommercial$384fee schedule
90 DegreesAll Commercial PlansCommercial$455fee schedule
Memorial Hermann Katy Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$240fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$264fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$276fee schedule
Community HealthPrem/Select ExchangeCommercial$360fee schedule
AetnaExchangeCommercial$372fee schedule
Community HealthUltra ExchangeCommercial$384fee schedule
90 DegreesAll Commercial PlansCommercial$455fee schedule
Memorial Hermann Memorial City Medical Center: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$240fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$264fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$276fee schedule
Community HealthPrem/Select ExchangeCommercial$360fee schedule
AetnaExchangeCommercial$372fee schedule
Community HealthUltra ExchangeCommercial$384fee schedule
90 DegreesAll Commercial PlansCommercial$455fee schedule
Memorial Hermann Northeast Hospital: all 6 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$240fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$264fee schedule
Community HealthPrem/Select ExchangeCommercial$360fee schedule
AetnaExchangeCommercial$372fee schedule
Community HealthUltra ExchangeCommercial$384fee schedule
90 DegreesAll Commercial PlansCommercial$455fee schedule
Memorial Hermann Pearland Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$240fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$264fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$276fee schedule
Community HealthPrem/Select ExchangeCommercial$360fee schedule
AetnaExchangeCommercial$372fee schedule
Community HealthUltra ExchangeCommercial$384fee schedule
90 DegreesAll Commercial PlansCommercial$455fee schedule
Memorial Hermann Southeast Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$240fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$264fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$276fee schedule
Community HealthPrem/Select ExchangeCommercial$360fee schedule
AetnaExchangeCommercial$372fee schedule
Community HealthUltra ExchangeCommercial$384fee schedule
90 DegreesAll Commercial PlansCommercial$455fee schedule
Memorial Hermann Southwest Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$240fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$264fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$276fee schedule
Community HealthPrem/Select ExchangeCommercial$360fee schedule
AetnaExchangeCommercial$372fee schedule
Community HealthUltra ExchangeCommercial$384fee schedule
90 DegreesAll Commercial PlansCommercial$455fee schedule
Memorial Hermann Sugar Land Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$240fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$264fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$276fee schedule
Community HealthPrem/Select ExchangeCommercial$360fee schedule
AetnaExchangeCommercial$372fee schedule
Community HealthUltra ExchangeCommercial$384fee schedule
90 DegreesAll Commercial PlansCommercial$455fee schedule
Memorial Hermann The Woodlands Medical Center: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$240fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$264fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$276fee schedule
Community HealthPrem/Select ExchangeCommercial$360fee schedule
AetnaExchangeCommercial$372fee schedule
Community HealthUltra ExchangeCommercial$384fee schedule
90 DegreesAll Commercial PlansCommercial$455fee schedule
Memorial Hermann Cypress Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$240fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$264fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$276fee schedule
Community HealthPremier/Select ExchangeCommercial$360fee schedule
AetnaExchangeCommercial$372fee schedule
Community HealthUltra ExchangeCommercial$384fee schedule
90 DegreesAll Commercial PlansCommercial$455fee schedule
Memorial Hermann Rockets Orthopedic Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$240fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$264fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$276fee schedule
Community HealthPremier/Select ExchangeCommercial$360fee schedule
AetnaExchangeCommercial$372fee schedule
Community HealthUltra ExchangeCommercial$384fee schedule
90 DegreesAll Commercial PlansCommercial$455fee schedule
Memorial Hermann-Texas Medical Center: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$240fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$264fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$276fee schedule
Community HealthPremier/Select ExchangeCommercial$360fee schedule
AetnaExchangeCommercial$372fee schedule
Community HealthUltra ExchangeCommercial$384fee schedule
90 DegreesAll Commercial PlansCommercial$455fee schedule
Memorial Hermann Imaging Center (Bellaire): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$240fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$264fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$276fee schedule
Community HealthPremier/Select ExchangeCommercial$360fee schedule
AetnaExchangeCommercial$372fee schedule
Community HealthUltra ExchangeCommercial$384fee schedule
90 DegreesAll Commercial PlansCommercial$455fee schedule
Memorial Hermann Imaging Center (Cypress): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$240fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$264fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$276fee schedule
Community HealthPremier/Select ExchangeCommercial$360fee schedule
AetnaExchangeCommercial$372fee schedule
Community HealthUltra ExchangeCommercial$384fee schedule
90 DegreesAll Commercial PlansCommercial$455fee schedule
Memorial Hermann Imaging Center (Texas Medical Center): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$240fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$264fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$276fee schedule
Community HealthPremier/Select ExchangeCommercial$360fee schedule
AetnaExchangeCommercial$372fee schedule
Community HealthUltra ExchangeCommercial$384fee schedule
90 DegreesAll Commercial PlansCommercial$455fee schedule
Memorial Hermann Imaging Center (Upper Kirby): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$240fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$264fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$276fee schedule
Community HealthPremier/Select ExchangeCommercial$360fee schedule
AetnaExchangeCommercial$372fee schedule
Community HealthUltra ExchangeCommercial$384fee schedule
90 DegreesAll Commercial PlansCommercial$455fee schedule
St. Luke's Health Patients Medical Center: all 40 plan rates
PayerPlan (as written in the file)TypeRateMethod
CHCMedicaid|All PlansMedicaid / CHIP$179fee schedule
TCHPMedicaid|All PlansMedicaid / CHIP$179fee schedule
WellpointMedicaid|All PlansMedicaid / CHIP$188fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$192fee schedule
BCBSMedicare|All PlansMedicare Advantage$242case rate
CIGNA-HEALTHSPRINGMedicare|All PlansMedicare Advantage$242case rate
HUMANAMedicare|All PlansMedicare Advantage$242case rate
KELSEYMedicare|All PlansMedicare Advantage$242case rate
AETNAMedicare|All PlansMedicare Advantage$247case rate
UNITEDMedicare|All PlansMedicare Advantage$247case rate
AMERIVANTAGEMedicare|All PlansMedicare Advantage$249case rate
UNITEDMedicaid|STARMedicaid / CHIP$258fee schedule
DEVOTEDMedicare|All PlansMedicare Advantage$259case rate
SCANHealthMedicare|All PlansMedicare Advantage$259case rate
BCBS - TXCommercial|MyBlue Health ExchangeCommercial$340fee schedule
AmbetterCommercial|All PlansCommercial$363case rate
Community Health ChoiceCommercial|ExchangeCommercial$363case rate
WellpointCommercial|ExchangeCommercial$363case rate
Bright HealthCommercial|All PlansCommercial$385case rate
BCBS-TXCommercial|ExchangeCommercial$396fee schedule
CignaCommercial|SurefitCommercial$507fee schedule
CignaCommercial|HMOCommercial$559fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$587fee schedule
AetnaCommercial|PPOCommercial$667fee schedule
BCBS-TXCommercial|Blue PremierCommercial$722fee schedule
HumanaCommercial|HMOCommercial$800fee schedule
HumanaCommercial|PPOCommercial$800fee schedule
BCBS-TXCommercial|HMOCommercial$902fee schedule
BCBS-TXCommercial|PPOCommercial$1,014fee schedule
UnitedCommercial|ExchangeCommercial$1,315fee schedule
CignaCommercial|PPOCommercial$1,405fee schedule
UnitedCommercial|CharterCommercial$1,942fee schedule
UnitedCommercial|HMOCommercial$2,156fee schedule
UnitedCommercial|PPOCommercial$2,156fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$7,924fee schedule
CoventryCommercial|PPOCommercial$8,730fee schedule
First HealthCommercial|All PlansCommercial$8,730fee schedule
AetnaCommercial|HMOCommercial$9,133fee schedule
HealthsmartCommercial|PPOCommercial$9,402fee schedule
MultiPlanCommercial|All PlansCommercial$10,073fee schedule
St. Luke's Health Sugar Land Hospital: all 70 plan rates
PayerPlan (as written in the file)TypeRateMethod
RenaissanceCommercial|All PlansCommercial$174case rate
WellpointMedicaid|All Other PlansMedicaid / CHIP$188fee schedule
WellpointMedicaid|CHIPMedicaid / CHIP$190fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$190fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$192fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$192fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$194fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$198fee schedule
CHCMedicaid|All Other PlansMedicaid / CHIP$218fee schedule
KELSEYMedicare|All PlansMedicare Advantage$228case rate
