How much does a chest CT cost in Houston?

45 hospitals and imaging centers in Houston list a self-pay price of $102–$17,587 for a chest CT scan without contrast (CPT 71250). The typical commercial rate in the same files is $1,007.

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
$102–$17,587
what 45 hospitals and imaging centers list for a self-pay chest CT
Typical insured rate
$1,007
median of every commercial plan rate in the files
Lowest insured rate
$76.69
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.

Chest 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 71250; Medicaid and Medicare Advantage are shown separately below.

Chest CT scan without contrast (CPT 71250) — Houston
HospitalPublished cash priceTypical insured rateLowest insured rate
Harris Health Ben Taub HospitalHarris Health · file Mar 2026$102Cash ÷ typical 0.2×$5507 plans$107
Harris Health Lyndon B Johnson HospitalHarris Health · file Mar 2026$102Cash ÷ typical 0.2×$5507 plans$107
Houston Methodist Clear Lake HospitalHouston Methodist · file Apr 2026$1,089Cash ÷ typical 3.5×$3156 plans$171
Houston Methodist HospitalHouston Methodist · file Apr 2026$1,089Cash ÷ typical 3.1×$3476 plans$171
Houston Methodist Baytown HospitalHouston Methodist · file Apr 2026$1,089Cash ÷ typical 3.4×$3245 plans$171
Houston Methodist Cypress HospitalHouston Methodist · file Apr 2026$1,089Cash ÷ typical 3.4×$3245 plans$171
Houston Methodist The Woodlands HospitalHouston Methodist · file Apr 2026$1,089Cash ÷ typical 3.4×$3245 plans$171
Houston Methodist Sugar Land HospitalHouston Methodist · file Apr 2026$1,089Cash ÷ typical 3.4×$3245 plans$171
Houston Methodist West HospitalHouston Methodist · file Apr 2026$1,089Cash ÷ typical 3.3×$3296 plans$171
Houston Methodist Willowbrook HospitalHouston Methodist · file Apr 2026$1,089Cash ÷ typical 3.4×$3245 plans$171
Memorial Hermann Greater Heights HospitalMemorial Hermann · file Apr 2026$1,252Cash ÷ typical 7.6×$1654 plans$158
Memorial Hermann Katy HospitalMemorial Hermann · file Apr 2026$1,252Cash ÷ typical 7.6×$1654 plans$158
Memorial Hermann Memorial City Medical CenterMemorial Hermann · file Apr 2026$1,252Cash ÷ typical 7.6×$1654 plans$158
Memorial Hermann Northeast HospitalMemorial Hermann · file Apr 2026$1,252Cash ÷ typical 7.6×$1654 plans$158
Memorial Hermann Pearland HospitalMemorial Hermann · file Apr 2026$1,252Cash ÷ typical 7.6×$1654 plans$158
Memorial Hermann Southeast HospitalMemorial Hermann · file Apr 2026$1,252Cash ÷ typical 7.6×$1654 plans$158
Memorial Hermann Southwest HospitalMemorial Hermann · file Apr 2026$1,252Cash ÷ typical 7.6×$1654 plans$158
Memorial Hermann Sugar Land HospitalMemorial Hermann · file Apr 2026$1,252Cash ÷ typical 7.6×$1654 plans$158
Memorial Hermann The Woodlands Medical CenterMemorial Hermann · file Apr 2026$1,252Cash ÷ typical 7.6×$1654 plans$158
Memorial Hermann Cypress HospitalMemorial Hermann · file Apr 2026$1,347Cash ÷ typical 8.1×$1654 plans$158
Memorial Hermann Rockets Orthopedic HospitalMemorial Hermann · file Apr 2026$1,347Cash ÷ typical 8.1×$1654 plans$158
Memorial Hermann-Texas Medical CenterMemorial Hermann · file Apr 2026$1,347Cash ÷ typical 8.1×$1654 plans$158
Memorial Hermann Imaging Center (Bellaire)Memorial Hermann · hospital imaging center · file Apr 2026$1,347Cash ÷ typical 8.1×$1654 plans$158
Memorial Hermann Imaging Center (Cypress)Memorial Hermann · hospital imaging center · file Apr 2026$1,347Cash ÷ typical 8.1×$1654 plans$158
Memorial Hermann Imaging Center (Texas Medical Center)Memorial Hermann · hospital imaging center · file Apr 2026$1,347Cash ÷ typical 8.1×$1654 plans$158
Memorial Hermann Imaging Center (Upper Kirby)Memorial Hermann · hospital imaging center · file Apr 2026$1,347Cash ÷ typical 8.1×$1654 plans$158
St. Luke's Health Sugar Land HospitalSt. Luke's Health · file Feb 2026$2,797Cash ÷ typical 3.5×$80035 plans$76.69
St. Luke's Health The Vintage HospitalSt. Luke's Health · file Feb 2026$2,797Cash ÷ typical 3.8×$73436 plans$76.69
St. Luke's Health Lakeside HospitalSt. Luke's Health · file Feb 2026$2,797Cash ÷ typical 4.2×$66735 plans$76.69
Baylor St Luke's Medical CenterSt. Luke's Health · file Feb 2026$2,797Cash ÷ typical 3.6×$78138 plans$76.69
St. Luke's Health Springwoods Village HospitalSt. Luke's Health · file Feb 2026$2,797Cash ÷ typical 3.5×$80032 plans$76.69
St. Luke's Health The Woodlands HospitalSt. Luke's Health · file Feb 2026$2,797Cash ÷ typical 3.8×$73434 plans$76.69
St. Luke's Health Brazosport HospitalSt. Luke's Health · file Feb 2026$2,833Cash ÷ typical 9.1×$31118 plans$112
St. Luke's Health Patients Medical CenterSt. Luke's Health · file Feb 2026$2,971Cash ÷ typical 3.7×$80025 plans$160
HCA Houston Healthcare PearlandHCA Healthcare · file Sep 2026$8,768= list priceCash ÷ typical 7.0×$1,25831 plans$207
HCA Houston Healthcare Clear LakeHCA Healthcare · file Sep 2026$9,461= list priceCash ÷ typical 7.0×$1,36138 plans$191
HCA Houston Healthcare MainlandHCA Healthcare · file Sep 2026$9,461= list priceCash ÷ typical 7.0×$1,36139 plans$191
HCA Houston Healthcare Medical CenterHCA Healthcare · file Sep 2026$12,982= list priceCash ÷ typical 10×$1,25831 plans$207
HCA Houston Healthcare TomballHCA Healthcare · file Sep 2026$13,084= list priceCash ÷ typical 10×$1,25831 plans$207
HCA Houston Healthcare KingwoodHCA Healthcare · file Sep 2026$13,337–$13,346= list priceCash ÷ typical 9.8×$1,36139 plans$207
HCA Houston Healthcare North CypressHCA Healthcare · file Sep 2026$13,337= list priceCash ÷ typical 11×$1,25829 plans$207
HCA Houston Healthcare SoutheastHCA Healthcare · file Sep 2026$14,833= list priceCash ÷ typical 11×$1,36139 plans$207
HCA Houston Healthcare NorthwestHCA Healthcare · file Sep 2026$15,064= list priceCash ÷ typical 12×$1,25831 plans$207
HCA Houston Healthcare ConroeHCA Healthcare · file Sep 2026$16,573= list priceCash ÷ typical 12×$1,36138 plans$207
HCA Houston Healthcare WestHCA Healthcare · file Sep 2026$17,587= list priceCash ÷ typical 13×$1,36139 plans$207
Children's Memorial Hermann HospitalMemorial Hermann · children's hospital (not in the summary above) · file Apr 2026$1,347Cash ÷ typical 8.1×$1654 plans$158
Texas Children's Hospital The WoodlandsTexas Children's · children's hospital (not in the summary above) · file Mar 2026$2,168Cash ÷ typical 1.0×$2,07117 plans$1,877
Texas Children's Hospital West CampusTexas Children's · children's hospital (not in the summary above) · file Mar 2026$2,168Cash ÷ typical 1.0×$2,07117 plans$1,877
Texas Children's HospitalTexas Children's · children's hospital (not in the summary above) · file Mar 2026$2,168Cash ÷ typical 1.0×$2,07117 plans$1,877

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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$235–$261$1,570$550$1,208——$102–$108$102
Harris Health Lyndon B Johnson Hospital$235–$261$1,570$550$1,208——$102–$108$102
Houston Methodist Clear Lake Hospital$306–$814$324–$334—————$105–$116
Houston Methodist Hospital$814$342–$353—————$105–$116
Houston Methodist Baytown Hospital$814$324–$334—————$105–$116
Houston Methodist Cypress Hospital$814$324–$334—————$105–$112
Houston Methodist The Woodlands Hospital$814$324–$334—————$105–$112
Houston Methodist Sugar Land Hospital$814$324–$334—————$105–$116
Houston Methodist West Hospital$814$324–$334—————$105–$116
Houston Methodist Willowbrook Hospital$814$324–$334—————$105–$116
Memorial Hermann Greater Heights Hospital—$163—————$105–$121
Memorial Hermann Katy Hospital—$163—————$105–$121
Memorial Hermann Memorial City Medical Center—$163—————$105–$121
Memorial Hermann Northeast Hospital—$163—————$105–$116
Memorial Hermann Pearland Hospital—$163—————$105–$121
Memorial Hermann Southeast Hospital—$163—————$105–$121
Memorial Hermann Southwest Hospital—$163—————$105–$121
Memorial Hermann Sugar Land Hospital—$163—————$105–$121
Memorial Hermann The Woodlands Medical Center—$163—————$105–$121
Memorial Hermann Cypress Hospital—$163—————$105–$121
Memorial Hermann Rockets Orthopedic Hospital—$163—————$105–$121
Memorial Hermann-Texas Medical Center—$163—————$105–$121
Memorial Hermann Imaging Center (Bellaire)—$163—————$105–$121
Memorial Hermann Imaging Center (Cypress)—$163—————$105–$121
Memorial Hermann Imaging Center (Texas Medical Center)—$163—————$105–$121
Memorial Hermann Imaging Center (Upper Kirby)—$163—————$105–$121
St. Luke's Health Sugar Land Hospital$164–$488$164–$5,434$507–$1,405$1,315–$3,756$800—$105–$6,602$107–$2,158
St. Luke's Health The Vintage Hospital$164–$488$164–$5,434$507–$1,405$1,315–$3,756$800—$105–$6,602$107–$2,158
St. Luke's Health Lakeside Hospital$164–$488$164–$5,434$507–$1,405$1,315–$3,756$800$160$105–$6,602$107–$2,158
Baylor St Luke's Medical Center$135–$489$164–$5,594$507–$1,405$1,264–$3,756$800—$105–$6,602$107–$2,158
St. Luke's Health Springwoods Village Hospital$164–$488$667–$5,434$160–$1,405$1,315–$3,756$800—$105–$4,395$107–$2,158
St. Luke's Health The Woodlands Hospital$164–$488$164–$5,434$160–$1,405$1,315–$3,756$800—$105–$6,602$107–$2,158
St. Luke's Health Brazosport Hospital$194–$414$164–$508$3,238$165–$365$276$154$107–$1,340$107–$1,214
St. Luke's Health Patients Medical Center$164–$488$667–$5,772$507–$1,405$1,315–$2,156$800$160$100–$327$107–$114
HCA Houston Healthcare Pearland$241–$3,069$1,007–$1,361$1,635–$2,106$207–$3,946$2,905—$105–$526—
HCA Houston Healthcare Clear Lake$191–$3,312$1,007–$1,361$1,635–$2,106$207–$4,258$3,135—$103–$568$4,258
HCA Houston Healthcare Mainland$191–$3,312$1,007–$1,361$1,635–$2,106$207–$4,258$3,135—$103–$568$4,258
HCA Houston Healthcare Medical Center$241–$4,544$1,007–$1,361$1,635–$2,106$207–$5,842$4,301—$105–$779—
HCA Houston Healthcare Tomball$241–$4,579$1,007–$1,361$1,635–$2,106$207–$5,888$4,335—$105–$785—
HCA Houston Healthcare Kingwood$243–$4,668$1,007–$1,361$1,635–$2,106$207–$6,002$4,419—$103–$800$6,002
HCA Houston Healthcare North Cypress$243–$4,668$1,007–$1,361$1,635–$2,106$207–$6,002——$105–$800—
HCA Houston Healthcare Southeast$241–$5,192$1,007–$1,361$1,635–$2,106$207–$6,675$4,914—$103–$890$6,675
HCA Houston Healthcare Northwest$243–$5,272$1,007–$1,361$1,635–$2,106$207–$6,779$4,991—$105–$904—
HCA Houston Healthcare Conroe$241–$5,801$1,007–$1,361$1,635–$2,106$207–$7,458$5,491—$103–$994$7,458
HCA Houston Healthcare West$224–$6,155$1,007–$1,361$1,635–$2,106$207–$7,914$5,827—$103–$1,055$7,914
Children's Memorial Hermann Hospital—$163—————$105–$121
Texas Children's Hospital The Woodlands$2,039$2,071$1,877–$2,006$2,071——$105–$1,294—
Texas Children's Hospital West Campus$2,039$2,071$1,877–$2,006$2,071——$105–$1,294—
Texas Children's Hospital$2,039$2,071$1,877–$2,006$2,071——$105–$1,294—
Harris Health Ben Taub Hospital: all 14 plan rates
PayerPlan (as written in the file)TypeRateMethod
CHCD-SNPMedicare Advantage$102fee schedule
MolinaMedicare & MMPMedicaid / CHIP$102fee schedule
MolinaMedicaidMedicaid / CHIP$105fee schedule
UHCMedicaidMedicaid / CHIP$105fee schedule
TX ChildrensMedicaidMedicaid / CHIP$105fee schedule
CHCMedicaidMedicaid / CHIP$107fee schedule
CHCMarketplaceCommercial$107fee schedule
SuperiorMedicaidMedicaid / CHIP$108fee schedule
BCBS TXBlue AdvantageCommercial$235fee schedule
BCBS TXPPO POSCommercial$261fee schedule
CignaCommercialCommercial$550other
UHCCommercialCommercial$1,208percent of total billed charges
AetnaCommercial HMOCommercial$1,570percent of total billed charges
AetnaCommercial PPOCommercial$1,570percent of total billed charges
Harris Health Lyndon B Johnson Hospital: all 14 plan rates
PayerPlan (as written in the file)TypeRateMethod
CHCD-SNPMedicare Advantage$102fee schedule
MolinaMedicare & MMPMedicaid / CHIP$102fee schedule
MolinaMedicaidMedicaid / CHIP$105fee schedule
UHCMedicaidMedicaid / CHIP$105fee schedule
TX ChildrensMedicaidMedicaid / CHIP$105fee schedule
CHCMedicaidMedicaid / CHIP$107fee schedule
CHCMarketplaceCommercial$107fee schedule
SuperiorMedicaidMedicaid / CHIP$108fee schedule
BCBS TXBlue AdvantageCommercial$235fee schedule
BCBS TXPPO POSCommercial$261fee schedule
CignaCommercialCommercial$550other
UHCCommercialCommercial$1,208percent of total billed charges
AetnaCommercial HMOCommercial$1,570percent of total billed charges
AetnaCommercial PPOCommercial$1,570percent 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$105fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$107fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$107fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$108fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$110fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$112fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$116fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$171fee schedule
Molina HealthcareExchangeCommercial$210fee schedule
BcbsBlue Advantage ExchangeCommercial$306fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$324fee schedule
AetnaHmo/Pos/PpoCommercial$334fee schedule
BcbsAll Commercial PlansCommercial$814fee schedule
Houston Methodist Hospital: all 13 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$105fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$107fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$107fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$108fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$110fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$112fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$116fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$171fee schedule
Molina HealthcareExchangeCommercial$227fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$342fee schedule
AetnaHmo/Pos/PpoCommercial$353fee schedule
UaeAll Commercial PlansCommercial$420fee schedule
BcbsAll Commercial PlansCommercial$814fee schedule
Houston Methodist Baytown Hospital: all 12 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$105fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$107fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$107fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$108fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$110fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$112fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$116fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$171fee schedule
Molina HealthcareExchangeCommercial$210fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$324fee schedule
AetnaHmo/Pos/PpoCommercial$334fee schedule
BcbsAll Commercial PlansCommercial$814fee schedule
Houston Methodist Cypress Hospital: all 11 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$105fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$107fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$107fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$108fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$110fee schedule
Devoted HealthMedicare Managed Care - HmoMedicare Advantage$112fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$171fee schedule
Molina HealthcareExchangeCommercial$210fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$324fee schedule
AetnaHmo/Pos/PpoCommercial$334fee schedule
BcbsAll Commercial PlansCommercial$814fee schedule
Houston Methodist The Woodlands Hospital: all 11 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$105fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$107fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$107fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$108fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$110fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$112fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$171fee schedule
Advanced Medical Pricing SolutionsAll Commercial PlansCommercial$210fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$324fee schedule
AetnaHmo/Pos/PpoCommercial$334fee schedule
BcbsAll Commercial PlansCommercial$814fee schedule
Houston Methodist Sugar Land Hospital: all 12 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$105fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$107fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$107fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$108fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$110fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$112fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$116fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$171fee schedule
Molina HealthcareExchangeCommercial$210fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$324fee schedule
AetnaHmo/Pos/PpoCommercial$334fee schedule
BcbsAll Commercial PlansCommercial$814fee schedule
Houston Methodist West Hospital: all 13 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$105fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$107fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$107fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$108fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$110fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$112fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$116fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$171fee schedule
Molina HealthcareExchangeCommercial$210fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$324fee schedule
AetnaHmo/Pos/PpoCommercial$334fee schedule
UaeAll Commercial PlansCommercial$420fee schedule
BcbsAll Commercial PlansCommercial$814fee schedule
Houston Methodist Willowbrook Hospital: all 12 plan rates
PayerPlan (as written in the file)TypeRateMethod
BcbsMedicare Managed Care - HmoMedicare Advantage$105fee schedule
AetnaMedicare Managed Care - Hmo/PpoMedicare Advantage$107fee schedule
UnitedhealthcareMedicare Managed Care - HmoMedicare Advantage$107fee schedule
CignaTexas Healthspring Medicare Managed Care - Hmo/PpoMedicare Advantage$108fee schedule
Molina HealthcareAdvantage Medicare Managed Care PlanMedicare Advantage$110fee schedule
Community Health ChoiceD-Snp Medicare Managed Care - HmoMedicare Advantage$112fee schedule
Procare AdvantageMedicare Managed Care - HmoMedicare Advantage$116fee schedule
Community Health ChoiceSilver & Gold ExchangeCommercial$171fee schedule
Molina HealthcareExchangeCommercial$210fee schedule
AetnaNew Business Discount Other Commercial PlanCommercial$324fee schedule
AetnaHmo/Pos/PpoCommercial$334fee schedule
BcbsAll Commercial PlansCommercial$814fee schedule
Memorial Hermann Greater Heights Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPrem/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Katy Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPrem/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Memorial City Medical Center: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPrem/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Northeast Hospital: all 6 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Community HealthPrem/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Pearland Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPrem/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Southeast Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPrem/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Southwest Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPrem/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Sugar Land Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPrem/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann The Woodlands Medical Center: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPrem/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Cypress Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPremier/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Rockets Orthopedic Hospital: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPremier/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann-Texas Medical Center: all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPremier/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Imaging Center (Bellaire): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPremier/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Imaging Center (Cypress): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPremier/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Imaging Center (Texas Medical Center): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPremier/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
Memorial Hermann Imaging Center (Upper Kirby): all 7 plan rates
PayerPlan (as written in the file)TypeRateMethod
AetnaMedicare Managed Care PlanMedicare Advantage$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPremier/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee schedule
St. Luke's Health Sugar Land Hospital: all 70 plan rates
PayerPlan (as written in the file)TypeRateMethod
RenaissanceCommercial|All PlansCommercial$76.69case rate
WellpointMedicaid|All Other PlansMedicaid / CHIP$105fee schedule
BCBSMedicare|All PlansMedicare Advantage$107case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$107case rate
HUMANAMedicare|All Other PlansMedicare Advantage$107case rate
SELECTCAREMedicare|All PlansMedicare Advantage$107case rate
UHCMedicaid|CHIPMedicaid / CHIP$107fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$107fee schedule
WellpointMedicaid|CHIPMedicaid / CHIP$107fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$107fee schedule
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$108case rate
AETNAMedicare|All PlansMedicare Advantage$109case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$109case rate
UNITEDMedicaid|All Other PlansMedicaid / CHIP$109fee schedule
AmerivantageMedicare|All PlansMedicare Advantage$110case rate
BCBSMedicaid|All PlansMedicaid / CHIP$110fee schedule
KELSEYMedicare|All PlansMedicare Advantage$113case rate
DEVOTEDMedicare|All PlansMedicare Advantage$114case rate
SCANHealthMedicare|All PlansMedicare Advantage$114case rate
KINDREDMedicare|All PlansMedicare Advantage$117case rate
CHCMedicaid|All Other PlansMedicaid / CHIP$123fee schedule