BCBSMedicare|All PlansMedicare Advantage$242case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$242case rate
HUMANAMedicare|All Other PlansMedicare Advantage$242case rate
SELECTCAREMedicare|All PlansMedicare Advantage$242case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$245case rate
AETNAMedicare|All PlansMedicare Advantage$247case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$247case rate
AmerivantageMedicare|All PlansMedicare Advantage$249case rate
WellpointMedicaid|STARMedicaid / CHIP$254fee schedule
DEVOTEDMedicare|All PlansMedicare Advantage$259case rate
SCANHealthMedicare|All PlansMedicare Advantage$259case rate
UNITEDMedicaid|STARMedicaid / CHIP$260fee schedule
KINDREDMedicare|All PlansMedicare Advantage$266case rate
CHCMedicaid|STARMedicaid / CHIP$292fee schedule
KelseyCareCommercial|ExchangeCommercial$327case rate
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$340fee schedule
Community Health ChoiceCommercial|All Other PlansCommercial$363case rate
Community Health ChoiceCommercial|ExchangeCommercial$363case rate
Superior Health PlanCommercial|All PlansCommercial$363case rate
WellpointCommercial|ExchangeCommercial$363case rate
AetnaCommercial|ExchangeCommercial$373case rate
Bright HealthCommercial|All PlansCommercial$385case rate
BCBS-TXCommercial|ExchangeCommercial$396fee schedule
CignaCommercial|SurefitCommercial$507fee schedule
CignaCommercial|HMOCommercial$559fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$592fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$592fee schedule
AetnaCommercial|PPOCommercial$667fee schedule
BCBS-TXCommercial|Blue PremierCommercial$722fee schedule
NX HealthCommercial|PPOCommercial$787case rate
HumanaCommercial|HMOCommercial$800fee schedule
HumanaCommercial|PPOCommercial$800fee schedule
HealthsmartCommercial|AP3-PPOCommercial$900fee schedule
BCBS-TXCommercial|HMOCommercial$902fee schedule
BCBS-TXCommercial|PPOCommercial$1,014fee schedule
KelseyCareCommercial|All Other PlansCommercial$1,155fee schedule
TCHPMedicaid|All Other PlansMedicaid / CHIP$1,293fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$1,293fee schedule
UnitedCommercial|ExchangeCommercial$1,315fee schedule
CignaCommercial|PPOCommercial$1,405fee schedule
TCHPMedicaid|STARMedicaid / CHIP$1,733fee schedule
UnitedCommercial|CharterCommercial$1,942fee schedule
UnitedCommercial|HMOCommercial$2,156fee schedule
UnitedCommercial|PPOCommercial$2,156fee schedule
OPTUMMedicare|All PlansMedicare Advantage$4,365fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$5,659fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$5,850fee schedule
UnitedCommercial|OptumCommercial$7,599fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$8,892fee schedule
CHCMedicaid|HMOMedicaid / CHIP$8,892fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$8,892fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$9,539fee schedule
CoventryCommercial|PPOCommercial$10,509fee schedule
First HealthCommercial|All PlansCommercial$10,509fee schedule
AetnaCommercial|HMOCommercial$10,994fee schedule
HealthsmartCommercial|PPOCommercial$11,318fee schedule
MultiPlanCommercial|All PlansCommercial$12,126fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$13,358fee schedule
USA Health NetworkCommercial|All PlansCommercial$13,743fee schedule
MHealth NetworkCommercial|PPOCommercial$16,168fee schedule
St. Luke's Health The Vintage Hospital: all 71 plan rates
PayerPlan (as written in the file)TypeRateMethod
RenaissanceCommercial|All PlansCommercial$174case rate
WellpointMedicaid|All Other PlansMedicaid / CHIP$188fee schedule
WellpointMedicaid|CHIPMedicaid / CHIP$190fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$190fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$192fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$192fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$194fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$198fee schedule
CHCMedicaid|All Other PlansMedicaid / CHIP$218fee schedule
BCBSMedicare|All PlansMedicare Advantage$242case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$242case rate
HUMANAMedicare|All Other PlansMedicare Advantage$242case rate
KELSEYMedicare|All PlansMedicare Advantage$242case rate
SELECTCAREMedicare|All PlansMedicare Advantage$242case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$245case rate
AETNAMedicare|All PlansMedicare Advantage$247case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$247case rate
AmerivantageMedicare|All PlansMedicare Advantage$249case rate
WellpointMedicaid|STARMedicaid / CHIP$254fee schedule
DEVOTEDMedicare|All PlansMedicare Advantage$259case rate
SCANHealthMedicare|All PlansMedicare Advantage$259case rate
UNITEDMedicaid|STARMedicaid / CHIP$260fee schedule
KINDREDMedicare|All PlansMedicare Advantage$266case rate
CHCMedicaid|STARMedicaid / CHIP$292fee schedule
KelseyCareCommercial|ExchangeCommercial$327case rate
Employer DirectCommercial|PPOCommercial$339case rate
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$340fee schedule
Community Health ChoiceCommercial|All Other PlansCommercial$363case rate
Community Health ChoiceCommercial|ExchangeCommercial$363case rate
Superior Health PlanCommercial|All PlansCommercial$363case rate
WellpointCommercial|ExchangeCommercial$363case rate
AetnaCommercial|ExchangeCommercial$373case rate
Bright HealthCommercial|All PlansCommercial$385case rate
BCBS-TXCommercial|ExchangeCommercial$396fee schedule
CignaCommercial|SurefitCommercial$507fee schedule
CignaCommercial|HMOCommercial$559fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$592fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$592fee schedule
AetnaCommercial|PPOCommercial$667fee schedule
BCBS-TXCommercial|Blue PremierCommercial$722fee schedule
NX HealthCommercial|PPOCommercial$787case rate
HumanaCommercial|HMOCommercial$800fee schedule
HumanaCommercial|PPOCommercial$800fee schedule
HealthsmartCommercial|AP3-PPOCommercial$900fee schedule
BCBS-TXCommercial|HMOCommercial$902fee schedule
BCBS-TXCommercial|PPOCommercial$1,014fee schedule
KelseyCareCommercial|All Other PlansCommercial$1,155fee schedule
TCHPMedicaid|All Other PlansMedicaid / CHIP$1,293fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$1,293fee schedule
UnitedCommercial|ExchangeCommercial$1,315fee schedule
CignaCommercial|PPOCommercial$1,405fee schedule
TCHPMedicaid|STARMedicaid / CHIP$1,733fee schedule
UnitedCommercial|CharterCommercial$1,942fee schedule
UnitedCommercial|HMOCommercial$2,156fee schedule
UnitedCommercial|PPOCommercial$2,156fee schedule
OPTUMMedicare|All PlansMedicare Advantage$4,365fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$5,659fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$5,850fee schedule
UnitedCommercial|OptumCommercial$7,599fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$8,892fee schedule
CHCMedicaid|HMOMedicaid / CHIP$8,892fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$8,892fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$9,539fee schedule
CoventryCommercial|PPOCommercial$10,509fee schedule
First HealthCommercial|All PlansCommercial$10,509fee schedule
AetnaCommercial|HMOCommercial$10,994fee schedule
HealthsmartCommercial|PPOCommercial$11,318fee schedule
MultiPlanCommercial|All PlansCommercial$12,126fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$13,358fee schedule
USA Health NetworkCommercial|All PlansCommercial$13,743fee schedule
MHealth NetworkCommercial|PPOCommercial$16,168fee schedule
St. Luke's Health Lakeside Hospital: all 70 plan rates
PayerPlan (as written in the file)TypeRateMethod
RenaissanceCommercial|All PlansCommercial$174case rate
WellpointMedicaid|All Other PlansMedicaid / CHIP$188fee schedule
WellpointMedicaid|CHIPMedicaid / CHIP$190fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$190fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$192fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$192fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$194fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$198fee schedule
CHCMedicaid|All Other PlansMedicaid / CHIP$218fee schedule
BCBSMedicare|All PlansMedicare Advantage$242case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$242case rate
HUMANAMedicare|All Other PlansMedicare Advantage$242case rate
KELSEYMedicare|All PlansMedicare Advantage$242case rate
SELECTCAREMedicare|All PlansMedicare Advantage$242case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$245case rate
AETNAMedicare|All PlansMedicare Advantage$247case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$247case rate
AmerivantageMedicare|All PlansMedicare Advantage$249case rate
WellpointMedicaid|STARMedicaid / CHIP$254fee schedule
DEVOTEDMedicare|All PlansMedicare Advantage$259case rate
SCANHealthMedicare|All PlansMedicare Advantage$259case rate
UNITEDMedicaid|STARMedicaid / CHIP$260fee schedule
KINDREDMedicare|All PlansMedicare Advantage$266case rate
CHCMedicaid|STARMedicaid / CHIP$292fee schedule
KelseyCareCommercial|ExchangeCommercial$327case rate
BCBS - TXCommercial|MyBlue Health ExchangeCommercial$340fee schedule
AmbetterCommercial|All PlansCommercial$363case rate
Community Health ChoiceCommercial|All Other PlansCommercial$363case rate
Community Health ChoiceCommercial|ExchangeCommercial$363case rate
Harris HealthCommercial|ERSCommercial$363case rate
WellpointCommercial|ExchangeCommercial$363case rate
AetnaCommercial|ExchangeCommercial$373case rate
Bright HealthCommercial|All PlansCommercial$385case rate
BCBS-TXCommercial|ExchangeCommercial$396fee schedule
CignaCommercial|SurefitCommercial$507fee schedule
CignaCommercial|HMOCommercial$559fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$592fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$592fee schedule
AetnaCommercial|PPOCommercial$667fee schedule
BCBS-TXCommercial|Blue PremierCommercial$722fee schedule
NX HealthCommercial|PPOCommercial$787case rate
HumanaCommercial|HMOCommercial$800fee schedule
HumanaCommercial|PPOCommercial$800fee schedule
BCBS-TXCommercial|HMOCommercial$902fee schedule
BCBS-TXCommercial|PPOCommercial$1,014fee schedule
KelseyCareCommercial|All Other PlansCommercial$1,155fee schedule
TCHPMedicaid|LakesideMedicaid / CHIP$1,293fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$1,293fee schedule
UnitedCommercial|ExchangeCommercial$1,315fee schedule
CignaCommercial|PPOCommercial$1,405fee schedule
TCHPMedicaid|STARMedicaid / CHIP$1,733fee schedule
UnitedCommercial|CharterCommercial$1,942fee schedule
UnitedCommercial|HMOCommercial$2,156fee schedule
UnitedCommercial|PPOCommercial$2,156fee schedule
OPTUMMedicare|All PlansMedicare Advantage$4,365fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$5,659fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$5,850fee schedule
UnitedCommercial|OptumCommercial$7,599fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$8,892fee schedule
CHCMedicaid|HMOMedicaid / CHIP$8,892fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$8,892fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$9,539fee schedule
CoventryCommercial|PPOCommercial$10,509fee schedule
First HealthCommercial|All PlansCommercial$10,509fee schedule
AetnaCommercial|HMOCommercial$10,994fee schedule
HealthsmartCommercial|PPOCommercial$11,318fee schedule
MultiPlanCommercial|All PlansCommercial$12,126fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$13,358fee schedule
USA Health NetworkCommercial|All PlansCommercial$13,743fee schedule
MHealth NetworkCommercial|PPOCommercial$16,168fee schedule
Baylor St Luke's Medical Center: all 73 plan rates
PayerPlan (as written in the file)TypeRateMethod
RenaissanceCommercial|All PlansCommercial$174case rate
WellpointMedicaid|All Other PlansMedicaid / CHIP$188fee schedule
WellpointMedicaid|CHIPMedicaid / CHIP$190fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$190fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$192fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$192fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$194fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$198fee schedule
CHCMedicaid|All Other PlansMedicaid / CHIP$218fee schedule
BCBSMedicare|All PlansMedicare Advantage$242case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$242case rate
HumanaMedicare|All Other PlansMedicare Advantage$242case rate
KELSEYMedicare|All PlansMedicare Advantage$242case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$245case rate
AETNAMedicare|All Other PlansMedicare Advantage$247case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$247case rate
AmerivantageMedicare|All PlansMedicare Advantage$249case rate
SELECTCAREMedicare|All PlansMedicare Advantage$254case rate
WellpointMedicaid|STARMedicaid / CHIP$254fee schedule
DEVOTEDMedicare|All PlansMedicare Advantage$259case rate
SCANHealthMedicare|All PlansMedicare Advantage$259case rate
UNITEDMedicaid|STARMedicaid / CHIP$260fee schedule
BCBS - TXCommercial|MyBlue Health ExchangeCommercial$280fee schedule
KINDREDMedicare|All PlansMedicare Advantage$291case rate
CHCMedicaid|STARMedicaid / CHIP$292fee schedule
BCBS - TXCommercial|Blue Advantage ExchangeCommercial$312fee schedule
KelseyCareCommercial|ExchangeCommercial$327case rate
Employer DirectCommercial|PPOCommercial$339case rate
Community Health ChoiceCommercial|All Other PlansCommercial$363case rate
Community Health ChoiceCommercial|ExchangeCommercial$363case rate
Harris HealthCommercial|ERSCommercial$363case rate
Superior Health PlanCommercial|All PlansCommercial$363case rate
WellpointCommercial|ExchangeCommercial$363case rate
AetnaCommercial|ExchangeCommercial$373case rate
Bright HealthCommercial|All PlansCommercial$385case rate
CignaCommercial|SurefitCommercial$507fee schedule
CignaCommercial|HMOCommercial$559fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$592fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$592fee schedule
BCBS - TXCommercial|PremierCommercial$625fee schedule
AetnaCommercial|PPOCommercial$761fee schedule
NX HealthCommercial|PPOCommercial$787case rate
HumanaCommercial|HMOCommercial$800fee schedule
HumanaCommercial|PPOCommercial$800fee schedule
HealthsmartCommercial|AP3Commercial$900fee schedule
BCBS - TXCommercial|HMOCommercial$960fee schedule
BCBS - TXCommercial|PPO TradCommercial$1,016fee schedule
KelseyCareCommercial|All Other PlansCommercial$1,155fee schedule
UnitedCommercial|ExchangeCommercial$1,264fee schedule
CignaCommercial|PPOCommercial$1,405fee schedule
UnitedCommercial|CharterCommercial$1,703fee schedule
TCHPMedicaid|All Other PlansMedicaid / CHIP$1,778fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$1,778fee schedule
UnitedCommercial|HMOCommercial$1,891fee schedule
UnitedCommercial|PPOCommercial$1,891fee schedule
TCHPMedicaid|STARMedicaid / CHIP$2,383fee schedule
OPTUMMedicare|All PlansMedicare Advantage$4,365fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$5,850fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$6,629fee schedule
UnitedCommercial|OptumCommercial$7,599fee schedule
ShellCommercial|All PlansCommercial$8,084fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$8,892fee schedule
CHCMedicaid|HMOMedicaid / CHIP$8,892fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$8,892fee schedule
AetnaCommercial|KelseyCareCommercial$9,862fee schedule
CoventryCommercial|PPOCommercial$10,509fee schedule
First HealthCommercial|All PlansCommercial$10,509fee schedule
HealthsmartCommercial|PPOCommercial$11,318fee schedule
AetnaCommercial|HMOCommercial$11,318fee schedule
MultiPlanCommercial|All PlansCommercial$12,126fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$13,358fee schedule
USA Health NetworkCommercial|All PlansCommercial$13,743fee schedule
MHealth NetworkCommercial|PPOCommercial$16,168fee schedule
St. Luke's Health Springwoods Village Hospital: all 60 plan rates
PayerPlan (as written in the file)TypeRateMethod
RenaissanceCommercial|All PlansCommercial$174case rate
Montgomery Hospital DistrictCommercial|All PlansPublic program$188fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$188fee schedule
WellpointMedicaid|CHIPMedicaid / CHIP$190fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$190fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$192fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$194fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$198fee schedule
CHCMedicaid|All Other PlansMedicaid / CHIP$218fee schedule
BCBSMedicare|All PlansMedicare Advantage$242case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$242case rate
HUMANAMedicare|All Other PlansMedicare Advantage$242case rate
KELSEYMedicare|All PlansMedicare Advantage$242case rate
SELECTCAREMedicare|All PlansMedicare Advantage$242case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$245case rate
AETNAMedicare|All PlansMedicare Advantage$247case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$247case rate
AmerivantageMedicare|All PlansMedicare Advantage$249case rate
DEVOTEDMedicare|All PlansMedicare Advantage$259case rate
UHCMedicaid|STARMedicaid / CHIP$260fee schedule
KINDREDMedicare|All PlansMedicare Advantage$266case rate
KelseyCareCommercial|ExchangeCommercial$327case rate
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$340fee schedule
CignaCommercial|All Other PlansCommercial$363case rate
Community Health ChoiceCommercial|ExchangeCommercial$363case rate
Superior Health PlanCommercial|All PlansCommercial$363case rate
Bright HealthCommercial|All PlansCommercial$385case rate
BCBS-TXCommercial|ExchangeCommercial$396fee schedule
CignaCommercial|SurefitCommercial$507fee schedule
CignaCommercial|HMOCommercial$559fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$592fee schedule
AetnaCommercial|PPOCommercial$667fee schedule
BCBS-TXCommercial|Blue PremierCommercial$722fee schedule
NXHealthCommercial|All PlansCommercial$787case rate
HumanaCommercial|HMOCommercial$800fee schedule
HumanaCommercial|PPOCommercial$800fee schedule
HealthsmartCommercial|AP3-PPOCommercial$900fee schedule
BCBS-TXCommercial|HMOCommercial$902fee schedule
BCBS-TXCommercial|PPOCommercial$1,014fee schedule
KelseyCareCommercial|All Other PlansCommercial$1,155fee schedule
UnitedCommercial|ExchangeCommercial$1,315fee schedule
CignaCommercial|PPOCommercial$1,405fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$1,617fee schedule
UnitedCommercial|HMOCommercial$2,156fee schedule
UnitedCommercial|PPOCommercial$2,156fee schedule
OPTUMMedicare|All PlansMedicare Advantage$4,365fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$5,659fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$5,850fee schedule
UnitedCommercial|OptumCommercial$7,599fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$8,892fee schedule
CHCMedicaid|HMOMedicaid / CHIP$8,892fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$8,892fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$9,539fee schedule
CoventryCommercial|PPOCommercial$10,509fee schedule
First HealthCommercial|All PlansCommercial$10,509fee schedule
AetnaCommercial|HMOCommercial$10,994fee schedule
HealthsmartCommercial|PPOCommercial$11,318fee schedule
MultiPlanCommercial|All PlansCommercial$12,126fee schedule
USA Health NetworkCommercial|All PlansCommercial$13,743fee schedule
MHealth NetworkCommercial|PPOCommercial$16,168fee schedule
St. Luke's Health The Woodlands Hospital: all 70 plan rates
PayerPlan (as written in the file)TypeRateMethod