WellpointMedicaid|STARMedicaid / CHIP$143fee schedule
KelseyCareCommercial|ExchangeCommercial$144case rate
UNITEDMedicaid|STARMedicaid / CHIP$146fee schedule
Community Health ChoiceCommercial|All Other PlansCommercial$160case rate
Community Health ChoiceCommercial|ExchangeCommercial$160case rate
Superior Health PlanCommercial|All PlansCommercial$160case rate
WellpointCommercial|ExchangeCommercial$160case rate
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$164fee schedule
AetnaCommercial|ExchangeCommercial$164case rate
CHCMedicaid|STARMedicaid / CHIP$165fee schedule
Bright HealthCommercial|All PlansCommercial$182case rate
BCBS-TXCommercial|ExchangeCommercial$191fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$333fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$333fee schedule
NX HealthCommercial|PPOCommercial$346case rate
BCBS-TXCommercial|Blue PremierCommercial$347fee schedule
BCBS-TXCommercial|HMOCommercial$434fee schedule
BCBS-TXCommercial|PPOCommercial$488fee schedule
CignaCommercial|SurefitCommercial$507fee schedule
CignaCommercial|HMOCommercial$559fee schedule
TCHPMedicaid|All Other PlansMedicaid / CHIP$639fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$639fee schedule
AetnaCommercial|PPOCommercial$667fee schedule
HumanaCommercial|HMOCommercial$800fee schedule
HumanaCommercial|PPOCommercial$800fee schedule
TCHPMedicaid|STARMedicaid / CHIP$857fee schedule
HealthsmartCommercial|AP3-PPOCommercial$900fee schedule
KelseyCareCommercial|All Other PlansCommercial$1,155fee 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
OPTUMMedicare|All PlansMedicare Advantage$2,158fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$2,797fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$2,891fee schedule
UnitedCommercial|OptumCommercial$3,756fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$4,395fee schedule
CHCMedicaid|HMOMedicaid / CHIP$4,395fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$4,395fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$4,715fee schedule
CoventryCommercial|PPOCommercial$5,194fee schedule
First HealthCommercial|All PlansCommercial$5,194fee schedule
AetnaCommercial|HMOCommercial$5,434fee schedule
HealthsmartCommercial|PPOCommercial$5,594fee schedule
MultiPlanCommercial|All PlansCommercial$5,993fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$6,602fee schedule
USA Health NetworkCommercial|All PlansCommercial$6,792fee schedule
MHealth NetworkCommercial|PPOCommercial$7,991fee schedule
St. Luke's Health The Vintage Hospital: all 71 plan rates
PayerPlan (as written in the file)TypeRateMethod
RenaissanceCommercial|All PlansCommercial$76.69case rate
WellpointMedicaid|All Other PlansMedicaid / CHIP$105fee schedule
BCBSMedicare|All PlansMedicare Advantage$107case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$107case rate
HUMANAMedicare|All Other PlansMedicare Advantage$107case rate
KELSEYMedicare|All PlansMedicare Advantage$107case rate
SELECTCAREMedicare|All PlansMedicare Advantage$107case rate
UHCMedicaid|CHIPMedicaid / CHIP$107fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$107fee schedule
WellpointMedicaid|CHIPMedicaid / CHIP$107fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$107fee schedule
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$108case rate
AETNAMedicare|All PlansMedicare Advantage$109case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$109case rate
UNITEDMedicaid|All Other PlansMedicaid / CHIP$109fee schedule
AmerivantageMedicare|All PlansMedicare Advantage$110case rate
BCBSMedicaid|All PlansMedicaid / CHIP$110fee schedule
DEVOTEDMedicare|All PlansMedicare Advantage$114case rate
SCANHealthMedicare|All PlansMedicare Advantage$114case rate
KINDREDMedicare|All PlansMedicare Advantage$117case rate
CHCMedicaid|All Other PlansMedicaid / CHIP$123fee schedule
WellpointMedicaid|STARMedicaid / CHIP$143fee schedule
KelseyCareCommercial|ExchangeCommercial$144case rate
UNITEDMedicaid|STARMedicaid / CHIP$146fee schedule
Employer DirectCommercial|PPOCommercial$149case rate
Community Health ChoiceCommercial|All Other PlansCommercial$160case rate
Community Health ChoiceCommercial|ExchangeCommercial$160case rate
Superior Health PlanCommercial|All PlansCommercial$160case rate
WellpointCommercial|ExchangeCommercial$160case rate
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$164fee schedule
AetnaCommercial|ExchangeCommercial$164case rate
CHCMedicaid|STARMedicaid / CHIP$165fee schedule
Bright HealthCommercial|All PlansCommercial$182case rate
BCBS-TXCommercial|ExchangeCommercial$191fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$333fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$333fee schedule
NX HealthCommercial|PPOCommercial$346case rate
BCBS-TXCommercial|Blue PremierCommercial$347fee schedule
BCBS-TXCommercial|HMOCommercial$434fee schedule
BCBS-TXCommercial|PPOCommercial$488fee schedule
CignaCommercial|SurefitCommercial$507fee schedule
CignaCommercial|HMOCommercial$559fee schedule
TCHPMedicaid|All Other PlansMedicaid / CHIP$639fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$639fee schedule
AetnaCommercial|PPOCommercial$667fee schedule
HumanaCommercial|HMOCommercial$800fee schedule
HumanaCommercial|PPOCommercial$800fee schedule
TCHPMedicaid|STARMedicaid / CHIP$857fee schedule
HealthsmartCommercial|AP3-PPOCommercial$900fee schedule
KelseyCareCommercial|All Other PlansCommercial$1,155fee 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
OPTUMMedicare|All PlansMedicare Advantage$2,158fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$2,797fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$2,891fee schedule
UnitedCommercial|OptumCommercial$3,756fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$4,395fee schedule
CHCMedicaid|HMOMedicaid / CHIP$4,395fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$4,395fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$4,715fee schedule
CoventryCommercial|PPOCommercial$5,194fee schedule
First HealthCommercial|All PlansCommercial$5,194fee schedule
AetnaCommercial|HMOCommercial$5,434fee schedule
HealthsmartCommercial|PPOCommercial$5,594fee schedule
MultiPlanCommercial|All PlansCommercial$5,993fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$6,602fee schedule
USA Health NetworkCommercial|All PlansCommercial$6,792fee schedule
MHealth NetworkCommercial|PPOCommercial$7,991fee schedule
St. Luke's Health Lakeside Hospital: all 70 plan rates
PayerPlan (as written in the file)TypeRateMethod
RenaissanceCommercial|All PlansCommercial$76.69case rate
WellpointMedicaid|All Other PlansMedicaid / CHIP$105fee schedule
BCBSMedicare|All PlansMedicare Advantage$107case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$107case rate
HUMANAMedicare|All Other PlansMedicare Advantage$107case rate
KELSEYMedicare|All PlansMedicare Advantage$107case rate
SELECTCAREMedicare|All PlansMedicare Advantage$107case rate
UHCMedicaid|CHIPMedicaid / CHIP$107fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$107fee schedule
WellpointMedicaid|CHIPMedicaid / CHIP$107fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$107fee schedule
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$108case rate
AETNAMedicare|All PlansMedicare Advantage$109case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$109case rate
UNITEDMedicaid|All Other PlansMedicaid / CHIP$109fee schedule
AmerivantageMedicare|All PlansMedicare Advantage$110case rate
BCBSMedicaid|All PlansMedicaid / CHIP$110fee schedule
DEVOTEDMedicare|All PlansMedicare Advantage$114case rate
SCANHealthMedicare|All PlansMedicare Advantage$114case rate
KINDREDMedicare|All PlansMedicare Advantage$117case rate
CHCMedicaid|All Other PlansMedicaid / CHIP$123fee schedule
WellpointMedicaid|STARMedicaid / CHIP$143fee schedule
KelseyCareCommercial|ExchangeCommercial$144case rate
UNITEDMedicaid|STARMedicaid / CHIP$146fee schedule
AmbetterCommercial|All PlansCommercial$160case rate
Community Health ChoiceCommercial|All Other PlansCommercial$160case rate
Community Health ChoiceCommercial|ExchangeCommercial$160case rate
Harris HealthCommercial|ERSCommercial$160case rate
WellpointCommercial|ExchangeCommercial$160case rate
BCBS - TXCommercial|MyBlue Health ExchangeCommercial$164fee schedule
AetnaCommercial|ExchangeCommercial$164case rate
CHCMedicaid|STARMedicaid / CHIP$165fee schedule
Bright HealthCommercial|All PlansCommercial$182case rate
BCBS-TXCommercial|ExchangeCommercial$191fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$333fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$333fee schedule
NX HealthCommercial|PPOCommercial$346case rate
BCBS-TXCommercial|Blue PremierCommercial$347fee schedule
BCBS-TXCommercial|HMOCommercial$434fee schedule
BCBS-TXCommercial|PPOCommercial$488fee schedule
CignaCommercial|SurefitCommercial$507fee schedule
CignaCommercial|HMOCommercial$559fee schedule
TCHPMedicaid|LakesideMedicaid / CHIP$639fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$639fee schedule
AetnaCommercial|PPOCommercial$667fee schedule
HumanaCommercial|HMOCommercial$800fee schedule
HumanaCommercial|PPOCommercial$800fee schedule
TCHPMedicaid|STARMedicaid / CHIP$857fee schedule
KelseyCareCommercial|All Other PlansCommercial$1,155fee 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
OPTUMMedicare|All PlansMedicare Advantage$2,158fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$2,797fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$2,891fee schedule
UnitedCommercial|OptumCommercial$3,756fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$4,395fee schedule
CHCMedicaid|HMOMedicaid / CHIP$4,395fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$4,395fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$4,715fee schedule
CoventryCommercial|PPOCommercial$5,194fee schedule
First HealthCommercial|All PlansCommercial$5,194fee schedule
AetnaCommercial|HMOCommercial$5,434fee schedule
HealthsmartCommercial|PPOCommercial$5,594fee schedule
MultiPlanCommercial|All PlansCommercial$5,993fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$6,602fee schedule
USA Health NetworkCommercial|All PlansCommercial$6,792fee schedule
MHealth NetworkCommercial|PPOCommercial$7,991fee schedule
Baylor St Luke's Medical Center: all 73 plan rates
PayerPlan (as written in the file)TypeRateMethod
RenaissanceCommercial|All PlansCommercial$76.69case rate
WellpointMedicaid|All Other PlansMedicaid / CHIP$105fee schedule
BCBSMedicare|All PlansMedicare Advantage$107case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$107case rate
HumanaMedicare|All Other PlansMedicare Advantage$107case rate
KELSEYMedicare|All PlansMedicare Advantage$107case rate
UHCMedicaid|CHIPMedicaid / CHIP$107fee schedule
UHCMedicaid|STARKIDSMedicaid / CHIP$107fee schedule
WellpointMedicaid|CHIPMedicaid / CHIP$107fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$107fee schedule
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$108case rate