RenaissanceCommercial|All PlansCommercial$174case rate
Montgomery Hospital DistrictCommercial|All PlansPublic program$188fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$188fee schedule
WellpointMedicaid|CHIPMedicaid / CHIP$190fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$190fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$192fee schedule
UHCMedicaid|CHIPMedicaid / CHIP$194fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$194fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$198fee schedule
CHCMedicaid|All Other PlansMedicaid / CHIP$218fee schedule
BCBSMedicare|All PlansMedicare Advantage$242case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$242case rate
HUMANAMedicare|All Other PlansMedicare Advantage$242case rate
KELSEYMedicare|All PlansMedicare Advantage$242case rate
SELECTCAREMedicare|All PlansMedicare Advantage$242case rate
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$245case rate
AETNAMedicare|All PlansMedicare Advantage$247case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$247case rate
AmerivantageMedicare|All PlansMedicare Advantage$249case rate
WellpointMedicaid|STARMedicaid / CHIP$254fee schedule
DEVOTEDMedicare|All PlansMedicare Advantage$259case rate
SCANHealthMedicare|All PlansMedicare Advantage$259case rate
UHCMedicaid|STARMedicaid / CHIP$260fee schedule
KINDREDMedicare|All PlansMedicare Advantage$266case rate
CHCMedicaid|STARMedicaid / CHIP$292fee schedule
KelseyCareCommercial|ExchangeCommercial$327case rate
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$340fee schedule
CignaCommercial|All Other PlansCommercial$363case rate
Community Health ChoiceCommercial|ExchangeCommercial$363case rate
Superior Health PlanCommercial|All PlansCommercial$363case rate
WellpointCommercial|ExchangeCommercial$363case rate
AetnaCommercial|ExchangeCommercial$373case rate
Bright HealthCommercial|All PlansCommercial$385case rate
BCBS-TXCommercial|ExchangeCommercial$396fee schedule
CignaCommercial|SurefitCommercial$507fee schedule
CignaCommercial|HMOCommercial$559fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$592fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$592fee schedule
AetnaCommercial|PPOCommercial$667fee schedule
BCBS-TXCommercial|Blue PremierCommercial$722fee schedule
NXHealthCommercial|All PlansCommercial$787case rate
HumanaCommercial|HMOCommercial$800fee schedule
HumanaCommercial|PPOCommercial$800fee schedule
BCBS-TXCommercial|HMOCommercial$902fee schedule
BCBS-TXCommercial|PPOCommercial$1,014fee schedule
KelseyCareCommercial|All Other PlansCommercial$1,155fee schedule
UnitedCommercial|ExchangeCommercial$1,315fee schedule
CignaCommercial|PPOCommercial$1,405fee schedule
TCHPMedicaid|All Other PlansMedicaid / CHIP$1,617fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$1,617fee schedule
UnitedCommercial|CharterCommercial$1,942fee schedule
UnitedCommercial|HMOCommercial$2,156fee schedule
UnitedCommercial|PPOCommercial$2,156fee schedule
TCHPMedicaid|STARMedicaid / CHIP$2,167fee schedule
OPTUMMedicare|All PlansMedicare Advantage$4,365fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$5,659fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$5,850fee schedule
UnitedCommercial|OptumCommercial$7,599fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$8,892fee schedule
CHCMedicaid|HMOMedicaid / CHIP$8,892fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$8,892fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$9,539fee schedule
CoventryCommercial|PPOCommercial$10,509fee schedule
First HealthCommercial|All PlansCommercial$10,509fee schedule
AetnaCommercial|HMOCommercial$10,994fee schedule
HealthsmartCommercial|PPOCommercial$11,318fee schedule
MultiPlanCommercial|All PlansCommercial$12,126fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$13,358fee schedule
USA Health NetworkCommercial|All PlansCommercial$13,743fee schedule
MHealth NetworkCommercial|PPOCommercial$16,168fee schedule
St. Luke's Health Brazosport Hospital: all 41 plan rates
PayerPlan (as written in the file)TypeRateMethod
UNITEDMedicaid|All Other PlansMedicaid / CHIP$190fee schedule
BCBSMedicaid|All PlansMedicaid / CHIP$198fee schedule
CHCMedicaid|All Other PlansMedicaid / CHIP$198fee schedule
SUPERIORMedicaid|All PlansMedicaid / CHIP$198fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$199fee schedule
BCBSMedicare|All PlansMedicare Advantage$242case rate
CIGNA-HEALTHSPRINGMedicare|All PlansMedicare Advantage$242case rate
HUMANAMedicare|All PlansMedicare Advantage$242case rate
KELSEYMedicare|All PlansMedicare Advantage$242case rate
UNITEDMedicare|All PlansMedicare Advantage$242case rate
SELECTCAREMedicare|All PlansMedicare Advantage$249case rate
WellcareTPMedicare|All PlansMedicare Advantage$249case rate
WellpointMedicare|All PlansMedicare Advantage$249case rate
Community Health ChoiceCommercial|ExchangeCommercial$254case rate
UNITEDMedicaid|STARMedicaid / CHIP$254fee schedule
DevotedMedicare|All PlansMedicare Advantage$259case rate
SCANHealthMedicare|All PlansMedicare Advantage$259case rate
CHCMedicaid|STARMedicaid / CHIP$265fee schedule
AmbetterCommercial|All PlansCommercial$351case rate
WellpointCommercial|ExchangeCommercial$363case rate
UnitedCommercial|All Other PlansCommercial$365fee schedule
AetnaCommercial|ExchangeCommercial$373case rate
UnitedCommercial|ExchangeCommercial$375case rate
Bright HealthCommercial|All PlansCommercial$385case rate
BCBS-TXCommercial|Blue Advantage HMOCommercial$403fee schedule
AetnaCommercial|All Other PlansCommercial$508fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$581fee schedule
HumanaCommercial|All PlansCommercial$583case rate
EntrustCommercial|All PlansCommercial$606case rate
BCBS-TXCommercial|Blue OptionsCommercial$678fee schedule
BCBS-TXCommercial|PPO-POSCommercial$718fee schedule
BCBS-TXCommercial|TraditionalCommercial$753fee schedule
BCBS-TXCommercial|HMOCommercial$769fee schedule
BCBS-TXCommercial|PPOCommercial$860fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$1,000fee schedule
TCHPMedicaid|All Other PlansMedicaid / CHIP$1,018fee schedule
WellpointMedicaid|STARMedicaid / CHIP$1,340fee schedule
TCHPMedicaid|STARMedicaid / CHIP$1,364fee schedule
AetnaMedicare|All PlansMedicare Advantage$2,545fee schedule
CignaCommercial|All PlansCommercial$6,786fee schedule
Health FirstCommercial|All PlansCommercial$8,482fee schedule
HCA Houston Healthcare Pearland: all 53 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupMCDCHIPBHMedicaid / CHIP$188fee schedule
AmerigroupMGMCDMedicaid / CHIP$188fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$190fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$190fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$190fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$190fee schedule
UnitedMGMCDMedicaid / CHIP$194fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$205fee schedule
Molina HealthcareCHIPMedicaid / CHIP$207fee schedule
Molina HealthcareSTARMedicaid / CHIP$207fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$207fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$207fee schedule
HumanaMCDMedicaid / CHIP$235fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$282fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$282fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$282fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$437fee schedule
BCBSMyBlueHealthCommercial$501fee schedule
UnitedAllPayerAppendixCommercial$518fee schedule
UnitedSmallGroupCommercial$518fee schedule
BCBSBAVCommercial$578fee schedule
BCBSHMOCommercial$879fee schedule
BCBSEPOSOACommercial$937fee schedule
BCBSPPOCommercial$993fee schedule
AetnaNBHMOCommercial$1,007per diem
AetnaNBPOSCommercial$1,007per diem
AetnaNBPPOCommercial$1,007per diem
Superior Health PlanCHIPMedicaid / CHIP$1,041percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$1,041percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$1,041percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$1,041percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$1,041percent of total billed charges
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
CignaCSNCommercial$1,635case rate
CignaOpenAccessPlusCommercial$1,771case rate
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$2,915percent of total billed charges
HumanaHMOCommercial$5,748percent of total billed charges
HumanaPPOCommercial$5,748percent of total billed charges
BCBSTraditionalCommercial$6,072percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$6,940percent of total billed charges
UnitedGlobalAppendixCommercial$7,807percent of total billed charges
Coventry National First HealthCOMMCommercial$8,987percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$13,012percent of total billed charges
MultiplanComplementaryNetworkCommercial$14,747percent of total billed charges
HCA Houston Healthcare Clear Lake: all 68 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$184fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$188fee schedule
AmerigroupMGMCDMedicaid / CHIP$188fee schedule
UTMBMGMCDMedicaid / CHIP$188fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$190fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$190fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$190fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$190fee schedule
UnitedMGMCDMedicaid / CHIP$194fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$205fee schedule
Molina HealthcareCHIPMedicaid / CHIP$207fee schedule
Molina HealthcareSTARMedicaid / CHIP$207fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$207fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$207fee schedule