AETNAMedicare|All Other PlansMedicare Advantage$109case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$109case rate
UNITEDMedicaid|All Other PlansMedicaid / CHIP$109fee schedule
AmerivantageMedicare|All PlansMedicare Advantage$110case rate
BCBSMedicaid|All PlansMedicaid / CHIP$110fee schedule
SELECTCAREMedicare|All PlansMedicare Advantage$112case rate
DEVOTEDMedicare|All PlansMedicare Advantage$114case rate
SCANHealthMedicare|All PlansMedicare Advantage$114case rate
CHCMedicaid|All Other PlansMedicaid / CHIP$123fee schedule
KINDREDMedicare|All PlansMedicare Advantage$128case rate
BCBS - TXCommercial|MyBlue Health ExchangeCommercial$135fee schedule
WellpointMedicaid|STARMedicaid / CHIP$143fee schedule
KelseyCareCommercial|ExchangeCommercial$144case rate
UNITEDMedicaid|STARMedicaid / CHIP$146fee schedule
Employer DirectCommercial|PPOCommercial$149case rate
BCBS - TXCommercial|Blue Advantage ExchangeCommercial$150fee schedule
Community Health ChoiceCommercial|All Other PlansCommercial$160case rate
Community Health ChoiceCommercial|ExchangeCommercial$160case rate
Harris HealthCommercial|ERSCommercial$160case rate
Superior Health PlanCommercial|All PlansCommercial$160case rate
WellpointCommercial|ExchangeCommercial$160case rate
AetnaCommercial|ExchangeCommercial$164case rate
CHCMedicaid|STARMedicaid / CHIP$165fee schedule
Bright HealthCommercial|All PlansCommercial$182case rate
BCBS - TXCommercial|PremierCommercial$300fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$333fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$333fee schedule
NX HealthCommercial|PPOCommercial$346case rate
BCBS - TXCommercial|HMOCommercial$462fee schedule
BCBS - TXCommercial|PPO TradCommercial$489fee schedule
CignaCommercial|SurefitCommercial$507fee schedule
CignaCommercial|HMOCommercial$559fee schedule
AetnaCommercial|PPOCommercial$761fee schedule
HumanaCommercial|HMOCommercial$800fee schedule
HumanaCommercial|PPOCommercial$800fee schedule
TCHPMedicaid|All Other PlansMedicaid / CHIP$879fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$879fee schedule
HealthsmartCommercial|AP3Commercial$900fee schedule
KelseyCareCommercial|All Other PlansCommercial$1,155fee schedule
TCHPMedicaid|STARMedicaid / CHIP$1,178fee schedule
UnitedCommercial|ExchangeCommercial$1,264fee schedule
CignaCommercial|PPOCommercial$1,405fee schedule
UnitedCommercial|CharterCommercial$1,703fee schedule
UnitedCommercial|HMOCommercial$1,891fee schedule
UnitedCommercial|PPOCommercial$1,891fee schedule
OPTUMMedicare|All PlansMedicare Advantage$2,158fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$2,891fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$3,276fee schedule
UnitedCommercial|OptumCommercial$3,756fee schedule
ShellCommercial|All PlansCommercial$3,996fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$4,395fee schedule
CHCMedicaid|HMOMedicaid / CHIP$4,395fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$4,395fee schedule
AetnaCommercial|KelseyCareCommercial$4,875fee schedule
CoventryCommercial|PPOCommercial$5,194fee schedule
First HealthCommercial|All PlansCommercial$5,194fee schedule
HealthsmartCommercial|PPOCommercial$5,594fee schedule
AetnaCommercial|HMOCommercial$5,594fee schedule
MultiPlanCommercial|All PlansCommercial$5,993fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$6,602fee schedule
USA Health NetworkCommercial|All PlansCommercial$6,792fee schedule
MHealth NetworkCommercial|PPOCommercial$7,991fee schedule
St. Luke's Health Springwoods Village Hospital: all 60 plan rates
PayerPlan (as written in the file)TypeRateMethod
RenaissanceCommercial|All PlansCommercial$76.69case rate
Montgomery Hospital DistrictCommercial|All PlansPublic program$105fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$105fee schedule
BCBSMedicare|All PlansMedicare Advantage$107case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$107case rate
HUMANAMedicare|All Other PlansMedicare Advantage$107case rate
KELSEYMedicare|All PlansMedicare Advantage$107case rate
SELECTCAREMedicare|All PlansMedicare Advantage$107case rate
UHCMedicaid|STARKIDSMedicaid / CHIP$107fee schedule
WellpointMedicaid|CHIPMedicaid / CHIP$107fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$107fee schedule
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$108case rate
AETNAMedicare|All PlansMedicare Advantage$109case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$109case rate
UHCMedicaid|CHIPMedicaid / CHIP$109fee schedule
AmerivantageMedicare|All PlansMedicare Advantage$110case rate
BCBSMedicaid|All PlansMedicaid / CHIP$110fee schedule
DEVOTEDMedicare|All PlansMedicare Advantage$114case rate
KINDREDMedicare|All PlansMedicare Advantage$117case rate
CHCMedicaid|All Other PlansMedicaid / CHIP$123fee schedule
KelseyCareCommercial|ExchangeCommercial$144case rate
UHCMedicaid|STARMedicaid / CHIP$146fee schedule
CignaCommercial|All Other PlansCommercial$160case rate
Community Health ChoiceCommercial|ExchangeCommercial$160case rate
Superior Health PlanCommercial|All PlansCommercial$160case rate
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$164fee schedule
Bright HealthCommercial|All PlansCommercial$182case rate
BCBS-TXCommercial|ExchangeCommercial$191fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$333fee schedule
NXHealthCommercial|All PlansCommercial$346case rate
BCBS-TXCommercial|Blue PremierCommercial$347fee schedule
BCBS-TXCommercial|HMOCommercial$434fee schedule
BCBS-TXCommercial|PPOCommercial$488fee schedule
CignaCommercial|SurefitCommercial$507fee schedule
CignaCommercial|HMOCommercial$559fee schedule
AetnaCommercial|PPOCommercial$667fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$799fee schedule
HumanaCommercial|HMOCommercial$800fee schedule
HumanaCommercial|PPOCommercial$800fee schedule
HealthsmartCommercial|AP3-PPOCommercial$900fee schedule
KelseyCareCommercial|All Other PlansCommercial$1,155fee schedule
UnitedCommercial|ExchangeCommercial$1,315fee schedule
CignaCommercial|PPOCommercial$1,405fee schedule
UnitedCommercial|HMOCommercial$2,156fee schedule
UnitedCommercial|PPOCommercial$2,156fee schedule
OPTUMMedicare|All PlansMedicare Advantage$2,158fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$2,797fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$2,891fee schedule
UnitedCommercial|OptumCommercial$3,756fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$4,395fee schedule
CHCMedicaid|HMOMedicaid / CHIP$4,395fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$4,395fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$4,715fee schedule
CoventryCommercial|PPOCommercial$5,194fee schedule
First HealthCommercial|All PlansCommercial$5,194fee schedule
AetnaCommercial|HMOCommercial$5,434fee schedule
HealthsmartCommercial|PPOCommercial$5,594fee schedule
MultiPlanCommercial|All PlansCommercial$5,993fee schedule
USA Health NetworkCommercial|All PlansCommercial$6,792fee schedule
MHealth NetworkCommercial|PPOCommercial$7,991fee schedule
St. Luke's Health The Woodlands Hospital: all 70 plan rates
PayerPlan (as written in the file)TypeRateMethod
RenaissanceCommercial|All PlansCommercial$76.69case rate
Montgomery Hospital DistrictCommercial|All PlansPublic program$105fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$105fee schedule
BCBSMedicare|All PlansMedicare Advantage$107case rate
CIGNA HEALTHSPRINGMedicare|HMOMedicare Advantage$107case rate
HUMANAMedicare|All Other PlansMedicare Advantage$107case rate
KELSEYMedicare|All PlansMedicare Advantage$107case rate
SELECTCAREMedicare|All PlansMedicare Advantage$107case rate
UHCMedicaid|STARKIDSMedicaid / CHIP$107fee schedule
WellpointMedicaid|CHIPMedicaid / CHIP$107fee schedule
WellpointMedicaid|STARKIDSMedicaid / CHIP$107fee schedule
CIGNA HEALTHSPRINGMedicare|PPOMedicare Advantage$108case rate
AETNAMedicare|All PlansMedicare Advantage$109case rate
UHC-SecureHorizonsMedicare|All PlansMedicare Advantage$109case rate
UHCMedicaid|CHIPMedicaid / CHIP$109fee schedule
UNITEDMedicaid|All Other PlansMedicaid / CHIP$109fee schedule
AmerivantageMedicare|All PlansMedicare Advantage$110case rate
BCBSMedicaid|All PlansMedicaid / CHIP$110fee schedule
DEVOTEDMedicare|All PlansMedicare Advantage$114case rate
SCANHealthMedicare|All PlansMedicare Advantage$114case rate
KINDREDMedicare|All PlansMedicare Advantage$117case rate
CHCMedicaid|All Other PlansMedicaid / CHIP$123fee schedule
WellpointMedicaid|STARMedicaid / CHIP$143fee schedule
KelseyCareCommercial|ExchangeCommercial$144case rate
UHCMedicaid|STARMedicaid / CHIP$146fee schedule
CignaCommercial|All Other PlansCommercial$160case rate
Community Health ChoiceCommercial|ExchangeCommercial$160case rate
Superior Health PlanCommercial|All PlansCommercial$160case rate
WellpointCommercial|ExchangeCommercial$160case rate
BCBS-TXCommercial|MyBlue Health ExchangeCommercial$164fee schedule
AetnaCommercial|ExchangeCommercial$164case rate
CHCMedicaid|STARMedicaid / CHIP$165fee schedule
Bright HealthCommercial|All PlansCommercial$182case rate
BCBS-TXCommercial|ExchangeCommercial$191fee schedule
UHCMedicaid|STARPLUSMedicaid / CHIP$333fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$333fee schedule
NXHealthCommercial|All PlansCommercial$346case rate
BCBS-TXCommercial|Blue PremierCommercial$347fee schedule
BCBS-TXCommercial|HMOCommercial$434fee schedule
BCBS-TXCommercial|PPOCommercial$488fee schedule
CignaCommercial|SurefitCommercial$507fee schedule
CignaCommercial|HMOCommercial$559fee schedule
AetnaCommercial|PPOCommercial$667fee schedule
TCHPMedicaid|All Other PlansMedicaid / CHIP$799fee schedule
TCHPMedicaid|STARKIDSMedicaid / CHIP$799fee schedule
HumanaCommercial|HMOCommercial$800fee schedule
HumanaCommercial|PPOCommercial$800fee schedule
TCHPMedicaid|STARMedicaid / CHIP$1,071fee schedule
KelseyCareCommercial|All Other PlansCommercial$1,155fee 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
OPTUMMedicare|All PlansMedicare Advantage$2,158fee schedule
TCHPCHIPMedicaid|HMOMedicaid / CHIP$2,797fee schedule
OPTUMMedicaid|STARMedicaid / CHIP$2,891fee schedule
UnitedCommercial|OptumCommercial$3,756fee schedule
CHCMedicaid|CHIPMedicaid / CHIP$4,395fee schedule
CHCMedicaid|HMOMedicaid / CHIP$4,395fee schedule
TEXASTRUECHOICEMedicaid|CHIPMedicaid / CHIP$4,395fee schedule
Aetna-Kelsey CareCommercial|HMOCommercial$4,715fee schedule
CoventryCommercial|PPOCommercial$5,194fee schedule
First HealthCommercial|All PlansCommercial$5,194fee schedule
AetnaCommercial|HMOCommercial$5,434fee schedule
HealthsmartCommercial|PPOCommercial$5,594fee schedule
MultiPlanCommercial|All PlansCommercial$5,993fee schedule
OPTUMMedicaid|STARPLUSMedicaid / CHIP$6,602fee schedule
USA Health NetworkCommercial|All PlansCommercial$6,792fee schedule
MHealth NetworkCommercial|PPOCommercial$7,991fee schedule
St. Luke's Health Brazosport Hospital: all 41 plan rates
PayerPlan (as written in the file)TypeRateMethod
BCBSMedicare|All PlansMedicare Advantage$107case rate
CIGNA-HEALTHSPRINGMedicare|All PlansMedicare Advantage$107case rate
HUMANAMedicare|All PlansMedicare Advantage$107case rate
KELSEYMedicare|All PlansMedicare Advantage$107case rate
UNITEDMedicare|All PlansMedicare Advantage$107case rate
UNITEDMedicaid|All Other PlansMedicaid / CHIP$107fee schedule
SELECTCAREMedicare|All PlansMedicare Advantage$110case rate
WellcareTPMedicare|All PlansMedicare Advantage$110case rate
WellpointMedicare|All PlansMedicare Advantage$110case rate
BCBSMedicaid|All PlansMedicaid / CHIP$110fee schedule
CHCMedicaid|All Other PlansMedicaid / CHIP$110fee schedule
SUPERIORMedicaid|All PlansMedicaid / CHIP$110fee schedule
Community Health ChoiceCommercial|ExchangeCommercial$112case rate
DevotedMedicare|All PlansMedicare Advantage$114case rate
SCANHealthMedicare|All PlansMedicare Advantage$114case rate
CHCMedicaid|CHIPMedicaid / CHIP$120fee schedule
UNITEDMedicaid|STARMedicaid / CHIP$143fee schedule
CHCMedicaid|STARMedicaid / CHIP$148fee schedule
AmbetterCommercial|All PlansCommercial$154case rate
WellpointCommercial|ExchangeCommercial$160case rate
AetnaCommercial|ExchangeCommercial$164case rate
UnitedCommercial|ExchangeCommercial$165case rate
Bright HealthCommercial|All PlansCommercial$182case rate
BCBS-TXCommercial|Blue Advantage HMOCommercial$194fee schedule
HumanaCommercial|All PlansCommercial$276case rate
EntrustCommercial|All PlansCommercial$287case rate
UNITEDMedicaid|STARPLUSMedicaid / CHIP$327fee schedule
BCBS-TXCommercial|Blue OptionsCommercial$334fee schedule
BCBS-TXCommercial|PPO-POSCommercial$345fee schedule
UnitedCommercial|All Other PlansCommercial$365fee schedule
BCBS-TXCommercial|HMOCommercial$370fee schedule
BCBS-TXCommercial|TraditionalCommercial$371fee schedule
BCBS-TXCommercial|PPOCommercial$414fee schedule
TCHPMedicaid|All Other PlansMedicaid / CHIP$486fee schedule
AetnaCommercial|All Other PlansCommercial$508fee schedule
TCHPMedicaid|STARMedicaid / CHIP$651fee schedule
WellpointMedicaid|All Other PlansMedicaid / CHIP$1,000fee schedule
AetnaMedicare|All PlansMedicare Advantage$1,214fee schedule
WellpointMedicaid|STARMedicaid / CHIP$1,340fee schedule
CignaCommercial|All PlansCommercial$3,238fee schedule
Health FirstCommercial|All PlansCommercial$4,047fee schedule
St. Luke's Health Patients Medical Center: all 40 plan rates
PayerPlan (as written in the file)TypeRateMethod
CHCMedicaid|All PlansMedicaid / CHIP$99.51fee schedule
TCHPMedicaid|All PlansMedicaid / CHIP$99.51fee schedule
WellpointMedicaid|All PlansMedicaid / CHIP$105fee schedule
BCBSMedicare|All PlansMedicare Advantage$107case rate
CIGNA-HEALTHSPRINGMedicare|All PlansMedicare Advantage$107case rate
HUMANAMedicare|All PlansMedicare Advantage$107case rate
KELSEYMedicare|All PlansMedicare Advantage$107case rate
UNITEDMedicaid|All Other PlansMedicaid / CHIP$107fee schedule
AETNAMedicare|All PlansMedicare Advantage$109case rate
UNITEDMedicare|All PlansMedicare Advantage$109case rate
AMERIVANTAGEMedicare|All PlansMedicare Advantage$110case rate
DEVOTEDMedicare|All PlansMedicare Advantage$114case rate
SCANHealthMedicare|All PlansMedicare Advantage$114case rate
UNITEDMedicaid|STARMedicaid / CHIP$144fee schedule
AmbetterCommercial|All PlansCommercial$160case rate
Community Health ChoiceCommercial|ExchangeCommercial$160case rate
WellpointCommercial|ExchangeCommercial$160case rate
BCBS - TXCommercial|MyBlue Health ExchangeCommercial$164fee schedule
Bright HealthCommercial|All PlansCommercial$182case rate
BCBS-TXCommercial|ExchangeCommercial$191fee schedule
UNITEDMedicaid|STARPLUSMedicaid / CHIP$327fee schedule
BCBS-TXCommercial|Blue PremierCommercial$347fee schedule
BCBS-TXCommercial|HMOCommercial$434fee schedule
BCBS-TXCommercial|PPOCommercial$488fee schedule
CignaCommercial|SurefitCommercial$507fee schedule
CignaCommercial|HMOCommercial$559fee schedule
AetnaCommercial|PPOCommercial$667fee schedule
HumanaCommercial|HMOCommercial$800fee schedule
HumanaCommercial|PPOCommercial$800fee 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$5,008fee schedule
CoventryCommercial|PPOCommercial$5,517fee schedule
First HealthCommercial|All PlansCommercial$5,517fee schedule
AetnaCommercial|HMOCommercial$5,772fee schedule
HealthsmartCommercial|PPOCommercial$5,942fee schedule
MultiPlanCommercial|All PlansCommercial$6,366fee schedule
HCA Houston Healthcare Pearland: all 53 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupMCDCHIPBHMedicaid / CHIP$105fee schedule
AmerigroupMGMCDMedicaid / CHIP$105fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$107fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$107fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$107fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$107fee schedule
UnitedMGMCDMedicaid / CHIP$109fee schedule
Molina HealthcareCHIPMedicaid / CHIP$115fee schedule
Molina HealthcareSTARMedicaid / CHIP$115fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$115fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$115fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$115fee schedule
HumanaMCDMedicaid / CHIP$131fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$157fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$157fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$157fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$207fee schedule
BCBSMyBlueHealthCommercial$241fee schedule
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
BCBSBAVCommercial$278fee schedule
BCBSHMOCommercial$423fee schedule
BCBSEPOSOACommercial$451fee schedule
BCBSPPOCommercial$477fee schedule
Superior Health PlanCHIPMedicaid / CHIP$526percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$526percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$526percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$526percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$526percent of total billed charges
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
UnitedOptionsPPOCommercial$1,473percent of total billed charges
CignaCSNCommercial$1,635case rate
CignaOpenAccessPlusCommercial$1,771case rate
CignaPPOCommercial$2,106case rate
HumanaHMOCommercial$2,905percent of total billed charges
HumanaPPOCommercial$2,905percent of total billed charges
BCBSTraditionalCommercial$3,069percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$3,507percent of total billed charges
UnitedGlobalAppendixCommercial$3,946percent of total billed charges
Coventry National First HealthCOMMCommercial$4,542percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$6,576percent of total billed charges
MultiplanComplementaryNetworkCommercial$7,453percent of total billed charges
HCA Houston Healthcare Clear Lake: all 68 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$103fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$105fee schedule
AmerigroupMGMCDMedicaid / CHIP$105fee schedule
UTMBMGMCDMedicaid / CHIP$105fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$107fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$107fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$107fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$107fee schedule
UnitedMGMCDMedicaid / CHIP$109fee schedule
Molina HealthcareCHIPMedicaid / CHIP$115fee schedule
Molina HealthcareSTARMedicaid / CHIP$115fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$115fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$115fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$115fee schedule
HumanaMCDMedicaid / CHIP$131fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$157fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$157fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$157fee schedule
BCBSMyBlueHealthCommercial$191fee schedule
BCBSBAVCommercial$202fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$207fee schedule
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
BCBSHMOCommercial$423fee schedule
BCBSEPOSOACommercial$456fee schedule
BCBSPPOCommercial$490fee schedule
Superior Health PlanCHIPMedicaid / CHIP$568percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$568percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$568percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$568percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$568percent of total billed charges
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
UnitedOptionsPPOCommercial$1,665percent of total billed charges
CignaOpenAccessPlusCommercial$1,771case rate
CignaPPOCommercial$2,106case rate
Texas Workforce CommissionWCOMPWorkers' comp$2,271percent of total billed charges
HumanaHMOCommercial$3,135percent of total billed charges
HumanaPPOCommercial$3,135percent of total billed charges
BCBSTraditionalCommercial$3,312percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$3,785percent of total billed charges
HealthSmart Preferred CareACCELCommercial$4,068percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$4,258percent of total billed charges
UnitedGlobalAppendixCommercial$4,258percent of total billed charges
Coventry National First HealthCOMMCommercial$4,901percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$5,204percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$5,204percent of total billed charges
Independent Medical SystemCOMMCommercial$5,677percent of total billed charges
National Healthcare SolutionsCOMMCommercial$5,677percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$5,677percent of total billed charges
Coastal CompCOMMWorkers' comp$6,150percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$7,096percent of total billed charges
HealthSmart Preferred CarePPOCommercial$7,758percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$8,042percent of total billed charges
MultiplanComplementaryNetworkCommercial$8,042percent of total billed charges
Physicians, INCCOMMCommercial$8,042percent of total billed charges
Affiliated PPOCOMMCommercial$8,515percent of total billed charges
HCA Houston Healthcare Mainland: all 67 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$103fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$105fee schedule
AmerigroupMGMCDMedicaid / CHIP$105fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$107fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$107fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$107fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$107fee schedule
UnitedMGMCDMedicaid / CHIP$109fee schedule
Molina HealthcareCHIPMedicaid / CHIP$115fee schedule
Molina HealthcareSTARMedicaid / CHIP$115fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$115fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$115fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$115fee schedule
HumanaMCDMedicaid / CHIP$131fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$157fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$157fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$157fee schedule