HumanaMCDMedicaid / CHIP$235fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$282fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$282fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$282fee schedule
BCBSMyBlueHealthCommercial$396fee schedule
BCBSBAVCommercial$419fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$437fee schedule
UnitedAllPayerAppendixCommercial$518fee schedule
UnitedSmallGroupCommercial$518fee schedule
BCBSHMOCommercial$879fee schedule
BCBSEPOSOACommercial$948fee schedule
AetnaNBHMOCommercial$1,007per diem
AetnaNBPOSCommercial$1,007per diem
AetnaNBPPOCommercial$1,007per diem
BCBSPPOCommercial$1,018fee schedule
AetnaCOMMHMOCommercial$1,071per diem
AetnaCOMMPOSCommercial$1,071per diem
AetnaCOMMPPOCommercial$1,071per diem
Superior Health PlanCHIPMedicaid / CHIP$1,123percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$1,123percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$1,123percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$1,123percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$1,123percent of total billed charges
AetnaOONHMOCommercial$1,258per diem
AetnaOONPOSCommercial$1,258per diem
AetnaOONPPOCommercial$1,258per diem
AetnaASAHMOCommercial$1,361per diem
AetnaASAPOSCommercial$1,361per diem
AetnaASAPPOCommercial$1,361per diem
CignaCSNCommercial$1,635case rate
CignaOpenAccessPlusCommercial$1,771case rate
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$3,294percent of total billed charges
Texas Workforce CommissionWCOMPWorkers' comp$4,492percent of total billed charges
HumanaHMOCommercial$6,201percent of total billed charges
HumanaPPOCommercial$6,201percent of total billed charges
BCBSTraditionalCommercial$6,551percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$7,487percent of total billed charges
HealthSmart Preferred CareACCELCommercial$8,048percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$8,423percent of total billed charges
UnitedGlobalAppendixCommercial$8,423percent of total billed charges
Coventry National First HealthCOMMCommercial$9,695percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$10,294percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$10,294percent of total billed charges
Independent Medical SystemCOMMCommercial$11,230percent of total billed charges
National Healthcare SolutionsCOMMCommercial$11,230percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$11,230percent of total billed charges
Coastal CompCOMMWorkers' comp$12,166percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$14,038percent of total billed charges
HealthSmart Preferred CarePPOCommercial$15,348percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$15,909percent of total billed charges
MultiplanComplementaryNetworkCommercial$15,909percent of total billed charges
Physicians, INCCOMMCommercial$15,909percent of total billed charges
Affiliated PPOCOMMCommercial$16,845percent of total billed charges
HCA Houston Healthcare Mainland: all 67 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$184fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$188fee schedule
AmerigroupMGMCDMedicaid / CHIP$188fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$190fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$190fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$190fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$190fee schedule
UnitedMGMCDMedicaid / CHIP$194fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$205fee schedule
Molina HealthcareCHIPMedicaid / CHIP$207fee schedule
Molina HealthcareSTARMedicaid / CHIP$207fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$207fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$207fee schedule
HumanaMCDMedicaid / CHIP$235fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$282fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$282fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$282fee schedule
BCBSMyBlueHealthCommercial$396fee schedule
BCBSBAVCommercial$419fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$437fee schedule
UnitedAllPayerAppendixCommercial$518fee schedule
UnitedSmallGroupCommercial$518fee schedule
BCBSHMOCommercial$879fee schedule
BCBSEPOSOACommercial$948fee schedule
AetnaNBHMOCommercial$1,007per diem
AetnaNBPOSCommercial$1,007per diem
AetnaNBPPOCommercial$1,007per diem
BCBSPPOCommercial$1,018fee schedule
AetnaCOMMHMOCommercial$1,071per diem
AetnaCOMMPOSCommercial$1,071per diem
AetnaCOMMPPOCommercial$1,071per diem
Superior Health PlanCHIPMedicaid / CHIP$1,123percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$1,123percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$1,123percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$1,123percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$1,123percent of total billed charges
AetnaOONHMOCommercial$1,258per diem
AetnaOONPOSCommercial$1,258per diem
AetnaOONPPOCommercial$1,258per diem
AetnaASAHMOCommercial$1,361per diem
AetnaASAPOSCommercial$1,361per diem
AetnaASAPPOCommercial$1,361per diem
CignaCSNCommercial$1,635case rate
CignaOpenAccessPlusCommercial$1,771case rate
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$3,781percent of total billed charges
IPA Management ServicesCOMMCommercial$4,679percent of total billed charges
HumanaHMOCommercial$6,201percent of total billed charges
HumanaPPOCommercial$6,201percent of total billed charges
BCBSTraditionalCommercial$6,551percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$7,487percent of total billed charges
HealthSmart Preferred CareACCELCommercial$8,048percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$8,423percent of total billed charges
UnitedGlobalAppendixCommercial$8,423percent of total billed charges
Coventry National First HealthCOMMCommercial$9,695percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$10,294percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$10,294percent of total billed charges
Independent Medical SystemCOMMCommercial$11,230percent of total billed charges
National Healthcare SolutionsCOMMCommercial$11,230percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$11,230percent of total billed charges
Coastal CompCOMMWorkers' comp$12,166percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$14,038percent of total billed charges
HealthSmart Preferred CarePPOCommercial$15,348percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$15,909percent of total billed charges
MultiplanComplementaryNetworkCommercial$15,909percent of total billed charges
Physicians, INCCOMMCommercial$15,909percent of total billed charges
Affiliated PPOCOMMCommercial$16,845percent of total billed charges
HCA Houston Healthcare Conroe: all 68 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$184fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$188fee schedule
AmerigroupMGMCDMedicaid / CHIP$188fee schedule
Liberty County IndigentLOCALGOVPublic program$188fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$190fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$190fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$190fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$190fee schedule
UnitedMGMCDMedicaid / CHIP$194fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$205fee schedule
Molina HealthcareCHIPMedicaid / CHIP$207fee schedule
Molina HealthcareSTARMedicaid / CHIP$207fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$207fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$207fee schedule
HumanaMCDMedicaid / CHIP$235fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$282fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$282fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$282fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$437fee schedule
BCBSMyBlueHealthCommercial$501fee schedule
UnitedAllPayerAppendixCommercial$518fee schedule
UnitedSmallGroupCommercial$518fee schedule
BCBSBAVCommercial$578fee schedule
BCBSHMOCommercial$879fee schedule
BCBSEPOSOACommercial$962fee schedule
AetnaNBHMOCommercial$1,007per diem
AetnaNBPOSCommercial$1,007per diem
AetnaNBPPOCommercial$1,007per diem
BCBSPPOCommercial$1,044fee schedule
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$1,547percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$1,547percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$1,547percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$1,547percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$1,547percent of total billed charges
CignaCSNCommercial$1,635case rate
CignaOpenAccessPlusCommercial$1,771case rate
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$4,539percent of total billed charges
TX Workforce CommissionGVTPublic program$6,189percent of total billed charges
HumanaHMOCommercial$8,543percent of total billed charges
HumanaPPOCommercial$8,543percent of total billed charges
BCBSTraditionalCommercial$9,025percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$10,315percent of total billed charges
HealthSmart Preferred CareACCELCommercial$11,088percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$11,604percent of total billed charges
UnitedGlobalAppendixCommercial$11,604percent of total billed charges
Coventry National First HealthCOMMCommercial$13,358percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$14,183percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$14,183percent of total billed charges
Independent Medical SystemCOMMCommercial$15,472percent of total billed charges
National Healthcare SolutionsCOMMCommercial$15,472percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$15,472percent of total billed charges
Coastal CompCOMMWorkers' comp$16,762percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$19,340percent of total billed charges