BCBSMyBlueHealthCommercial$191fee schedule
BCBSBAVCommercial$202fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$207fee schedule
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
BCBSHMOCommercial$423fee schedule
BCBSEPOSOACommercial$456fee schedule
BCBSPPOCommercial$490fee schedule
Superior Health PlanCHIPMedicaid / CHIP$568percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$568percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$568percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$568percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$568percent of total billed charges
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
UnitedOptionsPPOCommercial$1,911percent of total billed charges
CignaPPOCommercial$2,106case rate
IPA Management ServicesCOMMCommercial$2,365percent of total billed charges
HumanaHMOCommercial$3,135percent of total billed charges
HumanaPPOCommercial$3,135percent of total billed charges
BCBSTraditionalCommercial$3,312percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$3,785percent of total billed charges
HealthSmart Preferred CareACCELCommercial$4,068percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$4,258percent of total billed charges
UnitedGlobalAppendixCommercial$4,258percent of total billed charges
Coventry National First HealthCOMMCommercial$4,901percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$5,204percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$5,204percent of total billed charges
Independent Medical SystemCOMMCommercial$5,677percent of total billed charges
National Healthcare SolutionsCOMMCommercial$5,677percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$5,677percent of total billed charges
Coastal CompCOMMWorkers' comp$6,150percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$7,096percent of total billed charges
HealthSmart Preferred CarePPOCommercial$7,758percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$8,042percent of total billed charges
MultiplanComplementaryNetworkCommercial$8,042percent of total billed charges
Physicians, INCCOMMCommercial$8,042percent of total billed charges
Affiliated PPOCOMMCommercial$8,515percent of total billed charges
HCA Houston Healthcare Medical Center: all 50 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupMCDCHIPBHMedicaid / CHIP$105fee schedule
AmerigroupMGMCDMedicaid / CHIP$105fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$107fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$107fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$107fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$107fee schedule
UnitedMGMCDMedicaid / CHIP$109fee schedule
Molina HealthcareCHIPMedicaid / CHIP$115fee schedule
Molina HealthcareSTARMedicaid / CHIP$115fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$115fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$115fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$115fee schedule
HumanaMCDMedicaid / CHIP$131fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$207fee schedule
BCBSMyBlueHealthCommercial$241fee schedule
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
BCBSBAVCommercial$278fee schedule
BCBSHMOCommercial$423fee schedule
BCBSEPOSOACommercial$451fee schedule
BCBSPPOCommercial$477fee schedule
Superior Health PlanCHIPMedicaid / CHIP$779percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$779percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$779percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$779percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$779percent of total billed charges
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
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$2,181percent of total billed charges
HumanaHMOCommercial$4,301percent of total billed charges
HumanaPPOCommercial$4,301percent of total billed charges
BCBSTraditionalCommercial$4,544percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$5,193percent of total billed charges
UnitedGlobalAppendixCommercial$5,842percent of total billed charges
Coventry National First HealthCOMMCommercial$6,725percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$9,736percent of total billed charges
MultiplanComplementaryNetworkCommercial$11,035percent of total billed charges
HCA Houston Healthcare Tomball: all 53 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupMCDCHIPBHMedicaid / CHIP$105fee schedule
AmerigroupMGMCDMedicaid / CHIP$105fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$107fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$107fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$107fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$107fee schedule
UnitedMGMCDMedicaid / CHIP$109fee schedule
Molina HealthcareCHIPMedicaid / CHIP$115fee schedule
Molina HealthcareSTARMedicaid / CHIP$115fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$115fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$115fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$115fee schedule
HumanaMCDMedicaid / CHIP$131fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$157fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$157fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$157fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$207fee schedule
BCBSMyBlueHealthCommercial$241fee schedule
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
BCBSBAVCommercial$278fee schedule
BCBSHMOCommercial$423fee schedule
BCBSEPOSOACommercial$463fee schedule
BCBSPPOCommercial$502fee schedule
Superior Health PlanCHIPMedicaid / CHIP$785percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$785percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$785percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$785percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$785percent of total billed charges
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
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$2,198percent of total billed charges
HumanaHMOCommercial$4,335percent of total billed charges
HumanaPPOCommercial$4,335percent of total billed charges
BCBSTraditionalCommercial$4,579percent of total billed charges
Coventry National First HealthCOMMCommercial$4,632percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$5,234percent of total billed charges
UnitedGlobalAppendixCommercial$5,888percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$9,813percent of total billed charges
MultiplanComplementaryNetworkCommercial$11,122percent of total billed charges
HCA Houston Healthcare Kingwood: all 67 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$103fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$105fee schedule
AmerigroupMGMCDMedicaid / CHIP$105fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$107fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$107fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$107fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$107fee schedule
UnitedMGMCDMedicaid / CHIP$109fee schedule
Molina HealthcareCHIPMedicaid / CHIP$115fee schedule
Molina HealthcareSTARMedicaid / CHIP$115fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$115fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$115fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$115fee schedule
HumanaMCDMedicaid / CHIP$131fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$157fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$157fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$157fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$207fee schedule
BCBSMyBlueHealthCommercial$243fee schedule
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
BCBSBAVCommercial$278fee schedule
BCBSHMOCommercial$423fee schedule
BCBSEPOSOACommercial$461fee schedule
BCBSPPOCommercial$499fee schedule
Superior Health PlanCHIPMedicaid / CHIP$800percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$800percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$800percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$800percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$800percent of total billed charges
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
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$2,241percent of total billed charges
HumanaHMOCommercial$4,419percent of total billed charges
HumanaPPOCommercial$4,419percent of total billed charges
BCBSTraditionalCommercial$4,668percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$5,335percent of total billed charges
HealthSmart Preferred CareACCELCommercial$5,735percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$6,002percent of total billed charges
UnitedGlobalAppendixCommercial$6,002percent of total billed charges
Coventry National First HealthCOMMCommercial$6,909percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$7,335percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$7,335percent of total billed charges
Independent Medical SystemCOMMCommercial$8,002percent of total billed charges
National Healthcare SolutionsCOMMCommercial$8,002percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$8,002percent of total billed charges
Coastal CompCOMMWorkers' comp$8,669percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$10,003percent of total billed charges
HealthSmart Preferred CarePPOCommercial$10,936percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$11,336percent of total billed charges
MultiplanComplementaryNetworkCommercial$11,336percent of total billed charges
Physicians, INCCOMMCommercial$11,336percent of total billed charges
USA Managed CareCOMMCommercial$11,336percent of total billed charges
Affiliated PPOCOMMCommercial$12,003percent of total billed charges
HCA Houston Healthcare North Cypress: all 44 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupMCDCHIPBHMedicaid / CHIP$105fee schedule
AmerigroupMGMCDMedicaid / CHIP$105fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$107fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$107fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$107fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$107fee schedule
UnitedMGMCDMedicaid / CHIP$109fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$115fee schedule
HumanaMCDMedicaid / CHIP$131fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$207fee schedule
BCBSMyBlueHealthCommercial$243fee schedule
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
BCBSBAVCommercial$278fee schedule
BCBSHMOCommercial$423fee schedule
BCBSEPOSOACommercial$461fee schedule
BCBSPPOCommercial$499fee schedule
Superior Health PlanCHIPMedicaid / CHIP$800percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$800percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$800percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$800percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$800percent of total billed charges
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