HealthSmart Preferred CarePPOCommercial$21,145percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$21,919percent of total billed charges
MultiplanComplementaryNetworkCommercial$21,919percent of total billed charges
Physicians, INCCOMMCommercial$21,919percent of total billed charges
Affiliated PPOCOMMCommercial$23,208percent of total billed charges
HCA Houston Healthcare Medical Center: all 50 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupMCDCHIPBHMedicaid / CHIP$188fee schedule
AmerigroupMGMCDMedicaid / CHIP$188fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$190fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$190fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$190fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$190fee schedule
UnitedMGMCDMedicaid / CHIP$194fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$205fee schedule
Molina HealthcareCHIPMedicaid / CHIP$207fee schedule
Molina HealthcareSTARMedicaid / CHIP$207fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$207fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$207fee schedule
HumanaMCDMedicaid / CHIP$235fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$437fee schedule
BCBSMyBlueHealthCommercial$501fee schedule
UnitedAllPayerAppendixCommercial$518fee schedule
UnitedSmallGroupCommercial$518fee schedule
BCBSBAVCommercial$578fee schedule
BCBSHMOCommercial$879fee schedule
BCBSEPOSOACommercial$937fee schedule
BCBSPPOCommercial$993fee 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
CignaCSNCommercial$1,635case rate
Superior Health PlanCHIPMedicaid / CHIP$1,699percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$1,699percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$1,699percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$1,699percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$1,699percent of total billed charges
CignaOpenAccessPlusCommercial$1,771case rate
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$4,757percent of total billed charges
HumanaHMOCommercial$9,382percent of total billed charges
HumanaPPOCommercial$9,382percent of total billed charges
BCBSTraditionalCommercial$9,911percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$11,327percent of total billed charges
UnitedGlobalAppendixCommercial$12,743percent of total billed charges
Coventry National First HealthCOMMCommercial$14,669percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$21,238percent of total billed charges
MultiplanComplementaryNetworkCommercial$24,070percent of total billed charges
HCA Houston Healthcare Tomball: all 53 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupMCDCHIPBHMedicaid / CHIP$188fee schedule
AmerigroupMGMCDMedicaid / CHIP$188fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$190fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$190fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$190fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$190fee schedule
UnitedMGMCDMedicaid / CHIP$194fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$205fee schedule
Molina HealthcareCHIPMedicaid / CHIP$207fee schedule
Molina HealthcareSTARMedicaid / CHIP$207fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$207fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$207fee schedule
HumanaMCDMedicaid / CHIP$235fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$282fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$282fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$282fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$437fee schedule
BCBSMyBlueHealthCommercial$501fee schedule
UnitedAllPayerAppendixCommercial$518fee schedule
UnitedSmallGroupCommercial$518fee schedule
BCBSBAVCommercial$578fee schedule
BCBSHMOCommercial$879fee schedule
BCBSEPOSOACommercial$962fee schedule
AetnaNBHMOCommercial$1,007per diem
AetnaNBPOSCommercial$1,007per diem
AetnaNBPPOCommercial$1,007per diem
BCBSPPOCommercial$1,044fee schedule
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
CignaCSNCommercial$1,635case rate
Superior Health PlanCHIPMedicaid / CHIP$1,713percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$1,713percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$1,713percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$1,713percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$1,713percent of total billed charges
CignaOpenAccessPlusCommercial$1,771case rate
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$4,795percent of total billed charges
HumanaHMOCommercial$9,456percent of total billed charges
HumanaPPOCommercial$9,456percent of total billed charges
BCBSTraditionalCommercial$9,990percent of total billed charges
Coventry National First HealthCOMMCommercial$10,104percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$11,417percent of total billed charges
UnitedGlobalAppendixCommercial$12,844percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$21,406percent of total billed charges
MultiplanComplementaryNetworkCommercial$24,261percent of total billed charges
HCA Houston Healthcare Kingwood: all 67 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$184fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$188fee schedule
AmerigroupMGMCDMedicaid / CHIP$188fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$190fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$190fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$190fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$190fee schedule
UnitedMGMCDMedicaid / CHIP$194fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$205fee schedule
Molina HealthcareCHIPMedicaid / CHIP$207fee schedule
Molina HealthcareSTARMedicaid / CHIP$207fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$207fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$207fee schedule
HumanaMCDMedicaid / CHIP$235fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$282fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$282fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$282fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$437fee schedule
BCBSMyBlueHealthCommercial$506fee schedule
UnitedAllPayerAppendixCommercial$518fee schedule
UnitedSmallGroupCommercial$518fee schedule
BCBSBAVCommercial$578fee schedule
BCBSHMOCommercial$879fee schedule
BCBSEPOSOACommercial$958fee schedule
AetnaNBHMOCommercial$1,007per diem
AetnaNBPOSCommercial$1,007per diem
AetnaNBPPOCommercial$1,007per diem
BCBSPPOCommercial$1,037fee schedule
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
CignaCSNCommercial$1,635case rate
Superior Health PlanCHIPMedicaid / CHIP$1,746percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$1,746percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$1,746percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$1,746percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$1,746percent of total billed charges
CignaOpenAccessPlusCommercial$1,771case rate
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$4,890percent of total billed charges
HumanaHMOCommercial$9,643percent of total billed charges
HumanaPPOCommercial$9,643percent of total billed charges
BCBSTraditionalCommercial$10,188percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$11,643percent of total billed charges
HealthSmart Preferred CareACCELCommercial$12,516percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$13,099percent of total billed charges
UnitedGlobalAppendixCommercial$13,099percent of total billed charges
Coventry National First HealthCOMMCommercial$15,078percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$16,009percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$16,009percent of total billed charges
Independent Medical SystemCOMMCommercial$17,465percent of total billed charges
National Healthcare SolutionsCOMMCommercial$17,465percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$17,465percent of total billed charges
Coastal CompCOMMWorkers' comp$18,920percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$21,831percent of total billed charges
HealthSmart Preferred CarePPOCommercial$23,869percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$24,742percent of total billed charges
MultiplanComplementaryNetworkCommercial$24,742percent of total billed charges
Physicians, INCCOMMCommercial$24,742percent of total billed charges
USA Managed CareCOMMCommercial$24,742percent of total billed charges
Affiliated PPOCOMMCommercial$26,197percent of total billed charges
HCA Houston Healthcare North Cypress: all 44 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupMCDCHIPBHMedicaid / CHIP$188fee schedule
AmerigroupMGMCDMedicaid / CHIP$188fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$190fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$190fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$190fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$190fee schedule
UnitedMGMCDMedicaid / CHIP$194fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$205fee schedule
HumanaMCDMedicaid / CHIP$235fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$437fee schedule
BCBSMyBlueHealthCommercial$506fee schedule
UnitedAllPayerAppendixCommercial$518fee schedule
UnitedSmallGroupCommercial$518fee schedule
BCBSBAVCommercial$578fee schedule
BCBSHMOCommercial$879fee schedule
BCBSEPOSOACommercial$958fee schedule
AetnaNBHMOCommercial$1,007per diem
AetnaNBPOSCommercial$1,007per diem
AetnaNBPPOCommercial$1,007per diem
BCBSPPOCommercial$1,037fee schedule
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
CignaCSNCommercial$1,635case rate