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$2,694percent of total billed charges
BCBSTraditionalCommercial$4,668percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$5,335percent of total billed charges
UnitedGlobalAppendixCommercial$6,002percent of total billed charges
Coventry National First HealthCOMMCommercial$6,909percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$10,003percent of total billed charges
MultiplanComplementaryNetworkCommercial$11,336percent of total billed charges
HCA Houston Healthcare Southeast: all 68 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$103fee schedule
AmerigroupMGMCDMedicaid / CHIP$105fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$107fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$107fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$107fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$107fee schedule
UnitedMGMCDMedicaid / CHIP$109fee schedule
Molina HealthcareCHIPMedicaid / CHIP$115fee schedule
Molina HealthcareSTARMedicaid / CHIP$115fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$115fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$115fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$115fee schedule
HumanaMCDMedicaid / CHIP$131fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$157fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$157fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$157fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$207fee schedule
BCBSMyBlueHealthCommercial$241fee schedule
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
BCBSBAVCommercial$278fee schedule
BCBSHMOCommercial$423fee schedule
BCBSEPOSOACommercial$447fee schedule
BCBSPPOCommercial$471fee schedule
Superior Health PlanCHIPMedicaid / CHIP$890percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$890percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$890percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$890percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$890percent of total billed charges
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
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$2,996percent of total billed charges
Texas Workforce CommissionWCOMPWorkers' comp$3,560percent of total billed charges
HumanaHMOCommercial$4,914percent of total billed charges
HumanaPPOCommercial$4,914percent of total billed charges
BCBSTraditionalCommercial$5,192percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$5,933percent of total billed charges
HealthSmart Preferred CareACCELCommercial$6,378percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$6,675percent of total billed charges
UnitedGlobalAppendixCommercial$6,675percent of total billed charges
Coventry National First HealthCOMMCommercial$7,683percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$8,158percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$8,158percent of total billed charges
Independent Medical SystemCOMMCommercial$8,900percent of total billed charges
National Healthcare SolutionsCOMMCommercial$8,900percent of total billed charges
Prime Health ServicesWORKERSCOMPWorkers' comp$8,900percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$8,900percent of total billed charges
Coastal CompCOMMWorkers' comp$9,641percent of total billed charges
Fiesta Mart, IncCOMMCommercial$11,125percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$11,125percent of total billed charges
HealthSmart Preferred CarePPOCommercial$12,163percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$12,608percent of total billed charges
MultiplanComplementaryNetworkCommercial$12,608percent of total billed charges
Physicians, INCCOMMCommercial$12,608percent of total billed charges
Affiliated PPOCOMMCommercial$13,350percent of total billed charges
HCA Houston Healthcare Northwest: all 53 plan rates
PayerPlan (as written in the file)TypeRateMethod
AmerigroupMCDCHIPBHMedicaid / CHIP$105fee schedule
AmerigroupMGMCDMedicaid / CHIP$105fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$107fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$107fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$107fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$107fee schedule
UnitedMGMCDMedicaid / CHIP$109fee schedule
Molina HealthcareCHIPMedicaid / CHIP$115fee schedule
Molina HealthcareSTARMedicaid / CHIP$115fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$115fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$115fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$115fee schedule
HumanaMCDMedicaid / CHIP$131fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$157fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$157fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$157fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$207fee schedule
BCBSMyBlueHealthCommercial$243fee schedule
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
BCBSBAVCommercial$278fee schedule
BCBSHMOCommercial$423fee schedule
BCBSEPOSOACommercial$461fee schedule
BCBSPPOCommercial$499fee schedule
Superior Health PlanCHIPMedicaid / CHIP$904percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$904percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$904percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$904percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$904percent of total billed charges
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
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$2,531percent of total billed charges
HumanaHMOCommercial$4,991percent of total billed charges
HumanaPPOCommercial$4,991percent of total billed charges
BCBSTraditionalCommercial$5,272percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$6,026percent of total billed charges
UnitedGlobalAppendixCommercial$6,779percent of total billed charges
Coventry National First HealthCOMMCommercial$7,803percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$11,298percent of total billed charges
MultiplanComplementaryNetworkCommercial$12,804percent of total billed charges
HCA Houston Healthcare Conroe: all 68 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$103fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$105fee schedule
AmerigroupMGMCDMedicaid / CHIP$105fee schedule
Liberty County IndigentLOCALGOVPublic program$105fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$107fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$107fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$107fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$107fee schedule
UnitedMGMCDMedicaid / CHIP$109fee schedule
Molina HealthcareCHIPMedicaid / CHIP$115fee schedule
Molina HealthcareSTARMedicaid / CHIP$115fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$115fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$115fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$115fee schedule
HumanaMCDMedicaid / CHIP$131fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$157fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$157fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$157fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$207fee schedule
BCBSMyBlueHealthCommercial$241fee schedule
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
BCBSBAVCommercial$278fee schedule
BCBSHMOCommercial$423fee schedule
BCBSEPOSOACommercial$463fee schedule
BCBSPPOCommercial$502fee schedule
Superior Health PlanCHIPMedicaid / CHIP$994percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$994percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$994percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$994percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$994percent of total billed charges
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
CignaPPOCommercial$2,106case rate
UnitedOptionsPPOCommercial$2,917percent of total billed charges
TX Workforce CommissionGVTPublic program$3,978percent of total billed charges
HumanaHMOCommercial$5,491percent of total billed charges
HumanaPPOCommercial$5,491percent of total billed charges
BCBSTraditionalCommercial$5,801percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$6,629percent of total billed charges
HealthSmart Preferred CareACCELCommercial$7,126percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$7,458percent of total billed charges
UnitedGlobalAppendixCommercial$7,458percent of total billed charges
Coventry National First HealthCOMMCommercial$8,585percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$9,115percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$9,115percent of total billed charges
Independent Medical SystemCOMMCommercial$9,944percent of total billed charges
National Healthcare SolutionsCOMMCommercial$9,944percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$9,944percent of total billed charges
Coastal CompCOMMWorkers' comp$10,772percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$12,430percent of total billed charges
HealthSmart Preferred CarePPOCommercial$13,590percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$14,087percent of total billed charges
MultiplanComplementaryNetworkCommercial$14,087percent of total billed charges
Physicians, INCCOMMCommercial$14,087percent of total billed charges
Affiliated PPOCOMMCommercial$14,916percent of total billed charges
HCA Houston Healthcare West: all 68 plan rates
PayerPlan (as written in the file)TypeRateMethod
Texas Health NetworkMCDMedicaid / CHIP$103fee schedule
AmerigroupMCDCHIPBHMedicaid / CHIP$105fee schedule
AmerigroupMGMCDMedicaid / CHIP$105fee schedule
Community Health Choice MCDCHIPMedicaid / CHIP$107fee schedule
Community Health Choice MCDCHIPPerinatalMedicaid / CHIP$107fee schedule
Community Health Choice MCDSTARMedicaid / CHIP$107fee schedule
Community Health Choice MCDSTAR+PLUSMedicaid / CHIP$107fee schedule
UnitedMGMCDMedicaid / CHIP$109fee schedule
Molina HealthcareCHIPMedicaid / CHIP$115fee schedule
Molina HealthcareSTARMedicaid / CHIP$115fee schedule
Molina HealthcareSTARKIDSMedicaid / CHIP$115fee schedule
Molina HealthcareSTARPLUSMedicaid / CHIP$115fee schedule
Aetna Better HealthMGMCDMedicaid / CHIP$115fee schedule
HumanaMCDMedicaid / CHIP$131fee schedule
Texas Childrens Health PlansCHIPMedicaid / CHIP$157fee schedule
Texas Childrens Health PlansSTARMedicaid / CHIP$157fee schedule
Texas Childrens Health PlansSTARKIDSMedicaid / CHIP$157fee schedule
UnitedNarrowNetworkIndivExchangeCommercial$207fee schedule
BCBSMyBlueHealthCommercial$224fee schedule
UnitedAllPayerAppendixCommercial$245fee schedule
UnitedSmallGroupCommercial$245fee schedule
BCBSBAVCommercial$278fee schedule
BCBSHMOCommercial$423fee schedule
BCBSEPOSOACommercial$444fee schedule
BCBSPPOCommercial$464fee schedule
AetnaNBHMOCommercial$1,007per diem
AetnaNBPOSCommercial$1,007per diem
AetnaNBPPOCommercial$1,007per diem
Superior Health PlanCHIPMedicaid / CHIP$1,055percent of total billed charges