Superior Health PlanCHIPMedicaid / CHIP$1,746percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$1,746percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$1,746percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$1,746percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$1,746percent of total billed charges
CignaOpenAccessPlusCommercial$1,771case rate
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$5,880percent of total billed charges
BCBSTraditionalCommercial$10,188percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$11,643percent of total billed charges
UnitedGlobalAppendixCommercial$13,099percent of total billed charges
Coventry National First HealthCOMMCommercial$15,078percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$21,831percent of total billed charges
MultiplanComplementaryNetworkCommercial$24,742percent of total billed charges
HCA Houston Healthcare Southeast: all 68 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$184fee schedule
AmerigroupMGMCDMedicaid / CHIP$188fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$190fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$190fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$190fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$190fee schedule
UnitedMGMCDMedicaid / CHIP$194fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$205fee schedule
Molina HealthcareCHIPMedicaid / CHIP$207fee schedule
Molina HealthcareSTARMedicaid / CHIP$207fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$207fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$207fee schedule
HumanaMCDMedicaid / CHIP$235fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$282fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$282fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$282fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$437fee schedule
BCBSMyBlueHealthCommercial$501fee schedule
UnitedAllPayerAppendixCommercial$518fee schedule
UnitedSmallGroupCommercial$518fee schedule
BCBSBAVCommercial$578fee schedule
BCBSHMOCommercial$879fee schedule
BCBSEPOSOACommercial$930fee schedule
BCBSPPOCommercial$979fee 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
CignaCSNCommercial$1,635case rate
CignaOpenAccessPlusCommercial$1,771case rate
Superior Health PlanCHIPMedicaid / CHIP$1,802percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$1,802percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$1,802percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$1,802percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$1,802percent of total billed charges
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$6,065percent of total billed charges
Texas Workforce CommissionWCOMPWorkers' comp$7,207percent of total billed charges
HumanaHMOCommercial$9,948percent of total billed charges
HumanaPPOCommercial$9,948percent of total billed charges
BCBSTraditionalCommercial$10,510percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$12,011percent of total billed charges
HealthSmart Preferred CareACCELCommercial$12,912percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$13,512percent of total billed charges
UnitedGlobalAppendixCommercial$13,512percent of total billed charges
Coventry National First HealthCOMMCommercial$15,554percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$16,515percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$16,515percent of total billed charges
Independent Medical SystemCOMMCommercial$18,016percent of total billed charges
National Healthcare SolutionsCOMMCommercial$18,016percent of total billed charges
Prime Health ServicesWORKERSCOMPWorkers' comp$18,016percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$18,016percent of total billed charges
Coastal CompCOMMWorkers' comp$19,518percent of total billed charges
Fiesta Mart, IncCOMMCommercial$22,520percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$22,520percent of total billed charges
HealthSmart Preferred CarePPOCommercial$24,622percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$25,523percent of total billed charges
MultiplanComplementaryNetworkCommercial$25,523percent of total billed charges
Physicians, INCCOMMCommercial$25,523percent of total billed charges
Affiliated PPOCOMMCommercial$27,024percent of total billed charges
HCA Houston Healthcare West: all 68 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$184fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$188fee schedule
AmerigroupMGMCDMedicaid / CHIP$188fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$190fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$190fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$190fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$190fee schedule
UnitedMGMCDMedicaid / CHIP$194fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$205fee schedule
Molina HealthcareCHIPMedicaid / CHIP$207fee schedule
Molina HealthcareSTARMedicaid / CHIP$207fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$207fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$207fee schedule
HumanaMCDMedicaid / CHIP$235fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$282fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$282fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$282fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$437fee schedule
BCBSMyBlueHealthCommercial$466fee schedule
UnitedAllPayerAppendixCommercial$518fee schedule
UnitedSmallGroupCommercial$518fee schedule
BCBSBAVCommercial$578fee schedule
BCBSHMOCommercial$879fee schedule
BCBSEPOSOACommercial$923fee schedule
BCBSPPOCommercial$965fee 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
CignaCSNCommercial$1,635case rate
CignaOpenAccessPlusCommercial$1,771case rate
Superior Health PlanCHIPMedicaid / CHIP$1,919percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$1,919percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$1,919percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$1,919percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$1,919percent of total billed charges
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$5,373percent of total billed charges
Texas Workforce CommissionWCOMPWorkers' comp$7,676percent of total billed charges
HumanaHMOCommercial$10,596percent of total billed charges
HumanaPPOCommercial$10,596percent of total billed charges
BCBSTraditionalCommercial$11,194percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$12,793percent of total billed charges
HealthSmart Preferred CareACCELCommercial$13,753percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$14,392percent of total billed charges
UnitedGlobalAppendixCommercial$14,392percent of total billed charges
Coventry National First HealthCOMMCommercial$16,567percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$17,591percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$17,591percent of total billed charges
Independent Medical SystemCOMMCommercial$19,190percent of total billed charges
National Healthcare SolutionsCOMMCommercial$19,190percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$19,190percent of total billed charges
TriumphCOMMCommercial$19,190percent of total billed charges
Coastal CompCOMMWorkers' comp$20,789percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$23,987percent of total billed charges
HealthSmart Preferred CarePPOCommercial$26,226percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$27,186percent of total billed charges
MultiplanComplementaryNetworkCommercial$27,186percent of total billed charges
Physicians, INCCOMMCommercial$27,186percent of total billed charges
Affiliated PPOCOMMCommercial$28,785percent of total billed charges
HCA Houston Healthcare Northwest: all 53 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupMCDCHIPBHMedicaid / CHIP$188fee schedule
AmerigroupMGMCDMedicaid / CHIP$188fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$190fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$190fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$190fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$190fee schedule
UnitedMGMCDMedicaid / CHIP$194fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$205fee schedule
Molina HealthcareCHIPMedicaid / CHIP$207fee schedule
Molina HealthcareSTARMedicaid / CHIP$207fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$207fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$207fee schedule
HumanaMCDMedicaid / CHIP$235fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$282fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$282fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$282fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$437fee schedule
BCBSMyBlueHealthCommercial$506fee schedule
UnitedAllPayerAppendixCommercial$518fee schedule
UnitedSmallGroupCommercial$518fee schedule
BCBSBAVCommercial$578fee schedule
BCBSHMOCommercial$879fee schedule
BCBSEPOSOACommercial$958fee schedule
AetnaNBHMOCommercial$1,007per diem
AetnaNBPOSCommercial$1,007per diem
AetnaNBPPOCommercial$1,007per diem
BCBSPPOCommercial$1,037fee schedule
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
CignaCSNCommercial$1,635case rate
CignaOpenAccessPlusCommercial$1,771case rate
Superior Health PlanCHIPMedicaid / CHIP$1,972percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$1,972percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$1,972percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$1,972percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$1,972percent of total billed charges
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$5,520percent of total billed charges
HumanaHMOCommercial$10,886percent of total billed charges
HumanaPPOCommercial$10,886percent of total billed charges