Superior Health PlanCHPFCMedicaid / CHIP$1,055percent of total billed charges
Superior Health PlanSTARMedicaid / CHIP$1,055percent of total billed charges
Superior Health PlanSTARKidsMedicaid / CHIP$1,055percent of total billed charges
Superior Health PlanSTARPLUSMedicaid / CHIP$1,055percent 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$2,955percent of total billed charges
Texas Workforce CommissionWCOMPWorkers' comp$4,221percent of total billed charges
HumanaHMOCommercial$5,827percent of total billed charges
HumanaPPOCommercial$5,827percent of total billed charges
BCBSTraditionalCommercial$6,155percent of total billed charges
Christus (USFHP)TRICAREMilitary / VA$7,035percent of total billed charges
HealthSmart Preferred CareACCELCommercial$7,562percent of total billed charges
Fidelis SecureCare of TXMGMCRMedicare Advantage$7,914percent of total billed charges
UnitedGlobalAppendixCommercial$7,914percent of total billed charges
Coventry National First HealthCOMMCommercial$9,110percent of total billed charges
Physicians Cooperative of TexasWCWorkers' comp$9,673percent of total billed charges
Rockport Workers CompCOMMWorkers' comp$9,673percent of total billed charges
Independent Medical SystemCOMMCommercial$10,552percent of total billed charges
National Healthcare SolutionsCOMMCommercial$10,552percent of total billed charges
SouthWest MedicalWORKERSCOMPWorkers' comp$10,552percent of total billed charges
TriumphCOMMCommercial$10,552percent of total billed charges
Coastal CompCOMMWorkers' comp$11,432percent of total billed charges
MultiplanPHCSPrimaryNetworkCommercial$13,190percent of total billed charges
HealthSmart Preferred CarePPOCommercial$14,421percent of total billed charges
HealthSmart Preferred CareACCOUNTABLEPPOCommercial$14,949percent of total billed charges
MultiplanComplementaryNetworkCommercial$14,949percent of total billed charges
Physicians, INCCOMMCommercial$14,949percent of total billed charges
Affiliated PPOCOMMCommercial$15,828percent 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$105fee schedule
Community HealthMedicare Managed Care PlanMedicare Advantage$116fee schedule
Procare AdvantageMedicare Managed Care PlanMedicare Advantage$121fee schedule
Community HealthPremier/Select ExchangeCommercial$158fee schedule
AetnaExchangeCommercial$163fee schedule
Community HealthUltra ExchangeCommercial$168fee schedule
90 DegreesAll Commercial PlansCommercial$200fee 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$105fee schedule
Superior CHIPSuperior CHIP/Superior Perinate CHIPMedicaid / CHIP$110fee schedule
Driscoll Children's Health Plan MCDDriscoll CHIP/STAR KidsMedicaid / CHIP$115fee schedule
Driscoll Children's Health Plan MCDDriscoll Star MCDMedicaid / CHIP$115fee schedule
First Care Health PlanFirst Care CHIP/First Care Star PlusMedicaid / CHIP$874percent of total billed charges
First Care Health PlanFirst Care Star MCDMedicaid / CHIP$874percent of total billed charges
United Healthcare CHIPUnited Healthcare CHIPMedicaid / CHIP$874percent of total billed charges
United Healthcare MCDUnited Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCDMedicaid / CHIP$874percent of total billed charges
Molina MCDMolina CHIP/Molina Star MCD/Molina Star Plus MCDMedicaid / CHIP$971percent of total billed charges
Blue Cross Blue Shield MCDBCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCDMedicaid / CHIP$1,133percent of total billed charges
Community Health ChoiceCommunity HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIPMedicaid / CHIP$1,142percent 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$1,294percent of total billed charges
Cook Children's Health PlanCook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCDMedicaid / CHIP$1,294percent of total billed charges
CignaCigna Local Plus/Cigna Sure Fit HMOCommercial$1,877percent of total billed charges
CignaCigna Harris County PPO/HMO/Cigna PPOCommercial$2,006percent of total billed charges
Blue Cross Blue ShieldBCBS HMO Blue Essentials TXCommercial$2,039percent of total billed charges
Blue Cross Blue ShieldBCBS PPOCommercial$2,039percent of total billed charges
Blue Cross Blue ShieldBCBS TraditionalCommercial$2,039percent of total billed charges
AetnaAetna HMOCommercial$2,071percent of total billed charges
AetnaAetna EPO/Aetna POS/Aetna PPOCommercial$2,071percent of total billed charges
Community Health ChoiceCommunity HC MarketplaceCommercial$2,071percent of total billed charges
First Care Health PlanFirst Care HMO/PPO/EPOCommercial$2,071percent of total billed charges
United HealthcareGolden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPOCommercial$2,071percent of total billed charges
KelseyCareKelseyCareCommercial$2,103percent of total billed charges
HealthSmartHealthSmart OtherCommercial$2,265percent of total billed charges
Evolutions HealthcareEvolutions PPOCommercial$2,427percent of total billed charges
First HealthCommercialCommercial$2,848percent of total billed charges
MultiplanMultiplan OtherCommercial$2,912percent of total billed charges
First HealthCCN NetworkCommercial$3,074percent of total billed charges
Galaxy Health NetworkGalaxy Health NetworkCommercial$3,074percent 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$105fee schedule
Superior CHIPSuperior CHIP/Superior Perinate CHIPMedicaid / CHIP$110fee schedule
Driscoll Children's Health Plan MCDDriscoll CHIP/STAR KidsMedicaid / CHIP$115fee schedule
Driscoll Children's Health Plan MCDDriscoll Star MCDMedicaid / CHIP$115fee schedule
First Care Health PlanFirst Care CHIP/First Care Star PlusMedicaid / CHIP$874percent of total billed charges
First Care Health PlanFirst Care Star MCDMedicaid / CHIP$874percent of total billed charges
United Healthcare CHIPUnited Healthcare CHIPMedicaid / CHIP$874percent of total billed charges
United Healthcare MCDUnited Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCDMedicaid / CHIP$874percent of total billed charges
Molina MCDMolina CHIP/Molina Star MCD/Molina Star Plus MCDMedicaid / CHIP$971percent of total billed charges
Blue Cross Blue Shield MCDBCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCDMedicaid / CHIP$1,133percent of total billed charges
Community Health ChoiceCommunity HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIPMedicaid / CHIP$1,142percent 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$1,294percent of total billed charges
Cook Children's Health PlanCook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCDMedicaid / CHIP$1,294percent of total billed charges
CignaCigna Local Plus/Cigna Sure Fit HMOCommercial$1,877percent of total billed charges
CignaCigna Harris County PPO/HMO/Cigna PPOCommercial$2,006percent of total billed charges
Blue Cross Blue ShieldBCBS HMO Blue Essentials TXCommercial$2,039percent of total billed charges
Blue Cross Blue ShieldBCBS PPOCommercial$2,039percent of total billed charges
Blue Cross Blue ShieldBCBS TraditionalCommercial$2,039percent of total billed charges
AetnaAetna HMOCommercial$2,071percent of total billed charges
AetnaAetna EPO/Aetna POS/Aetna PPOCommercial$2,071percent of total billed charges
Community Health ChoiceCommunity HC MarketplaceCommercial$2,071percent of total billed charges
First Care Health PlanFirst Care HMO/PPO/EPOCommercial$2,071percent of total billed charges
United HealthcareGolden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPOCommercial$2,071percent of total billed charges
KelseyCareKelseyCareCommercial$2,103percent of total billed charges
HealthSmartHealthSmart OtherCommercial$2,265percent of total billed charges
Evolutions HealthcareEvolutions PPOCommercial$2,427percent of total billed charges
First HealthCommercialCommercial$2,848percent of total billed charges
MultiplanMultiplan OtherCommercial$2,912percent of total billed charges
First HealthCCN NetworkCommercial$3,074percent of total billed charges
Galaxy Health NetworkGalaxy Health NetworkCommercial$3,074percent 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$105fee schedule
Superior CHIPSuperior CHIP/Superior Perinate CHIPMedicaid / CHIP$110fee schedule
Driscoll Children's Health Plan MCDDriscoll CHIP/STAR KidsMedicaid / CHIP$115fee schedule
Driscoll Children's Health Plan MCDDriscoll Star MCDMedicaid / CHIP$115fee schedule
First Care Health PlanFirst Care CHIP/First Care Star PlusMedicaid / CHIP$874percent of total billed charges
First Care Health PlanFirst Care Star MCDMedicaid / CHIP$874percent of total billed charges
United Healthcare CHIPUnited Healthcare CHIPMedicaid / CHIP$874percent of total billed charges
United Healthcare MCDUnited Healthcare Star Kids MCD/United Healthcare Star MCD/United Healthcare Star Plus MCDMedicaid / CHIP$874percent of total billed charges
Molina MCDMolina CHIP/Molina Star MCD/Molina Star Plus MCDMedicaid / CHIP$971percent of total billed charges
Blue Cross Blue Shield MCDBCBS STAR Kids MCD/BCBS TX STAR MCD/BCBS TX STAR PLUS MCDMedicaid / CHIP$1,133percent of total billed charges
Community Health ChoiceCommunity HC CHIP/Community HC Star MCD/Community Health Choice Perinate CHIPMedicaid / CHIP$1,142percent 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$1,294percent of total billed charges
Cook Children's Health PlanCook Children's CHIP/Cook Children's Star/Cook Children's Star Kids MCDMedicaid / CHIP$1,294percent of total billed charges
CignaCigna Local Plus/Cigna Sure Fit HMOCommercial$1,877percent of total billed charges
CignaCigna Harris County PPO/HMO/Cigna PPOCommercial$2,006percent of total billed charges
Blue Cross Blue ShieldBCBS HMO Blue Essentials TXCommercial$2,039percent of total billed charges
Blue Cross Blue ShieldBCBS PPOCommercial$2,039percent of total billed charges
Blue Cross Blue ShieldBCBS TraditionalCommercial$2,039percent of total billed charges
AetnaAetna HMOCommercial$2,071percent of total billed charges
AetnaAetna EPO/Aetna POS/Aetna PPOCommercial$2,071percent of total billed charges
Community Health ChoiceCommunity HC MarketplaceCommercial$2,071percent of total billed charges
First Care Health PlanFirst Care HMO/PPO/EPOCommercial$2,071percent of total billed charges
United HealthcareGolden Rule/UMR/United Healthcare International/United Healthcare POS/EPO/United Healthcare PPOCommercial$2,071percent of total billed charges
KelseyCareKelseyCareCommercial$2,103percent of total billed charges
HealthSmartHealthSmart OtherCommercial$2,265percent of total billed charges
Evolutions HealthcareEvolutions PPOCommercial$2,427percent of total billed charges
First HealthCommercialCommercial$2,848percent of total billed charges
MultiplanMultiplan OtherCommercial$2,912percent of total billed charges
First HealthCCN NetworkCommercial$3,074percent of total billed charges
Galaxy Health NetworkGalaxy Health NetworkCommercial$3,074percent of total billed charges

What this price covers

These are hospital charges for CPT code 71250 (Chest 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