BCBSTraditionalCommercial$11,501percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$13,144percent of total billed charges
UnitedGlobalAppendixCommercial$14,787percent of total billed charges
Coventry National First HealthCOMMCommercial$17,021percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$24,645percent of total billed charges
MultiplanComplementaryNetworkCommercial$27,931percent 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$240fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$264fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$276fee schedule
Community HealthPremier/Select ExchangeCommercial$360fee schedule
AetnaExchangeCommercial$372fee schedule
Community HealthUltra ExchangeCommercial$384fee schedule
90 DegreesAll Commercial PlansCommercial$455fee 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$188fee schedule
Superior CHIPSuperior CHIP/Superior Perinate CHIPMedicaid / CHIP$198fee schedule
Driscoll Children's Health Plan MCDDriscoll CHIP/STAR KidsMedicaid / CHIP$207fee schedule
Driscoll Children's Health Plan MCDDriscoll Star MCDMedicaid / CHIP$207fee schedule
First Care Health PlanFirst Care CHIP/First Care Star PlusMedicaid / CHIP$1,604percent of total billed charges
First Care Health PlanFirst Care Star MCDMedicaid / CHIP$1,604percent of total billed charges
United Healthcare CHIPUnited Healthcare CHIPMedicaid / CHIP$1,604percent of total billed charges
United Healthcare MCDUnited Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCDMedicaid / CHIP$1,604percent of total billed charges
Molina MCDMolina CHIP/Molina Star MCD/Molina Star Plus MCDMedicaid / CHIP$1,782percent of total billed charges
Blue Cross Blue Shield MCDBCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCDMedicaid / CHIP$2,079percent of total billed charges
Community Health ChoiceCommunity HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIPMedicaid / CHIP$2,097percent 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$2,376percent of total billed charges
Cook Children's Health PlanCook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCDMedicaid / CHIP$2,376percent of total billed charges
CignaCigna Local Plus/Cigna Sure Fit HMOCommercial$3,446percent of total billed charges
CignaCigna Harris County PPO/HMO/Cigna PPOCommercial$3,683percent of total billed charges
Blue Cross Blue ShieldBCBS HMO Blue Essentials TXCommercial$3,743percent of total billed charges
Blue Cross Blue ShieldBCBS PPOCommercial$3,743percent of total billed charges
Blue Cross Blue ShieldBCBS TraditionalCommercial$3,743percent of total billed charges
AetnaAetna HMOCommercial$3,802percent of total billed charges
AetnaAetna EPO/Aetna POS/Aetna PPOCommercial$3,802percent of total billed charges
Community Health ChoiceCommunity HC MarketplaceCommercial$3,802percent of total billed charges
First Care Health PlanFirst Care HMO/PPO/EPOCommercial$3,802percent of total billed charges
United HealthcareGolden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPOCommercial$3,802percent of total billed charges
KelseyCareKelseyCareCommercial$3,862percent of total billed charges
HealthSmartHealthSmart OtherCommercial$4,159percent of total billed charges
Evolutions HealthcareEvolutions PPOCommercial$4,456percent of total billed charges
First HealthCommercialCommercial$5,228percent of total billed charges
MultiplanMultiplan OtherCommercial$5,347percent of total billed charges
First HealthCCN NetworkCommercial$5,644percent of total billed charges
Galaxy Health NetworkGalaxy Health NetworkCommercial$5,644percent 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$188fee schedule
Superior CHIPSuperior CHIP/Superior Perinate CHIPMedicaid / CHIP$198fee schedule
Driscoll Children's Health Plan MCDDriscoll CHIP/STAR KidsMedicaid / CHIP$207fee schedule
Driscoll Children's Health Plan MCDDriscoll Star MCDMedicaid / CHIP$207fee schedule
First Care Health PlanFirst Care CHIP/First Care Star PlusMedicaid / CHIP$1,604percent of total billed charges
First Care Health PlanFirst Care Star MCDMedicaid / CHIP$1,604percent of total billed charges
United Healthcare CHIPUnited Healthcare CHIPMedicaid / CHIP$1,604percent of total billed charges
United Healthcare MCDUnited Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCDMedicaid / CHIP$1,604percent of total billed charges
Molina MCDMolina CHIP/Molina Star MCD/Molina Star Plus MCDMedicaid / CHIP$1,782percent of total billed charges
Blue Cross Blue Shield MCDBCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCDMedicaid / CHIP$2,079percent of total billed charges
Community Health ChoiceCommunity HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIPMedicaid / CHIP$2,097percent 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$2,376percent of total billed charges
Cook Children's Health PlanCook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCDMedicaid / CHIP$2,376percent of total billed charges
CignaCigna Local Plus/Cigna Sure Fit HMOCommercial$3,446percent of total billed charges
CignaCigna Harris County PPO/HMO/Cigna PPOCommercial$3,683percent of total billed charges
Blue Cross Blue ShieldBCBS HMO Blue Essentials TXCommercial$3,743percent of total billed charges
Blue Cross Blue ShieldBCBS PPOCommercial$3,743percent of total billed charges
Blue Cross Blue ShieldBCBS TraditionalCommercial$3,743percent of total billed charges
AetnaAetna HMOCommercial$3,802percent of total billed charges
AetnaAetna EPO/Aetna POS/Aetna PPOCommercial$3,802percent of total billed charges
Community Health ChoiceCommunity HC MarketplaceCommercial$3,802percent of total billed charges
First Care Health PlanFirst Care HMO/PPO/EPOCommercial$3,802percent of total billed charges
United HealthcareGolden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPOCommercial$3,802percent of total billed charges
KelseyCareKelseyCareCommercial$3,862percent of total billed charges
HealthSmartHealthSmart OtherCommercial$4,159percent of total billed charges
Evolutions HealthcareEvolutions PPOCommercial$4,456percent of total billed charges
First HealthCommercialCommercial$5,228percent of total billed charges
MultiplanMultiplan OtherCommercial$5,347percent of total billed charges
First HealthCCN NetworkCommercial$5,644percent of total billed charges
Galaxy Health NetworkGalaxy Health NetworkCommercial$5,644percent 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$188fee schedule
Superior CHIPSuperior CHIP/Superior Perinate CHIPMedicaid / CHIP$198fee schedule
Driscoll Children's Health Plan MCDDriscoll CHIP/STAR KidsMedicaid / CHIP$207fee schedule
Driscoll Children's Health Plan MCDDriscoll Star MCDMedicaid / CHIP$207fee schedule
First Care Health PlanFirst Care CHIP/First Care Star PlusMedicaid / CHIP$1,604percent of total billed charges
First Care Health PlanFirst Care Star MCDMedicaid / CHIP$1,604percent of total billed charges
United Healthcare CHIPUnited Healthcare CHIPMedicaid / CHIP$1,604percent of total billed charges
United Healthcare MCDUnited Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCDMedicaid / CHIP$1,604percent of total billed charges
Molina MCDMolina CHIP/Molina Star MCD/Molina Star Plus MCDMedicaid / CHIP$1,782percent of total billed charges
Blue Cross Blue Shield MCDBCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCDMedicaid / CHIP$2,079percent of total billed charges
Community Health ChoiceCommunity HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIPMedicaid / CHIP$2,097percent 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$2,376percent of total billed charges
Cook Children's Health PlanCook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCDMedicaid / CHIP$2,376percent of total billed charges
CignaCigna Local Plus/Cigna Sure Fit HMOCommercial$3,446percent of total billed charges
CignaCigna Harris County PPO/HMO/Cigna PPOCommercial$3,683percent of total billed charges
Blue Cross Blue ShieldBCBS HMO Blue Essentials TXCommercial$3,743percent of total billed charges
Blue Cross Blue ShieldBCBS PPOCommercial$3,743percent of total billed charges
Blue Cross Blue ShieldBCBS TraditionalCommercial$3,743percent of total billed charges
AetnaAetna HMOCommercial$3,802percent of total billed charges
AetnaAetna EPO/Aetna POS/Aetna PPOCommercial$3,802percent of total billed charges
Community Health ChoiceCommunity HC MarketplaceCommercial$3,802percent of total billed charges
First Care Health PlanFirst Care HMO/PPO/EPOCommercial$3,802percent of total billed charges
United HealthcareGolden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPOCommercial$3,802percent of total billed charges
KelseyCareKelseyCareCommercial$3,862percent of total billed charges
HealthSmartHealthSmart OtherCommercial$4,159percent of total billed charges
Evolutions HealthcareEvolutions PPOCommercial$4,456percent of total billed charges
First HealthCommercialCommercial$5,228percent of total billed charges
MultiplanMultiplan OtherCommercial$5,347percent of total billed charges
First HealthCCN NetworkCommercial$5,644percent of total billed charges
Galaxy Health NetworkGalaxy Health NetworkCommercial$5,644percent of total billed charges

What this price covers

These are hospital charges for CPT code 74176 (Abdomen and pelvis CT scan without contrast). A hospital price file covers the hospital's own charges. Doctors who are not hospital employees — for imaging, usually the radiologist who reads the scan — can bill you separately, and extra services on the same day (contrast, an injection, a consultation) have their own codes.

How to ask for a lower price without insurance

  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.

Other CT scan prices in Houston